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"title": "Experts Say Crucial Hospital Statistics Are Missing From Reports on Spread of Coronavirus",
"headTitle": "Experts Say Crucial Hospital Statistics Are Missing From Reports on Spread of Coronavirus | KQED",
"content": "\u003cp>With coronavirus testing still limited in California, epidemiologists say the best way to track the spread of the virus and its potential impact on the health care system is to watch what’s happening at the state’s hospitals: how many COVID-19 patients are being admitted and how many are under treatment in intensive care units.\u003c/p>\n\u003cp>But counties around the Bay Area have been slow to publicly release that information, if they release it at all. And most health care providers aren’t disclosing data, in some cases citing patient privacy rules.\u003c/p>\n\u003cp>“We’re not getting hospitalizations consistently from all the counties,” said Steven Goodman, an epidemiologist at Stanford University.\u003c/p>\n\u003cp>The data the counties all release on a daily basis — featuring updated numbers of confirmed coronavirus cases — is skewed because of the inconsistent nature of testing for the disease, he says.\u003c/p>\n\u003cp>The total case numbers “should be almost completely ignored, because it is so dependent on the availability of testing, which is increasing every day, and the highly variable criteria used for testing,” Goodman said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The more reliable numbers, aside from the number of deaths, are how many people get sick enough to be in the hospital and in the ICU,” he said. “That’s what we need to know.”\u003c/p>\n\u003cp>If epidemiologists have a clear hospitalization rate, they can predict how many people may eventually die from this coronavirus and estimate how many beds a hospital system will need as the virus spreads.\u003c/p>\n\u003cp>“So as long as people aren’t being turned away, we must focus on hospitalizations and ICU cases,” Goodman said.\u003c/p>\n\u003cp>Under pressure from public health experts and the media, the state has begun releasing some overall numbers on the number of patients admitted to hospitals with COVID-19. As of Tuesday, the California Department of Public Health said the statewide count stood at 1,617 hospitalizations for the disease, including 657 patients being treated in ICUs.\u003c/p>\n\u003cp>The state says another 3,400 patients have been admitted with suspected COVID-19 symptoms, with 600 or so in that group also in ICUs.\u003c/p>\n\u003cp>Newsom began mentioning specific hospitalization numbers last weekend. But that was well after other jurisdictions experiencing major outbreaks, like \u003ca href=\"https://www1.nyc.gov/site/doh/covid/covid-19-data.page\" target=\"_blank\" rel=\"noopener noreferrer\">New York City\u003c/a>, \u003ca href=\"http://ldh.la.gov/Coronavirus/\" target=\"_blank\" rel=\"noopener noreferrer\">Louisiana\u003c/a> and \u003ca href=\"https://experience.arcgis.com/experience/96dd742462124fa0b38ddedb9b25e429\" target=\"_blank\" rel=\"noopener noreferrer\">Florida\u003c/a> began posting detailed data on testing and hospitalizations.\u003c/p>\n\u003cp>Although the Bay Area has led the nation in \u003ca href=\"https://www.kqed.org/science/1957877/live-updates-coronavirus-in-the-san-francisco-bay-area#0331lockdown\" target=\"_blank\" rel=\"noopener noreferrer\">adopting aggressive social distancing measures\u003c/a>, detailed information on hospitalizations in the region is relatively scarce:\u003c/p>\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli>\u003cstrong>Alameda County\u003c/strong>: Does not report hospitalizations related to COVID-19.\u003c/li>\n\u003cli>\u003cstrong>Contra Costa County\u003c/strong>: 23 hospitalizations related to COVID-19 as of March 30.\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Contra Costa County COVID-19 Numbers\" aria-label=\"Interactive line chart\" src=\"//datawrapper.dwcdn.net/PSBq2/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"600\" height=\"400\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli>\u003cstrong>Marin County\u003c/strong>: 14 hospitalizations related to COVID-19 as of March 30.\u003c/li>\n\u003cli>\u003cstrong>Napa County\u003c/strong>: Does not report hospitalizations related to COVID-19.\u003c/li>\n\u003cli>\u003cstrong>San Mateo County\u003c/strong>: Does not report hospitalizations related to COVID-19.\u003c/li>\n\u003cli>\u003cstrong>Santa Clara County\u003c/strong>: 152 hospitalizations as of March 31.\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Santa Clara County's COVID-19 Numbers\" aria-label=\"Interactive line chart\" src=\"//datawrapper.dwcdn.net/nWiWL/4/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"600\" height=\"500\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>San Francisco County\u003c/strong>: 58 hospitalizations related to COVID-19 as of March 30.\u003c/li>\n\u003cli>\u003cstrong>Sonoma County\u003c/strong>: 17 hospitalizations related to COVID-19 as of March 31.\u003c/li>\n\u003cli>\u003cstrong>Solano County\u003c/strong>:13 hospitalizations related to COVID-19 as of March 31.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>A Call for More and Better Data\u003c/strong>\u003c/p>\n\u003cp>Public health experts and reporters are \u003ca href=\"https://www.kqed.org/forum/2010101876720/some-public-health-experts-call-for-more-transparency-for-coronavirus-data\" target=\"_blank\" rel=\"noopener noreferrer\">calling\u003c/a> for more transparency around the state’s coronavirus data.\u003c/p>\n\u003cp>In a response to a reporter’s question Monday about why the state health department is not providing county hospitalization totals, Newsom said: “We will provide that information. We will make sure you get it.”\u003c/p>\n\u003cp>Some places will report the latest hospital numbers when it’s requested, including San Francisco and Contra Costa counties. Other jurisdictions have begun to push their data through online dashboards, including Sonoma, Marin and Solano counties.\u003c/p>\n\u003cp>While some counties have released data, it’s not enough to paint a clear picture of what is happening at hospitals around the Bay Area.\u003c/p>\n\u003cp>Making the picture harder to interpret, some counties, like Solano a report their total number of hospitalizations over the course of the pandemic, while Contra Costa and other counties track the daily total. Other places aren’t reporting hospitalizations at all.\u003c/p>\n\u003cp>“We don’t have the capacity to extract information and provide to the media or the public,” said Preston Merchant, public information officer with San Mateo County.\u003c/p>\n\u003cp>Santa Clara, the hardest hit county in the Bay Area, was \u003ca href=\"https://www.mercurynews.com/2020/03/24/coronavirus-when-will-bay-area-hospitals-see-surge-in-patients/\" target=\"_blank\" rel=\"noopener noreferrer\">posting\u003c/a> daily public hospitalization numbers, but stopped doing that last week after introducing a streamlined \u003ca href=\"https://www.sccgov.org/sites/phd/DiseaseInformation/novel-coronavirus/Pages/home.aspx?utm_campaign=coronavirus&utm_source=scchomepage&utm_medium=banner\" target=\"_blank\" rel=\"noopener noreferrer\">data dashboard\u003c/a>.\u003c/p>\n\u003cp>County health officials said in an emailed statement that they “know the public is interested in receiving up-to-date information regarding hospital utilization and capacity in anticipation for the surge in COVID-19 cases. We are working to provide that information as quickly as possible. We plan to release additional elements of our data dashboard in the coming days.”\u003c/p>\n\u003cp>In contrast to Bay Area counties, Southern California jurisdictions have been posting daily updates on the number of people hospitalized with COVID-19. On Tuesday, for instance, Los Angeles County \u003ca href=\"http://publichealth.lacounty.gov/media/Coronavirus/locations.htm\" target=\"_blank\" rel=\"noopener noreferrer\">reported\u003c/a> a total of 594 hospitalizations to date — up from 160 on March 25.\u003c/p>\n\u003cp>Similarly, \u003ca href=\"https://www.sandiegocounty.gov/content/sdc/hhsa/programs/phs/community_epidemiology/dc/2019-nCoV/status.html#Table\" target=\"_blank\" rel=\"noopener noreferrer\">San Diego\u003c/a>, \u003ca href=\"https://occovid19.ochealthinfo.com/coronavirus-in-oc\" target=\"_blank\" rel=\"noopener noreferrer\">Orange\u003c/a>, \u003ca href=\"https://www.vcemergency.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Ventura\u003c/a> and \u003ca href=\"https://publichealthsbc.org/status-reports/\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Barbara\u003c/a> counties are all posting patient numbers.\u003c/p>\n\u003cp>Some health care providers say they won’t provide data on the number of COVID-19 hospitalizations they’re seeing, citing patient privacy laws.\u003c/p>\n\u003cp>Sutter Health spokeswoman Angie Sheets said the company cannot release such data “out of respect for patient and employee privacy.”\u003c/p>\n\u003cp>“Even in times of emergency, HIPAA (a federal health care law) still applies, and it is our duty to protect patient, staff and clinician privacy,” she said.\u003c/p>\n\u003cp>Kaiser Permanente, which operates more Northern California’s biggest hospital network, also declined to report its coronavirus patient numbers.\u003c/p>\n\u003cp>But according to internal Kaiser information obtained by NPR, as of Monday evening, 184 coronavirus patients were hospitalized in Kaiser’s Northern California hospitals. Sixty-three of those patients are in Kaiser ICUs.\u003c/p>\n\u003cp>Not all hospitals are declining to disclose their numbers.\u003c/p>\n\u003cp>Zuckerberg San Francisco General Hospital reports 15 patients with the virus.\u003c/p>\n\u003cp>At UCSF, Dr. Bob Wachter, chair of the school’s department of medicine, has been tweeting out the number of patients in that hospital system each day. As of Monday, it was 14.\u003c/p>\n\u003cp>https://twitter.com/Bob_Wachter/status/1244812876935598080?s=20\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>NPR’s Lauren Sommer contributed to this report. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The more reliable numbers, aside from the number of deaths, are how many people get sick enough to be in the hospital and in the ICU,” he said. “That’s what we need to know.”\u003c/p>\n\u003cp>If epidemiologists have a clear hospitalization rate, they can predict how many people may eventually die from this coronavirus and estimate how many beds a hospital system will need as the virus spreads.\u003c/p>\n\u003cp>“So as long as people aren’t being turned away, we must focus on hospitalizations and ICU cases,” Goodman said.\u003c/p>\n\u003cp>Under pressure from public health experts and the media, the state has begun releasing some overall numbers on the number of patients admitted to hospitals with COVID-19. As of Tuesday, the California Department of Public Health said the statewide count stood at 1,617 hospitalizations for the disease, including 657 patients being treated in ICUs.\u003c/p>\n\u003cp>The state says another 3,400 patients have been admitted with suspected COVID-19 symptoms, with 600 or so in that group also in ICUs.\u003c/p>\n\u003cp>Newsom began mentioning specific hospitalization numbers last weekend. But that was well after other jurisdictions experiencing major outbreaks, like \u003ca href=\"https://www1.nyc.gov/site/doh/covid/covid-19-data.page\" target=\"_blank\" rel=\"noopener noreferrer\">New York City\u003c/a>, \u003ca href=\"http://ldh.la.gov/Coronavirus/\" target=\"_blank\" rel=\"noopener noreferrer\">Louisiana\u003c/a> and \u003ca href=\"https://experience.arcgis.com/experience/96dd742462124fa0b38ddedb9b25e429\" target=\"_blank\" rel=\"noopener noreferrer\">Florida\u003c/a> began posting detailed data on testing and hospitalizations.\u003c/p>\n\u003cp>Although the Bay Area has led the nation in \u003ca href=\"https://www.kqed.org/science/1957877/live-updates-coronavirus-in-the-san-francisco-bay-area#0331lockdown\" target=\"_blank\" rel=\"noopener noreferrer\">adopting aggressive social distancing measures\u003c/a>, detailed information on hospitalizations in the region is relatively scarce:\u003c/p>\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli>\u003cstrong>Alameda County\u003c/strong>: Does not report hospitalizations related to COVID-19.\u003c/li>\n\u003cli>\u003cstrong>Contra Costa County\u003c/strong>: 23 hospitalizations related to COVID-19 as of March 30.\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Contra Costa County COVID-19 Numbers\" aria-label=\"Interactive line chart\" src=\"//datawrapper.dwcdn.net/PSBq2/1/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"600\" height=\"400\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli>\u003cstrong>Marin County\u003c/strong>: 14 hospitalizations related to COVID-19 as of March 30.\u003c/li>\n\u003cli>\u003cstrong>Napa County\u003c/strong>: Does not report hospitalizations related to COVID-19.\u003c/li>\n\u003cli>\u003cstrong>San Mateo County\u003c/strong>: Does not report hospitalizations related to COVID-19.\u003c/li>\n\u003cli>\u003cstrong>Santa Clara County\u003c/strong>: 152 hospitalizations as of March 31.\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Santa Clara County's COVID-19 Numbers\" aria-label=\"Interactive line chart\" src=\"//datawrapper.dwcdn.net/nWiWL/4/\" scrolling=\"no\" frameborder=\"0\" style=\"border: none;\" width=\"600\" height=\"500\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>San Francisco County\u003c/strong>: 58 hospitalizations related to COVID-19 as of March 30.\u003c/li>\n\u003cli>\u003cstrong>Sonoma County\u003c/strong>: 17 hospitalizations related to COVID-19 as of March 31.\u003c/li>\n\u003cli>\u003cstrong>Solano County\u003c/strong>:13 hospitalizations related to COVID-19 as of March 31.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>A Call for More and Better Data\u003c/strong>\u003c/p>\n\u003cp>Public health experts and reporters are \u003ca href=\"https://www.kqed.org/forum/2010101876720/some-public-health-experts-call-for-more-transparency-for-coronavirus-data\" target=\"_blank\" rel=\"noopener noreferrer\">calling\u003c/a> for more transparency around the state’s coronavirus data.\u003c/p>\n\u003cp>In a response to a reporter’s question Monday about why the state health department is not providing county hospitalization totals, Newsom said: “We will provide that information. We will make sure you get it.”\u003c/p>\n\u003cp>Some places will report the latest hospital numbers when it’s requested, including San Francisco and Contra Costa counties. Other jurisdictions have begun to push their data through online dashboards, including Sonoma, Marin and Solano counties.\u003c/p>\n\u003cp>While some counties have released data, it’s not enough to paint a clear picture of what is happening at hospitals around the Bay Area.\u003c/p>\n\u003cp>Making the picture harder to interpret, some counties, like Solano a report their total number of hospitalizations over the course of the pandemic, while Contra Costa and other counties track the daily total. Other places aren’t reporting hospitalizations at all.\u003c/p>\n\u003cp>“We don’t have the capacity to extract information and provide to the media or the public,” said Preston Merchant, public information officer with San Mateo County.\u003c/p>\n\u003cp>Santa Clara, the hardest hit county in the Bay Area, was \u003ca href=\"https://www.mercurynews.com/2020/03/24/coronavirus-when-will-bay-area-hospitals-see-surge-in-patients/\" target=\"_blank\" rel=\"noopener noreferrer\">posting\u003c/a> daily public hospitalization numbers, but stopped doing that last week after introducing a streamlined \u003ca href=\"https://www.sccgov.org/sites/phd/DiseaseInformation/novel-coronavirus/Pages/home.aspx?utm_campaign=coronavirus&utm_source=scchomepage&utm_medium=banner\" target=\"_blank\" rel=\"noopener noreferrer\">data dashboard\u003c/a>.\u003c/p>\n\u003cp>County health officials said in an emailed statement that they “know the public is interested in receiving up-to-date information regarding hospital utilization and capacity in anticipation for the surge in COVID-19 cases. We are working to provide that information as quickly as possible. We plan to release additional elements of our data dashboard in the coming days.”