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"content": "\u003cp>A long heat wave is settling in across most of California, threatening wildfires and raising public health risks that include the spread of COVID-19 over the next week.\u003c/p>\n\u003cp>It’s not a dry heat, either. Temperatures will feel worse than usual, especially overnight, as a result of an unusual boost in atmospheric humidity caused by the remnants of a hurricane.\u003c/p>\n\u003cp>On Friday, high temperatures around the Bay Area included 109 in Fairfield, 103 in Petaluma and 103 in Santa Rosa, according to the \u003ca href=\"https://www.wrh.noaa.gov/map/?obs=true&wfo=mtr\" target=\"_blank\" rel=\"noopener noreferrer\">National Weather Service\u003c/a>.\u003c/p>\n\u003cp>Climatologist Daniel Swain says some coastal areas will escape the most unbearable temperatures, but that heat will blanket 90% of California’s land mass, so most people should get ready.\u003c/p>\n\u003cp>“I suspect this event will probably end up being one of the most significant widespread California extreme heat events in the past decade, if not longer,” \u003ca href=\"https://weatherwest.com/archives/7427\">writes \u003c/a>Swain on his Weather West blog.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>https://twitter.com/Weather_West/status/1294275589487067139\u003c/p>\n\u003cp>The National Weather Service has issued an excessive heat warning in effect through next Wednesday, noting that “drastic temperature differences will exist” between the coast and further inland, raising fears that Californians will flock to coastal areas despite the pandemic.\u003c/p>\n\u003cp>https://twitter.com/CAL_FIRE/status/1293649657222946816\u003c/p>\n\u003cp>Cal Fire has issued a red flag warning for the Sierra foothills and parts of northeastern California through next week.\u003c/p>\n\u003cp>However, that won’t necessarily prompt a public safety power shutdown. A spokeswoman for PG&E says the utility’s in-house meteorologists take other factors into consideration, and the utility does not forsee issuing a PSPS this weekend.\u003c/p>\n\u003cp>County emergency and health officials are offering air conditioning at cooling centers for residents seeking a respite from the heat. Everyone will have to wear a mask and observe social distancing requirements, and capacity will be reduced to comply with health orders. People who believe they might have been exposed to COVID-19 should stay home.\u003c/p>\n\u003cp>https://twitter.com/SCC_OES/status/1294052556478377984\u003c/p>\n\u003cp>In \u003ca href=\"https://www.sccgov.org/sites/oes/residents/Pages/hot-weather-information.aspx?fbclid=IwAR1WV-S45wq6VB6xY4Q3ER7BEFLl3Wxq8tiPYEzRiKdvCWDYmwKFN7jpXzA\">Santa Clara County\u003c/a>, the Office of Emergency Management has opened cooling centers, some of which will be available until 9 p.m. over the weekend. \u003ca href=\"https://www.contracosta.ca.gov/CivicAlerts.aspx?AID=2295\">Contra Costa\u003c/a> has opened cooling centers at community centers where the coronavirus has curtailed the usual programs and services. Solano County cooling centers are usually in libraries; since they’re closed on weekends, few options remain, including at community centers in Fairfield. The county recommends calling first.\u003c/p>\n\u003cp>\u003ca href=\"https://www.wrh.noaa.gov/wrh/heatrisk/?&zoom=7.6000000000000005¢er=39.16,-121.49&basemap=OpenStreetMap%20WOC&boundaries=true,true,false,false&products=false,false,false&opacity=80\">You can use NOAA’s experimental tool\u003c/a> to see more about your heat risk over the next week.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Health officials advise drinking water, keeping children and pets away from heat whenever possible, and checking on older neighbors, especially if they are alone.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>In \u003ca href=\"https://www.sccgov.org/sites/oes/residents/Pages/hot-weather-information.aspx?fbclid=IwAR1WV-S45wq6VB6xY4Q3ER7BEFLl3Wxq8tiPYEzRiKdvCWDYmwKFN7jpXzA\">Santa Clara County\u003c/a>, the Office of Emergency Management has opened cooling centers, some of which will be available until 9 p.m. over the weekend. \u003ca href=\"https://www.contracosta.ca.gov/CivicAlerts.aspx?AID=2295\">Contra Costa\u003c/a> has opened cooling centers at community centers where the coronavirus has curtailed the usual programs and services. Solano County cooling centers are usually in libraries; since they’re closed on weekends, few options remain, including at community centers in Fairfield. The county recommends calling first.\u003c/p>\n\u003cp>\u003ca href=\"https://www.wrh.noaa.gov/wrh/heatrisk/?&zoom=7.6000000000000005¢er=39.16,-121.49&basemap=OpenStreetMap%20WOC&boundaries=true,true,false,false&products=false,false,false&opacity=80\">You can use NOAA’s experimental tool\u003c/a> to see more about your heat risk over the next week.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Health officials advise drinking water, keeping children and pets away from heat whenever possible, and checking on older neighbors, especially if they are alone.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "For HIV Survivors, Pandemic Is Sad Reminder of Early Days of AIDS",
"headTitle": "For HIV Survivors, Pandemic Is Sad Reminder of Early Days of AIDS | KQED",
"content": "\u003cp class=\"p1\">In January, two weeks after Rick Solomon joined the YMCA near his home, he fell ill. The 65-year-old Berkeley resident hoped to spend the month working out, instead he laid in bed wheezing, with crippling muscle aches. He missed several days of work at a small publishing house.\u003c/p>\n\u003cp class=\"p1\">[pullquote size='medium' citation='Dr. Steven Deeks, UCSF']‘I am pretty sure that my patients, my older, primarily gay men who survived the ’80s and ’90s, were the first to effectively shelter in place because they know what a pandemic is.’[/pullquote]“I was sick for most of the month of February with a horrible cough like I’ve never had before,” said Solomon running his fingers through his thick salt and pepper hair. “It went into my chest. I used inhalers for the first time in my life.”\u003c/p>\n\u003cp class=\"p1\">He was never tested for COVID-19 because he hadn’t traveled overseas recently, which was one of the official requirements for testing at the time. And although he has since tested negative for the virus’ antibodies, Solomon still believes he may have caught the bug.\u003c/p>\n\u003cp class=\"p1\">“The test the lab used was not FDA approved,” he said. “So who knows? It was just a different kind of cold.”\u003c/p>\n\u003cp class=\"p1\">Solomon took the antibody test because he wanted to enroll in a study at Zuckerberg San Francisco General Hospital looking at HIV-positive people infected with COVID-19. It’s a topic of special interest to researchers.\u003c/p>\n\u003cp class=\"p1\">“COVID is going to have a major impact on the trajectory of the HIV epidemic,” said Dr. Steven Deeks, a UCSF professor of medicine and HIV researcher. “We just don’t know how.”\u003c/p>\n\u003cfigure id=\"attachment_1966721\" class=\"wp-caption alignright\" style=\"max-width: 527px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-1966721\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/SD-ZSF-Photograph-800x534.jpg\" alt=\"Dr. Steven Deeks is a recognized expert on HIV-associated immune dysfunction and its impact on HIV persistence (the “reservoir”) and health during antiretroviral therapy. \" width=\"527\" height=\"351\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-1536x1025.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-1920x1281.