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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24609\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/cig-e1426709706254.jpg\">\u003cimg class=\"size-full wp-image-24609\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/cig-e1426709706254.jpg\" alt=\"MIAMI, FL - FEBRUARY 20: Yenisley Dieppa tries different flavors as she purchases an electronic cigarette at the Vapor Shark store on February 20, 2014 in Miami, Florida. As the popularity of E- cigarettes continue to grow, leading U.S. tobacco companies such as Altria Group Inc. the maker of Marlboro cigarettes are annoucing plans to launch their own e-cigarettes as they start to pose a small but growing competitive threat to traditional smokes. (Photo by Joe Raedle/Getty Images)\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/03/cig-e1426709706254.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2015/03/cig-e1426709706254-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/03/cig-e1426709706254-320x214.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Sonoma city officials are proposing an ordinance aimed at curbing the sale of tobacco products and electronic cigarettes to minors within city limits.\u003c/p>\n\u003cp>\"We need to make sure that young kids aren’t attracted to smoking and curb nicotine addiction at a young age for health reasons,\" Sonoma Mayor David Cook said at a meeting Monday night.\u003c/p>\n\u003cp>Councilwoman Rachel Hundley said that e-cigarettes \"are pervasive in high schools,\" the\u003ca href=\"http://www.pressdemocrat.com/news/3670737-181/sonoma-officials-seek-to-limit\" target=\"_blank\"> Santa Rosa Press Democrat reports\u003c/a>. \"I hear it from parents all the time.\" \u003c!--more-->\u003c/p>\n\u003cp>The proposed measure will prohibit new businesses from selling tobacco products and require existing business to obtain a license with the city.\u003c/p>\n\u003cp>A trade group for e-cigarette makers called the American Vaping Association says their products are a safer way to help smokers quit.\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>A second reading of the ordinance will take place some time next month.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Majority of Medi-Cal Kids Not Getting Regular Dental Care",
"title": "Majority of Medi-Cal Kids Not Getting Regular Dental Care",
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"content": "\u003cfigure id=\"attachment_24607\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Dentist-e1426709363910.jpg\">\u003cimg class=\"size-full wp-image-24607\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Dentist-e1426709363910.jpg\" alt=\"Dentist and child\" width=\"640\" height=\"425\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/03/Dentist-e1426709363910.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2015/03/Dentist-e1426709363910-400x266.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/03/Dentist-e1426709363910-320x213.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: Herald Post/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>by David Gorn, \u003c/strong>\u003ca href=\"http://www.californiahealthline.org/\" target=\"_blank\">\u003cstrong>California Healthline\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>A joint legislative hearing scheduled for Tuesday in Sacramento will examine a state auditor's report that found more than half the children in California's Medicaid dental program are not getting regular dental care and the number of dental providers in the program is dropping.\u003c/p>\n\u003cp>\"What the audit makes clear is that we could be doing a better job in California. More than half of the children [in the Denti-Cal program] are not getting the care they need,\" said Jacob Vigil, legislative advocate for Children's Partnership, a children's health advocacy organization.\u003c/p>\n\u003cp>\"There is a huge issue of access here,\" said Vigil, who is scheduled to testify at today's hearing. \"This audit is unique in the way it comprehensively lays out the problem, outlining the kind of recommendations that could make a difference. It represents a significant moment.\" \u003c!--more-->\u003c/p>\n\u003cp>According to the state auditor's report released in December on the Denti-Cal program:\u003c/p>\n\u003cul>\n\u003cli>Dental services have been provided to less than 50% of children enrolled in Denti-Cal;\u003c/li>\n\u003cli>Five counties with at least 2,000 children enrolled in Denti-Cal might not have had any participating dentists;\u003c/li>\n\u003cli>11 counties had no dentists who were accepting new Denti-Cal patients;\u003c/li>\n\u003cli>16 counties had an insufficient number of providers accepting new Denti-Cal patients; and\u003c/li>\n\u003cli>Oversight of the program by the Department of Health Care Services has been inadequate.\u003c/li>\n\u003c/ul>\n\u003cp>DHCS officials have said they agree with almost all of the state audit's recommendations.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Vigil said that's a hopeful sign. The main priorities, he said, are to increase provider rates in some way, concentrate resources on younger children and expand the pilot virtual dental home program.\u003c/p>\n\u003cp>\"We think by putting the focus on Medi-Cal's youngest children, you can have a greater impact. When you look across the lifespan, dental care at a younger age affects educational outcomes and so much more,\" Vigil said.\u003c/p>\n\u003cp>As for rate increases, he said, \"Rates are important. There is a shortage of providers and a shortage of providers taking new Denti-Cal patients. But we think we can have more targeted incentives in terms of rates.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Vigil said, for instance, he hopes rates for the 10 most common dental procedures can be raised at least to the national average for those targeted procedures.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24607\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Dentist-e1426709363910.jpg\">\u003cimg class=\"size-full wp-image-24607\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Dentist-e1426709363910.jpg\" alt=\"Dentist and child\" width=\"640\" height=\"425\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/03/Dentist-e1426709363910.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2015/03/Dentist-e1426709363910-400x266.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/03/Dentist-e1426709363910-320x213.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: Herald Post/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>by David Gorn, \u003c/strong>\u003ca href=\"http://www.californiahealthline.org/\" target=\"_blank\">\u003cstrong>California Healthline\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>A joint legislative hearing scheduled for Tuesday in Sacramento will examine a state auditor's report that found more than half the children in California's Medicaid dental program are not getting regular dental care and the number of dental providers in the program is dropping.\u003c/p>\n\u003cp>\"What the audit makes clear is that we could be doing a better job in California. More than half of the children [in the Denti-Cal program] are not getting the care they need,\" said Jacob Vigil, legislative advocate for Children's Partnership, a children's health advocacy organization.\u003c/p>\n\u003cp>\"There is a huge issue of access here,\" said Vigil, who is scheduled to testify at today's hearing. \"This audit is unique in the way it comprehensively lays out the problem, outlining the kind of recommendations that could make a difference. It represents a significant moment.\" \u003c!--more-->\u003c/p>\n\u003cp>According to the state auditor's report released in December on the Denti-Cal program:\u003c/p>\n\u003cul>\n\u003cli>Dental services have been provided to less than 50% of children enrolled in Denti-Cal;\u003c/li>\n\u003cli>Five counties with at least 2,000 children enrolled in Denti-Cal might not have had any participating dentists;\u003c/li>\n\u003cli>11 counties had no dentists who were accepting new Denti-Cal patients;\u003c/li>\n\u003cli>16 counties had an insufficient number of providers accepting new Denti-Cal patients; and\u003c/li>\n\u003cli>Oversight of the program by the Department of Health Care Services has been inadequate.\u003c/li>\n\u003c/ul>\n\u003cp>DHCS officials have said they agree with almost all of the state audit's recommendations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Vigil said that's a hopeful sign. The main priorities, he said, are to increase provider rates in some way, concentrate resources on younger children and expand the pilot virtual dental home program.\u003c/p>\n\u003cp>\"We think by putting the focus on Medi-Cal's youngest children, you can have a greater impact. When you look across the lifespan, dental care at a younger age affects educational outcomes and so much more,\" Vigil said.\u003c/p>\n\u003cp>As for rate increases, he said, \"Rates are important. There is a shortage of providers and a shortage of providers taking new Denti-Cal patients. But we think we can have more targeted incentives in terms of rates.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Vigil said, for instance, he hopes rates for the 10 most common dental procedures can be raised at least to the national average for those targeted procedures.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "49ers Wunderkind Retires After 1 Year, Brings Concussion Issue Again to Fore",
