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"content": "\u003cp>\u003cem>Updated 6:15 p.m. Thursday\u003c/em>\u003c/p>\n\u003cp>A man was arrested early Thursday on suspicion of starting a rapidly growing \u003ca href=\"https://www.kqed.org/wildfires\">wildfire\u003c/a> in Butte and Tehama counties that has forced more than 3,500 people to evacuate their homes.\u003c/p>\n\u003cp>Butte County District Attorney Mike Ramsey identified the suspect on Thursday afternoon as Ronnie Dean Stout II, 42, of Chico. Ramsey said Stout has two prior strikes. The first one was a felony conviction in 2001 for child molestation in Butte County. The second one was a 2002 felony conviction for robbery with great bodily injury. This was out of Kern County, Ramsey said.\u003c/p>\n\u003cp>Since igniting Wednesday afternoon off Upper Park Road in Bidwell Park near Chico, the Park Fire has already burned nearly 124,949 acres — 190 square miles — as of 6 p.m. Thursday to become California’s largest wildfire of the year. Containment is listed at 3%.\u003c/p>\n\u003cp>Shortly before 3 p.m. Wednesday, Stout was seen pushing a burning car into a gully in upper Bidwell Park, according to the Butte County district attorney’s office. After the car went 60 feet down an embankment, Stout was seen leaving the area of the quickly spreading fire by trying to blend in with other people.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Cal Fire arson investigators arrested Stout on Thursday morning and held him without bail in Butte County Jail.\u003c/p>\n\u003cp>The fire started in an area of dry grass and oak woodland, where it spread quickly amid winds and high overnight temperatures. Recent weather has left grass and brush extraordinarily dry.\u003c/p>\n\u003cp>“It’s exhibiting extreme and exotic fire behavior, very rapid rates of spread among moderate winds, but record dry vegetation conditions following this record heat wave that we’ve experienced in this part of the state,” said Daniel Swain, a climate scientist at the Institute of the Environment and Sustainability at UCLA, on Thursday.\u003c/p>\n\u003cp>Winds from the south have pushed the fire to the north, moving away from Chico and so far avoiding heavily populated areas. Swain predicts the fire could burn for weeks — or even months.\u003c/p>\n\u003cp>“It’s looking pretty bad, to be quite honest. The only good news is that as you go north and east from here, it’s a while before you hit any population centers,” Swain said. “But it is possible that this thing becomes so big that it does start to hit some of the population centers later on.”\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>It is burning in an area where fires like the Camp and Dixie fires have already impacted people.\u003c/p>\n\u003cp>https://twitter.com/ezraromero/status/1816609233082941799\u003c/p>\n\u003cp>“This is sort of filling in the gaps up in northeastern California in places that have not burned in recent years,” Swain said. “So this thing is going full-steam ahead. It’s still moving as fast as it ever was.”\u003c/p>\n\u003cp>The fire plume is creating its own weather and acting like a thunderstorm, Swain added, with radar showing possible fire whirls, an erratic and dangerous type of fire behavior.\u003c/p>\n\u003cp>“This is a fire that is likely going to become several times larger than it currently is, at least, meaning that it will likely be a several hundred-thousand-acre fire,” Swain said. “I don’t really see how that won’t happen.”[aside postID=science_1965575 hero='https://cdn.kqed.org/wp-content/uploads/sites/35/2024/07/230809-SOLDOUTPARADISE-45-BL-KQED-1020x680.jpg']Cal Fire is leading the response to the blaze, which has prompted a large call for resources due to its size and intensity. Already, 1,153 personnel and more than 150 engines have been assigned to the fire.\u003c/p>\n\u003cp>Gov. Gavin Newsom announced Thursday that California has secured a Fire Management Assistance Grant from the Federal Emergency Management Agency, which will help cover the costs of the fire response.\u003c/p>\n\u003cp>“Fire personnel are currently focusing on evacuations and structure defense while concurrently building direct containment lines utilizing bulldozers, fire crews and fire engines,” Cal Fire said.\u003c/p>\n\u003cp>The National Weather Service in Sacramento said the peak intensity of the fire appeared to come in the early hours of Thursday.\u003c/p>\n\u003cp>“Unfortunately, any respite is likely to be brief [through early this morning] as southerly winds will increase again by mid/late morning as daytime heating leads to increased mixing,” the weather service said.\u003c/p>\n\u003cp>Evacuations have been ordered in both \u003ca href=\"https://buttecountygis.maps.arcgis.com/apps/webappviewer/index.html?id=9c92e0a2d2e0415fa5248d70cd644a82\">Butte\u003c/a> and \u003ca href=\"https://protect.genasys.com/fullscreenMap?z=9.392912515882836&latlon=39.980082819440895%2C-121.75831542150576\">Tehama\u003c/a> counties.\u003c/p>\n\u003cp>Officials have established Neighborhood Church as an evacuation shelter at 2801 Notre Dame Blvd., in Chico, and animal shelters in Oroville at 2279 Del Oro and Camelot Equestrian Park at 1985 Clark Road. A spokesperson at the shelter said about 40 people have checked in and are being cared for by American Red Cross staff.\u003c/p>\n\u003cp>The location of the fire start is less than 10 miles west of the town of Paradise, the site of the \u003ca href=\"https://www.kqed.org/news/11785247/a-year-after-the-camp-fire-locals-are-rebuilding-paradise\">deadliest fire in California history\u003c/a>.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/jservantez\">Jared Servantez\u003c/a> and \u003ca href=\"https://www.kqed.org/author/calam\">Christopher Alam\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cal Fire arson investigators arrested Stout on Thursday morning and held him without bail in Butte County Jail.\u003c/p>\n\u003cp>The fire started in an area of dry grass and oak woodland, where it spread quickly amid winds and high overnight temperatures. Recent weather has left grass and brush extraordinarily dry.\u003c/p>\n\u003cp>“It’s exhibiting extreme and exotic fire behavior, very rapid rates of spread among moderate winds, but record dry vegetation conditions following this record heat wave that we’ve experienced in this part of the state,” said Daniel Swain, a climate scientist at the Institute of the Environment and Sustainability at UCLA, on Thursday.\u003c/p>\n\u003cp>Winds from the south have pushed the fire to the north, moving away from Chico and so far avoiding heavily populated areas. Swain predicts the fire could burn for weeks — or even months.\u003c/p>\n\u003cp>“It’s looking pretty bad, to be quite honest. The only good news is that as you go north and east from here, it’s a while before you hit any population centers,” Swain said. “But it is possible that this thing becomes so big that it does start to hit some of the population centers later on.”\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>It is burning in an area where fires like the Camp and Dixie fires have already impacted people.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>“This is sort of filling in the gaps up in northeastern California in places that have not burned in recent years,” Swain said. “So this thing is going full-steam ahead. It’s still moving as fast as it ever was.”\u003c/p>\n\u003cp>The fire plume is creating its own weather and acting like a thunderstorm, Swain added, with radar showing possible fire whirls, an erratic and dangerous type of fire behavior.\u003c/p>\n\u003cp>“This is a fire that is likely going to become several times larger than it currently is, at least, meaning that it will likely be a several hundred-thousand-acre fire,” Swain said. “I don’t really see how that won’t happen.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Cal Fire is leading the response to the blaze, which has prompted a large call for resources due to its size and intensity. Already, 1,153 personnel and more than 150 engines have been assigned to the fire.\u003c/p>\n\u003cp>Gov. Gavin Newsom announced Thursday that California has secured a Fire Management Assistance Grant from the Federal Emergency Management Agency, which will help cover the costs of the fire response.\u003c/p>\n\u003cp>“Fire personnel are currently focusing on evacuations and structure defense while concurrently building direct containment lines utilizing bulldozers, fire crews and fire engines,” Cal Fire said.\u003c/p>\n\u003cp>The National Weather Service in Sacramento said the peak intensity of the fire appeared to come in the early hours of Thursday.\u003c/p>\n\u003cp>“Unfortunately, any respite is likely to be brief [through early this morning] as southerly winds will increase again by mid/late morning as daytime heating leads to increased mixing,” the weather service said.\u003c/p>\n\u003cp>Evacuations have been ordered in both \u003ca href=\"https://buttecountygis.maps.arcgis.com/apps/webappviewer/index.html?id=9c92e0a2d2e0415fa5248d70cd644a82\">Butte\u003c/a> and \u003ca href=\"https://protect.genasys.com/fullscreenMap?z=9.392912515882836&latlon=39.980082819440895%2C-121.75831542150576\">Tehama\u003c/a> counties.\u003c/p>\n\u003cp>Officials have established Neighborhood Church as an evacuation shelter at 2801 Notre Dame Blvd., in Chico, and animal shelters in Oroville at 2279 Del Oro and Camelot Equestrian Park at 1985 Clark Road. A spokesperson at the shelter said about 40 people have checked in and are being cared for by American Red Cross staff.\u003c/p>\n\u003cp>The location of the fire start is less than 10 miles west of the town of Paradise, the site of the \u003ca href=\"https://www.kqed.org/news/11785247/a-year-after-the-camp-fire-locals-are-rebuilding-paradise\">deadliest fire in California history\u003c/a>.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/jservantez\">Jared Servantez\u003c/a> and \u003ca href=\"https://www.kqed.org/author/calam\">Christopher Alam\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "systemic-neglect-how-staffing-shortages-in-nursing-homes-leave-patients-trapped-in-hospitals",
"title": "Systemic Neglect: How Staffing Shortages In Nursing Homes Leave Patients Trapped in Hospitals",
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"headTitle": "Systemic Neglect: How Staffing Shortages In Nursing Homes Leave Patients Trapped in Hospitals | KQED",
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"content": "\u003cp>\u003cem>This story was originally published on March 20, 2024.\u003c/em>\u003c/p>\n\u003cp>On a warm September morning in 2020, David Alter was cleaning up his kitchen in Berkeley. He saw his wife, Lisa, move towards him out of the corner of his eye. He turned to dry his hands on a towel, and then he heard a loud noise.\u003c/p>\n\u003cp>“I’ll never forget that sound,” he said. “It was like the sound of a baseball getting hit. She did nothing to brace her fall. Her head smacked directly on the linoleum floor.”\u003c/p>\n\u003cp>His wife lay still as blood pooled around her body, and Alter sprinted to the bathroom to scavenge for bandages. He wrapped Lisa’s head in gauze and then carried her to the car before speeding to the emergency department at Kaiser Permanente’s Richmond Medical Center, where he said a doctor diagnosed Lisa with a brain bleed.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Kristof Stremikis, director of market analysis and insight, California Health Care Foundation\"]‘We definitely know that across California more patients are spending longer times in the hospital.’[/pullquote]Lisa has Huntington’s disease, a genetic disorder that causes nerve cells to break down over time, ravaging the brain and body. The condition is marked by involuntary jerking and writhing movements. It impairs one’s gait, posture and balance. Eventually, Lisa could not walk, talk or think.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Alter had failed for an entire year to find a nursing home for his wife, as she was no longer safe at home.\u003c/p>\n\u003cp>“It got to the point that we were going to the ER weekly,” Alter said. “If the fall was late at night, we wouldn’t go right away because we were too exhausted. I would patch her up. I would use suture strips or even sometimes Krazy Glue to close cuts.”\u003c/p>\n\u003cfigure id=\"attachment_1991935\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1991935 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED.jpg\" alt=\"A man wearing glasses and a dark shirt sits next to a woman lying down in a bed.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">David Alter sits next to his wife, Lisa Alter, in Walnut Creek on Feb. 9, 2024. \u003ccite>(Kathryn Styer Martínez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He had called hundreds of skilled nursing facilities across California. He penned personal letters to facility directors illustrated with color photos of their family, describing his wife as “a vibrant woman, wife, elementary school teacher and mother.”\u003c/p>\n\u003cp>He received denial after denial. There was not a single facility that would accept a complex patient who would likely need many years of specialized, very expensive care. Lisa received her Huntington’s disease diagnosis when she was 45 years old. From the onset of symptoms, people with the condition have a life expectancy of 10 to 25 years. Lisa’s needs will likely increase over time.\u003c/p>\n\u003cp>Alter turned to social workers with the Huntington’s Disease Society for help. They advised him to leave his wife in the hospital the next time she landed in the emergency department. “That’s the last resort if the caregiver isn’t safe to take their loved one home,” said Jessica Marsolek, the society’s associate director of community services.\u003c/p>\n\u003cfigure id=\"attachment_1991923\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1991923\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED.jpg\" alt=\"A hallway of a medical center with people walking through.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Richmond Medical Center on March 19, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hospitals are much more equipped to connect and successfully transfer patients to nursing homes. “I don’t know anybody that’s gotten into a nursing home any other way,” said Maura Gibney, executive director for California Advocates for Nursing Home Reform. She regularly advises families to leave their loved ones in the hospital. “That’s the only way.”\u003c/p>\n\u003cp>Four days after Lisa’s fall, she was ready for discharge from Kaiser’s emergency department in Richmond, but Alter made the decision not to pick her up. She wouldn’t leave the hospital for several months.\u003c/p>\n\u003ch2>Part of a growing trend\u003c/h2>\n\u003cp>Patients spend more and more time in the hospital, even people who — like Lisa Alter — are medically stable and ready for a lower level of care at a facility like a nursing home or a psychiatric treatment center. Increasingly, they languish for weeks, months and even years, which delays their recovery, and that, in turn, delays care for patients who need urgent care.\u003c/p>\n\u003cp>“We can’t accept some patients trying to transfer in from smaller hospitals,” said Dr. Valerie Norton, emergency medicine physician at Scripps Mercy Hospital in San Diego. “Because we don’t have room for them. Or there might be somebody down in the emergency department that’s waiting to be admitted into the hospital. And we have to wait until somebody else gets discharged before we can move them upstairs. If you’re lying in a bed in the emergency department, that’s just a hard gurney with a broken hip, and you’re waiting 16 hours for a bed to open up somewhere, that’s pretty tough.”\u003c/p>\n\u003cfigure id=\"attachment_1991924\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1991924\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED.jpg\" alt='The side of a building that says \"Kaiser Permanente.\"' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Richmond Medical Center on March 19, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2022, the average length of stay inside hospitals across the country \u003ca href=\"https://www.aha.org/issue-brief/2022-12-05-patients-and-providers-faced-increasing-delays-timely-discharges\">increased by 19.2%\u003c/a> compared to the year before, according to an issue brief prepared by the American Hospital Association. In California, 4,500 patients are stranded inside hospitals every day, according to a \u003ca href=\"https://calhospital.org/wp-content/uploads/2024/01/Impact-of-Inadequate-Networks-CHA-Analysis-FINAL.pdf\">report from the California Hospital Association, \u003c/a>which attributes the problem of discharge delays to insurance companies openly disregarding “the clinical guidance of doctors and nurses” and “delaying or denying the care” that patients need.\u003c/p>\n\u003cp>“We definitely know that across California, more patients are spending longer times in the hospital,” said Kristof Stremikis, who directs the California Health Care Foundation’s market analysis and insight team.\u003c/p>\n\u003cp>“It’s both very complicated and incredibly simple,” Stremikis said. “It’s rising demand with problems in the supply. There’s more patients that need to be discharged. They tend to be sicker. They tend to have more complex conditions. And then on the supply side, there’s just fewer and fewer places to send them.”\u003c/p>\n\u003cp>[aside postID=\"science_1991739,news_11976372,news_11968579\" label=\"Related Stories\"]As the country’s demographics trend older, more and more patients require care at nursing homes, but those facilities are plagued by dire staffing shortages, according to the \u003ca href=\"https://www.ahcancal.org/News-and-Communications/Press-Releases/Pages/Historic-Staffing-Shortages-Continue-To-Force-Nursing-Homes-To-Limit-New-Admissions,-Creating-Bottlenecks-at-Hospitals-and-.aspx\">American Health Care Association\u003c/a>. A lack of workers downstream means patients like Lisa Alter get stuck upstream inside the hospital’s emergency department.\u003c/p>\n\u003cp>“We don’t have anywhere safe to send them,” Norton said. “They would qualify to be at a lower level of care like a skilled nursing facility or an assisted living facility. But because of their multiple medical problems or their psychiatric condition, there’s not a place that’s willing to take them.”\u003c/p>\n\u003cp>The number of days patients are stuck at Scripps has tripled in recent years, she said, and costs the health care system $56 million a year.\u003c/p>\n\u003cp>“It’s just insane how long these patients stay in the hospital,” Norton said. “And we’re not getting paid for that. We’re just eating that cost. And they should be in a nursing home somewhere.”\u003c/p>\n\u003cp>The problem was exacerbated by the pandemic, which accelerated feelings of anguish and other persistent mental health issues in health care workers.\u003c/p>\n\u003cp>Nearly half of health care workers across the U.S. reported often feeling burned out in 2022, according to a \u003ca href=\"https://www.cdc.gov/vitalsigns/health-worker-mental-health/index.html\">federal survey from the Centers for Disease Control\u003c/a>. About the same amount said they intended to look for a new job.\u003c/p>\n\u003cp>“We’ve had a long, long, long-term problem,” said Craig Cornett, CEO of the California Association of Health Facilities. “Every other part of the health care sector has recovered its staff to its pre-COVID days. We are the only part of the health care continuum that is still below where we were before COVID.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"David Alter, software engineer\"]‘You shouldn’t have to leave someone in the hospital and force them to take care of it.’[/pullquote]California is spending $26 million to \u003ca href=\"https://yourcnastory.org/\">recruit\u003c/a> more health care workers to help fill this gap, with the hope of attracting 5,500 certified nursing assistants by 2027. State lawmakers are considering \u003ca href=\"https://legiscan.com/CA/text/SB895/id/2868455\">SB 895\u003c/a>, a new bill that would allow select community college districts to offer nursing degrees, lowering the bar for entry and making it easier for workers to enter the health care industry.\u003c/p>\n\u003cp>But, Cornett said, the workforce challenge is huge, and it is not going away.\u003c/p>\n\u003ch2>The breaking point\u003c/h2>\n\u003cp>Alter always thought he’d grow old alongside his wife. But he could no longer parent his two children, hold a full-time job as a software engineer, and care for Lisa around the clock.\u003c/p>\n\u003cfigure id=\"attachment_1991920\" class=\"wp-caption aligncenter\" style=\"max-width: 1330px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1991920\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED.jpg\" alt=\"A man, woman, and two children wearing tie die t shirts stands outside a home.\" width=\"1330\" height=\"2000\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED.jpg 1330w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED-800x1203.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED-1020x1534.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED-160x241.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED-768x1155.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED-1021x1536.jpg 1021w\" sizes=\"(max-width: 1330px) 100vw, 1330px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A family photo of Lisa (left) and David Alter and their children Zachary and Maya in front of their home in Berkeley in 2010, the year before Lisa was diagnosed with Huntington’s disease. \u003ccite>(Courtesy of David Alter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When he learned that his wife was ready to be discharged from the emergency department at Kaiser Richmond, he steadied himself.\u003c/p>\n\u003cp>“I remember talking to them, and I said: ‘I’m not gonna pick her up. I’m not going to take her home.’”\u003c/p>\n\u003cp>Alter said the hospital’s discharge team struggled to find a nursing home for Lisa, too. His wife Lisa would spend over four months at Kaiser, a time period that Alter described as “excruciating” for him. He was so worried that the hospital would force him to take his wife home that he held off from visiting her in the hospital initially.\u003c/p>\n\u003cp>“It’s incredibly emotional to walk away,” Alter said. “And Kaiser’s calling you. And they’re like, ‘Why aren’t you picking her up?’ It’s really, really stressful. And it gets worse every day she’s there.”\u003c/p>\n\u003cp>Kaiser Permanente declined an interview for this story. In an emailed statement, the organization said it strives to find the right care for patients as quickly as possible. “While the vast majority of placements occur in a timely fashion, there are some circumstances, including the need for highly specialized care and patient or family preferences, that can present challenges,” the statement said.\u003c/p>\n\u003cp>\u003cb>Patient discrimination\u003c/b>\u003c/p>\n\u003cp>On top of staffing issues, facilities have a financial incentive to choose patients who can pay the highest price. “It’s unfortunate, but it is true,” Stremikis said. “Medi-Cal rates are way lower than private payers. It’s just another example of the inequalities within our system.”\u003c/p>\n\u003cp>Medi-Cal is the state’s insurance program, which covers Alter’s wife. It’s supposed to pay for her to receive specialized care at a round-the-clock facility, but that has not been his experience. “There’s nowhere I can place her,” Alter said.\u003c/p>\n\u003cfigure id=\"attachment_1991922\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1991922\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED.jpg\" alt=\"A person holds an image of a man, woman and young child.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">David Alter holds a photo of himself, his wife Lisa, and their son Zachary at his home in Berkeley on March 18, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Eventually, after more than four months, Kaiser Permanente did find housing for Lisa in Walnut Creek. The home provides food and supervision but not specialized nurses or regular doctor visits. Alter said she’s not at the right facility, but he doesn’t know what to do. He hired consultants and lawyers and wrote his legislators, all to no avail.\u003c/p>\n\u003cp>Three years after Alter left his wife in the hospital as a hail mary play to get her the care she needs, that’s still not happening. “You’re just defeated,” he said.\u003c/p>\n\u003cp>Meanwhile, his wife declines. “She’s 70 or 80 pounds,” Alter said. “She’s so tiny. She’s skin and bones.”\u003c/p>\n\u003cp>He also worries she could injure herself again, land back in the hospital, and then get stuck in the cycle all over again.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“You shouldn’t have to leave someone in the hospital and force them to take care of it,” Alter said. “That’s not the right solution. As a society, we’re not set up in a way to care for people properly.”\u003c/p>\n\n",
