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"content": "\u003cp>Going to a dental office during a global pandemic is a bit like playing a video game. Patients and office staff will muster their greatest patience and don new protective gear to overcome hurdles previously unseen. Once inside the office, they will navigate an intricate maze of socially distanced people, plexiglass sneeze guards and bottles of hand sanitizer before making it to their final destination: the dental chair.\u003c/p>\n\u003cp>Dental offices postponed routine and nonurgent care following the statewide stay-at-home order issued March 19. Dental visits slowed to a trickle of emergencies: a painful tooth, for example, broken tooth, or facial swelling.\u003c/p>\n\u003cp>As California entered Stage 2 of the state’s reopening in early May, when curbside pickup for some retail like flower shops and bookstores was permitted, the state also allowed routine dental care, such as cleanings and exams, to resume.\u003c/p>\n\u003cp>But like the loosening of other restrictions, the return to regular dental care varies based on permission from counties themselves. What’s resulted is a patchwork of rules and regulations, and confusion for dentists and patients alike.\u003c/p>\n\u003cp>“The state was saying one thing and then you had counties saying different things,” said dentist Dr. Natasha Lee, of the San Francisco-based private practice \u003ca href=\"http://www.betterlivingthroughdentistry.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Better Living Through Dentistry.\u003c/a> “Everyone was like, ‘Well, who do I listen to?'”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The correct answer, says Lee, a former president of the California Dental Association, is whichever directive is more restrictive.\u003c/p>\n\u003cp>While the state announced in early May that dental offices could resume routine care, the soonest Lee could do so in San Francisco was on May 18, which she did.\u003c/p>\n\u003cp>And things in her office look a lot different.\u003c/p>\n\u003cp>Before patients even come in, staff will screen patients over the phone for symptoms of COVID-19 and ask whether they’ve traveled recently.\u003c/p>\n\u003cp>If they check out, they will head to their scheduled appointment. When they arrive, however, they won’t open the door and enter the waiting room. They’ll knock and be met by staff outside the clinic, where they go through the same screening again, plus a temperature check.\u003c/p>\n\u003cp>“Only then do we actually allow a patient to come into the practice,” Lee said.\u003c/p>\n\u003cp>Office staff give patients a new surgical mask, even if they brought a mask from home. Patients will see a receptionist who is behind plexiglass sneeze guards, a setup Lee calls “an aquarium.”\u003c/p>\n\u003cfigure id=\"attachment_1965202\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1965202 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/RS43413_IMG_6993-qut-800x600.jpg\" alt=\"Office manager Cessalyn Maquinana at the front desk of the Better Living through Dentistry Office. New additions for the pandemic: plexiglass sneeze guards, separate cups for clean and used pens, and hand sanitizer.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/RS43413_IMG_6993-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/RS43413_IMG_6993-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/RS43413_IMG_6993-qut-768x576.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/RS43413_IMG_6993-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/RS43413_IMG_6993-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Office manager Cessalyn Maquinana at the front desk of the Better Living Through Dentistry office. New additions for the pandemic: plexiglass sneeze guards, separate cups for clean and used pens, and hand sanitizer. \u003ccite>(Courtesy of Dr. Natasha Lee)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A staff member escorts patients to the treatment room, “to make sure that we’re timing patient arrival and patient departure so we don’t have anyone crossing paths in the hallway,” Lee said.\u003c/p>\n\u003cp>In the treatment room, patients wash their hands and rinse with a peroxide-based mouthwash. Finally, they’ll take their seat in the dental chair.\u003c/p>\n\u003cp>“When I come into the room, they say, ‘Oh, Dr. Lee, it’s so nice to see you,'” Lee said. “And then I realize they can’t see me because I’m behind all this PPE now.”\u003c/p>\n\u003cp>New personal protective gear for dentists includes an N95 face mask, a face shield, a hair covering and a fresh gown. The gowns are disposed of after each patient is seen, even if it’s just for a brief exam.\u003c/p>\n\u003cp>It may be hard to hear Lee too, since she has four new HEPA air filters whirring in her office to increase air flow.\u003c/p>\n\u003cp>Many of Lee’s new practices are guided by the \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Guidance-for-Resuming-Deferred-and-Preventive-Dental-Care--.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">California Department of Public Health\u003c/a>. Dentists across California are taking similar measures.\u003c/p>\n\u003cp>All of that is not without a cost. In Oakland, \u003ca href=\"https://www.sharonalbrightdds.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Sharon Albright\u003c/a>, who was once my dentist, says she’s spent more than $10,000 to prepare her office and outfit her staff to resume routine care next week.\u003c/p>\n\u003cp>While she isn’t having trouble finding enough PPE, she said it has become much more expensive than it once was.\u003c/p>\n\u003cp>Despite the new financial costs, Albright said dentists are uniquely prepared for this kind of challenge, based on their training and experience.\u003c/p>\n\u003cp>“We’ve been dealing with a lot of things in dentistry. There was AIDS, there’s always been hepatitis B, tuberculosis” Albright said. “We’re no stranger to microbes.”\u003c/p>\n\u003cp>When Albright’s office does resume offering a full range of services, it’ll see fewer patients.\u003c/p>\n\u003cp>So will the nonprofit \u003ca href=\"https://www.cdhc.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Children’s Dental Health Clinic\u003c/a> in Long Beach. Before the pandemic, the large clinic saw roughly 100 young patients per day, said Executive Director Dr. John Blake, and still couldn’t meet the demand. Now, Blake said they can see about half that many people in the same amount of time. He’s considering seeing patients at night to accommodate more of them.\u003c/p>\n\u003cp>Other clinics are considering using teledentistry for things like evaluations before a procedure.\u003c/p>\n\u003cp>While getting close to another person feels precarious these days, Blake believes dental care is still safe. And the Centers for Disease Control and Prevention reports there have been \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html\" target=\"_blank\" rel=\"noopener noreferrer\">no clusters of COVID-19 outbreaks\u003c/a> in dental settings or among dental health care personnel.\u003c/p>\n\u003cp>Blake said he explains it to hesitant patients like this:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The dental office, if they have the proper PPE, if they have the proper recommended protocols in place, is much safer than going to the supermarket.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The correct answer, says Lee, a former president of the California Dental Association, is whichever directive is more restrictive.\u003c/p>\n\u003cp>While the state announced in early May that dental offices could resume routine care, the soonest Lee could do so in San Francisco was on May 18, which she did.\u003c/p>\n\u003cp>And things in her office look a lot different.\u003c/p>\n\u003cp>Before patients even come in, staff will screen patients over the phone for symptoms of COVID-19 and ask whether they’ve traveled recently.\u003c/p>\n\u003cp>If they check out, they will head to their scheduled appointment. When they arrive, however, they won’t open the door and enter the waiting room. They’ll knock and be met by staff outside the clinic, where they go through the same screening again, plus a temperature check.\u003c/p>\n\u003cp>“Only then do we actually allow a patient to come into the practice,” Lee said.\u003c/p>\n\u003cp>Office staff give patients a new surgical mask, even if they brought a mask from home. Patients will see a receptionist who is behind plexiglass sneeze guards, a setup Lee calls “an aquarium.”\u003c/p>\n\u003cfigure id=\"attachment_1965202\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1965202 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/RS43413_IMG_6993-qut-800x600.jpg\" alt=\"Office manager Cessalyn Maquinana at the front desk of the Better Living through Dentistry Office. New additions for the pandemic: plexiglass sneeze guards, separate cups for clean and used pens, and hand sanitizer.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/RS43413_IMG_6993-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/RS43413_IMG_6993-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/RS43413_IMG_6993-qut-768x576.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/RS43413_IMG_6993-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/RS43413_IMG_6993-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Office manager Cessalyn Maquinana at the front desk of the Better Living Through Dentistry office. New additions for the pandemic: plexiglass sneeze guards, separate cups for clean and used pens, and hand sanitizer. \u003ccite>(Courtesy of Dr. Natasha Lee)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A staff member escorts patients to the treatment room, “to make sure that we’re timing patient arrival and patient departure so we don’t have anyone crossing paths in the hallway,” Lee said.\u003c/p>\n\u003cp>In the treatment room, patients wash their hands and rinse with a peroxide-based mouthwash. Finally, they’ll take their seat in the dental chair.\u003c/p>\n\u003cp>“When I come into the room, they say, ‘Oh, Dr. Lee, it’s so nice to see you,'” Lee said. “And then I realize they can’t see me because I’m behind all this PPE now.”\u003c/p>\n\u003cp>New personal protective gear for dentists includes an N95 face mask, a face shield, a hair covering and a fresh gown. 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In Oakland, \u003ca href=\"https://www.sharonalbrightdds.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Sharon Albright\u003c/a>, who was once my dentist, says she’s spent more than $10,000 to prepare her office and outfit her staff to resume routine care next week.\u003c/p>\n\u003cp>While she isn’t having trouble finding enough PPE, she said it has become much more expensive than it once was.\u003c/p>\n\u003cp>Despite the new financial costs, Albright said dentists are uniquely prepared for this kind of challenge, based on their training and experience.\u003c/p>\n\u003cp>“We’ve been dealing with a lot of things in dentistry. 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"content": "\u003cp>A milkshake got into the nursing home; the daughter of the patient it was intended for could not.\u003c/p>\n\u003cp>Ninety-six-year-old Betty Odette, a resident at the Astoria Nursing and Rehabilitation Center in the San Fernando Valley, has a sweet tooth. Often brownies and vanilla ice cream, says her daughter Randy, who in early March came to the lobby of the facility with a shamrock shake instead.\u003c/p>\n\u003cp>[pullquote citation='Randy Odette, barred from seeing her mom in a nursing home due to the coronavirus']‘I mean, test me, go ahead and test me, and then let me in.’[/pullquote] State and county orders, and the way health care professionals interpret them, stopped her from seeing her mother; a care aide let the shake in.\u003c/p>\n\u003cp>“I mean, test me, go ahead and test me, and then let me in,” Randy said.\u003c/p>\n\u003cp>Nearly 8,000 Californians in skilled nursing facilities have tested positive for COVID-19. According to the most recent state data, almost 20 percent of those patients have died — a far greater percentage than among the general population. That heightened risk is why the state has locked down nursing homes to most visitors, with a few exceptions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So far, Randy Odette has not been one of them.\u003c/p>\n\u003cp>By April, the coronavirus crept into Astoria. On May 4, the nursing home \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/COVID-19/SNF%20DATA%20-%20May%204.xlsx\">reported\u003c/a> that 19 workers were sick. At the outbreak’s peak, on May 11, the nursing home \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/COVID-19/SNF%20DATA%20-%20May%2011.xlsx\">reported\u003c/a> 52 residents had tested positive.\u003c/p>\n\u003cp>Including Betty Odette.\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"#callout\">Click here if you know someone in a nursing home or assisted facility … share your story!\u003c/a>\u003c/em>\u003c/p>\n\u003cp>As of early May, officials \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-20-38.aspx\">have recommended\u003c/a> to all licensed facilities in California that they permit some exceptions to the lockdown, including support visits for end-of-life visitors, and for people experiencing cognitive impairments when medically necessary.\u003c/p>\n\u003cp>What the state offers is guidance, not a rule. The federal Centers for Disease Control and Prevention \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care-strategies.html\">recommends\u003c/a> screening everyone who enters a nursing home and restricting visitors except in “compassionate care” situations. Those, too, are only guidelines.\u003c/p>\n\u003cp>Advocates and family members report wide variation in how state and federal guidance is interpreted.\u003c/p>\n\u003cp>At Astoria, “They basically have to be at death’s door, you know, suffered a massive stroke or they’re gonna die that day, that night,” Randy Odette said.\u003c/p>\n\u003cp>That’s a call she fears. Because she’s already received it, about a month ago. Early one weekend morning, around 3 a.m., her mother’s blood pressure plummeted. Astoria care workers called Randy, who is her mother’s guardian, to ask about end-of-life plans. So Randy asked to come in.\u003c/p>\n\u003cp>The night shift told her to call back in the day. She did, a few times.\u003c/p>\n\u003cp>“Finally, I was a little bit persuasive and they tell me, OK, are you ready to go in today, if we got you all garbed up?” Randy remembers. “And then he goes, oh, tomorrow, tomorrow; I’ll call you and we’ll set up a time.”\u003c/p>\n\u003cp>Tomorrow came; a call did not. Randy called back, and she said they told her “no.”\u003c/p>\n\u003cp>Manny Ruiz is the home’s administrator. He said it was against doctor’s orders to permit Randy inside.\u003c/p>\n\u003cp>“It is a medical decision, it is not an administrative decision,” he said. “There [are] no visitors allowed to be in the facility unless it’s a critical situation. And if that is a critical situation, it has to be defined by the attending physician.”\u003c/p>\n\u003cp>Ruiz said doctors are worried about liability for spreading COVID-19 beyond Astoria’s walls, and that Betty is not critical. “I feel for these residents, not being seen by their relatives. But we want to play safe as well.”\u003c/p>\n\u003cfigure id=\"attachment_1965015\" class=\"wp-caption aligncenter\" style=\"max-width: 756px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/Resized_20191114_161656_15798583451002.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1965015 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/Resized_20191114_161656_15798583451002.jpg\" alt=\"\" width=\"756\" height=\"1008\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Resized_20191114_161656_15798583451002.jpg 756w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Resized_20191114_161656_15798583451002-160x213.jpg 160w\" sizes=\"(max-width: 756px) 100vw, 756px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Betty Odette, 96, has Alzheimer’s – and COVID-19. Her daughter has sought to visit her at a Sylmar nursing home, but is not allowed. \u003ccite>(Courtesy Randy Odette)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Betty’s doctor works for Kaiser Permanente. Kaiser spokesman Terry Kanakri didn’t respond to questions about liability, emphasizing that while Kaiser doesn’t own Astoria or any other nursing homes in California, “our physicians assess and treat patients being cared for in these facilities, and their health and safety are our top priorities.”\u003c/p>\n\u003cp>Kaiser says it is Ruiz’s call.\u003c/p>\n\u003cp>“As far as the rules and policies at each site, including visitation, they are set at the discretion of the management teams at the nursing homes,” Kanakri said.\u003c/p>\n\u003cp>“They all were like passing the buck and didn’t want to take any responsibility for what I was asking,” Randy said. “That’s the way I took it.”\u003c/p>\n\u003cp>Back in January, Randy and her mother both made big moves: Betty, to the nursing home; 62-year-old Randy to an RV now parked 20 minutes from Astoria’s door. A retired hairdresser, she took care of her mother at home for almost a dozen years. The last two were especially hard. Randy was hoping to visit friends around the country in her RV; the national shutdown has delayed her plan indefinitely.\u003c/p>\n\u003cp>Everything she owns is inside the vehicle, including family pictures.\u003c/p>\n\u003cp>“She was like a movie star type,” Randy said, pulling snapshots of her mother from behind the front seat. “You’ll see.”\u003c/p>\n\u003cfigure id=\"attachment_1965011\" class=\"wp-caption alignright\" style=\"max-width: 315px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/IMG_7903.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1965011\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/IMG_7903-1020x1360.jpg\" alt=\"Betty Odette is 96\" width=\"315\" height=\"420\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903-800x1067.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903-768x1024.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903-1920x2560.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903.jpg 2000w\" sizes=\"(max-width: 315px) 100vw, 315px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An undated photo of Betty Odette, a 96-year-old resident of Astoria Nursing and Rehabilitation Center in the San Fernando Valley, who has tested positive for COVID-19. \u003ccite>(KQED/Molly Peterson)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>They’re glamorous: a candid shot from 1969 of her mother in a beaded shift dress and drop earrings; an undated portrait shows off her perfectly waved red hair and lipstick to match. In a recent picture, that glamour remains in a tilt of her chin, even as memory loss has hollowed her gaze, while age and disease have shrunk her body.\u003c/p>\n\u003cp>Randy says after a dozen years of caretaking, she knows her mother’s health as well as the facility does. Four years ago, doctors told her Betty was in the last stages of Alzheimer’s.\u003c/p>\n\u003cp>“I know she’s going to pass soon. I can’t even believe she made it to 96,” she said, her voice rising and cracking. Then more quietly: “I just haven’t seen her for two-and-a-half months. I want to see her before she passes.”\u003c/p>\n\u003cp>Randy vows she would take any test, or put on any amount of personal protective gear. She’s not worried she’ll get COVID-19. She just wants to touch her mom one last time.\u003c/p>\n\u003cp>“When she goes, I think she’s just gonna go in her sleep, and there won’t be any time to drive down to the hospital,” she says. “And they should know that.”\u003c/p>\n\u003cp>Betty remains at Astoria, in a ward for residents with COVID-19.\u003c/p>\n\u003cp>The nursing home just turned Randy away again. For now, she remains at her RV.\u003c/p>\n\u003cp>Waiting.\u003c/p>\n\u003cp> \u003c/p>\n\u003ch3>Help KQED Science report on the pandemic!\u003c/h3>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[hearken src=\"https://modules.wearehearken.com/kqed/embed/5489.js\"]\u003c/p>\n\n",