\u003c/p>\n\u003cp>In contrast to Bay Area counties, Southern California jurisdictions have been posting daily updates on the number of people hospitalized with COVID-19. On Tuesday, for instance, Los Angeles County \u003ca href=\"http://publichealth.lacounty.gov/media/Coronavirus/locations.htm\" target=\"_blank\" rel=\"noopener noreferrer\">reported\u003c/a> a total of 594 hospitalizations to date — up from 160 on March 25.\u003c/p>\n\u003cp>Similarly, \u003ca href=\"https://www.sandiegocounty.gov/content/sdc/hhsa/programs/phs/community_epidemiology/dc/2019-nCoV/status.html#Table\" target=\"_blank\" rel=\"noopener noreferrer\">San Diego\u003c/a>, \u003ca href=\"https://occovid19.ochealthinfo.com/coronavirus-in-oc\" target=\"_blank\" rel=\"noopener noreferrer\">Orange\u003c/a>, \u003ca href=\"https://www.vcemergency.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Ventura\u003c/a> and \u003ca href=\"https://publichealthsbc.org/status-reports/\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Barbara\u003c/a> counties are all posting patient numbers.\u003c/p>\n\u003cp>Some health care providers say they won’t provide data on the number of COVID-19 hospitalizations they’re seeing, citing patient privacy laws.\u003c/p>\n\u003cp>Sutter Health spokeswoman Angie Sheets said the company cannot release such data “out of respect for patient and employee privacy.”\u003c/p>\n\u003cp>“Even in times of emergency, HIPAA (a federal health care law) still applies, and it is our duty to protect patient, staff and clinician privacy,” she said.\u003c/p>\n\u003cp>Kaiser Permanente, which operates more Northern California’s biggest hospital network, also declined to report its coronavirus patient numbers.\u003c/p>\n\u003cp>But according to internal Kaiser information obtained by NPR, as of Monday evening, 184 coronavirus patients were hospitalized in Kaiser’s Northern California hospitals. Sixty-three of those patients are in Kaiser ICUs.\u003c/p>\n\u003cp>Not all hospitals are declining to disclose their numbers.\u003c/p>\n\u003cp>Zuckerberg San Francisco General Hospital reports 15 patients with the virus.\u003c/p>\n\u003cp>At UCSF, Dr. Bob Wachter, chair of the school’s department of medicine, has been tweeting out the number of patients in that hospital system each day. As of Monday, it was 14.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>NPR’s Lauren Sommer contributed to this report. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "So You Tested Positive for the Coronavirus. How Long Should You Isolate Yourself?",
"headTitle": "So You Tested Positive for the Coronavirus. How Long Should You Isolate Yourself? | KQED",
"content": "\u003cp>\u003cem>Updated July 8\u003c/em>\u003c/p>\n\u003cp>Even before Candace Palmerlee tested positive for the coronavirus, she began isolating herself at home, not wanting to pass the infection on to others.\u003c/p>\n\u003cp>When her positive test result was confirmed on March 16, she says she and her family were given three different timelines for how long they would need to stay within the confines of their Walnut Creek home. One nurse instructed Palmerlee to wait two weeks from the date of her first symptom, another advised her to wait two weeks from the date her test was taken, and county literature said a minimum of seven days was required, plus an additional three after all symptoms subsided.\u003c/p>\n\u003cp>“If you look at all three of those different lines of advice, you come up with very different dates for when I’m released,” says Palmerlee.\u003c/p>\n\u003cp>She decided to go with the most conservative instructions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When her isolation is over, she plans to honor the shelter-at-home directives, but she wonders about when those lift, and if it will be okay to return to work as an orthopedic manual therapist, where she has human-to-human contact. “I work with a large geriatric population in my private practice and I cannot be shedding virus when I go back to work,” she said. “We need to be really clear that I am no longer contagious. So how do I how do I find that out?”\u003c/p>\n\u003cp>Dr. Sajan Patel of the University of California San Francisco says the guidelines for how long to isolate after testing positive for COVID-19 are changing rapidly, so it’s important to seek out the most up-to-date information. When you do, he says, refer to the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html\" target=\"_blank\" rel=\"noopener noreferrer\">Centers for Disease Control and Prevention (CDC) guidelines\u003c/a>.\u003c/p>\n\u003cp>The CDC recommends you follow\u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/end-home-isolation.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fprevent-getting-sick%2Fwhen-its-safe.html\" target=\"_blank\" rel=\"noopener noreferrer\"> these guidelines\u003c/a> before you discontinue home isolation, depending on your circumstance:\u003c/p>\n\u003cp>\u003cem>\u003cstrong>If you think or know you had COVID-19, and had symptoms\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>You can end home isolation when:\u003c/p>\n\u003col>\n\u003cli>You have had no fever for at least 72 hours (that is three full days of no fever without the use of medicine that reduces fevers) AND\u003c/li>\n\u003cli>respiratory symptoms have improved (for example, when your cough or shortness of breath have improved) AND\u003c/li>\n\u003cli>at least 10 days have passed since your symptoms first appeared\u003c/li>\n\u003c/ol>\n\u003cp>Dr. Patel emphasizes that “you need all three.”\u003c/p>\n\u003cp>Alternatively, if tests are available, you can end home isolation when:\u003c/p>\n\u003col>\n\u003cli>You have no fever AND\u003c/li>\n\u003cli>respiratory symptoms have improved AND\u003c/li>\n\u003cli>you receive two negative test results in a row, at least 24 hours apart\u003c/li>\n\u003c/ol>\n\u003cp>\u003cem>\u003cstrong>If you tested positive for COVID-19 but had no symptoms\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>You can end home isolation when:\u003c/p>\n\u003col>\n\u003cli>10 days have passed since your positive test, and you’ve continued to have no symptoms.\u003c/li>\n\u003c/ol>\n\u003cp>Alternatively, if tests are available, you can end home isolation when:\u003c/p>\n\u003col>\n\u003cli>You receive two negative test results in a row, at least 24 hours apart.\u003c/li>\n\u003c/ol>\n\u003cp>\u003cem>\u003cstrong>If you have a weakened immune system (immunocompromised) due to a health condition or medication\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>You may need to stay home longer than 10 days. It’s important to consult your healthcare provider. They may recommend follow-up testing if it’s available, in which case you can end home isolation after you receive two negative test results in a row, at least 24 hours apart.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>When these conditions are met, Dr. Patel said, “It is not permission to jump back into society. It is, ‘I don’t have to be stuck in one room using one bathroom, wiping down every single thing, every moment.'” Social-distancing and local and state orders still apply to people who are no longer contagious.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated July 8\u003c/em>\u003c/p>\n\u003cp>Even before Candace Palmerlee tested positive for the coronavirus, she began isolating herself at home, not wanting to pass the infection on to others.\u003c/p>\n\u003cp>When her positive test result was confirmed on March 16, she says she and her family were given three different timelines for how long they would need to stay within the confines of their Walnut Creek home. One nurse instructed Palmerlee to wait two weeks from the date of her first symptom, another advised her to wait two weeks from the date her test was taken, and county literature said a minimum of seven days was required, plus an additional three after all symptoms subsided.\u003c/p>\n\u003cp>“If you look at all three of those different lines of advice, you come up with very different dates for when I’m released,” says Palmerlee.\u003c/p>\n\u003cp>She decided to go with the most conservative instructions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When her isolation is over, she plans to honor the shelter-at-home directives, but she wonders about when those lift, and if it will be okay to return to work as an orthopedic manual therapist, where she has human-to-human contact. “I work with a large geriatric population in my private practice and I cannot be shedding virus when I go back to work,” she said. “We need to be really clear that I am no longer contagious. So how do I how do I find that out?”\u003c/p>\n\u003cp>Dr. Sajan Patel of the University of California San Francisco says the guidelines for how long to isolate after testing positive for COVID-19 are changing rapidly, so it’s important to seek out the most up-to-date information. When you do, he says, refer to the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html\" target=\"_blank\" rel=\"noopener noreferrer\">Centers for Disease Control and Prevention (CDC) guidelines\u003c/a>.\u003c/p>\n\u003cp>The CDC recommends you follow\u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/end-home-isolation.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fprevent-getting-sick%2Fwhen-its-safe.html\" target=\"_blank\" rel=\"noopener noreferrer\"> these guidelines\u003c/a> before you discontinue home isolation, depending on your circumstance:\u003c/p>\n\u003cp>\u003cem>\u003cstrong>If you think or know you had COVID-19, and had symptoms\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>You can end home isolation when:\u003c/p>\n\u003col>\n\u003cli>You have had no fever for at least 72 hours (that is three full days of no fever without the use of medicine that reduces fevers) AND\u003c/li>\n\u003cli>respiratory symptoms have improved (for example, when your cough or shortness of breath have improved) AND\u003c/li>\n\u003cli>at least 10 days have passed since your symptoms first appeared\u003c/li>\n\u003c/ol>\n\u003cp>Dr. Patel emphasizes that “you need all three.”\u003c/p>\n\u003cp>Alternatively, if tests are available, you can end home isolation when:\u003c/p>\n\u003col>\n\u003cli>You have no fever AND\u003c/li>\n\u003cli>respiratory symptoms have improved AND\u003c/li>\n\u003cli>you receive two negative test results in a row, at least 24 hours apart\u003c/li>\n\u003c/ol>\n\u003cp>\u003cem>\u003cstrong>If you tested positive for COVID-19 but had no symptoms\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>You can end home isolation when:\u003c/p>\n\u003col>\n\u003cli>10 days have passed since your positive test, and you’ve continued to have no symptoms.\u003c/li>\n\u003c/ol>\n\u003cp>Alternatively, if tests are available, you can end home isolation when:\u003c/p>\n\u003col>\n\u003cli>You receive two negative test results in a row, at least 24 hours apart.\u003c/li>\n\u003c/ol>\n\u003cp>\u003cem>\u003cstrong>If you have a weakened immune system (immunocompromised) due to a health condition or medication\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>You may need to stay home longer than 10 days. It’s important to consult your healthcare provider. They may recommend follow-up testing if it’s available, in which case you can end home isolation after you receive two negative test results in a row, at least 24 hours apart.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>When these conditions are met, Dr. Patel said, “It is not permission to jump back into society. It is, ‘I don’t have to be stuck in one room using one bathroom, wiping down every single thing, every moment.'” Social-distancing and local and state orders still apply to people who are no longer contagious.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "California Leaders Slam Trump Administration's New Car Rules as 'Deadly Regulatory Backsliding'",
"headTitle": "California Leaders Slam Trump Administration’s New Car Rules as ‘Deadly Regulatory Backsliding’ | KQED",
"content": "\u003cp class=\"p1\">It’s official. After years of blustery promises and draft proposals, the Trump administration Tuesday released final rules tossing out auto emissions standards and gutting one of the U.S.’s biggest efforts to fight climate change.\u003c/p>\n\u003cp>The rollback raises the ceiling on damaging fossil fuel emissions for years, ends ambitious Obama-era vehicle mileage standards and finalizes a plan to eliminate California’s right to enact stricter tailpipe emissions rules than the federal government–a right the state has had for more than a half a century.\u003c/p>\n\u003cp>The Trump administration’s \u003ca href=\"https://www.epa.gov/sites/production/files/2020-03/documents/final-fr-safe-preamble.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">final rule\u003c/span>\u003c/a> sets mileage standards through 2026. They water down a tough mileage standard that would have encouraged automakers to ramp up production of electric vehicles and more \u003ca href=\"https://apnews.com/Fuelefficiency\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">fuel-efficient gas and diesel vehicles\u003c/span>\u003c/a>.\u003c/p>\n\u003cp>California Attorney General Xavier Becerra slammed the Trump administration’s new rules saying they are in violation of the law and promised to challenge them in court. “We will do everything necessary to protect the interest of the people of California,” he said.\u003c/p>\n\u003cp>“We see with the move today the Trump administration is gutting the Clean Car Standard,” he said “We can expect the continued degradation of health and the environment.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Their move today won’t drive innovation,” he said. “We need to continue to move toward the cleanest, safest cars on our road as possible.”\u003c/p>\n\u003cp>\u003cspan class=\"s2\">“Rather than learn from its deadly regulatory backsliding, the Trump Administration instead weakens standards that protect our health and environment from polluting contaminants emitted by cars and trucks,” he said. “That’s unacceptable. And that’s not where California or America will go.”\u003c/span>\u003c/p>\n\u003cp>Ann Carlson, a law professor at UCLA, also questioned the legality of the Trump administration’s new rules. She says the policy does not fit “with their statutory obligations.” \u003ci>\u003c/i>\u003c/p>\n\u003cp>“The motivation here is to promote fossil fuels,” she said. “That’s been an underlying justification for a lot of the environmental rollbacks the Trump administration is engaged in.”\u003c/p>\n\u003cp>She says the administration has a legal obligation to protect public health and the environment and to maximize fuel economy. “When you take a look at the justifications, they’re really trying to fit a square peg into a round hole just doesn’t fit well,” she said. \u003ci>\u003cbr>\n\u003c/i>\u003c/p>\n\u003cp>California and about a dozen other states say they will continue resisting the Trump standards in court.\u003c/p>\n\u003cp>\u003cstrong>California’s Waiver\u003c/strong>\u003c/p>\n\u003cp>In September, the Trump administration announced its intention to withdraw California’s waiver that allowed it to set its own tougher smog rules.\u003c/p>\n\u003cp>California’s exemption was previously provided to the state under the Clean Air Act; state officials are \u003ca href=\"https://oag.ca.gov/cleancars\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">suing\u003c/span>\u003c/a> to\u003cspan class=\"Apple-converted-space\"> keep the waiver\u003c/span>.\u003c/p>\n\u003cp>Mary Nichols, California’s top air regulator, has said the state’s ability to set its own car rules is necessary to protect public health in California and fight climate change. She’s called the dispute “the fight of a lifetime for us.”\u003c/p>\n\u003cp>Nichols said in a phone call with reporters that her office has been in touch with industry representatives and they are still planning to manufacture cars to California’s standard for tailpipe emissions and electric vehicles.