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"excerpt": "One woman with Huntington's disease was left in limbo at Kaiser’s emergency department in Richmond for more than 4 months as she waited for space in a nursing home. ",
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"title": "Systemic Neglect: How Staffing Shortages In Nursing Homes Leave Patients Trapped in Hospitals | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story was originally published on March 20, 2024.\u003c/em>\u003c/p>\n\u003cp>On a warm September morning in 2020, David Alter was cleaning up his kitchen in Berkeley. He saw his wife, Lisa, move towards him out of the corner of his eye. He turned to dry his hands on a towel, and then he heard a loud noise.\u003c/p>\n\u003cp>“I’ll never forget that sound,” he said. “It was like the sound of a baseball getting hit. She did nothing to brace her fall. Her head smacked directly on the linoleum floor.”\u003c/p>\n\u003cp>His wife lay still as blood pooled around her body, and Alter sprinted to the bathroom to scavenge for bandages. He wrapped Lisa’s head in gauze and then carried her to the car before speeding to the emergency department at Kaiser Permanente’s Richmond Medical Center, where he said a doctor diagnosed Lisa with a brain bleed.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘We definitely know that across California more patients are spending longer times in the hospital.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Lisa has Huntington’s disease, a genetic disorder that causes nerve cells to break down over time, ravaging the brain and body. The condition is marked by involuntary jerking and writhing movements. It impairs one’s gait, posture and balance. Eventually, Lisa could not walk, talk or think.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Alter had failed for an entire year to find a nursing home for his wife, as she was no longer safe at home.\u003c/p>\n\u003cp>“It got to the point that we were going to the ER weekly,” Alter said. “If the fall was late at night, we wouldn’t go right away because we were too exhausted. I would patch her up. I would use suture strips or even sometimes Krazy Glue to close cuts.”\u003c/p>\n\u003cfigure id=\"attachment_1991935\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1991935 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED.jpg\" alt=\"A man wearing glasses and a dark shirt sits next to a woman lying down in a bed.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240209-AVOIDABLEBEDDAYS-KSM-1-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">David Alter sits next to his wife, Lisa Alter, in Walnut Creek on Feb. 9, 2024. \u003ccite>(Kathryn Styer Martínez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He had called hundreds of skilled nursing facilities across California. He penned personal letters to facility directors illustrated with color photos of their family, describing his wife as “a vibrant woman, wife, elementary school teacher and mother.”\u003c/p>\n\u003cp>He received denial after denial. There was not a single facility that would accept a complex patient who would likely need many years of specialized, very expensive care. Lisa received her Huntington’s disease diagnosis when she was 45 years old. From the onset of symptoms, people with the condition have a life expectancy of 10 to 25 years. Lisa’s needs will likely increase over time.\u003c/p>\n\u003cp>Alter turned to social workers with the Huntington’s Disease Society for help. They advised him to leave his wife in the hospital the next time she landed in the emergency department. “That’s the last resort if the caregiver isn’t safe to take their loved one home,” said Jessica Marsolek, the society’s associate director of community services.\u003c/p>\n\u003cfigure id=\"attachment_1991923\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1991923\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED.jpg\" alt=\"A hallway of a medical center with people walking through.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-09-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Richmond Medical Center on March 19, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hospitals are much more equipped to connect and successfully transfer patients to nursing homes. “I don’t know anybody that’s gotten into a nursing home any other way,” said Maura Gibney, executive director for California Advocates for Nursing Home Reform. She regularly advises families to leave their loved ones in the hospital. “That’s the only way.”\u003c/p>\n\u003cp>Four days after Lisa’s fall, she was ready for discharge from Kaiser’s emergency department in Richmond, but Alter made the decision not to pick her up. She wouldn’t leave the hospital for several months.\u003c/p>\n\u003ch2>Part of a growing trend\u003c/h2>\n\u003cp>Patients spend more and more time in the hospital, even people who — like Lisa Alter — are medically stable and ready for a lower level of care at a facility like a nursing home or a psychiatric treatment center. Increasingly, they languish for weeks, months and even years, which delays their recovery, and that, in turn, delays care for patients who need urgent care.\u003c/p>\n\u003cp>“We can’t accept some patients trying to transfer in from smaller hospitals,” said Dr. Valerie Norton, emergency medicine physician at Scripps Mercy Hospital in San Diego. “Because we don’t have room for them. Or there might be somebody down in the emergency department that’s waiting to be admitted into the hospital. And we have to wait until somebody else gets discharged before we can move them upstairs. If you’re lying in a bed in the emergency department, that’s just a hard gurney with a broken hip, and you’re waiting 16 hours for a bed to open up somewhere, that’s pretty tough.”\u003c/p>\n\u003cfigure id=\"attachment_1991924\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1991924\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED.jpg\" alt='The side of a building that says \"Kaiser Permanente.\"' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-10-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Richmond Medical Center on March 19, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2022, the average length of stay inside hospitals across the country \u003ca href=\"https://www.aha.org/issue-brief/2022-12-05-patients-and-providers-faced-increasing-delays-timely-discharges\">increased by 19.2%\u003c/a> compared to the year before, according to an issue brief prepared by the American Hospital Association. In California, 4,500 patients are stranded inside hospitals every day, according to a \u003ca href=\"https://calhospital.org/wp-content/uploads/2024/01/Impact-of-Inadequate-Networks-CHA-Analysis-FINAL.pdf\">report from the California Hospital Association, \u003c/a>which attributes the problem of discharge delays to insurance companies openly disregarding “the clinical guidance of doctors and nurses” and “delaying or denying the care” that patients need.\u003c/p>\n\u003cp>“We definitely know that across California, more patients are spending longer times in the hospital,” said Kristof Stremikis, who directs the California Health Care Foundation’s market analysis and insight team.\u003c/p>\n\u003cp>“It’s both very complicated and incredibly simple,” Stremikis said. “It’s rising demand with problems in the supply. There’s more patients that need to be discharged. They tend to be sicker. They tend to have more complex conditions. And then on the supply side, there’s just fewer and fewer places to send them.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>As the country’s demographics trend older, more and more patients require care at nursing homes, but those facilities are plagued by dire staffing shortages, according to the \u003ca href=\"https://www.ahcancal.org/News-and-Communications/Press-Releases/Pages/Historic-Staffing-Shortages-Continue-To-Force-Nursing-Homes-To-Limit-New-Admissions,-Creating-Bottlenecks-at-Hospitals-and-.aspx\">American Health Care Association\u003c/a>. A lack of workers downstream means patients like Lisa Alter get stuck upstream inside the hospital’s emergency department.\u003c/p>\n\u003cp>“We don’t have anywhere safe to send them,” Norton said. “They would qualify to be at a lower level of care like a skilled nursing facility or an assisted living facility. But because of their multiple medical problems or their psychiatric condition, there’s not a place that’s willing to take them.”\u003c/p>\n\u003cp>The number of days patients are stuck at Scripps has tripled in recent years, she said, and costs the health care system $56 million a year.\u003c/p>\n\u003cp>“It’s just insane how long these patients stay in the hospital,” Norton said. “And we’re not getting paid for that. We’re just eating that cost. And they should be in a nursing home somewhere.”\u003c/p>\n\u003cp>The problem was exacerbated by the pandemic, which accelerated feelings of anguish and other persistent mental health issues in health care workers.\u003c/p>\n\u003cp>Nearly half of health care workers across the U.S. reported often feeling burned out in 2022, according to a \u003ca href=\"https://www.cdc.gov/vitalsigns/health-worker-mental-health/index.html\">federal survey from the Centers for Disease Control\u003c/a>. About the same amount said they intended to look for a new job.\u003c/p>\n\u003cp>“We’ve had a long, long, long-term problem,” said Craig Cornett, CEO of the California Association of Health Facilities. “Every other part of the health care sector has recovered its staff to its pre-COVID days. We are the only part of the health care continuum that is still below where we were before COVID.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>California is spending $26 million to \u003ca href=\"https://yourcnastory.org/\">recruit\u003c/a> more health care workers to help fill this gap, with the hope of attracting 5,500 certified nursing assistants by 2027. State lawmakers are considering \u003ca href=\"https://legiscan.com/CA/text/SB895/id/2868455\">SB 895\u003c/a>, a new bill that would allow select community college districts to offer nursing degrees, lowering the bar for entry and making it easier for workers to enter the health care industry.\u003c/p>\n\u003cp>But, Cornett said, the workforce challenge is huge, and it is not going away.\u003c/p>\n\u003ch2>The breaking point\u003c/h2>\n\u003cp>Alter always thought he’d grow old alongside his wife. But he could no longer parent his two children, hold a full-time job as a software engineer, and care for Lisa around the clock.\u003c/p>\n\u003cfigure id=\"attachment_1991920\" class=\"wp-caption aligncenter\" style=\"max-width: 1330px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1991920\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED.jpg\" alt=\"A man, woman, and two children wearing tie die t shirts stands outside a home.\" width=\"1330\" height=\"2000\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED.jpg 1330w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED-800x1203.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED-1020x1534.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED-160x241.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED-768x1155.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-12-KQED-1021x1536.jpg 1021w\" sizes=\"(max-width: 1330px) 100vw, 1330px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A family photo of Lisa (left) and David Alter and their children Zachary and Maya in front of their home in Berkeley in 2010, the year before Lisa was diagnosed with Huntington’s disease. \u003ccite>(Courtesy of David Alter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When he learned that his wife was ready to be discharged from the emergency department at Kaiser Richmond, he steadied himself.\u003c/p>\n\u003cp>“I remember talking to them, and I said: ‘I’m not gonna pick her up. I’m not going to take her home.’”\u003c/p>\n\u003cp>Alter said the hospital’s discharge team struggled to find a nursing home for Lisa, too. His wife Lisa would spend over four months at Kaiser, a time period that Alter described as “excruciating” for him. He was so worried that the hospital would force him to take his wife home that he held off from visiting her in the hospital initially.\u003c/p>\n\u003cp>“It’s incredibly emotional to walk away,” Alter said. “And Kaiser’s calling you. And they’re like, ‘Why aren’t you picking her up?’ It’s really, really stressful. And it gets worse every day she’s there.”\u003c/p>\n\u003cp>Kaiser Permanente declined an interview for this story. In an emailed statement, the organization said it strives to find the right care for patients as quickly as possible. “While the vast majority of placements occur in a timely fashion, there are some circumstances, including the need for highly specialized care and patient or family preferences, that can present challenges,” the statement said.\u003c/p>\n\u003cp>\u003cb>Patient discrimination\u003c/b>\u003c/p>\n\u003cp>On top of staffing issues, facilities have a financial incentive to choose patients who can pay the highest price. “It’s unfortunate, but it is true,” Stremikis said. “Medi-Cal rates are way lower than private payers. It’s just another example of the inequalities within our system.”\u003c/p>\n\u003cp>Medi-Cal is the state’s insurance program, which covers Alter’s wife. It’s supposed to pay for her to receive specialized care at a round-the-clock facility, but that has not been his experience. “There’s nowhere I can place her,” Alter said.\u003c/p>\n\u003cfigure id=\"attachment_1991922\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1991922\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED.jpg\" alt=\"A person holds an image of a man, woman and young child.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/35/2024/03/240318-AVOIDABLE-BED-DAYS-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">David Alter holds a photo of himself, his wife Lisa, and their son Zachary at his home in Berkeley on March 18, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Eventually, after more than four months, Kaiser Permanente did find housing for Lisa in Walnut Creek. The home provides food and supervision but not specialized nurses or regular doctor visits. Alter said she’s not at the right facility, but he doesn’t know what to do. He hired consultants and lawyers and wrote his legislators, all to no avail.\u003c/p>\n\u003cp>Three years after Alter left his wife in the hospital as a hail mary play to get her the care she needs, that’s still not happening. “You’re just defeated,” he said.\u003c/p>\n\u003cp>Meanwhile, his wife declines. “She’s 70 or 80 pounds,” Alter said. “She’s so tiny. She’s skin and bones.”\u003c/p>\n\u003cp>He also worries she could injure herself again, land back in the hospital, and then get stuck in the cycle all over again.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“You shouldn’t have to leave someone in the hospital and force them to take care of it,” Alter said. “That’s not the right solution. As a society, we’re not set up in a way to care for people properly.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Remember that \u003ca href=\"https://www.kqed.org/news/11993179/bay-areas-extreme-heat-wave-is-easing-but-only-briefly\">record-breaking heat wave\u003c/a> that brought triple-digit temperatures over the Fourth of July? It’s back — kind of — according to the National Weather Service, causing warmer than usual weather across the inland Bay Area over the next few days.\u003c/p>\n\u003cp>“It’s not going to be as strong as it was; it’s slowly been losing some steam, but it’s moving back toward us,” said Dylan Flynn, a meteorologist in the weather service’s Bay Area office.\u003c/p>\n\u003cp>The early July heat wave was caused by a heat dome — an area of high pressure that traps hot air, often for an extended period. That phenomenon is expected to return Thursday, driving temperatures in the inland, elevated portions of the North, East and South Bay counties into the 90s and low 100s late this week. A heat advisory in these areas is in effect from Thursday morning until late Friday night, when cooler weekend temperatures will arrive.\u003c/p>\n\u003cp>San Francisco and Oakland will peak in the high 70s and low 80s Friday and remain in the low 70s through the weekend.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On Saturday, the pressure dome is expected to weaken thanks to a disturbance in the jet stream, offering the Bay Area a short reprieve. Temperatures will be average for mid-July on Saturday and Sunday before the heat is expected to return late Monday, bringing highs five to 10 degrees warmer next week.[aside postID=news_11993386 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/ThompsonFireOrovilleAP1-1020x680.jpg']Tuesday and Wednesday will be the hottest days, and will be warmer than previously anticipated, the National Weather Service said. San Jose and Santa Rosa are forecast to hit the mid-90s, while Concord will likely reach triple digits midweek. Flynn expects another heat advisory to be in effect, at least in the first half of the week.\u003c/p>\n\u003cp>San Francisco will be in the high 70s, and Oakland could break 80 degrees on both days.\u003c/p>\n\u003cp>The marine layer will keep the coast relatively cool throughout, but Santa Cruz south and Point Reyes north will heat up to the mid-80s on the hottest days of the heat wave.\u003c/p>\n\u003cp>The central span of the Bay Area coast will stay fairly cool thanks to the usual marine layer, which brings early morning foggy conditions and a welcome breeze, so Flynn said the beach is a good bet to get out of the heat.\u003c/p>\n\u003cp>He warned that there could be increased fire risk — especially on Thursday and Friday — as strong winds pass through the North Bay, as well as Monterey and San Benito counties.\u003c/p>\n\u003cp>“We’re not expecting an issue of red flag warning, but there are elevated fire concerns, especially in the afternoon and early evening in those locations,” he told KQED. “I just want to encourage people to not be the cause of the spark. Be careful, and obey all fire restrictions.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Remember that \u003ca href=\"https://www.kqed.org/news/11993179/bay-areas-extreme-heat-wave-is-easing-but-only-briefly\">record-breaking heat wave\u003c/a> that brought triple-digit temperatures over the Fourth of July? It’s back — kind of — according to the National Weather Service, causing warmer than usual weather across the inland Bay Area over the next few days.\u003c/p>\n\u003cp>“It’s not going to be as strong as it was; it’s slowly been losing some steam, but it’s moving back toward us,” said Dylan Flynn, a meteorologist in the weather service’s Bay Area office.\u003c/p>\n\u003cp>The early July heat wave was caused by a heat dome — an area of high pressure that traps hot air, often for an extended period. That phenomenon is expected to return Thursday, driving temperatures in the inland, elevated portions of the North, East and South Bay counties into the 90s and low 100s late this week. A heat advisory in these areas is in effect from Thursday morning until late Friday night, when cooler weekend temperatures will arrive.\u003c/p>\n\u003cp>San Francisco and Oakland will peak in the high 70s and low 80s Friday and remain in the low 70s through the weekend.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On Saturday, the pressure dome is expected to weaken thanks to a disturbance in the jet stream, offering the Bay Area a short reprieve. Temperatures will be average for mid-July on Saturday and Sunday before the heat is expected to return late Monday, bringing highs five to 10 degrees warmer next week.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Tuesday and Wednesday will be the hottest days, and will be warmer than previously anticipated, the National Weather Service said. San Jose and Santa Rosa are forecast to hit the mid-90s, while Concord will likely reach triple digits midweek. Flynn expects another heat advisory to be in effect, at least in the first half of the week.\u003c/p>\n\u003cp>San Francisco will be in the high 70s, and Oakland could break 80 degrees on both days.\u003c/p>\n\u003cp>The marine layer will keep the coast relatively cool throughout, but Santa Cruz south and Point Reyes north will heat up to the mid-80s on the hottest days of the heat wave.\u003c/p>\n\u003cp>The central span of the Bay Area coast will stay fairly cool thanks to the usual marine layer, which brings early morning foggy conditions and a welcome breeze, so Flynn said the beach is a good bet to get out of the heat.\u003c/p>\n\u003cp>He warned that there could be increased fire risk — especially on Thursday and Friday — as strong winds pass through the North Bay, as well as Monterey and San Benito counties.\u003c/p>\n\u003cp>“We’re not expecting an issue of red flag warning, but there are elevated fire concerns, especially in the afternoon and early evening in those locations,” he told KQED. “I just want to encourage people to not be the cause of the spark. Be careful, and obey all fire restrictions.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Stay Safe: When to Avoid Swimming During Algal Blooms in the Bay Area",