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"excerpt": "The state has locked down nursing homes to most visitors because of the pandemic, and one Southern California woman has been unsuccessfully trying to see her 96-year-old mom. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A milkshake got into the nursing home; the daughter of the patient it was intended for could not.\u003c/p>\n\u003cp>Ninety-six-year-old Betty Odette, a resident at the Astoria Nursing and Rehabilitation Center in the San Fernando Valley, has a sweet tooth. Often brownies and vanilla ice cream, says her daughter Randy, who in early March came to the lobby of the facility with a shamrock shake instead.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> State and county orders, and the way health care professionals interpret them, stopped her from seeing her mother; a care aide let the shake in.\u003c/p>\n\u003cp>“I mean, test me, go ahead and test me, and then let me in,” Randy said.\u003c/p>\n\u003cp>Nearly 8,000 Californians in skilled nursing facilities have tested positive for COVID-19. According to the most recent state data, almost 20 percent of those patients have died — a far greater percentage than among the general population. That heightened risk is why the state has locked down nursing homes to most visitors, with a few exceptions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So far, Randy Odette has not been one of them.\u003c/p>\n\u003cp>By April, the coronavirus crept into Astoria. On May 4, the nursing home \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/COVID-19/SNF%20DATA%20-%20May%204.xlsx\">reported\u003c/a> that 19 workers were sick. At the outbreak’s peak, on May 11, the nursing home \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/COVID-19/SNF%20DATA%20-%20May%2011.xlsx\">reported\u003c/a> 52 residents had tested positive.\u003c/p>\n\u003cp>Including Betty Odette.\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"#callout\">Click here if you know someone in a nursing home or assisted facility … share your story!\u003c/a>\u003c/em>\u003c/p>\n\u003cp>As of early May, officials \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-20-38.aspx\">have recommended\u003c/a> to all licensed facilities in California that they permit some exceptions to the lockdown, including support visits for end-of-life visitors, and for people experiencing cognitive impairments when medically necessary.\u003c/p>\n\u003cp>What the state offers is guidance, not a rule. The federal Centers for Disease Control and Prevention \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care-strategies.html\">recommends\u003c/a> screening everyone who enters a nursing home and restricting visitors except in “compassionate care” situations. Those, too, are only guidelines.\u003c/p>\n\u003cp>Advocates and family members report wide variation in how state and federal guidance is interpreted.\u003c/p>\n\u003cp>At Astoria, “They basically have to be at death’s door, you know, suffered a massive stroke or they’re gonna die that day, that night,” Randy Odette said.\u003c/p>\n\u003cp>That’s a call she fears. Because she’s already received it, about a month ago. Early one weekend morning, around 3 a.m., her mother’s blood pressure plummeted. Astoria care workers called Randy, who is her mother’s guardian, to ask about end-of-life plans. So Randy asked to come in.\u003c/p>\n\u003cp>The night shift told her to call back in the day. She did, a few times.\u003c/p>\n\u003cp>“Finally, I was a little bit persuasive and they tell me, OK, are you ready to go in today, if we got you all garbed up?” Randy remembers. “And then he goes, oh, tomorrow, tomorrow; I’ll call you and we’ll set up a time.”\u003c/p>\n\u003cp>Tomorrow came; a call did not. Randy called back, and she said they told her “no.”\u003c/p>\n\u003cp>Manny Ruiz is the home’s administrator. He said it was against doctor’s orders to permit Randy inside.\u003c/p>\n\u003cp>“It is a medical decision, it is not an administrative decision,” he said. “There [are] no visitors allowed to be in the facility unless it’s a critical situation. And if that is a critical situation, it has to be defined by the attending physician.”\u003c/p>\n\u003cp>Ruiz said doctors are worried about liability for spreading COVID-19 beyond Astoria’s walls, and that Betty is not critical. “I feel for these residents, not being seen by their relatives. But we want to play safe as well.”\u003c/p>\n\u003cfigure id=\"attachment_1965015\" class=\"wp-caption aligncenter\" style=\"max-width: 756px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/Resized_20191114_161656_15798583451002.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1965015 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/Resized_20191114_161656_15798583451002.jpg\" alt=\"\" width=\"756\" height=\"1008\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Resized_20191114_161656_15798583451002.jpg 756w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Resized_20191114_161656_15798583451002-160x213.jpg 160w\" sizes=\"(max-width: 756px) 100vw, 756px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Betty Odette, 96, has Alzheimer’s – and COVID-19. Her daughter has sought to visit her at a Sylmar nursing home, but is not allowed. \u003ccite>(Courtesy Randy Odette)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Betty’s doctor works for Kaiser Permanente. Kaiser spokesman Terry Kanakri didn’t respond to questions about liability, emphasizing that while Kaiser doesn’t own Astoria or any other nursing homes in California, “our physicians assess and treat patients being cared for in these facilities, and their health and safety are our top priorities.”\u003c/p>\n\u003cp>Kaiser says it is Ruiz’s call.\u003c/p>\n\u003cp>“As far as the rules and policies at each site, including visitation, they are set at the discretion of the management teams at the nursing homes,” Kanakri said.\u003c/p>\n\u003cp>“They all were like passing the buck and didn’t want to take any responsibility for what I was asking,” Randy said. “That’s the way I took it.”\u003c/p>\n\u003cp>Back in January, Randy and her mother both made big moves: Betty, to the nursing home; 62-year-old Randy to an RV now parked 20 minutes from Astoria’s door. A retired hairdresser, she took care of her mother at home for almost a dozen years. The last two were especially hard. Randy was hoping to visit friends around the country in her RV; the national shutdown has delayed her plan indefinitely.\u003c/p>\n\u003cp>Everything she owns is inside the vehicle, including family pictures.\u003c/p>\n\u003cp>“She was like a movie star type,” Randy said, pulling snapshots of her mother from behind the front seat. “You’ll see.”\u003c/p>\n\u003cfigure id=\"attachment_1965011\" class=\"wp-caption alignright\" style=\"max-width: 315px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/IMG_7903.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1965011\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/IMG_7903-1020x1360.jpg\" alt=\"Betty Odette is 96\" width=\"315\" height=\"420\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903-800x1067.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903-768x1024.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903-1920x2560.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/IMG_7903.jpg 2000w\" sizes=\"(max-width: 315px) 100vw, 315px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An undated photo of Betty Odette, a 96-year-old resident of Astoria Nursing and Rehabilitation Center in the San Fernando Valley, who has tested positive for COVID-19. \u003ccite>(KQED/Molly Peterson)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>They’re glamorous: a candid shot from 1969 of her mother in a beaded shift dress and drop earrings; an undated portrait shows off her perfectly waved red hair and lipstick to match. In a recent picture, that glamour remains in a tilt of her chin, even as memory loss has hollowed her gaze, while age and disease have shrunk her body.\u003c/p>\n\u003cp>Randy says after a dozen years of caretaking, she knows her mother’s health as well as the facility does. Four years ago, doctors told her Betty was in the last stages of Alzheimer’s.\u003c/p>\n\u003cp>“I know she’s going to pass soon. I can’t even believe she made it to 96,” she said, her voice rising and cracking. Then more quietly: “I just haven’t seen her for two-and-a-half months. I want to see her before she passes.”\u003c/p>\n\u003cp>Randy vows she would take any test, or put on any amount of personal protective gear. She’s not worried she’ll get COVID-19. She just wants to touch her mom one last time.\u003c/p>\n\u003cp>“When she goes, I think she’s just gonna go in her sleep, and there won’t be any time to drive down to the hospital,” she says. “And they should know that.”\u003c/p>\n\u003cp>Betty remains at Astoria, in a ward for residents with COVID-19.\u003c/p>\n\u003cp>The nursing home just turned Randy away again. For now, she remains at her RV.\u003c/p>\n\u003cp>Waiting.\u003c/p>\n\u003cp> \u003c/p>\n\u003ch3>Help KQED Science report on the pandemic!\u003c/h3>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Coronavirus Data Dashboards for Bay Area, California, US, the World — All in One Place",
"headTitle": "Coronavirus Data Dashboards for Bay Area, California, US, the World — All in One Place | KQED",
"content": "\u003cp>\u003cem>Originally posted May 5\u003c/em>\u003c/p>\n\u003cp>County health departments in the Bay Area have issued a joint set of \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/bay-area-health-officer-indicator.aspx?mc_cid=634de84af2&mc_eid=e3e8054959\" target=\"_blank\" rel=\"noopener noreferrer\">criteria\u003c/a> to guide them in deciding when and how much to allow the region to tiptoe out of its current forced hibernation. For those who want to access the kind of COVID-19 data that public health officials are staring at in order to divine the right conditions for loosening restrictions, we’ve curated some of the best resources for tracking the numbers.\u003c/p>\n\u003cp>First up is the California Health and Human Services Agency’s dashboard, which is chock-full of \u003cstrong>\u003ca href=\"https://public.tableau.com/views/COVID-19PublicDashboard/Covid-19Public?:embed=y&:display_count=no&:showVizHome=no\" target=\"_blank\" rel=\"noopener noreferrer\">California case statistics\u003c/a>\u003c/strong> and \u003ca href=\"https://public.tableau.com/views/COVID-19PublicDashboard/Covid-19Hospitals?:embed=y&:display_count=no&:showVizHome=no\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cstrong>hospital data\u003c/strong>\u003c/a>, sorted by every county in the state. We also included data dashboards for the Bay Area, the U.S. and the world.\u003c/p>\n\u003cp>\u003cstrong>More California Data\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cdph.ca.gov/P\">County Data Monitoring\u003c/a> – Metrics that the California Department of Public Health is tracking, including case rates, testing positivity and available ventilators \u003cspan style=\"color: #0000ff;\">\u003cem>NEW\u003c/em>\u003c/span>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11809760/how-many-california-coronavirus-cases-see-latest-numbers-by-county\" target=\"_blank\" rel=\"noopener noreferrer\">California Coronavirus Tracker by County\u003c/a> – KQED\u003c/li>\n\u003cli>\u003ca href=\"https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/\" target=\"_blank\" rel=\"noopener noreferrer\">California Coronavirus Tracking\u003c/a> – Comprehensive data on cases, deaths, hospitalizations, demographics and testing, viewable by county and city, from the Los Angeles Times\u003c/li>\n\u003cli>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/ncov2019.aspx#COVID-19%20by%20the%20Numbers\" target=\"_blank\" rel=\"noopener noreferrer\">California COVID-19 by the Numbers\u003c/a> – California Department of Public Health\u003c/li>\n\u003c/ul>\n\u003ch3>Bay Area Data\u003c/h3>\n\u003cp>The nine counties of the Bay Area have released data dashboards where you can monitor daily counts on cases, deaths, hospitalizations, demographics and more.\u003c/p>\n\u003cp>Here is \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Clara County’s data\u003c/a>, for example. Click on the image to be taken to the dashboard. Links to the other counties are directly below.\u003c/p>\n\u003cfigure id=\"attachment_1963598\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1963598 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2013/04/SantaClara.jpg\" alt=\"\" width=\"800\" height=\"532\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2013/04/SantaClara.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2013/04/SantaClara-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2013/04/SantaClara-768x511.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Screenshot of Santa Clara dashboad taking April 29, 2020\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Data Dashboards by County\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://ac-hcsa.maps.arcgis.com/apps/opsdashboard/index.html#/1e0ac4385cbe4cc1bffe2cf7f8e7f0d9\" target=\"_blank\" rel=\"noopener noreferrer\">Alameda\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.coronavirus.cchealth.org/dashboard\" target=\"_blank\" rel=\"noopener noreferrer\">Contra Costa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://coronavirus.marinhhs.org/surveillance\" target=\"_blank\" rel=\"noopener noreferrer\">Marin\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://legacy.livestories.com/s/v2/coronavirus-report-for-napa-county-ca/9065d62d-f5a6-445f-b2a9-b7cf30b846dd/\" target=\"_blank\" rel=\"noopener noreferrer\">Napa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://data.sfgov.org/stories/s/fjki-2fab\" target=\"_blank\" rel=\"noopener noreferrer\">San Francisco\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/post/san-mateo-county-covid-19-data-1\" target=\"_blank\" rel=\"noopener noreferrer\">San Mateo\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Clara\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://doitgis.maps.arcgis.com/apps/MapSeries/index.html?appid=055f81e9fe154da5860257e3f2489d67\" target=\"_blank\" rel=\"noopener noreferrer\">Solano\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.maps.arcgis.com/apps/MapSeries/index.html?appid=21a1653b79ba42039ff22bcb85fa5b19\" target=\"_blank\" rel=\"noopener noreferrer\">Sonoma\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Projected Peaks in U.S. States and the World\u003c/h3>\n\u003cp>The Institute for Health Metrics and Evaluation, a research center at University of Washington Medicine, \u003ca href=\"https://covid19.healthdata.org/united-states-of-america\" target=\"_blank\" rel=\"noopener noreferrer\">models the projected curve\u003c/a> of the pandemic for each U.S. state and each nation using the latest available data. Though of late the model has come under some \u003ca href=\"https://www.kqed.org/science/1962318/coronavirus-model-used-by-trump-administration-to-guide-reopening-is-flawed-critics-say\" target=\"_blank\" rel=\"noopener noreferrer\">criticism\u003c/a>. Here’s \u003ca href=\"https://www.nytimes.com/interactive/2020/04/22/upshot/coronavirus-models.html\" target=\"_blank\" rel=\"noopener noreferrer\">more about different models\u003c/a> from The New York Times.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://covid19.healthdata.org/united-states-of-america\" height=\"700\" width=\"100%\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>More U.S. data\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/science/1962884/bay_area_coronavirus_data\" target=\"_blank\" rel=\"noopener noreferrer\">Johns Hopkins Coronavirus Resource Center Map\u003c/a> – Find data for any county in the U.S.\u003c/li>\n\u003cli>\u003ca href=\"https://www.npr.org/sections/health-shots/2020/03/16/816707182/map-tracking-the-spread-of-the-coronavirus-in-the-u-s\" target=\"_blank\" rel=\"noopener noreferrer\">NPR State Tracking\u003c/a> – How quickly is the virus spreading in each state? \u003c/li>\n\u003cli>\u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-in-us.html\" target=\"_blank\" rel=\"noopener noreferrer\">U.S. Centers for Disease Control and Prevention Data\u003c/a> – \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/covid-data/forecasting-us.html\" target=\"_blank\" rel=\"noopener noreferrer\">forecasts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html\">New York Times Coronavirus Tracking\u003c/a> – Maps, hot spots, case growth rates\u003c/li>\n\u003cli>\u003ca href=\"https://covidtracking.com/data\" target=\"_blank\" rel=\"noopener noreferrer\">COVID Tracking Project\u003c/a> – Testing data state-by-state\u003c/li>\n\u003c/ul>\n\u003ch3>Across the Globe: Cases, Deaths, Recoveries and More\u003c/h3>\n\u003cp>If you want to find coronavirus data for cities across the globe, the Center for Systems Science and Engineering at Johns Hopkins has created a \u003ca href=\"https://coronavirus.jhu.edu/map.html\" target=\"_blank\" rel=\"noopener noreferrer\">global interactive map\u003c/a> with stats for the number of COVID-19 cases and deaths.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://coronavirus.jhu.edu/map.html\" width=\"100%\" height=\"700\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch3>WHO Data Tracks Curves by Region and Country\u003c/h3>\n\u003cp>The World Health Organization (WHO) keeps a \u003ca href=\"https://covid19.who.int/\" target=\"_blank\" rel=\"noopener noreferrer\">Situation Dashboard\u003c/a> showing the number of cases and fatalities by country. Scroll down the page for interactive tools to follow curves for different countries and global region. This includes the number of cases confirmed per day and the change over time.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://covid19.who.int/\" width=\"100%\" height=\"700\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch3>Death Rates Per 100,000 Residents\u003cbr>\n\u003ca title=\"Infographic: COVID-19 Deaths Per 100,000 Inhabitants: A Comparison | Statista\" href=\"https://www.statista.com/chart/21170/coronavirus-death-rate-worldwide/\">\u003cimg decoding=\"async\" style=\"width: 100%; height: auto !important; max-width: 960px;\" src=\"https://cdn.statcdn.com/Infographic/images/normal/21170.jpeg\" alt=\"Infographic: COVID-19 Deaths Per 100,000 Inhabitants: A Comparison | Statista\" width=\"100%\" height=\"auto\">\u003c/a> You will find more infographics at \u003ca href=\"https://www.statista.com/chartoftheday/\">Statista\u003c/a>\n\u003c/h3>\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Originally posted May 5\u003c/em>\u003c/p>\n\u003cp>County health departments in the Bay Area have issued a joint set of \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/bay-area-health-officer-indicator.aspx?mc_cid=634de84af2&mc_eid=e3e8054959\" target=\"_blank\" rel=\"noopener noreferrer\">criteria\u003c/a> to guide them in deciding when and how much to allow the region to tiptoe out of its current forced hibernation. For those who want to access the kind of COVID-19 data that public health officials are staring at in order to divine the right conditions for loosening restrictions, we’ve curated some of the best resources for tracking the numbers.\u003c/p>\n\u003cp>First up is the California Health and Human Services Agency’s dashboard, which is chock-full of \u003cstrong>\u003ca href=\"https://public.tableau.com/views/COVID-19PublicDashboard/Covid-19Public?:embed=y&:display_count=no&:showVizHome=no\" target=\"_blank\" rel=\"noopener noreferrer\">California case statistics\u003c/a>\u003c/strong> and \u003ca href=\"https://public.tableau.com/views/COVID-19PublicDashboard/Covid-19Hospitals?:embed=y&:display_count=no&:showVizHome=no\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cstrong>hospital data\u003c/strong>\u003c/a>, sorted by every county in the state. We also included data dashboards for the Bay Area, the U.S. and the world.\u003c/p>\n\u003cp>\u003cstrong>More California Data\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.cdph.ca.gov/P\">County Data Monitoring\u003c/a> – Metrics that the California Department of Public Health is tracking, including case rates, testing positivity and available ventilators \u003cspan style=\"color: #0000ff;\">\u003cem>NEW\u003c/em>\u003c/span>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11809760/how-many-california-coronavirus-cases-see-latest-numbers-by-county\" target=\"_blank\" rel=\"noopener noreferrer\">California Coronavirus Tracker by County\u003c/a> – KQED\u003c/li>\n\u003cli>\u003ca href=\"https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/\" target=\"_blank\" rel=\"noopener noreferrer\">California Coronavirus Tracking\u003c/a> – Comprehensive data on cases, deaths, hospitalizations, demographics and testing, viewable by county and city, from the Los Angeles Times\u003c/li>\n\u003cli>\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/ncov2019.aspx#COVID-19%20by%20the%20Numbers\" target=\"_blank\" rel=\"noopener noreferrer\">California COVID-19 by the Numbers\u003c/a> – California Department of Public Health\u003c/li>\n\u003c/ul>\n\u003ch3>Bay Area Data\u003c/h3>\n\u003cp>The nine counties of the Bay Area have released data dashboards where you can monitor daily counts on cases, deaths, hospitalizations, demographics and more.\u003c/p>\n\u003cp>Here is \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Clara County’s data\u003c/a>, for example. Click on the image to be taken to the dashboard. Links to the other counties are directly below.\u003c/p>\n\u003cfigure id=\"attachment_1963598\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1963598 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2013/04/SantaClara.jpg\" alt=\"\" width=\"800\" height=\"532\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2013/04/SantaClara.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2013/04/SantaClara-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2013/04/SantaClara-768x511.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Screenshot of Santa Clara dashboad taking April 29, 2020\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Data Dashboards by County\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://ac-hcsa.maps.arcgis.com/apps/opsdashboard/index.html#/1e0ac4385cbe4cc1bffe2cf7f8e7f0d9\" target=\"_blank\" rel=\"noopener noreferrer\">Alameda\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.coronavirus.cchealth.org/dashboard\" target=\"_blank\" rel=\"noopener noreferrer\">Contra Costa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://coronavirus.marinhhs.org/surveillance\" target=\"_blank\" rel=\"noopener noreferrer\">Marin\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://legacy.livestories.com/s/v2/coronavirus-report-for-napa-county-ca/9065d62d-f5a6-445f-b2a9-b7cf30b846dd/\" target=\"_blank\" rel=\"noopener noreferrer\">Napa\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://data.sfgov.org/stories/s/fjki-2fab\" target=\"_blank\" rel=\"noopener noreferrer\">San Francisco\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/post/san-mateo-county-covid-19-data-1\" target=\"_blank\" rel=\"noopener noreferrer\">San Mateo\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/dashboard.