\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/p>\n\u003cp>“They will meet the requirements of our rules,” she said. “That is what they have said.” \u003ci> \u003c/i>\u003c/p>\n\u003cp class=\"p1\">“The companies, based on their legal advice and on their desire not to be directly implicated in the ongoing litigation, are saying that they will meet fleet average basis in our state and other states that follow the California rules,” Nichols said. \u003ci>\u003c/i>\u003c/p>\n\u003cp>She also announced that Volvo is considering joining Ford, BMW, Honda and Volkswagen in a voluntary \u003ca href=\"https://www.kqed.org/science/1945609/california-and-carmakers-reach-clean-vehicle-agreement-rebuking-trump-administration\">\u003cspan class=\"s1\">deal\u003c/span>\u003c/a> to ramp up fuel efficiency standards over time and encourage investment in electric vehicles.\u003c/p>\n\u003cp class=\"p1\">\u003ci>\u003c/i>California Senator Dianne Feinstein criticized the Trump administration for relaxing pollution rules during a global pandemic. \u003ci>\u003c/i>\u003c/p>\n\u003cp>“I believe rolling back emissions standards for vehicles and relaxing important monitoring and reporting standards during this pandemic is a serious error,” she \u003ca href=\"https://www.feinstein.senate.gov/public/_cache/files/c/d/cdaf5996-be61-47bd-ae02-1d7679241b00/22E9943A30ABA0655E2C4E0435AA0458.2020.03.31-epa-cv-letter.pdf\">\u003cspan class=\"s1\">wrote\u003c/span>\u003c/a> in a letter. “Given the respiratory nature of COVID-19, I believe it is more important than ever to improve air quality, and I urge EPA to work in a collaborative fashion with state and local partners to do so.”\u003c/p>\n\u003cp class=\"p1\">She asked the Trump administration to allow California to continue to set its own tailpipe emissions standards.\u003c/p>\n\u003cp>\u003cstrong>Trump’s New Rules\u003c/strong>\u003c/p>\n\u003cp>The Trump administration’s final rules come after two years of the president \u003ca href=\"https://apnews.com/152b4466881646268a08a02bb1d5d8ef\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">threatening and fighting states and automakers\u003c/span>\u003c/a> that opposed the move.\u003c/p>\n\u003cp class=\"p1\">“We are delivering on President Trump’s promise to correct the current fuel economy and greenhouse gas emissions standards,” Andrew Wheeler, head of the Environmental Protection Agency, said in a statement Tuesday marking the release.\u003c/p>\n\u003cp class=\"p1\">He said the final rule “puts in place a sensible” national program that “strikes the right regulatory balance that protects our environment, and sets reasonable targets for the auto industry. This rule supports our economy, and the safety of American families.”\u003c/p>\n\u003cp class=\"p1\">Opponents contend the change — gutting his predecessor’s legacy effort against climate-changing fossil fuel emissions — appears driven by Trump’s push to undo the regulatory initiatives of former President Barack Obama and say even the Trump administration itself has had difficulty pointing to the kinds of specific, demonstrable benefits to drivers, public health and safety or the economy that normally accompany standards changes.\u003c/p>\n\u003cp class=\"p1\">The Trump administration says the looser mileage standards will allow consumers to keep buying the less fuel-efficient SUVs that U.S. drivers have favored for years. Opponents say it will kill several hundred more Americans a year through dirtier air, compared to the Obama standards.\u003c/p>\n\u003cp class=\"p1\">Even “given the catastrophe they’re in with the coronavirus, they’re pursuing a policy that’s going to hurt public health and kill people,” said Chet France, a former 39-year veteran of the EPA who served as a senior official over emissions and mileage standards.\u003c/p>\n\u003cp class=\"p1\">“This is first time that an administration has pursued a policy that will net negative benefit for society and reduce fuel savings,” France said.\u003c/p>\n\u003cp class=\"p1\">Trump’s Cabinet has continued a \u003ca href=\"https://apnews.com/9bc2a961143dee11fcef847be3312bc0\">\u003cspan class=\"s1\">push to roll back\u003c/span>\u003c/a> public health and environment regulations despite \u003ca href=\"https://apnews.com/VirusOutbreak\">\u003cspan class=\"s1\">the coronavirus outbreak\u003c/span>\u003c/a> riveting the world’s attention. The administration — like others before it — is facing procedural rules that will make changes adopted before the last six months of Trump’s current term tougher to throw out, even if the White House changes occupants.\u003c/p>\n\u003cp>\u003cstrong>Business Uncertainty\u003c/strong>\u003c/p>\n\u003cp class=\"p1\">The standards have split the auto industry with Ford, BMW, Honda and Volkswagen siding with \u003ca href=\"https://apnews.com/9a50451d14c94a29a460df8ec2c0cef7\">\u003cspan class=\"s1\">California\u003c/span>\u003c/a> and agreeing to higher standards. Most other automakers contend the Obama-era standards were enacted hastily and will be impossible to meet because consumers have shifted dramatically away from efficient cars to SUVs and trucks.\u003c/p>\n\u003cp class=\"p1\">Last year, 72% of the new vehicles purchased by U.S. consumers were trucks or SUVS. It was 51% when the current standards went into effect in 2012.\u003c/p>\n\u003cp class=\"p1\">The Obama administration mandated 5% annual increases in fuel economy. The Trump administration standards call for a 1.5% annual increase, backing off from an initial proposal simply to stop mandating increases in fuel efficiency after 2020.\u003c/p>\n\u003cp class=\"p1\">The transportation sector is the nation’s largest source of climate-changing emissions.\u003c/p>\n\u003cp class=\"p1\">John Bozzella, CEO of the Alliance for Automotive Innovation, a trade group representing automakers, said the industry still wants middle ground between the two standards, and it supports year-over-year mileage increases. But he says the Obama-era standards are outdated due to the drastic shift to trucks and SUVs.\u003c/p>\n\u003cp class=\"p1\">The Trump administration standards are likely to cause havoc in the auto industry because, with legal challenges expected, automakers won’t know which standards they will have to obey.\u003c/p>\n\u003cp class=\"p1\">“It will be extraordinarily disruptive,” said Richard J. Pierce Jr., a law professor at the George Washington University who specializes in government regulations.\u003c/p>\n\u003cp class=\"p1\">States and environmental groups will challenge the Trump rules, and a U.S. District Court likely will issue a temporary order shelving them until it decides whether they are legal. The temporary order likely will be challenged with the Supreme Court, which in recent cases has voted 5-4 that a District judge can’t issue such a nationwide order, Pierce said. But the nation’s highest court could also keep the order in effect if it determines the groups challenging the Trump standards are likely to win.\u003c/p>\n\u003cp class=\"p1\">“We’re talking quite a long time, one to three years anyway, before we can expect to get a final decision on the merits,” Pierce said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ci>The Associated Press contributed to this report. \u003c/i>\u003c/p>\n\n",
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"excerpt": "The roll back of vehicle mileage standards allows higher levels of damaging fossil fuel emissions for years and guts one of the U.S.’s biggest efforts to fight climate change.",
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"description": "The roll back of vehicle mileage standards allows higher levels of damaging fossil fuel emissions for years and guts one of the U.S.’s biggest efforts to fight climate change.",
"title": "California Leaders Slam Trump Administration's New Car Rules as 'Deadly Regulatory Backsliding' | KQED",
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"headline": "California Leaders Slam Trump Administration's New Car Rules as 'Deadly Regulatory Backsliding'",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"p1\">It’s official. After years of blustery promises and draft proposals, the Trump administration Tuesday released final rules tossing out auto emissions standards and gutting one of the U.S.’s biggest efforts to fight climate change.\u003c/p>\n\u003cp>The rollback raises the ceiling on damaging fossil fuel emissions for years, ends ambitious Obama-era vehicle mileage standards and finalizes a plan to eliminate California’s right to enact stricter tailpipe emissions rules than the federal government–a right the state has had for more than a half a century.\u003c/p>\n\u003cp>The Trump administration’s \u003ca href=\"https://www.epa.gov/sites/production/files/2020-03/documents/final-fr-safe-preamble.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">final rule\u003c/span>\u003c/a> sets mileage standards through 2026. They water down a tough mileage standard that would have encouraged automakers to ramp up production of electric vehicles and more \u003ca href=\"https://apnews.com/Fuelefficiency\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">fuel-efficient gas and diesel vehicles\u003c/span>\u003c/a>.\u003c/p>\n\u003cp>California Attorney General Xavier Becerra slammed the Trump administration’s new rules saying they are in violation of the law and promised to challenge them in court. “We will do everything necessary to protect the interest of the people of California,” he said.\u003c/p>\n\u003cp>“We see with the move today the Trump administration is gutting the Clean Car Standard,” he said “We can expect the continued degradation of health and the environment.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Their move today won’t drive innovation,” he said. “We need to continue to move toward the cleanest, safest cars on our road as possible.”\u003c/p>\n\u003cp>\u003cspan class=\"s2\">“Rather than learn from its deadly regulatory backsliding, the Trump Administration instead weakens standards that protect our health and environment from polluting contaminants emitted by cars and trucks,” he said. “That’s unacceptable. And that’s not where California or America will go.”\u003c/span>\u003c/p>\n\u003cp>Ann Carlson, a law professor at UCLA, also questioned the legality of the Trump administration’s new rules. She says the policy does not fit “with their statutory obligations.” \u003ci>\u003c/i>\u003c/p>\n\u003cp>“The motivation here is to promote fossil fuels,” she said. “That’s been an underlying justification for a lot of the environmental rollbacks the Trump administration is engaged in.”\u003c/p>\n\u003cp>She says the administration has a legal obligation to protect public health and the environment and to maximize fuel economy. “When you take a look at the justifications, they’re really trying to fit a square peg into a round hole just doesn’t fit well,” she said. \u003ci>\u003cbr>\n\u003c/i>\u003c/p>\n\u003cp>California and about a dozen other states say they will continue resisting the Trump standards in court.\u003c/p>\n\u003cp>\u003cstrong>California’s Waiver\u003c/strong>\u003c/p>\n\u003cp>In September, the Trump administration announced its intention to withdraw California’s waiver that allowed it to set its own tougher smog rules.\u003c/p>\n\u003cp>California’s exemption was previously provided to the state under the Clean Air Act; state officials are \u003ca href=\"https://oag.ca.gov/cleancars\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">suing\u003c/span>\u003c/a> to\u003cspan class=\"Apple-converted-space\"> keep the waiver\u003c/span>.\u003c/p>\n\u003cp>Mary Nichols, California’s top air regulator, has said the state’s ability to set its own car rules is necessary to protect public health in California and fight climate change. She’s called the dispute “the fight of a lifetime for us.”\u003c/p>\n\u003cp>Nichols said in a phone call with reporters that her office has been in touch with industry representatives and they are still planning to manufacture cars to California’s standard for tailpipe emissions and electric vehicles.\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/p>\n\u003cp>“They will meet the requirements of our rules,” she said. “That is what they have said.” \u003ci> \u003c/i>\u003c/p>\n\u003cp class=\"p1\">“The companies, based on their legal advice and on their desire not to be directly implicated in the ongoing litigation, are saying that they will meet fleet average basis in our state and other states that follow the California rules,” Nichols said. \u003ci>\u003c/i>\u003c/p>\n\u003cp>She also announced that Volvo is considering joining Ford, BMW, Honda and Volkswagen in a voluntary \u003ca href=\"https://www.kqed.org/science/1945609/california-and-carmakers-reach-clean-vehicle-agreement-rebuking-trump-administration\">\u003cspan class=\"s1\">deal\u003c/span>\u003c/a> to ramp up fuel efficiency standards over time and encourage investment in electric vehicles.\u003c/p>\n\u003cp class=\"p1\">\u003ci>\u003c/i>California Senator Dianne Feinstein criticized the Trump administration for relaxing pollution rules during a global pandemic. \u003ci>\u003c/i>\u003c/p>\n\u003cp>“I believe rolling back emissions standards for vehicles and relaxing important monitoring and reporting standards during this pandemic is a serious error,” she \u003ca href=\"https://www.feinstein.senate.gov/public/_cache/files/c/d/cdaf5996-be61-47bd-ae02-1d7679241b00/22E9943A30ABA0655E2C4E0435AA0458.2020.03.31-epa-cv-letter.pdf\">\u003cspan class=\"s1\">wrote\u003c/span>\u003c/a> in a letter. “Given the respiratory nature of COVID-19, I believe it is more important than ever to improve air quality, and I urge EPA to work in a collaborative fashion with state and local partners to do so.”\u003c/p>\n\u003cp class=\"p1\">She asked the Trump administration to allow California to continue to set its own tailpipe emissions standards.\u003c/p>\n\u003cp>\u003cstrong>Trump’s New Rules\u003c/strong>\u003c/p>\n\u003cp>The Trump administration’s final rules come after two years of the president \u003ca href=\"https://apnews.com/152b4466881646268a08a02bb1d5d8ef\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">threatening and fighting states and automakers\u003c/span>\u003c/a> that opposed the move.\u003c/p>\n\u003cp class=\"p1\">“We are delivering on President Trump’s promise to correct the current fuel economy and greenhouse gas emissions standards,” Andrew Wheeler, head of the Environmental Protection Agency, said in a statement Tuesday marking the release.\u003c/p>\n\u003cp class=\"p1\">He said the final rule “puts in place a sensible” national program that “strikes the right regulatory balance that protects our environment, and sets reasonable targets for the auto industry. This rule supports our economy, and the safety of American families.”\u003c/p>\n\u003cp class=\"p1\">Opponents contend the change — gutting his predecessor’s legacy effort against climate-changing fossil fuel emissions — appears driven by Trump’s push to undo the regulatory initiatives of former President Barack Obama and say even the Trump administration itself has had difficulty pointing to the kinds of specific, demonstrable benefits to drivers, public health and safety or the economy that normally accompany standards changes.\u003c/p>\n\u003cp class=\"p1\">The Trump administration says the looser mileage standards will allow consumers to keep buying the less fuel-efficient SUVs that U.S. drivers have favored for years. Opponents say it will kill several hundred more Americans a year through dirtier air, compared to the Obama standards.\u003c/p>\n\u003cp class=\"p1\">Even “given the catastrophe they’re in with the coronavirus, they’re pursuing a policy that’s going to hurt public health and kill people,” said Chet France, a former 39-year veteran of the EPA who served as a senior official over emissions and mileage standards.\u003c/p>\n\u003cp class=\"p1\">“This is first time that an administration has pursued a policy that will net negative benefit for society and reduce fuel savings,” France said.\u003c/p>\n\u003cp class=\"p1\">Trump’s Cabinet has continued a \u003ca href=\"https://apnews.com/9bc2a961143dee11fcef847be3312bc0\">\u003cspan class=\"s1\">push to roll back\u003c/span>\u003c/a> public health and environment regulations despite \u003ca href=\"https://apnews.com/VirusOutbreak\">\u003cspan class=\"s1\">the coronavirus outbreak\u003c/span>\u003c/a> riveting the world’s attention. The administration — like others before it — is facing procedural rules that will make changes adopted before the last six months of Trump’s current term tougher to throw out, even if the White House changes occupants.