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph.jpg 2048w\" sizes=\"(max-width: 527px) 100vw, 527px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Steven Deeks is a recognized expert on HIV-associated immune dysfunction and its impact on HIV persistence (the “reservoir”) and health during antiretroviral therapy. \u003ccite>(UCSF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p2\">Some answers may come to light this week at the \u003ca href=\"https://www.aids2020.org/\">\u003cspan class=\"s2\">23rd International AIDS Conference.\u003c/span>\u003c/a> The event was scheduled to happen in San Francisco and Oakland until the coronavirus hit. Now scientists, policymakers, public health experts and patients from around the world will gather virtually. COVID-19 is a central topic on the agenda.\u003c/p>\n\u003cp class=\"p1\">\u003cb>Surprising Positive Trend\u003c/b>\u003c/p>\n\u003cp class=\"p1\">Infectious disease doctors assumed people with HIV would be at higher risk for complications from the novel coronavirus due to a weakened immune system. Plus, the majority of HIV-positive people in the U.S. are older, and many struggle with underlying conditions like heart disease and diabetes, which make illness from COVID-19 infection more severe.\u003c/p>\n\u003cp class=\"p1\">Early in the outbreak, four of Dr. Edward “Lalo” Cachay’s patients were hospitalized for complications with COVID-19. Cachay, a professor of medicine at UC San Diego, feared the worst.\u003c/p>\n\u003cp class=\"p1\">“You could potentially have a very dangerous combination of both biological and social determinants of health,” said Cachay.\u003c/p>\n\u003cp class=\"p1\">HIV patients are not only immunocompromised, many also face psycho-social barriers like poor health insurance and mental illness. But not only did Cachay’s four patients experience good outcomes, this positive trend is playing out across the globe.\u003c/p>\n\u003cfigure id=\"attachment_1966724\" class=\"wp-caption alignright\" style=\"max-width: 438px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-1966724\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341-800x833.jpg\" alt=\"Edward “Lalo” Cachay, a professor of medicine at UCSD., smiles in a university portrait. He has warm brown eyes behind brown glasses and a closely trimmed, salt-and-pepper beard and mustache.\" width=\"438\" height=\"456\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341-800x833.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341-1020x1062.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341-160x167.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341-768x800.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341.jpg 1281w\" sizes=\"(max-width: 438px) 100vw, 438px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Edward “Lalo” Cachay, a professor of medicine at UCSD. \u003ccite>(UCSD)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p1\">“People with HIV are radically underrepresented in the different cohorts coming from Europe and China with very advanced, severe forms of COVID-19,” Cachay said.\u003c/p>\n\u003cp class=\"p1\">Two small studies from \u003ca href=\"https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(20)30164-8/fulltext\">\u003cspan class=\"s1\">Spain\u003c/span>\u003c/a> and \u003ca href=\"https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(20)30164-8/fulltext\">\u003cspan class=\"s1\">Italy\u003c/span>\u003c/a> show that HIV-positive people infected with COVID-19 did not fare worse than those without HIV. Scientists are not sure why.\u003c/p>\n\u003cp class=\"p1\">\u003cb>More Questions Than Answers\u003c/b>\u003c/p>\n\u003cp class=\"p1\">“The bottom line is we have no idea,” said Deeks. “We have lots of interesting questions, lots of important questions, and lots of anecdotes. But at the end of day, we don’t have much data at all.”\u003c/p>\n\u003cp class=\"p1\">Cachay hopes a study he is involved in will offer concrete answers. He’s partnering with scientists at the Fred Hutchinson Cancer Research Center and the University of Washington to answer some key questions: \u003cspan class=\"s1\">What factors might predict which HIV patients are most at risk? Do HIV patients who contract COVID-19 suffer severe illness? And are mortality rates higher in HIV patients who contract the novel\u003c/span> \u003cspan class=\"s1\">coronavirus? \u003c/span>\u003c/p>\n\u003cp class=\"p2\">“I hope this study will help us disentangle the data more,” said Cachay.\u003c/p>\n\u003cp class=\"p1\">Some experts theorize daily HIV meds might offer some protection against the coronavirus. Others wonder if the immune system of people with HIV is altered in a way that offers some resilience. Or, perhaps, experience helps.\u003c/p>\n\u003cp class=\"p1\">“I am pretty sure that my patients, my older, primarily gay men who survived the ’80s and ’90s, were the first to effectively shelter in place because they know what a pandemic is,” said Deeks. “They know how a virus can ravage a community. They know how important social distancing is.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp class=\"p1\">Dr. Michael Gottlieb, the UCLA HIV physician who identified the first cluster of HIV cases in 1981, agrees.\u003c/p>\n\u003cp class=\"p1\">“They’ve survived one virus,” he said. “They don’t want to be nabbed by this one.”\u003c/p>\n\u003cp class=\"p1\">\u003cb>Lessons Learned From One Pandemic Help Save Lives in Another\u003c/b>\u003c/p>\n\u003cp class=\"p1\">John Schumacher, a 63-year-old soft spoken gay male, is a case in point. Over the years, the long-term HIV survivor and community volunteer has faced many perilous moments with his health.\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/p>\n\u003cp class=\"p1\">“I’ve learned to err on the side of caution,” Schumacher said. “You know, to wear a condom if someone else wants to, wear gloves, to do what is safer or what seems safe, even if I may not agree.”\u003c/p>\n\u003cp class=\"p1\">When the coronavirus started spreading, he started washing his hands diligently and wore a mask before it was widely recommended. He always carries hand sanitizer, and he says the same is true for his 31 housemates who are also HIV-positive. The group shares a community house in San Francisco. Fortunately no one has tested positive for COVID-19.\u003c/p>\n\u003cp class=\"p1\">“We think we had the training to do better in this pandemic,” said Jesus Guillen, of San Francisco. “We have experience at many of these things. We know how to push past barriers.”\u003c/p>\n\u003cp class=\"p1\">For example, even though Guillen loves to socialize, he didn’t balk when officials announced the stay-at-home directive because he understands all too well what’s at stake. Over the years, the tall flamboyant Latino has lost many close friends, including his first American lover whom he met soon after crossing the Mexican border in 1984.\u003c/p>\n\u003cfigure id=\"attachment_1966713\" class=\"wp-caption alignright\" style=\"max-width: 546px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-1966713\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/PICT0293-800x600.jpg\" alt=\"Jesus Guillen snaps a selfie at Ocean Beach in San Francisco.\" width=\"546\" height=\"409\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-768x576.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-1920x1440.jpg 1920w\" sizes=\"(max-width: 546px) 100vw, 546px\">\u003cfigcaption class=\"wp-caption-text\">Jesus Guillen snaps a selfie at Ocean Beach in San Francisco. \u003ccite>(Jesus Guillen)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p3\">“I was with just one person,” he sighs. “And sadly, he died one year later.”\u003c/p>\n\u003cp class=\"p1\">\u003cb>‘We Got The Real Social Distancing’\u003c/b>\u003c/p>\n\u003cp class=\"p1\">Today, the 60-year-old with spiky platinum hair and a turquoise earring is a proud activist in San Francisco. But when he first found out he was HIV-positive, he was a shy immigrant who didn’t tell anyone.\u003c/p>\n\u003cp class=\"p1\">“In those times, they were not allowing people who were HIV-positive to stay in this country,” he said.