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Santa Clara\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://doitgis.maps.arcgis.com/apps/MapSeries/index.html?appid=055f81e9fe154da5860257e3f2489d67\" target=\"_blank\" rel=\"noopener noreferrer\">Solano\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.maps.arcgis.com/apps/MapSeries/index.html?appid=21a1653b79ba42039ff22bcb85fa5b19\" target=\"_blank\" rel=\"noopener noreferrer\">Sonoma\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Projected Peaks in U.S. States and the World\u003c/h3>\n\u003cp>The Institute for Health Metrics and Evaluation, a research center at University of Washington Medicine, \u003ca href=\"https://covid19.healthdata.org/united-states-of-america\" target=\"_blank\" rel=\"noopener noreferrer\">models the projected curve\u003c/a> of the pandemic for each U.S. state and each nation using the latest available data. Though of late the model has come under some \u003ca href=\"https://www.kqed.org/science/1962318/coronavirus-model-used-by-trump-administration-to-guide-reopening-is-flawed-critics-say\" target=\"_blank\" rel=\"noopener noreferrer\">criticism\u003c/a>. Here’s \u003ca href=\"https://www.nytimes.com/interactive/2020/04/22/upshot/coronavirus-models.html\" target=\"_blank\" rel=\"noopener noreferrer\">more about different models\u003c/a> from The New York Times.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://covid19.healthdata.org/united-states-of-america\" height=\"700\" width=\"100%\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>More U.S. data\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/science/1962884/bay_area_coronavirus_data\" target=\"_blank\" rel=\"noopener noreferrer\">Johns Hopkins Coronavirus Resource Center Map\u003c/a> – Find data for any county in the U.S.\u003c/li>\n\u003cli>\u003ca href=\"https://www.npr.org/sections/health-shots/2020/03/16/816707182/map-tracking-the-spread-of-the-coronavirus-in-the-u-s\" target=\"_blank\" rel=\"noopener noreferrer\">NPR State Tracking\u003c/a> – How quickly is the virus spreading in each state? \u003c/li>\n\u003cli>\u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-in-us.html\" target=\"_blank\" rel=\"noopener noreferrer\">U.S. Centers for Disease Control and Prevention Data\u003c/a> – \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/covid-data/forecasting-us.html\" target=\"_blank\" rel=\"noopener noreferrer\">forecasts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html\">New York Times Coronavirus Tracking\u003c/a> – Maps, hot spots, case growth rates\u003c/li>\n\u003cli>\u003ca href=\"https://covidtracking.com/data\" target=\"_blank\" rel=\"noopener noreferrer\">COVID Tracking Project\u003c/a> – Testing data state-by-state\u003c/li>\n\u003c/ul>\n\u003ch3>Across the Globe: Cases, Deaths, Recoveries and More\u003c/h3>\n\u003cp>If you want to find coronavirus data for cities across the globe, the Center for Systems Science and Engineering at Johns Hopkins has created a \u003ca href=\"https://coronavirus.jhu.edu/map.html\" target=\"_blank\" rel=\"noopener noreferrer\">global interactive map\u003c/a> with stats for the number of COVID-19 cases and deaths.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://coronavirus.jhu.edu/map.html\" width=\"100%\" height=\"700\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch3>WHO Data Tracks Curves by Region and Country\u003c/h3>\n\u003cp>The World Health Organization (WHO) keeps a \u003ca href=\"https://covid19.who.int/\" target=\"_blank\" rel=\"noopener noreferrer\">Situation Dashboard\u003c/a> showing the number of cases and fatalities by country. Scroll down the page for interactive tools to follow curves for different countries and global region. This includes the number of cases confirmed per day and the change over time.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://covid19.who.int/\" width=\"100%\" height=\"700\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch3>Death Rates Per 100,000 Residents\u003cbr>\n\u003ca title=\"Infographic: COVID-19 Deaths Per 100,000 Inhabitants: A Comparison | Statista\" href=\"https://www.statista.com/chart/21170/coronavirus-death-rate-worldwide/\">\u003cimg decoding=\"async\" style=\"width: 100%; height: auto !important; max-width: 960px;\" src=\"https://cdn.statcdn.com/Infographic/images/normal/21170.jpeg\" alt=\"Infographic: COVID-19 Deaths Per 100,000 Inhabitants: A Comparison | Statista\" width=\"100%\" height=\"auto\">\u003c/a> You will find more infographics at \u003ca href=\"https://www.statista.com/chartoftheday/\">Statista\u003c/a>\n\u003c/h3>\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cspan class=\"big-cap-wrap\">\u003cspan class=\"big-cap\">A \u003c/span>\u003c/span>new study underlines safety concerns about using the malaria drugs hydroxychloroquine and chloroquine to treat COVID-19, and heightens questions about whether or not the drugs are effective at all.\u003c/p>\n\u003cp>[pullquote citation=\"Dr. Steven Nissen, Cleveland Clinic\"]‘Based upon these findings and others, no one should take hydroxychloroquine with or without an antibiotic unless they are in a randomized controlled trial. It should not be used in the general population to prevent or to treat COVID-19 infection.’[/pullquote]The study, which was published in \u003ca href=\"https://marlin-prod.literatumonline.com/pb-assets/Lancet/pdfs/S0140673620311806.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">The Lancet\u003c/a>, cannot answer the question of whether or not hydroxychloroquine and chloroquine can help patients fight off COVID-19 or whether the drugs increase or decrease the death rates in those patients. Those answers can only come from large studies in which patients are randomly assigned to either receive the drugs or a placebo. Dozens of such studies are ongoing.\u003c/p>\n\u003cp>The results, however, are a reminder of the risks of deciding to use medicines without clear evidence of their benefits and risks.\u003c/p>\n\u003cp>One of the findings of the current study seems hard to ignore: that the drugs increase the risk of dangerous disturbances in heart rhythms. These are known side effects of both medicines, but the increases in the study are striking. After adjustment for other risk factors, it appears that patients on hydroxychloroquine had double the risk of ventricular arrhythmias, and those on chloroquine had triple. When an antibiotic such as azithromycin was added, as some proponents have advocated, the risk jumped to fivefold.\u003c/p>\n\u003cp>“It’s a very striking finding and it’s convincing to me,” said Steven Nissen, a cardiologist at the Cleveland Clinic. “Based upon these findings and others, no one should take hydroxychloroquine with or without an antibiotic unless they are in a randomized controlled trial. It should not be used in the general population to prevent or to treat COVID-19 infection.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Eric Topol, director and founder of the Scripps Research Translational Institute and a cardiologist, noted the risk \u003ca href=\"https://twitter.com/EricTopol/status/1263811764287725574\" target=\"_blank\" rel=\"noopener noreferrer\">in a series of tweets.\u003c/a> “It’s no longer that hydroxychloroquine has no sign of efficacy,” he wrote, “it is associated with an increase in mortality.”\u003c/p>\n\u003cp>The study is the largest observational study so far on the use of chloroquine and hydroxychloroquine to treat COVID-19; it combined data from 15,000 COVID-19 patients at 671 hospitals on six continents who were treated with the drugs. Those patients were compared to 81,000 patients who had COVID-19 but did not receive the drugs.\u003c/p>\n\u003cp>Other observational studies have made comparisons in smaller populations. A study of 368 U.S. veterans also showed that the drugs might be potentially harmful. But two \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2766117\" target=\"_blank\" rel=\"noopener noreferrer\">different\u003c/a> \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJMoa2012410\" target=\"_blank\" rel=\"noopener noreferrer\">studies\u003c/a> each including 1,400 patients treated in New York during the COVID-19 pandemic showed no impact on mortality at all.\u003c/p>\n\u003cp>The difficulty with observational (sometimes called “real-world”) studies is that, often, the patients whom doctors choose to treat with a drug are different — in this case, probably sicker — than those who go untreated.\u003c/p>\n\u003cp>The study in veterans “basically was a paper that showed that sick patients were more likely to get prescribed hydroxychloroquine, and the sick patients die. Now is it that it’s hydroxychloroquine that’s causing the death, or is it the fact that sick patients are the ones that more frequently die of COVID-19?” Amy Abernethy, the principal deputy commissioner at the Food and Drug Administration, told STAT this earlier this week.\u003c/p>\n\u003cp>Adding more patients helps. But the problem is that, while researchers can control for risk factors that they know about, they can’t rule out that patients getting chloroquine and hydroxychloroquine are dying for reasons they don’t understand that have nothing to do with the drugs.\u003c/p>\n\u003cp>Still, the results don’t bode well for the malaria drugs as COVID-19 treatments. After controlling for risks such as weight, heart disease, and lung disease, the mortality rate in the control group was 9%. For those who received hydroxychloroquine, it was 18%; when an antibiotic was added, it was more than 20%. That’s not what would be expected if the drugs were highly effective treatments.\u003c/p>\n\u003cp>The results about heart rhythm issues are harder to discount, because they are known side effects of the drugs. Observational studies are generally seen as useful for picking up side effects.\u003c/p>\n\u003cp>Trying hydroxychloroquine as a COVID-19 treatment was sensible. Just as early laboratory studies showed that remdesivir, the drug developed by Gilead Sciences that the National Institute of Allergy and Infectious Disease found might shorten the time it took patients to recover from Covid-19 in a randomized clinical trial, so too did hydroxychloroquine. And results are conflicting. A \u003ca href=\"https://www.medrxiv.org/content/10.1101/2020.03.22.20040758v3\" target=\"_blank\" rel=\"noopener noreferrer\">62-patient randomized study \u003c/a>in China even seemed to show some benefit from the drug.\u003c/p>\n\u003cp>Even if the results from the new study, led by researchers at the Brigham and Women’s Hospital Center for Advanced Heart Disease/Cardiomyopathy in Boston, hold up, it’s still possible the drug could have some benefit. Researchers are testing it for preventing people who are exposed to the virus from being infected. Again, that can only come from randomized controlled studies.\u003c/p>\n\u003cp>Hydroxychloroquine use spiked dramatically after the drug was embraced by President Trump, who on Monday said that he himself was taking the drug, and commentators on Fox News. Sean Hannity read a letter from a doctor recounting his own experience using the drugs as a treatment on air.\u003c/p>\n\u003cp>Results from some of the first large, randomized studies of hydroxychloroquine are expected soon, including a study being conducted by the French government and one at the University of Minnesota. If they show that the drugs were actually harmful, it will be another giant misstep in the response to the virus. If they show it works, we’ll have another tool — probably a small one — in combating the pandemic.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://www.statnews.com/2020/05/22/what-a-big-new-study-on-malaria-drugs-as-covid-19-treatments-tells-us-and-what-it-doesnt/\" target=\"_blank\" rel=\"noopener noreferrer\">story\u003c/a> was originally published by \u003ca href=\"https://www.statnews.com/\">STAT\u003c/a>, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Eric Topol, director and founder of the Scripps Research Translational Institute and a cardiologist, noted the risk \u003ca href=\"https://twitter.com/EricTopol/status/1263811764287725574\" target=\"_blank\" rel=\"noopener noreferrer\">in a series of tweets.\u003c/a> “It’s no longer that hydroxychloroquine has no sign of efficacy,” he wrote, “it is associated with an increase in mortality.”\u003c/p>\n\u003cp>The study is the largest observational study so far on the use of chloroquine and hydroxychloroquine to treat COVID-19; it combined data from 15,000 COVID-19 patients at 671 hospitals on six continents who were treated with the drugs. Those patients were compared to 81,000 patients who had COVID-19 but did not receive the drugs.\u003c/p>\n\u003cp>Other observational studies have made comparisons in smaller populations. A study of 368 U.S. veterans also showed that the drugs might be potentially harmful. But two \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2766117\" target=\"_blank\" rel=\"noopener noreferrer\">different\u003c/a> \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJMoa2012410\" target=\"_blank\" rel=\"noopener noreferrer\">studies\u003c/a> each including 1,400 patients treated in New York during the COVID-19 pandemic showed no impact on mortality at all.\u003c/p>\n\u003cp>The difficulty with observational (sometimes called “real-world”) studies is that, often, the patients whom doctors choose to treat with a drug are different — in this case, probably sicker — than those who go untreated.\u003c/p>\n\u003cp>The study in veterans “basically was a paper that showed that sick patients were more likely to get prescribed hydroxychloroquine, and the sick patients die. 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A \u003ca href=\"https://www.medrxiv.org/content/10.1101/2020.03.22.20040758v3\" target=\"_blank\" rel=\"noopener noreferrer\">62-patient randomized study \u003c/a>in China even seemed to show some benefit from the drug.\u003c/p>\n\u003cp>Even if the results from the new study, led by researchers at the Brigham and Women’s Hospital Center for Advanced Heart Disease/Cardiomyopathy in Boston, hold up, it’s still possible the drug could have some benefit. Researchers are testing it for preventing people who are exposed to the virus from being infected. Again, that can only come from randomized controlled studies.\u003c/p>\n\u003cp>Hydroxychloroquine use spiked dramatically after the drug was embraced by President Trump, who on Monday said that he himself was taking the drug, and commentators on Fox News. 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"content": "\u003cp>As the coronavirus has been spreading, the world of patients in assisted living facilities has been shrinking. Including for 93-year-old Duane Bay, who has dementia.\u003c/p>\n\u003cp>Even until a few years ago, Bay was active and independent, climbing his own roof to do fix-it projects. Then in January, he moved to an assisted living facility in East Palo Alto. Since the pandemic prompted state and local authorities to close facilities to visitors, care workers at Bay Breeze Serenity have helped him to connect with his family on an iPad.\u003c/p>\n\u003cp>“It took him a little while to figure out what FaceTime was,” said his daughter, Louise Bay Waters. “He now gets it.”\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"#callout\">Click here if you know someone in a nursing home or assisted facility to share your story.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Whether he’s up to conversation or not, her father’s care workers say he lights up when the iPad connects. Waters says video chats bring her comfort, too, sometimes in the form of “really bad dad jokes.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Bay, apparently, was famous for puns. “They aren’t as good or complicated and it’s not regularly,” she says. “But at least once a week in a phone call, there’s something where he will make a pun, a joke or laugh.”\u003c/p>\n\u003cfigure id=\"attachment_1964794\" class=\"wp-caption alignright\" style=\"max-width: 424px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1.jpeg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1964794\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1-1020x1094.jpeg\" alt=\"Duane Bay, on May 4, 2020, at Bay Breeze Serenity Assisted Living in East Palo Alto\" width=\"424\" height=\"455\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1-1020x1094.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1-160x172.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1-800x858.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1-768x824.jpeg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1.jpeg 1766w\" sizes=\"(max-width: 424px) 100vw, 424px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Duane Bay “lights up” when he sees his family via FaceTime on an iPad. Photo taken on May 4, 2020, at the Bay Breeze Serenity assisted living facility in East Palo Alto. (Courtesy of Louise Bay Waters) \u003ccite>(Courtesy Louise Bay Waters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bay Breeze Serenity cares for just five residents. The day’s events, including meal times, are more flexible than larger care homes with set schedules, so Louise says it’s easier for staffers to see her father’s good moments, and when he’s not napping, and choose the best time to call.\u003c/p>\n\u003cp>As Bay’s memory slips, he asks when Waters is coming to see him, again and again. Maybe, when health orders loosen up, she could stand outside his window and wave. But maybe, she thinks, that’s not better.\u003c/p>\n\u003cp>“If we could visit but had to wear masks and stand six feet away and couldn’t touch, I don’t know if that would be any more comprehensible or, you know, soothing or whatever than FaceTime is,” says Waters.\u003c/p>\n\u003cp>Waters is nearly 70. She says the coronavirus pandemic is revealing what’s not working about society, about health care, about the economy — and making her think differently about her future.\u003c/p>\n\u003cp>“A lot of us are optimists who always believe there are answers and things will get better if we just put our minds to it,” she says. “You know, it’s sort of a sobering thing to go, well, if it doesn’t, what am I going to do?”\u003c/p>\n\u003cp>At the same time, she sees what is working for her father: the helpers at the assisted living center, and the song, “Daisy Bell.” Written in 1892, the tune was still popular a century ago: and Waters is amazed her father knows it. “My dad is not a singer,” she says. “He can’t carry a tune.”\u003c/p>\n\u003cp>Not long ago she asked him, “Do you remember when mom would play the piano and you’d sing this?” He nodded. So she started to sing the song “Daisy Bell,” with its lyrics about riding a bicycle built for two. Then, Bay joined in, singing back to his daughter on FaceTime.\u003c/p>\n\u003cp>COVID-19 has changed everything, Louise Bay Waters says — just as dementia has changed her father. But she’s still grateful that as those changes come, she and her father can ride along together a little while longer.\u003c/p>\n\u003cp> \u003c/p>\n\u003ch3>Help KQED Science report on the pandemic!\u003c/h3>\n\u003cp>\u003c/p>\n\u003cp>[hearken src=\"https://modules.wearehearken.com/kqed/embed/5489.js\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Bay, apparently, was famous for puns. “They aren’t as good or complicated and it’s not regularly,” she says. “But at least once a week in a phone call, there’s something where he will make a pun, a joke or laugh.”\u003c/p>\n\u003cfigure id=\"attachment_1964794\" class=\"wp-caption alignright\" style=\"max-width: 424px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1.jpeg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1964794\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1-1020x1094.jpeg\" alt=\"Duane Bay, on May 4, 2020, at Bay Breeze Serenity Assisted Living in East Palo Alto\" width=\"424\" height=\"455\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1-1020x1094.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1-160x172.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1-800x858.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1-768x824.jpeg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Dad-Bay-Breeze-5-4-20-1.jpeg 1766w\" sizes=\"(max-width: 424px) 100vw, 424px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Duane Bay “lights up” when he sees his family via FaceTime on an iPad. Photo taken on May 4, 2020, at the Bay Breeze Serenity assisted living facility in East Palo Alto. (Courtesy of Louise Bay Waters) \u003ccite>(Courtesy Louise Bay Waters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bay Breeze Serenity cares for just five residents. The day’s events, including meal times, are more flexible than larger care homes with set schedules, so Louise says it’s easier for staffers to see her father’s good moments, and when he’s not napping, and choose the best time to call.\u003c/p>\n\u003cp>As Bay’s memory slips, he asks when Waters is coming to see him, again and again. Maybe, when health orders loosen up, she could stand outside his window and wave. But maybe, she thinks, that’s not better.\u003c/p>\n\u003cp>“If we could visit but had to wear masks and stand six feet away and couldn’t touch, I don’t know if that would be any more comprehensible or, you know, soothing or whatever than FaceTime is,” says Waters.\u003c/p>\n\u003cp>Waters is nearly 70. She says the coronavirus pandemic is revealing what’s not working about society, about health care, about the economy — and making her think differently about her future.\u003c/p>\n\u003cp>“A lot of us are optimists who always believe there are answers and things will get better if we just put our minds to it,” she says. “You know, it’s sort of a sobering thing to go, well, if it doesn’t, what am I going to do?”\u003c/p>\n\u003cp>At the same time, she sees what is working for her father: the helpers at the assisted living center, and the song, “Daisy Bell.” Written in 1892, the tune was still popular a century ago: and Waters is amazed her father knows it. “My dad is not a singer,” she says. “He can’t carry a tune.”\u003c/p>\n\u003cp>Not long ago she asked him, “Do you remember when mom would play the piano and you’d sing this?” He nodded. So she started to sing the song “Daisy Bell,” with its lyrics about riding a bicycle built for two. Then, Bay joined in, singing back to his daughter on FaceTime.\u003c/p>\n\u003cp>COVID-19 has changed everything, Louise Bay Waters says — just as dementia has changed her father. But she’s still grateful that as those changes come, she and her father can ride along together a little while longer.\u003c/p>\n\u003cp> \u003c/p>\n\u003ch3>Help KQED Science report on the pandemic!\u003c/h3>\n\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "If I Can Now Shop in California, When Can I See My Friends in Person? Some Guidelines",