"title": "49ers Wunderkind Retires After 1 Year, Brings Concussion Issue Again to Fore",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_24516\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Borland-e1426627065620.jpg\">\u003cimg class=\"size-large wp-image-24516\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Borland-640x442.jpg\" alt=\"SANTA CLARA, CA - NOVEMBER 23: Logan Paulsen #82 of the Washington Redskins is tackled by Chris Borland #50 of the San Francisco 49ers at Levi's Stadium on November 23, 2014 in Santa Clara, California. (Photo by Ezra Shaw/Getty Images)\" width=\"640\" height=\"442\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chris Borland, #50, of the San Francisco 49ers tackles a Washington Redskins player at a game last fall. Borland announced he will retire from the 49ers after just one year. (Ezra Shaw/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\"From what I've researched and what I've experienced, I don't think it's worth the risk.\"\u003c/p>\n\u003cp>\"I feel largely the same, as sharp as I've ever been. For me, it's wanting to be proactive. ... I'm concerned that if you wait till you have symptoms, it's too late.\"\u003c/p>\n\u003cp>\"(T)o be the type of player I want to be in football, I think I'd have to take on some risks that, as a person, I don't want to take on.\"\u003c/p>\n\u003cp>\"I just want to live a long, healthy life, and I don't want to have any neurological diseases or die younger than I would otherwise.\"\u003c/p>\n\u003cp>These are not comments that can fill the stakeholders in the National Football League with confidence in terms of being on top of the concussion issue. They were all made by 24-year-old 49ers linebacker Chris Borland after announcing his retirement yesterday, after just one year in the league. Borland, a player who was thought to have a bright if bone-rattlng future in the NFL, did the research on player concussions and decided the risk was just too great. (You can watch his interview with ESPN's \"Outside the Lines,\" where he first announced his decision, \u003ca href=\"http://espn.go.com/video/clip?id=espn:12502366\" target=\"_blank\">here\u003c/a>.)\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>49ers color analyst Tim Ryan, someone steeped in the game, couldn't help but betray a feeling of disbelief even as he praised Borland.\u003c/p>\n\u003cp>“That’s what is so shocking with Chris,\" he \u003ca href=\"http://www.knbr.com/common/page.php?feed=44&pt=Ryan%3A+%27Willis+retired.+Chris+Borland+quit%27&id=16691&is_corp=0\">said on KNBR 680-AM\u003c/a>. \"You look at all the GMs and they go to the combines and do all the interviews. Usually when a player leaves the game with a very promising career in front of them, there are warning signs in their behavior and you kind of see it coming. That’s why you see the GMs go to the draft and ask all the questions. You always hear the famous quote: ‘This guy loves football. Football is important to him.’ With Borland, all of those things were right in your face, that he was all of that. That’s what makes this confusing – the guy was all ball, all the time.\"\u003c/p>\n\u003cp>\u003cem>The Concussion Issue\u003c/em>\u003c/p>\n\u003cp>Concussion-induced brain trauma has been a dominant issue in football over the past several years. In 2013, the NFL agreed to pay more than 4,500 players $765 million to settle claims of ex-players who said they'd suffered from such injuries..\u003c/p>\n\u003cp>Brain damage was also at the center of a landmark $765 million \u003ca href=\"https://www.nflconcussionsettlement.com/\" target=\"_blank\">settlement\u003c/a> between the NFL and more than 4,500 players, which was granted preliminary but not final approval by a federal judge last year.\u003c/p>\n\u003cp>Under the settlement, all NFL players who retired prior to July 7, 2014, are eligible. From the NFL Concussion Settlement site, you can see the array of debilitating illnesses that NFL players have suffered:\u003c/p>\n\u003cblockquote>\u003cp>The Settlement recognizes two separate groups (“Subclasses”) of Settlement Class Members based on the Retired NFL Football Player’s injury status prior to July 7, 2014:\u003cbr>\nSubclass 1 includes: Retired NFL Football Players who were not diagnosed with ALS, Parkinson’s Disease, Alzheimer’s Disease, Level 2 Neurocognitive Impairment (i.e., moderate Dementia), Level 1.5 Neurocognitive Impairment (i.e., early Dementia) or Death with CTE prior to July 7, 2014, and their Representative Claimants and Derivative Claimants.\u003c/p>\n\u003cp>Subclass 2 includes:\u003c/p>\n\u003cp>Retired NFL Football Players who were diagnosed with ALS, Parkinson’s Disease, Alzheimer’s Disease, Level 2 Neurocognitive Impairment (i.e., moderate Dementia), or Level 1.5 Neurocognitive Impairment (i.e., early Dementia) prior to July 7, 2014, and their Representative Claimants and Derivative Claimants; and\u003c/p>\n\u003cp>Representative Claimants of deceased Retired NFL Football Players who were diagnosed with ALS, Parkinson’s Disease, Alzheimer’s Disease, Level 2 Neurocognitive Impairment (i.e., moderate Dementia), or Level 1.5 Neurocognitive Impairment (i.e., early Dementia) prior to death or who died prior to July 7, 2014 and received a diagnosis of Death with CTE.\u003c/p>\u003c/blockquote>\n\u003cp>The concussion issue got further attention from the \u003ca href=\"http://www.pbs.org/wgbh/pages/frontline/league-of-denial/\" target=\"_blank\">PBS documentary\u003c/a> and related \u003ca href=\"http://www.amazon.com/League-Denial-Concussions-Battle-Truth/dp/0770437540#reader_0770437540\" target=\"_blank\">book \u003c/a>\"League of Denial,\" both of which explored the history of concussions in football, their devastating consequences, and what some would say was a cover-up by the NFL, which made \u003ca href=\"http://espn.go.com/nfl/story/_/id/11200179/nfl-teams-divided-6-billion-revenue-according-green-bay-packers-financials\" target=\"_blank\">$6 billion in revenue\u003c/a> in the 2013-14 season.\u003c/p>\n\u003cp>The big question now: If a player has made this decision who had reached the very pinnacle of athletics, leaving potential fame and fortune only partially realized, what decisions will young players and their parents make, who have much less at stake?\u003c/p>\n\u003cp>A much publicized 2013 \u003ca href=\"http://espn.go.com/espn/otl/story/_/page/popwarner/pop-warner-youth-football-participation-drops-nfl-concussion-crisis-seen-causal-factor\" target=\"_blank\">report\u003c/a> by \u003ccite class=\"source\">Steve Fainaru and Mark Fainaru-Wada, \u003c/cite>the authors of \"League of Denial,\" said that youth participation in Pop Warner football had declined 9.5 percent between 2010-12. And an \u003ca href=\"http://www.today.com/parents/poll-parents-uncomfortable-youth-football-1D80112099\" target=\"_blank\">Associated Press-GFK poll\u003c/a> last year found \"nearly half of parents said they're not comfortable letting their child play football amid growing uncertainty about the long-term impact of concussions.\" But \"only five percent ... said they have discouraged their child from playing in the last two years as concern over head injuries has increased at all levels of the game.\"\u003c/p>\n\u003cp>And high school football participation last year was \u003ca href=\"http://www.nfhs.org/ParticipationStatics/PDF/2013-14_Participation_Survey_PDF.pdf\" target=\"_blank\">actually up\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As for the NFL,in reaction to Borland's announcement, it said concussions were down 25 percent last year.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24516\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Borland-e1426627065620.jpg\">\u003cimg class=\"size-large wp-image-24516\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Borland-640x442.jpg\" alt=\"SANTA CLARA, CA - NOVEMBER 23: Logan Paulsen #82 of the Washington Redskins is tackled by Chris Borland #50 of the San Francisco 49ers at Levi's Stadium on November 23, 2014 in Santa Clara, California. (Photo by Ezra Shaw/Getty Images)\" width=\"640\" height=\"442\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chris Borland, #50, of the San Francisco 49ers tackles a Washington Redskins player at a game last fall. Borland announced he will retire from the 49ers after just one year. (Ezra Shaw/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\"From what I've researched and what I've experienced, I don't think it's worth the risk.\"\u003c/p>\n\u003cp>\"I feel largely the same, as sharp as I've ever been. For me, it's wanting to be proactive. ... I'm concerned that if you wait till you have symptoms, it's too late.\"\u003c/p>\n\u003cp>\"(T)o be the type of player I want to be in football, I think I'd have to take on some risks that, as a person, I don't want to take on.\"\u003c/p>\n\u003cp>\"I just want to live a long, healthy life, and I don't want to have any neurological diseases or die younger than I would otherwise.\"\u003c/p>\n\u003cp>These are not comments that can fill the stakeholders in the National Football League with confidence in terms of being on top of the concussion issue. They were all made by 24-year-old 49ers linebacker Chris Borland after announcing his retirement yesterday, after just one year in the league. Borland, a player who was thought to have a bright if bone-rattlng future in the NFL, did the research on player concussions and decided the risk was just too great. (You can watch his interview with ESPN's \"Outside the Lines,\" where he first announced his decision, \u003ca href=\"http://espn.go.com/video/clip?id=espn:12502366\" target=\"_blank\">here\u003c/a>.)\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>49ers color analyst Tim Ryan, someone steeped in the game, couldn't help but betray a feeling of disbelief even as he praised Borland.\u003c/p>\n\u003cp>“That’s what is so shocking with Chris,\" he \u003ca href=\"http://www.knbr.com/common/page.php?feed=44&pt=Ryan%3A+%27Willis+retired.+Chris+Borland+quit%27&id=16691&is_corp=0\">said on KNBR 680-AM\u003c/a>. \"You look at all the GMs and they go to the combines and do all the interviews. Usually when a player leaves the game with a very promising career in front of them, there are warning signs in their behavior and you kind of see it coming. That’s why you see the GMs go to the draft and ask all the questions. You always hear the famous quote: ‘This guy loves football. Football is important to him.’ With Borland, all of those things were right in your face, that he was all of that. That’s what makes this confusing – the guy was all ball, all the time.\"\u003c/p>\n\u003cp>\u003cem>The Concussion Issue\u003c/em>\u003c/p>\n\u003cp>Concussion-induced brain trauma has been a dominant issue in football over the past several years. In 2013, the NFL agreed to pay more than 4,500 players $765 million to settle claims of ex-players who said they'd suffered from such injuries..\u003c/p>\n\u003cp>Brain damage was also at the center of a landmark $765 million \u003ca href=\"https://www.nflconcussionsettlement.com/\" target=\"_blank\">settlement\u003c/a> between the NFL and more than 4,500 players, which was granted preliminary but not final approval by a federal judge last year.