\u003c/p>\n\u003cp class=\"p1\">But it was more than just fear of \u003ca href=\"https://www.americanbar.org/groups/crsj/publications/human_rights_magazine_home/human_rights_vol31_2004/fall2004/irr_hr_fall04_persecution/\">\u003cspan class=\"s3\">deportation\u003c/span>\u003c/a> that silenced Guillen. In 1985, a Los Angeles Times \u003ca href=\"https://www.latimes.com/archives/la-xpm-1985-12-19-mn-30337-story.html\">\u003cspan class=\"s3\">poll\u003c/span>\u003c/a> revealed a majority of Americans favored quarantining people with AIDS.\u003c/p>\n\u003cp class=\"p1\">“We got the social distancing through discrimination, through a stigma, through homophobia, through all those things, We got the real social distancing,” he said.\u003c/p>\n\u003cp class=\"p1\">At the beginning of the coronavirus outbreak, memories from the ’80s flooded back. The Grand Princess cruise ship carrying passengers with COVID-19 was docking at the Port of Oakland, when Guillen overheard a conversation on a bus.\u003c/p>\n\u003cp>“She was a normal average person saying, ‘Why do they allow them to be right there in Oakland? They should be taking these people to an island.'”\u003c/p>\n\u003cp class=\"p1\">“That took me back so much to the early ’80s with HIV.” Guillen winced. “People wanted to put us in cages or places completely separate.”\u003c/p>\n\u003cp class=\"p1\">\u003cb>Hauntingly Similar \u003c/b>\u003c/p>\n\u003cp class=\"p1\">Four decades ago, no one could have imagined AIDS would kill more than \u003ca href=\"https://www.kff.org/hivaids/fact-sheet/the-hivaids-epidemic-in-the-united-states-the-basics/\">\u003cspan class=\"s3\">700,000\u003c/span>\u003c/a> people in America, and more than \u003ca href=\"https://www.who.int/gho/hiv/en/\">\u003cspan class=\"s3\">32 million\u003c/span>\u003c/a> worldwide.\u003c/p>\n\u003cfigure id=\"attachment_1966715\" class=\"wp-caption alignright\" style=\"max-width: 721px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1966715 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/GettyImages-626934506-1-e1593659360168.jpg\" alt=\"Dr. Michael Gottlieb attends The Elizabeth Taylor AIDS Foundation World AIDS Day Event co-hosted by SAG-AFTRA at the at James Cagney Boardroom on November 30, 2016 in Los Angeles, California.\" width=\"721\" height=\"844\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-626934506-1-e1593659360168.jpg 721w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-626934506-1-e1593659360168-160x187.jpg 160w\" sizes=\"(max-width: 721px) 100vw, 721px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Michael Gottlieb attends The Elizabeth Taylor AIDS Foundation World AIDS Day event co-hosted by SAG-AFTRA at the at James Cagney Boardroom on Nov. 30, 2016, in Los Angeles. \u003ccite>(Jesse Grant/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p1\">“I thought that the very first case might just be a one-off phenomenon,” said Dr. Michael Gottlieb, of UCLA. “We didn’t even know that AIDS was caused by a virus. We didn’t know that for two full years after the description of the first patients.”\u003c/p>\n\u003cp class=\"p1\">Scientists like Gottlieb struggled to access funding to study HIV. It took a couple of years before researchers understood how AIDS was transmitted. Fear plagued gay neighborhoods like the Castro. People worried a cough or a toilet seat might be a death sentence.\u003c/p>\n\u003cp class=\"p1\">“You’d go out in the street at night and no one would be there,” said Rick Solomon, a 65-year-old Berkeley resident who is enrolled in a COVID-19 study at San Francisco General. “And the bars were almost empty. People didn’t go out.”\u003c/p>\n\u003cp class=\"p1\">Throughout the ’80s, Solomon kept a little notebook of names of people who died. The list grew to more than 200 people. He was not surprised when he tested positive in 1990.\u003c/p>\n\u003cp class=\"p1\">Even though HIV and the new coronavirus are not similar in genome, transmission or mortality; the experience of living through two plagues is hauntingly comparable.\u003c/p>\n\u003cp class=\"p1\">“The apocalyptic scenes of New York City ICUs overwhelmed with people with COVID-19 pneumonia remind me of our early days where patients with AIDS presented very late with pneumocystis pneumonia and required ventilators,” said Gottlieb.\u003c/p>\n\u003cp class=\"p1\">Other elements are also familiar. Results from small studies are overblown. Officials change course abruptly. Public health is politicized. Lives become statistics. Headlines tout new cures. Vaccines are promised. And at the end of the day, individual actions save lives.\u003c/p>\n\u003cp class=\"p1\">“Back in the early ’80s, the answer was condoms and fewer sexual partners,” said Gottlieb. “Today, the answer is masks and social distancing. Behavior change is essential in preventing the spread of both of these viruses.”\u003c/p>\n\u003cfigure id=\"attachment_1966726\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1966726 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/GettyImages-50861211-800x654.jpg\" alt=\"\" width=\"800\" height=\"654\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-800x654.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-1020x834.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-160x131.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-768x628.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-1536x1256.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-1920x1569.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">ACT-UP protesters march through the streets surrounding the U.S. Capitol and shout “shame” outside the office of the Republican National Committee on May 20, 2004, in Washington, D.C. \u003ccite>(TIM SLOAN/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p1\">\u003cb>Piercing Differences\u003c/b>\u003c/p>\n\u003cp class=\"p1\">But, for many long-term HIV survivors, the differences between the two pandemics shadow the similarities.\u003c/p>\n\u003cp class=\"p1\">For years, HIV advocates and patients protested to garner government attention and funding. “We were literally fighting for our lives,” said Solomon.\u003c/p>\n\u003cp class=\"p1\">Today, many medical researchers say it’s difficult to find funding for projects that \u003cem>aren’t\u003c/em> coronavirus. Scientists mapped the entire COVID-19 genome and understood transmission within months, not years, after initial infections broke out in China.\u003c/p>\n\u003cp class=\"p1\">Now, a few months into the coronavirus outbreak, some people have hit the streets demanding officials do \u003ci>less\u003c/i> to protect society from the coronavirus.\u003c/p>\n\u003cp class=\"p1\">“In many ways, there’s no comparison,” says Guillen, “because in those days the reality is society in general didn’t care.”\u003c/p>\n\u003cp class=\"p1\">This week at the AIDS 2020 Conference, scientists may reveal a physiological reason HIV patients are weathering the coronavirus better than predicted. But, Guillen believes coping skills are playing a key role. Long-term survivors have pushed up against disinterest, oppression and even disgust for decades, and yet, “We found ways to keep going,” he said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"p1\">In January, two weeks after Rick Solomon joined the YMCA near his home, he fell ill. The 65-year-old Berkeley resident hoped to spend the month working out, instead he laid in bed wheezing, with crippling muscle aches. He missed several days of work at a small publishing house.\u003c/p>\n\u003cp class=\"p1\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I was sick for most of the month of February with a horrible cough like I’ve never had before,” said Solomon running his fingers through his thick salt and pepper hair. “It went into my chest. I used inhalers for the first time in my life.”