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"content": "\u003cp>As\u003ca href=\"https://www.kqed.org/news/11878134/bay-area-heat-wave-how-to-stay-safe-during-dangerously-hot-weather\"> California continues to experience sweltering heat waves this summer\u003c/a>, many of us might be tempted to seek out the nearest body of water for some refreshing respite from the high temperatures when they arrive.\u003c/p>\n\u003cp>Unfortunately, this weather can also bring potential danger to those waters in the form of algae blooms that discolor our lakes and bays and pose serious health hazards for humans and animals.\u003c/p>\n\u003cp>One such algae bloom in Discovery Bay, in eastern Contra Costa County, has already prompted the California State Water Resources Control Board to issue \u003ca href=\"https://www.waterboards.ca.gov/press_room/press_releases/2024/pr20240709-hab-discovery-bay.pdf\">a danger advisory last week, warning of harmful algal blooms\u003c/a>. The agency warns that these blooms, which thrive in warming water, “can pose a threat to people and pets” and urges visitors “to avoid swimming, boating and other activities and to keep pets out of the water until further notice.” The public is also warned not to eat fish or shellfish from this water.\u003c/p>\n\u003cp>Down in Monterey County, officials also closed \u003ca href=\"https://www.sfchronicle.com/climate/article/fish-die-off-closes-monterey-county-lake-19565933.php\">Lake San Antonio to the public\u003c/a> on the heels of a massive fish die-off. While they are still waiting on the results of water testing, the California Department of Fish and Wildlife said that oxygen depletion due to warm water may be to blame.\u003c/p>\n\u003cp>So, during warm weather, how can you know if the water you — or your pets — want to swim in is safe? Keep reading about what to know about swimming in the Bay Area when the water gets warmer.\u003c/p>\n\u003ch2>Why can algae pose a danger to humans and animals?\u003c/h2>\n\u003cp>Broadly speaking, an algal bloom happens when microscopic plant-like organisms discolor a body of water to the point visible to the human eye. The types of organisms can vary — along with the color they turn the water — but it takes millions (if not billions or trillions) of these little creatures for this kind of bloom to be visible.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Not every algal bloom is toxic to humans and animals, but the bright green bloom currently floating on the surface of Discovery Bay definitely could be, said Raphael Kudela, a phytoplankton ecologist at UC Santa Cruz. This bloom is caused by \u003ca href=\"https://ucmp.berkeley.edu/bacteria/cyanointro.html\">cyanobacteria\u003c/a>, which Kudela describes as “harmful algae that produces really nasty toxins.”\u003c/p>\n\u003cp>The state water boards warn that \u003ca href=\"https://www.waterboards.ca.gov/press_room/press_releases/2024/pr20240709-hab-discovery-bay.pdf\">these toxins can harm your skin upon contact\u003c/a>, causing itching and rashes — and if they’re swallowed, they can have effects like gastrointestinal issues and headaches.\u003c/p>\n\u003cp>What’s more, the particular compound this bacteria produces — \u003ca href=\"https://www.epa.gov/national-aquatic-resource-surveys/indicators-cyanotoxins-microcystin#:~:text=Microcystin%20is%20a%20potent%20liver,bodies%20with%20persistent%20cyanobacteria%20blooms.\">microcystin \u003c/a>— also does specific damage to the liver when ingested. “Like many toxins, it’s dependent on how big the person is,” said Kudela, so children are particularly at risk because of their smaller size.\u003c/p>\n\u003cp>The specific type of bloom in Discovery Bay poses a special risk to dogs — not just because of their size, Kudela said, but because “they get it on their fur, and they are cleaning themselves and licking it off, and then they happen to ingest it.”\u003c/p>\n\u003cp>As for why these blooms have set up shop in Discovery Bay right now, Kudela noted that it’s actually a fairly regular annual occurrence for this human-created waterway on account of the hospitable environment it provides. “There’s not a lot of water circulation, and these blooms love those conditions,” he said. “They really like lots of nutrients, which comes from humans and agriculture, really warm water and not much turbulence.”\u003c/p>\n\u003cp>All the same, this year’s bloom is “a pretty intense one,” he remarked.\u003c/p>\n\u003ch2>Are all algal blooms dangerous for swimming?\u003c/h2>\n\u003cp>Despite their sometimes-alarming appearance, algal blooms are “pretty common,” Kudela said — which is why the state’s water boards will test them once they’ve appeared to find out whether they’re producing toxins that could be harmful to humans or animals.\u003c/p>\n\u003cp>The “red tide” that appeared in San Francisco Bay in 2022 and again in 2023 was a bloom caused by a very different organism to the one currently producing toxins in Discovery Bay: A species called Heterosigma akashiwo. This microscopic organism looks like a swimming potato chip with a tail, Kudela said, and it thrived in the Bay’s shallow, quick-to-warm waters.\u003c/p>\n\u003cp>That red tide proved particularly dangerous for fish, killing a huge number of them — although scientists still aren’t exactly sure whether that was down to the decomposing cells sucking the oxygen out of the water or if the organism itself produced a toxin. It’s still “a little bit of a mystery,” Kudela said.\u003c/p>\n\u003cp>Regardless, even though the red tide wasn’t proven to pose health hazards to humans or animals, the general expert advice was still to stay away from the discolored waters. Even though contact with that particular bloom “is probably not going to do much to you,” Kudela said, “you don’t want to be swimming around in really mucky sort of red water.” \u003ca href=\"https://www.kqed.org/science/1983775/as-algal-bloom-returns-to-the-bay-is-swimming-safe-for-humans-and-pets\">Read more about the science behind the Bay Area’s red tide in 2022 and 2023.\u003c/a>\u003c/p>\n\u003ch2>So if I’m unsure what kind of algal bloom is in the water, is the general advice just ‘stay away regardless’?\u003c/h2>\n\u003cp>Absolutely — the safest thing when encountering discolored water of any kind is just to stay the heck away.\u003c/p>\n\u003cp>The reason for that, Kudela said, is that even if a particular algae bloom \u003ci>isn’t \u003c/i>actively harmful to humans or pets because it’s producing toxins, it’s still “this rich organic matrix that’s loaded with bacteria and other things,” he said — and even if it’s not producing toxins, “you’re still getting a big dose of organic material” by swimming in it or swallowing it.\u003c/p>\n\u003cp>This can, Kudela said, cause allergic reactions, the skin irritation known as “swimmer’s itch” and also nasty sinus infections if you inhale this matter into your nose. “If the water looks kind of nasty, you don’t want to be touching it,” he said. “You don’t want to be playing in it.”\u003c/p>\n\u003cp>David Senn, senior scientist at the San Francisco Estuary Institute, echoed this advice to KQED in 2023: Even if an algal bloom in your area hasn’t been proven harmful to humans or pets, “it makes sense to avoid discolored water in general,” he said.\u003c/p>\n\u003ch2>How do I know if a body of water is safe to swim in generally?\u003c/h2>\n\u003cp>If you’re headed to your local lake, river or stream this summer, the California Water Quality Monitoring Council recommends you do the following:\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400;\">Look for posted advisories in the form of signs by the water and read them carefully\u003c/li>\n\u003cli style=\"font-weight: 400;\">Watch for all algae and scum in the water and on the shore, and avoid it\u003c/li>\n\u003cli style=\"font-weight: 400;\">Keep an eye on children and pets, who won’t necessarily understand the dangers, and make sure they don’t go into the water or put any algae in their mouths\u003c/li>\n\u003cli style=\"font-weight: 400;\">Don’t drink the water or use it for cooking\u003c/li>\n\u003cli style=\"font-weight: 400;\">Rinse yourself, your family and your pets well with clean water after playing in any body of water generally.\u003c/li>\n\u003c/ul>\n\u003cp>For fishing, the water boards recommend throwing away the guts of any fish you catch and cleaning the fillets with tap or bottled water before cooking them. You should also avoid eating shellfish if you think a harmful algal bloom is present.\u003c/p>\n\u003cp>\u003ca href=\"https://mywaterquality.ca.gov/habs/do/\">Read more safety tips for protecting yourself against potentially harmful algal blooms.\u003c/a>\u003c/p>\n\u003ch2>Why do heat waves mean I’m more likely to encounter an algal bloom?\u003c/h2>\n\u003cp>Algae just love warm water, Kudela said, and “they tend to grow faster when the temperature is warmer.”\u003c/p>\n\u003cp>In addition, higher temperatures don’t just heat the water — they calm it and prevent it from mixing. And since the algal blooms “don’t like a lot of mixing,” warm and stagnant water provides “perfect conditions to get one of these blooms going,” Kudela said — and “once they get going, it’ll continue until something disrupts it, or they run out of nutrients.”\u003c/p>\n\u003cp>The impact of climate change and increased warming is something that makes Kudela and his colleagues “very concerned,” he said. “We’re seeing this trend even over the last decade. We’re seeing more blooms, more intense blooms.”\u003c/p>\n\u003cp>“It’s hard to say that’s directly related to climate change,” Kudela acknowledged. “But climate is certainly one of the factors that’s influencing it.”\u003c/p>\n\u003ch2>\u003cb>What should I do if I spot an algal bloom?\u003c/b>\u003c/h2>\n\u003cp>First off, stay away and keep yourself, your children and your pets safe.\u003c/p>\n\u003cp>To report an algae bloom, you can reach SF Baykeeper’s pollution hotline by:\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400;\">Calling 1-800-KEEP-Bay.\u003c/li>\n\u003cli style=\"font-weight: 400;\">Emailing hotline@baykeeper.org.\u003c/li>\n\u003cli style=\"font-weight: 400;\">\u003ca href=\"https://baykeeper.org/content/report-pollution\">Filling out a form online\u003c/a> to submit a confidential pollution tip.\u003c/li>\n\u003c/ul>\n\u003cp>Algal blooms can also be reported to the California State Water Resources Control Board’s Freshwater and Estuarine Harmful Algal Bloom Program. You can reach the agency hotline by:\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400;\">Calling 1-844-729-6466.\u003c/li>\n\u003cli style=\"font-weight: 400;\">Emailing CyanoHAB.Reports@waterboards.ca.gov.\u003c/li>\n\u003cli style=\"font-weight: 400;\">Filling out\u003ca href=\"https://mywaterquality.ca.gov/habs/do/bloomreport.html\"> a digital form to submit an algal bloom report\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>Be sure to include the time, date, location and a description of what you saw.\u003c/p>\n\u003ch2>Spotted a dead fish near an algal bloom?\u003c/h2>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>To report a dead fish in an area with a bloom present, you can\u003ca href=\"https://www.inaturalist.org/\"> download the app iNaturalist\u003c/a>. \u003ca href=\"https://oaklandside.org/2023/08/03/harmful-algae-bloom-red-tide-bay-area-lake-merritt-inaturalist-project-research/\">Read more about how to report dead fish using iNaturalist from The Oaklandside\u003c/a>.\u003c/p>\n\n",
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"excerpt": "As California continues to experience heat waves this summer, officials warn people about harmful algal blooms in lakes, rivers and streams that “can pose a threat to people and pets.”",
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"title": "Heat Waves & Algal Blooms: Bay Area Swimming Safety | KQED",
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"headline": "Stay Safe: When to Avoid Swimming During Algal Blooms in the Bay Area",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As\u003ca href=\"https://www.kqed.org/news/11878134/bay-area-heat-wave-how-to-stay-safe-during-dangerously-hot-weather\"> California continues to experience sweltering heat waves this summer\u003c/a>, many of us might be tempted to seek out the nearest body of water for some refreshing respite from the high temperatures when they arrive.\u003c/p>\n\u003cp>Unfortunately, this weather can also bring potential danger to those waters in the form of algae blooms that discolor our lakes and bays and pose serious health hazards for humans and animals.\u003c/p>\n\u003cp>One such algae bloom in Discovery Bay, in eastern Contra Costa County, has already prompted the California State Water Resources Control Board to issue \u003ca href=\"https://www.waterboards.ca.gov/press_room/press_releases/2024/pr20240709-hab-discovery-bay.pdf\">a danger advisory last week, warning of harmful algal blooms\u003c/a>. The agency warns that these blooms, which thrive in warming water, “can pose a threat to people and pets” and urges visitors “to avoid swimming, boating and other activities and to keep pets out of the water until further notice.” The public is also warned not to eat fish or shellfish from this water.\u003c/p>\n\u003cp>Down in Monterey County, officials also closed \u003ca href=\"https://www.sfchronicle.com/climate/article/fish-die-off-closes-monterey-county-lake-19565933.php\">Lake San Antonio to the public\u003c/a> on the heels of a massive fish die-off. While they are still waiting on the results of water testing, the California Department of Fish and Wildlife said that oxygen depletion due to warm water may be to blame.\u003c/p>\n\u003cp>So, during warm weather, how can you know if the water you — or your pets — want to swim in is safe? Keep reading about what to know about swimming in the Bay Area when the water gets warmer.\u003c/p>\n\u003ch2>Why can algae pose a danger to humans and animals?\u003c/h2>\n\u003cp>Broadly speaking, an algal bloom happens when microscopic plant-like organisms discolor a body of water to the point visible to the human eye. The types of organisms can vary — along with the color they turn the water — but it takes millions (if not billions or trillions) of these little creatures for this kind of bloom to be visible.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Not every algal bloom is toxic to humans and animals, but the bright green bloom currently floating on the surface of Discovery Bay definitely could be, said Raphael Kudela, a phytoplankton ecologist at UC Santa Cruz. This bloom is caused by \u003ca href=\"https://ucmp.berkeley.edu/bacteria/cyanointro.html\">cyanobacteria\u003c/a>, which Kudela describes as “harmful algae that produces really nasty toxins.”\u003c/p>\n\u003cp>The state water boards warn that \u003ca href=\"https://www.waterboards.ca.gov/press_room/press_releases/2024/pr20240709-hab-discovery-bay.pdf\">these toxins can harm your skin upon contact\u003c/a>, causing itching and rashes — and if they’re swallowed, they can have effects like gastrointestinal issues and headaches.\u003c/p>\n\u003cp>What’s more, the particular compound this bacteria produces — \u003ca href=\"https://www.epa.gov/national-aquatic-resource-surveys/indicators-cyanotoxins-microcystin#:~:text=Microcystin%20is%20a%20potent%20liver,bodies%20with%20persistent%20cyanobacteria%20blooms.\">microcystin \u003c/a>— also does specific damage to the liver when ingested. “Like many toxins, it’s dependent on how big the person is,” said Kudela, so children are particularly at risk because of their smaller size.\u003c/p>\n\u003cp>The specific type of bloom in Discovery Bay poses a special risk to dogs — not just because of their size, Kudela said, but because “they get it on their fur, and they are cleaning themselves and licking it off, and then they happen to ingest it.”\u003c/p>\n\u003cp>As for why these blooms have set up shop in Discovery Bay right now, Kudela noted that it’s actually a fairly regular annual occurrence for this human-created waterway on account of the hospitable environment it provides. “There’s not a lot of water circulation, and these blooms love those conditions,” he said. “They really like lots of nutrients, which comes from humans and agriculture, really warm water and not much turbulence.”\u003c/p>\n\u003cp>All the same, this year’s bloom is “a pretty intense one,” he remarked.\u003c/p>\n\u003ch2>Are all algal blooms dangerous for swimming?\u003c/h2>\n\u003cp>Despite their sometimes-alarming appearance, algal blooms are “pretty common,” Kudela said — which is why the state’s water boards will test them once they’ve appeared to find out whether they’re producing toxins that could be harmful to humans or animals.\u003c/p>\n\u003cp>The “red tide” that appeared in San Francisco Bay in 2022 and again in 2023 was a bloom caused by a very different organism to the one currently producing toxins in Discovery Bay: A species called Heterosigma akashiwo. This microscopic organism looks like a swimming potato chip with a tail, Kudela said, and it thrived in the Bay’s shallow, quick-to-warm waters.\u003c/p>\n\u003cp>That red tide proved particularly dangerous for fish, killing a huge number of them — although scientists still aren’t exactly sure whether that was down to the decomposing cells sucking the oxygen out of the water or if the organism itself produced a toxin. It’s still “a little bit of a mystery,” Kudela said.\u003c/p>\n\u003cp>Regardless, even though the red tide wasn’t proven to pose health hazards to humans or animals, the general expert advice was still to stay away from the discolored waters. Even though contact with that particular bloom “is probably not going to do much to you,” Kudela said, “you don’t want to be swimming around in really mucky sort of red water.” \u003ca href=\"https://www.kqed.org/science/1983775/as-algal-bloom-returns-to-the-bay-is-swimming-safe-for-humans-and-pets\">Read more about the science behind the Bay Area’s red tide in 2022 and 2023.\u003c/a>\u003c/p>\n\u003ch2>So if I’m unsure what kind of algal bloom is in the water, is the general advice just ‘stay away regardless’?\u003c/h2>\n\u003cp>Absolutely — the safest thing when encountering discolored water of any kind is just to stay the heck away.\u003c/p>\n\u003cp>The reason for that, Kudela said, is that even if a particular algae bloom \u003ci>isn’t \u003c/i>actively harmful to humans or pets because it’s producing toxins, it’s still “this rich organic matrix that’s loaded with bacteria and other things,” he said — and even if it’s not producing toxins, “you’re still getting a big dose of organic material” by swimming in it or swallowing it.\u003c/p>\n\u003cp>This can, Kudela said, cause allergic reactions, the skin irritation known as “swimmer’s itch” and also nasty sinus infections if you inhale this matter into your nose. “If the water looks kind of nasty, you don’t want to be touching it,” he said. “You don’t want to be playing in it.”\u003c/p>\n\u003cp>David Senn, senior scientist at the San Francisco Estuary Institute, echoed this advice to KQED in 2023: Even if an algal bloom in your area hasn’t been proven harmful to humans or pets, “it makes sense to avoid discolored water in general,” he said.\u003c/p>\n\u003ch2>How do I know if a body of water is safe to swim in generally?\u003c/h2>\n\u003cp>If you’re headed to your local lake, river or stream this summer, the California Water Quality Monitoring Council recommends you do the following:\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400;\">Look for posted advisories in the form of signs by the water and read them carefully\u003c/li>\n\u003cli style=\"font-weight: 400;\">Watch for all algae and scum in the water and on the shore, and avoid it\u003c/li>\n\u003cli style=\"font-weight: 400;\">Keep an eye on children and pets, who won’t necessarily understand the dangers, and make sure they don’t go into the water or put any algae in their mouths\u003c/li>\n\u003cli style=\"font-weight: 400;\">Don’t drink the water or use it for cooking\u003c/li>\n\u003cli style=\"font-weight: 400;\">Rinse yourself, your family and your pets well with clean water after playing in any body of water generally.\u003c/li>\n\u003c/ul>\n\u003cp>For fishing, the water boards recommend throwing away the guts of any fish you catch and cleaning the fillets with tap or bottled water before cooking them. You should also avoid eating shellfish if you think a harmful algal bloom is present.\u003c/p>\n\u003cp>\u003ca href=\"https://mywaterquality.ca.gov/habs/do/\">Read more safety tips for protecting yourself against potentially harmful algal blooms.\u003c/a>\u003c/p>\n\u003ch2>Why do heat waves mean I’m more likely to encounter an algal bloom?\u003c/h2>\n\u003cp>Algae just love warm water, Kudela said, and “they tend to grow faster when the temperature is warmer.”\u003c/p>\n\u003cp>In addition, higher temperatures don’t just heat the water — they calm it and prevent it from mixing. And since the algal blooms “don’t like a lot of mixing,” warm and stagnant water provides “perfect conditions to get one of these blooms going,” Kudela said — and “once they get going, it’ll continue until something disrupts it, or they run out of nutrients.”\u003c/p>\n\u003cp>The impact of climate change and increased warming is something that makes Kudela and his colleagues “very concerned,” he said. “We’re seeing this trend even over the last decade. We’re seeing more blooms, more intense blooms.”\u003c/p>\n\u003cp>“It’s hard to say that’s directly related to climate change,” Kudela acknowledged. “But climate is certainly one of the factors that’s influencing it.”\u003c/p>\n\u003ch2>\u003cb>What should I do if I spot an algal bloom?\u003c/b>\u003c/h2>\n\u003cp>First off, stay away and keep yourself, your children and your pets safe.\u003c/p>\n\u003cp>To report an algae bloom, you can reach SF Baykeeper’s pollution hotline by:\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400;\">Calling 1-800-KEEP-Bay.\u003c/li>\n\u003cli style=\"font-weight: 400;\">Emailing hotline@baykeeper.org.\u003c/li>\n\u003cli style=\"font-weight: 400;\">\u003ca href=\"https://baykeeper.org/content/report-pollution\">Filling out a form online\u003c/a> to submit a confidential pollution tip.\u003c/li>\n\u003c/ul>\n\u003cp>Algal blooms can also be reported to the California State Water Resources Control Board’s Freshwater and Estuarine Harmful Algal Bloom Program. You can reach the agency hotline by:\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400;\">Calling 1-844-729-6466.\u003c/li>\n\u003cli style=\"font-weight: 400;\">Emailing CyanoHAB.Reports@waterboards.ca.gov.\u003c/li>\n\u003cli style=\"font-weight: 400;\">Filling out\u003ca href=\"https://mywaterquality.ca.gov/habs/do/bloomreport.html\"> a digital form to submit an algal bloom report\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>Be sure to include the time, date, location and a description of what you saw.\u003c/p>\n\u003ch2>Spotted a dead fish near an algal bloom?\u003c/h2>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>To report a dead fish in an area with a bloom present, you can\u003ca href=\"https://www.inaturalist.org/\"> download the app iNaturalist\u003c/a>. \u003ca href=\"https://oaklandside.org/2023/08/03/harmful-algae-bloom-red-tide-bay-area-lake-merritt-inaturalist-project-research/\">Read more about how to report dead fish using iNaturalist from The Oaklandside\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "uc-berkeley-study-finds-toxic-metals-in-popular-tampon-brands-heres-what-experts-advise",