\u003c/p>\n\u003cp>Under the settlement, all NFL players who retired prior to July 7, 2014, are eligible. From the NFL Concussion Settlement site, you can see the array of debilitating illnesses that NFL players have suffered:\u003c/p>\n\u003cblockquote>\u003cp>The Settlement recognizes two separate groups (“Subclasses”) of Settlement Class Members based on the Retired NFL Football Player’s injury status prior to July 7, 2014:\u003cbr>\nSubclass 1 includes: Retired NFL Football Players who were not diagnosed with ALS, Parkinson’s Disease, Alzheimer’s Disease, Level 2 Neurocognitive Impairment (i.e., moderate Dementia), Level 1.5 Neurocognitive Impairment (i.e., early Dementia) or Death with CTE prior to July 7, 2014, and their Representative Claimants and Derivative Claimants.\u003c/p>\n\u003cp>Subclass 2 includes:\u003c/p>\n\u003cp>Retired NFL Football Players who were diagnosed with ALS, Parkinson’s Disease, Alzheimer’s Disease, Level 2 Neurocognitive Impairment (i.e., moderate Dementia), or Level 1.5 Neurocognitive Impairment (i.e., early Dementia) prior to July 7, 2014, and their Representative Claimants and Derivative Claimants; and\u003c/p>\n\u003cp>Representative Claimants of deceased Retired NFL Football Players who were diagnosed with ALS, Parkinson’s Disease, Alzheimer’s Disease, Level 2 Neurocognitive Impairment (i.e., moderate Dementia), or Level 1.5 Neurocognitive Impairment (i.e., early Dementia) prior to death or who died prior to July 7, 2014 and received a diagnosis of Death with CTE.\u003c/p>\u003c/blockquote>\n\u003cp>The concussion issue got further attention from the \u003ca href=\"http://www.pbs.org/wgbh/pages/frontline/league-of-denial/\" target=\"_blank\">PBS documentary\u003c/a> and related \u003ca href=\"http://www.amazon.com/League-Denial-Concussions-Battle-Truth/dp/0770437540#reader_0770437540\" target=\"_blank\">book \u003c/a>\"League of Denial,\" both of which explored the history of concussions in football, their devastating consequences, and what some would say was a cover-up by the NFL, which made \u003ca href=\"http://espn.go.com/nfl/story/_/id/11200179/nfl-teams-divided-6-billion-revenue-according-green-bay-packers-financials\" target=\"_blank\">$6 billion in revenue\u003c/a> in the 2013-14 season.\u003c/p>\n\u003cp>The big question now: If a player has made this decision who had reached the very pinnacle of athletics, leaving potential fame and fortune only partially realized, what decisions will young players and their parents make, who have much less at stake?\u003c/p>\n\u003cp>A much publicized 2013 \u003ca href=\"http://espn.go.com/espn/otl/story/_/page/popwarner/pop-warner-youth-football-participation-drops-nfl-concussion-crisis-seen-causal-factor\" target=\"_blank\">report\u003c/a> by \u003ccite class=\"source\">Steve Fainaru and Mark Fainaru-Wada, \u003c/cite>the authors of \"League of Denial,\" said that youth participation in Pop Warner football had declined 9.5 percent between 2010-12. And an \u003ca href=\"http://www.today.com/parents/poll-parents-uncomfortable-youth-football-1D80112099\" target=\"_blank\">Associated Press-GFK poll\u003c/a> last year found \"nearly half of parents said they're not comfortable letting their child play football amid growing uncertainty about the long-term impact of concussions.\" But \"only five percent ... said they have discouraged their child from playing in the last two years as concern over head injuries has increased at all levels of the game.\"\u003c/p>\n\u003cp>And high school football participation last year was \u003ca href=\"http://www.nfhs.org/ParticipationStatics/PDF/2013-14_Participation_Survey_PDF.pdf\" target=\"_blank\">actually up\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As for the NFL,in reaction to Borland's announcement, it said concussions were down 25 percent last year.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Chevron, Other Refineries Face Tougher Air Quality Rules",
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"content": "\u003cfigure id=\"attachment_8050\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/RichmondRefineryFire_DanielParks_Flickr_08062012.jpg\">\u003cimg class=\"size-large wp-image-8050\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/RichmondRefineryFire_DanielParks_Flickr_08062012-620x383.jpg\" alt=\"Monday night's Chevron Refinery fire as seen from the Berkeley Hills. (Daniel Parks: Flickr)\" width=\"620\" height=\"383\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">2012 Chevron Refinery fire as seen from the Berkeley Hills. (Daniel Parks: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The public will have a chance to comment this week on proposed air quality rules for the Bay Area's five oil refineries.\u003c/p>\n\u003cp>The new rules, from the Bay Area Air Quality Management District, aim for more accurate estimates of all refinery emissions and to assess any risks to human health. The district also wants to see a 20 percent decrease in emissions.\u003c/p>\n\u003cp>Refineries would have to compile a profile of all emissions over one year.\u003c/p>\n\u003cp>From the\u003ca href=\"http://www.contracostatimes.com/breaking-news/ci_27709531/clean-air-agency-proposes-new-rules-cut-and\" target=\"_blank\"> Bay Area News Group\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>\u003cspan id=\"default\">\u003cspan id=\"MNGiSection\">Political pressure for the tougher rules mounted after a 2012 fire at Chevron's Richmond oil refinery sent thousands to hospitals with eye, throat and lung irritation.\u003c/span>\u003c/span>\u003c/p>\n\u003cp>\u003cspan id=\"default\">\u003cspan id=\"MNGiSection\">With the new proposals, clean air regulators say they want a more holistic approach that goes further than existing rules and permits aimed at reducing pollution from specific types of boilers, towers, other equipment and manufacturing processes.\u003c/span>\u003c/span>\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Air district Rule Manager Greg Nudd said the proposal \"goes beyond what we traditionally include in the emissions inventories for the refineries to include things like emissions from things like ships, trains, and trucks that bring in crude and take product out.\"\u003c/p>\n\u003cp>The rules would put air monitors in the communities around refineries. And they would require refineries not to exceed baseline levels for certain pollutants that can affect public health.\u003c/p>\n\u003cp>The rules would affect \u003cspan id=\"default\">\u003cspan id=\"MNGiSection\"> the Chevron, Shell, Tesoro, Phillips 66 and Valero\u003c/span>\u003c/span> refineries.\u003c/p>\n\u003cp>The Western Petroleum States Association opposes the 20-percent-reduction goal. From \u003ca href=\"http://richmondconfidential.org/2014/10/20/air-quality-board-plans-on-cutting-refinery-emissions/\" target=\"_blank\">Richmond Confidential\u003c/a> last fall:\u003c/p>\n\u003cblockquote>\u003cp>\u003cspan id=\"default\">\u003cspan id=\"MNGiSection\">Guy Bjerke, spokesman for WSPA (objected) to the resolution, saying the emission cap will affect the current collaborations between the refineries and the district on laying down the rules for tracking refineries’ emissions, reporting the contents of crude oil, and assessing any related health risks. “Just working on these will take a lot of dollars and a lot of time,” Bjerke said.\u003c/span>\u003c/span>\u003c/p>\u003c/blockquote>\n\u003cp>Meanwhile, Andres Soto of Communities for a Better Environment, told BANG the rules are too weak: \u003cspan id=\"default\">\u003cspan id=\"MNGiSection\">\"We are very disappointed with the staff proposal,\" he said. \"The community suffers asthma, increased cancer risk and other problems from this pollution.\"\u003c/span>\u003c/span>\u003c/p>\n\u003cp>You can read the \u003ca href=\"http://www.baaqmd.gov/~/media/Files/Planning%20and%20Research/Rules%20and%20Regs/Workshops/2015/1215%201216%20Workshop/1215_DR_022315.ashx?la=en\" target=\"_blank\">air tracking\u003c/a> and \u003ca href=\"http://www.baaqmd.gov/~/media/Files/Planning%20and%20Research/Rules%20and%20Regs/Workshops/2015/1215%201216%20Workshop/1216_DR_022315.ashx?la=en\" target=\"_blank\">emissions mitigation\u003c/a> rules at the BAAQMD site.\u003c/p>\n\u003cp>Here are the \u003ca href=\"http://www.baaqmd.gov/~/media/Files/Communications%20and%20Outreach/Publications/News%20Releases/2015/RefRule_050311.ashx?la=en\" target=\"_blank\">upcoming meeting\u003c/a>s this week. \u003ca href=\"https://occupyoakland.org/ai1ec_event/speak-strong-new-baaqmd-rules-air-quality-bay-area/?instance_id=\" target=\"_blank\">Occupy Oakland\u003c/a>, among other groups, is advocating for strong rules.\u003c/p>\n\u003cp>\u003cstrong>Benicia\u003c/strong>\u003c/p>\n\u003cp>Monday, March 16, 5:30 PM - 7:00 PM\u003cbr>\nBenicia Senior Center\u003cbr>\n187 East L Street\u003c/p>\n\u003cp>\u003cstrong>Richmond\u003c/strong>\u003c/p>\n\u003cp>Tuesday, March 17, 5:30 PM - 7:00 PM\u003cbr>\nMadeline F Whittlesey Community Room\u003cbr>\nRichmond Public Library 25 Civic Center Plaza\u003c/p>\n\u003cp>\u003cstrong>Martinez\u003c/strong>\u003c/p>\n\u003cp>Wednesday, March 18, 5:30 PM - 7:00 PM\u003cbr>\nContra Costa County Chambers\u003cbr>\n651 Pine Street\u003c/p>\n\u003cp>\u003cstrong>San Francisco\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Friday, March 20, 2015 10:30 AM - Noon\u003cbr>\nAir District Board Room, 7th Floor\u003cbr>\n939 Ellis Street\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_8050\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/RichmondRefineryFire_DanielParks_Flickr_08062012.jpg\">\u003cimg class=\"size-large wp-image-8050\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/RichmondRefineryFire_DanielParks_Flickr_08062012-620x383.jpg\" alt=\"Monday night's Chevron Refinery fire as seen from the Berkeley Hills. (Daniel Parks: Flickr)\" width=\"620\" height=\"383\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">2012 Chevron Refinery fire as seen from the Berkeley Hills. (Daniel Parks: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The public will have a chance to comment this week on proposed air quality rules for the Bay Area's five oil refineries.\u003c/p>\n\u003cp>The new rules, from the Bay Area Air Quality Management District, aim for more accurate estimates of all refinery emissions and to assess any risks to human health. The district also wants to see a 20 percent decrease in emissions.\u003c/p>\n\u003cp>Refineries would have to compile a profile of all emissions over one year.\u003c/p>\n\u003cp>From the\u003ca href=\"http://www.contracostatimes.com/breaking-news/ci_27709531/clean-air-agency-proposes-new-rules-cut-and\" target=\"_blank\"> Bay Area News Group\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>\u003cspan id=\"default\">\u003cspan id=\"MNGiSection\">Political pressure for the tougher rules mounted after a 2012 fire at Chevron's Richmond oil refinery sent thousands to hospitals with eye, throat and lung irritation.