"headTitle": "If I Can Now Shop in California, When Can I See My Friends in Person? Some Guidelines | KQED",
"content": "\u003cp>As a sunny Memorial Day weekend approaches, many, including me, wonder what a pandemic summer looks like.\u003c/p>\n\u003cp>I can squash the longing to go to concerts and festivals. But what about a socially distanced, mask-wearing picnic with a neighbor? Or a stroll on the beach with a friend?\u003c/p>\n\u003cp>The official answer is still no.\u003c/p>\n\u003cp>“At this time, mixing of households is not permitted, so most socializing should still only occur virtually,” said Neetu Balrum, a spokesperson for the Alameda County Public Health Department.\u003c/p>\n\u003cp>Contra Costa County Health Officer Dr. Chris Farnitano, agreed.\u003c/p>\n\u003cp>“Gatherings outside of your household are a big risk for the spread of this virus,” he said “We still don’t know yet when we will be able to encourage people to get together with people outside of their households.”\u003c/p>\n\u003cp>Public health officials in San Francisco, Solano and San Mateo counties provided a similar response.\u003c/p>\n\u003cp>\u003cstrong>Stir Crazy, and Lonely\u003c/strong>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Even though officials aren’t budging, increased movement on the streets reflects changing sentiment among residents. My Oakland neighborhood, for instance, is starting to hum with the return of vehicles, and a KQED analysis of traffic over the last five weeks found a big \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11819347/no-youre-not-imagining-things-traffic-is-back\" target=\"_blank\" rel=\"noopener noreferrer\">increase in miles traveled\u003c/a> since April. Meanwhile, neighborhood parks are filled with clusters of people sprawling on picnic blankets.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“\u003ca href=\"https://www.theatlantic.com/ideas/archive/2020/05/quarantine-fatigue-real-and-shaming-people-wont-help/611482/\">Quarantine Fatigue is Real\u003c/a>” — that’s \u003c/span>\u003cspan style=\"font-weight: 400;\">the name of an Atlantic article byJulia Marcus, professor of population medicine at Harvard Medical School. She\u003c/span>\u003cspan style=\"font-weight: 400;\"> \u003c/span>\u003cspan style=\"font-weight: 400;\">argues that refraining from social contact is unsustainable and could lead to negative consequences. \u003c/span>\u003c/p>\n\u003cp>“I’m talking about those who are experiencing the profound burden of extreme physical and social distancing,” she wrote. “In addition to the economic hardship it causes, isolation can severely damage psychological well-being, especially for people who were \u003ca href=\"https://www.theatlantic.com/health/archive/2020/05/pandemic-lockdown-depression-anxiety/611248/\">already depressed\u003c/a> or anxious before the crisis started.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Asking Americans to abstain from nearly all in-person social contact will not work any better than abstinence-only messaging \u003ca href=\"https://www.jahonline.org/article/S1054-139X(17)30260-4/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">does\u003c/a> for the discouragement of sex, Marcus says. She suggests that officials offer nuanced directives to reduce risk rather than try to eliminate it.\u003c/span>\u003c/p>\n\u003cp>“What Americans need now is a manual on how to have a life in a pandemic,” wrote Marcus. If they don’t, she says, we will need to figure it out on our own.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">California state Sen. Scott Weiner agrees with this approach.\u003c/span>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1964710\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/Screen-Shot-2020-05-19-at-5.10.06-PM.png\" alt=\"\" width=\"597\" height=\"141\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Screen-Shot-2020-05-19-at-5.10.06-PM.png 597w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Screen-Shot-2020-05-19-at-5.10.06-PM-160x38.png 160w\" sizes=\"(max-width: 597px) 100vw, 597px\">\u003c/p>\n\u003cp>\u003cb>\u003c/b>“People are going to start seeing their friends,” Wiener said. “And we have to acknowledge that that is the reality of human existence, and we can’t pretend otherwise. I think it is important in the near future for the state and for Bay Area officials to start giving more precise guidance about how you reduce risk.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">\u003cstrong>Shopping OK’d\u003c/strong>\u003c/span>\u003c/p>\n\u003cp>Citing progress made on a series of metrics related to the pandemic, public health officials in the Bay Area this week allowed more stores to \u003ca href=\"https://www.kqed.org/science/1963889/coronavirus-some-bay-area-counties-are-about-to-open-up-more-heres-where-your-county-stands\" target=\"_blank\" rel=\"noopener noreferrer\">reopen\u003c/a>, albeit with major limitations like restricting sales to curbside pickup. The state authorized this move earlier in the month. San Francisco’s public health officer said on Tuesday it will wait until early-to-late June before considering the next phase of loosening restrictions, and a reversal of course is still possible.\u003c/p>\n\u003cp>“If needed, we will dial back \u003ci>— \u003c/i>if the curve goes up or we see indication that the virus is spreading in the community at an alarming rate,” said Dr. Grant Colfax.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Gov. Gavin Newsom says 70 percent of California’s economy is now open for business. But he hasn’t offered any further guidance on when and if people can socialize with friends or family outside the household. Newsom and health officials continue to stress that new cases are recorded daily, and if there’s one thing for certain, this pandemic is not over. In California on Monday, 102 people died from COVID-19, the highest number of \u003ca href=\"https://www.kqed.org/science/1962884/bay_area_coronavirus_data\" target=\"_blank\" rel=\"noopener noreferrer\">deaths\u003c/a> in a month.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Safer Ways to Socialize\u003c/strong>\u003c/p>\n\u003cp>If you are determined to socialize despite public health recommendations, there are ways to reduce your risk. Marcus suggests meeting outside because the sun, heat and humidity likely assist in killing the virus. Also, you should definitely wear a mask, wash your hands frequently, and avoid sharing food or drinks.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">This Los Angeles Times \u003c/span>\u003ca href=\"https://www.latimes.com/science/story/2020-05-16/so-you-really-want-to-see-your-friends-heres-how-to-assess-the-risk?fbclid=IwAR3bGUHD3MM8mPnCFh0vjB77f2LBjKmyp8J2HeF8XfD2xhue2lsXiGaqh3A\">\u003cspan style=\"font-weight: 400;\">article\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\"> lays out seven scenarios to help you decide which activities are safer than others. Some takeaways: Backyard barbecues with kids are out, socially distanced walks are fine, and allowing a friend to use your bathroom is a safe bet.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">The question agonizing many families is when to see the grandparents. It’s especially tricky if you must fly to see older family members. Based on this \u003c/span>\u003ca href=\"https://www.theatlantic.com/politics/archive/2020/05/is-flying-safe-coronavirus/611335/\">\u003cspan style=\"font-weight: 400;\">account\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\"> in the \u003c/span>\u003cspan style=\"font-weight: 400;\">Atlantic\u003c/span>\u003cspan style=\"font-weight: 400;\"> (“We apologize for the alarming amount of passengers on this flight”), I’m leery about booking a flight to see gramma. In fact scientists say it’s a good idea to avoid indoor spaces as much as possible because limited air exchange and recycled air leads to more infections. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">A recent \u003c/span>\u003cspan style=\"font-weight: 400;\">post,” \u003c/span>\u003cspan class=\"post-title__text blog-post-title-font blog-post-title-color\">\u003cspan class=\"blog-post-title-font blog-post-title-color\">\u003ca href=\"https://www.erinbromage.com/post/the-risks-know-them-avoid-them\" target=\"_blank\" rel=\"noopener noreferrer\">The Risks – Know Them – Avoid Them\u003c/a>,” \u003c/span>\u003c/span>\u003cspan style=\"font-weight: 400;\">by Erin Bromage, a University of Massachusetts Dartmouth associate professor of biology, details how droplets move indoors, leading to increased virus transmission. For example, if you’re dining inside, airflow vents will carry the virus to 75 percent of people sitting downwind of an asymptomatic carrier \u003c/span>breathing normally during a 90-minute meal.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Gulp. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">For me, takeout is the ticket for the foreseeable future. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“The main sources for infection are home, workplace, public transport, social gatherings, and restaurants,” Bromage wrote. “This accounts for 90% of all transmission events. In contrast, outbreaks spread from shopping appear to be responsible for a small percentage of traced infections.”\u003c/span>\u003c/p>\n\u003cp>Bromage wrote the equation that people should remember is “dose plus time.” You have to be in someone’s physical airstream for longer than five minutes to catch the virus. Therefore, enjoy your next distanced walk, but wash your hands when you get back home. Don’t touch your face. And stay home if you’re sick.\u003c/p>\n\u003cp>Personally it’s difficult for my brain to weigh risks, especially when we are talking about something that is potentially life and death. For now, I’m choosing to err on the cautious side, while hoping officials offer more detailed directives soon.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As a sunny Memorial Day weekend approaches, many, including me, wonder what a pandemic summer looks like.\u003c/p>\n\u003cp>I can squash the longing to go to concerts and festivals. But what about a socially distanced, mask-wearing picnic with a neighbor? Or a stroll on the beach with a friend?\u003c/p>\n\u003cp>The official answer is still no.\u003c/p>\n\u003cp>“At this time, mixing of households is not permitted, so most socializing should still only occur virtually,” said Neetu Balrum, a spokesperson for the Alameda County Public Health Department.\u003c/p>\n\u003cp>Contra Costa County Health Officer Dr. Chris Farnitano, agreed.\u003c/p>\n\u003cp>“Gatherings outside of your household are a big risk for the spread of this virus,” he said “We still don’t know yet when we will be able to encourage people to get together with people outside of their households.”\u003c/p>\n\u003cp>Public health officials in San Francisco, Solano and San Mateo counties provided a similar response.\u003c/p>\n\u003cp>\u003cstrong>Stir Crazy, and Lonely\u003c/strong>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Even though officials aren’t budging, increased movement on the streets reflects changing sentiment among residents. My Oakland neighborhood, for instance, is starting to hum with the return of vehicles, and a KQED analysis of traffic over the last five weeks found a big \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11819347/no-youre-not-imagining-things-traffic-is-back\" target=\"_blank\" rel=\"noopener noreferrer\">increase in miles traveled\u003c/a> since April. Meanwhile, neighborhood parks are filled with clusters of people sprawling on picnic blankets.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“\u003ca href=\"https://www.theatlantic.com/ideas/archive/2020/05/quarantine-fatigue-real-and-shaming-people-wont-help/611482/\">Quarantine Fatigue is Real\u003c/a>” — that’s \u003c/span>\u003cspan style=\"font-weight: 400;\">the name of an Atlantic article byJulia Marcus, professor of population medicine at Harvard Medical School. She\u003c/span>\u003cspan style=\"font-weight: 400;\"> \u003c/span>\u003cspan style=\"font-weight: 400;\">argues that refraining from social contact is unsustainable and could lead to negative consequences. \u003c/span>\u003c/p>\n\u003cp>“I’m talking about those who are experiencing the profound burden of extreme physical and social distancing,” she wrote. “In addition to the economic hardship it causes, isolation can severely damage psychological well-being, especially for people who were \u003ca href=\"https://www.theatlantic.com/health/archive/2020/05/pandemic-lockdown-depression-anxiety/611248/\">already depressed\u003c/a> or anxious before the crisis started.”\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Asking Americans to abstain from nearly all in-person social contact will not work any better than abstinence-only messaging \u003ca href=\"https://www.jahonline.org/article/S1054-139X(17)30260-4/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">does\u003c/a> for the discouragement of sex, Marcus says. She suggests that officials offer nuanced directives to reduce risk rather than try to eliminate it.\u003c/span>\u003c/p>\n\u003cp>“What Americans need now is a manual on how to have a life in a pandemic,” wrote Marcus. If they don’t, she says, we will need to figure it out on our own.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">California state Sen. Scott Weiner agrees with this approach.\u003c/span>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1964710\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/05/Screen-Shot-2020-05-19-at-5.10.06-PM.png\" alt=\"\" width=\"597\" height=\"141\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Screen-Shot-2020-05-19-at-5.10.06-PM.png 597w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/05/Screen-Shot-2020-05-19-at-5.10.06-PM-160x38.png 160w\" sizes=\"(max-width: 597px) 100vw, 597px\">\u003c/p>\n\u003cp>\u003cb>\u003c/b>“People are going to start seeing their friends,” Wiener said. “And we have to acknowledge that that is the reality of human existence, and we can’t pretend otherwise. I think it is important in the near future for the state and for Bay Area officials to start giving more precise guidance about how you reduce risk.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">\u003cstrong>Shopping OK’d\u003c/strong>\u003c/span>\u003c/p>\n\u003cp>Citing progress made on a series of metrics related to the pandemic, public health officials in the Bay Area this week allowed more stores to \u003ca href=\"https://www.kqed.org/science/1963889/coronavirus-some-bay-area-counties-are-about-to-open-up-more-heres-where-your-county-stands\" target=\"_blank\" rel=\"noopener noreferrer\">reopen\u003c/a>, albeit with major limitations like restricting sales to curbside pickup. The state authorized this move earlier in the month. San Francisco’s public health officer said on Tuesday it will wait until early-to-late June before considering the next phase of loosening restrictions, and a reversal of course is still possible.\u003c/p>\n\u003cp>“If needed, we will dial back \u003ci>— \u003c/i>if the curve goes up or we see indication that the virus is spreading in the community at an alarming rate,” said Dr. Grant Colfax.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Gov. Gavin Newsom says 70 percent of California’s economy is now open for business. But he hasn’t offered any further guidance on when and if people can socialize with friends or family outside the household. Newsom and health officials continue to stress that new cases are recorded daily, and if there’s one thing for certain, this pandemic is not over. In California on Monday, 102 people died from COVID-19, the highest number of \u003ca href=\"https://www.kqed.org/science/1962884/bay_area_coronavirus_data\" target=\"_blank\" rel=\"noopener noreferrer\">deaths\u003c/a> in a month.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Safer Ways to Socialize\u003c/strong>\u003c/p>\n\u003cp>If you are determined to socialize despite public health recommendations, there are ways to reduce your risk. Marcus suggests meeting outside because the sun, heat and humidity likely assist in killing the virus. Also, you should definitely wear a mask, wash your hands frequently, and avoid sharing food or drinks.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">This Los Angeles Times \u003c/span>\u003ca href=\"https://www.latimes.com/science/story/2020-05-16/so-you-really-want-to-see-your-friends-heres-how-to-assess-the-risk?fbclid=IwAR3bGUHD3MM8mPnCFh0vjB77f2LBjKmyp8J2HeF8XfD2xhue2lsXiGaqh3A\">\u003cspan style=\"font-weight: 400;\">article\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\"> lays out seven scenarios to help you decide which activities are safer than others. Some takeaways: Backyard barbecues with kids are out, socially distanced walks are fine, and allowing a friend to use your bathroom is a safe bet.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">The question agonizing many families is when to see the grandparents. It’s especially tricky if you must fly to see older family members. Based on this \u003c/span>\u003ca href=\"https://www.theatlantic.com/politics/archive/2020/05/is-flying-safe-coronavirus/611335/\">\u003cspan style=\"font-weight: 400;\">account\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\"> in the \u003c/span>\u003cspan style=\"font-weight: 400;\">Atlantic\u003c/span>\u003cspan style=\"font-weight: 400;\"> (“We apologize for the alarming amount of passengers on this flight”), I’m leery about booking a flight to see gramma. In fact scientists say it’s a good idea to avoid indoor spaces as much as possible because limited air exchange and recycled air leads to more infections. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">A recent \u003c/span>\u003cspan style=\"font-weight: 400;\">post,” \u003c/span>\u003cspan class=\"post-title__text blog-post-title-font blog-post-title-color\">\u003cspan class=\"blog-post-title-font blog-post-title-color\">\u003ca href=\"https://www.erinbromage.com/post/the-risks-know-them-avoid-them\" target=\"_blank\" rel=\"noopener noreferrer\">The Risks – Know Them – Avoid Them\u003c/a>,” \u003c/span>\u003c/span>\u003cspan style=\"font-weight: 400;\">by Erin Bromage, a University of Massachusetts Dartmouth associate professor of biology, details how droplets move indoors, leading to increased virus transmission. For example, if you’re dining inside, airflow vents will carry the virus to 75 percent of people sitting downwind of an asymptomatic carrier \u003c/span>breathing normally during a 90-minute meal.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Gulp. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">For me, takeout is the ticket for the foreseeable future. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“The main sources for infection are home, workplace, public transport, social gatherings, and restaurants,” Bromage wrote. “This accounts for 90% of all transmission events. In contrast, outbreaks spread from shopping appear to be responsible for a small percentage of traced infections.”\u003c/span>\u003c/p>\n\u003cp>Bromage wrote the equation that people should remember is “dose plus time.” You have to be in someone’s physical airstream for longer than five minutes to catch the virus. Therefore, enjoy your next distanced walk, but wash your hands when you get back home. Don’t touch your face. And stay home if you’re sick.\u003c/p>\n\u003cp>Personally it’s difficult for my brain to weigh risks, especially when we are talking about something that is potentially life and death. For now, I’m choosing to err on the cautious side, while hoping officials offer more detailed directives soon.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Escape From Coronavirus Frustration With Animal Webcams",
"headTitle": "Escape From Coronavirus Frustration With Animal Webcams | KQED",