\u003c/p>\n\u003cp class=\"p1\">He was never tested for COVID-19 because he hadn’t traveled overseas recently, which was one of the official requirements for testing at the time. And although he has since tested negative for the virus’ antibodies, Solomon still believes he may have caught the bug.\u003c/p>\n\u003cp class=\"p1\">“The test the lab used was not FDA approved,” he said. “So who knows? It was just a different kind of cold.”\u003c/p>\n\u003cp class=\"p1\">Solomon took the antibody test because he wanted to enroll in a study at Zuckerberg San Francisco General Hospital looking at HIV-positive people infected with COVID-19. It’s a topic of special interest to researchers.\u003c/p>\n\u003cp class=\"p1\">“COVID is going to have a major impact on the trajectory of the HIV epidemic,” said Dr. Steven Deeks, a UCSF professor of medicine and HIV researcher. “We just don’t know how.”\u003c/p>\n\u003cfigure id=\"attachment_1966721\" class=\"wp-caption alignright\" style=\"max-width: 527px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-1966721\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/SD-ZSF-Photograph-800x534.jpg\" alt=\"Dr. Steven Deeks is a recognized expert on HIV-associated immune dysfunction and its impact on HIV persistence (the “reservoir”) and health during antiretroviral therapy. \" width=\"527\" height=\"351\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-1536x1025.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph-1920x1281.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/SD-ZSF-Photograph.jpg 2048w\" sizes=\"(max-width: 527px) 100vw, 527px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Steven Deeks is a recognized expert on HIV-associated immune dysfunction and its impact on HIV persistence (the “reservoir”) and health during antiretroviral therapy. \u003ccite>(UCSF)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p2\">Some answers may come to light this week at the \u003ca href=\"https://www.aids2020.org/\">\u003cspan class=\"s2\">23rd International AIDS Conference.\u003c/span>\u003c/a> The event was scheduled to happen in San Francisco and Oakland until the coronavirus hit. Now scientists, policymakers, public health experts and patients from around the world will gather virtually. COVID-19 is a central topic on the agenda.\u003c/p>\n\u003cp class=\"p1\">\u003cb>Surprising Positive Trend\u003c/b>\u003c/p>\n\u003cp class=\"p1\">Infectious disease doctors assumed people with HIV would be at higher risk for complications from the novel coronavirus due to a weakened immune system. Plus, the majority of HIV-positive people in the U.S. are older, and many struggle with underlying conditions like heart disease and diabetes, which make illness from COVID-19 infection more severe.\u003c/p>\n\u003cp class=\"p1\">Early in the outbreak, four of Dr. Edward “Lalo” Cachay’s patients were hospitalized for complications with COVID-19. Cachay, a professor of medicine at UC San Diego, feared the worst.\u003c/p>\n\u003cp class=\"p1\">“You could potentially have a very dangerous combination of both biological and social determinants of health,” said Cachay.\u003c/p>\n\u003cp class=\"p1\">HIV patients are not only immunocompromised, many also face psycho-social barriers like poor health insurance and mental illness. But not only did Cachay’s four patients experience good outcomes, this positive trend is playing out across the globe.\u003c/p>\n\u003cfigure id=\"attachment_1966724\" class=\"wp-caption alignright\" style=\"max-width: 438px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-1966724\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341-800x833.jpg\" alt=\"Edward “Lalo” Cachay, a professor of medicine at UCSD., smiles in a university portrait. He has warm brown eyes behind brown glasses and a closely trimmed, salt-and-pepper beard and mustache.\" width=\"438\" height=\"456\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341-800x833.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341-1020x1062.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341-160x167.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341-768x800.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/Cachay-Edward-_white-coat-2-e1593709402341.jpg 1281w\" sizes=\"(max-width: 438px) 100vw, 438px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Edward “Lalo” Cachay, a professor of medicine at UCSD. \u003ccite>(UCSD)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p1\">“People with HIV are radically underrepresented in the different cohorts coming from Europe and China with very advanced, severe forms of COVID-19,” Cachay said.\u003c/p>\n\u003cp class=\"p1\">Two small studies from \u003ca href=\"https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(20)30164-8/fulltext\">\u003cspan class=\"s1\">Spain\u003c/span>\u003c/a> and \u003ca href=\"https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(20)30164-8/fulltext\">\u003cspan class=\"s1\">Italy\u003c/span>\u003c/a> show that HIV-positive people infected with COVID-19 did not fare worse than those without HIV. Scientists are not sure why.\u003c/p>\n\u003cp class=\"p1\">\u003cb>More Questions Than Answers\u003c/b>\u003c/p>\n\u003cp class=\"p1\">“The bottom line is we have no idea,” said Deeks. “We have lots of interesting questions, lots of important questions, and lots of anecdotes. But at the end of day, we don’t have much data at all.”\u003c/p>\n\u003cp class=\"p1\">Cachay hopes a study he is involved in will offer concrete answers. He’s partnering with scientists at the Fred Hutchinson Cancer Research Center and the University of Washington to answer some key questions: \u003cspan class=\"s1\">What factors might predict which HIV patients are most at risk? Do HIV patients who contract COVID-19 suffer severe illness? And are mortality rates higher in HIV patients who contract the novel\u003c/span> \u003cspan class=\"s1\">coronavirus? \u003c/span>\u003c/p>\n\u003cp class=\"p2\">“I hope this study will help us disentangle the data more,” said Cachay.\u003c/p>\n\u003cp class=\"p1\">Some experts theorize daily HIV meds might offer some protection against the coronavirus. Others wonder if the immune system of people with HIV is altered in a way that offers some resilience. Or, perhaps, experience helps.\u003c/p>\n\u003cp class=\"p1\">“I am pretty sure that my patients, my older, primarily gay men who survived the ’80s and ’90s, were the first to effectively shelter in place because they know what a pandemic is,” said Deeks. “They know how a virus can ravage a community. They know how important social distancing is.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp class=\"p1\">Dr. Michael Gottlieb, the UCLA HIV physician who identified the first cluster of HIV cases in 1981, agrees.\u003c/p>\n\u003cp class=\"p1\">“They’ve survived one virus,” he said. “They don’t want to be nabbed by this one.”\u003c/p>\n\u003cp class=\"p1\">\u003cb>Lessons Learned From One Pandemic Help Save Lives in Another\u003c/b>\u003c/p>\n\u003cp class=\"p1\">John Schumacher, a 63-year-old soft spoken gay male, is a case in point. Over the years, the long-term HIV survivor and community volunteer has faced many perilous moments with his health.\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/p>\n\u003cp class=\"p1\">“I’ve learned to err on the side of caution,” Schumacher said. “You know, to wear a condom if someone else wants to, wear gloves, to do what is safer or what seems safe, even if I may not agree.”\u003c/p>\n\u003cp class=\"p1\">When the coronavirus started spreading, he started washing his hands diligently and wore a mask before it was widely recommended. He always carries hand sanitizer, and he says the same is true for his 31 housemates who are also HIV-positive. The group shares a community house in San Francisco. Fortunately no one has tested positive for COVID-19.