\u003c/span>\u003c/span>\u003c/p>\n\u003cp>\u003cspan id=\"default\">\u003cspan id=\"MNGiSection\">With the new proposals, clean air regulators say they want a more holistic approach that goes further than existing rules and permits aimed at reducing pollution from specific types of boilers, towers, other equipment and manufacturing processes.\u003c/span>\u003c/span>\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Air district Rule Manager Greg Nudd said the proposal \"goes beyond what we traditionally include in the emissions inventories for the refineries to include things like emissions from things like ships, trains, and trucks that bring in crude and take product out.\"\u003c/p>\n\u003cp>The rules would put air monitors in the communities around refineries. And they would require refineries not to exceed baseline levels for certain pollutants that can affect public health.\u003c/p>\n\u003cp>The rules would affect \u003cspan id=\"default\">\u003cspan id=\"MNGiSection\"> the Chevron, Shell, Tesoro, Phillips 66 and Valero\u003c/span>\u003c/span> refineries.\u003c/p>\n\u003cp>The Western Petroleum States Association opposes the 20-percent-reduction goal. From \u003ca href=\"http://richmondconfidential.org/2014/10/20/air-quality-board-plans-on-cutting-refinery-emissions/\" target=\"_blank\">Richmond Confidential\u003c/a> last fall:\u003c/p>\n\u003cblockquote>\u003cp>\u003cspan id=\"default\">\u003cspan id=\"MNGiSection\">Guy Bjerke, spokesman for WSPA (objected) to the resolution, saying the emission cap will affect the current collaborations between the refineries and the district on laying down the rules for tracking refineries’ emissions, reporting the contents of crude oil, and assessing any related health risks. “Just working on these will take a lot of dollars and a lot of time,” Bjerke said.\u003c/span>\u003c/span>\u003c/p>\u003c/blockquote>\n\u003cp>Meanwhile, Andres Soto of Communities for a Better Environment, told BANG the rules are too weak: \u003cspan id=\"default\">\u003cspan id=\"MNGiSection\">\"We are very disappointed with the staff proposal,\" he said. \"The community suffers asthma, increased cancer risk and other problems from this pollution.\"\u003c/span>\u003c/span>\u003c/p>\n\u003cp>You can read the \u003ca href=\"http://www.baaqmd.gov/~/media/Files/Planning%20and%20Research/Rules%20and%20Regs/Workshops/2015/1215%201216%20Workshop/1215_DR_022315.ashx?la=en\" target=\"_blank\">air tracking\u003c/a> and \u003ca href=\"http://www.baaqmd.gov/~/media/Files/Planning%20and%20Research/Rules%20and%20Regs/Workshops/2015/1215%201216%20Workshop/1216_DR_022315.ashx?la=en\" target=\"_blank\">emissions mitigation\u003c/a> rules at the BAAQMD site.\u003c/p>\n\u003cp>Here are the \u003ca href=\"http://www.baaqmd.gov/~/media/Files/Communications%20and%20Outreach/Publications/News%20Releases/2015/RefRule_050311.ashx?la=en\" target=\"_blank\">upcoming meeting\u003c/a>s this week. \u003ca href=\"https://occupyoakland.org/ai1ec_event/speak-strong-new-baaqmd-rules-air-quality-bay-area/?instance_id=\" target=\"_blank\">Occupy Oakland\u003c/a>, among other groups, is advocating for strong rules.\u003c/p>\n\u003cp>\u003cstrong>Benicia\u003c/strong>\u003c/p>\n\u003cp>Monday, March 16, 5:30 PM - 7:00 PM\u003cbr>\nBenicia Senior Center\u003cbr>\n187 East L Street\u003c/p>\n\u003cp>\u003cstrong>Richmond\u003c/strong>\u003c/p>\n\u003cp>Tuesday, March 17, 5:30 PM - 7:00 PM\u003cbr>\nMadeline F Whittlesey Community Room\u003cbr>\nRichmond Public Library 25 Civic Center Plaza\u003c/p>\n\u003cp>\u003cstrong>Martinez\u003c/strong>\u003c/p>\n\u003cp>Wednesday, March 18, 5:30 PM - 7:00 PM\u003cbr>\nContra Costa County Chambers\u003cbr>\n651 Pine Street\u003c/p>\n\u003cp>\u003cstrong>San Francisco\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Friday, March 20, 2015 10:30 AM - Noon\u003cbr>\nAir District Board Room, 7th Floor\u003cbr>\n939 Ellis Street\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_23586\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-e1421892431232.jpg\">\u003cimg class=\"size-large wp-image-23586\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-640x426.jpg\" alt=\"Five Disney staff members are among California's cases. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Scott Hensley,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2015/03/16/393336901/vaccination-gaps-helped-fuel-disneyland-measles-spread\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>California has been dealing with a big measles outbreak since December, when cases emerged among visitors to Disneyland.\u003c/p>\n\u003cp>Measles spread quickly afterward. As of Friday, the state \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/Measles_update_3_-_13_-_2015_public.pdf\" target=\"_blank\">had confirmed 133 measles cases\u003c/a> among residents since December.\u003c/p>\n\u003cp>Of the people who got sick -- and for whom the state could determine vaccination status -- 57 people hadn't been vaccinated against measles and 20 people had had at least one shot of the vaccine.\u003c/p>\n\u003cp>Researchers analyzed the California outbreak data as well as information gleaned from news reports and the Internet to figure out how big a factor the lack of vaccination was. The short answer, as you might have guessed, is big.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The rate of growth [in cases] gives us a good idea about the percentage of people in the population who are immune,\" says Maimuna Majumder, health fellow in the \u003ca href=\"http://www.healthmap.org/site/ceg\" target=\"_blank\">Health Map Computational Epidemiology Group\u003c/a> at Boston Children's Hospital.\u003c/p>\n\u003cp>\"This preliminary analysis indicates that substandard vaccination compliance is likely to blame for the 2015 measles outbreak,\" she and her co-authors \u003ca href=\"http://archpedi.jamanetwork.com/article.aspx?articleid=2203906\" target=\"_blank\">wrote in a research letter\u003c/a> that was published online Monday by \u003cem>JAMA Pediatrics. \u003c/em>By their calculations, vaccination rates among the people exposed to the infection might have been as low as 50 percent and probably not more than 86 percent.\u003c/p>\n\u003cdiv id=\"res393362383\" class=\"bucketwrap internallink insettwocolumn inset2col \">\u003c/div>\n\u003cp>The rapid spread of the measles in California and beyond has put a spotlight on vaccination rates.\u003c/p>\n\u003cp>Widespread vaccination led the U.S. to \u003ca href=\"http://archpedi.jamanetwork.com/article.aspx?articleid=1787786\" target=\"_blank\">declare measles eliminated\u003c/a> from the country in 2000. Infected people have entered the U.S. from countries where measles is endemic and isolated outbreaks have sprung up periodically.\u003c/p>\n\u003cp>A resurgence of measles in the past two years has \u003ca href=\"http://www.npr.org/blogs/health/2015/01/29/382436262/rise-in-measles-cases-marks-a-wake-up-call-for-u-s\" target=\"_blank\">stoked public health concerns\u003c/a>. In late January, the Centers for Disease Control and Prevention's Dr. Anne Schuchat \u003ca href=\"http://www.npr.org/blogs/health/2015/01/29/382436262/rise-in-measles-cases-marks-a-wake-up-call-for-u-s\" target=\"_blank\">said the uptick in measles cases\u003c/a> \"is a wake-up call to make sure measles doesn't get a foothold back in our country.\"\u003c/p>\n\u003cp>Measles is one of the most contagious viruses on the planet. But the measles-mumps-rubella vaccine against it is highly effective — about 95 percent effective in preventing infection.\u003c/p>\n\u003cp>When enough people are in a community are vaccinated against measles or have been previously infected with the virus, there's a protective effect called herd immunity that interrupts the spread of the virus to vulnerable people.\u003c/p>\n\u003cdiv id=\"res393362358\" class=\"bucketwrap internallink insettwocolumn inset2col \">\u003c/div>\n\u003cp>But the vaccination rate in the community has to be very high to guard against measles — \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22426372\" target=\"_blank\">96 percent or greater\u003c/a>.\u003c/p>\n\u003cp>\"Measles is one of those cases of how herd immunity is really for the common good,\" says Boston Children's Hospital's Majumder. \"Healthy kids don't die from it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But children with weakened immune systems can die, and they rely on others to break the chain of measles transmission. Majumder's conclusion: \"If you can vaccinate, do.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23586\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-e1421892431232.jpg\">\u003cimg class=\"size-large wp-image-23586\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-640x426.jpg\" alt=\"Five Disney staff members are among California's cases. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Scott Hensley,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2015/03/16/393336901/vaccination-gaps-helped-fuel-disneyland-measles-spread\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>California has been dealing with a big measles outbreak since December, when cases emerged among visitors to Disneyland.\u003c/p>\n\u003cp>Measles spread quickly afterward. As of Friday, the state \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/Measles_update_3_-_13_-_2015_public.pdf\" target=\"_blank\">had confirmed 133 measles cases\u003c/a> among residents since December.\u003c/p>\n\u003cp>Of the people who got sick -- and for whom the state could determine vaccination status -- 57 people hadn't been vaccinated against measles and 20 people had had at least one shot of the vaccine.\u003c/p>\n\u003cp>Researchers analyzed the California outbreak data as well as information gleaned from news reports and the Internet to figure out how big a factor the lack of vaccination was. The short answer, as you might have guessed, is big.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The rate of growth [in cases] gives us a good idea about the percentage of people in the population who are immune,\" says Maimuna Majumder, health fellow in the \u003ca href=\"http://www.healthmap.org/site/ceg\" target=\"_blank\">Health Map Computational Epidemiology Group\u003c/a> at Boston Children's Hospital.