"content": "\u003cp>School’s out in a couple of weeks. And summer camps? Who knows. So for that moment when your child has had enough, or when you have, here’s a little something. After stomping, running, punching a pillow or sounding your barbaric yawp over the roofs of the world, pull up one of these webcams and let it all slip away.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https://www.youtube.com/embed/seIooitd85w\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.montereybayaquarium.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Monterey Bay Aquarium’s\u003c/a> otters spiral so deliciously through the water, they might inspire you to go out and roll on the grass. There are \u003ca href=\"https://www.montereybayaquarium.org/animals/live-cams\" target=\"_blank\" rel=\"noopener noreferrer\">10 webcams\u003c/a> and some let you pop into some exhibits for a live feeding.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https://www.youtube.com/embed/2gHKDHmgVlU\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The aquarium created the most soothing experience this side of a hammock on the beach with a series of videos from the jellyfish cam. There’s the live cam above, and a \u003ca href=\"https://www.youtube.com/results?search_query=monterey+bay+aquarium+morning+meditocean\" target=\"_blank\" rel=\"noopener noreferrer\">meditation series\u003c/a> with music and guided breathing invitations.\u003c/p>\n\u003cp>The Oakland Zoo has two grizzly bears and two brown bears who drink and play in the water near the grizzly webcam. The zoo also has \u003ca href=\"https://www.oaklandzoo.org/webcams\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">animal cams\u003c/span>\u003c/a> watching black bears, sun bears and sometimes others.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" style=\"left:0px; top: 0px; width:100%; height:100%; padding:0px; border:0px\" seamless=\"seamless\" scrolling=\"no\" marginwidth=\"0\" marginheight=\"0\" frameborder=\"0\" src=\"https://relay.ozolio.com/pub.api?cmd=iframe&oid=CID_JSVB00000BA1&app_mode=control\" width=\"100%\" height=\"500\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The penguins at the \u003ca href=\"https://www.calacademy.org/\" target=\"_blank\" rel=\"noopener noreferrer\">California Academy of Sciences\u003c/a> are impossibly cute. And now there’s a \u003ca href=\"https://www.calacademy.org/explore-science/pocket-penguins-app\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">Pocket Penguins App\u003c/span>\u003c/a>, which lets you watch the African penguins on your phone while you’re — oh, I don’t know — waiting for 30 minutes to get into a grocery store.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=-34BwGBz83U\u003c/p>\n\u003cp>You’re not likely to see much movement on the \u003ca href=\"https://zoo.sandiegozoo.org/cams/koala-cam\" target=\"_blank\" rel=\"noopener noreferrer\">koala cam\u003c/a> at the San Diego Zoo, because they sleep for 18 to 22 hours a day, but koalas manage to be adorable just dozing. And honestly, it’s nice to see these little ones resting peacefully despite the pandemic. Click on the photo to be taken to the site.\u003c/p>\n\u003cfigure id=\"attachment_1963823\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://zoo.sandiegozoo.org/cams/koala-cam\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1963823\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED-800x507.jpg\" alt=\"\" width=\"800\" height=\"507\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED-800x507.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED-160x101.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED-768x486.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED-1020x646.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Koalas at the San Diego Zoo spend all day eating eucalyptus leaves in their trees.\u003c/figcaption>\u003c/figure>\n\u003cp>With \u003ca href=\"https://www.earthcam.com/cams/earth/space/?cam=nasa\" target=\"_blank\" rel=\"noopener noreferrer\">EarthCam\u003c/a>, you can take a full orbit around Earth from the International Space Station. The ISS completes a full orbit every 90 minutes, with a dramatic sunrise or sunset every 45 minutes. But you may have to be patient — when the ISS loses signal, the screen will be dark. You can still see the day’s visual highlights in a photo gallery on the site. Click on the photo to be taken to the site.\u003c/p>\n\u003cfigure id=\"attachment_1963824\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://www.earthcam.com/cams/earth/space/?cam=nasa\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1963824\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2025/08/EarthCam-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/EarthCam-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/EarthCam-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/EarthCam-768x432.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/EarthCam.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A view of Earth from the International Space Station, transmitted to us by EarthCam.\u003c/figcaption>\u003c/figure>\n\u003cp>Never seen Old Faithful, the iconic geyser in Yellowstone National Park? Take a visit to the geyser’s livestream, one of \u003ca href=\"https://www.nps.gov/yell/learn/photosmultimedia/webcams.htm\" target=\"_blank\" rel=\"noopener noreferrer\">nine webcams\u003c/a> that show you what the park is looking like while it’s closed to the public.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https://www.youtube.com/embed/L6L-tnFClr8\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Maybe it’s late at night, and all of the other live cams have gone dark. You can always find a live stream on \u003ca href=\"https://www.africam.com/wildlife/live-african-wildlife-safari-channels/\">Africam\u003c/a> with an intimate view of watering holes across the continent. These oases attract all kinds of animals from big cats and antelopes to crocodiles and storks. These live cams have night vision capabilities, so there is always a chance to spy on the creatures taking refuge near the water.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https://www.youtube.com/embed/xKvNSPPbgMg\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Finally, we can’t forget the beloved peregrine falcons raising three fuzzy chicks in their nest atop UC Berkeley’s Campanile. The \u003ca href=\"https://calfalcons.berkeley.edu/webcams/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">Cal Falcon Cam\u003c/span>\u003c/a> is maintained by five organizations, including the Raptor Observatory.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=k_ghtsndkf4&feature=emb_logo\u003c/p>\n\u003cp class=\"p1\">The falcon chicks aren’t expected to take their first flight until late May, said Allen Fish, director of the Golden Gate Raptor Observatory, and they’ll likely stay close to the nest well into July. So no matter what’s happening with the coronavirus pandemic, you can still watch these baby raptors grow up.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>School’s out in a couple of weeks. And summer camps? Who knows. So for that moment when your child has had enough, or when you have, here’s a little something. After stomping, running, punching a pillow or sounding your barbaric yawp over the roofs of the world, pull up one of these webcams and let it all slip away.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https://www.youtube.com/embed/seIooitd85w\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.montereybayaquarium.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Monterey Bay Aquarium’s\u003c/a> otters spiral so deliciously through the water, they might inspire you to go out and roll on the grass. There are \u003ca href=\"https://www.montereybayaquarium.org/animals/live-cams\" target=\"_blank\" rel=\"noopener noreferrer\">10 webcams\u003c/a> and some let you pop into some exhibits for a live feeding.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https://www.youtube.com/embed/2gHKDHmgVlU\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The aquarium created the most soothing experience this side of a hammock on the beach with a series of videos from the jellyfish cam. There’s the live cam above, and a \u003ca href=\"https://www.youtube.com/results?search_query=monterey+bay+aquarium+morning+meditocean\" target=\"_blank\" rel=\"noopener noreferrer\">meditation series\u003c/a> with music and guided breathing invitations.\u003c/p>\n\u003cp>The Oakland Zoo has two grizzly bears and two brown bears who drink and play in the water near the grizzly webcam. The zoo also has \u003ca href=\"https://www.oaklandzoo.org/webcams\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">animal cams\u003c/span>\u003c/a> watching black bears, sun bears and sometimes others.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" style=\"left:0px; top: 0px; width:100%; height:100%; padding:0px; border:0px\" seamless=\"seamless\" scrolling=\"no\" marginwidth=\"0\" marginheight=\"0\" frameborder=\"0\" src=\"https://relay.ozolio.com/pub.api?cmd=iframe&oid=CID_JSVB00000BA1&app_mode=control\" width=\"100%\" height=\"500\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The penguins at the \u003ca href=\"https://www.calacademy.org/\" target=\"_blank\" rel=\"noopener noreferrer\">California Academy of Sciences\u003c/a> are impossibly cute. And now there’s a \u003ca href=\"https://www.calacademy.org/explore-science/pocket-penguins-app\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">Pocket Penguins App\u003c/span>\u003c/a>, which lets you watch the African penguins on your phone while you’re — oh, I don’t know — waiting for 30 minutes to get into a grocery store.\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/-34BwGBz83U'\n title='//www.youtube.com/embed/-34BwGBz83U'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>You’re not likely to see much movement on the \u003ca href=\"https://zoo.sandiegozoo.org/cams/koala-cam\" target=\"_blank\" rel=\"noopener noreferrer\">koala cam\u003c/a> at the San Diego Zoo, because they sleep for 18 to 22 hours a day, but koalas manage to be adorable just dozing. And honestly, it’s nice to see these little ones resting peacefully despite the pandemic. Click on the photo to be taken to the site.\u003c/p>\n\u003cfigure id=\"attachment_1963823\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://zoo.sandiegozoo.org/cams/koala-cam\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1963823\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED-800x507.jpg\" alt=\"\" width=\"800\" height=\"507\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED-800x507.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED-160x101.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED-768x486.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED-1020x646.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/San-Diego-Zoo-Koalas-SCALED.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Koalas at the San Diego Zoo spend all day eating eucalyptus leaves in their trees.\u003c/figcaption>\u003c/figure>\n\u003cp>With \u003ca href=\"https://www.earthcam.com/cams/earth/space/?cam=nasa\" target=\"_blank\" rel=\"noopener noreferrer\">EarthCam\u003c/a>, you can take a full orbit around Earth from the International Space Station. The ISS completes a full orbit every 90 minutes, with a dramatic sunrise or sunset every 45 minutes. But you may have to be patient — when the ISS loses signal, the screen will be dark. You can still see the day’s visual highlights in a photo gallery on the site. Click on the photo to be taken to the site.\u003c/p>\n\u003cfigure id=\"attachment_1963824\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://www.earthcam.com/cams/earth/space/?cam=nasa\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1963824\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2025/08/EarthCam-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/EarthCam-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/EarthCam-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/EarthCam-768x432.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2025/08/EarthCam.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A view of Earth from the International Space Station, transmitted to us by EarthCam.\u003c/figcaption>\u003c/figure>\n\u003cp>Never seen Old Faithful, the iconic geyser in Yellowstone National Park? Take a visit to the geyser’s livestream, one of \u003ca href=\"https://www.nps.gov/yell/learn/photosmultimedia/webcams.htm\" target=\"_blank\" rel=\"noopener noreferrer\">nine webcams\u003c/a> that show you what the park is looking like while it’s closed to the public.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https://www.youtube.com/embed/L6L-tnFClr8\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Maybe it’s late at night, and all of the other live cams have gone dark. You can always find a live stream on \u003ca href=\"https://www.africam.com/wildlife/live-african-wildlife-safari-channels/\">Africam\u003c/a> with an intimate view of watering holes across the continent. These oases attract all kinds of animals from big cats and antelopes to crocodiles and storks. These live cams have night vision capabilities, so there is always a chance to spy on the creatures taking refuge near the water.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https://www.youtube.com/embed/xKvNSPPbgMg\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Finally, we can’t forget the beloved peregrine falcons raising three fuzzy chicks in their nest atop UC Berkeley’s Campanile. The \u003ca href=\"https://calfalcons.berkeley.edu/webcams/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">Cal Falcon Cam\u003c/span>\u003c/a> is maintained by five organizations, including the Raptor Observatory.\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/k_ghtsndkf4'\n title='//www.youtube.com/embed/k_ghtsndkf4'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp class=\"p1\">The falcon chicks aren’t expected to take their first flight until late May, said Allen Fish, director of the Golden Gate Raptor Observatory, and they’ll likely stay close to the nest well into July. So no matter what’s happening with the coronavirus pandemic, you can still watch these baby raptors grow up.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Utah Went All In on Unproven Hydroxychloroquine Before Medical Experts Prevailed",
"headTitle": "Utah Went All In on Unproven Hydroxychloroquine Before Medical Experts Prevailed | KQED",
"content": "\u003cp>\u003cem>Note: On Monday, May 19, after this post was written, President Trump \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/05/18/858335915/despite-fdas-caution-trump-says-he-is-taking-hydroxychloroquine-preventatively\" target=\"_blank\" rel=\"noopener noreferrer\">said\u003c/a> he’s taking hydroxychloroquine, prompting \u003ca href=\"https://www.nytimes.com/2020/05/18/us/politics/trump-hydroxychloroquine-covid-coronavirus.html\" target=\"_blank\" rel=\"noopener noreferrer\">immediate criticism\u003c/a> from a range of medical experts who warned it posed a danger to his health and set a bad example.\u003c/em>\u003c/p>\n\u003cp>Even before President Trump started plugging chloroquine and \u003ca href=\"https://www.statnews.com/2020/04/06/trump-hydroxychloroquine-fact-check/\" target=\"_blank\" rel=\"noopener noreferrer\">hydroxychloroquine\u003c/a> as COVID-19 treatments, enthusiasm for the old malaria drugs was swelling in the state of Utah.\u003c/p>\n\u003cp>The “stunning medications” led to “responses that are equivalent to Lazarus” — the biblical figure brought back to life by Jesus — one physician said at an event at the state Capitol. The deputy director of the state health department, even as he acknowledged there was not “FDA-type of evidence” showing the drugs worked, said he was willing to put stock in case reports and “test tube evidence.”\u003c/p>\n\u003cp>Propelled by that hype, as well as mounting fears of the oncoming pandemic, the state pursued a sweeping — and eyebrow-raising — policy that would have let pharmacies dispense the unproven medications to patients with COVID-19 without a prescription. Utah, which took perhaps the most aggressive strategy with the drugs of any state, also put in an order for $800,000 worth of chloroquine and hydroxychloroquine to build a stockpile, and considered buying millions of dollars more.\u003c/p>\n\u003cp>The state did all of that without any rigorous evidence the drugs can help patients recover faster from COVID-19. Clinical trials that will answer that question are ongoing, but recent observational studies have cast doubt on an effect. And in the weeks since Utah’s efforts to promote and procure the drugs, the Food and Drug Administration has \u003ca href=\"https://www.statnews.com/2020/04/24/fda-warns-against-widespread-use-of-hydroxychloroquine-drug-touted-by-trump/\" target=\"_blank\" rel=\"noopener noreferrer\">warned\u003c/a> they should not be taken for COVID-19 outside a hospital or a clinical trial, citing “reports of serious heart rhythm problems.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Utah eventually abandoned its plans to make the drugs available without prescriptions and canceled its order.\u003c/p>\n\u003cp>\u003cstrong>A Drugs’ Rise and Fall\u003c/strong>\u003c/p>\n\u003cp>The saga of the drugs’ rise and fall in Utah, pieced together from documents STAT obtained through a public records request, provides a case study of what happens when hope and excitement about therapies outpace the evidence. It underscores the pressure officials felt to demonstrate they were on top of the response, even as such efforts sowed confusion among the medical community and led them into initiatives they came to regret. And, mirroring the hydroxychloroquine debate in the Trump administration, it shows how experts scrambled to inject restraint and plead for leaders to follow evidence at a time when promises of easy remedies were more enticing.\u003c/p>\n\u003cp>When, for example, the Utah Medical Association issued a bulletin to physicians, since rescinded, that suggested the state was recommending hydroxychloroquine or chloroquine for COVID-19 patients, the state epidemiologist wrote to others in the health department, “I disagree with this approach.” A top infectious disease specialist at the University of Utah was more blunt, sending a message with only “WTF?????”\u003c/p>\n\u003cp>\u003cspan class=\"big-cap-wrap\">\u003cspan class=\"big-cap\">I\u003c/span>\u003c/span>n Utah, the hydroxychloroquine hype reached the public on March 20, at \u003ca href=\"https://www.youtube.com/watch?v=chedMU777bU\" target=\"_blank\" rel=\"noopener noreferrer\">a press conference\u003c/a> at the state Capitol. A group of policymakers and health professionals reassured people that they’d begun working on ways to get patients chloroquine and hydroxychloroquine. They cast their efforts as a reason for hope, while glossing over the concerns experts were raising about the medications as COVID-19 therapies. The drugs, Stuart Adams, the president of the state Senate, said, “may help bend that curve and keep people out of hospitals.”\u003c/p>\n\u003cp>Other speakers at the event carried the same message. Dan Richards, a pharmacist, suggested the drugs contributed to South Korea’s success in stemming its outbreak. Kurt Hegmann, a physician, made the comparison to Lazarus, and Marc Babitz, the deputy director of the state health department, delivered his comments about the quality of evidence. At one point, Babitz cited Trump as a reason for suggesting the drugs might work.\u003c/p>\n\u003cp>“Our president came out and suggested the medications,” Babitz said. “So we’re very confident this could make a significant difference.”\u003c/p>\n\u003cp>One reason why hydroxychloroquine and chloroquine attracted attention was because they were old. New drugs to fight COVID-19 would take months to develop, but these drugs had long been used to treat malaria, as well as lupus and rheumatoid arthritis. That meant that doctors could prescribe them off-label to people with COVID-19 immediately.\u003c/p>\n\u003cp>Driving much of the Utah officials’ interest in the drugs was Richards, the CEO of a local pharmacy chain, Meds in Motion. In a March 12 email to the executive director of the Utah health department, Joseph Miner, he suggested there was already demand for chloroquine.\u003c/p>\n\u003cp>Richards also suggested the state pursue a standing order, essentially a blanket prescription that would allow pharmacies to ship compounded versions of the drugs directly to patients when they tested positive for the coronavirus. He indicated doing so might help patients stay healthy enough they could avoid hospitals, at a time when a major fear of the pandemic was that it would swamp health systems.\u003c/p>\n\u003cp>“Utah needs this to have the potential for an epidemic curve like that for South Korea,” Hegmann, the physician working with Richards, wrote to health department leaders on March 17. (Experts say South Korea’s success in minimizing its outbreak stems not from these drugs, but from strategies like widespread testing, isolating people who are infected, and contact tracing.)\u003c/p>\n\u003cp>Hegmann does not appear to be an infectious disease specialist or critical care physician; his \u003ca href=\"https://healthcare.utah.edu/fad/mddetail.php?physicianID=u0206373\" target=\"_blank\" rel=\"noopener noreferrer\">University of Utah biography\u003c/a> says he is the chief of the division of occupational and environmental health with “expertise in musculoskeletal disorders and the evaluation of commercial drivers.” But the records indicate Hegmann and Richards were part of a public-private initiative backed by some state senators to find ways to expedite the screening of Utahns for COVID-19 and refer them to treatment; Hegmann is president of a company that was helping develop an online screening tool. (The \u003ca href=\"https://www.deseret.com/utah/2020/5/5/21248656/utah-coronavirus-covid-health-department-malaria-drugs-chloroquine-hydroxychloroquine\" target=\"_blank\" rel=\"noopener noreferrer\">Deseret News\u003c/a> and \u003ca href=\"https://www.sltrib.com/news/2020/05/13/start-team-utah-execs/\" target=\"_blank\" rel=\"noopener noreferrer\">Salt Lake Tribune\u003c/a> separately obtained the records and reported on some of their contents earlier this month.)\u003c/p>\n\u003cp>“We are not a state-appointed, organized task force,” \u003ca href=\"https://www.deseret.com/utah/2020/3/23/21191657/coronavirus-covid-19-hydroxychloroquine-chloroquine-malaria-treatment-utah\" target=\"_blank\" rel=\"noopener noreferrer\">Richards told the Deseret News\u003c/a> in March. “We are just a bunch of people who raised our hands and said something had to be done.”