"title": "UC Berkeley Study Finds Toxic Metals in Popular Tampon Brands. Here's What Experts Advise",
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"headTitle": "UC Berkeley Study Finds Toxic Metals in Popular Tampon Brands. Here’s What Experts Advise | KQED",
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"content": "\u003cp>Researchers have found toxic metals — including arsenic and lead — in over a dozen popular brands of tampons, raising questions about a menstrual hygiene product used by millions of Americans.\u003c/p>\n\u003cp>Their \u003ca href=\"https://publichealth.berkeley.edu/news-media/research-highlights/first-study-to-measure-toxic-metals-in-tampons-shows-arsenic-and-lead\">study\u003c/a>, \u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0160412024004355#s0050\">published last week\u003c/a> in the scientific journal \u003cem>Environment International\u003c/em>, adds to a growing body of research about chemicals found in tampons but is believed to be the first to specifically measure metals.\u003c/p>\n\u003cp>The \u003ca href=\"https://my.clevelandclinic.org/health/diseases/23424-heavy-metal-poisoning-toxicity\">negative health effects\u003c/a> of heavy metals are well-documented and wide-ranging, including damaging the cardiovascular, nervous and endocrine systems; damaging the liver, kidneys and brain; increasing the risk of dementia and cancer and harming maternal health and fetal development.\u003c/p>\n\u003cp>“Despite this large potential for public health concern, very little research has been done to measure chemicals in tampons,” lead author Jenni Shearston, a postdoctoral scholar at the UC Berkeley School of Public Health, \u003ca href=\"https://publichealth.berkeley.edu/news-media/research-highlights/first-study-to-measure-toxic-metals-in-tampons-shows-arsenic-and-lead\">said in a statement\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Shearston led a team of scientists from Columbia University and Michigan State University in examining 30 tampons from across 14 brands and 18 product lines, which they did not name in the study.\u003c/p>\n\u003cp>The sampling includes products of various absorbencies, listed as “top sellers” by a major online retailer and purchased both online and at stores in New York City, London and Athens between September 2022 and March 2023.\u003c/p>\n\u003cp>Researchers detected “measurable concentrations” of all 16 metals they were looking for in the tampons, as well as “elevated mean concentrations” of toxic metals including lead, arsenic and cadmium.\u003c/p>\n\u003cp>The study says there are several ways metals could get into tampons. Raw materials like cotton and rayon could be contaminated by water, air or soil during production, while metals may in some cases be added intentionally in the manufacturing process either for odor control, pigment or as an antibacterial agent.\u003c/p>\n\u003cp>The exact amount of metals varied among the tampons, based on which region they were purchased from, whether they were made of organic or non-organic material and on store- versus name-brands, according to the study.\u003c/p>\n\u003cp>“Lead concentrations were higher in non-organic tampons while arsenic was higher in organic tampons,” it added. “No category had consistently lower concentrations of all or most metals.”\u003c/p>\n\u003cp>Researchers say the study marks an important first step in confirming the presence of toxic metals in tampons, which are used by an estimated 52% to 86% of menstruating people in the U.S.\u003c/p>\n\u003cp>But it doesn’t give them enough information to definitively link the metals to negative health effects.\u003c/p>\n\u003cp>They say more studies are needed to determine to what extent such metals might “leach out of tampons” and into peoples’ bodies. They’re calling not only for more research, but also for stronger regulations.\u003c/p>\n\u003cp>“I really hope that manufacturers are required to test their products for metals, especially for toxic metals,” Shearston said. “It would be exciting to see the public call for this, or to ask for better labeling on tampons and other menstrual products.”\u003c/p>\n\u003cp>In the U.S., the Food and Drug Administration (FDA) classifies tampons as medical devices and regulates their safety. However, there is no requirement to test tampons for chemical contaminants, and the FDA only recommends that tampons not contain pesticide residue or dioxin.\u003c/p>\n\u003cp>FDA spokesperson Amanda Hils told NPR that “all studies have limitations,” pointing to the outstanding questions about whether metals are released from tampons and into the bloodstream. Nevertheless, she said the agency is reviewing the research.\u003c/p>\n\u003cp>“We plan to evaluate the study closely, and take any action warranted to safeguard the health of consumers who use these products,” Hils added.\u003c/p>\n\u003cp>NPR has reached out to the industry Center for Baby and Adult Hygiene Products (BAHP) and its U.K. counterpart, the Absorbent Hygiene Product Manufacturers Association, for comment.\u003c/p>\n\u003cp>The BAHP defended the safety of its member companies’ menstrual products in a \u003ca href=\"https://www.bahp.com/bahp-statement-on-the-safety-of-menstrual-products/\">2022 statement\u003c/a>, acknowledging news coverage on the presence of chemicals and saying “if present, these are not intentionally added by the manufacturers.”\u003c/p>\n\u003cp>“Some of these impurities are present in the environment or naturally present at much higher levels in common fruits and vegetables or even made by the human body,” it said, adding that its members use “rigorous criteria for quality and hygiene.”\u003c/p>\n\u003ch2>The bigger question: How harmful are these metals?\u003c/h2>\n\u003cp>Several experts told NPR that they were not surprised by the researchers’ findings, since other studies over the years have detected potentially harmful \u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0160412020303494\">chemicals in tampons\u003c/a> and other menstrual products, \u003ca href=\"https://www.npr.org/2023/01/19/1150023002/thinx-period-underwear-lawsuit-settlement\">including period underwear\u003c/a>.\u003c/p>\n\u003cp>Catherine Roberts, a health and science journalist at \u003cem>Consumer Reports\u003c/em> who has written about tampons, says it’s more surprising that the question wasn’t investigated sooner.\u003c/p>\n\u003cp>“It’s in the most sensitive part of people’s bodies. It’s so close to us,” she says. “We use so many [tampons] over a lifetime. It’s just wild to me that this is so both so little researched and so little regulated.”\u003c/p>\n\u003cp>People who menstruate may use more than 7,400 tampons over the course of their reproductive years, the study authors calculated, with each tampon staying in the vagina for several hours at a time.\u003c/p>\n\u003cp>Dr. Nathaniel DeNicola, an OB-GYN who served as the environmental health expert for the American College of Obstetricians and Gynecologists, says the more pressing question is not whether there are chemicals in tampons, but “when does it convert to a dangerous amount?”\u003c/p>\n\u003cp>Some of the metals found in the tampons — including copper, calcium, iron and zinc — are not only considered safe, but recommended for patients by many doctors, he notes. They would not be damaging in low amounts, but a cumulative amount could have a lasting effect on a person’s endocrine functions.\u003c/p>\n\u003cp>Trace amounts of arsenic, for example, are sometimes found in food and not considered to be toxic, but high amounts could be fatal. In contrast, as the study notes, “there is no safe exposure level” to lead.\u003c/p>\n\u003cp>It’s not clear from the study whether people are getting harmful amounts of each metal from tampons, DeNicola says.\u003c/p>\n\u003cp>“When you start to look at the kind of chemicals that are found in our human system, the reality is that in modern life, we’re kind of swimming in them,” he adds. “And it’s not to say that it’s nothing we should worry about. I mean, I don’t think most people hear that and think, ‘Oh, good, I’ve got more plastic in me.’ But we do have to recognize that small amounts of these chemicals are ubiquitous.”\u003c/p>\n\u003ch2>What to do if you’re worried\u003c/h2>\n\u003cp>To Roberts, one of the main takeaways from the study is that the “organic label was clearly not a guarantee that these products would not have heavy metals.” So what are concerned shoppers supposed to do?\u003c/p>\n\u003cp>Ideally, she says, regulators would mandate heavy-metal testing for tampons to take some of the pressure off consumers.\u003c/p>\n\u003cp>Until then, she says, there are some measures that tampon users can take to try to reduce their exposure to chemicals in general.\u003c/p>\n\u003cp>Those include choosing products that don’t contain plastic (including polyester and polypropylene) and avoiding those with fragrances and colorants.\u003c/p>\n\u003cp>“Something that people who look at this tend to say is that you want to look for period product labels that have fewer and simpler ingredients,” Roberts adds.\u003c/p>\n\u003cp>DeNicola recommends relying on a combination of “third-party testing and some personal due diligence.” He says there are apps shoppers can use to scan product barcodes and see what chemicals they contain, which could be useful for personal care and feminine hygiene products.\u003c/p>\n\u003cp>In some cases, people might want to consider alternatives to tampons, such as pads or menstrual cups. The reusable cups have \u003ca href=\"https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/menstrual-cups-vs-tampons-things-you-might-not-know-about-the-cup\">become increasingly popular\u003c/a> in recent years, especially given their lower environmental impact compared to tampons.\u003c/p>\n\u003cp>Some of the downsides of tampons were evident well before this study.\u003c/p>\n\u003cp>DeNicola notes that plastic from tampons is one of the \u003ca href=\"https://www.nationalgeographic.com/environment/article/how-tampons-pads-became-unsustainable-story-of-plastic\">biggest sources of waste\u003c/a> worldwide (and that some brands are more eco-friendly than others). Roberts points out that even if they didn’t contain chemicals, tampons would still pose a risk of toxic shock syndrome, a rare but potentially life-threatening illness (wearers can \u003ca href=\"https://my.clevelandclinic.org/health/diseases/15437-toxic-shock-syndrome\">reduce their risk\u003c/a> by changing their tampons frequently).\u003c/p>\n\u003cp>But DeNicola stresses that this study doesn’t have him running to tell his patients not to use tampons at all.\u003c/p>\n\u003cp>“I don’t think we’ve established that risk yet,” he says. “I think it’s more of a reality check for the consumers and the public at large, that most products that you’re using do not go through rigorous testing for safety, and most products do have chemicals in there somewhere.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Researchers have found toxic metals — including arsenic and lead — in over a dozen popular brands of tampons, raising questions about a menstrual hygiene product used by millions of Americans.\u003c/p>\n\u003cp>Their \u003ca href=\"https://publichealth.berkeley.edu/news-media/research-highlights/first-study-to-measure-toxic-metals-in-tampons-shows-arsenic-and-lead\">study\u003c/a>, \u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0160412024004355#s0050\">published last week\u003c/a> in the scientific journal \u003cem>Environment International\u003c/em>, adds to a growing body of research about chemicals found in tampons but is believed to be the first to specifically measure metals.\u003c/p>\n\u003cp>The \u003ca href=\"https://my.clevelandclinic.org/health/diseases/23424-heavy-metal-poisoning-toxicity\">negative health effects\u003c/a> of heavy metals are well-documented and wide-ranging, including damaging the cardiovascular, nervous and endocrine systems; damaging the liver, kidneys and brain; increasing the risk of dementia and cancer and harming maternal health and fetal development.\u003c/p>\n\u003cp>“Despite this large potential for public health concern, very little research has been done to measure chemicals in tampons,” lead author Jenni Shearston, a postdoctoral scholar at the UC Berkeley School of Public Health, \u003ca href=\"https://publichealth.berkeley.edu/news-media/research-highlights/first-study-to-measure-toxic-metals-in-tampons-shows-arsenic-and-lead\">said in a statement\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Shearston led a team of scientists from Columbia University and Michigan State University in examining 30 tampons from across 14 brands and 18 product lines, which they did not name in the study.\u003c/p>\n\u003cp>The sampling includes products of various absorbencies, listed as “top sellers” by a major online retailer and purchased both online and at stores in New York City, London and Athens between September 2022 and March 2023.\u003c/p>\n\u003cp>Researchers detected “measurable concentrations” of all 16 metals they were looking for in the tampons, as well as “elevated mean concentrations” of toxic metals including lead, arsenic and cadmium.\u003c/p>\n\u003cp>The study says there are several ways metals could get into tampons. Raw materials like cotton and rayon could be contaminated by water, air or soil during production, while metals may in some cases be added intentionally in the manufacturing process either for odor control, pigment or as an antibacterial agent.\u003c/p>\n\u003cp>The exact amount of metals varied among the tampons, based on which region they were purchased from, whether they were made of organic or non-organic material and on store- versus name-brands, according to the study.\u003c/p>\n\u003cp>“Lead concentrations were higher in non-organic tampons while arsenic was higher in organic tampons,” it added. “No category had consistently lower concentrations of all or most metals.”\u003c/p>\n\u003cp>Researchers say the study marks an important first step in confirming the presence of toxic metals in tampons, which are used by an estimated 52% to 86% of menstruating people in the U.S.\u003c/p>\n\u003cp>But it doesn’t give them enough information to definitively link the metals to negative health effects.\u003c/p>\n\u003cp>They say more studies are needed to determine to what extent such metals might “leach out of tampons” and into peoples’ bodies. They’re calling not only for more research, but also for stronger regulations.\u003c/p>\n\u003cp>“I really hope that manufacturers are required to test their products for metals, especially for toxic metals,” Shearston said. “It would be exciting to see the public call for this, or to ask for better labeling on tampons and other menstrual products.”\u003c/p>\n\u003cp>In the U.S., the Food and Drug Administration (FDA) classifies tampons as medical devices and regulates their safety. However, there is no requirement to test tampons for chemical contaminants, and the FDA only recommends that tampons not contain pesticide residue or dioxin.\u003c/p>\n\u003cp>FDA spokesperson Amanda Hils told NPR that “all studies have limitations,” pointing to the outstanding questions about whether metals are released from tampons and into the bloodstream. Nevertheless, she said the agency is reviewing the research.\u003c/p>\n\u003cp>“We plan to evaluate the study closely, and take any action warranted to safeguard the health of consumers who use these products,” Hils added.\u003c/p>\n\u003cp>NPR has reached out to the industry Center for Baby and Adult Hygiene Products (BAHP) and its U.K. counterpart, the Absorbent Hygiene Product Manufacturers Association, for comment.\u003c/p>\n\u003cp>The BAHP defended the safety of its member companies’ menstrual products in a \u003ca href=\"https://www.bahp.com/bahp-statement-on-the-safety-of-menstrual-products/\">2022 statement\u003c/a>, acknowledging news coverage on the presence of chemicals and saying “if present, these are not intentionally added by the manufacturers.”\u003c/p>\n\u003cp>“Some of these impurities are present in the environment or naturally present at much higher levels in common fruits and vegetables or even made by the human body,” it said, adding that its members use “rigorous criteria for quality and hygiene.”\u003c/p>\n\u003ch2>The bigger question: How harmful are these metals?\u003c/h2>\n\u003cp>Several experts told NPR that they were not surprised by the researchers’ findings, since other studies over the years have detected potentially harmful \u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0160412020303494\">chemicals in tampons\u003c/a> and other menstrual products, \u003ca href=\"https://www.npr.org/2023/01/19/1150023002/thinx-period-underwear-lawsuit-settlement\">including period underwear\u003c/a>.\u003c/p>\n\u003cp>Catherine Roberts, a health and science journalist at \u003cem>Consumer Reports\u003c/em> who has written about tampons, says it’s more surprising that the question wasn’t investigated sooner.\u003c/p>\n\u003cp>“It’s in the most sensitive part of people’s bodies. It’s so close to us,” she says. “We use so many [tampons] over a lifetime. It’s just wild to me that this is so both so little researched and so little regulated.”\u003c/p>\n\u003cp>People who menstruate may use more than 7,400 tampons over the course of their reproductive years, the study authors calculated, with each tampon staying in the vagina for several hours at a time.\u003c/p>\n\u003cp>Dr. Nathaniel DeNicola, an OB-GYN who served as the environmental health expert for the American College of Obstetricians and Gynecologists, says the more pressing question is not whether there are chemicals in tampons, but “when does it convert to a dangerous amount?”\u003c/p>\n\u003cp>Some of the metals found in the tampons — including copper, calcium, iron and zinc — are not only considered safe, but recommended for patients by many doctors, he notes. They would not be damaging in low amounts, but a cumulative amount could have a lasting effect on a person’s endocrine functions.\u003c/p>\n\u003cp>Trace amounts of arsenic, for example, are sometimes found in food and not considered to be toxic, but high amounts could be fatal. In contrast, as the study notes, “there is no safe exposure level” to lead.\u003c/p>\n\u003cp>It’s not clear from the study whether people are getting harmful amounts of each metal from tampons, DeNicola says.\u003c/p>\n\u003cp>“When you start to look at the kind of chemicals that are found in our human system, the reality is that in modern life, we’re kind of swimming in them,” he adds. “And it’s not to say that it’s nothing we should worry about. I mean, I don’t think most people hear that and think, ‘Oh, good, I’ve got more plastic in me.’ But we do have to recognize that small amounts of these chemicals are ubiquitous.”\u003c/p>\n\u003ch2>What to do if you’re worried\u003c/h2>\n\u003cp>To Roberts, one of the main takeaways from the study is that the “organic label was clearly not a guarantee that these products would not have heavy metals.” So what are concerned shoppers supposed to do?\u003c/p>\n\u003cp>Ideally, she says, regulators would mandate heavy-metal testing for tampons to take some of the pressure off consumers.\u003c/p>\n\u003cp>Until then, she says, there are some measures that tampon users can take to try to reduce their exposure to chemicals in general.\u003c/p>\n\u003cp>Those include choosing products that don’t contain plastic (including polyester and polypropylene) and avoiding those with fragrances and colorants.\u003c/p>\n\u003cp>“Something that people who look at this tend to say is that you want to look for period product labels that have fewer and simpler ingredients,” Roberts adds.\u003c/p>\n\u003cp>DeNicola recommends relying on a combination of “third-party testing and some personal due diligence.” He says there are apps shoppers can use to scan product barcodes and see what chemicals they contain, which could be useful for personal care and feminine hygiene products.\u003c/p>\n\u003cp>In some cases, people might want to consider alternatives to tampons, such as pads or menstrual cups. The reusable cups have \u003ca href=\"https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/menstrual-cups-vs-tampons-things-you-might-not-know-about-the-cup\">become increasingly popular\u003c/a> in recent years, especially given their lower environmental impact compared to tampons.\u003c/p>\n\u003cp>Some of the downsides of tampons were evident well before this study.\u003c/p>\n\u003cp>DeNicola notes that plastic from tampons is one of the \u003ca href=\"https://www.nationalgeographic.com/environment/article/how-tampons-pads-became-unsustainable-story-of-plastic\">biggest sources of waste\u003c/a> worldwide (and that some brands are more eco-friendly than others). Roberts points out that even if they didn’t contain chemicals, tampons would still pose a risk of toxic shock syndrome, a rare but potentially life-threatening illness (wearers can \u003ca href=\"https://my.clevelandclinic.org/health/diseases/15437-toxic-shock-syndrome\">reduce their risk\u003c/a> by changing their tampons frequently).\u003c/p>\n\u003cp>But DeNicola stresses that this study doesn’t have him running to tell his patients not to use tampons at all.\u003c/p>\n\u003cp>“I don’t think we’ve established that risk yet,” he says. “I think it’s more of a reality check for the consumers and the public at large, that most products that you’re using do not go through rigorous testing for safety, and most products do have chemicals in there somewhere.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Dry lightning is in the California forecast this weekend, especially for the \u003ca href=\"https://www.kqed.org/news/tag/sierra-nevada\">Sierra Nevada\u003c/a>, elevating the risk of fires touching off that could quickly become a bigger conflagration.\u003c/p>\n\u003cp>The National Weather Service in Sacramento forecasts a 15%–35% chance of thunderstorms over the Sierra on Saturday afternoon and evening and a 10%–30% chance on Sunday.