\u003c/p>\n\u003cp>\"This preliminary analysis indicates that substandard vaccination compliance is likely to blame for the 2015 measles outbreak,\" she and her co-authors \u003ca href=\"http://archpedi.jamanetwork.com/article.aspx?articleid=2203906\" target=\"_blank\">wrote in a research letter\u003c/a> that was published online Monday by \u003cem>JAMA Pediatrics. \u003c/em>By their calculations, vaccination rates among the people exposed to the infection might have been as low as 50 percent and probably not more than 86 percent.\u003c/p>\n\u003cdiv id=\"res393362383\" class=\"bucketwrap internallink insettwocolumn inset2col \">\u003c/div>\n\u003cp>The rapid spread of the measles in California and beyond has put a spotlight on vaccination rates.\u003c/p>\n\u003cp>Widespread vaccination led the U.S. to \u003ca href=\"http://archpedi.jamanetwork.com/article.aspx?articleid=1787786\" target=\"_blank\">declare measles eliminated\u003c/a> from the country in 2000. Infected people have entered the U.S. from countries where measles is endemic and isolated outbreaks have sprung up periodically.\u003c/p>\n\u003cp>A resurgence of measles in the past two years has \u003ca href=\"http://www.npr.org/blogs/health/2015/01/29/382436262/rise-in-measles-cases-marks-a-wake-up-call-for-u-s\" target=\"_blank\">stoked public health concerns\u003c/a>. In late January, the Centers for Disease Control and Prevention's Dr. Anne Schuchat \u003ca href=\"http://www.npr.org/blogs/health/2015/01/29/382436262/rise-in-measles-cases-marks-a-wake-up-call-for-u-s\" target=\"_blank\">said the uptick in measles cases\u003c/a> \"is a wake-up call to make sure measles doesn't get a foothold back in our country.\"\u003c/p>\n\u003cp>Measles is one of the most contagious viruses on the planet. But the measles-mumps-rubella vaccine against it is highly effective — about 95 percent effective in preventing infection.\u003c/p>\n\u003cp>When enough people are in a community are vaccinated against measles or have been previously infected with the virus, there's a protective effect called herd immunity that interrupts the spread of the virus to vulnerable people.\u003c/p>\n\u003cdiv id=\"res393362358\" class=\"bucketwrap internallink insettwocolumn inset2col \">\u003c/div>\n\u003cp>But the vaccination rate in the community has to be very high to guard against measles — \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22426372\" target=\"_blank\">96 percent or greater\u003c/a>.\u003c/p>\n\u003cp>\"Measles is one of those cases of how herd immunity is really for the common good,\" says Boston Children's Hospital's Majumder. \"Healthy kids don't die from it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But children with weakened immune systems can die, and they rely on others to break the chain of measles transmission. Majumder's conclusion: \"If you can vaccinate, do.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "County Health Programs Need to Serve More Undocumented Californians, Advocates Say",
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"content": "\u003cfigure id=\"attachment_24480\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Health-Fair-e1426527783964.jpg\">\u003cimg class=\"size-large wp-image-24480\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Health-Fair-640x424.jpg\" alt=\"Touro University medical student Shamis Fallah (L) administers a Tdap vaccination in the arm of Phillip Briskell during a 2010 Solano County health fair in Vallejo. (Photo by Justin Sullivan/Getty Images)\" width=\"640\" height=\"424\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Touro University medical student Shamis Fallah (L) administers a Tdap vaccination in the arm of Phillip Briskell during a 2010 Solano County health fair in Vallejo. (Photo by Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>by Jenny Gold, \u003ca href=\"http://kaiserhealthnews.org/\" target=\"_blank\">\u003cstrong>Kaiser Health News\u003c/strong>\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>With millions of Californians gaining coverage under the health care law, counties need to strengthen their health programs to serve the remaining 3 million uninsured people, nearly half of whom are living in the state illegally, according to a report by a statewide advocacy coalition.\u003c/p>\n\u003cp>Under state law, each county is responsible for providing care to low-income Californians who are uninsured. But eligibility restrictions in county programs vary dramatically, leaving the uninsured with uneven access to care across the state, according to the report by Health Access California.\u003c/p>\n\u003cp>The coalition, which surveyed all 58 counties last fall, found that 48 of them preclude residents who are in the country illegally from enrolling in county programs, and 43 exclude any resident earning more than twice the federal poverty level. (The poverty level is $11,770 per year for an individual and $24,250 per year for a family of four.) \u003c!--more-->\u003c/p>\n\u003cp>In 2014, counties worked hard to enroll as many of their residents as possible into new coverage options through the Affordable Care Act, said Anthony Wright, executive director of Health Access. Because millions were enrolled either through the insurance exchange, Covered California, or through Medi-Cal, the government program for the poor, the counties experienced a significant decline in the number of people enrolled in their programs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But significant pockets of uninsured people remain – especially immigrants living here illegally, who are mostly ineligible for state and federal programs.\u003c/p>\n\u003cp>In counties with strict eligibility criteria for their programs, such as Merced, Placer and Tulare counties, no residents are enrolled. But counties with expansive programs that cover the undocumented and higher-income residents are still seeing high levels of enrollment. In Los Angeles, for example, 81,000 people were signed up with My Health LA, the county program.\u003c/p>\n\u003cp>The widely varying levels of enrollment among counties suggest that local governments “need to re-adjust their programs,” said Wright in a press release. “We need counties and the state to reorient their safety-net programs to serve the need that continues to this day.”\u003c/p>\n\u003cp>Few counties have adjusted eligibility requirements for their programs in the past two years, Wright said. Instead, they have taken a “wait-and-see” approach until the effects of the ACA and the state’s reallocation of safety-net funds were clear. Many are reconsidering how to manage their safety-net health programs as of 2016, and advocacy groups such as Health Access are hoping the counties will expand their eligibility requirements, particularly to allow immigrants here illegally to enroll.\u003c/p>\n\u003cp>“These county efforts should ultimately be a bridge to a statewide solution, where all Californians can be covered regardless of immigration status,” said Wright. “Immigrants are part of our economy and society, they should be fully included in our health system as well.”\u003c/p>\n\u003cp>But some in the state say that expanding health coverage to additional residents would be too costly. A bill currently moving through the state legislature, for example, would expand insurance options to immigrants living in the state illegally. That bill, called the Health for All Act, would cost the state between $424 million and $436 million in 2019, according an analysis from UC Berkeley’s Center for Labor Research and Education and the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem> Kaiser Health News (KHN) is a nonprofit national health policy news service.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24480\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Health-Fair-e1426527783964.jpg\">\u003cimg class=\"size-large wp-image-24480\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Health-Fair-640x424.jpg\" alt=\"Touro University medical student Shamis Fallah (L) administers a Tdap vaccination in the arm of Phillip Briskell during a 2010 Solano County health fair in Vallejo. (Photo by Justin Sullivan/Getty Images)\" width=\"640\" height=\"424\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Touro University medical student Shamis Fallah (L) administers a Tdap vaccination in the arm of Phillip Briskell during a 2010 Solano County health fair in Vallejo. (Photo by Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>by Jenny Gold, \u003ca href=\"http://kaiserhealthnews.org/\" target=\"_blank\">\u003cstrong>Kaiser Health News\u003c/strong>\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>With millions of Californians gaining coverage under the health care law, counties need to strengthen their health programs to serve the remaining 3 million uninsured people, nearly half of whom are living in the state illegally, according to a report by a statewide advocacy coalition.\u003c/p>\n\u003cp>Under state law, each county is responsible for providing care to low-income Californians who are uninsured. But eligibility restrictions in county programs vary dramatically, leaving the uninsured with uneven access to care across the state, according to the report by Health Access California.\u003c/p>\n\u003cp>The coalition, which surveyed all 58 counties last fall, found that 48 of them preclude residents who are in the country illegally from enrolling in county programs, and 43 exclude any resident earning more than twice the federal poverty level. (The poverty level is $11,770 per year for an individual and $24,250 per year for a family of four.) \u003c!--more-->\u003c/p>\n\u003cp>In 2014, counties worked hard to enroll as many of their residents as possible into new coverage options through the Affordable Care Act, said Anthony Wright, executive director of Health Access. Because millions were enrolled either through the insurance exchange, Covered California, or through Medi-Cal, the government program for the poor, the counties experienced a significant decline in the number of people enrolled in their programs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But significant pockets of uninsured people remain – especially immigrants living here illegally, who are mostly ineligible for state and federal programs.\u003c/p>\n\u003cp>In counties with strict eligibility criteria for their programs, such as Merced, Placer and Tulare counties, no residents are enrolled. But counties with expansive programs that cover the undocumented and higher-income residents are still seeing high levels of enrollment. In Los Angeles, for example, 81,000 people were signed up with My Health LA, the county program.