\u003c/p>\n\u003cp>But they quickly gained sway with the state. Hegmann, Richards, and the health department’s Miner and Babitz were soon swapping drafts and suggested edits for the standing order. A draft showed that the online screening tool would refer certain people to testing and then, if positive, to treatment with compounded hydroxychloroquine or chloroquine. The drugs, the draft said, have “the potential to help stop the spread of this virus, reduce need for hospitalization, and reduce mortality rates.”\u003c/p>\n\u003cp>The group thought it was a way to speed the drugs to patients, who wouldn’t need to consult with a physician after testing positive. By getting pharmacies to compound the medications, it wouldn’t cause a shortage of the versions used by patients with lupus and rheumatoid arthritis, they argued. The health department officials did not appear to raise questions about whether a pharmacist should be involved in crafting a policy that could benefit pharmacies, the records indicate.\u003c/p>\n\u003cp>Hegmann, Richards, and a spokesman for the state health department did not respond to emails from STAT seeking comment.\u003c/p>\n\u003cp>\u003cstrong>Trump Touts the Unproven Drug\u003c/strong>\u003c/p>\n\u003cp>Around the same time, Trump started talking up the drugs.\u003c/p>\n\u003cp>“Trump is touting chloroquine and hydroxychloroquine at [a] news conference right now,” Miner wrote to the group on March 19.\u003c/p>\n\u003cp>“That should help with community acceptance of this option,” Babitz replied. “I will say privately that I wish we had ‘trumped’ his announcement with this great plan.”\u003c/p>\n\u003cp>Trump’s support for the drugs came as they were being cheered on Fox News and among his political allies. Their arguments relied on results from small and flawed studies that weren’t designed to prove whether the drugs were effective or not. The view was that this was an emergency, and people couldn’t afford to wait for the results of randomized controlled trials, the types of studies that can show whether a drug works.\u003c/p>\n\u003cp>“What do you have to lose?” Trump said, even as federal health officials said they needed to wait on the trials results. Experts also noted that the drugs carried risks to people’s hearts.\u003c/p>\n\u003cp>Soon, Utah’s “great plan” was raising concerns with experts, too.\u003c/p>\n\u003cp>“The use of an unproven therapy in this way could be a grave mistake medically,” Andrew Pavia, the chief of pediatric infectious diseases at the University of Utah, wrote on March 22 to Miner and the lieutenant governor after finding out about the standing order.\u003c/p>\n\u003cp>He stressed that the state should wait for solid evidence before recommending the drugs, particularly to people who weren’t that sick. Hospitalized patients might be treated with hydroxychloroquine — cases where the potential benefits outweighed the risk — but patients shouldn’t take the medications at home without a physician’s oversight, Pavia said. “There is as yet no real evidence of clinical benefit for these drugs,” Pavia wrote. “Wide use of unproven therapies in outpatients and low risk patients exposes them to potential harm with little evidence of benefit.”\u003c/p>\n\u003cp>Within a few days, Gov. Gary Herbert’s office pulled the plug on the standing order, saying that there was enough capacity for people with COVID-19 to first consult with a clinician, who could decide whether or not to prescribe the medications, emails show.\u003c/p>\n\u003cp>But the state was not done with hydroxychloroquine. About a week later, a state purchasing agency — a separate agency from the health department — agreed to buy 20,000 packets of compounded chloroquine and hydroxychloroquine from Meds in Motion, Richards’ pharmacy, for $800,000.\u003c/p>\n\u003cp>[pullquote align='right' citation='Scott Aberegg, University of Utah, in an email']‘This smacks as irresponsible and even reckless.’[/pullquote]\u003c/p>\n\u003cp>State officials’ support for the drugs led to confusion — and backlash.\u003c/p>\n\u003cp>The clearest example: the swift reaction to \u003ca href=\"https://utahmed.org/docs/COVID/Hydroxychloroquine%20Letter%203-27-2020.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a March 27 email\u003c/a> from the Utah Medical Association to the state’s doctors, which said that Utah’s health department was “recommending that providers use a longstanding medication to treat COVID-19.” Listed were forms of chloroquine and hydroxychloroquine.\u003c/p>\n\u003cp>The email included suggested dosages, and added: “The state has arranged for production of compounded medication, so we do not anticipate this will cause a shortage for patients who need it for other conditions.”\u003c/p>\n\u003cp>Pavia, the infectious disease expert, fired off an email to Angela Dunn, the state epidemiologist who has been helping lead Utah’s COVID-19 response, that only said “WTF?????” Dunn quickly wrote to Babitz and Miner: “Do you know who put out these recommendations from UDOH?” In a follow up, she wrote, “As you know I disagree with this approach.”\u003c/p>\n\u003cp>It was only the beginning. “This smacks as irresponsible and even reckless,” Scott Aberegg of the University of Utah’s division of pulmonary and critical care medicine wrote to state health officials, adding there was “no credible data that support a recommendation for this drug for this indication.” He said that patients should be in monitored clinical trials if they were going to be taking the drugs.\u003c/p>\n\u003cp>Eventually, Babitz clarified. What happened, he said, was that he had supplied the association with recommended doses of the drugs should doctors want to prescribe them to treat COVID-19. It wasn’t meant to suggest that all COVID-19 patients get these drugs, he said.\u003c/p>\n\u003cp>In his explanation, Babitz spelled out a timeline of what had occurred leading up to the medical association’s email. The first bullet point: “President Trump announces to the world that chloroquine and hydroxychloroquine can combat COVID19.” He concluded: “If a healthcare provider, for whatever reason, decides s/he wishes to treat a COVID19 positive patient, our desire was to recommend the safest dosing of these medications.”\u003c/p>\n\u003cp>Miner emailed the head of the medical association asking for a corrected statement. “I admit there was much enthusiasm among some clinicians, pharmacists and political leaders locally and nationally about the prospects of using these medications to see if they would help blunt the severity of this pandemic,” he wrote. He added: “After further consideration we know we must have better scientific research before recommending them.”\u003c/p>\n\u003cp>The following day, the association sent out another email: “The UDOH has withdrawn its guidance on hydroxychloroquine from March 27. They are instead endorsing the launching of the clinical studies and urging patients to participate in the trial to get access to the investigative drugs in a controlled environment with gathering of data.”\u003c/p>\n\u003cp>\u003cspan class=\"big-cap-wrap\">\u003cspan class=\"big-cap\">H\u003c/span>\u003c/span>ydroxychloroquine and chloroquine’s moments in the spotlight did not last very long — at the national level, and in Utah.\u003c/p>\n\u003cp>The drugs \u003ca href=\"https://www.nytimes.com/2020/04/22/business/media/virus-fox-news-hydroxychloroquine.html\" target=\"_blank\" rel=\"noopener noreferrer\">stopped getting\u003c/a> as much attention from Trump and Fox News. Observational studies found no benefits, and the FDA issued its warning about heart rhythm problems. Prescriptions tapered off — a relief to people who take them for autoimmune conditions.\u003c/p>\n\u003cp>In Utah, criticism quickly built once the state’s $800,000 purchase came to light. Some state \u003ca href=\"http://www.utahhousedemocrats.org/news/2020/4/21/house-democrats-concerned-with-state-purchasenbspof-unproven-drug-for-covid-19-patients\" target=\"_blank\" rel=\"noopener noreferrer\">lawmakers questioned\u003c/a> why taxpayer dollars were being spent on unproven drugs. On April 24, Herbert, the governor, said he did not know about the initial purchase and said the health department’s talks to buy another 200,000 treatment courses from Meds in Motion had “ceased.”\u003ca href=\"https://www.sltrib.com/news/2020/04/26/robert-gehrke-not-only/\" target=\"_blank\" rel=\"noopener noreferrer\"> The Salt Lake Tribune reported\u003c/a> the state far overpaid for the drugs compared to other formulations of hydroxychloroquine, and that the state was not experiencing any shortages.\u003c/p>\n\u003cp>“It was never more than a questionable COVID-19 treatment, and Utahns were never at risk of running out of it,” the\u003ca href=\"https://www.sltrib.com/opinion/editorial/2020/04/29/tribune-editorial-bad/\" target=\"_blank\" rel=\"noopener noreferrer\"> Tribune editorial board wrote\u003c/a> on April 29. “But that didn’t stop state officials from making a purchase that far exceeded any known need in the state. … State political leaders have given money and license to shameless promoters of baseless medical claims.”\u003c/p>\n\u003cp>That day, Herbert announced Meds in Motion refunded the state its $800,000. “A state supply of chloroquine/hydroxychloroquine is no longer prudent,” \u003ca href=\"https://governor.utah.gov/2020/04/30/governors-office-statement-on-internal-review-of-compounded-chloroquine-and-hydroxychloroquine-purchase/\" target=\"_blank\" rel=\"noopener noreferrer\">the governor’s office said\u003c/a>.\u003c/p>\n\u003cp>Herbert’s office cited “breakdowns in communication between state agencies,” but there were no ramifications. “All involved acted proactively, preemptively, and prudently during an emergency in an effort to save lives,” a statement said.\u003c/p>\n\u003cp>As for Richards, he said his goal had always been to contribute to the state’s response.\u003c/p>\n\u003cp>“We did it to help the state, and it didn’t work out,” Richards \u003ca href=\"https://kutv.com/news/coronavirus/man-who-refunded-utah-800k-for-malaria-drug-i-got-left-holding-the-bag\" target=\"_blank\" rel=\"noopener noreferrer\">told KUTV\u003c/a>. “And we move on.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://www.statnews.com/2020/05/18/utah-hydroxychloroquine-scramble-course-correct/?utm_source=STAT+Newsletters&utm_campaign=62e8419eda-Daily_Recap&utm_medium=email&utm_term=0_8cab1d7961-62e8419eda-149648249\" target=\"_blank\" rel=\"noopener noreferrer\">story\u003c/a> was originally published by \u003ca href=\"https://www.statnews.com/\">STAT\u003c/a>, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Note: On Monday, May 19, after this post was written, President Trump \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/05/18/858335915/despite-fdas-caution-trump-says-he-is-taking-hydroxychloroquine-preventatively\" target=\"_blank\" rel=\"noopener noreferrer\">said\u003c/a> he’s taking hydroxychloroquine, prompting \u003ca href=\"https://www.nytimes.com/2020/05/18/us/politics/trump-hydroxychloroquine-covid-coronavirus.html\" target=\"_blank\" rel=\"noopener noreferrer\">immediate criticism\u003c/a> from a range of medical experts who warned it posed a danger to his health and set a bad example.\u003c/em>\u003c/p>\n\u003cp>Even before President Trump started plugging chloroquine and \u003ca href=\"https://www.statnews.com/2020/04/06/trump-hydroxychloroquine-fact-check/\" target=\"_blank\" rel=\"noopener noreferrer\">hydroxychloroquine\u003c/a> as COVID-19 treatments, enthusiasm for the old malaria drugs was swelling in the state of Utah.\u003c/p>\n\u003cp>The “stunning medications” led to “responses that are equivalent to Lazarus” — the biblical figure brought back to life by Jesus — one physician said at an event at the state Capitol. The deputy director of the state health department, even as he acknowledged there was not “FDA-type of evidence” showing the drugs worked, said he was willing to put stock in case reports and “test tube evidence.”\u003c/p>\n\u003cp>Propelled by that hype, as well as mounting fears of the oncoming pandemic, the state pursued a sweeping — and eyebrow-raising — policy that would have let pharmacies dispense the unproven medications to patients with COVID-19 without a prescription. Utah, which took perhaps the most aggressive strategy with the drugs of any state, also put in an order for $800,000 worth of chloroquine and hydroxychloroquine to build a stockpile, and considered buying millions of dollars more.\u003c/p>\n\u003cp>The state did all of that without any rigorous evidence the drugs can help patients recover faster from COVID-19. Clinical trials that will answer that question are ongoing, but recent observational studies have cast doubt on an effect. And in the weeks since Utah’s efforts to promote and procure the drugs, the Food and Drug Administration has \u003ca href=\"https://www.statnews.com/2020/04/24/fda-warns-against-widespread-use-of-hydroxychloroquine-drug-touted-by-trump/\" target=\"_blank\" rel=\"noopener noreferrer\">warned\u003c/a> they should not be taken for COVID-19 outside a hospital or a clinical trial, citing “reports of serious heart rhythm problems.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Utah eventually abandoned its plans to make the drugs available without prescriptions and canceled its order.\u003c/p>\n\u003cp>\u003cstrong>A Drugs’ Rise and Fall\u003c/strong>\u003c/p>\n\u003cp>The saga of the drugs’ rise and fall in Utah, pieced together from documents STAT obtained through a public records request, provides a case study of what happens when hope and excitement about therapies outpace the evidence. It underscores the pressure officials felt to demonstrate they were on top of the response, even as such efforts sowed confusion among the medical community and led them into initiatives they came to regret. And, mirroring the hydroxychloroquine debate in the Trump administration, it shows how experts scrambled to inject restraint and plead for leaders to follow evidence at a time when promises of easy remedies were more enticing.\u003c/p>\n\u003cp>When, for example, the Utah Medical Association issued a bulletin to physicians, since rescinded, that suggested the state was recommending hydroxychloroquine or chloroquine for COVID-19 patients, the state epidemiologist wrote to others in the health department, “I disagree with this approach.” A top infectious disease specialist at the University of Utah was more blunt, sending a message with only “WTF?????”\u003c/p>\n\u003cp>\u003cspan class=\"big-cap-wrap\">\u003cspan class=\"big-cap\">I\u003c/span>\u003c/span>n Utah, the hydroxychloroquine hype reached the public on March 20, at \u003ca href=\"https://www.youtube.com/watch?v=chedMU777bU\" target=\"_blank\" rel=\"noopener noreferrer\">a press conference\u003c/a> at the state Capitol. A group of policymakers and health professionals reassured people that they’d begun working on ways to get patients chloroquine and hydroxychloroquine. They cast their efforts as a reason for hope, while glossing over the concerns experts were raising about the medications as COVID-19 therapies. The drugs, Stuart Adams, the president of the state Senate, said, “may help bend that curve and keep people out of hospitals.”\u003c/p>\n\u003cp>Other speakers at the event carried the same message. Dan Richards, a pharmacist, suggested the drugs contributed to South Korea’s success in stemming its outbreak. Kurt Hegmann, a physician, made the comparison to Lazarus, and Marc Babitz, the deputy director of the state health department, delivered his comments about the quality of evidence. At one point, Babitz cited Trump as a reason for suggesting the drugs might work.\u003c/p>\n\u003cp>“Our president came out and suggested the medications,” Babitz said. “So we’re very confident this could make a significant difference.”\u003c/p>\n\u003cp>One reason why hydroxychloroquine and chloroquine attracted attention was because they were old. New drugs to fight COVID-19 would take months to develop, but these drugs had long been used to treat malaria, as well as lupus and rheumatoid arthritis. That meant that doctors could prescribe them off-label to people with COVID-19 immediately.\u003c/p>\n\u003cp>Driving much of the Utah officials’ interest in the drugs was Richards, the CEO of a local pharmacy chain, Meds in Motion. In a March 12 email to the executive director of the Utah health department, Joseph Miner, he suggested there was already demand for chloroquine.\u003c/p>\n\u003cp>Richards also suggested the state pursue a standing order, essentially a blanket prescription that would allow pharmacies to ship compounded versions of the drugs directly to patients when they tested positive for the coronavirus. He indicated doing so might help patients stay healthy enough they could avoid hospitals, at a time when a major fear of the pandemic was that it would swamp health systems.\u003c/p>\n\u003cp>“Utah needs this to have the potential for an epidemic curve like that for South Korea,” Hegmann, the physician working with Richards, wrote to health department leaders on March 17. (Experts say South Korea’s success in minimizing its outbreak stems not from these drugs, but from strategies like widespread testing, isolating people who are infected, and contact tracing.)\u003c/p>\n\u003cp>Hegmann does not appear to be an infectious disease specialist or critical care physician; his \u003ca href=\"https://healthcare.utah.edu/fad/mddetail.php?physicianID=u0206373\" target=\"_blank\" rel=\"noopener noreferrer\">University of Utah biography\u003c/a> says he is the chief of the division of occupational and environmental health with “expertise in musculoskeletal disorders and the evaluation of commercial drivers.” But the records indicate Hegmann and Richards were part of a public-private initiative backed by some state senators to find ways to expedite the screening of Utahns for COVID-19 and refer them to treatment; Hegmann is president of a company that was helping develop an online screening tool. (The \u003ca href=\"https://www.deseret.com/utah/2020/5/5/21248656/utah-coronavirus-covid-health-department-malaria-drugs-chloroquine-hydroxychloroquine\" target=\"_blank\" rel=\"noopener noreferrer\">Deseret News\u003c/a> and \u003ca href=\"https://www.sltrib.com/news/2020/05/13/start-team-utah-execs/\" target=\"_blank\" rel=\"noopener noreferrer\">Salt Lake Tribune\u003c/a> separately obtained the records and reported on some of their contents earlier this month.)\u003c/p>\n\u003cp>“We are not a state-appointed, organized task force,” \u003ca href=\"https://www.deseret.com/utah/2020/3/23/21191657/coronavirus-covid-19-hydroxychloroquine-chloroquine-malaria-treatment-utah\" target=\"_blank\" rel=\"noopener noreferrer\">Richards told the Deseret News\u003c/a> in March. “We are just a bunch of people who raised our hands and said something had to be done.”\u003c/p>\n\u003cp>But they quickly gained sway with the state. Hegmann, Richards, and the health department’s Miner and Babitz were soon swapping drafts and suggested edits for the standing order. A draft showed that the online screening tool would refer certain people to testing and then, if positive, to treatment with compounded hydroxychloroquine or chloroquine. The drugs, the draft said, have “the potential to help stop the spread of this virus, reduce need for hospitalization, and reduce mortality rates.”\u003c/p>\n\u003cp>The group thought it was a way to speed the drugs to patients, who wouldn’t need to consult with a physician after testing positive. By getting pharmacies to compound the medications, it wouldn’t cause a shortage of the versions used by patients with lupus and rheumatoid arthritis, they argued. The health department officials did not appear to raise questions about whether a pharmacist should be involved in crafting a policy that could benefit pharmacies, the records indicate.\u003c/p>\n\u003cp>Hegmann, Richards, and a spokesman for the state health department did not respond to emails from STAT seeking comment.\u003c/p>\n\u003cp>\u003cstrong>Trump Touts the Unproven Drug\u003c/strong>\u003c/p>\n\u003cp>Around the same time, Trump started talking up the drugs.\u003c/p>\n\u003cp>“Trump is touting chloroquine and hydroxychloroquine at [a] news conference right now,” Miner wrote to the group on March 19.\u003c/p>\n\u003cp>“That should help with community acceptance of this option,” Babitz replied. “I will say privately that I wish we had ‘trumped’ his announcement with this great plan.”\u003c/p>\n\u003cp>Trump’s support for the drugs came as they were being cheered on Fox News and among his political allies. Their arguments relied on results from small and flawed studies that weren’t designed to prove whether the drugs were effective or not. The view was that this was an emergency, and people couldn’t afford to wait for the results of randomized controlled trials, the types of studies that can show whether a drug works.\u003c/p>\n\u003cp>“What do you have to lose?” Trump said, even as federal health officials said they needed to wait on the trials results. Experts also noted that the drugs carried risks to people’s hearts.\u003c/p>\n\u003cp>Soon, Utah’s “great plan” was raising concerns with experts, too.\u003c/p>\n\u003cp>“The use of an unproven therapy in this way could be a grave mistake medically,” Andrew Pavia, the chief of pediatric infectious diseases at the University of Utah, wrote on March 22 to Miner and the lieutenant governor after finding out about the standing order.