\u003c/p>\n\u003cp>The thunderstorms could come at a bad time, just as a long-running heat wave that baked the state finally eases and vegetation is totally dried out.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>People out in the mountains this weekend should be careful, the weather service warned.\u003c/p>\n\u003cp>“Any storms that develop could be capable of gusty winds and possible fire starts from lightning strikes,” their latest \u003ca href=\"https://www.weather.gov/wrh/TextProduct?product=afdsto\">forecast discussion\u003c/a> said.\u003c/p>\n\u003cp>https://twitter.com/Weather_West/status/1811801058231886181\u003c/p>\n\u003cp>Dead brush on the ground across Northern California is critically flammable after two weeks of record-shattering heat, with temperatures tacking far north of 110 degrees in many cities from Redding to Palm Springs and beyond.\u003c/p>\n\u003cp>The \u003ca href=\"https://fsapps.nwcg.gov/psp/npsg/forecast/#/outlooks?forecastDay=2015-07-07&forecastInView=2015-07-07&state=sideBySide&gaccId=4\">latest National Interagency Fire Center\u003c/a> forecast notes “high confidence in isolated to widely scattered, mostly dry T-storms” moving north across the Sierra to the north and far east side on Saturday and Sunday.\u003c/p>\n\u003cp>They also note a chance of “isolated dry lightning” over the East Bay and Santa Cruz Mountains.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dry lightning is in the California forecast this weekend, especially for the \u003ca href=\"https://www.kqed.org/news/tag/sierra-nevada\">Sierra Nevada\u003c/a>, elevating the risk of fires touching off that could quickly become a bigger conflagration.\u003c/p>\n\u003cp>The National Weather Service in Sacramento forecasts a 15%–35% chance of thunderstorms over the Sierra on Saturday afternoon and evening and a 10%–30% chance on Sunday.\u003c/p>\n\u003cp>The thunderstorms could come at a bad time, just as a long-running heat wave that baked the state finally eases and vegetation is totally dried out.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Dead brush on the ground across Northern California is critically flammable after two weeks of record-shattering heat, with temperatures tacking far north of 110 degrees in many cities from Redding to Palm Springs and beyond.\u003c/p>\n\u003cp>The \u003ca href=\"https://fsapps.nwcg.gov/psp/npsg/forecast/#/outlooks?forecastDay=2015-07-07&forecastInView=2015-07-07&state=sideBySide&gaccId=4\">latest National Interagency Fire Center\u003c/a> forecast notes “high confidence in isolated to widely scattered, mostly dry T-storms” moving north across the Sierra to the north and far east side on Saturday and Sunday.\u003c/p>\n\u003cp>They also note a chance of “isolated dry lightning” over the East Bay and Santa Cruz Mountains.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>After two relatively mild fire seasons, 2024 looks poised to reverse that trend.\u003c/p>\n\u003cp>As of early July, Cal Fire has responded to more than 3,500 wildland fires that have burned more than 207,000 acres. That’s a similar number of fires but 197,000 more acres than at this time in 2023.\u003c/p>\n\u003cp>Punishingly hot and dry conditions around the state have dried out grasses and brush, \u003ca href=\"https://www.kqed.org/news/11993386/california-heat-turned-brush-into-prime-fuel-for-fires-forests-will-be-next\">laying the conditions for fast-moving intense wildfires\u003c/a>.\u003c/p>\n\u003cp>“We are fully fuel loaded at this point,” said Brian Garcia, the National Weather Service’s warning coordination meteorologist, on \u003ca href=\"https://www.kqed.org/forum/2010101906134/hot-summer-promises-more-blazes-this-wildfire-season\" target=\"_blank\" rel=\"noopener\">KQED’s Forum\u003c/a> recently. He’s most concerned about the fall, when the Bay Area typically has its largest fires.\u003c/p>\n\u003cp>That’s when “[the weather] turns into the low humidity offshore wind, the gusty offshore wind regime that brought us fires like the Nuns, the Tubbs, the Kincade, the Camp,” said Garcia, citing some of the most destructive fires in California history, and in the history of the nation. “We need to be prepared now.”\u003c/p>\n\u003cp>[aside postID=news_11993386]Cal Fire Battalion Chief of Communications Issac Sanchez said Californians shouldn’t wait. “Preparation steps need to be done now. That way, when a fire breaks out — not \u003cem>if\u003c/em> a fire breaks out in your community, but \u003cem>when\u003c/em> a fire breaks out in your community — you’re ready to react at a moment’s notice.”\u003c/p>\n\u003cp>“The public needs to maintain a constant state of readiness,” he said.\u003c/p>\n\u003cp>Cal Fire has launched some new tools to help residents get organized. Its \u003ca href=\"https://plan.readyforwildfire.org/en\">fire\u003cem>PLANNER\u003c/em>\u003c/a> application hosts to-do checklists tailored to the user’s circumstances to prioritize safety steps. It also offers text alerts and information to track wildfires.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=kKuwfnOXHO4&t=30s\u003c/p>\n\u003cp>In any disaster, there aren’t enough emergency personnel to help everyone. So first responders depend on the majority of people being ready and able to take care of themselves and help their neighbors.\u003c/p>\n\u003cp>One of the top things to do, said Sanchez, is a \u003ca href=\"https://www.fire.ca.gov/DSpace\" target=\"_blank\" rel=\"noopener noreferrer\">self-assessment\u003c/a> of the trees, brush and other vegetation on and around your property. Learn the steps to protect your home from wildfire and start clearing brush and doing other key tasks now.\u003c/p>\n\u003cp>Cal Fire’s \u003ca href=\"https://www.readyforwildfire.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Ready for Wildfire\u003c/a> website and app breaks down steps everyone can take to get prepared. Sanchez also advised people to \u003ca href=\"http://calalerts.org/signup.html\" target=\"_blank\" rel=\"noopener noreferrer\">register for emergency alerts\u003c/a> and evacuation warnings from their county’s emergency services agencies.\u003c/p>\n\u003cp>Preparing for a wildfire or other disaster can feel daunting. So the\u003ca href=\"https://www.listoscalifornia.org/\" target=\"_blank\" rel=\"noopener noreferrer\"> Listos California \u003c/a>Emergency Preparedness Campaign provides a five-step readiness plan that sends you reminders \u003ca href=\"https://listos.arist.co/courses/5f0898b34456264206dbc956\" target=\"_blank\" rel=\"noopener noreferrer\">via text\u003c/a>.\u003c/p>\n\u003cp>Here are some guidelines to help get you ready.\u003c/p>\n\u003ch2>Prepare the outside of your home\u003c/h2>\n\u003cp>If you live in a fire-prone area, sometimes called the “wildland-urban interface,” clearing brush and tree limbs close to your home is an important way to slow the spread of fires, increasing the chance of your home’s survival. This area of cleared and low vegetation is called “defensible space,” and you can think of it as a buffer zone, free of anything likely to catch fire.\u003cbr>\nhttps://www.youtube.com/watch?v=uawt5fTLU6Q&feature=youtu.be\u003c/p>\n\u003cp>Cal Fire asks homeowners to think about two zones of defensible space. The first extends 30 feet from homes, outbuildings and decks:\u003c/p>\n\u003cul>\n\u003cli>Remove overhanging and dead branches. All branches should be a minimum of 10 feet away from your chimney and other trees.\u003c/li>\n\u003cli>All dead vegetation should be removed.\u003c/li>\n\u003cli>Clear dry leaves and pine needles from the yard, roof and rain gutters.\u003c/li>\n\u003cli>Move wood piles to Zone 2.\u003c/li>\n\u003c/ul>\n\u003cp>Zone 2 extends from the end of Zone 1 to 100 feet out from your home, structures and deck:\u003c/p>\n\u003cul>\n\u003cli class=\"p1\">Here, mow annual grasses down to 4 inches or less, and create horizontal and vertical spaces between vegetation.\u003c/li>\n\u003cli class=\"p1\">Don’t let fallen leaves, needles, twigs, bark, cones and small branches accumulate more than 3 inches high.\u003c/li>\n\u003c/ul>\n\u003cp>Find detailed instructions at \u003ca href=\"https://www.readyforwildfire.org/prepare-for-wildfire/get-ready/defensible-space/\" target=\"_blank\" rel=\"noopener noreferrer\">Readyforwildfire.org\u003c/a>.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-1965579\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/06/def_space_zones-800x555.png\" alt=\"\" width=\"800\" height=\"555\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/06/def_space_zones-800x555.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/06/def_space_zones-160x111.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/06/def_space_zones-768x533.png 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/06/def_space_zones.png 820w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>One thing people don’t think about a lot is to make sure their home address is clearly visible. You should make sure it is. That way, if you call for emergency help, responders can find you.\u003c/p>\n\u003ch2>‘Harden’ your home against wildfire\u003c/h2>\n\u003cp>Many homes that burn in a wildfire are never in the path of flames, but ignite from flying embers and firebrands that can accumulate in eaves or drift into vents. Hardening homes against fire can be as inexpensive as installing screens over vents and as pricey as installing new windows, roofing or siding.\u003c/p>\n\u003cp>Find detailed information \u003ca href=\"https://www.readyforwildfire.org/prepare-for-wildfire/get-ready/hardening-your-home/\" target=\"_blank\" rel=\"noopener noreferrer\">here\u003c/a>, including a low-cost \u003ca href=\"https://readyforwildfire.org/wp-content/uploads/2024/05/Low-Cost-Retrofit-List-Updated-5_1_2024.pdf\">retrofit list (PDF)\u003c/a>.\u003c/p>\n\u003ch2>Have a go bag ready\u003c/h2>\n\u003cp>[aside postID=news_11833686]There are three reasons people tend to put off preparing for a disaster, says Karen Baker, co-chair of Listos California. “They either find it scary, expensive, and/or time-consuming,” she said.\u003c/p>\n\u003cp>Listos tries to overcome those qualms with a simple readiness guide, available in \u003ca href=\"https://www.elsolnec.org/wp-content/uploads/2020/08/ENG-Disaster-Ready-Guide.pdf\">English (PDF)\u003c/a> and \u003ca href=\"https://www.listoscalifornia.org/wp-content/uploads/2020/07/508_LIS_DRG_19pp_1_03_ES_50520.pdf\">Spanish (PDF)\u003c/a>. Sign up for readiness text prompts \u003ca href=\"https://www.listoscalifornia.org/online-course/en/\">here\u003c/a>.\u003c/p>\n\u003cp>The organization recommends packing up some items in advance so you can get out of the house quickly if you need to. If cost is a concern, you can assemble the kits over time. Recommended items to pack beforehand:\u003c/p>\n\u003cul>\n\u003cli>Documents: copies of insurance, identification, and other important papers and photos.\u003c/li>\n\u003cli>Cash: $1 and $5 bills are best.\u003c/li>\n\u003cli>Map: with different routes out of your neighborhood marked.\u003c/li>\n\u003cli>Medications list: Include all prescriptions and other important medical information.\u003c/li>\n\u003cli>Portable radio.\u003c/li>\n\u003cli>Flashlight.\u003c/li>\n\u003c/ul>\n\u003cp>To grab on your way out the door:\u003c/p>\n\u003cul>\n\u003cli>Wallet, purse, keys.\u003c/li>\n\u003cli>Phone and charger.\u003c/li>\n\u003cli>Medicine.\u003c/li>\n\u003cli>Portable computer.\u003c/li>\n\u003cli>First-aid supplies, N95 masks, hand sanitizer, wipes.\u003c/li>\n\u003cli>Change of clothes.\u003c/li>\n\u003cli>Anything else needed by people or animals in your household.\u003c/li>\n\u003c/ul>\n\u003cp>Create a plan for your household in the event of a wildfire emergency. (See Cal Fire’s wildfire \u003ca href=\"https://www.readyforwildfire.org/prepare-for-wildfire/get-set/wildfire-action-plan/\" target=\"_blank\" rel=\"noopener noreferrer\">action plan checklist\u003c/a>.) And be sure you’re signed up to receive emergency alerts for your area. You can \u003ca href=\"http://calalerts.org/signup.html\" target=\"_blank\" rel=\"noopener noreferrer\">sign up here\u003c/a>.\u003c/p>\n\u003cp>Cal Fire also recommends mapping out your household’s fire escape route and running your own \u003ca href=\"https://readyforwildfire.org/prepare-for-wildfire/prepare-your-family/\">fire drills (PDF)\u003c/a>.\u003c/p>\n\u003ch2>Expect Smoky Days\u003c/h2>\n\u003cp>[aside postID='science_1926793']With wildfire comes smoke.\u003c/p>\n\u003cp>You can get smoke advisories, forecasts and current fire conditions through the federal government’s \u003ca href=\"https://www.airnow.gov/\">AirNow website\u003c/a>.\u003c/p>\n\u003cp>How to protect yourself from wildfire smoke:\u003c/p>\n\u003cul>\n\u003cli class=\"p3\">Keep windows and doors closed.\u003c/li>\n\u003cli class=\"p3\">Use fans, air conditioners, ice packs or a \u003ca href=\"https://www.kqed.org/news/11836824/how-to-cope-with-the-california-heat-wave#tips\" target=\"_blank\" rel=\"noopener noreferrer\">frozen bandana\u003c/a> to stay cool.\u003c/li>\n\u003cli class=\"p3\">Know how the ventilation system in your home works and close the outdoor air damper, if there is one.\u003c/li>\n\u003cli class=\"p3\">Avoid making indoor air pollution any worse by smoking cigarettes, spraying aerosols, frying food or burning candles or incense.\u003c/li>\n\u003cli class=\"p3\">Buy an air cleaner (also called an air purifier) that doesn’t produce ozone and has a HEPA filter. Designate a “clean-air room” in your home for smoky days. (The Environmental Protection Agency has a \u003ca href=\"https://www.epa.gov/sites/production/files/2018-07/documents/guide_to_air_cleaners_in_the_home_2nd_edition.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">guide (PDF)\u003c/a> for air cleaners in the home).\u003c/li>\n\u003cli>If air purifiers are too costly, here’s a less expensive \u003ca href=\"https://www.kqed.org/science/1968863/helping-kids-protect-themselves-from-dirty-air-one-diy-filter-at-a-time\" target=\"_blank\" rel=\"noopener noreferrer\">DIY option\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>Air purifiers can range from $100 on up and can be hard to obtain during bad fires, so think about buying one in advance of fire season. In California, few resources exist to help people with low income afford these devices; one asthma intervention program in Fresno does provide enrollees with air cleaners for a year. In years past, some counties have set up “clean air shelters” during smoky days.\u003c/p>\n\u003ch2>People power\u003c/h2>\n\u003cp>One theme running through the advice of fire and emergency officials: Your social network is one of your most important safety tools.\u003c/p>\n\u003cp>“Really, when it comes down to a ‘no-notice’ event, like a fast-running wildland fire through your neighborhood, it really is neighbor helping neighbor,“ said Santa Rosa Fire Chief Gossner.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>Emergency Resource Websites\u003c/h3>\n\u003cp>\u003ca href=\"http://211CA.org\">211CA.org\u003c/a>\u003cbr>\nDial 211 for evacuation routes, shelters.\u003c/p>\n\u003cp>\u003ca href=\"http://CalAlerts.org\">CalAlerts.org\u003c/a>\u003cbr>\nSign up to get your county’s alerts.\u003c/p>\n\u003cp>\u003ca href=\"http://Earthquake.ca.gov\">Earthquake.ca.gov\u003c/a>\u003cbr>\nGet MyShake earthquake warning app.\u003c/p>\n\u003cp>\u003ca href=\"http://Response.ca.gov\">Response.ca.gov\u003c/a>\u003cbr>\nReal-time wildfire and shelter news.\u003c/p>\n\u003cp>\u003ca href=\"http://Ready.gov\">Ready.gov\u003c/a>\u003cbr>\nResources to prepare for any disaster.\u003c/p>\n\u003c/aside>\n\u003cp>That means it’s time to think about who in your neighborhood might need help getting ready for fire season. Maybe they’re elderly and could use some help trimming vegetation. During an evacuation order, who will you check on and who will check on you? Write down their names and contact information, pack the list in your go bag, and share it with others for backup. At least one person on your list should live outside your area to ensure you’re not relying on someone who also might be affected by the fire.\u003c/p>\n\u003cp>Even if this feels overwhelming or scary, the time to do it is \u003cem>now\u003c/em>. Every step you can take toward preparedness makes you, your family, and your community a little bit safer.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>A version of this story originally published on June 8, 2020.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "California's extended heat wave means some forests are primed to burn. Protect yourself, your family and your neighborhood by preparing now for wildfire.",
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"title": "Wildfire Season Just Got Worse. Here's How to Prepare Your Home | KQED",
"description": "California's extended heat wave means some forests are primed to burn. Protect yourself, your family and your neighborhood by preparing now for wildfire.",
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"headline": "Wildfire Season Just Got Worse. Here's How to Prepare Your Home",
"datePublished": "2024-07-11T04:00:55-07:00",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>After two relatively mild fire seasons, 2024 looks poised to reverse that trend.\u003c/p>\n\u003cp>As of early July, Cal Fire has responded to more than 3,500 wildland fires that have burned more than 207,000 acres. That’s a similar number of fires but 197,000 more acres than at this time in 2023.\u003c/p>\n\u003cp>Punishingly hot and dry conditions around the state have dried out grasses and brush, \u003ca href=\"https://www.kqed.org/news/11993386/california-heat-turned-brush-into-prime-fuel-for-fires-forests-will-be-next\">laying the conditions for fast-moving intense wildfires\u003c/a>.\u003c/p>\n\u003cp>“We are fully fuel loaded at this point,” said Brian Garcia, the National Weather Service’s warning coordination meteorologist, on \u003ca href=\"https://www.kqed.org/forum/2010101906134/hot-summer-promises-more-blazes-this-wildfire-season\" target=\"_blank\" rel=\"noopener\">KQED’s Forum\u003c/a> recently. He’s most concerned about the fall, when the Bay Area typically has its largest fires.\u003c/p>\n\u003cp>That’s when “[the weather] turns into the low humidity offshore wind, the gusty offshore wind regime that brought us fires like the Nuns, the Tubbs, the Kincade, the Camp,” said Garcia, citing some of the most destructive fires in California history, and in the history of the nation. “We need to be prepared now.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Cal Fire Battalion Chief of Communications Issac Sanchez said Californians shouldn’t wait. “Preparation steps need to be done now. That way, when a fire breaks out — not \u003cem>if\u003c/em> a fire breaks out in your community, but \u003cem>when\u003c/em> a fire breaks out in your community — you’re ready to react at a moment’s notice.”\u003c/p>\n\u003cp>“The public needs to maintain a constant state of readiness,” he said.\u003c/p>\n\u003cp>Cal Fire has launched some new tools to help residents get organized. Its \u003ca href=\"https://plan.readyforwildfire.org/en\">fire\u003cem>PLANNER\u003c/em>\u003c/a> application hosts to-do checklists tailored to the user’s circumstances to prioritize safety steps. It also offers text alerts and information to track wildfires.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/kKuwfnOXHO4'\n title='//www.youtube.com/embed/kKuwfnOXHO4'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>In any disaster, there aren’t enough emergency personnel to help everyone. So first responders depend on the majority of people being ready and able to take care of themselves and help their neighbors.\u003c/p>\n\u003cp>One of the top things to do, said Sanchez, is a \u003ca href=\"https://www.fire.ca.gov/DSpace\" target=\"_blank\" rel=\"noopener noreferrer\">self-assessment\u003c/a> of the trees, brush and other vegetation on and around your property. Learn the steps to protect your home from wildfire and start clearing brush and doing other key tasks now.\u003c/p>\n\u003cp>Cal Fire’s \u003ca href=\"https://www.readyforwildfire.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Ready for Wildfire\u003c/a> website and app breaks down steps everyone can take to get prepared. Sanchez also advised people to \u003ca href=\"http://calalerts.org/signup.html\" target=\"_blank\" rel=\"noopener noreferrer\">register for emergency alerts\u003c/a> and evacuation warnings from their county’s emergency services agencies.\u003c/p>\n\u003cp>Preparing for a wildfire or other disaster can feel daunting. So the\u003ca href=\"https://www.listoscalifornia.org/\" target=\"_blank\" rel=\"noopener noreferrer\"> Listos California \u003c/a>Emergency Preparedness Campaign provides a five-step readiness plan that sends you reminders \u003ca href=\"https://listos.arist.co/courses/5f0898b34456264206dbc956\" target=\"_blank\" rel=\"noopener noreferrer\">via text\u003c/a>.\u003c/p>\n\u003cp>Here are some guidelines to help get you ready.\u003c/p>\n\u003ch2>Prepare the outside of your home\u003c/h2>\n\u003cp>If you live in a fire-prone area, sometimes called the “wildland-urban interface,” clearing brush and tree limbs close to your home is an important way to slow the spread of fires, increasing the chance of your home’s survival. This area of cleared and low vegetation is called “defensible space,” and you can think of it as a buffer zone, free of anything likely to catch fire.\u003cbr>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/uawt5fTLU6Q'\n title='//www.youtube.com/embed/uawt5fTLU6Q'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>Cal Fire asks homeowners to think about two zones of defensible space. The first extends 30 feet from homes, outbuildings and decks:\u003c/p>\n\u003cul>\n\u003cli>Remove overhanging and dead branches. All branches should be a minimum of 10 feet away from your chimney and other trees.\u003c/li>\n\u003cli>All dead vegetation should be removed.\u003c/li>\n\u003cli>Clear dry leaves and pine needles from the yard, roof and rain gutters.\u003c/li>\n\u003cli>Move wood piles to Zone 2.\u003c/li>\n\u003c/ul>\n\u003cp>Zone 2 extends from the end of Zone 1 to 100 feet out from your home, structures and deck:\u003c/p>\n\u003cul>\n\u003cli class=\"p1\">Here, mow annual grasses down to 4 inches or less, and create horizontal and vertical spaces between vegetation.\u003c/li>\n\u003cli class=\"p1\">Don’t let fallen leaves, needles, twigs, bark, cones and small branches accumulate more than 3 inches high.\u003c/li>\n\u003c/ul>\n\u003cp>Find detailed instructions at \u003ca href=\"https://www.readyforwildfire.org/prepare-for-wildfire/get-ready/defensible-space/\" target=\"_blank\" rel=\"noopener noreferrer\">Readyforwildfire.org\u003c/a>.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-1965579\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/06/def_space_zones-800x555.png\" alt=\"\" width=\"800\" height=\"555\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/06/def_space_zones-800x555.