\u003c/p>\n\u003cp>The widely varying levels of enrollment among counties suggest that local governments “need to re-adjust their programs,” said Wright in a press release. “We need counties and the state to reorient their safety-net programs to serve the need that continues to this day.”\u003c/p>\n\u003cp>Few counties have adjusted eligibility requirements for their programs in the past two years, Wright said. Instead, they have taken a “wait-and-see” approach until the effects of the ACA and the state’s reallocation of safety-net funds were clear. Many are reconsidering how to manage their safety-net health programs as of 2016, and advocacy groups such as Health Access are hoping the counties will expand their eligibility requirements, particularly to allow immigrants here illegally to enroll.\u003c/p>\n\u003cp>“These county efforts should ultimately be a bridge to a statewide solution, where all Californians can be covered regardless of immigration status,” said Wright. “Immigrants are part of our economy and society, they should be fully included in our health system as well.”\u003c/p>\n\u003cp>But some in the state say that expanding health coverage to additional residents would be too costly. A bill currently moving through the state legislature, for example, would expand insurance options to immigrants living in the state illegally. That bill, called the Health for All Act, would cost the state between $424 million and $436 million in 2019, according an analysis from UC Berkeley’s Center for Labor Research and Education and the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem> Kaiser Health News (KHN) is a nonprofit national health policy news service.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_7357\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1426265162534.jpg\">\u003cimg class=\"size-large wp-image-7357\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages-620x427.jpg\" alt=\"(Justin Sullivan: Getty Images)\" width=\"620\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rafael Johns\u003c/strong>, \u003ca title=\"http://www.npr.org/blogs/health/2015/03/11/392362374/would-a-pill-to-protect-teens-from-hiv-make-them-feel-invincible\" href=\"http://www.npr.org/blogs/health/2015/03/11/392362374/would-a-pill-to-protect-teens-from-hiv-make-them-feel-invincible\" target=\"_blank\">Youth Radio via NPR\u003c/a>\u003c/p>\n\u003cp>Leon Richardson is 18 years old and tall, charismatic and thoughtful about his sexual health.\u003c/p>\n\u003cp>He understands that as a young, gay black man, he is in the demographic with the \u003ca href=\"http://www.cdc.gov/hiv/risk/age/youth/index.html\" target=\"_blank\">highest rate of HIV infections\u003c/a> in the country. But when Richardson learned that he could be part of an HIV prevention pill research study for young people, he was skeptical.\u003c/p>\n\u003cp>\"I was scared. I had to really think about it, 'What is this drug going to do to me?' \" he says.\u003c/p>\n\u003cp>The regimen, called pre-exposure prophylaxis, or PrEP, can reduce the risk of HIV infection by more than 85 percent when a pill called Truvada is taken daily. In a first, the Food and Drug Administration \u003ca href=\"http://www.npr.org/blogs/health/2012/07/16/156850747/fda-approves-first-drug-to-prevent-hiv-infection\" target=\"_blank\">approved Truvada for prevention of the infection\u003c/a> in 2012. Truvada had been used previously to treat HIV infection.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the Centers for Disease Control and Prevention recommends caution when prescribing PrEP to adolescents. CDC is waiting for final results from the trials being conducted on young people in cities across the country.\u003c/p>\n\u003cp>Initially, Richardson's mom stoked his concerns. \"She was saying the medical industry tried to sterilize some people; they were trying to do it again,\" he remembers. But he found encouragement from another family member: his grandfather, who is HIV-positive.\u003c/p>\n\u003cp>\"We had a long discussion about this drug and what the side effects\u003cstrong> \u003c/strong>could be, and he overall supported me totally,\" Richardson says. \"And it was kinda like, why not? Let me just try it.\"\u003c/p>\n\u003cp>Now, Richardson is part of \u003ca title=\"CRUSH\" href=\"http://www.crush510.org/\" target=\"_blank\">CRUSH\u003c/a>, an HIV-prevention project in Oakland. CRUSH offers PrEP to participants.\u003c/p>\n\u003cp>Daniel Zeh is part of a PrEP study being conducted by the \u003ca title=\"Adolescent Trials Network\" href=\"https://www.atnonline.org/public/default.asp\" target=\"_blank\">Adolescent Trials Network\u003c/a> with young people between the ages of 15 and 22, based at John H. Stroger Jr. Hospital in Chicago. He was 17 when he started taking the pill as part of a daily regimen that was sometimes hard to explain, he says.\u003c/p>\n\u003cp>\"I guess it was kind of weird during high school, popping it before lunch, trying to make sure nobody sees,\" Zeh chuckles. \"People are like, 'What are you taking?' 'Nothing, you know, just a sugar pill.' \"\u003c/p>\n\u003cp>Zeh first heard about the Stroger Hospital study on Facebook. Outreach coordinators also turned to gay hook-up apps, like Grindr and Jack'd, to recruit possible subjects. It's a clever strategy, even if it's awkward to run into a researcher when you're looking for a date.\u003c/p>\n\u003cp>Psychologist Sybil Hosek, the lead researcher for the study, funded by the National Institutes of Health, offered to pay participants $50 per visit to the clinic. When enough guys said yes, she got to work.\u003c/p>\n\u003cp>\"What we wanted to do was design a study where they could try to take this pill every day,\" Hosek explains. \"And see whether, one, they were interested in taking it; two, if it was hard for them to take it; and three, how it impacted their sexual behavior.\" For instance, would being on the pill encourage more risky sexual activity?\u003c/p>\n\u003cp>Inside a conference room at the hospital, a group of the guys in the study share stories about what it's like to be on PrEP. Dexter Canty is also enrolled in the Chicago PrEP study, and says people have a lot of misunderstandings about the pill and individuals who take it. They're often asked, \"Are you HIV positive?\" But, in fact, they're taking the drug to \u003cem>prevent\u003c/em> getting infected.\u003c/p>\n\u003cp>Canty compares the reactions he's experienced to people's perceptions when he goes to the drugstore to buy condoms or when a woman goes to Planned Parenthood and gets birth control. \"You're automatically looked at as being promiscuous instead of safe,\" he says.\u003c/p>\n\u003cp>The idea is that PrEP would be used in combination with condoms. But \u003ca href=\"http://www.npr.org/blogs/health/2014/07/19/332708119/as-new-york-embraces-hiv-preventing-pill-some-voice-doubts\" target=\"_blank\">critics worry\u003c/a> that the pill will make users feel invincible, increasing the likelihood that they won't use condoms or follow through on taking the pill every day. And when you miss doses, the pill becomes less effective.\u003c/p>\n\u003cp>Andrew Weinstein, president of the Los Angeles-based AIDS Healthcare Foundation, is against PrEP use, especially by young people. \"Young people have unstable lives. They're sleeping on someone's couch. They're out for the weekend,\" he says. \"That's not to stigmatize them, it's just the nature of youth. It's a carefree time. Expecting people to take a pill every day is not realistic,\" says Weinstein.\u003c/p>\n\u003cp>It's enticing to imagine a magic pill that could bring about the end of AIDS. But a recent study of young adults taking PrEP shows that they take it, at best, \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656981/\" target=\"_blank\">60 percent of the time\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"https://youthradio.org/news/desk/outloud/\" target=\"_blank\">outLoud\u003c/a>\u003c/em>\u003cem>, a project of \u003ca href=\"http://www.youthradio.org/\" target=\"_blank\">Youth Radio\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Oakland program is part of national study looking at Truvada to protect at-risk teens.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_7357\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1426265162534.jpg\">\u003cimg class=\"size-large wp-image-7357\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages-620x427.jpg\" alt=\"(Justin Sullivan: Getty Images)\" width=\"620\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rafael Johns\u003c/strong>, \u003ca title=\"http://www.npr.org/blogs/health/2015/03/11/392362374/would-a-pill-to-protect-teens-from-hiv-make-them-feel-invincible\" href=\"http://www.npr.org/blogs/health/2015/03/11/392362374/would-a-pill-to-protect-teens-from-hiv-make-them-feel-invincible\" target=\"_blank\">Youth Radio via NPR\u003c/a>\u003c/p>\n\u003cp>Leon Richardson is 18 years old and tall, charismatic and thoughtful about his sexual health.\u003c/p>\n\u003cp>He understands that as a young, gay black man, he is in the demographic with the \u003ca href=\"http://www.cdc.gov/hiv/risk/age/youth/index.html\" target=\"_blank\">highest rate of HIV infections\u003c/a> in the country. But when Richardson learned that he could be part of an HIV prevention pill research study for young people, he was skeptical.\u003c/p>\n\u003cp>\"I was scared. I had to really think about it, 'What is this drug going to do to me?' \" he says.\u003c/p>\n\u003cp>The regimen, called pre-exposure prophylaxis, or PrEP, can reduce the risk of HIV infection by more than 85 percent when a pill called Truvada is taken daily. In a first, the Food and Drug Administration \u003ca href=\"http://www.npr.org/blogs/health/2012/07/16/156850747/fda-approves-first-drug-to-prevent-hiv-infection\" target=\"_blank\">approved Truvada for prevention of the infection\u003c/a> in 2012. Truvada had been used previously to treat HIV infection.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the Centers for Disease Control and Prevention recommends caution when prescribing PrEP to adolescents. CDC is waiting for final results from the trials being conducted on young people in cities across the country.\u003c/p>\n\u003cp>Initially, Richardson's mom stoked his concerns. \"She was saying the medical industry tried to sterilize some people; they were trying to do it again,\" he remembers. But he found encouragement from another family member: his grandfather, who is HIV-positive.