\u003c/p>\n\u003cp>\u003cstrong>Business Uncertainty\u003c/strong>\u003c/p>\n\u003cp class=\"p1\">The standards have split the auto industry with Ford, BMW, Honda and Volkswagen siding with \u003ca href=\"https://apnews.com/9a50451d14c94a29a460df8ec2c0cef7\">\u003cspan class=\"s1\">California\u003c/span>\u003c/a> and agreeing to higher standards. Most other automakers contend the Obama-era standards were enacted hastily and will be impossible to meet because consumers have shifted dramatically away from efficient cars to SUVs and trucks.\u003c/p>\n\u003cp class=\"p1\">Last year, 72% of the new vehicles purchased by U.S. consumers were trucks or SUVS. It was 51% when the current standards went into effect in 2012.\u003c/p>\n\u003cp class=\"p1\">The Obama administration mandated 5% annual increases in fuel economy. The Trump administration standards call for a 1.5% annual increase, backing off from an initial proposal simply to stop mandating increases in fuel efficiency after 2020.\u003c/p>\n\u003cp class=\"p1\">The transportation sector is the nation’s largest source of climate-changing emissions.\u003c/p>\n\u003cp class=\"p1\">John Bozzella, CEO of the Alliance for Automotive Innovation, a trade group representing automakers, said the industry still wants middle ground between the two standards, and it supports year-over-year mileage increases. But he says the Obama-era standards are outdated due to the drastic shift to trucks and SUVs.\u003c/p>\n\u003cp class=\"p1\">The Trump administration standards are likely to cause havoc in the auto industry because, with legal challenges expected, automakers won’t know which standards they will have to obey.\u003c/p>\n\u003cp class=\"p1\">“It will be extraordinarily disruptive,” said Richard J. Pierce Jr., a law professor at the George Washington University who specializes in government regulations.\u003c/p>\n\u003cp class=\"p1\">States and environmental groups will challenge the Trump rules, and a U.S. District Court likely will issue a temporary order shelving them until it decides whether they are legal. The temporary order likely will be challenged with the Supreme Court, which in recent cases has voted 5-4 that a District judge can’t issue such a nationwide order, Pierce said. But the nation’s highest court could also keep the order in effect if it determines the groups challenging the Trump standards are likely to win.\u003c/p>\n\u003cp class=\"p1\">“We’re talking quite a long time, one to three years anyway, before we can expect to get a final decision on the merits,” Pierce said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ci>The Associated Press contributed to this report. \u003c/i>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "CRISPR Pioneer Opens Bay Area Lab to Test for Coronavirus",
"headTitle": "CRISPR Pioneer Opens Bay Area Lab to Test for Coronavirus | KQED",
"content": "\u003cp>\u003cspan class=\"big-cap-wrap\">\u003cspan class=\"big-cap\">A \u003c/span>\u003c/span>team of academic and industry researchers led by Jennifer Doudna, the researcher best known for her role in the discovery of the gene editing technology called CRISPR, has turned a 2,500-square-foot scientific laboratory into a facility for running medical tests to detect the novel coronavirus that causes COVID-19.\u003c/p>\n\u003cp>The laboratory, which plans to serve hospitals in the San Francisco Bay Area, says it will be able to process more than 1,000 patient samples a day with a 24-hour turnaround, Doudna announced Monday. The lab will ramp up to processing 3,000 samples a day if necessary.\u003c/p>\n\u003cp>“This is a big, big issue here in the U.S.,” said Doudna. “We need to ramp up testing very fast. It’s been problematic for various reasons. And so we are building and implementing a clinical testing laboratory on the UC Berkeley campus to do exactly that.”\u003c/p>\n\u003cp>The effort is one more sign of the desperation in major metropolitan areas to ramp up testing for the coronavirus, called SARS-CoV-2. Two weeks ago, the U.S. had only processed 42,000 tests over the course of the coronavirus pandemic, according to the \u003ca href=\"https://covidtracking.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Covid Tracking Project,\u003c/a> a volunteer effort. As of this week, the total number of test results returned has risen to nearly 900,000.\u003c/p>\n\u003cp>Doudna’s effort isn’t the first in academia. The Broad Institute in Cambridge, Mass., \u003ca href=\"https://www.broadinstitute.org/news/how-broad-institute-helping-understand-and-overcome-covid-19\" target=\"_blank\" rel=\"noopener noreferrer\">began processing test results last week\u003c/a>, and said it would be able to process 2,000 tests a day with a 12-hour turnaround.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The new lab is housed at the University of California, Berkeley’s Innovative Genomics Institute, where Doudna is the executive director. It is being run by more than 50 volunteers from Berkeley and its environs, including the chief scientific officer of lab equipment giant Thermo Fisher, team members from Salesforce, the head of commercial at laboratory information analysis firm Third Wave Analytics, and workers from Hamilton Corp., a maker of laboratory robots, two of which are used in the laboratory.\u003c/p>\n\u003cp>“It’s unbelievable to see how fast this is coming together and people writing software just overnight to put such a complicated pipeline in place and ensure that it’s secure,” Doudna said. “It’s really quite amazing.”\u003c/p>\n\u003cp>Doudna said that the Food and Drug Administration and the state of California had been willing to relax normal rules to get the effort going. The lab aims to have certification under the Clinical Laboratory Improvement Amendments (or CLIA) program, the federal regulator of diagnostic labs, by next week, at which point it will begin testing samples. At first, the laboratory will test 300 samples at once, at first working with UC Berkeley’s medical center.\u003c/p>\n\u003cp>The effort to develop a test began on March 13. The Genomics Institute had been planning to use the space for experiments involving CRISPR, but it already met the safety specifications a laboratory would need in order to handle a contagious virus like SARS-CoV-2.\u003c/p>\n\u003cp>The test is based on the COVID-19 test developed by ThermoFisher, which has received emergency clearance from regulators. and uses a process to conduct the polymerase chain reaction, the basis for all the widely used tests to detect the virus. But the researchers designed a way to use the test on two Hamilton laboratory robots that allowed them to automate the process.\u003c/p>\n\u003cp>“The throughput numbers assume only one thing: that Thermo supplies and kits do not run out,” said Fyodor Urnov, the genomics institute’s scientific director. He said that the group has already paid a hefty sum for 10,000 of the kits.\u003c/p>\n\u003cp>Doudna said that her group did a survey of local laboratories, and said that a number of them were running the testing reactions manually.\u003c/p>\n\u003cp>“Think about that,” she said. “They have no robotics at all. And their turnaround times as a result are up to seven days.”\u003c/p>\n\u003cp>There is no way, she said, that a manual approach could meet current capacity needs. (Many larger labs are using ready-made systems, such as those made by Roche, Hologic, or ThermoFisher, that are automated.)\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’ve never faced this before, where clinical labs needed to very quickly be able to ramp up a test so fast,” Doudna said.\u003cbr>\n\u003cem>\u003cbr>\nThis \u003ca href=\"https://www.statnews.com/2020/03/30/crispr-pioneer-doudna-opens-lab-to-run-covid-19-tests/\" target=\"_blank\" rel=\"noopener noreferrer\">story\u003c/a> was originally published by \u003ca href=\"https://www.statnews.com/\">STAT\u003c/a>, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan class=\"big-cap-wrap\">\u003cspan class=\"big-cap\">A \u003c/span>\u003c/span>team of academic and industry researchers led by Jennifer Doudna, the researcher best known for her role in the discovery of the gene editing technology called CRISPR, has turned a 2,500-square-foot scientific laboratory into a facility for running medical tests to detect the novel coronavirus that causes COVID-19.\u003c/p>\n\u003cp>The laboratory, which plans to serve hospitals in the San Francisco Bay Area, says it will be able to process more than 1,000 patient samples a day with a 24-hour turnaround, Doudna announced Monday. The lab will ramp up to processing 3,000 samples a day if necessary.\u003c/p>\n\u003cp>“This is a big, big issue here in the U.S.,” said Doudna. “We need to ramp up testing very fast. It’s been problematic for various reasons. And so we are building and implementing a clinical testing laboratory on the UC Berkeley campus to do exactly that.”\u003c/p>\n\u003cp>The effort is one more sign of the desperation in major metropolitan areas to ramp up testing for the coronavirus, called SARS-CoV-2. Two weeks ago, the U.S. had only processed 42,000 tests over the course of the coronavirus pandemic, according to the \u003ca href=\"https://covidtracking.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Covid Tracking Project,\u003c/a> a volunteer effort. As of this week, the total number of test results returned has risen to nearly 900,000.\u003c/p>\n\u003cp>Doudna’s effort isn’t the first in academia. The Broad Institute in Cambridge, Mass., \u003ca href=\"https://www.broadinstitute.org/news/how-broad-institute-helping-understand-and-overcome-covid-19\" target=\"_blank\" rel=\"noopener noreferrer\">began processing test results last week\u003c/a>, and said it would be able to process 2,000 tests a day with a 12-hour turnaround.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The new lab is housed at the University of California, Berkeley’s Innovative Genomics Institute, where Doudna is the executive director. It is being run by more than 50 volunteers from Berkeley and its environs, including the chief scientific officer of lab equipment giant Thermo Fisher, team members from Salesforce, the head of commercial at laboratory information analysis firm Third Wave Analytics, and workers from Hamilton Corp., a maker of laboratory robots, two of which are used in the laboratory.\u003c/p>\n\u003cp>“It’s unbelievable to see how fast this is coming together and people writing software just overnight to put such a complicated pipeline in place and ensure that it’s secure,” Doudna said. “It’s really quite amazing.”\u003c/p>\n\u003cp>Doudna said that the Food and Drug Administration and the state of California had been willing to relax normal rules to get the effort going. The lab aims to have certification under the Clinical Laboratory Improvement Amendments (or CLIA) program, the federal regulator of diagnostic labs, by next week, at which point it will begin testing samples. At first, the laboratory will test 300 samples at once, at first working with UC Berkeley’s medical center.\u003c/p>\n\u003cp>The effort to develop a test began on March 13. The Genomics Institute had been planning to use the space for experiments involving CRISPR, but it already met the safety specifications a laboratory would need in order to handle a contagious virus like SARS-CoV-2.\u003c/p>\n\u003cp>The test is based on the COVID-19 test developed by ThermoFisher, which has received emergency clearance from regulators. and uses a process to conduct the polymerase chain reaction, the basis for all the widely used tests to detect the virus. But the researchers designed a way to use the test on two Hamilton laboratory robots that allowed them to automate the process.\u003c/p>\n\u003cp>“The throughput numbers assume only one thing: that Thermo supplies and kits do not run out,” said Fyodor Urnov, the genomics institute’s scientific director. He said that the group has already paid a hefty sum for 10,000 of the kits.\u003c/p>\n\u003cp>Doudna said that her group did a survey of local laboratories, and said that a number of them were running the testing reactions manually.\u003c/p>\n\u003cp>“Think about that,” she said. “They have no robotics at all. And their turnaround times as a result are up to seven days.”\u003c/p>\n\u003cp>There is no way, she said, that a manual approach could meet current capacity needs. (Many larger labs are using ready-made systems, such as those made by Roche, Hologic, or ThermoFisher, that are automated.)\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’ve never faced this before, where clinical labs needed to very quickly be able to ramp up a test so fast,” Doudna said.\u003cbr>\n\u003cem>\u003cbr>\nThis \u003ca href=\"https://www.statnews.com/2020/03/30/crispr-pioneer-doudna-opens-lab-to-run-covid-19-tests/\" target=\"_blank\" rel=\"noopener noreferrer\">story\u003c/a> was originally published by \u003ca href=\"https://www.statnews.com/\">STAT\u003c/a>, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Coronavirus: When Will We Know if California Is Flattening the Curve?",
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"content": "\u003cfigure id=\"attachment_1960457\" class=\"wp-caption alignnone\" style=\"max-width: 1360px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1960457\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2029/10/flatten-the-curve-graphic-covid-19-coronavirus-1.gif\" alt=\"\" width=\"1360\" height=\"784\">\u003cfigcaption class=\"wp-caption-text\">Flattening the curve on a graph of the number of COVID-19 cases over time is the goal of the extreme social distancing measures undertaken in California. \u003ccite>(Siouxsie Wiles and Toby Morris)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Experts are telling us that staying home is the one way to “flatten the curve” of the number of COVID-19 cases and prevent an overload of hospitalizations. But when will we know if this massive change to our daily lives is having enough of an impact?\u003c/p>\n\u003cp>KQED’s Brian Watt spoke with \u003cstrong>\u003ca href=\"https://publichealth.berkeley.edu/people/john-swartzberg/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. John Swartzberg\u003c/a>,\u003c/strong> an infectious disease expert at the UC Berkeley School of Public Health, to find out. The following excerpts from the interview have been edited for length and clarity.\u003c/p>\n\u003cp>\u003cb>How Well Are We Doing With Social Distancing and Is It Working?\u003c/b>\u003c/p>\n\u003cp>I think we’re doing pretty well. In terms of–is it going to make a difference?–we’re going to have to wait and see. Right now really reflects what’s happened about two weeks ago. We’re going to have to wait a couple more weeks to really see how well this social distancing is working, or at least to get a preliminary idea.\u003c/p>\n\u003cp>\u003cstrong>How Do Scientists Predict How Many People Might Become Infected, or Die?\u003c/strong>\u003c/p>\n\u003cp>Modeling is done by looking at the results of testing both positive and negative tests. Also, depending upon the modeling, things like hospitalizations, people in the ICU, people dying. So it compiles a lot of this data.\u003c/p>\n\u003cp>But they’re only as good as the data that goes into them. We’ve been very behind the eight ball in terms of the number of people we’ve tested. It’ll go down as one of the tragedies in the United States that we so failed early in this pandemic to not test our population. If we don’t test a large number of people, it makes the data that we use more suspect.\u003c/p>\n\u003cp>\u003cb>Do We Have Any Idea How Long a Surge in Patients Could Last, Once It Starts?\u003c/b>\u003c/p>\n\u003cp>Unfortunately, I think the chances of a surge not beginning are very, very small. The question is how bad is it going to be? \u003cb>\u003c/b>And, I’m cautiously optimistic that the sheltering in place is going to help change the slope of that curve, so, we’re not going to see a terrible surge. If we look at China, they started to plateau, and then started to decline, and that took place over around three weeks or so. So if we’re going to experience what China has seen, we would say that the surge starts to plateau, it could be, around three weeks or so.\u003c/p>\n\u003cp>\u003cb>If We Don’t See a Surge in Numbers, Would It Mean We Did Something Right?