\u003c/p>\n\u003cp>He stressed that the state should wait for solid evidence before recommending the drugs, particularly to people who weren’t that sick. Hospitalized patients might be treated with hydroxychloroquine — cases where the potential benefits outweighed the risk — but patients shouldn’t take the medications at home without a physician’s oversight, Pavia said. “There is as yet no real evidence of clinical benefit for these drugs,” Pavia wrote. “Wide use of unproven therapies in outpatients and low risk patients exposes them to potential harm with little evidence of benefit.”\u003c/p>\n\u003cp>Within a few days, Gov. Gary Herbert’s office pulled the plug on the standing order, saying that there was enough capacity for people with COVID-19 to first consult with a clinician, who could decide whether or not to prescribe the medications, emails show.\u003c/p>\n\u003cp>But the state was not done with hydroxychloroquine. About a week later, a state purchasing agency — a separate agency from the health department — agreed to buy 20,000 packets of compounded chloroquine and hydroxychloroquine from Meds in Motion, Richards’ pharmacy, for $800,000.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State officials’ support for the drugs led to confusion — and backlash.\u003c/p>\n\u003cp>The clearest example: the swift reaction to \u003ca href=\"https://utahmed.org/docs/COVID/Hydroxychloroquine%20Letter%203-27-2020.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a March 27 email\u003c/a> from the Utah Medical Association to the state’s doctors, which said that Utah’s health department was “recommending that providers use a longstanding medication to treat COVID-19.” Listed were forms of chloroquine and hydroxychloroquine.\u003c/p>\n\u003cp>The email included suggested dosages, and added: “The state has arranged for production of compounded medication, so we do not anticipate this will cause a shortage for patients who need it for other conditions.”\u003c/p>\n\u003cp>Pavia, the infectious disease expert, fired off an email to Angela Dunn, the state epidemiologist who has been helping lead Utah’s COVID-19 response, that only said “WTF?????” Dunn quickly wrote to Babitz and Miner: “Do you know who put out these recommendations from UDOH?” In a follow up, she wrote, “As you know I disagree with this approach.”\u003c/p>\n\u003cp>It was only the beginning. “This smacks as irresponsible and even reckless,” Scott Aberegg of the University of Utah’s division of pulmonary and critical care medicine wrote to state health officials, adding there was “no credible data that support a recommendation for this drug for this indication.” He said that patients should be in monitored clinical trials if they were going to be taking the drugs.\u003c/p>\n\u003cp>Eventually, Babitz clarified. What happened, he said, was that he had supplied the association with recommended doses of the drugs should doctors want to prescribe them to treat COVID-19. It wasn’t meant to suggest that all COVID-19 patients get these drugs, he said.\u003c/p>\n\u003cp>In his explanation, Babitz spelled out a timeline of what had occurred leading up to the medical association’s email. The first bullet point: “President Trump announces to the world that chloroquine and hydroxychloroquine can combat COVID19.” He concluded: “If a healthcare provider, for whatever reason, decides s/he wishes to treat a COVID19 positive patient, our desire was to recommend the safest dosing of these medications.”\u003c/p>\n\u003cp>Miner emailed the head of the medical association asking for a corrected statement. “I admit there was much enthusiasm among some clinicians, pharmacists and political leaders locally and nationally about the prospects of using these medications to see if they would help blunt the severity of this pandemic,” he wrote. He added: “After further consideration we know we must have better scientific research before recommending them.”\u003c/p>\n\u003cp>The following day, the association sent out another email: “The UDOH has withdrawn its guidance on hydroxychloroquine from March 27. They are instead endorsing the launching of the clinical studies and urging patients to participate in the trial to get access to the investigative drugs in a controlled environment with gathering of data.”\u003c/p>\n\u003cp>\u003cspan class=\"big-cap-wrap\">\u003cspan class=\"big-cap\">H\u003c/span>\u003c/span>ydroxychloroquine and chloroquine’s moments in the spotlight did not last very long — at the national level, and in Utah.\u003c/p>\n\u003cp>The drugs \u003ca href=\"https://www.nytimes.com/2020/04/22/business/media/virus-fox-news-hydroxychloroquine.html\" target=\"_blank\" rel=\"noopener noreferrer\">stopped getting\u003c/a> as much attention from Trump and Fox News. Observational studies found no benefits, and the FDA issued its warning about heart rhythm problems. Prescriptions tapered off — a relief to people who take them for autoimmune conditions.\u003c/p>\n\u003cp>In Utah, criticism quickly built once the state’s $800,000 purchase came to light. Some state \u003ca href=\"http://www.utahhousedemocrats.org/news/2020/4/21/house-democrats-concerned-with-state-purchasenbspof-unproven-drug-for-covid-19-patients\" target=\"_blank\" rel=\"noopener noreferrer\">lawmakers questioned\u003c/a> why taxpayer dollars were being spent on unproven drugs. On April 24, Herbert, the governor, said he did not know about the initial purchase and said the health department’s talks to buy another 200,000 treatment courses from Meds in Motion had “ceased.”\u003ca href=\"https://www.sltrib.com/news/2020/04/26/robert-gehrke-not-only/\" target=\"_blank\" rel=\"noopener noreferrer\"> The Salt Lake Tribune reported\u003c/a> the state far overpaid for the drugs compared to other formulations of hydroxychloroquine, and that the state was not experiencing any shortages.\u003c/p>\n\u003cp>“It was never more than a questionable COVID-19 treatment, and Utahns were never at risk of running out of it,” the\u003ca href=\"https://www.sltrib.com/opinion/editorial/2020/04/29/tribune-editorial-bad/\" target=\"_blank\" rel=\"noopener noreferrer\"> Tribune editorial board wrote\u003c/a> on April 29. “But that didn’t stop state officials from making a purchase that far exceeded any known need in the state. … State political leaders have given money and license to shameless promoters of baseless medical claims.”\u003c/p>\n\u003cp>That day, Herbert announced Meds in Motion refunded the state its $800,000. “A state supply of chloroquine/hydroxychloroquine is no longer prudent,” \u003ca href=\"https://governor.utah.gov/2020/04/30/governors-office-statement-on-internal-review-of-compounded-chloroquine-and-hydroxychloroquine-purchase/\" target=\"_blank\" rel=\"noopener noreferrer\">the governor’s office said\u003c/a>.\u003c/p>\n\u003cp>Herbert’s office cited “breakdowns in communication between state agencies,” but there were no ramifications. “All involved acted proactively, preemptively, and prudently during an emergency in an effort to save lives,” a statement said.\u003c/p>\n\u003cp>As for Richards, he said his goal had always been to contribute to the state’s response.\u003c/p>\n\u003cp>“We did it to help the state, and it didn’t work out,” Richards \u003ca href=\"https://kutv.com/news/coronavirus/man-who-refunded-utah-800k-for-malaria-drug-i-got-left-holding-the-bag\" target=\"_blank\" rel=\"noopener noreferrer\">told KUTV\u003c/a>. “And we move on.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://www.statnews.com/2020/05/18/utah-hydroxychloroquine-scramble-course-correct/?utm_source=STAT+Newsletters&utm_campaign=62e8419eda-Daily_Recap&utm_medium=email&utm_term=0_8cab1d7961-62e8419eda-149648249\" target=\"_blank\" rel=\"noopener noreferrer\">story\u003c/a> was originally published by \u003ca href=\"https://www.statnews.com/\">STAT\u003c/a>, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Expanded Testing for COVID-19 at San Francisco Nursing Homes Reveals New Laguna Honda Cases",
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"content": "\u003cp>An outbreak of COVID-19 has expanded at Laguna Honda Hospital in San Francisco. The county-run facility now reports 18 confirmed cases among workers and 11 cases among patients.\u003c/p>\n\u003cp>According to a statement released by San Francisco’s Department of Emergency Management, actions taken under a \u003ca href=\"https://www.sfdph.org/dph/alerts/files/Health-Order-No-C19-13-SNF-Testing-Cooperation-and-Reporting14point.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">May 7th health order\u003c/a> helped identify five new patients sickened with coronavirus.\u003c/p>\n\u003cp>In part, the order requires testing for coronavirus among all workers and residents, including those without symptoms, at all of the city’s 21 skilled nursing facilities. The first universal testing program for nursing homes statewide, the health department’s efforts began with some 2500 workers and patients at Laguna Honda.\u003c/p>\n\u003cp>Universal testing helped identify one of the new patient cases. Health officials credit another part of San Francisco’s new oversight program — contact investigations and expanded surveillance efforts — with identifying four others.\u003c/p>\n\u003cp>Officials warn that as testing expands, the number of sick workers and residents at long-term care homes is likely to rise.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>–Molly Peterson (@Mollydacious)\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>An outbreak of COVID-19 has expanded at Laguna Honda Hospital in San Francisco. The county-run facility now reports 18 confirmed cases among workers and 11 cases among patients.\u003c/p>\n\u003cp>According to a statement released by San Francisco’s Department of Emergency Management, actions taken under a \u003ca href=\"https://www.sfdph.org/dph/alerts/files/Health-Order-No-C19-13-SNF-Testing-Cooperation-and-Reporting14point.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">May 7th health order\u003c/a> helped identify five new patients sickened with coronavirus.\u003c/p>\n\u003cp>In part, the order requires testing for coronavirus among all workers and residents, including those without symptoms, at all of the city’s 21 skilled nursing facilities. The first universal testing program for nursing homes statewide, the health department’s efforts began with some 2500 workers and patients at Laguna Honda.\u003c/p>\n\u003cp>Universal testing helped identify one of the new patient cases. Health officials credit another part of San Francisco’s new oversight program — contact investigations and expanded surveillance efforts — with identifying four others.\u003c/p>\n\u003cp>Officials warn that as testing expands, the number of sick workers and residents at long-term care homes is likely to rise.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>–Molly Peterson (@Mollydacious)\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Health Officials Expect More COVID-19 Outbreaks in Nursing Homes",
"headTitle": "Health Officials Expect More COVID-19 Outbreaks in Nursing Homes | KQED",
"content": "\u003cp>Health officials are concerned that as California and the Bay Area begin to loosen shelter-at-home rules, there could be a rising number of COVID-19 outbreaks at nursing homes and assisted living facilities.\u003c/p>\n\u003cp>These long-term care homes have become ground zero in the coronavirus crisis: state data show more than 1,400 people have died of COVID-19 in facilities licensed by the California Department of Public Health and the California Department of Social Services. And state public health officials acknowledge that those totals are likely an undercount.\u003c/p>\n\u003cp>\u003ca href=\"#callout\">Click here if you know someone in a nursing home or assisted facility … share your story!\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">KQED’s Ted Goldberg interviewed Science reporter Molly Peterson about the problem. These excerpts have been edited for length and clarity. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Which Bay Area Counties Have Had Serious COVID-19 Outbreaks? \u003c/b>\u003c/p>\n\u003cp>In San Francisco, there was a lot of attention on an early outbreak at Laguna Honda. But other facilities since then, including Central Gardens, have had many more cases.\u003c/p>\n\u003cp>Alameda County had a lot of high-profile nursing home outbreaks, including at Gateway Care and Rehab Center. That’s where the district attorney for Alameda County is investigating at least 13 deaths.\u003c/p>\n\u003cp>There are also problems at assisted living facilities; these are places that aren’t meant to provide health care services, the way that nursing homes do. At one facility in Contra Costa County called The Chateau, there were 74 cases of COVID-19. Meanwhile, in less populated San Mateo County, assisted living facilities have 75 percent more cases of COVID-19 than in Contra Costa.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It’s hard to compile accurate information, in part because the county health department in Santa Clara is the only one in the Bay Area that regularly is sharing data about long-term care outbreaks. Santa Clara had a peak of bad outbreaks in late April and early May; it’s declined since then.\u003c/p>\n\u003cp>\u003cb>Why Does the Virus Spread So Easily in Long-term Care Homes?\u003c/b>\u003c/p>\n\u003cp>There’s more touching, there’s more interaction between nurses and patients at a skilled nursing facility because people are there for medical reasons and they’re more fragile.\u003c/p>\n\u003cp>People who are infected but have no symptoms can spread the coronavirus. And public health officials are concerned about transmission among the staff, especially where workers are taking public transit, or where they may be moving among two or three jobs at different facilities.\u003c/p>\n\u003cp>The concern with loosening the stay-at-home orders is that, with more people out in the world, these workers who are traveling on public transit will then be exposed to a higher level of risk.\u003c/p>\n\u003cp>\u003cb>Who’s In Charge of Assisted Living and Nursing Homes? \u003c/b>\u003c/p>\n\u003cp>Both the California Department of Public Health and the Centers for Medicare and Medicaid Services oversee skilled nursing facilities. Assisted living facilities are not considered health care facilities; the Department of Social Services oversees those.\u003c/p>\n\u003cp>Since skilled nursing facilities are more like hospitals, they have more regulations to follow, and can be written up if they don’t comply. In assisted living facilities, there are very few consequences if staff don’t meet the guidelines. For both facilities, counties don’t play a role in overseeing them.\u003c/p>\n\u003cp>\u003cb>How Did Regulators Prepare for the Pandemic? \u003c/b>\u003c/p>\n\u003cp>At the beginning of this crisis, there was a huge concern among regulators that there would be staff absences and that staff themselves would obviously get sick. So there have been some waivers aimed at making it easier for facilities to hire more staff; regulators waived some training requirements and loosened up some background checks.\u003c/p>\n\u003cp>Right now, nobody’s getting in trouble for things that usually would be deficiencies or violations of standards. The goal, regulators say, is to talk to the facilities that they are not physically visiting. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Health officials are concerned that as California and the Bay Area begin to loosen shelter-at-home rules, there could be a rising number of COVID-19 outbreaks at nursing homes and assisted living facilities.\u003c/p>\n\u003cp>These long-term care homes have become ground zero in the coronavirus crisis: state data show more than 1,400 people have died of COVID-19 in facilities licensed by the California Department of Public Health and the California Department of Social Services. And state public health officials acknowledge that those totals are likely an undercount.\u003c/p>\n\u003cp>\u003ca href=\"#callout\">Click here if you know someone in a nursing home or assisted facility … share your story!\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">KQED’s Ted Goldberg interviewed Science reporter Molly Peterson about the problem. These excerpts have been edited for length and clarity. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Which Bay Area Counties Have Had Serious COVID-19 Outbreaks? \u003c/b>\u003c/p>\n\u003cp>In San Francisco, there was a lot of attention on an early outbreak at Laguna Honda. But other facilities since then, including Central Gardens, have had many more cases.\u003c/p>\n\u003cp>Alameda County had a lot of high-profile nursing home outbreaks, including at Gateway Care and Rehab Center. That’s where the district attorney for Alameda County is investigating at least 13 deaths.\u003c/p>\n\u003cp>There are also problems at assisted living facilities; these are places that aren’t meant to provide health care services, the way that nursing homes do. At one facility in Contra Costa County called The Chateau, there were 74 cases of COVID-19. Meanwhile, in less populated San Mateo County, assisted living facilities have 75 percent more cases of COVID-19 than in Contra Costa.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It’s hard to compile accurate information, in part because the county health department in Santa Clara is the only one in the Bay Area that regularly is sharing data about long-term care outbreaks. Santa Clara had a peak of bad outbreaks in late April and early May; it’s declined since then.\u003c/p>\n\u003cp>\u003cb>Why Does the Virus Spread So Easily in Long-term Care Homes?\u003c/b>\u003c/p>\n\u003cp>There’s more touching, there’s more interaction between nurses and patients at a skilled nursing facility because people are there for medical reasons and they’re more fragile.\u003c/p>\n\u003cp>People who are infected but have no symptoms can spread the coronavirus. And public health officials are concerned about transmission among the staff, especially where workers are taking public transit, or where they may be moving among two or three jobs at different facilities.\u003c/p>\n\u003cp>The concern with loosening the stay-at-home orders is that, with more people out in the world, these workers who are traveling on public transit will then be exposed to a higher level of risk.\u003c/p>\n\u003cp>\u003cb>Who’s In Charge of Assisted Living and Nursing Homes? \u003c/b>\u003c/p>\n\u003cp>Both the California Department of Public Health and the Centers for Medicare and Medicaid Services oversee skilled nursing facilities. Assisted living facilities are not considered health care facilities; the Department of Social Services oversees those.\u003c/p>\n\u003cp>Since skilled nursing facilities are more like hospitals, they have more regulations to follow, and can be written up if they don’t comply. In assisted living facilities, there are very few consequences if staff don’t meet the guidelines. For both facilities, counties don’t play a role in overseeing them.\u003c/p>\n\u003cp>\u003cb>How Did Regulators Prepare for the Pandemic? \u003c/b>\u003c/p>\n\u003cp>At the beginning of this crisis, there was a huge concern among regulators that there would be staff absences and that staff themselves would obviously get sick. So there have been some waivers aimed at making it easier for facilities to hire more staff; regulators waived some training requirements and loosened up some background checks.\u003c/p>\n\u003cp>Right now, nobody’s getting in trouble for things that usually would be deficiencies or violations of standards. The goal, regulators say, is to talk to the facilities that they are not physically visiting. Remember, right now regulators and inspectors are not generally going to these facilities, nor are the local advocates from the ombudsman’s office.\u003c/p>\n\u003cp>\u003cb>Why Isn’t Everyone in Long-Term Care Homes Tested, Regardless of Symptoms?\u003c/b>\u003c/p>\n\u003cp>San Francisco mandates testing. That’s just getting off the ground. Alameda County is recommending testing for workers and patients, whether they have symptoms or not.\u003c/p>\n\u003cp>There are two reasons testing isn’t mandatory. One, widespread testing has not been possible for a long time. And two, as Erica Pan, Alameda County’s acting health officer, told me, you want to make sure the tests are useful if you’re going to put people through that. In other words, they want to know there’s a concrete action they can take in response to a positive test. For example, they could recommend workers stay home if they’re positive or you can put COVID-19 patients together and move them away from negative ones.\u003c/p>\n\u003cp>Last, who pays for the testing? Counties have paid for some of it. County health officers say they try to get care homes to pay for their own tests. Industry associations are advocating for more federal aid and more publicly funded tests.\u003c/p>\n\u003cp> \u003c/p>\n\u003ch3>Help KQED Science report on the pandemic!\u003c/h3>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A candidate vaccine for COVID-19 developed by the drugmaker Moderna appears to generate an immune response similar to the response seen in people who have been infected by the virus and recovered, the company said Monday.\u003c/p>\n\u003cp>In a Phase 1 trial, eight patients who received two doses of the vaccine at the lowest and middle doses tested — 25 and 100 micrograms — developed neutralizing antibodies to the virus at levels similar to people who had recovered from infection, the company said in a statement.