\u003c/p>\n\u003cp class=\"p1\">“We think we had the training to do better in this pandemic,” said Jesus Guillen, of San Francisco. “We have experience at many of these things. We know how to push past barriers.”\u003c/p>\n\u003cp class=\"p1\">For example, even though Guillen loves to socialize, he didn’t balk when officials announced the stay-at-home directive because he understands all too well what’s at stake. Over the years, the tall flamboyant Latino has lost many close friends, including his first American lover whom he met soon after crossing the Mexican border in 1984.\u003c/p>\n\u003cfigure id=\"attachment_1966713\" class=\"wp-caption alignright\" style=\"max-width: 546px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-1966713\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/PICT0293-800x600.jpg\" alt=\"Jesus Guillen snaps a selfie at Ocean Beach in San Francisco.\" width=\"546\" height=\"409\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-768x576.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/PICT0293-1920x1440.jpg 1920w\" sizes=\"(max-width: 546px) 100vw, 546px\">\u003cfigcaption class=\"wp-caption-text\">Jesus Guillen snaps a selfie at Ocean Beach in San Francisco. \u003ccite>(Jesus Guillen)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p3\">“I was with just one person,” he sighs. “And sadly, he died one year later.”\u003c/p>\n\u003cp class=\"p1\">\u003cb>‘We Got The Real Social Distancing’\u003c/b>\u003c/p>\n\u003cp class=\"p1\">Today, the 60-year-old with spiky platinum hair and a turquoise earring is a proud activist in San Francisco. But when he first found out he was HIV-positive, he was a shy immigrant who didn’t tell anyone.\u003c/p>\n\u003cp class=\"p1\">“In those times, they were not allowing people who were HIV-positive to stay in this country,” he said.\u003c/p>\n\u003cp class=\"p1\">But it was more than just fear of \u003ca href=\"https://www.americanbar.org/groups/crsj/publications/human_rights_magazine_home/human_rights_vol31_2004/fall2004/irr_hr_fall04_persecution/\">\u003cspan class=\"s3\">deportation\u003c/span>\u003c/a> that silenced Guillen. In 1985, a Los Angeles Times \u003ca href=\"https://www.latimes.com/archives/la-xpm-1985-12-19-mn-30337-story.html\">\u003cspan class=\"s3\">poll\u003c/span>\u003c/a> revealed a majority of Americans favored quarantining people with AIDS.\u003c/p>\n\u003cp class=\"p1\">“We got the social distancing through discrimination, through a stigma, through homophobia, through all those things, We got the real social distancing,” he said.\u003c/p>\n\u003cp class=\"p1\">At the beginning of the coronavirus outbreak, memories from the ’80s flooded back. The Grand Princess cruise ship carrying passengers with COVID-19 was docking at the Port of Oakland, when Guillen overheard a conversation on a bus.\u003c/p>\n\u003cp>“She was a normal average person saying, ‘Why do they allow them to be right there in Oakland? They should be taking these people to an island.'”\u003c/p>\n\u003cp class=\"p1\">“That took me back so much to the early ’80s with HIV.” Guillen winced. “People wanted to put us in cages or places completely separate.”\u003c/p>\n\u003cp class=\"p1\">\u003cb>Hauntingly Similar \u003c/b>\u003c/p>\n\u003cp class=\"p1\">Four decades ago, no one could have imagined AIDS would kill more than \u003ca href=\"https://www.kff.org/hivaids/fact-sheet/the-hivaids-epidemic-in-the-united-states-the-basics/\">\u003cspan class=\"s3\">700,000\u003c/span>\u003c/a> people in America, and more than \u003ca href=\"https://www.who.int/gho/hiv/en/\">\u003cspan class=\"s3\">32 million\u003c/span>\u003c/a> worldwide.\u003c/p>\n\u003cfigure id=\"attachment_1966715\" class=\"wp-caption alignright\" style=\"max-width: 721px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1966715 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/GettyImages-626934506-1-e1593659360168.jpg\" alt=\"Dr. Michael Gottlieb attends The Elizabeth Taylor AIDS Foundation World AIDS Day Event co-hosted by SAG-AFTRA at the at James Cagney Boardroom on November 30, 2016 in Los Angeles, California.\" width=\"721\" height=\"844\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-626934506-1-e1593659360168.jpg 721w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-626934506-1-e1593659360168-160x187.jpg 160w\" sizes=\"(max-width: 721px) 100vw, 721px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Michael Gottlieb attends The Elizabeth Taylor AIDS Foundation World AIDS Day event co-hosted by SAG-AFTRA at the at James Cagney Boardroom on Nov. 30, 2016, in Los Angeles. \u003ccite>(Jesse Grant/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p1\">“I thought that the very first case might just be a one-off phenomenon,” said Dr. Michael Gottlieb, of UCLA. “We didn’t even know that AIDS was caused by a virus. We didn’t know that for two full years after the description of the first patients.”\u003c/p>\n\u003cp class=\"p1\">Scientists like Gottlieb struggled to access funding to study HIV. It took a couple of years before researchers understood how AIDS was transmitted. Fear plagued gay neighborhoods like the Castro. People worried a cough or a toilet seat might be a death sentence.\u003c/p>\n\u003cp class=\"p1\">“You’d go out in the street at night and no one would be there,” said Rick Solomon, a 65-year-old Berkeley resident who is enrolled in a COVID-19 study at San Francisco General. “And the bars were almost empty. People didn’t go out.”\u003c/p>\n\u003cp class=\"p1\">Throughout the ’80s, Solomon kept a little notebook of names of people who died. The list grew to more than 200 people. He was not surprised when he tested positive in 1990.\u003c/p>\n\u003cp class=\"p1\">Even though HIV and the new coronavirus are not similar in genome, transmission or mortality; the experience of living through two plagues is hauntingly comparable.\u003c/p>\n\u003cp class=\"p1\">“The apocalyptic scenes of New York City ICUs overwhelmed with people with COVID-19 pneumonia remind me of our early days where patients with AIDS presented very late with pneumocystis pneumonia and required ventilators,” said Gottlieb.\u003c/p>\n\u003cp class=\"p1\">Other elements are also familiar. Results from small studies are overblown. Officials change course abruptly. Public health is politicized. Lives become statistics. Headlines tout new cures. Vaccines are promised. And at the end of the day, individual actions save lives.\u003c/p>\n\u003cp class=\"p1\">“Back in the early ’80s, the answer was condoms and fewer sexual partners,” said Gottlieb. “Today, the answer is masks and social distancing. Behavior change is essential in preventing the spread of both of these viruses.”\u003c/p>\n\u003cfigure id=\"attachment_1966726\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1966726 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/07/GettyImages-50861211-800x654.jpg\" alt=\"\" width=\"800\" height=\"654\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-800x654.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-1020x834.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-160x131.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-768x628.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-1536x1256.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211-1920x1569.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/07/GettyImages-50861211.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">ACT-UP protesters march through the streets surrounding the U.S. Capitol and shout “shame” outside the office of the Republican National Committee on May 20, 2004, in Washington, D.C. \u003ccite>(TIM SLOAN/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p1\">\u003cb>Piercing Differences\u003c/b>\u003c/p>\n\u003cp class=\"p1\">But, for many long-term HIV survivors, the differences between the two pandemics shadow the similarities.\u003c/p>\n\u003cp class=\"p1\">For years, HIV advocates and patients protested to garner government attention and funding. “We were literally fighting for our lives,” said Solomon.