\u003c/b>\u003c/p>\n\u003cp>Absolutely. I think that the major intervention that we have done in terms of prevention has been sheltering in place. There’s every reason to think it would work, both theoretically and we saw it — although it was draconian what the Chinese did — but we saw it worked in China as well. So I think that we can, and we should, anticipate that the sheltering-in-place will work, but it’s going to take a while for it to show up.\u003c/p>\n\u003cp>\u003cb>\u003c/b>\u003cstrong>Why Do You Think Things Have Played Out So Differently in California and New York? \u003c/strong>\u003c/p>\n\u003cp>California instituted shelter in place five to seven days before New York did. And I know people are going to think, ‘Well, that’s not much.’ \u003cb>\u003c/b>But in terms of how fast this virus is spreading through our population, it’s a lot of time.\u003c/p>\n\u003cp>New York has roughly about 28,000 people per square mile. San Francisco has about 17,000 people per square mile. The more dense the population is, the more opportunity virus has to spread. And once the virus spreads to a nonimmune person, on average, that person is going to spread it to about three more people. So you can see how quickly you get an exponential curve.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1960457\" class=\"wp-caption alignnone\" style=\"max-width: 1360px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1960457\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2029/10/flatten-the-curve-graphic-covid-19-coronavirus-1.gif\" alt=\"\" width=\"1360\" height=\"784\">\u003cfigcaption class=\"wp-caption-text\">Flattening the curve on a graph of the number of COVID-19 cases over time is the goal of the extreme social distancing measures undertaken in California. \u003ccite>(Siouxsie Wiles and Toby Morris)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Experts are telling us that staying home is the one way to “flatten the curve” of the number of COVID-19 cases and prevent an overload of hospitalizations. But when will we know if this massive change to our daily lives is having enough of an impact?\u003c/p>\n\u003cp>KQED’s Brian Watt spoke with \u003cstrong>\u003ca href=\"https://publichealth.berkeley.edu/people/john-swartzberg/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. John Swartzberg\u003c/a>,\u003c/strong> an infectious disease expert at the UC Berkeley School of Public Health, to find out. The following excerpts from the interview have been edited for length and clarity.\u003c/p>\n\u003cp>\u003cb>How Well Are We Doing With Social Distancing and Is It Working?\u003c/b>\u003c/p>\n\u003cp>I think we’re doing pretty well. In terms of–is it going to make a difference?–we’re going to have to wait and see. Right now really reflects what’s happened about two weeks ago. We’re going to have to wait a couple more weeks to really see how well this social distancing is working, or at least to get a preliminary idea.\u003c/p>\n\u003cp>\u003cstrong>How Do Scientists Predict How Many People Might Become Infected, or Die?\u003c/strong>\u003c/p>\n\u003cp>Modeling is done by looking at the results of testing both positive and negative tests. Also, depending upon the modeling, things like hospitalizations, people in the ICU, people dying. So it compiles a lot of this data.\u003c/p>\n\u003cp>But they’re only as good as the data that goes into them. We’ve been very behind the eight ball in terms of the number of people we’ve tested. It’ll go down as one of the tragedies in the United States that we so failed early in this pandemic to not test our population. If we don’t test a large number of people, it makes the data that we use more suspect.\u003c/p>\n\u003cp>\u003cb>Do We Have Any Idea How Long a Surge in Patients Could Last, Once It Starts?\u003c/b>\u003c/p>\n\u003cp>Unfortunately, I think the chances of a surge not beginning are very, very small. The question is how bad is it going to be? \u003cb>\u003c/b>And, I’m cautiously optimistic that the sheltering in place is going to help change the slope of that curve, so, we’re not going to see a terrible surge. If we look at China, they started to plateau, and then started to decline, and that took place over around three weeks or so. So if we’re going to experience what China has seen, we would say that the surge starts to plateau, it could be, around three weeks or so.\u003c/p>\n\u003cp>\u003cb>If We Don’t See a Surge in Numbers, Would It Mean We Did Something Right?\u003c/b>\u003c/p>\n\u003cp>Absolutely. I think that the major intervention that we have done in terms of prevention has been sheltering in place. There’s every reason to think it would work, both theoretically and we saw it — although it was draconian what the Chinese did — but we saw it worked in China as well. So I think that we can, and we should, anticipate that the sheltering-in-place will work, but it’s going to take a while for it to show up.\u003c/p>\n\u003cp>\u003cb>\u003c/b>\u003cstrong>Why Do You Think Things Have Played Out So Differently in California and New York? \u003c/strong>\u003c/p>\n\u003cp>California instituted shelter in place five to seven days before New York did. And I know people are going to think, ‘Well, that’s not much.’ \u003cb>\u003c/b>But in terms of how fast this virus is spreading through our population, it’s a lot of time.\u003c/p>\n\u003cp>New York has roughly about 28,000 people per square mile. San Francisco has about 17,000 people per square mile. The more dense the population is, the more opportunity virus has to spread. And once the virus spreads to a nonimmune person, on average, that person is going to spread it to about three more people. So you can see how quickly you get an exponential curve.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "At Kaiser, Trump’s Pharmaceutical Advice Creates Chaos For Lupus Patients",
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"content": "\u003cp>The COVID-19 pandemic threatens access to drug treatment for lupus patients, in part because the prevailing drug of choice for lupus was touted by the president as a “game changer” in the fight against coronavirus.\u003c/p>\n\u003cp>Chloraquine and hydroxychloroquine are drugs commonly used to treat rheumatoid arthritis and lupus, which are disorders of the immune system. Oakland-based Kaiser Permanente patients say they’ve received inconsistent advice about the availability of this treatment from one day to the next, and they’re concerned the supply won’t hold out.\u003c/p>\n\u003cp>In recent days, KQED talked to several patients who were still being told that hydroxychloroquine was unavailable, including Chinyere Amobi, a Los Angeles-based freelance journalist.\u003c/p>\n\u003cp>Kaiser has acknowledged that the shortage is changing how it operates. Its pharmacies and doctors already are steering arthritis patients toward alternative therapies. But that’s harder to do with lupus: it’s a disorder of the immune system in which an overproduction of antibodies can attack the body’s organs, most commonly kidneys and skin. Hydroxychloraquine and chloroquine are bulwarks against this overproduction.\u003c/p>\n\u003cp>In the course of one week, Kaiser pharmacists told Amobi that the prescription was available for pickup; then that it would not be refilled; then, that an appeal to an internal review board was denied.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Finally, on Friday, as the company was saying the drug was still available, Amobi was told by phone that the drug was being reserved for critical care in hospitals.\u003c/p>\n\u003cp>“This is above all of us here at the pharmacy,” the pharmacist said, characterizing the change in policy as a nationwide one. “This is a decision made by upper management and the doctors who are specialists for this type of medication.”\u003c/p>\n\u003cp>“When all of this is over, we’ll try to get you your supply,” her pharmacist told her. In the meantime, “we’re just going to have to consider an alternative therapy.”\u003c/p>\n\u003cp>Lupus and the medications required to control it put patients like Amobi more at risk for infection. While the infection rate and severity of COVID-19 remain moving targets for the general public, patients who suffer from lupus are immunocompromised. The Centers for Disease Control and Prevention\u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/high-risk-complications.html#take-everyday-precautions\"> recommend\u003c/a> that to minimize risk of coronavirus exposure, lupus patients stay home and away from crowds, wash their hands, and keep supplies — including normal medications — on hand.\u003c/p>\n\u003cp>Last week Buzzfeed News \u003ca href=\"https://www.buzzfeednews.com/article/tanyachen/kaiser-permanente-lupus-chloroquine\">reported\u003c/a> the story of a lupus patient named Dale who was told her prescription would not be refilled. In written communication, Kaiser said, “Thank you for your sacrifice.” At the time the company defended the decision, saying that it was reserving the drug both for “critical care” COVID-19 patients and for serious cases of lupus. Then the company reversed course: by Friday, Kaiser was saying that it’s continuing to fill prescriptions for lupus patients, just for shorter periods: two weeks rather than 90 days.\u003c/p>\n\u003cp>While the drugs are well known to the estimated million-and-a-half lupus patients in the U.S., and to scattered travelers who use them as anti-malarials, most Americans likely had not heard of them by name until President Trump\u003ca href=\"https://youtu.be/ScdYrN3BWTM?t=58\"> mentioned the two drugs in a coronavirus task force briefing in mid-March\u003c/a>, touting them as a potential “game changer” that has shown “very, very encouraging results.”\u003c/p>\n\u003cp>No evidence supports the president’s claim that the drugs are a cure for COVID-19. One very limited\u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0924857920300996\"> French study\u003c/a> suggests potential value for using the drug in combination with an antibiotic, but that study’s methodology and conclusions have since been called into question by peer scientists. The Daily Beast has since \u003ca href=\"https://www.thedailybeast.com/trump-says-hes-doing-a-hell-of-a-job-getting-medical-supplies-reality-says-otherwise\">reported\u003c/a> that the federal Health and Human Services Department is paying a North Carolina-based pharmaceutical company to develop possible treatments for COVID-19 with chloroquine.\u003c/p>\n\u003cp>Meanwhile, federal scientists have walked back the president’s claim, rheumatologists have advocated for the continuation of current therapies for arthritis and lupus patients, and advocacy groups working on behalf of those patients have called upon the federal government to take stronger action to protect the supply chain that delivers prescriptions to those for whom the drugs’ efficacy is well established.\u003c/p>\n\u003cp>“We are doing all we can to continue filling all current prescriptions for patients with lupus,” reads a Kaiser media release, which offers hope in the near future.\u003c/p>\n\u003cp>After an inquiry from KQED, Amobi received word from Kaiser that she gets to stick with the drug that has proven itself to work for her over more than a decade – at least for the next two weeks. The latest pharmacist with whom she spoke couldn’t guarantee it would be available longer than that.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Over the next several weeks, we expect the drug manufacturers to ramp up production to meet the increased demand across the U.S. and the world,” Kaiser says, in a statement. “As supply becomes available, our physicians will evaluate these dispensing protocols and adjust accordingly.”\u003c/p>\n\n",
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"excerpt": "One consequence of the pandemic is that a major California health insurer is waffling on drug treatment for people who suffer from lupus - because the drug in question, chloraquine, is in sudden demand.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The COVID-19 pandemic threatens access to drug treatment for lupus patients, in part because the prevailing drug of choice for lupus was touted by the president as a “game changer” in the fight against coronavirus.\u003c/p>\n\u003cp>Chloraquine and hydroxychloroquine are drugs commonly used to treat rheumatoid arthritis and lupus, which are disorders of the immune system. Oakland-based Kaiser Permanente patients say they’ve received inconsistent advice about the availability of this treatment from one day to the next, and they’re concerned the supply won’t hold out.\u003c/p>\n\u003cp>In recent days, KQED talked to several patients who were still being told that hydroxychloroquine was unavailable, including Chinyere Amobi, a Los Angeles-based freelance journalist.\u003c/p>\n\u003cp>Kaiser has acknowledged that the shortage is changing how it operates. Its pharmacies and doctors already are steering arthritis patients toward alternative therapies. But that’s harder to do with lupus: it’s a disorder of the immune system in which an overproduction of antibodies can attack the body’s organs, most commonly kidneys and skin. Hydroxychloraquine and chloroquine are bulwarks against this overproduction.\u003c/p>\n\u003cp>In the course of one week, Kaiser pharmacists told Amobi that the prescription was available for pickup; then that it would not be refilled; then, that an appeal to an internal review board was denied.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Finally, on Friday, as the company was saying the drug was still available, Amobi was told by phone that the drug was being reserved for critical care in hospitals.\u003c/p>\n\u003cp>“This is above all of us here at the pharmacy,” the pharmacist said, characterizing the change in policy as a nationwide one. “This is a decision made by upper management and the doctors who are specialists for this type of medication.”\u003c/p>\n\u003cp>“When all of this is over, we’ll try to get you your supply,” her pharmacist told her. In the meantime, “we’re just going to have to consider an alternative therapy.”\u003c/p>\n\u003cp>Lupus and the medications required to control it put patients like Amobi more at risk for infection. While the infection rate and severity of COVID-19 remain moving targets for the general public, patients who suffer from lupus are immunocompromised. The Centers for Disease Control and Prevention\u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/high-risk-complications.html#take-everyday-precautions\"> recommend\u003c/a> that to minimize risk of coronavirus exposure, lupus patients stay home and away from crowds, wash their hands, and keep supplies — including normal medications — on hand.\u003c/p>\n\u003cp>Last week Buzzfeed News \u003ca href=\"https://www.buzzfeednews.com/article/tanyachen/kaiser-permanente-lupus-chloroquine\">reported\u003c/a> the story of a lupus patient named Dale who was told her prescription would not be refilled. In written communication, Kaiser said, “Thank you for your sacrifice.” At the time the company defended the decision, saying that it was reserving the drug both for “critical care” COVID-19 patients and for serious cases of lupus. Then the company reversed course: by Friday, Kaiser was saying that it’s continuing to fill prescriptions for lupus patients, just for shorter periods: two weeks rather than 90 days.\u003c/p>\n\u003cp>While the drugs are well known to the estimated million-and-a-half lupus patients in the U.S., and to scattered travelers who use them as anti-malarials, most Americans likely had not heard of them by name until President Trump\u003ca href=\"https://youtu.be/ScdYrN3BWTM?t=58\"> mentioned the two drugs in a coronavirus task force briefing in mid-March\u003c/a>, touting them as a potential “game changer” that has shown “very, very encouraging results.”\u003c/p>\n\u003cp>No evidence supports the president’s claim that the drugs are a cure for COVID-19. One very limited\u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0924857920300996\"> French study\u003c/a> suggests potential value for using the drug in combination with an antibiotic, but that study’s methodology and conclusions have since been called into question by peer scientists. The Daily Beast has since \u003ca href=\"https://www.thedailybeast.com/trump-says-hes-doing-a-hell-of-a-job-getting-medical-supplies-reality-says-otherwise\">reported\u003c/a> that the federal Health and Human Services Department is paying a North Carolina-based pharmaceutical company to develop possible treatments for COVID-19 with chloroquine.