\u003c/p>\n\u003cp>\"We had a long discussion about this drug and what the side effects\u003cstrong> \u003c/strong>could be, and he overall supported me totally,\" Richardson says. \"And it was kinda like, why not? Let me just try it.\"\u003c/p>\n\u003cp>Now, Richardson is part of \u003ca title=\"CRUSH\" href=\"http://www.crush510.org/\" target=\"_blank\">CRUSH\u003c/a>, an HIV-prevention project in Oakland. CRUSH offers PrEP to participants.\u003c/p>\n\u003cp>Daniel Zeh is part of a PrEP study being conducted by the \u003ca title=\"Adolescent Trials Network\" href=\"https://www.atnonline.org/public/default.asp\" target=\"_blank\">Adolescent Trials Network\u003c/a> with young people between the ages of 15 and 22, based at John H. Stroger Jr. Hospital in Chicago. He was 17 when he started taking the pill as part of a daily regimen that was sometimes hard to explain, he says.\u003c/p>\n\u003cp>\"I guess it was kind of weird during high school, popping it before lunch, trying to make sure nobody sees,\" Zeh chuckles. \"People are like, 'What are you taking?' 'Nothing, you know, just a sugar pill.' \"\u003c/p>\n\u003cp>Zeh first heard about the Stroger Hospital study on Facebook. Outreach coordinators also turned to gay hook-up apps, like Grindr and Jack'd, to recruit possible subjects. It's a clever strategy, even if it's awkward to run into a researcher when you're looking for a date.\u003c/p>\n\u003cp>Psychologist Sybil Hosek, the lead researcher for the study, funded by the National Institutes of Health, offered to pay participants $50 per visit to the clinic. When enough guys said yes, she got to work.\u003c/p>\n\u003cp>\"What we wanted to do was design a study where they could try to take this pill every day,\" Hosek explains. \"And see whether, one, they were interested in taking it; two, if it was hard for them to take it; and three, how it impacted their sexual behavior.\" For instance, would being on the pill encourage more risky sexual activity?\u003c/p>\n\u003cp>Inside a conference room at the hospital, a group of the guys in the study share stories about what it's like to be on PrEP. Dexter Canty is also enrolled in the Chicago PrEP study, and says people have a lot of misunderstandings about the pill and individuals who take it. They're often asked, \"Are you HIV positive?\" But, in fact, they're taking the drug to \u003cem>prevent\u003c/em> getting infected.\u003c/p>\n\u003cp>Canty compares the reactions he's experienced to people's perceptions when he goes to the drugstore to buy condoms or when a woman goes to Planned Parenthood and gets birth control. \"You're automatically looked at as being promiscuous instead of safe,\" he says.\u003c/p>\n\u003cp>The idea is that PrEP would be used in combination with condoms. But \u003ca href=\"http://www.npr.org/blogs/health/2014/07/19/332708119/as-new-york-embraces-hiv-preventing-pill-some-voice-doubts\" target=\"_blank\">critics worry\u003c/a> that the pill will make users feel invincible, increasing the likelihood that they won't use condoms or follow through on taking the pill every day. And when you miss doses, the pill becomes less effective.\u003c/p>\n\u003cp>Andrew Weinstein, president of the Los Angeles-based AIDS Healthcare Foundation, is against PrEP use, especially by young people. \"Young people have unstable lives. They're sleeping on someone's couch. They're out for the weekend,\" he says. \"That's not to stigmatize them, it's just the nature of youth. It's a carefree time. Expecting people to take a pill every day is not realistic,\" says Weinstein.\u003c/p>\n\u003cp>It's enticing to imagine a magic pill that could bring about the end of AIDS. But a recent study of young adults taking PrEP shows that they take it, at best, \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656981/\" target=\"_blank\">60 percent of the time\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"https://youthradio.org/news/desk/outloud/\" target=\"_blank\">outLoud\u003c/a>\u003c/em>\u003cem>, a project of \u003ca href=\"http://www.youthradio.org/\" target=\"_blank\">Youth Radio\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Industry Reaction to 'Sugar Papers' Mirrors Tobacco in 1990s",
"title": "Industry Reaction to 'Sugar Papers' Mirrors Tobacco in 1990s",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_24413\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/iStock_000031838146_Large-e1426098852266.jpg\">\u003cimg class=\"size-large wp-image-24413\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/iStock_000031838146_Large-640x427.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The sugar industry worked to steer federal health research,\u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/03/10/sugar-papers-show-industrys-influence-in-1970s-dental-program-study-says/\" href=\"http://ww2.kqed.org/stateofhealth/2015/03/10/sugar-papers-show-industrys-influence-in-1970s-dental-program-study-says/\" target=\"_blank\"> a report\u003c/a> released Monday revealed.\u003c/p>\n\u003cp>As \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/03/10/sugar-papers-show-industrys-influence-in-1970s-dental-program-study-says/\" href=\"http://ww2.kqed.org/stateofhealth/2015/03/10/sugar-papers-show-industrys-influence-in-1970s-dental-program-study-says/\" target=\"_blank\">State of Health reported\u003c/a>, newly uncovered industry documents dating to the1960s showed that the sugar industry influenced the National Institute of Dental Research, part of the National Institutes of Health, away from looking at research to determine strategies to encourage people to eat less sugar.\u003c/p>\n\u003cp>“What this shows is that sugar interests were running science manipulation in as sophisticated a manner as ‘big tobacco’ was back in the '50s and '60s,” said UCSF Professor Stan Glantz, a co-author of the study and longtime anti-tobacco advocate.\u003c!--more-->\u003c/p>\n\u003cp>Earlier today, Glantz sent me a short but pointed follow that he posted on the UCSF Center for Tobacco Control, Research and Education website.\u003c/p>\n\u003cp>He excerpted from the statement the Sugar Association gave to Time Magazine and \u003ca title=\"http://tobacco.ucsf.edu/“sugar-papers”-reveal-industry-role-1970s-nih-dental-program-just-big-tobacco#comment-10491\" href=\"http://tobacco.ucsf.edu/%E2%80%9Csugar-papers%E2%80%9D-reveal-industry-role-1970s-nih-dental-program-just-big-tobacco#comment-10491\" target=\"_blank\">then drew a comparison\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>It is challenging for the current Sugar Association staff to comment directly on documents and events that allegedly occurred before and during Richard Nixon’s presidency, given the staff has changed entirely since the 1970s. However, we are confused as to the relevance of attempts to dredge up history when decades of modern science has provided answers regarding the role of diet in the pathogenesis of dental caries… A combined approach of reducing the amount of time sugars and starches are in the mouth, drinking fluoridated water, and brushing and flossing teeth, is the most effective way to reduce dental caries. [Time shortened the statement for brevity]\u003c/p>\u003c/blockquote>\n\u003cp>In his post, Glantz then noted: \"This sounds simliar to the statement from Brown and Williamson Tobacco put out in 1995 in response to \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed?term=glantz%20hanauer&holding=ucsflib&otool=cdlotool&cmd=search\" href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=glantz%20hanauer&holding=ucsflib&otool=cdlotool&cmd=search\" target=\"_blank\">our first papers\u003c/a> based on tobacco industry documents:\"\u003c/p>\n\u003cblockquote>\u003cp>Lifting single phrases or sentences from 30 year-old documents and using that information to distort and misrepresent B&W's position on a number of issues is clearly what is occurring ... We continue to believe that nicotine is not addictive because over 40 million Americans have quit smoking, 90 percent of them without any help at all.\u003c/p>\u003c/blockquote>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24413\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/iStock_000031838146_Large-e1426098852266.jpg\">\u003cimg class=\"size-large wp-image-24413\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/iStock_000031838146_Large-640x427.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The sugar industry worked to steer federal health research,\u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/03/10/sugar-papers-show-industrys-influence-in-1970s-dental-program-study-says/\" href=\"http://ww2.kqed.org/stateofhealth/2015/03/10/sugar-papers-show-industrys-influence-in-1970s-dental-program-study-says/\" target=\"_blank\"> a report\u003c/a> released Monday revealed.\u003c/p>\n\u003cp>As \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/03/10/sugar-papers-show-industrys-influence-in-1970s-dental-program-study-says/\" href=\"http://ww2.kqed.org/stateofhealth/2015/03/10/sugar-papers-show-industrys-influence-in-1970s-dental-program-study-says/\" target=\"_blank\">State of Health reported\u003c/a>, newly uncovered industry documents dating to the1960s showed that the sugar industry influenced the National Institute of Dental Research, part of the National Institutes of Health, away from looking at research to determine strategies to encourage people to eat less sugar.\u003c/p>\n\u003cp>“What this shows is that sugar interests were running science manipulation in as sophisticated a manner as ‘big tobacco’ was back in the '50s and '60s,” said UCSF Professor Stan Glantz, a co-author of the study and longtime anti-tobacco advocate.\u003c!--more-->\u003c/p>\n\u003cp>Earlier today, Glantz sent me a short but pointed follow that he posted on the UCSF Center for Tobacco Control, Research and Education website.\u003c/p>\n\u003cp>He excerpted from the statement the Sugar Association gave to Time Magazine and \u003ca title=\"http://tobacco.ucsf.edu/“sugar-papers”-reveal-industry-role-1970s-nih-dental-program-just-big-tobacco#comment-10491\" href=\"http://tobacco.ucsf.edu/%E2%80%9Csugar-papers%E2%80%9D-reveal-industry-role-1970s-nih-dental-program-just-big-tobacco#comment-10491\" target=\"_blank\">then drew a comparison\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>It is challenging for the current Sugar Association staff to comment directly on documents and events that allegedly occurred before and during Richard Nixon’s presidency, given the staff has changed entirely since the 1970s. However, we are confused as to the relevance of attempts to dredge up history when decades of modern science has provided answers regarding the role of diet in the pathogenesis of dental caries… A combined approach of reducing the amount of time sugars and starches are in the mouth, drinking fluoridated water, and brushing and flossing teeth, is the most effective way to reduce dental caries. [Time shortened the statement for brevity]\u003c/p>\u003c/blockquote>\n\u003cp>In his post, Glantz then noted: \"This sounds simliar to the statement from Brown and Williamson Tobacco put out in 1995 in response to \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed?term=glantz%20hanauer&holding=ucsflib&otool=cdlotool&cmd=search\" href=\"http://www.ncbi.nlm.nih.gov/pubmed?term=glantz%20hanauer&holding=ucsflib&otool=cdlotool&cmd=search\" target=\"_blank\">our first papers\u003c/a> based on tobacco industry documents:\"\u003c/p>\n\u003cblockquote>\u003cp>Lifting single phrases or sentences from 30 year-old documents and using that information to distort and misrepresent B&W's position on a number of issues is clearly what is occurring ... We continue to believe that nicotine is not addictive because over 40 million Americans have quit smoking, 90 percent of them without any help at all.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "'Sugar Papers' Show Industry's Influence in 1970s Dental Program, Study Says",