\u003c/p>\n\u003cp class=\"p1\">Today, many medical researchers say it’s difficult to find funding for projects that \u003cem>aren’t\u003c/em> coronavirus. Scientists mapped the entire COVID-19 genome and understood transmission within months, not years, after initial infections broke out in China.\u003c/p>\n\u003cp class=\"p1\">Now, a few months into the coronavirus outbreak, some people have hit the streets demanding officials do \u003ci>less\u003c/i> to protect society from the coronavirus.\u003c/p>\n\u003cp class=\"p1\">“In many ways, there’s no comparison,” says Guillen, “because in those days the reality is society in general didn’t care.”\u003c/p>\n\u003cp class=\"p1\">This week at the AIDS 2020 Conference, scientists may reveal a physiological reason HIV patients are weathering the coronavirus better than predicted. But, Guillen believes coping skills are playing a key role. Long-term survivors have pushed up against disinterest, oppression and even disgust for decades, and yet, “We found ways to keep going,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Use This New Tool to See the COVID-19 Risk In Your County",
"headTitle": "Use This New Tool to See the COVID-19 Risk In Your County | KQED",
"content": "\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://app.powerbi.com/view?r=eyJrIjoiOWVhYWIyNDgtZDJlMy00NWE1LWJjN2EtYWM2MDhlNTNmNGJiIiwidCI6ImMxMzZlZWMwLWZlOTItNDVlMC1iZWFlLTQ2OTg0OTczZTIzMiIsImMiOjF9\" width=\"100%\" height=\"500\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>How severe is the spread of COVID-19 in your community? If you’re confused, you’re not alone. Though state and local dashboards provide lots of numbers, from case counts to deaths, it’s often unclear how to interpret them — and hard to compare them to other places.\u003c/p>\n\u003cp>“There hasn’t been a unified, national approach to communicating risk, says \u003ca href=\"https://scholar.harvard.edu/danielleallen/home\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Allen\u003c/a>, a professor and director of the Edmond J. Safra Center for Ethics at Harvard University. “That’s made it harder for people,” she says.\u003c/p>\n\u003cp>Allen, along with researchers at the Harvard Global Health Institute, is leading a collaboration of top scientists at institutions around the country who have joined forces to create a unified set of metrics, including a shared definition of risk levels — and tools for communities to fight the coronavirus.\u003c/p>\n\u003cp>The collaboration launched these tools this week, including a \u003ca href=\"https://globalepidemics.org/key-metrics-for-covid-suppression/\" target=\"_blank\" rel=\"noopener noreferrer\">new, online risk-assessment map\u003c/a> (above) that allows people to check the state or the county where they live and see a COVID-19 risk rating of green, yellow, orange or red. The risk levels are based upon the number of new daily cases per 100,000 people.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A community that has fewer than one daily new case per 100,000 is green. One to 9 is yellow; between 10 and 24 is orange; and 25 and above puts you in the red. “When you get into that orange and red zone it means, in all likelihood, you’re seeing a lot of velocity, a kind of fast upward trend,” Allen says.\u003c/p>\n\u003cp>This is by no means the only attempt to categorize risk levels across the United States. There are a number of frameworks out there using different measures. And that can lead to confusion, says Allen. “What we really need is a shared vocabulary and shared way of presenting data across jurisdictions,” she says. This effort represents the consensus of eight institutions and more than a dozen individual experts who have agreed on these metrics.\u003c/p>\n\u003cp>There are other important metrics when it comes to tracking the spread and severity of COVID-19. Local public health leaders need to know how many people are dying and how many people are hospitalized. They need to know how many tests are coming back positive in an area. (The lower the positivity rate, the more likely a community is testing enough to accurately detect the spread of the virus.)\u003c/p>\n\u003cp>But the group settled on tying the alert level to numbers of new cases per 100,000, because that’s a good indicator to show the current picture of outbreaks and compare them in a consistent way. It’s a standard way to measure the risk against the total population.\u003c/p>\n\u003cp>“It allows you to compare a rural area in upstate New York compared to New York City and have an apples-to-apples comparison for relative impact and relative caseload,” says \u003ca href=\"http://talusanalytics.com/team/#:~:text=Ellie%20Graeden%20PhD,and%20response%2C%20and%20risk%20assessment.\">Ellie Graeden\u003c/a> of Talus Analytics and the Center for Global Health, Science and Security at Georgetown University, which is part of the convergence group that developed the metrics.\u003c/p>\n\u003cp>Also, by sticking with a standard, core metric you can compare trends over time. “You want to know whether things are going up or down,” Allen says.\u003c/p>\n\u003cp>For the public, this means you can now compare the case incidence where you live to that of, say, a nearby county where you’re considering going on an errand. Or the county where your parents live if you’re considering a visit. It gives you a way to assess your community’s risk level compared to others, at a glance, and modify your behavior accordingly.\u003c/p>\n\u003cp>For policymakers, the risk levels are meant to signal the intensity of the effort needed to control COVID-19 and to trigger specific interventions. The collaborative released guidance for how state and local leaders should manage their response, depending on their risk level.\u003c/p>\n\u003cp>“As this [pandemic] unfolded, a lot of us were waiting for the federal government to stand up and really produce … some practical guidance on how those at the state and local level should be responding,” said Graeden. But in the absence of that clear guidance, this collaboration aims to fill the void.\u003c/p>\n\u003cp>If a jurisdiction is at the green level, it’s on track for containing the virus. At yellow, a community should implement measures such as mask-wearing and social distancing and have an active program of testing, contact tracing and isolation — including targeted testing of those in high-risk environments. Orange is considered “dangerous” and requires surging testing and contact tracing efforts — or if that’s not possible, it may call for stay-home orders.\u003c/p>\n\u003cp>At the red level, “jurisdictions have reached a tipping point for uncontrolled spread,” according to the collaborative’s guidance. At this level, “you really need to be back at a stay-at-home [advisory]” Graeden says.\u003c/p>\n\u003cp>Currently, two states — Arizona and Florida — are at the red level and 14 are orange. Only Hawaii is green. But there’s a great deal of variation county by county. In orange Texas, for instance, more than 20 counties are red.\u003c/p>\n\u003cp>The idea is to take some of the guesswork out of the policy response at a local level, says Graeden, and offer a more standardized way to communicate the risk and the response options.\u003c/p>\n\u003cp>“We’ve all modified our metrics to align more accurately across the different platforms,” she said. “We’re now communicating and all agreeing on the same basic thresholds for the types of actions that need to be taken. ”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The shared metrics and guidance will be incorporated into a number of initiatives and sites focused on COVID-19 response, including \u003ca href=\"https://www.covidlocal.org\" target=\"_blank\" rel=\"noopener noreferrer\">Covidlocal.org\u003c/a>, led by a group of disease outbreak experts and former public health officials, and \u003ca href=\"https://covidactnow.org/?s=58173\" target=\"_blank\" rel=\"noopener noreferrer\">CovidActNow,\u003c/a> led by former technology executives and a group of academics. The convergence group hopes to see it adopted more widely and used by local and state governments.