\u003c/p>\n\u003cp>Meanwhile, federal scientists have walked back the president’s claim, rheumatologists have advocated for the continuation of current therapies for arthritis and lupus patients, and advocacy groups working on behalf of those patients have called upon the federal government to take stronger action to protect the supply chain that delivers prescriptions to those for whom the drugs’ efficacy is well established.\u003c/p>\n\u003cp>“We are doing all we can to continue filling all current prescriptions for patients with lupus,” reads a Kaiser media release, which offers hope in the near future.\u003c/p>\n\u003cp>After an inquiry from KQED, Amobi received word from Kaiser that she gets to stick with the drug that has proven itself to work for her over more than a decade – at least for the next two weeks. The latest pharmacist with whom she spoke couldn’t guarantee it would be available longer than that.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Over the next several weeks, we expect the drug manufacturers to ramp up production to meet the increased demand across the U.S. and the world,” Kaiser says, in a statement. “As supply becomes available, our physicians will evaluate these dispensing protocols and adjust accordingly.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"#callout\">Click here if you know someone in a nursing home or assisted facility…share your story!\u003c/a>\u003c/p>\n\u003cp>Cases of COVID-19 are on the rise in long-term care homes around the state. Two residents have died, and five have tested positive at Atria Assisted Living in Burlingame. A patient at Silver Oaks Memory Care in Menlo Park also has the virus; so does a staffer at The Forum in Cupertino.\u003c/p>\n\u003cp>Hundreds of thousands of Californians live in licensed nursing homes and assisted living facilities, in close contact with other patients, residents, staffers and visitors. Under guidance from federal authorities, orders from county health officers, and directives from the governor, facilities are limiting visitors, screening staff, and preparing to accept COVID-19 patients if public officials deem it necessary.\u003c/p>\n\u003cp>What’s not happening are inspections: The California Department of Public Health \u003ca href=\"https://www.kqed.org/science/1959285/coronavirus-isolates-californians-in-nursing-homes-long-term-care-facilities\" target=\"_blank\" rel=\"noopener noreferrer\">suspended\u003c/a> in-person visits to nursing homes over a week ago.\u003c/p>\n\u003cp>“We think they should be out in the facilities every day making sure that the conditions are safe for residents,” said Mike Connors, with the California Advocates for Nursing Home Reform. “They should be monitoring infection control practices. They should be checking on whether or not the facility has enough staff. And most importantly, they should be talking with the residents who’ve been shut out from everybody else.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Connors says CANHR has been flooded with calls from family members who worry that limits at facilities are isolating patients.\u003c/p>\n\u003cp>Facility operators acknowledge that as a concern, and they say each day brings new directives from federal, state and local officials that complicate their work further. \u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Under state law, facilities generally have the right to turn away patients when they feel they lack the resources to care for them; \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-20-25-1.aspx\">that could soon change\u003c/a>. “Hospitalized patients with COVID-19 infection may be medically stable for discharge prior to discontinuation of transmission-based precautions; therefore, [nursing homes] should prepare to accept such residents,” according to a directive from state health officials.\u003c/p>\n\u003cp>“We’re already struggling and if we have to add to that \u003cem>—\u003c/em> yeah, I’m very worried about that,” said Rhonda Bekkedahl, the chief executive officer at Channing House, a Palo Alto retirement community with assisted living. “In terms of what the state could be doing, I mean, we need (personal protective equipment). It’s not right to ask these health care workers to handle these situations and not provide them the tools to do so.”\u003c/p>\n\u003cp>For those who want to help, the California Association of Healthcare Facilities recommends contacting local nursing homes or assisted living facilities.\u003c/p>\n\u003cp>Bekkedahl says Channing House is accepting donations by phone of personal protective gear, including masks, gowns and gloves, as well as electronic devices that enable video chats. You can call (650) 327-0950 to make a donation.\u003c/p>\n\u003cp>\u003ca id=\"callout\">\u003c/a>\u003c/p>\n\u003ch3>Help KQED Science report on the pandemic!\u003c/h3>\n\u003cp>\u003c/p>\n\u003cp>[hearken src=\"https://modules.wearehearken.com/kqed/embed/5489.js\"]\u003c/p>\n\n",
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"excerpt": "Licensed nursing homes and assisted living facilities may be asked to take in coronavirus patients, and some say they're struggling to keep up with the demands of protecting their residents already. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"#callout\">Click here if you know someone in a nursing home or assisted facility…share your story!\u003c/a>\u003c/p>\n\u003cp>Cases of COVID-19 are on the rise in long-term care homes around the state. Two residents have died, and five have tested positive at Atria Assisted Living in Burlingame. A patient at Silver Oaks Memory Care in Menlo Park also has the virus; so does a staffer at The Forum in Cupertino.\u003c/p>\n\u003cp>Hundreds of thousands of Californians live in licensed nursing homes and assisted living facilities, in close contact with other patients, residents, staffers and visitors. Under guidance from federal authorities, orders from county health officers, and directives from the governor, facilities are limiting visitors, screening staff, and preparing to accept COVID-19 patients if public officials deem it necessary.\u003c/p>\n\u003cp>What’s not happening are inspections: The California Department of Public Health \u003ca href=\"https://www.kqed.org/science/1959285/coronavirus-isolates-californians-in-nursing-homes-long-term-care-facilities\" target=\"_blank\" rel=\"noopener noreferrer\">suspended\u003c/a> in-person visits to nursing homes over a week ago.\u003c/p>\n\u003cp>“We think they should be out in the facilities every day making sure that the conditions are safe for residents,” said Mike Connors, with the California Advocates for Nursing Home Reform. “They should be monitoring infection control practices. They should be checking on whether or not the facility has enough staff. And most importantly, they should be talking with the residents who’ve been shut out from everybody else.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Connors says CANHR has been flooded with calls from family members who worry that limits at facilities are isolating patients.\u003c/p>\n\u003cp>Facility operators acknowledge that as a concern, and they say each day brings new directives from federal, state and local officials that complicate their work further. \u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Under state law, facilities generally have the right to turn away patients when they feel they lack the resources to care for them; \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-20-25-1.aspx\">that could soon change\u003c/a>. “Hospitalized patients with COVID-19 infection may be medically stable for discharge prior to discontinuation of transmission-based precautions; therefore, [nursing homes] should prepare to accept such residents,” according to a directive from state health officials.\u003c/p>\n\u003cp>“We’re already struggling and if we have to add to that \u003cem>—\u003c/em> yeah, I’m very worried about that,” said Rhonda Bekkedahl, the chief executive officer at Channing House, a Palo Alto retirement community with assisted living. “In terms of what the state could be doing, I mean, we need (personal protective equipment). It’s not right to ask these health care workers to handle these situations and not provide them the tools to do so.”\u003c/p>\n\u003cp>For those who want to help, the California Association of Healthcare Facilities recommends contacting local nursing homes or assisted living facilities.\u003c/p>\n\u003cp>Bekkedahl says Channing House is accepting donations by phone of personal protective gear, including masks, gowns and gloves, as well as electronic devices that enable video chats. You can call (650) 327-0950 to make a donation.\u003c/p>\n\u003cp>\u003ca id=\"callout\">\u003c/a>\u003c/p>\n\u003ch3>Help KQED Science report on the pandemic!\u003c/h3>\n\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Leaving Town to Escape the Coronavirus Is a Really Bad Idea. Here's Why",
"headTitle": "Leaving Town to Escape the Coronavirus Is a Really Bad Idea. Here’s Why | KQED",
"content": "\u003cp>\u003cem>\u003cspan style=\"font-weight: 400;\">Update: April 9, 2020\u003c/span>\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Under the \u003c/span>\u003cspan style=\"font-weight: 400;\">shelter-in-place directive,\u003c/span>\u003cspan style=\"font-weight: 400;\"> Californians can still enjoy the outdoors. You can walk your dog or enjoy a local hike, as long as you stay away from other people. However, experts say it’s not a good idea to leave the city and cozy up in a vacation home, rent an Airbnb or go camping. \u003c/span>\u003c/p>\n\u003cp>The reason: The more we move around, the easier it is to spread the coronavirus. Every time someone reaches for a gas nozzle, uses a public restroom or buys food at the grocery store, they leave germs behind. You could be transmitting the virus even if you’re not sick yet — you might not show symptoms for 14 days, or in some cases, longer.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Officials have asked us — really, they’re almost begging us — to sit tight. State campgrounds are \u003ca href=\"https://www.parks.ca.gov/?page_id=30350\" target=\"_blank\" rel=\"noopener noreferrer\">closed\u003c/a>. Yosemite, Kings Canyon and Sequoia National Parks are \u003ca href=\"https://www.nationalparkstraveler.org/2020/03/coronavirus-and-national-parks-whats-closed\" target=\"_blank\" rel=\"noopener noreferrer\">closed\u003c/a>. Last weekend, A number of Bay Area parks and beaches are also \u003ca href=\"https://www.kqed.org/news/11808351/check-has-covid-19-closed-your-bay-area-park\" target=\"_blank\" rel=\"noopener noreferrer\">closed\u003c/a>. \u003c/span>\u003cspan style=\"font-weight: 400;\">AirBnb and other online vacation rental companies are offering refunds. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“Our locals have welcomed visitors from around the globe for generations, but right now, our community needs the time and space to protect our loved ones and health resources,” says the official \u003ca href=\"https://www.gotahoenorth.com/\">North Lake Tahoe visitor website\u003c/a>. “The Sierra region will be ready to welcome visitors back when this crisis is behind us, but now is the time to stay put.”\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Small towns do not need urban visitors bringing in the virus, nor do you want to get critically ill from COVID-19 in a remote location. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“We have a small, rural, geographically isolated community hospital,” says Clay Josephy, an emergency physician in South Lake Tahoe. “We don’t have a cath lab, or a neurosurgeon, or interventional radiology.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Josephy says he’s worried about Tahoe’s capacity to meet patient needs if the community receives a surge of coronavirus cases.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“You need a bunch of ventilators,” says Josephy. “And you need a bunch of devices that can provide respiratory support. We have very limited numbers of all of the above. And it would be very easy to overwhelm that system.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">A tiny ski town in Blaine County, Idaho is living Josephy’s nightmare. In mid March, Sun Valley reported its first positive case, and the coronavirus spread quickly. Many health care workers were exposed to the virus in the early days of treating initial cases. \u003c/span>\u003c/p>\n\u003cp>\u003cb>\u003c/b>“We exceeded medical capacity in just 12 days,” says Terry O’Connor, Blaine County emergency medical services director. \u003cspan style=\"font-weight: 400;\">“We took a big hit in our medical capacity with losing a lot of personnel.“\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">A quarter of the health care workers at the only local hospital in Sun Valley were quickly sickened or quarantined. The hospital ran low on testing kits, ambulances, inhalers and breathing support machines. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“This is a cautionary tale for a little, rural, critical access hospital,” says O’Connor. “You know this is going to play out in so many other places in the weeks to come.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">The virus has killed 18 people in Idaho, five of which lost their lives in Blaine County. O’Connor assumes the virus arrived in airplanes filled with residents from urban centers. Many people from San Francisco, Los Angeles and Seattle have second homes in the area. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">If you’re starting to feel a little stir crazy, there are lots of online activities and resources popping up. Michael Franti and his wife, Sara Agah Franti, are conducting a daily \u003ca href=\"https://www.facebook.com/michaelfranti/\" target=\"_blank\" rel=\"noopener noreferrer\">“Stay At Home Concert World Tour.”\u003c/a> There are \u003ca href=\"https://time.com/5809322/social-distancing-book-clubs/\" target=\"_blank\" rel=\"noopener noreferrer\">quarantine book clubs\u003c/a>. New York \u003ca href=\"https://www.nytimes.com/2020/03/25/style/new-york-nightlife-goes-online-coronavirus.html\" target=\"_blank\" rel=\"noopener noreferrer\">nightlife has moved online\u003c/a>, reports The New York Times, with DJs and singalongs. And if you’re craving intellectual engagement, San Francisco’s Commonwealth Club is set to launch a series of free \u003ca href=\"https://www.commonwealthclub.org\" target=\"_blank\" rel=\"noopener noreferrer\">online programs\u003c/a>.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Here’s a roundup of KQED’s \u003ca href=\"https://www.kqed.org/news/11807751/a-coronavirus-care-package-care-for-yourself-others-and-still-have-fun\" target=\"_blank\" rel=\"noopener noreferrer\">tips\u003c/a> to take care of yourself during these crazy times, and this\u003ca href=\"https://www.kqed.org/thedolist\" target=\"_blank\" rel=\"noopener noreferrer\"> list \u003c/a>includes books to read, music to listen to, movies to watch and safe outdoor excursions.\u003c/span>\u003c/p>\n\n",