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/06/def_space_zones-160x111.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/06/def_space_zones-768x533.png 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/06/def_space_zones.png 820w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>One thing people don’t think about a lot is to make sure their home address is clearly visible. You should make sure it is. That way, if you call for emergency help, responders can find you.\u003c/p>\n\u003ch2>‘Harden’ your home against wildfire\u003c/h2>\n\u003cp>Many homes that burn in a wildfire are never in the path of flames, but ignite from flying embers and firebrands that can accumulate in eaves or drift into vents. Hardening homes against fire can be as inexpensive as installing screens over vents and as pricey as installing new windows, roofing or siding.\u003c/p>\n\u003cp>Find detailed information \u003ca href=\"https://www.readyforwildfire.org/prepare-for-wildfire/get-ready/hardening-your-home/\" target=\"_blank\" rel=\"noopener noreferrer\">here\u003c/a>, including a low-cost \u003ca href=\"https://readyforwildfire.org/wp-content/uploads/2024/05/Low-Cost-Retrofit-List-Updated-5_1_2024.pdf\">retrofit list (PDF)\u003c/a>.\u003c/p>\n\u003ch2>Have a go bag ready\u003c/h2>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>There are three reasons people tend to put off preparing for a disaster, says Karen Baker, co-chair of Listos California. “They either find it scary, expensive, and/or time-consuming,” she said.\u003c/p>\n\u003cp>Listos tries to overcome those qualms with a simple readiness guide, available in \u003ca href=\"https://www.elsolnec.org/wp-content/uploads/2020/08/ENG-Disaster-Ready-Guide.pdf\">English (PDF)\u003c/a> and \u003ca href=\"https://www.listoscalifornia.org/wp-content/uploads/2020/07/508_LIS_DRG_19pp_1_03_ES_50520.pdf\">Spanish (PDF)\u003c/a>. Sign up for readiness text prompts \u003ca href=\"https://www.listoscalifornia.org/online-course/en/\">here\u003c/a>.\u003c/p>\n\u003cp>The organization recommends packing up some items in advance so you can get out of the house quickly if you need to. If cost is a concern, you can assemble the kits over time. Recommended items to pack beforehand:\u003c/p>\n\u003cul>\n\u003cli>Documents: copies of insurance, identification, and other important papers and photos.\u003c/li>\n\u003cli>Cash: $1 and $5 bills are best.\u003c/li>\n\u003cli>Map: with different routes out of your neighborhood marked.\u003c/li>\n\u003cli>Medications list: Include all prescriptions and other important medical information.\u003c/li>\n\u003cli>Portable radio.\u003c/li>\n\u003cli>Flashlight.\u003c/li>\n\u003c/ul>\n\u003cp>To grab on your way out the door:\u003c/p>\n\u003cul>\n\u003cli>Wallet, purse, keys.\u003c/li>\n\u003cli>Phone and charger.\u003c/li>\n\u003cli>Medicine.\u003c/li>\n\u003cli>Portable computer.\u003c/li>\n\u003cli>First-aid supplies, N95 masks, hand sanitizer, wipes.\u003c/li>\n\u003cli>Change of clothes.\u003c/li>\n\u003cli>Anything else needed by people or animals in your household.\u003c/li>\n\u003c/ul>\n\u003cp>Create a plan for your household in the event of a wildfire emergency. (See Cal Fire’s wildfire \u003ca href=\"https://www.readyforwildfire.org/prepare-for-wildfire/get-set/wildfire-action-plan/\" target=\"_blank\" rel=\"noopener noreferrer\">action plan checklist\u003c/a>.) And be sure you’re signed up to receive emergency alerts for your area. You can \u003ca href=\"http://calalerts.org/signup.html\" target=\"_blank\" rel=\"noopener noreferrer\">sign up here\u003c/a>.\u003c/p>\n\u003cp>Cal Fire also recommends mapping out your household’s fire escape route and running your own \u003ca href=\"https://readyforwildfire.org/prepare-for-wildfire/prepare-your-family/\">fire drills (PDF)\u003c/a>.\u003c/p>\n\u003ch2>Expect Smoky Days\u003c/h2>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>With wildfire comes smoke.\u003c/p>\n\u003cp>You can get smoke advisories, forecasts and current fire conditions through the federal government’s \u003ca href=\"https://www.airnow.gov/\">AirNow website\u003c/a>.\u003c/p>\n\u003cp>How to protect yourself from wildfire smoke:\u003c/p>\n\u003cul>\n\u003cli class=\"p3\">Keep windows and doors closed.\u003c/li>\n\u003cli class=\"p3\">Use fans, air conditioners, ice packs or a \u003ca href=\"https://www.kqed.org/news/11836824/how-to-cope-with-the-california-heat-wave#tips\" target=\"_blank\" rel=\"noopener noreferrer\">frozen bandana\u003c/a> to stay cool.\u003c/li>\n\u003cli class=\"p3\">Know how the ventilation system in your home works and close the outdoor air damper, if there is one.\u003c/li>\n\u003cli class=\"p3\">Avoid making indoor air pollution any worse by smoking cigarettes, spraying aerosols, frying food or burning candles or incense.\u003c/li>\n\u003cli class=\"p3\">Buy an air cleaner (also called an air purifier) that doesn’t produce ozone and has a HEPA filter. Designate a “clean-air room” in your home for smoky days. (The Environmental Protection Agency has a \u003ca href=\"https://www.epa.gov/sites/production/files/2018-07/documents/guide_to_air_cleaners_in_the_home_2nd_edition.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">guide (PDF)\u003c/a> for air cleaners in the home).\u003c/li>\n\u003cli>If air purifiers are too costly, here’s a less expensive \u003ca href=\"https://www.kqed.org/science/1968863/helping-kids-protect-themselves-from-dirty-air-one-diy-filter-at-a-time\" target=\"_blank\" rel=\"noopener noreferrer\">DIY option\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>Air purifiers can range from $100 on up and can be hard to obtain during bad fires, so think about buying one in advance of fire season. In California, few resources exist to help people with low income afford these devices; one asthma intervention program in Fresno does provide enrollees with air cleaners for a year. In years past, some counties have set up “clean air shelters” during smoky days.\u003c/p>\n\u003ch2>People power\u003c/h2>\n\u003cp>One theme running through the advice of fire and emergency officials: Your social network is one of your most important safety tools.\u003c/p>\n\u003cp>“Really, when it comes down to a ‘no-notice’ event, like a fast-running wildland fire through your neighborhood, it really is neighbor helping neighbor,“ said Santa Rosa Fire Chief Gossner.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>Emergency Resource Websites\u003c/h3>\n\u003cp>\u003ca href=\"http://211CA.org\">211CA.org\u003c/a>\u003cbr>\nDial 211 for evacuation routes, shelters.\u003c/p>\n\u003cp>\u003ca href=\"http://CalAlerts.org\">CalAlerts.org\u003c/a>\u003cbr>\nSign up to get your county’s alerts.\u003c/p>\n\u003cp>\u003ca href=\"http://Earthquake.ca.gov\">Earthquake.ca.gov\u003c/a>\u003cbr>\nGet MyShake earthquake warning app.\u003c/p>\n\u003cp>\u003ca href=\"http://Response.ca.gov\">Response.ca.gov\u003c/a>\u003cbr>\nReal-time wildfire and shelter news.\u003c/p>\n\u003cp>\u003ca href=\"http://Ready.gov\">Ready.gov\u003c/a>\u003cbr>\nResources to prepare for any disaster.\u003c/p>\n\u003c/aside>\n\u003cp>That means it’s time to think about who in your neighborhood might need help getting ready for fire season. Maybe they’re elderly and could use some help trimming vegetation. During an evacuation order, who will you check on and who will check on you? Write down their names and contact information, pack the list in your go bag, and share it with others for backup. At least one person on your list should live outside your area to ensure you’re not relying on someone who also might be affected by the fire.\u003c/p>\n\u003cp>Even if this feels overwhelming or scary, the time to do it is \u003cem>now\u003c/em>. Every step you can take toward preparedness makes you, your family, and your community a little bit safer.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>A version of this story originally published on June 8, 2020.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>With more hot, dry, windy conditions ahead, Gov. Gavin Newsom and emergency officials are \u003ca href=\"https://www.kqed.org/news/11993386/california-heat-turned-brush-into-prime-fuel-for-fires-forests-will-be-next\">bracing for the possibility of bad fires\u003c/a> and asking that Californians do the same.\u003c/p>\n\u003cp>“This is my plea to you, please create a wildfire action plan that addresses escape routes, meeting points, animal arrangements, and a communications plan with your family,” Cal Fire Director Joe Tyler said Wednesday in an update on the state’s emergency plans. “Listen to the guidance of law enforcement and our firefighters for evacuation warnings and orders. Prepare your home to defend from an advancing wildfire, and prepare your home by home hardening and utilizing defensible space.”\u003c/p>\n\u003cp>After an extreme, extended heat wave and more high temperatures to come, much of the state is at high or extreme risk for heat. Those conditions have left dry grass and shrubs in Northern California “critically flammable,” according to the \u003ca href=\"https://fsapps.nwcg.gov/psp/npsg/forecast/#/outlooks?forecastDay=2015-07-07&forecastInView=2015-07-07&state=sideBySide&gaccId=4\">National Interagency Fire Center\u003c/a>, and some forests at lower and middle elevations are also becoming primed to burn.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Forecasts show the possibility of lightning strikes in the Sierra Nevada this weekend, which could ignite fires in dry fuel.\u003c/p>\n\u003cp>California’s Office of Emergency Services, meanwhile, has activated its \u003ca href=\"https://news.caloes.ca.gov/california-prepares-for-dangerous-heatwave-ahead-of-fourth-of-july/\">emergency response plan\u003c/a> for heat, opening cooling centers and enforcing safety protections for outdoor workers.\u003c/p>\n\u003cp>“Check in with coworkers if you work outside. Also, check in with older adults who might be isolated,” said Nancy Ward, director of Cal OES. “Stay hydrated and take frequent breaks. Find a cooling center in your community to cool down if necessary. Many communities are providing free transportation to these centers. Pack a to-go bag in case you have to be evacuated with the essential items for each of your members and also your pets. Learn multiple ways in and out of your neighborhood in case you are asked to evacuate.”\u003c/p>\n\u003cp>Ward also advised people to sign up for emergency alerts, which can be done at \u003ca href=\"https://www.ready.gov/\">https://www.ready.gov/\u003c/a>.\u003c/p>\n\u003cp>Newsom asked Californians to connect the dots between the frequency of weather-related disasters and their roots in human-caused climate change driven by burning fossil fuels.\u003c/p>\n\u003cp>“Hots are getting a lot hotter; we’re experiencing unprecedented record heat,” he said. “These heat domes over the entire western United States, over and over and over and over and over again. Record-breaking temperatures, record-breaking experiences. Not just in California, across this country and around the rest of the world.”\u003c/p>\n\u003cp>Taking a swipe at his critics and climate deniers, he added: “With respect to the troglodytes out there, climate change is real. Mother Nature, she bats last, bats a thousand. She’s chemistry, biology and physics. Those realities, those extremes are here, present every day in the great state of California.”\u003c/p>\n\u003cp>This year, the California Department of Forestry and Fire Protection has responded to more than 3,500 wildland fires that have burned more than 207,000 acres. That’s similar to the number of fires at this time last year but represents 197,000 more acres.\u003c/p>\n\u003cp>“In the last 24 hours across the state, there have been 44 new wildland fires,” said Tyler, the Cal Fire director.\u003c/p>\n\u003cp>Noting that 95% of all wildfires are started by human activity, Tyler offered some practical advice.\u003c/p>\n\u003cp>“I ask that you recognize that lawnmowers, weed eaters, chainsaws, grinders, welders, tractors, and trimmers can all spark wildfires if not properly maintained,” he said. “You need to make sure that the spark arrestors are clean and maintained when mowing. Mow before 10 in the morning, mow when the humidities are high, as it dries out throughout the day.”\u003c/p>\n\u003cp>As most fires start along roads, drivers have a large role to play in preventing them.\u003c/p>\n\u003cp>“And for our motorists on our roadways and our highways: Make sure that you are doing your part as well, and ensure that your chains are secure, that you’re removing dragging parts, carrying a fire extinguisher, and maintaining your braking systems,” Tyler said.\u003c/p>\n\u003cp>For more on how to prepare for wildfires, visit KQED’s guides on \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">what to pack\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11834901/fire-evacuation-what-actually-happens-and-how-can-you-plan\">what to do during an evacuation order\u003c/a>, and \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">how to protect yourself against smoke\u003c/a>. To learn how to prepare for dangerous heat, visit \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">this guide on the risks of heat-related illness\u003c/a> and how to keep cool.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>With more hot, dry, windy conditions ahead, Gov. Gavin Newsom and emergency officials are \u003ca href=\"https://www.kqed.org/news/11993386/california-heat-turned-brush-into-prime-fuel-for-fires-forests-will-be-next\">bracing for the possibility of bad fires\u003c/a> and asking that Californians do the same.\u003c/p>\n\u003cp>“This is my plea to you, please create a wildfire action plan that addresses escape routes, meeting points, animal arrangements, and a communications plan with your family,” Cal Fire Director Joe Tyler said Wednesday in an update on the state’s emergency plans. “Listen to the guidance of law enforcement and our firefighters for evacuation warnings and orders. Prepare your home to defend from an advancing wildfire, and prepare your home by home hardening and utilizing defensible space.”\u003c/p>\n\u003cp>After an extreme, extended heat wave and more high temperatures to come, much of the state is at high or extreme risk for heat. Those conditions have left dry grass and shrubs in Northern California “critically flammable,” according to the \u003ca href=\"https://fsapps.nwcg.gov/psp/npsg/forecast/#/outlooks?forecastDay=2015-07-07&forecastInView=2015-07-07&state=sideBySide&gaccId=4\">National Interagency Fire Center\u003c/a>, and some forests at lower and middle elevations are also becoming primed to burn.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Forecasts show the possibility of lightning strikes in the Sierra Nevada this weekend, which could ignite fires in dry fuel.\u003c/p>\n\u003cp>California’s Office of Emergency Services, meanwhile, has activated its \u003ca href=\"https://news.caloes.ca.gov/california-prepares-for-dangerous-heatwave-ahead-of-fourth-of-july/\">emergency response plan\u003c/a> for heat, opening cooling centers and enforcing safety protections for outdoor workers.\u003c/p>\n\u003cp>“Check in with coworkers if you work outside. Also, check in with older adults who might be isolated,” said Nancy Ward, director of Cal OES. “Stay hydrated and take frequent breaks. Find a cooling center in your community to cool down if necessary. Many communities are providing free transportation to these centers. Pack a to-go bag in case you have to be evacuated with the essential items for each of your members and also your pets. Learn multiple ways in and out of your neighborhood in case you are asked to evacuate.”\u003c/p>\n\u003cp>Ward also advised people to sign up for emergency alerts, which can be done at \u003ca href=\"https://www.ready.gov/\">https://www.ready.gov/\u003c/a>.\u003c/p>\n\u003cp>Newsom asked Californians to connect the dots between the frequency of weather-related disasters and their roots in human-caused climate change driven by burning fossil fuels.\u003c/p>\n\u003cp>“Hots are getting a lot hotter; we’re experiencing unprecedented record heat,” he said. “These heat domes over the entire western United States, over and over and over and over and over again. Record-breaking temperatures, record-breaking experiences. Not just in California, across this country and around the rest of the world.”\u003c/p>\n\u003cp>Taking a swipe at his critics and climate deniers, he added: “With respect to the troglodytes out there, climate change is real. Mother Nature, she bats last, bats a thousand. She’s chemistry, biology and physics. Those realities, those extremes are here, present every day in the great state of California.”\u003c/p>\n\u003cp>This year, the California Department of Forestry and Fire Protection has responded to more than 3,500 wildland fires that have burned more than 207,000 acres. That’s similar to the number of fires at this time last year but represents 197,000 more acres.\u003c/p>\n\u003cp>“In the last 24 hours across the state, there have been 44 new wildland fires,” said Tyler, the Cal Fire director.\u003c/p>\n\u003cp>Noting that 95% of all wildfires are started by human activity, Tyler offered some practical advice.\u003c/p>\n\u003cp>“I ask that you recognize that lawnmowers, weed eaters, chainsaws, grinders, welders, tractors, and trimmers can all spark wildfires if not properly maintained,” he said. “You need to make sure that the spark arrestors are clean and maintained when mowing. Mow before 10 in the morning, mow when the humidities are high, as it dries out throughout the day.”\u003c/p>\n\u003cp>As most fires start along roads, drivers have a large role to play in preventing them.\u003c/p>\n\u003cp>“And for our motorists on our roadways and our highways: Make sure that you are doing your part as well, and ensure that your chains are secure, that you’re removing dragging parts, carrying a fire extinguisher, and maintaining your braking systems,” Tyler said.\u003c/p>\n\u003cp>For more on how to prepare for wildfires, visit KQED’s guides on \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">what to pack\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11834901/fire-evacuation-what-actually-happens-and-how-can-you-plan\">what to do during an evacuation order\u003c/a>, and \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">how to protect yourself against smoke\u003c/a>. To learn how to prepare for dangerous heat, visit \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">this guide on the risks of heat-related illness\u003c/a> and how to keep cool.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>[dl_subscribe]\u003cbr>\n\u003cem> Six-rayed sea stars make great moms! Unlike most sea stars, mama six-rayed sea stars are VERY involved in their kids’ lives, caressing and protecting their babies for months. When they’re big enough, the youngsters venture out on their own to ruthlessly hunt down their tiny prey.\u003c/em>\u003c/p>\n\u003ch3>TRANSCRIPT\u003c/h3>\n\u003cp>This little starfish has a secret.\u003c/p>\n\u003cp>She’s hiding something precious beneath her …\u003c/p>\n\u003cp>Her babies.\u003c/p>\n\u003cp>These chubby globes are her embryos, and these are her larvae that have already hatched.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Right now, they look nothing like her, but over the next couple of months, they’ll take after her in more ways than one.\u003c/p>\n\u003cp>She’s called a six-rayed sea star.\u003c/p>\n\u003cp>That’s one arm more than most sea stars.\u003c/p>\n\u003cp>And she’s way smaller, about the size of a bottle cap.\u003c/p>\n\u003cp>She lives in Northern California’s intertidal zone — where the land and sea collide.\u003c/p>\n\u003cp>The crashing waves and hungry predators make it a rough neighborhood to raise kids in.\u003c/p>\n\u003cp>So she protects them under that baby bump.\u003c/p>\n\u003cp>Scientists call this brooding, which is an unusual behavior for this type of sea creature.\u003c/p>\n\u003cp>Most sea stars and their cousins, like sand dollars … and sea urchins … take a sort of free-range approach to raising their kids.\u003c/p>\n\u003cp>They’re broadcast spawners.\u003c/p>\n\u003cp>Adults release enormous numbers of eggs … and sperm … right into the water.\u003c/p>\n\u003cp>They meet and develop into young.\u003c/p>\n\u003cp>They grow up all on their own.\u003c/p>\n\u003cp>Only the luckiest make it to adulthood.\u003c/p>\n\u003cp>Six-rayed sea star moms take the opposite approach.\u003c/p>\n\u003cp>They have fewer babies and are extremely involved in their kids’ lives.\u003c/p>\n\u003cp>She carefully cleans and caresses her growing brood with her delicate feet.\u003c/p>\n\u003cp>Tending to these cuties means their mom doesn’t eat for three whole months.\u003c/p>\n\u003cp>Because she cares so much … and because the babies are literally right in front of her mouth.\u003c/p>\n\u003cp>The growing kids hold onto her and their siblings with these three stubby, temporary limbs, called brachiolar arms.\u003c/p>\n\u003cp>As the larvae develop they don’t eat either.\u003c/p>\n\u003cp>They don’t even have a mouth!\u003c/p>\n\u003cp>Instead, they survive off of stored energy already inside them.\u003c/p>\n\u003cp>After about a month, six brand new arms start to pop out.\u003c/p>\n\u003cp>And, they grow their very first tube feet.\u003c/p>\n\u003cp>Awww.\u003c/p>\n\u003cp>They reabsorb those brachiolar arms.\u003c/p>\n\u003cp>And finally begin to resemble mini-versions of their mom.\u003c/p>\n\u003cp>When they’re big enough, the precious snowflakes venture out on their own.\u003c/p>\n\u003cp>You can’t stay with mom forever.\u003c/p>\n\u003cp>With their long, gangly tube feet, the baby sea stars are like puppies that haven’t grown into their oversized paws yet.\u003c/p>\n\u003cp>It’s time to track down their first meal.\u003c/p>\n\u003cp>Adult sea stars eat shellfish like barnacles and snails.\u003c/p>\n\u003cp>Baby sea stars go after the baby versions.\u003c/p>\n\u003cp>It’s a baby-eat-baby world out here!\u003c/p>\n\u003cp>The tiny sea star wraps its arms around its prey …\u003c/p>\n\u003cp>… and extends its stomach into the snail’s shell, digesting it alive.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Some may say they’re coddled, but all that extra attention during those crucial early months gives these little six-rayed sea stars a better chance of making it big.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Right now, they look nothing like her, but over the next couple of months, they’ll take after her in more ways than one.\u003c/p>\n\u003cp>She’s called a six-rayed sea star.\u003c/p>\n\u003cp>That’s one arm more than most sea stars.\u003c/p>\n\u003cp>And she’s way smaller, about the size of a bottle cap.\u003c/p>\n\u003cp>She lives in Northern California’s intertidal zone — where the land and sea collide.\u003c/p>\n\u003cp>The crashing waves and hungry predators make it a rough neighborhood to raise kids in.\u003c/p>\n\u003cp>So she protects them under that baby bump.\u003c/p>\n\u003cp>Scientists call this brooding, which is an unusual behavior for this type of sea creature.\u003c/p>\n\u003cp>Most sea stars and their cousins, like sand dollars … and sea urchins … take a sort of free-range approach to raising their kids.\u003c/p>\n\u003cp>They’re broadcast spawners.\u003c/p>\n\u003cp>Adults release enormous numbers of eggs … and sperm … right into the water.\u003c/p>\n\u003cp>They meet and develop into young.\u003c/p>\n\u003cp>They grow up all on their own.\u003c/p>\n\u003cp>Only the luckiest make it to adulthood.\u003c/p>\n\u003cp>Six-rayed sea star moms take the opposite approach.\u003c/p>\n\u003cp>They have fewer babies and are extremely involved in their kids’ lives.\u003c/p>\n\u003cp>She carefully cleans and caresses her growing brood with her delicate feet.\u003c/p>\n\u003cp>Tending to these cuties means their mom doesn’t eat for three whole months.\u003c/p>\n\u003cp>Because she cares so much … and because the babies are literally right in front of her mouth.\u003c/p>\n\u003cp>The growing kids hold onto her and their siblings with these three stubby, temporary limbs, called brachiolar arms.\u003c/p>\n\u003cp>As the larvae develop they don’t eat either.\u003c/p>\n\u003cp>They don’t even have a mouth!\u003c/p>\n\u003cp>Instead, they survive off of stored energy already inside them.\u003c/p>\n\u003cp>After about a month, six brand new arms start to pop out.\u003c/p>\n\u003cp>And, they grow their very first tube feet.\u003c/p>\n\u003cp>Awww.\u003c/p>\n\u003cp>They reabsorb those brachiolar arms.\u003c/p>\n\u003cp>And finally begin to resemble mini-versions of their mom.\u003c/p>\n\u003cp>When they’re big enough, the precious snowflakes venture out on their own.\u003c/p>\n\u003cp>You can’t stay with mom forever.\u003c/p>\n\u003cp>With their long, gangly tube feet, the baby sea stars are like puppies that haven’t grown into their oversized paws yet.\u003c/p>\n\u003cp>It’s time to track down their first meal.\u003c/p>\n\u003cp>Adult sea stars eat shellfish like barnacles and snails.\u003c/p>\n\u003cp>Baby sea stars go after the baby versions.\u003c/p>\n\u003cp>It’s a baby-eat-baby world out here!\u003c/p>\n\u003cp>The tiny sea star wraps its arms around its prey …\u003c/p>\n\u003cp>… and extends its stomach into the snail’s shell, digesting it alive.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Some may say they’re coddled, but all that extra attention during those crucial early months gives these little six-rayed sea stars a better chance of making it big.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Kratom Under Scrutiny: New California Bill Proposes Stricter Controls Amid Growing Concerns",