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2020 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Green%2C+Yellow%2C+Orange+Or+Red%3F+This+New+Tool+Shows+COVID-19+Risk+In+Your+County&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"excerpt": "As coronavirus cases surge in many states, a new color-coding tool backed by a coalition of top scientists provides an apples-to-apples way of comparing outbreak severity, down to the county level.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://app.powerbi.com/view?r=eyJrIjoiOWVhYWIyNDgtZDJlMy00NWE1LWJjN2EtYWM2MDhlNTNmNGJiIiwidCI6ImMxMzZlZWMwLWZlOTItNDVlMC1iZWFlLTQ2OTg0OTczZTIzMiIsImMiOjF9\" width=\"100%\" height=\"500\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>How severe is the spread of COVID-19 in your community? If you’re confused, you’re not alone. Though state and local dashboards provide lots of numbers, from case counts to deaths, it’s often unclear how to interpret them — and hard to compare them to other places.\u003c/p>\n\u003cp>“There hasn’t been a unified, national approach to communicating risk, says \u003ca href=\"https://scholar.harvard.edu/danielleallen/home\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Allen\u003c/a>, a professor and director of the Edmond J. Safra Center for Ethics at Harvard University. “That’s made it harder for people,” she says.\u003c/p>\n\u003cp>Allen, along with researchers at the Harvard Global Health Institute, is leading a collaboration of top scientists at institutions around the country who have joined forces to create a unified set of metrics, including a shared definition of risk levels — and tools for communities to fight the coronavirus.\u003c/p>\n\u003cp>The collaboration launched these tools this week, including a \u003ca href=\"https://globalepidemics.org/key-metrics-for-covid-suppression/\" target=\"_blank\" rel=\"noopener noreferrer\">new, online risk-assessment map\u003c/a> (above) that allows people to check the state or the county where they live and see a COVID-19 risk rating of green, yellow, orange or red. The risk levels are based upon the number of new daily cases per 100,000 people.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A community that has fewer than one daily new case per 100,000 is green. One to 9 is yellow; between 10 and 24 is orange; and 25 and above puts you in the red. “When you get into that orange and red zone it means, in all likelihood, you’re seeing a lot of velocity, a kind of fast upward trend,” Allen says.\u003c/p>\n\u003cp>This is by no means the only attempt to categorize risk levels across the United States. There are a number of frameworks out there using different measures. And that can lead to confusion, says Allen. “What we really need is a shared vocabulary and shared way of presenting data across jurisdictions,” she says. This effort represents the consensus of eight institutions and more than a dozen individual experts who have agreed on these metrics.\u003c/p>\n\u003cp>There are other important metrics when it comes to tracking the spread and severity of COVID-19. Local public health leaders need to know how many people are dying and how many people are hospitalized. They need to know how many tests are coming back positive in an area. (The lower the positivity rate, the more likely a community is testing enough to accurately detect the spread of the virus.)\u003c/p>\n\u003cp>But the group settled on tying the alert level to numbers of new cases per 100,000, because that’s a good indicator to show the current picture of outbreaks and compare them in a consistent way. It’s a standard way to measure the risk against the total population.\u003c/p>\n\u003cp>“It allows you to compare a rural area in upstate New York compared to New York City and have an apples-to-apples comparison for relative impact and relative caseload,” says \u003ca href=\"http://talusanalytics.com/team/#:~:text=Ellie%20Graeden%20PhD,and%20response%2C%20and%20risk%20assessment.\">Ellie Graeden\u003c/a> of Talus Analytics and the Center for Global Health, Science and Security at Georgetown University, which is part of the convergence group that developed the metrics.\u003c/p>\n\u003cp>Also, by sticking with a standard, core metric you can compare trends over time. “You want to know whether things are going up or down,” Allen says.\u003c/p>\n\u003cp>For the public, this means you can now compare the case incidence where you live to that of, say, a nearby county where you’re considering going on an errand. Or the county where your parents live if you’re considering a visit. It gives you a way to assess your community’s risk level compared to others, at a glance, and modify your behavior accordingly.\u003c/p>\n\u003cp>For policymakers, the risk levels are meant to signal the intensity of the effort needed to control COVID-19 and to trigger specific interventions. The collaborative released guidance for how state and local leaders should manage their response, depending on their risk level.\u003c/p>\n\u003cp>“As this [pandemic] unfolded, a lot of us were waiting for the federal government to stand up and really produce … some practical guidance on how those at the state and local level should be responding,” said Graeden. But in the absence of that clear guidance, this collaboration aims to fill the void.\u003c/p>\n\u003cp>If a jurisdiction is at the green level, it’s on track for containing the virus. At yellow, a community should implement measures such as mask-wearing and social distancing and have an active program of testing, contact tracing and isolation — including targeted testing of those in high-risk environments. Orange is considered “dangerous” and requires surging testing and contact tracing efforts — or if that’s not possible, it may call for stay-home orders.\u003c/p>\n\u003cp>At the red level, “jurisdictions have reached a tipping point for uncontrolled spread,” according to the collaborative’s guidance. At this level, “you really need to be back at a stay-at-home [advisory]” Graeden says.\u003c/p>\n\u003cp>Currently, two states — Arizona and Florida — are at the red level and 14 are orange. Only Hawaii is green. But there’s a great deal of variation county by county. In orange Texas, for instance, more than 20 counties are red.\u003c/p>\n\u003cp>The idea is to take some of the guesswork out of the policy response at a local level, says Graeden, and offer a more standardized way to communicate the risk and the response options.\u003c/p>\n\u003cp>“We’ve all modified our metrics to align more accurately across the different platforms,” she said. “We’re now communicating and all agreeing on the same basic thresholds for the types of actions that need to be taken. ”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The shared metrics and guidance will be incorporated into a number of initiatives and sites focused on COVID-19 response, including \u003ca href=\"https://www.covidlocal.org\" target=\"_blank\" rel=\"noopener noreferrer\">Covidlocal.org\u003c/a>, led by a group of disease outbreak experts and former public health officials, and \u003ca href=\"https://covidactnow.org/?s=58173\" target=\"_blank\" rel=\"noopener noreferrer\">CovidActNow,\u003c/a> led by former technology executives and a group of academics. The convergence group hopes to see it adopted more widely and used by local and state governments.