\u003c/p>\n\u003cp>The data were limited and from only a small number of participants in the trial, led by the National Institute of Allergy and Infectious Diseases. But they are still likely to be seen as encouraging. Research aimed at developing a vaccine against SARS, a related virus responsible for a 2002-2003 outbreak, showed that neutralizing antibodies \u003ca href=\"https://www.cell.com/cell-host-microbe/fulltext/S1931-3128(20)30246-8\" target=\"_blank\" rel=\"noopener noreferrer\">are pivotal\u003c/a> for achieving protection.\u003c/p>\n\u003cp>Moderna is developing the vaccine in conjunction with the NIAID’s Vaccine Research Center.\u003c/p>\n\u003cp>“These interim Phase 1 data, while early, demonstrate that vaccination with mRNA-1273 elicits an immune response of the magnitude caused by natural infection starting with a dose as low as 25 μg,” said Tal Zaks, Moderna’s chief medical officer.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The statement noted that a new arm of the trial is being established to test a 50-microgram dose, which may suggest concern that the 25-microgram dose may be too low.\u003c/p>\n\u003cp>As the vaccine’s developers work to establish a dose, they must balance the need to achieve protection in individuals — including seniors, who are at highest risk in this pandemic but whose immune systems do not respond as well to vaccines — with the goal of using as little vaccine as possible per person to stretch out what will be limited supplies.\u003c/p>\n\u003cp>“I think 25 [micrograms] gets us there, but you always want to have somewhat of a margin,” Zaks told STAT in an interview.\u003c/p>\n\u003cp>“The sense is at the end of the day we’re going to narrow it down on somewhere between 25 and 100,” he said. “It’s going to be really hard math for us.”\u003c/p>\n\u003cp>While some experts wanted more detail before commenting on the data, others saw it as a positive sign for this vaccine.\u003c/p>\n\u003cp>“The neutralizing antibody and safety results from the Phase 1 clinical study are promising for the Moderna mRNA vaccine candidate and supportive to proceed forward with the planned Phase 2 studies,” Robin Robinson, chief scientific officer at RenovaCare, told STAT. Robinson is a former director of the Biomedical Advanced Research and Development Authority.\u003c/p>\n\u003cp>Vaccination with the candidate vaccine, provisionally labeled mRNA-1273, also prevented viral replication in the lungs of mice in preclinical testing, the company’s statement said.\u003c/p>\n\u003cp>A Phase 2 trial has already been given the go-ahead by the Food and Drug Administration. CEO Stéphane Bancel said the company is pushing forward with a Phase 3 trial set to start in July and is ramping up its capacity to manufacture the vaccine.\u003c/p>\n\u003cp>“We are investing to scale up manufacturing so we can maximize the number of doses we can produce to help protect as many people as we can from SARS-CoV-2,” Bancel said, referring to the virus that causes COVID-19.\u003c/p>\n\u003cp>The company’s statement suggested the vaccine was well-tolerated in people who received it in the Phase 1 dosing trial. One of the people in the 100-microgram arm developed redness at the injection site that met the criteria for a \u003ca href=\"https://www.fda.gov/media/84954/download\" target=\"_blank\" rel=\"noopener noreferrer\">Grade 3\u003c/a> adverse event. And three volunteers in the highest dose arm — 250 micrograms — developed Grade 3 systemic reactions after receiving the second of two doses. There were no Grade 4 or life-threatening adverse events recorded in the trial.\u003c/p>\n\u003cp>The early readout included arms of the trial involving people age 18 to 55 years old who received either two doses at the 25 microgram or 100 microgram level or one dose at 250 microgram. There were 45 people involved in these three arms, though neutralizing antibody data are only available at this point for the first four patients each of the 25 microgram and 100 microgram cohorts.\u003c/p>\n\u003cp>People who received two doses at the 25 microgram level developed binding antibodies at levels consistent with those seen in the blood of people who have recovered from COVID-19 infection, the statement said. People who received two doses at 100 microgram had binding antibody levels that “significantly exceeded” the levels seen in the blood of COVID-19 survivors.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://www.statnews.com/2020/05/18/early-data-show-moderna-covid-19-vaccine-generates-immune-response/\" target=\"_blank\" rel=\"noopener noreferrer\">story\u003c/a> was originally published by \u003ca href=\"https://www.statnews.com/\">STAT\u003c/a>, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The statement noted that a new arm of the trial is being established to test a 50-microgram dose, which may suggest concern that the 25-microgram dose may be too low.\u003c/p>\n\u003cp>As the vaccine’s developers work to establish a dose, they must balance the need to achieve protection in individuals — including seniors, who are at highest risk in this pandemic but whose immune systems do not respond as well to vaccines — with the goal of using as little vaccine as possible per person to stretch out what will be limited supplies.\u003c/p>\n\u003cp>“I think 25 [micrograms] gets us there, but you always want to have somewhat of a margin,” Zaks told STAT in an interview.\u003c/p>\n\u003cp>“The sense is at the end of the day we’re going to narrow it down on somewhere between 25 and 100,” he said. “It’s going to be really hard math for us.”\u003c/p>\n\u003cp>While some experts wanted more detail before commenting on the data, others saw it as a positive sign for this vaccine.\u003c/p>\n\u003cp>“The neutralizing antibody and safety results from the Phase 1 clinical study are promising for the Moderna mRNA vaccine candidate and supportive to proceed forward with the planned Phase 2 studies,” Robin Robinson, chief scientific officer at RenovaCare, told STAT. Robinson is a former director of the Biomedical Advanced Research and Development Authority.\u003c/p>\n\u003cp>Vaccination with the candidate vaccine, provisionally labeled mRNA-1273, also prevented viral replication in the lungs of mice in preclinical testing, the company’s statement said.\u003c/p>\n\u003cp>A Phase 2 trial has already been given the go-ahead by the Food and Drug Administration. CEO Stéphane Bancel said the company is pushing forward with a Phase 3 trial set to start in July and is ramping up its capacity to manufacture the vaccine.\u003c/p>\n\u003cp>“We are investing to scale up manufacturing so we can maximize the number of doses we can produce to help protect as many people as we can from SARS-CoV-2,” Bancel said, referring to the virus that causes COVID-19.\u003c/p>\n\u003cp>The company’s statement suggested the vaccine was well-tolerated in people who received it in the Phase 1 dosing trial. One of the people in the 100-microgram arm developed redness at the injection site that met the criteria for a \u003ca href=\"https://www.fda.gov/media/84954/download\" target=\"_blank\" rel=\"noopener noreferrer\">Grade 3\u003c/a> adverse event. And three volunteers in the highest dose arm — 250 micrograms — developed Grade 3 systemic reactions after receiving the second of two doses. There were no Grade 4 or life-threatening adverse events recorded in the trial.\u003c/p>\n\u003cp>The early readout included arms of the trial involving people age 18 to 55 years old who received either two doses at the 25 microgram or 100 microgram level or one dose at 250 microgram. There were 45 people involved in these three arms, though neutralizing antibody data are only available at this point for the first four patients each of the 25 microgram and 100 microgram cohorts.\u003c/p>\n\u003cp>People who received two doses at the 25 microgram level developed binding antibodies at levels consistent with those seen in the blood of people who have recovered from COVID-19 infection, the statement said. People who received two doses at 100 microgram had binding antibody levels that “significantly exceeded” the levels seen in the blood of COVID-19 survivors.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://www.statnews.com/2020/05/18/early-data-show-moderna-covid-19-vaccine-generates-immune-response/\" target=\"_blank\" rel=\"noopener noreferrer\">story\u003c/a> was originally published by \u003ca href=\"https://www.statnews.com/\">STAT\u003c/a>, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp class=\"p1\">Gov. Gavin Newsom outlined a revised budget Thursday that shaves \u003ca href=\"https://www.kqed.org/news/11818289/newsoms-revised-budget-cancels-6-billion-in-planned-program-expansions\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">$19 billion\u003c/span>\u003c/a> from his January proposal, makes painful cuts to \u003ca href=\"https://www.kqed.org/science/1964349/newsom-proposes-huge-cuts-to-environmental-programs-in-latest-budget\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">environmental priorities\u003c/span>\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11818524/governor-proposes-painful-cuts-to-health-care-programs-to-close-budget-shortfall\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">health care\u003c/span>\u003c/a>, and \u003ca href=\"https://www.kqed.org/news/11818462/newsoms-budget-puts-new-focus-on-buying-hotels-to-house-homeless\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">scales back\u003c/span>\u003c/a> a plan to address the housing crisis.\u003c/p>\n\u003cp class=\"p1\">But, Newsom didn’t entirely kill the prospect of state funding for a new park.\u003c/p>\n\u003cp class=\"p1\">The governor hasn’t said where exactly the new park would be — he said the cost of the land might spike if he shared that information — but a group of Bay Area lawmakers \u003ca href=\"https://sd07.senate.ca.gov/news/2020-01-08-17-bay-area-caucus-members-urge-governor-legislative-leaders-provide-funding-acquire\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">signaled\u003c/span>\u003c/a> it could be a 50,000-acre \u003ca href=\"https://www.californiaoutdoorproperties.com/listing/n3-cattle-company\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">ranch\u003c/span>\u003c/a> that’s for sale, spanning Santa Clara, Alameda, San Joaquin and Stanislaus counties.\u003c/p>\n\u003cp>If approved, the park outside of Livermore would be the first new park in more than a decade.\u003c/p>\n\u003cp>When Newsom outlined his budget proposal in January, he included $20 million to help secure \u003ca href=\"https://www.kqed.org/science/1956446/state-park-plan-is-conservationists-dream-but-reformers-want-focus-on-park-poor-neighborhoods\" target=\"_blank\" rel=\"noopener noreferrer\">a parks deal\u003c/a>. That was before a statewide stay-at-home order iced the booming California economy.\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The governor’s latest budget proposal scales that line item to just $5 million, a\u003cspan class=\"s2\"> fraction of the ranch’s $68 million \u003ca href=\"https://www.californiaoutdoorproperties.com/listing/n3-cattle-company\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">listing price\u003c/span>\u003c/a>.\u003c/span>\u003c/p>\n\u003cp>But it’s enough money to signal that the state wanted to “keep that opportunity alive,” said Wade Crowfoot, state secretary for Natural Resources, in a phone call with reporters.\u003c/p>\n\u003cp>\u003cspan class=\"s2\">The Nature Conservancy and The Trust for Public Land have pledged a total of $30 million to acquire the ranch.\u003c/span>\u003c/p>\n\u003cp class=\"p4\">“We’re happy that state parks remain a priority for the governor in these challenging times and heartened to see the support the administration continues to give toward parks and nature,” said Jay Ziegler, director of external affairs and policy at The Nature Conservancy in California, in an email.\u003c/p>\n\u003cp>Guillermo Rodriguez, state director of The Trust for Public Land, thanked Newsom for “continued support for expanding state parks” in a similarly measured statement.\u003c/p>\n\u003cp>“We look forward to working with him and the Legislature to ensure more Californians have access to state parks and public lands,” he said.\u003c/p>\n\u003cp class=\"p4\">\u003cspan class=\"s2\">\u003cb>Conservation Groups Will Likely Need to Raise More Money\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/b>\u003c/span>\u003c/p>\n\u003cp>If a deal is to be made, California and the conservation groups will need to drum up more money from foundations and private individuals, or negotiate with the seller.\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/p>\n\u003cp>The ranch has been owned by the Vickers and Naftzger families for nearly a century. Two surviving sisters put the property up for sale in July.\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/p>\n\u003cp>Land broker Todd Renfrew says a potential deal for a new state park is still very much alive, and the owners would prefer to see the land go to a conservation group.\u003c/p>\n\u003cp>“They’d like to see it preserved the way it is,” he said. “You know, it’s been in their family for 85 years and they’d like to see it protected and still have cows running on it, still have hunters hunting on it.”\u003c/p>\n\u003cp>But he acknowledged that the sprawling ranch could go to a private buyer.\u003c/p>\n\u003cp class=\"p1\">“Whether the conservation groups get it or a private buyer gets it, someone is going to buy it,” he said. “There’s that much interest.”\u003c/p>\n\u003cp class=\"p1\">The ranch is mostly undeveloped, but there are 200 miles of private roads that could be transformed into hiking and mountain biking trails, and 14 hunting camps with cabins that could be used as Yosemite-style backpacking huts.\u003c/p>\n\u003cp>Tule elk, deer, quail and other animals roam forests of evergreen and native oak trees, bay laurel, California buckeye, and gray and coulter pine, according to the listing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Newsom’s budget proposal — and the state’s share of park money — must still be approved by lawmakers.\u003c/p>\n\n",
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"excerpt": "Despite California's economic downturn, the governor signals support for the first new state park in more than a decade.",
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"description": "Despite California's economic downturn, the governor signals support for the first new state park in more than a decade.",
"title": "New State Park in East Bay Hangs on ... Barely ... in Newsom Budget | KQED",
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"headline": "New State Park in East Bay Hangs on ... Barely ... in Newsom Budget",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"p1\">Gov. Gavin Newsom outlined a revised budget Thursday that shaves \u003ca href=\"https://www.kqed.org/news/11818289/newsoms-revised-budget-cancels-6-billion-in-planned-program-expansions\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">$19 billion\u003c/span>\u003c/a> from his January proposal, makes painful cuts to \u003ca href=\"https://www.kqed.org/science/1964349/newsom-proposes-huge-cuts-to-environmental-programs-in-latest-budget\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">environmental priorities\u003c/span>\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11818524/governor-proposes-painful-cuts-to-health-care-programs-to-close-budget-shortfall\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">health care\u003c/span>\u003c/a>, and \u003ca href=\"https://www.kqed.org/news/11818462/newsoms-budget-puts-new-focus-on-buying-hotels-to-house-homeless\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">scales back\u003c/span>\u003c/a> a plan to address the housing crisis.\u003c/p>\n\u003cp class=\"p1\">But, Newsom didn’t entirely kill the prospect of state funding for a new park.\u003c/p>\n\u003cp class=\"p1\">The governor hasn’t said where exactly the new park would be — he said the cost of the land might spike if he shared that information — but a group of Bay Area lawmakers \u003ca href=\"https://sd07.senate.ca.gov/news/2020-01-08-17-bay-area-caucus-members-urge-governor-legislative-leaders-provide-funding-acquire\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">signaled\u003c/span>\u003c/a> it could be a 50,000-acre \u003ca href=\"https://www.californiaoutdoorproperties.com/listing/n3-cattle-company\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">ranch\u003c/span>\u003c/a> that’s for sale, spanning Santa Clara, Alameda, San Joaquin and Stanislaus counties.\u003c/p>\n\u003cp>If approved, the park outside of Livermore would be the first new park in more than a decade.\u003c/p>\n\u003cp>When Newsom outlined his budget proposal in January, he included $20 million to help secure \u003ca href=\"https://www.kqed.org/science/1956446/state-park-plan-is-conservationists-dream-but-reformers-want-focus-on-park-poor-neighborhoods\" target=\"_blank\" rel=\"noopener noreferrer\">a parks deal\u003c/a>. That was before a statewide stay-at-home order iced the booming California economy.\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The governor’s latest budget proposal scales that line item to just $5 million, a\u003cspan class=\"s2\"> fraction of the ranch’s $68 million \u003ca href=\"https://www.californiaoutdoorproperties.com/listing/n3-cattle-company\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan class=\"s1\">listing price\u003c/span>\u003c/a>.\u003c/span>\u003c/p>\n\u003cp>But it’s enough money to signal that the state wanted to “keep that opportunity alive,” said Wade Crowfoot, state secretary for Natural Resources, in a phone call with reporters.\u003c/p>\n\u003cp>\u003cspan class=\"s2\">The Nature Conservancy and The Trust for Public Land have pledged a total of $30 million to acquire the ranch.\u003c/span>\u003c/p>\n\u003cp class=\"p4\">“We’re happy that state parks remain a priority for the governor in these challenging times and heartened to see the support the administration continues to give toward parks and nature,” said Jay Ziegler, director of external affairs and policy at The Nature Conservancy in California, in an email.\u003c/p>\n\u003cp>Guillermo Rodriguez, state director of The Trust for Public Land, thanked Newsom for “continued support for expanding state parks” in a similarly measured statement.\u003c/p>\n\u003cp>“We look forward to working with him and the Legislature to ensure more Californians have access to state parks and public lands,” he said.\u003c/p>\n\u003cp class=\"p4\">\u003cspan class=\"s2\">\u003cb>Conservation Groups Will Likely Need to Raise More Money\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/b>\u003c/span>\u003c/p>\n\u003cp>If a deal is to be made, California and the conservation groups will need to drum up more money from foundations and private individuals, or negotiate with the seller.\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/p>\n\u003cp>The ranch has been owned by the Vickers and Naftzger families for nearly a century. Two surviving sisters put the property up for sale in July.\u003cspan class=\"Apple-converted-space\"> \u003c/span>\u003c/p>\n\u003cp>Land broker Todd Renfrew says a potential deal for a new state park is still very much alive, and the owners would prefer to see the land go to a conservation group.\u003c/p>\n\u003cp>“They’d like to see it preserved the way it is,” he said. “You know, it’s been in their family for 85 years and they’d like to see it protected and still have cows running on it, still have hunters hunting on it.”\u003c/p>\n\u003cp>But he acknowledged that the sprawling ranch could go to a private buyer.\u003c/p>\n\u003cp class=\"p1\">“Whether the conservation groups get it or a private buyer gets it, someone is going to buy it,” he said. “There’s that much interest.”\u003c/p>\n\u003cp class=\"p1\">The ranch is mostly undeveloped, but there are 200 miles of private roads that could be transformed into hiking and mountain biking trails, and 14 hunting camps with cabins that could be used as Yosemite-style backpacking huts.\u003c/p>\n\u003cp>Tule elk, deer, quail and other animals roam forests of evergreen and native oak trees, bay laurel, California buckeye, and gray and coulter pine, according to the listing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Newsom’s budget proposal — and the state’s share of park money — must still be approved by lawmakers.\u003c/p>\n\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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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"masters-of-scale": {
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},
"mindshift": {
"id": "mindshift",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
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"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"onourwatch": {
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"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"order": 11
},
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"on-the-media": {
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"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"link": "/radio/program/on-the-media",
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},
"pbs-newshour": {
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"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
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},
"perspectives": {
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"order": 14
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"planet-money": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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"link": "/radio/program/planet-money",
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
},
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
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