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"content": "\u003cp>In the midst of California’s \u003ca href=\"https://www.kqed.org/science/1993048/california-considers-slew-of-bills-to-tackle-skyrocketing-fentanyl-overdoses\">fentanyl crisis\u003c/a>, it’s hard to believe an herbal substance that mimics an opioid is readily available at convenience stores and smoke shops. It’s even sold to kids at \u003ca href=\"https://www.courthousenews.com/7-eleven-must-face-liability-claims-for-selling-drink-containing-kratom/\">7-Eleven\u003c/a>.\u003c/p>\n\u003cp>“I can’t believe this is legal,” thought Nick Telman after he felt the effects of kratom set in on a walk in Los Angeles in 2018. “It hit me like dope. Just bliss. I was hooked.”\u003c/p>\n\u003cp>Telman started tossing back about 10 grams of the green bitter brew three times a day, a habit that set him back $750–$900 a month. He assumed it was relatively safe because it’s marketed as a botanical, but kratom interacts with brain receptors that respond to opioids and stimulants. Critics argue it exposes about \u003ca href=\"https://www.ajpmonline.org/article/S0749-3797(21)00162-8/abstract\">2 million\u003c/a> annual users to the risks of \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/38788532/\">addiction, abuse and dependence\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Right now, there are no rules on kratom at all,” said Assemblymember Matt Haney (D-San Francisco), the sponsor of a new \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB2365\">bill\u003c/a> that would set the strongest restrictions on kratom in the country. “You can sell it at any store. You don’t have to label it. It is the Wild West. And that is dangerous for Californians.”\u003cspan style=\"text-decoration: line-through\"> \u003c/span>\u003c/p>\n\u003cp>Kratom is derived from the leaf of a tree common in tropical regions of Southeast Asia. It can be chewed, brewed, and crushed into dusty green powder. In the U.S., it is sold as a pill, capsule, or extract. Companies claim it can relieve pain, depression, and anxiety. \u003ca href=\"https://www.tandfonline.com/doi/full/10.1080/10826084.2019.1645178\">Research\u003c/a> shows a small dose can give you a boost of energy, while a large one can put you to sleep.\u003c/p>\n\u003cp>After two years of consistent use, Telman started to feel tired all the time, and his heart “felt weird, like it wasn’t beating right,” which is a concern backed by \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275233/\">evidence\u003c/a> that includes incidents of cardiac arrest. Heart disease is rampant in Telman’s family, and he said a voice in his head nagged, “Tick tock, Nick.”\u003c/p>\n\u003cp>He enrolled in a recovery program, but “quitting was a nightmare.” Withdrawal symptoms can include cold sweats, insomnia, pain, fever, diarrhea, tension and anger. “I wanted to die for like five days,” Telman said.\u003c/p>\n\u003ch2>\u003cstrong>Proposed regulation\u003c/strong>\u003c/h2>\n\u003cp>A proposed measure would require manufacturers to register kratom products with the state, provide labels with recommended doses, warn consumers that addiction is possible, and restrict sales to anyone under 21. Plus, it would limit the amount of 7-Hydroxymitragynine, which is one the more potent alkaloids in kratom that \u003ca href=\"https://static1.squarespace.com/static/6508b3f79033221c2aa1ea17/t/660ee85ffbb877565188acc8/1712253024164/Statement+on+the+science+of+kratom+products_FINAL.pdf\">researchers suggest\u003c/a> can potentially lead to worse outcomes.\u003c/p>\n\u003cp>“We urgently need to limit the type of products that can be sold and make sure that people know what they’re getting,” Haney said.\u003c/p>\n\u003cp>The Assembly passed the measure, and it is currently before the state Senate.\u003c/p>\n\u003cp>The Food and Drug Administration and Drug Enforcement Administration warn that kratom can lead to physical and psychological dependency. The FDA \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-issues-warnings-companies-selling-illegal-unapproved-kratom-drug-products-marketed-opioid\">advises against its use\u003c/a>, and the DEA nearly banned it in 2016 before advocates and politicians pushed back and the agency halted those plans. Nowadays, kratom sits on the DEA’s \u003ca href=\"https://www.dea.gov/factsheets/kratom\">“drugs of concern” list\u003c/a>.\u003c/p>\n\u003cp>Some industry groups are calling on officials to rein in unscrupulous players.\u003c/p>\n\u003cp>“The proposed California bill allows consumers to walk into the kratom journey with their eyes wide open, and they know exactly what it is that they’re doing,” said Matthew Lowe, executive director of the Global Kratom Coalition. “The measure walks a thin line between allowing access and appropriately regulating a substance that the FDA is not currently regulating.”\u003c/p>\n\u003cp>The American Kratom Association also supports more oversight but calls the California measure an overreach. “The bill is well-intentioned,” said Mac Haddow, the advocacy organization’s senior fellow on public policy. “But it goes too far.”\u003c/p>\n\u003cp>He said the proposal would be expensive to implement and would “bar many creative manufacturers” from entering the market. He would rather see California implement the “Kratom Consumer Protection Act,” a model adopted in 13 other states that asks manufacturers to ensure safety without state oversight.\u003c/p>\n\u003ch2>\u003cstrong>‘It gave me my soul back’\u003c/strong>\u003c/h2>\n\u003cp>Twelve years ago, Jordan Richard was living in roach-infested hotels. In a single week, the 19-year-old overdosed on heroin twice.\u003c/p>\n\u003cp>“I remember hearing my mom cry in the hospital. I was like, ‘Oh my, I have to make a change,’” he said.\u003cem> \u003c/em>\u003c/p>\n\u003cp>When he returned home, he started researching natural ways to wean off opioids. He followed a Craigslist advertisement from a guy selling loose kratom powder in the San Bernardino mountains.\u003c/p>\n\u003cp>“When I took it, I felt like I was myself again,” he said. “It’s like the kratom put a pause on my brain to help me look at what I was doing with my life. I have never touched a hard drug since.”\u003c/p>\n\u003cp>Now, he drinks kratom with water morning, noon and night. He calls it his antidepressant and credits the herbal brew for giving him his “soul back.” Today, Richard is married, has five children, and runs New Hope Botanicals — a kratom shop in Crestline, a community located in San Bernardino County.\u003c/p>\n\u003cp>Dr. Scott Steiger, deputy medical director of the opiate treatment outpatient program at Zuckerberg San Francisco General Hospital, said he cautions patients with opioid use disorder who ask about kratom.\u003c/p>\n\u003cp>“I have seen that people who use kratom end up having a very hard time stopping the use of it,” Steiger said.\u003c/p>\n\u003cp>Doctors have evidence-based treatments like buprenorphine and methadone to help people with an opioid addiction. He doesn’t recommend self-medicating with kratom until more research is available.\u003c/p>\n\u003cp>The FDA has recalled \u003ca href=\"https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-and-fda-deputy-commissioner-foods-and-veterinary\">dozens of salmonella-tainted\u003c/a> kratom products and found \u003ca href=\"https://www.fda.gov/news-events/public-health-focus/laboratory-analysis-kratom-products-heavy-metals\">toxic heavy metals\u003c/a> like nickel and lead in some supplements. The Centers for Disease Control and Prevention \u003ca href=\"https://www.cdc.gov/mmwr/volumes/68/wr/mm6814a2.htm\">reported\u003c/a> 90 kratom overdoses over 18 months, often involving other ingredients that companies may mix into their products, like antidepressants.\u003c/p>\n\u003ch2>\u003cstrong>‘He was the love of my life’\u003c/strong>\u003c/h2>\n\u003cp>J.D. Butler was one of them. The 27-year-old kindergarten teacher had a grand mal seizure while dining at the Mermaid Inn Restaurant in New York City on April 13, 2019. He and his girlfriend at the time, Alley Parsons, were celebrating their first anniversary.\u003c/p>\n\u003cp>“In the ambulance, I noticed his hand just flopped, and the EMT started freaking out,” Parsons said.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"science_1950877,science_1920131,news_11975973\"]Thirty minutes later Butler’s heart stopped. The toxicology report named kratom as the cause of death.\u003c/p>\n\u003cp>“It felt like half of my body got ripped apart, and half of me died with him,” Parsons said. “He was the love of my life.”\u003c/p>\n\u003cp>She said she was vaguely aware of Butler’s kratom habit. He called it his “tea pills” to help with back pain, anxiety and depression. She was not aware of any other drug use except for Prozac, which Butler had taken for years but had stopped a few weeks prior to his death.\u003c/p>\n\u003cp>When his parents \u003ca href=\"https://www.usnews.com/news/health-news/articles/2023-08-03/taking-kratom-claimed-her-sons-life-now-she-and-others-are-warning-of-the-dangers\">shared their son’s story online\u003c/a>, kratom advocates lashed out in response. Parsons said she wishes advocates had more empathy for Butler’s loss.\u003c/p>\n\u003cp>“The market is really caught in this strange place, kind of like where cannabis products were 15 years ago,” said \u003ca href=\"https://pharmacy.uconn.edu/person/c-michael-white/\">C. Michael White\u003c/a>, head of the Department of Pharmacy Practice at the University of Connecticut. “We knew that there were some potential benefits. We also knew that there are some real potential harms with cannabis. So how do you create something that allows people to be able to explore the benefits and minimize harm?”\u003c/p>\n\u003cp>White supports the proposed California legislation because he said it will ensure accessibility, increase accountability and ensure good manufacturing practices. As the state Senate deliberates, the fate of kratom regulation hangs in the balance.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the midst of California’s \u003ca href=\"https://www.kqed.org/science/1993048/california-considers-slew-of-bills-to-tackle-skyrocketing-fentanyl-overdoses\">fentanyl crisis\u003c/a>, it’s hard to believe an herbal substance that mimics an opioid is readily available at convenience stores and smoke shops. It’s even sold to kids at \u003ca href=\"https://www.courthousenews.com/7-eleven-must-face-liability-claims-for-selling-drink-containing-kratom/\">7-Eleven\u003c/a>.\u003c/p>\n\u003cp>“I can’t believe this is legal,” thought Nick Telman after he felt the effects of kratom set in on a walk in Los Angeles in 2018. “It hit me like dope. Just bliss. I was hooked.”\u003c/p>\n\u003cp>Telman started tossing back about 10 grams of the green bitter brew three times a day, a habit that set him back $750–$900 a month. He assumed it was relatively safe because it’s marketed as a botanical, but kratom interacts with brain receptors that respond to opioids and stimulants. Critics argue it exposes about \u003ca href=\"https://www.ajpmonline.org/article/S0749-3797(21)00162-8/abstract\">2 million\u003c/a> annual users to the risks of \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/38788532/\">addiction, abuse and dependence\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Right now, there are no rules on kratom at all,” said Assemblymember Matt Haney (D-San Francisco), the sponsor of a new \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB2365\">bill\u003c/a> that would set the strongest restrictions on kratom in the country. “You can sell it at any store. You don’t have to label it. It is the Wild West. And that is dangerous for Californians.”\u003cspan style=\"text-decoration: line-through\"> \u003c/span>\u003c/p>\n\u003cp>Kratom is derived from the leaf of a tree common in tropical regions of Southeast Asia. It can be chewed, brewed, and crushed into dusty green powder. In the U.S., it is sold as a pill, capsule, or extract. Companies claim it can relieve pain, depression, and anxiety. \u003ca href=\"https://www.tandfonline.com/doi/full/10.1080/10826084.2019.1645178\">Research\u003c/a> shows a small dose can give you a boost of energy, while a large one can put you to sleep.\u003c/p>\n\u003cp>After two years of consistent use, Telman started to feel tired all the time, and his heart “felt weird, like it wasn’t beating right,” which is a concern backed by \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275233/\">evidence\u003c/a> that includes incidents of cardiac arrest. Heart disease is rampant in Telman’s family, and he said a voice in his head nagged, “Tick tock, Nick.”\u003c/p>\n\u003cp>He enrolled in a recovery program, but “quitting was a nightmare.” Withdrawal symptoms can include cold sweats, insomnia, pain, fever, diarrhea, tension and anger. “I wanted to die for like five days,” Telman said.\u003c/p>\n\u003ch2>\u003cstrong>Proposed regulation\u003c/strong>\u003c/h2>\n\u003cp>A proposed measure would require manufacturers to register kratom products with the state, provide labels with recommended doses, warn consumers that addiction is possible, and restrict sales to anyone under 21. Plus, it would limit the amount of 7-Hydroxymitragynine, which is one the more potent alkaloids in kratom that \u003ca href=\"https://static1.squarespace.com/static/6508b3f79033221c2aa1ea17/t/660ee85ffbb877565188acc8/1712253024164/Statement+on+the+science+of+kratom+products_FINAL.pdf\">researchers suggest\u003c/a> can potentially lead to worse outcomes.\u003c/p>\n\u003cp>“We urgently need to limit the type of products that can be sold and make sure that people know what they’re getting,” Haney said.\u003c/p>\n\u003cp>The Assembly passed the measure, and it is currently before the state Senate.\u003c/p>\n\u003cp>The Food and Drug Administration and Drug Enforcement Administration warn that kratom can lead to physical and psychological dependency. The FDA \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-issues-warnings-companies-selling-illegal-unapproved-kratom-drug-products-marketed-opioid\">advises against its use\u003c/a>, and the DEA nearly banned it in 2016 before advocates and politicians pushed back and the agency halted those plans. Nowadays, kratom sits on the DEA’s \u003ca href=\"https://www.dea.gov/factsheets/kratom\">“drugs of concern” list\u003c/a>.\u003c/p>\n\u003cp>Some industry groups are calling on officials to rein in unscrupulous players.\u003c/p>\n\u003cp>“The proposed California bill allows consumers to walk into the kratom journey with their eyes wide open, and they know exactly what it is that they’re doing,” said Matthew Lowe, executive director of the Global Kratom Coalition. “The measure walks a thin line between allowing access and appropriately regulating a substance that the FDA is not currently regulating.”\u003c/p>\n\u003cp>The American Kratom Association also supports more oversight but calls the California measure an overreach. “The bill is well-intentioned,” said Mac Haddow, the advocacy organization’s senior fellow on public policy. “But it goes too far.”\u003c/p>\n\u003cp>He said the proposal would be expensive to implement and would “bar many creative manufacturers” from entering the market. He would rather see California implement the “Kratom Consumer Protection Act,” a model adopted in 13 other states that asks manufacturers to ensure safety without state oversight.\u003c/p>\n\u003ch2>\u003cstrong>‘It gave me my soul back’\u003c/strong>\u003c/h2>\n\u003cp>Twelve years ago, Jordan Richard was living in roach-infested hotels. In a single week, the 19-year-old overdosed on heroin twice.\u003c/p>\n\u003cp>“I remember hearing my mom cry in the hospital. I was like, ‘Oh my, I have to make a change,’” he said.\u003cem> \u003c/em>\u003c/p>\n\u003cp>When he returned home, he started researching natural ways to wean off opioids. He followed a Craigslist advertisement from a guy selling loose kratom powder in the San Bernardino mountains.\u003c/p>\n\u003cp>“When I took it, I felt like I was myself again,” he said. “It’s like the kratom put a pause on my brain to help me look at what I was doing with my life. I have never touched a hard drug since.”\u003c/p>\n\u003cp>Now, he drinks kratom with water morning, noon and night. He calls it his antidepressant and credits the herbal brew for giving him his “soul back.” Today, Richard is married, has five children, and runs New Hope Botanicals — a kratom shop in Crestline, a community located in San Bernardino County.\u003c/p>\n\u003cp>Dr. Scott Steiger, deputy medical director of the opiate treatment outpatient program at Zuckerberg San Francisco General Hospital, said he cautions patients with opioid use disorder who ask about kratom.\u003c/p>\n\u003cp>“I have seen that people who use kratom end up having a very hard time stopping the use of it,” Steiger said.\u003c/p>\n\u003cp>Doctors have evidence-based treatments like buprenorphine and methadone to help people with an opioid addiction. He doesn’t recommend self-medicating with kratom until more research is available.\u003c/p>\n\u003cp>The FDA has recalled \u003ca href=\"https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-and-fda-deputy-commissioner-foods-and-veterinary\">dozens of salmonella-tainted\u003c/a> kratom products and found \u003ca href=\"https://www.fda.gov/news-events/public-health-focus/laboratory-analysis-kratom-products-heavy-metals\">toxic heavy metals\u003c/a> like nickel and lead in some supplements. The Centers for Disease Control and Prevention \u003ca href=\"https://www.cdc.gov/mmwr/volumes/68/wr/mm6814a2.htm\">reported\u003c/a> 90 kratom overdoses over 18 months, often involving other ingredients that companies may mix into their products, like antidepressants.\u003c/p>\n\u003ch2>\u003cstrong>‘He was the love of my life’\u003c/strong>\u003c/h2>\n\u003cp>J.D. Butler was one of them. The 27-year-old kindergarten teacher had a grand mal seizure while dining at the Mermaid Inn Restaurant in New York City on April 13, 2019. He and his girlfriend at the time, Alley Parsons, were celebrating their first anniversary.\u003c/p>\n\u003cp>“In the ambulance, I noticed his hand just flopped, and the EMT started freaking out,” Parsons said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Thirty minutes later Butler’s heart stopped. The toxicology report named kratom as the cause of death.\u003c/p>\n\u003cp>“It felt like half of my body got ripped apart, and half of me died with him,” Parsons said. “He was the love of my life.”\u003c/p>\n\u003cp>She said she was vaguely aware of Butler’s kratom habit. He called it his “tea pills” to help with back pain, anxiety and depression. She was not aware of any other drug use except for Prozac, which Butler had taken for years but had stopped a few weeks prior to his death.\u003c/p>\n\u003cp>When his parents \u003ca href=\"https://www.usnews.com/news/health-news/articles/2023-08-03/taking-kratom-claimed-her-sons-life-now-she-and-others-are-warning-of-the-dangers\">shared their son’s story online\u003c/a>, kratom advocates lashed out in response. Parsons said she wishes advocates had more empathy for Butler’s loss.\u003c/p>\n\u003cp>“The market is really caught in this strange place, kind of like where cannabis products were 15 years ago,” said \u003ca href=\"https://pharmacy.uconn.edu/person/c-michael-white/\">C. Michael White\u003c/a>, head of the Department of Pharmacy Practice at the University of Connecticut. “We knew that there were some potential benefits. We also knew that there are some real potential harms with cannabis. So how do you create something that allows people to be able to explore the benefits and minimize harm?”\u003c/p>\n\u003cp>White supports the proposed California legislation because he said it will ensure accessibility, increase accountability and ensure good manufacturing practices. As the state Senate deliberates, the fate of kratom regulation hangs in the balance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Days before the final deadline, California lawmakers have settled on language for a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB247\">$10 billion climate bond\u003c/a> that will be presented to voters for approval in November.