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"excerpt": "Thinking of heading up to Tahoe to hole up in a cabin for a week? Sun Valley? Your favorite small-town getaway? ER docs ask you to think again. Please.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003cspan style=\"font-weight: 400;\">Update: April 9, 2020\u003c/span>\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Under the \u003c/span>\u003cspan style=\"font-weight: 400;\">shelter-in-place directive,\u003c/span>\u003cspan style=\"font-weight: 400;\"> Californians can still enjoy the outdoors. You can walk your dog or enjoy a local hike, as long as you stay away from other people. However, experts say it’s not a good idea to leave the city and cozy up in a vacation home, rent an Airbnb or go camping. \u003c/span>\u003c/p>\n\u003cp>The reason: The more we move around, the easier it is to spread the coronavirus. Every time someone reaches for a gas nozzle, uses a public restroom or buys food at the grocery store, they leave germs behind. You could be transmitting the virus even if you’re not sick yet — you might not show symptoms for 14 days, or in some cases, longer.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Officials have asked us — really, they’re almost begging us — to sit tight. State campgrounds are \u003ca href=\"https://www.parks.ca.gov/?page_id=30350\" target=\"_blank\" rel=\"noopener noreferrer\">closed\u003c/a>. Yosemite, Kings Canyon and Sequoia National Parks are \u003ca href=\"https://www.nationalparkstraveler.org/2020/03/coronavirus-and-national-parks-whats-closed\" target=\"_blank\" rel=\"noopener noreferrer\">closed\u003c/a>. Last weekend, A number of Bay Area parks and beaches are also \u003ca href=\"https://www.kqed.org/news/11808351/check-has-covid-19-closed-your-bay-area-park\" target=\"_blank\" rel=\"noopener noreferrer\">closed\u003c/a>. \u003c/span>\u003cspan style=\"font-weight: 400;\">AirBnb and other online vacation rental companies are offering refunds. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“Our locals have welcomed visitors from around the globe for generations, but right now, our community needs the time and space to protect our loved ones and health resources,” says the official \u003ca href=\"https://www.gotahoenorth.com/\">North Lake Tahoe visitor website\u003c/a>. “The Sierra region will be ready to welcome visitors back when this crisis is behind us, but now is the time to stay put.”\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Small towns do not need urban visitors bringing in the virus, nor do you want to get critically ill from COVID-19 in a remote location. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“We have a small, rural, geographically isolated community hospital,” says Clay Josephy, an emergency physician in South Lake Tahoe. “We don’t have a cath lab, or a neurosurgeon, or interventional radiology.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Josephy says he’s worried about Tahoe’s capacity to meet patient needs if the community receives a surge of coronavirus cases.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“You need a bunch of ventilators,” says Josephy. “And you need a bunch of devices that can provide respiratory support. We have very limited numbers of all of the above. And it would be very easy to overwhelm that system.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">A tiny ski town in Blaine County, Idaho is living Josephy’s nightmare. In mid March, Sun Valley reported its first positive case, and the coronavirus spread quickly. Many health care workers were exposed to the virus in the early days of treating initial cases. \u003c/span>\u003c/p>\n\u003cp>\u003cb>\u003c/b>“We exceeded medical capacity in just 12 days,” says Terry O’Connor, Blaine County emergency medical services director. \u003cspan style=\"font-weight: 400;\">“We took a big hit in our medical capacity with losing a lot of personnel.“\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">A quarter of the health care workers at the only local hospital in Sun Valley were quickly sickened or quarantined. The hospital ran low on testing kits, ambulances, inhalers and breathing support machines. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“This is a cautionary tale for a little, rural, critical access hospital,” says O’Connor. “You know this is going to play out in so many other places in the weeks to come.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">The virus has killed 18 people in Idaho, five of which lost their lives in Blaine County. O’Connor assumes the virus arrived in airplanes filled with residents from urban centers. Many people from San Francisco, Los Angeles and Seattle have second homes in the area. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">If you’re starting to feel a little stir crazy, there are lots of online activities and resources popping up. Michael Franti and his wife, Sara Agah Franti, are conducting a daily \u003ca href=\"https://www.facebook.com/michaelfranti/\" target=\"_blank\" rel=\"noopener noreferrer\">“Stay At Home Concert World Tour.”\u003c/a> There are \u003ca href=\"https://time.com/5809322/social-distancing-book-clubs/\" target=\"_blank\" rel=\"noopener noreferrer\">quarantine book clubs\u003c/a>. New York \u003ca href=\"https://www.nytimes.com/2020/03/25/style/new-york-nightlife-goes-online-coronavirus.html\" target=\"_blank\" rel=\"noopener noreferrer\">nightlife has moved online\u003c/a>, reports The New York Times, with DJs and singalongs. And if you’re craving intellectual engagement, San Francisco’s Commonwealth Club is set to launch a series of free \u003ca href=\"https://www.commonwealthclub.org\" target=\"_blank\" rel=\"noopener noreferrer\">online programs\u003c/a>.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Here’s a roundup of KQED’s \u003ca href=\"https://www.kqed.org/news/11807751/a-coronavirus-care-package-care-for-yourself-others-and-still-have-fun\" target=\"_blank\" rel=\"noopener noreferrer\">tips\u003c/a> to take care of yourself during these crazy times, and this\u003ca href=\"https://www.kqed.org/thedolist\" target=\"_blank\" rel=\"noopener noreferrer\"> list \u003c/a>includes books to read, music to listen to, movies to watch and safe outdoor excursions.\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Can I Get COVID-19 From My Dog? 6 Questions About Pets and the Coronavirus Answered by Experts",
"headTitle": "Can I Get COVID-19 From My Dog? 6 Questions About Pets and the Coronavirus Answered by Experts | KQED",
"content": "\u003cp>For most people, family health is top of mind during this pandemic. For many, that includes furry housemates like dogs, cats, rabbits, you name it.\u003c/p>\n\u003cp>Our animals are especially important companions now as people are forced to distance themselves from one another, and as pets like dogs motivate many of us to venture outside for some essential (socially distant) exercise.\u003c/p>\n\u003cp>But people still have many questions about the impact of COVID-19 on their pets, especially after the World Health Organization deleted a section on their \u003ca href=\"https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/myth-busters\" target=\"_blank\" rel=\"noopener noreferrer\">“myth busters” webpage\u003c/a> on March 12 that said there was “no evidence that companion animals/pets such as dogs or cats can be infected with the new coronavirus.”\u003c/p>\n\u003cp>KQED spoke with veterinarians \u003ca href=\"https://ohi.vetmed.ucdavis.edu/people/brian-bird\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Brian H. Bird\u003c/a>, associate director of the \u003ca href=\"https://ohi.vetmed.ucdavis.edu/\" target=\"_blank\" rel=\"noopener noreferrer\">UC Davis One Health Institute\u003c/a>, and Dr. Dorrie Black of the San Francisco veterinary clinic \u003ca href=\"https://www.aimss-sf.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Animal Internal Medicine and Specialty Services\u003c/a>, about some common questions about COVID-19 and pets. Their answers are below, along with guidance from the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/prepare/animals.html\" target=\"_blank\" rel=\"noopener noreferrer\">Centers for Disease Control and Prevention, \u003c/a>edited for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>Can I get COVID-19 from my pet?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> It does not seem like a likely transmission route, but we’re early on in an outbreak and we’re learning more and more every day.\u003c/p>\n\u003cp>There is evidence that at least two dogs from Hong Kong have tested intermittently positive for the virus. These were pets of COVID-19 patients.\u003c/p>\n\u003cp>Were they able to shed the virus into the environment in a way that could have infected someone else? That’s completely unknown.\u003c/p>\n\u003cp>\u003cem>Editor’s Note: For more on the Hong Kong story, see this March 24 \u003ca href=\"https://www.scmp.com/news/hong-kong/health-environment/article/3076480/coronavirus-hong-kongs-infected-dogs-were\" target=\"_blank\" rel=\"noopener noreferrer\">article\u003c/a> from the South China Morning Post. From a Hong Kong University virologist quoted in the story: ‘“Neither of the two cases had the disease caused by the coronavirus. The public might have confusion, but when dogs are infected, it does not mean they have the disease or they are sick.”\u003c/em>\u003c/p>\n\u003cp>\u003cem>CDC:\u003c/em> At this time, there is no evidence that companion animals, including pets, can spread COVID-19 or that they might be a source of infection in the United States.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>If someone coughs on my pet, could I get COVID-19 from their fur?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Dorrie Black:\u003c/em> This is where it gets a little difficult. Technically, yes. If [someone infected with COVID-19] coughed over a dog, viruses in that droplet can survive for — and it depends on which article you read — somewhere between three-and-a-half to four hours.\u003c/p>\n\u003cp>So for my staff, when we receive a pet, we actually take a cloth that has been sprayed with one of the common antivirals we use, or soap and water, and we do a very gentle wipe-down of the fur, but not the animal’s face.\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> The limited studies that are available have put [the new coronavirus] on solid surfaces and shown the virus can remain infectious for a period of hours to a couple of days. As far as I know, no one’s done any controlled experiments on hair.\u003c/p>\n\u003cp>If people are concerned about potential exposure, you could bathe your animal in regular soap or shampoo that’s appropriate for that pet.\u003c/p>\n\u003cp>\u003cstrong>Can my pet get sick from COVID-19?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Dorrie Black:\u003c/em> At this time, I feel relatively strongly that pets cannot come down with a disease associated with COVID-19. Coronaviruses do exist in pets: We have common coronaviruses in cats and dogs that cause respiratory as well as intestinal changes. They’re not novel to them, so they’ve adapted to them, and they’re not typically lethal at all. They’re usually transient processes.\u003c/p>\n\u003cp>We have no evidence that COVID-19 causes disease in a dog. Even if we detected it in their blood, they’re not dying of pneumonia, they’re not dying of gastrointestinal disease, not at all.\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> As far as we know, pets don’t get the disease caused by the virus.\u003c/p>\n\u003cp>People notice when their pets are sick. With the burden of human cases that we have, I think sick pets would start getting reported. I am not aware of any uptick in the overall reports of ill pets.\u003c/p>\n\u003cp>\u003cem>CDC:\u003c/em> CDC has not received any reports of pets or other animals becoming sick with COVID-19. Further studies are needed to understand if and how different animals could be affected by COVID-19.\u003c/p>\n\u003cp>\u003cstrong>Is it risky for my dog to go out with the dog walker?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Dorrie Black:\u003c/em> I think it’s OK as long as everyone is practicing what they preach. I would wipe down the leashes with peroxide, diluted bleach, or a high-alcohol concentration.\u003c/p>\n\u003cp>\u003cstrong>What precautions should I take when spending time with my pet?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> Proper hand hygiene is always a wonderful thing in this kind of outbreak. After you play with your pet, whether it’s a horse or a dog or a frog, wash your hands and make sure that you’re not putting any other potential pathogens in your mouth.\u003c/p>\n\u003cp>When walking dogs, keep them on a leash.\u003c/p>\n\u003cp>\u003cstrong>I tested positive for COVID-19. Should I keep a distance from my pet?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>CDC:\u003c/em> If you are sick with COVID-19, either suspected or confirmed, you should restrict contact with pets and other animals, just like you would around other people. Although there have not been reports of pets or other animals becoming sick with COVID-19, it is still recommended that people sick with COVID-19 limit contact with animals until more information is known about the virus. This can help ensure both you and your animals stay healthy.\u003c/p>\n\u003cp>When possible, have another member of your household care for your animals while you are sick. Avoid contact with your pet including, petting, snuggling, being kissed or licked and sharing food. If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with them.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For most people, family health is top of mind during this pandemic. For many, that includes furry housemates like dogs, cats, rabbits, you name it.\u003c/p>\n\u003cp>Our animals are especially important companions now as people are forced to distance themselves from one another, and as pets like dogs motivate many of us to venture outside for some essential (socially distant) exercise.\u003c/p>\n\u003cp>But people still have many questions about the impact of COVID-19 on their pets, especially after the World Health Organization deleted a section on their \u003ca href=\"https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/myth-busters\" target=\"_blank\" rel=\"noopener noreferrer\">“myth busters” webpage\u003c/a> on March 12 that said there was “no evidence that companion animals/pets such as dogs or cats can be infected with the new coronavirus.”\u003c/p>\n\u003cp>KQED spoke with veterinarians \u003ca href=\"https://ohi.vetmed.ucdavis.edu/people/brian-bird\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Brian H. Bird\u003c/a>, associate director of the \u003ca href=\"https://ohi.vetmed.ucdavis.edu/\" target=\"_blank\" rel=\"noopener noreferrer\">UC Davis One Health Institute\u003c/a>, and Dr. Dorrie Black of the San Francisco veterinary clinic \u003ca href=\"https://www.aimss-sf.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Animal Internal Medicine and Specialty Services\u003c/a>, about some common questions about COVID-19 and pets. Their answers are below, along with guidance from the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/prepare/animals.html\" target=\"_blank\" rel=\"noopener noreferrer\">Centers for Disease Control and Prevention, \u003c/a>edited for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>Can I get COVID-19 from my pet?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> It does not seem like a likely transmission route, but we’re early on in an outbreak and we’re learning more and more every day.\u003c/p>\n\u003cp>There is evidence that at least two dogs from Hong Kong have tested intermittently positive for the virus. These were pets of COVID-19 patients.\u003c/p>\n\u003cp>Were they able to shed the virus into the environment in a way that could have infected someone else? That’s completely unknown.\u003c/p>\n\u003cp>\u003cem>Editor’s Note: For more on the Hong Kong story, see this March 24 \u003ca href=\"https://www.scmp.com/news/hong-kong/health-environment/article/3076480/coronavirus-hong-kongs-infected-dogs-were\" target=\"_blank\" rel=\"noopener noreferrer\">article\u003c/a> from the South China Morning Post. From a Hong Kong University virologist quoted in the story: ‘“Neither of the two cases had the disease caused by the coronavirus. The public might have confusion, but when dogs are infected, it does not mean they have the disease or they are sick.”\u003c/em>\u003c/p>\n\u003cp>\u003cem>CDC:\u003c/em> At this time, there is no evidence that companion animals, including pets, can spread COVID-19 or that they might be a source of infection in the United States.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>If someone coughs on my pet, could I get COVID-19 from their fur?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Dorrie Black:\u003c/em> This is where it gets a little difficult. Technically, yes. If [someone infected with COVID-19] coughed over a dog, viruses in that droplet can survive for — and it depends on which article you read — somewhere between three-and-a-half to four hours.\u003c/p>\n\u003cp>So for my staff, when we receive a pet, we actually take a cloth that has been sprayed with one of the common antivirals we use, or soap and water, and we do a very gentle wipe-down of the fur, but not the animal’s face.\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> The limited studies that are available have put [the new coronavirus] on solid surfaces and shown the virus can remain infectious for a period of hours to a couple of days. As far as I know, no one’s done any controlled experiments on hair.