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2020 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Green%2C+Yellow%2C+Orange+Or+Red%3F+This+New+Tool+Shows+COVID-19+Risk+In+Your+County&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>At least 1,135 people incarcerated at San Quentin have active cases of COVID-19, according to state correctional \u003ca href=\"/www.cdcr.ca.gov/covid19/population-status-tracking/\" target=\"_blank\" rel=\"noopener noreferrer\">statistics\u003c/a>.\u003c/p>\n\u003cp>A dozen of those individuals have been transferred from the prison to Seton Medical Center in Daly City to receive care. \u003cspan style=\"font-weight: 400;\">Corrections officials told San Mateo County to expect up to 50 patients ill from the prison outbreak.\u003c/span>\u003c/p>\n\u003cp>But San Mateo County’s coronavirus \u003ca href=\"https://www.smchealth.org/san-mateo-county-covid-19-and-other-health-data\" target=\"_blank\" rel=\"noopener noreferrer\">dashboard\u003c/a> does not discern between patients transferred from San Quentin and people who were infected within the community.\u003c/p>\n\u003cp>County Supervisor David Canepa said he’s worried the numbers on the dashboard issue could lead the public to assume the virus is spreading more rapidly in San Mateo County than is the case.\u003c/p>\n\u003cp>“I want to alleviate that right away,” Canepa said during a supervisors’ meeting on Monday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>County Health Officer Louise Rogers told the supervisors that the county is meeting state hospitalization benchmarks related to reopening the economy “but with the numbers of transfers from the prison system that may be thrown off; we’ll be trying to account for that in our reporting.”\u003c/p>\n\u003cp>“One of my questions is how to do that,” she said. “It isn’t called out in the data and it can’t really be because they are all patients. We may need to do some separate accounting, but I’m not sure exactly how. But I understand the need.”\u003c/p>\n\u003cp>Journalists, epidemiologists and the public all follow the data dashboard closely.\u003c/p>\n\u003cp>San Mateo County’s dashboard mirrors reporting software used by most Bay Area counties and the state, the same data problem could appear in other places where hospitals are taking in patients from prisons.\u003c/p>\n\u003cp>San Francisco \u003ca href=\"https://data.sfgov.org/stories/s/wmxr-upyn\">reports\u003c/a> the number of currently hospitalized patients who have been transferred from another location on its dashboard, a practice that dates back to when the city provided care to people who fell ill with the virus on a cruise ship.\u003c/p>\n\u003cp>As of Wednesday, corrections officials have transferred 71 patients with COVID-19 from state prisons to hospitals for treatment, including 43 people from San Quentin.\u003c/p>\n\u003cp>Corrections officers monitor the incarcerated individuals who receive care at hospitals outside of the prison system.\u003c/p>\n\u003cp>Canepa said the county can play an important role in treating sick people from San Quentin’s outbreak.\u003c/p>\n\u003cp>“Everyone deserves care and everyone deserves to get better and get well,” he said. “It’s about compassion. It’s about care.”\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At least 1,135 people incarcerated at San Quentin have active cases of COVID-19, according to state correctional \u003ca href=\"/www.cdcr.ca.gov/covid19/population-status-tracking/\" target=\"_blank\" rel=\"noopener noreferrer\">statistics\u003c/a>.\u003c/p>\n\u003cp>A dozen of those individuals have been transferred from the prison to Seton Medical Center in Daly City to receive care. \u003cspan style=\"font-weight: 400;\">Corrections officials told San Mateo County to expect up to 50 patients ill from the prison outbreak.\u003c/span>\u003c/p>\n\u003cp>But San Mateo County’s coronavirus \u003ca href=\"https://www.smchealth.org/san-mateo-county-covid-19-and-other-health-data\" target=\"_blank\" rel=\"noopener noreferrer\">dashboard\u003c/a> does not discern between patients transferred from San Quentin and people who were infected within the community.\u003c/p>\n\u003cp>County Supervisor David Canepa said he’s worried the numbers on the dashboard issue could lead the public to assume the virus is spreading more rapidly in San Mateo County than is the case.\u003c/p>\n\u003cp>“I want to alleviate that right away,” Canepa said during a supervisors’ meeting on Monday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>County Health Officer Louise Rogers told the supervisors that the county is meeting state hospitalization benchmarks related to reopening the economy “but with the numbers of transfers from the prison system that may be thrown off; we’ll be trying to account for that in our reporting.”\u003c/p>\n\u003cp>“One of my questions is how to do that,” she said. “It isn’t called out in the data and it can’t really be because they are all patients. We may need to do some separate accounting, but I’m not sure exactly how. But I understand the need.”\u003c/p>\n\u003cp>Journalists, epidemiologists and the public all follow the data dashboard closely.\u003c/p>\n\u003cp>San Mateo County’s dashboard mirrors reporting software used by most Bay Area counties and the state, the same data problem could appear in other places where hospitals are taking in patients from prisons.\u003c/p>\n\u003cp>San Francisco \u003ca href=\"https://data.sfgov.org/stories/s/wmxr-upyn\">reports\u003c/a> the number of currently hospitalized patients who have been transferred from another location on its dashboard, a practice that dates back to when the city provided care to people who fell ill with the virus on a cruise ship.\u003c/p>\n\u003cp>As of Wednesday, corrections officials have transferred 71 patients with COVID-19 from state prisons to hospitals for treatment, including 43 people from San Quentin.\u003c/p>\n\u003cp>Corrections officers monitor the incarcerated individuals who receive care at hospitals outside of the prison system.\u003c/p>\n\u003cp>Canepa said the county can play an important role in treating sick people from San Quentin’s outbreak.\u003c/p>\n\u003cp>“Everyone deserves care and everyone deserves to get better and get well,” he said. “It’s about compassion. It’s about care.”\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"order": 9
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"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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"order": 18
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"marketplace": {
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"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",
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"masters-of-scale": {
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"title": "Masters of Scale",
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"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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},
"mindshift": {
"id": "mindshift",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
"id": "morning-edition",
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"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.",
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"onourwatch": {
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"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?",
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"order": 11
},
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"on-the-media": {
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"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",
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},
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"perspectives": {
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"order": 14
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
},
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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