\u003c/p>\n\u003cp>The primary focus of the bond is “to respond to challenges wrought by climate change by investing in natural and built infrastructure,” according to an overview of the bond. It also includes some funding for programs cut from the state’s budget. At least 40% of the bond must help vulnerable and disadvantaged communities with a median household income of less than 80% of the area average or less than 80% of the statewide median household income.[aside label=\"Related Stories\" postID=\"science_1992929,science_1991836,news_11966862\"]\u003c/p>\n\u003cp>“Our communities deserve to have access to safe and clean drinking water, must be protected during extreme heat and have the necessary resources to make their communities more wildfire safe,” Sen. Monique Limón (D-Santa Barbara) said in a statement.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB867\">The path to forging a climate bond\u003c/a>, SB 867, this legislative season included enormous obstacles. First, the legislature combined two $15 billion versions of the bond into one. \u003ca href=\"https://www.kqed.org/news/11992607/newsom-signs-california-budget-to-close-46-8-billion-deficit\">The state currently faces a $46.8 billion deficit\u003c/a>, but California leaders passed a $54 billion plan to fight climate change two years ago. However, they cut over $3 billion from the budget last year and propose around $16 billion this year.\u003c/p>\n\u003cp>Lawmakers juggled competing bond ideas even as California’s bonding capacity shrunk. The climate bond directly competed for funds with a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB247\">$14 billion education bond\u003c/a> to construct and modernize schools, which Gov. Gavin Newsom supported. The legislature announced the education bond could fund K–12 schools with $8.5 billion for K–12 schools and community colleges with $1.5 billion.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Districts will be able to ensure schools have essential facilities like kitchens and libraries, equip students with the skills for high-demand technical careers, and provide greater access to broadband internet,” Sen. Josh Newman (D-Fullerton) said in a statement.\u003c/p>\n\u003cp>More than 170 nature and environmental justice-oriented groups pressed lawmakers and Newsom to ensure the climate bond was at least $10 billion to address priority areas, including extreme heat, wildfires and sea-level rise.\u003c/p>\n\u003cp>“The communities I call home have been devastated by wildfires — and we know the threat of fires is only worsening with our changing climate,” Senate President Pro Tem Mike McGuire (D-North Coast) said in a statement.\u003c/p>\n\u003cp>There were also internal debates about what the climate bond should cover. Although the state usually uses bond dollars for long-term benefits such as infrastructure projects, environmental groups wanted lawmakers to allot funds for climate efforts and programs — electric vehicles, community-based programs, coastal resilience, and more — some of which the governor cut from his budget.\u003c/p>\n\u003cp>One program, the Transformative Climate Communities Program, that Gov. Newsom previously zeroed out could receive $150 million. The program funds community-led neighborhood projects to reduce greenhouse gas emissions.\u003c/p>\n\u003cp>Environmental groups like NextGen California “are glad to see some of [their] priorities represented, like extreme heat mitigation and Transformative Climate Communities represented,” wrote David Weiskopf, senior policy advisor with the group, in an email.\u003c/p>\n\u003cp>“The $10 billion figure is also very good, that is what the environmental community had asked for,” he said.\u003c/p>\n\u003cp>The Safe Drinking Water, Wildfire Prevention, Drought Preparedness, and Clear Air Bond Act of 2024 has eight potential funding areas.\u003c/p>\n\u003cul>\n\u003cli>Safe Drinking Water, Drought, Flood and Water Resilience – $3.8 billion\u003c/li>\n\u003cli>Wildfires and Forest Resilience – $1.5 billion\u003c/li>\n\u003cli>Sea Level Rise and Coastal Resilience – $1.2 billion\u003c/li>\n\u003cli>Protect Biodiversity and Accelerating Nature-Based Climate Solutions – $1.2 billion\u003c/li>\n\u003cli>Clean Air – $850 million\u003c/li>\n\u003cli>Park Creation and Outdoor Access – $700 million\u003c/li>\n\u003cli>Extreme Heat Mitigation – $450 million\u003c/li>\n\u003cli>Climate Smart, Sustainable & Resilient Farms, Ranches and Working Lands – $300 million\u003c/li>\n\u003c/ul>\n\u003cp>The bond also sets aside $475 million for offshore wind. Earlier this year, Assemblymember Rick Chavez Zbur (D-Hollywood) pursued a $1 billion bond for offshore wind infrastructure. Still, lawmakers folded that into the larger climate bond effort, said Vienna Montague, Zbur’s communications director, in an email.\u003c/p>\n\u003cp>Lawmakers have until July 3 to approve the bond for the November election, and Gov. Gavin Newsom must sign off on any bond measure the legislature approves with a two-thirds vote.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It prioritizes and enables robust, decisive action to advance our climate goals and enhance community resilience against climate impacts,” Senate Majority Leader Lena Gonzalez (D-Long Beach) said in a statement.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Days before the final deadline, California lawmakers have settled on language for a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB247\">$10 billion climate bond\u003c/a> that will be presented to voters for approval in November.\u003c/p>\n\u003cp>The primary focus of the bond is “to respond to challenges wrought by climate change by investing in natural and built infrastructure,” according to an overview of the bond. It also includes some funding for programs cut from the state’s budget. At least 40% of the bond must help vulnerable and disadvantaged communities with a median household income of less than 80% of the area average or less than 80% of the statewide median household income.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Our communities deserve to have access to safe and clean drinking water, must be protected during extreme heat and have the necessary resources to make their communities more wildfire safe,” Sen. Monique Limón (D-Santa Barbara) said in a statement.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB867\">The path to forging a climate bond\u003c/a>, SB 867, this legislative season included enormous obstacles. First, the legislature combined two $15 billion versions of the bond into one. \u003ca href=\"https://www.kqed.org/news/11992607/newsom-signs-california-budget-to-close-46-8-billion-deficit\">The state currently faces a $46.8 billion deficit\u003c/a>, but California leaders passed a $54 billion plan to fight climate change two years ago. However, they cut over $3 billion from the budget last year and propose around $16 billion this year.\u003c/p>\n\u003cp>Lawmakers juggled competing bond ideas even as California’s bonding capacity shrunk. The climate bond directly competed for funds with a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB247\">$14 billion education bond\u003c/a> to construct and modernize schools, which Gov. Gavin Newsom supported. The legislature announced the education bond could fund K–12 schools with $8.5 billion for K–12 schools and community colleges with $1.5 billion.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Districts will be able to ensure schools have essential facilities like kitchens and libraries, equip students with the skills for high-demand technical careers, and provide greater access to broadband internet,” Sen. Josh Newman (D-Fullerton) said in a statement.\u003c/p>\n\u003cp>More than 170 nature and environmental justice-oriented groups pressed lawmakers and Newsom to ensure the climate bond was at least $10 billion to address priority areas, including extreme heat, wildfires and sea-level rise.\u003c/p>\n\u003cp>“The communities I call home have been devastated by wildfires — and we know the threat of fires is only worsening with our changing climate,” Senate President Pro Tem Mike McGuire (D-North Coast) said in a statement.\u003c/p>\n\u003cp>There were also internal debates about what the climate bond should cover. Although the state usually uses bond dollars for long-term benefits such as infrastructure projects, environmental groups wanted lawmakers to allot funds for climate efforts and programs — electric vehicles, community-based programs, coastal resilience, and more — some of which the governor cut from his budget.\u003c/p>\n\u003cp>One program, the Transformative Climate Communities Program, that Gov. Newsom previously zeroed out could receive $150 million. The program funds community-led neighborhood projects to reduce greenhouse gas emissions.\u003c/p>\n\u003cp>Environmental groups like NextGen California “are glad to see some of [their] priorities represented, like extreme heat mitigation and Transformative Climate Communities represented,” wrote David Weiskopf, senior policy advisor with the group, in an email.\u003c/p>\n\u003cp>“The $10 billion figure is also very good, that is what the environmental community had asked for,” he said.\u003c/p>\n\u003cp>The Safe Drinking Water, Wildfire Prevention, Drought Preparedness, and Clear Air Bond Act of 2024 has eight potential funding areas.\u003c/p>\n\u003cul>\n\u003cli>Safe Drinking Water, Drought, Flood and Water Resilience – $3.8 billion\u003c/li>\n\u003cli>Wildfires and Forest Resilience – $1.5 billion\u003c/li>\n\u003cli>Sea Level Rise and Coastal Resilience – $1.2 billion\u003c/li>\n\u003cli>Protect Biodiversity and Accelerating Nature-Based Climate Solutions – $1.2 billion\u003c/li>\n\u003cli>Clean Air – $850 million\u003c/li>\n\u003cli>Park Creation and Outdoor Access – $700 million\u003c/li>\n\u003cli>Extreme Heat Mitigation – $450 million\u003c/li>\n\u003cli>Climate Smart, Sustainable & Resilient Farms, Ranches and Working Lands – $300 million\u003c/li>\n\u003c/ul>\n\u003cp>The bond also sets aside $475 million for offshore wind. Earlier this year, Assemblymember Rick Chavez Zbur (D-Hollywood) pursued a $1 billion bond for offshore wind infrastructure. Still, lawmakers folded that into the larger climate bond effort, said Vienna Montague, Zbur’s communications director, in an email.\u003c/p>\n\u003cp>Lawmakers have until July 3 to approve the bond for the November election, and Gov. Gavin Newsom must sign off on any bond measure the legislature approves with a two-thirds vote.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It prioritizes and enables robust, decisive action to advance our climate goals and enhance community resilience against climate impacts,” Senate Majority Leader Lena Gonzalez (D-Long Beach) said in a statement.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Cleanup of San Francisco Superfund Site Has Been Badly Mishandled, Lawsuit Alleges",
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"content": "\u003cp>\u003cem>Updated 10:25 a.m. Friday\u003c/em>\u003c/p>\n\u003cp>An environmental justice nonprofit filed a lawsuit on Friday alleging “egregious” mishandling of the cleanup of radioactive contamination at the former \u003ca href=\"https://www.kqed.org/science/1985646/radioactive-object-found-at-san-franciscos-hunters-point-naval-shipyard-raises-new-concerns\">Hunters Point Naval Shipyard\u003c/a> in San Francisco, one of the nation’s largest and most polluted Superfund sites.\u003c/p>\n\u003cp>In the suit, \u003ca href=\"https://greenaction.org/2023/12/07/greenaction-files-legal-action-against-the-navy-and-usepa-to-demand-proper-retesting-and-full-cleanup-of-hunters-point-naval-shipyard-superfund-site/\">Greenaction for Health and Environmental Justice\u003c/a> calls for the U.S. Navy to retest the entire site and for the U.S. Environmental Protection Agency to strengthen its oversight role of the cleanup. It also seeks a federal court order for the agencies to comply with cleanup law.\u003c/p>\n\u003cp>According to the suit, authorities still lack “a complete and accurate understanding” of how contaminated the site is, raising concerns because the city plans to allow developers to build thousands of homes there. When finished, the 693-acre \u003ca href=\"https://sfocii.org/projects/hunters-point-shipyard-candlestick-point-2/overview\">Candlestick Point-Hunters Point Shipyard project\u003c/a> — which the Superfund site is part of — could have more than 10,000 housing units. The development would include two new waterfront neighborhoods with housing, retail and over 340 acres of parks and open space.\u003c/p>\n\u003cp>Environmental advocates also worry that rising seas will stir up contamination, spreading it across the community and into the bay.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>According to the lawsuit, the federal agencies overseeing the cleanup have routinely missed project deadlines “without legal or factual justification and failed to assure that the remedies are protective” as mandated by federal law.\u003c/p>\n\u003cp>Steve Castleman, a supervising attorney in the Environmental Law Clinic at UC Berkeley Law, which is representing Greenaction, said the Navy and EPA have a legal responsibility to retest the entire site because they found contamination in three parcels.\u003c/p>\n\u003cp>“The Navy should acknowledge that and get on with it,” he said. “The agencies are in no hurry to move to 100% of the testing, and we don’t believe they will ever do 100% testing without a court order.”\u003c/p>\n\u003cp>The Navy and the EPA have 60 days to respond to the lawsuit, Castleman said.\u003c/p>\n\u003cp>A representative for the EPA declined to comment, citing the agency’s policy on pending litigation. The Navy did not respond to a request for comment. \u003c/p>\n\u003cp>Located next to a historically Black neighborhood where more than 35,000 people live, the Tetris-shaped 866-acre shipyard comprises concrete docking bays and abandoned buildings that jut out of San Francisco’s southeast shoreline.\u003c/p>\n\u003cp>Arieann Harrison, founder and CEO of the Marie Harrison Community Foundation, an environmental justice group serving the Bayview community that is not part of the lawsuit, hopes the case will force the agencies in charge to clean up the site further.\u003c/p>\n\u003cp>“We are tired of advocating for them to do the right thing, and we’re hoping they do the right thing,” she said. “They need to have oversight and be more transparent in documenting and presenting that information to the community.”\u003c/p>\n\u003cp>In the middle of the last century, the Navy used the site to decontaminate ships after atomic bomb tests, a process that contaminated the soil with radionuclides, heavy metals and petroleum fuels, among other toxic compounds.\u003c/p>\n\u003cp>Officials have found radioactive material several times in recent years.\u003c/p>\n\u003cp>In December, the Navy said it detected a radioactive chip of glass smaller than a dime during routine testing at the site. That came a few months after the Navy reported finding a radioactive deck marker, the size of a silver dollar, that once guided ships at night.\u003c/p>\n\u003cp>In 2021, the Navy found nearly two dozen samples at the site contaminated by Strontium-90, a radioactive isotope that can cause cancer. And in September 2018, the agency recovered another radioactive deck marker, more than a decade after the federal government declared the area safe and free of radioactive waste.\u003c/p>\n\u003cp>The EPA has alleged that Tetra Tech EC, a contractor hired by the Navy to conduct remediation activities at the site, falsified reports during the cleanup project. In 2018, two former Tetra Tech supervisors pleaded guilty to federal fraud charges for falsifying records and were sentenced to prison. The company has denied wrongdoing and said the two employees were solely responsible for the fraudulent actions.\u003c/p>\n\u003cp>Without a thorough cleanup, environmental advocates worry that rising seas — a result of human-caused climate change — will push up groundwater levels and come in contact with the radioactive materials. They fear the contaminated groundwater could bubble up, come in contact with people and enter San Francisco Bay.\u003c/p>\n\u003cp>“The stakes are very high,” Castleman said.\u003c/p>\n\u003cp>In January, the U.S. Navy acknowledged for the first time in its latest five-year review of the cleanup that \u003ca href=\"https://www.kqed.org/science/1991758/u-s-navy-acknowledges-rising-toxic-groundwater-threat-at-sf-superfund-site\">potentially toxic groundwater could surface at the site in just over a decade\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 10:25 a.m. Friday\u003c/em>\u003c/p>\n\u003cp>An environmental justice nonprofit filed a lawsuit on Friday alleging “egregious” mishandling of the cleanup of radioactive contamination at the former \u003ca href=\"https://www.kqed.org/science/1985646/radioactive-object-found-at-san-franciscos-hunters-point-naval-shipyard-raises-new-concerns\">Hunters Point Naval Shipyard\u003c/a> in San Francisco, one of the nation’s largest and most polluted Superfund sites.\u003c/p>\n\u003cp>In the suit, \u003ca href=\"https://greenaction.org/2023/12/07/greenaction-files-legal-action-against-the-navy-and-usepa-to-demand-proper-retesting-and-full-cleanup-of-hunters-point-naval-shipyard-superfund-site/\">Greenaction for Health and Environmental Justice\u003c/a> calls for the U.S. Navy to retest the entire site and for the U.S. Environmental Protection Agency to strengthen its oversight role of the cleanup. It also seeks a federal court order for the agencies to comply with cleanup law.\u003c/p>\n\u003cp>According to the suit, authorities still lack “a complete and accurate understanding” of how contaminated the site is, raising concerns because the city plans to allow developers to build thousands of homes there. When finished, the 693-acre \u003ca href=\"https://sfocii.org/projects/hunters-point-shipyard-candlestick-point-2/overview\">Candlestick Point-Hunters Point Shipyard project\u003c/a> — which the Superfund site is part of — could have more than 10,000 housing units. The development would include two new waterfront neighborhoods with housing, retail and over 340 acres of parks and open space.\u003c/p>\n\u003cp>Environmental advocates also worry that rising seas will stir up contamination, spreading it across the community and into the bay.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to the lawsuit, the federal agencies overseeing the cleanup have routinely missed project deadlines “without legal or factual justification and failed to assure that the remedies are protective” as mandated by federal law.\u003c/p>\n\u003cp>Steve Castleman, a supervising attorney in the Environmental Law Clinic at UC Berkeley Law, which is representing Greenaction, said the Navy and EPA have a legal responsibility to retest the entire site because they found contamination in three parcels.\u003c/p>\n\u003cp>“The Navy should acknowledge that and get on with it,” he said. “The agencies are in no hurry to move to 100% of the testing, and we don’t believe they will ever do 100% testing without a court order.”\u003c/p>\n\u003cp>The Navy and the EPA have 60 days to respond to the lawsuit, Castleman said.\u003c/p>\n\u003cp>A representative for the EPA declined to comment, citing the agency’s policy on pending litigation. The Navy did not respond to a request for comment. \u003c/p>\n\u003cp>Located next to a historically Black neighborhood where more than 35,000 people live, the Tetris-shaped 866-acre shipyard comprises concrete docking bays and abandoned buildings that jut out of San Francisco’s southeast shoreline.\u003c/p>\n\u003cp>Arieann Harrison, founder and CEO of the Marie Harrison Community Foundation, an environmental justice group serving the Bayview community that is not part of the lawsuit, hopes the case will force the agencies in charge to clean up the site further.\u003c/p>\n\u003cp>“We are tired of advocating for them to do the right thing, and we’re hoping they do the right thing,” she said. “They need to have oversight and be more transparent in documenting and presenting that information to the community.”\u003c/p>\n\u003cp>In the middle of the last century, the Navy used the site to decontaminate ships after atomic bomb tests, a process that contaminated the soil with radionuclides, heavy metals and petroleum fuels, among other toxic compounds.\u003c/p>\n\u003cp>Officials have found radioactive material several times in recent years.\u003c/p>\n\u003cp>In December, the Navy said it detected a radioactive chip of glass smaller than a dime during routine testing at the site. That came a few months after the Navy reported finding a radioactive deck marker, the size of a silver dollar, that once guided ships at night.\u003c/p>\n\u003cp>In 2021, the Navy found nearly two dozen samples at the site contaminated by Strontium-90, a radioactive isotope that can cause cancer. And in September 2018, the agency recovered another radioactive deck marker, more than a decade after the federal government declared the area safe and free of radioactive waste.\u003c/p>\n\u003cp>The EPA has alleged that Tetra Tech EC, a contractor hired by the Navy to conduct remediation activities at the site, falsified reports during the cleanup project. In 2018, two former Tetra Tech supervisors pleaded guilty to federal fraud charges for falsifying records and were sentenced to prison. The company has denied wrongdoing and said the two employees were solely responsible for the fraudulent actions.\u003c/p>\n\u003cp>Without a thorough cleanup, environmental advocates worry that rising seas — a result of human-caused climate change — will push up groundwater levels and come in contact with the radioactive materials. They fear the contaminated groundwater could bubble up, come in contact with people and enter San Francisco Bay.\u003c/p>\n\u003cp>“The stakes are very high,” Castleman said.\u003c/p>\n\u003cp>In January, the U.S. Navy acknowledged for the first time in its latest five-year review of the cleanup that \u003ca href=\"https://www.kqed.org/science/1991758/u-s-navy-acknowledges-rising-toxic-groundwater-threat-at-sf-superfund-site\">potentially toxic groundwater could surface at the site in just over a decade\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"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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"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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"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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},
"perspectives": {
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"order": 14
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"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",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
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