\u003c/p>\n\u003cp>If people are concerned about potential exposure, you could bathe your animal in regular soap or shampoo that’s appropriate for that pet.\u003c/p>\n\u003cp>\u003cstrong>Can my pet get sick from COVID-19?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Dorrie Black:\u003c/em> At this time, I feel relatively strongly that pets cannot come down with a disease associated with COVID-19. Coronaviruses do exist in pets: We have common coronaviruses in cats and dogs that cause respiratory as well as intestinal changes. They’re not novel to them, so they’ve adapted to them, and they’re not typically lethal at all. They’re usually transient processes.\u003c/p>\n\u003cp>We have no evidence that COVID-19 causes disease in a dog. Even if we detected it in their blood, they’re not dying of pneumonia, they’re not dying of gastrointestinal disease, not at all.\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> As far as we know, pets don’t get the disease caused by the virus.\u003c/p>\n\u003cp>People notice when their pets are sick. With the burden of human cases that we have, I think sick pets would start getting reported. I am not aware of any uptick in the overall reports of ill pets.\u003c/p>\n\u003cp>\u003cem>CDC:\u003c/em> CDC has not received any reports of pets or other animals becoming sick with COVID-19. Further studies are needed to understand if and how different animals could be affected by COVID-19.\u003c/p>\n\u003cp>\u003cstrong>Is it risky for my dog to go out with the dog walker?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Dorrie Black:\u003c/em> I think it’s OK as long as everyone is practicing what they preach. I would wipe down the leashes with peroxide, diluted bleach, or a high-alcohol concentration.\u003c/p>\n\u003cp>\u003cstrong>What precautions should I take when spending time with my pet?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> Proper hand hygiene is always a wonderful thing in this kind of outbreak. After you play with your pet, whether it’s a horse or a dog or a frog, wash your hands and make sure that you’re not putting any other potential pathogens in your mouth.\u003c/p>\n\u003cp>When walking dogs, keep them on a leash.\u003c/p>\n\u003cp>\u003cstrong>I tested positive for COVID-19. Should I keep a distance from my pet?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>CDC:\u003c/em> If you are sick with COVID-19, either suspected or confirmed, you should restrict contact with pets and other animals, just like you would around other people. Although there have not been reports of pets or other animals becoming sick with COVID-19, it is still recommended that people sick with COVID-19 limit contact with animals until more information is known about the virus. This can help ensure both you and your animals stay healthy.\u003c/p>\n\u003cp>When possible, have another member of your household care for your animals while you are sick. Avoid contact with your pet including, petting, snuggling, being kissed or licked and sharing food. If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with them.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The number of confirmed coronavirus cases in California has nearly quadrupled in the past week, from 565 last Monday to more than 2,300, according to the latest counts from California health departments.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Dr. Bob Wachter, UCSF']‘We’ve heard about the tsunami and we’re kind of waiting on the beach to see what happens. We are seeing an increase in cases and nobody should take any of this and say it’s time to go out and party. That is not at all clear, yet.’[/pullquote]\u003c/p>\n\u003cp>Health officials in San Francisco say the number of patients infected with COVID-19 will only escalate over the next two weeks.\u003c/p>\n\u003cp>“I am sad to have to say that the worst is yet to come,” said Grant Colfax, the city’s public health chief, at a press conference Monday afternoon. “Every community where the virus has taken hold has seen a surge in coronavirus patients who need to be hospitalized. We expect that to happen in San Francisco in a week or two, or perhaps less.”\u003c/p>\n\u003cp>San Francisco’s major hospitals have logged a steady rise in the number of patients with COVID-19, but they have — so far — been spared the sudden surge of cases\u003cb> \u003c/b>that have overwhelmed emergency rooms in states like New York.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>New York Gov. Andrew Cuomo says the rate of confirmed cases in that state is \u003ca href=\"https://www.nytimes.com/2020/03/24/nyregion/coronavirus-new-york-update.html?action=click&pgtype=Article&state=default&module=styln-coronavirus-newyork&variant=show®ion=MID_MAIN_CONTENT&context=storyline_updates_newyork#link-4176a53a\" target=\"_blank\" rel=\"noopener noreferrer\">doubling\u003c/a> every three days and he has \u003ca href=\"https://www.nytimes.com/2020/03/23/nyregion/coronavirus-new-york-update.html#link-7cdbb132\" target=\"_blank\" rel=\"noopener noreferrer\">ordered\u003c/a> hospitals to double their capacity, The New York Times \u003cspan class=\"s2\">reports\u003c/span>.\u003c/p>\n\u003cp>That sort of influx has yet to hit UCSF’s medical system, said Bob Wachter, chair of the university’s department of medicine, on Monday.\u003c/p>\n\u003cp>“We’ve heard about the tsunami and we’re kind of waiting on the beach to see what happens,” he said. “We are seeing an increase in cases and nobody should take any of this and say it’s time to go out and party. That is not at all clear, yet.”\u003c/p>\n\u003cp>Wachter confirmed on Tuesday that the number of incoming cases hadn’t yet changed drastically.\u003c/p>\n\u003cp>The coronavirus can incubate for two weeks, which means the hospitals are treating individuals who contracted the disease two or even three weeks ago, Wachter says.\u003c/p>\n\u003cp>“We’ll have a better sense, within the next week, of our ultimate trajectory. But if you look at the curves of the numbers of cases and deaths in New York and compare it to California, it does look like our slope is much more benign than New York.”\u003c/p>\n\u003cp>https://twitter.com/Bob_Wachter/status/1242286233960599554?s=20\u003c/p>\n\u003cp>Chris Colwell, the medical director of Zuckerberg San Francisco General Hospital, is tracking coronavirus cases closely and has yet to see a “big jump in numbers,” he said Monday, and reiterated Tuesday.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Dr. Dean Blumberg, UC Davis']‘(W)e really won’t know [how successful they were] until about two weeks after these measures were put in place. Next week I think we’ll have a better idea.’[/pullquote]\u003c/p>\n\u003cp>“It is very reasonable to say that — as we sit here today — we have not seen a big surge in patients,” he said. “We’ve seen a steady increase in patients with respiratory issues coming in. The number hasn’t really decreased, but it hasn’t really spiked or increased in a way that we’ve been able to note.”\u003c/p>\n\u003cp>“We’re always cautiously optimistic,” he said, “and certainly always planning for the worst and hoping for the best.”\u003c/p>\n\u003cp>In Contra Costa County, the number of cases is “manageable,” says Will Harper, acting communications officer for Contra Costa Health Services, the county’s health department. At Contra Costa Regional Medical Center, a public hospital, there has been no influx of COVID-19 patients to date, he said in an email.\u003c/p>\n\u003cp>“Keep in mind, this is happening as we are testing more people. CCRMC is preparing for a surge in the near future, which seems inevitable given what we’ve seen happen elsewhere. But, as of now, we haven’t seen a big surge.”\u003c/p>\n\u003cp>Harper said there were 12 new coronavirus cases in 6 of 8 hospitals in the county as of Monday, with the other two yet to report. \u003c/p>\n\u003cp>Lucile Packard Children’s Hospital in Palo Alto says it’s “caring for a steady number of patients under investigation for COVID-19.”\u003c/p>\n\u003cp>“At this time we are not experiencing a spike or surge in the number of suspected or confirmed cases,” Samantha Beal, director of media and public relations, said in an email.\u003c/p>\n\u003cp>\u003cstrong>‘We’ll See If These Measures Were Applied in Time’\u003c/strong>\u003c/p>\n\u003cp>Dean Blumberg, a professor of pediatric infectious diseases at UC Davis, says he’s hopeful the “extreme social distancing measures” implemented in California have been put in place in time to prevent health care systems from being overwhelmed.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Dr. Bob Wachter, UCSF']‘We’ll have a better sense, within the next week, of our ultimate trajectory. But if you look at the curves of the numbers of cases and deaths in New York and compare it to California, it does look like our slope is much more benign than New York.’[/pullquote]\u003c/p>\n\u003cp>“Obviously, it’s too late in New York because they’re having such a surge in the number of patients,” Blumberg said. “(W)e really won’t know until about two weeks after these measures were put in place. Next week, I think we’ll have a better idea.”\u003c/p>\n\u003cp>Should no huge surge in coronavirus patients occur, Blumberg says, it doesn’t mean the unprecedented steps California has taken were unnecessary\u003c/p>\n\u003cp>“That [would mean] that it worked,” he said. “So it’s kind of like you see an accident coming and you slam on the brakes. If you don’t have the accident, that doesn’t mean that you shouldn’t have slammed on the brakes. I mean, you avoided the accident. ”\u003c/p>\n\u003cp>\u003cstrong>Stay Home, Save Lives\u003c/strong>\u003c/p>\n\u003cp>Even if Bay Area hospitals do not experience a sudden surge in cases in the coming days, officials do not want to see people get lax about the steps they are taking to protect themselves and others. The message from public health officials remains clear: Stay home to save lives.\u003c/p>\n\u003cp>“At this time we do not have a virus gone wild, but we don’t have anything really effective to treat it besides social distancing and personal hygiene,” said Jeff Smith, county executive officer for Santa Clara, during a Board of Supervisors \u003ca href=\"https://www.youtube.com/watch?v=Nl-RaKXiKOc\">meeting\u003c/a> Tuesday.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“There is no vaccination, which is likely to take many, many months, if at all,” he said. “And there is no treatment drug.”\u003c/p>\n\n",
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"content": "\u003cp>You wash your hands now all the time. Check. You cover any cough or sneeze. Check. You stay at least 6 feet away from people anytime you go out. Check.\u003c/p>\n\u003cp>[pullquote]NOTE: If the 21 pages of EPA-approved products do not appear below in your browser, \u003ca href=\"https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2\" target=\"_blank\" rel=\"noopener noreferrer\">click here to see the full list\u003c/a> on the EPA website. [/pullquote]But how about cleaning inside your home?\u003c/p>\n\u003cp>The virus that causes COVID-19 can live \u003ca href=\"https://www.kqed.org/science/1959172/coronavirus-how-and-when-to-clean-your-home-and-wash-your-hands\">on surfaces\u003c/a> for a few hours to a few days. So, anytime you bring something new into your home — groceries, mail — it probably needs to be cleaned. The CDC also recommends cleaning and disinfecting frequently touched surfaces and objects as part of your everyday routine to prevent viral spread. These surfaces and objects include anything you might touch regularly. That would include tables, countertops, remotes, light switches, doorknobs, cabinet handles, desks, phones, keyboards, toilets, faucets and sinks.\u003c/p>\n\u003cp>The cleaning products below have been approved by the EPA for use against SARS-Cov-2, the official name of the new coronavirus. The EPA says these products have not been tested against SARS-CoV-2, but “they are expected to be effective based on demonstrated efficacy” against a harder-to-kill virus or a human coronavirus similar to SARS-Cov-2.\u003c/p>\n\u003cp>The list also has recommendations for how long the disinfectant should be left wet upon the surface to be cleaned and disinfected, called “contact time.” The durations range from 15 seconds to 15 minutes. When cleaning, wear gloves, open windows or turn on fans to ensure good ventilation. The list of cleaners from the EPA does not include information on “natural” cleaners.\u003c/p>\n\u003cp>From the EPA website:\u003c/p>\n\u003cp>\u003cem>When purchasing a product, check if its EPA registration number is included on this list. If it is, you have a match and the product can be used against SARS-CoV-2. You can find this number on the product label – just look for the EPA Reg. No. These products may be marketed and sold under different brand names, but if they have the same EPA registration number, they are the same product.\u003c/em>\u003c/p>\n\u003cp>[IFrameFullWidth src='https://ww2.kqed.org/app/uploads/sites/35/2020/03/ROTATED_Cleaning-Products-for-SARS-CoV-2.pdf' allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen]\u003cbr>\nIf appropriate for the surface or object, you can also use diluted unexpired household bleach as a disinfectant. You can make your own solution by mixing 4 teaspoons of bleach per quart of water (or 1/3rd cup of bleach per gallon of water). You can also use alcohol solutions with at least 70% alcohol. Never mix household bleach with ammonia or any other product, as this can cause poisonous gases to form.\u003c/p>\n\u003cp>If a surface is dirty, the CDC recommends, you should first clean it with soap and water before disinfecting with one of the products above.\u003c/p>\n\u003cp>The CDC has detailed \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-disinfection.html\" target=\"_blank\" rel=\"noopener noreferrer\">disinfection guidance\u003c/a> on how to clean your home if you live with someone who is sick with COVID-19.\u003c/p>\n\u003cp>\u003cstrong>And Still, Wash Your Hands \u003c/strong>\u003c/p>\n\u003cp>You’re probably sick of us saying this, but washing your hands is still one of the best ways to reduce the likelihood of contracting COVID-19. Water, soap and scrubbing for 20 seconds — including between your fingers — is the gold standard. When this is not available, hand sanitizer that contains at least 60% alcohol is a good second choice. For more on this, check out the \u003ca href=\"https://www.cdc.gov/handwashing/when-how-handwashing.html\" target=\"_blank\" rel=\"noopener noreferrer\">CDC website\u003c/a>.\u003c/p>\n\u003cp>\u003cem>Jon Brooks contributed to this post.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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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. ",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"masters-of-scale": {
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},
"mindshift": {
"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": {
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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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"link": "/radio/program/on-the-media",
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},
"pbs-newshour": {
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"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
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},
"perspectives": {
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"order": 14
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"planet-money": {
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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.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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"link": "/radio/program/planet-money",
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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},
"politicalbreakdown": {
"id": "politicalbreakdown",
"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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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
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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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},
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