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"content": "\u003cfigure id=\"attachment_24394\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/iStock_000015590176_Large-21-e1426011478306.jpg\">\u003cimg class=\"size-large wp-image-24394\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/iStock_000015590176_Large-21-640x427.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Hundreds of pages of newly-found documents show that the sugar industry worked closely with the federal government in the late 1960s and early 1970s to determine a research agenda to prevent cavities in children, researchers who analyzed the documents say.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The sugar industry … is following the tobacco industry's playbook.\" \u003c/aside>\n\u003cp>In \u003ca title=\"http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001798\" href=\"http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001798\" target=\"_blank\">the analysis\u003c/a>, published Wednesday in the journal PLOS Medicine, researchers concluded that industry influence starting in the late 1960s helped steer the National Institute of Dental Research, part of the National Institutes of Health, away from addressing the question of determining a safe level of sugar.\u003c/p>\n\u003cp>\"What this paper has shown is that our (NIH) was working toward potentially answering that question,\" said Cristin Kearns, a fellow at UC San Francisco and lead author of the analysis, \"and the sugar industry derailed them from doing the research to help to answer that question, so we're still debating (it) here in 2015.\"\u003c!--more-->\u003c/p>\n\u003cp>Kearns uncovered the 1,551 pages of documents at a public archive at the University of Illinois.\u003c/p>\n\u003cp>The documents show that an expert panel formed by the sugar industry included all but one member of the government panel that was examining priorities for research.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Ultimately, a report from the industry was submitted to the government panel and became the foundation for research going forward. \"Seventy-eight percent of the sugar industry submission was incorporated into the NIDR’s call for research applications. Research that could have been harmful to sugar industry interests was omitted,\" the authors note.\u003c/p>\n\u003cp>\"What this shows is that sugar interests were running science manipulation in as sophisticated a manner as 'big tobacco' was back in the 50s and 60s,\" said UCSF Professor Stan Glantz, a co-author of the study and long time anti-tobacco advocate.\u003c/p>\n\u003cp>Marion Nestle, professor nutrition of New York University was not involved in the analysis, which she called \"incredibly revealing.\"\u003c/p>\n\u003cp>The paper \"makes it clear that the sugar industry systematically and deliberately adopted strategies to make sure that federal research agencies did not urge the public to cut down on sugar intake as a means to prevent tooth decay,\" she said.\u003c/p>\n\u003cp>\"I can attest that the sugar industry is especially aggressive in defending itself against any suggestion to eat less and is following the tobacco industry's playbook.\"\u003c/p>\n\u003cp>In a statement, the Sugar Association said it \"\u003cspan class=\"Apple-style-span\">questions the relevance of attempts to dredge up history when decades of modern science has provided answers regarding the role of diet in the pathogenesis of dental caries.\"\u003c/span>\u003c/p>\n\u003cp>The statement also says that the authors' \"use of attention-grabbing headlines and scare tactics that liken consumption of all-natural sugar ... to a known carcinogen is a 'textbook' play from the activist agenda.\"\u003c/p>\n\u003cp>The authors admit their analysis is limited because it \"provides a narrow window into the activities of just one sugar industry trade association\" and that they could not \"interview key actors.\"\u003c/p>\n\u003cp>\u003cstrong>A Long Hunt\u003c/strong>\u003c/p>\n\u003cp>Cristin Kearns found the papers after a long hunt. In 2007, she says, while attending a conference, she was handed a government pamphlet titled, \"How to Talk to Patients About Diabetes.\" She was startled that the diet advice didn't mention reducing sugar intake. It made her wonder if the sugar industry \"somehow impacted what the government can or cannot say about diet advice for diabetics?\"\u003c/p>\n\u003cp>She started searching online and, ultimately \u003ca title=\"http://www.motherjones.com/environment/2012/10/former-dentist-sugar-industry-lies\" href=\"http://www.motherjones.com/environment/2012/10/former-dentist-sugar-industry-lies\" target=\"_blank\">quit her day job\u003c/a>. After months of looking, she uncovered some documents and ultimately identified the documents discussed in the analysis today.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Kearns says there are more documents to be found, \"just need time and money to do it.\" And, with an eye toward the history of tobacco litigation, she believes litigation is \"certainly a possibility\" in this case as well. \"We've only just begun to scratch the surface of understanding some of the tactics the sugar groups have implemented.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24394\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/iStock_000015590176_Large-21-e1426011478306.jpg\">\u003cimg class=\"size-large wp-image-24394\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/iStock_000015590176_Large-21-640x427.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Hundreds of pages of newly-found documents show that the sugar industry worked closely with the federal government in the late 1960s and early 1970s to determine a research agenda to prevent cavities in children, researchers who analyzed the documents say.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The sugar industry … is following the tobacco industry's playbook.\" \u003c/aside>\n\u003cp>In \u003ca title=\"http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001798\" href=\"http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001798\" target=\"_blank\">the analysis\u003c/a>, published Wednesday in the journal PLOS Medicine, researchers concluded that industry influence starting in the late 1960s helped steer the National Institute of Dental Research, part of the National Institutes of Health, away from addressing the question of determining a safe level of sugar.\u003c/p>\n\u003cp>\"What this paper has shown is that our (NIH) was working toward potentially answering that question,\" said Cristin Kearns, a fellow at UC San Francisco and lead author of the analysis, \"and the sugar industry derailed them from doing the research to help to answer that question, so we're still debating (it) here in 2015.\"\u003c!--more-->\u003c/p>\n\u003cp>Kearns uncovered the 1,551 pages of documents at a public archive at the University of Illinois.\u003c/p>\n\u003cp>The documents show that an expert panel formed by the sugar industry included all but one member of the government panel that was examining priorities for research.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ultimately, a report from the industry was submitted to the government panel and became the foundation for research going forward. \"Seventy-eight percent of the sugar industry submission was incorporated into the NIDR’s call for research applications. Research that could have been harmful to sugar industry interests was omitted,\" the authors note.\u003c/p>\n\u003cp>\"What this shows is that sugar interests were running science manipulation in as sophisticated a manner as 'big tobacco' was back in the 50s and 60s,\" said UCSF Professor Stan Glantz, a co-author of the study and long time anti-tobacco advocate.\u003c/p>\n\u003cp>Marion Nestle, professor nutrition of New York University was not involved in the analysis, which she called \"incredibly revealing.\"\u003c/p>\n\u003cp>The paper \"makes it clear that the sugar industry systematically and deliberately adopted strategies to make sure that federal research agencies did not urge the public to cut down on sugar intake as a means to prevent tooth decay,\" she said.\u003c/p>\n\u003cp>\"I can attest that the sugar industry is especially aggressive in defending itself against any suggestion to eat less and is following the tobacco industry's playbook.\"\u003c/p>\n\u003cp>In a statement, the Sugar Association said it \"\u003cspan class=\"Apple-style-span\">questions the relevance of attempts to dredge up history when decades of modern science has provided answers regarding the role of diet in the pathogenesis of dental caries.\"\u003c/span>\u003c/p>\n\u003cp>The statement also says that the authors' \"use of attention-grabbing headlines and scare tactics that liken consumption of all-natural sugar ... to a known carcinogen is a 'textbook' play from the activist agenda.\"\u003c/p>\n\u003cp>The authors admit their analysis is limited because it \"provides a narrow window into the activities of just one sugar industry trade association\" and that they could not \"interview key actors.\"\u003c/p>\n\u003cp>\u003cstrong>A Long Hunt\u003c/strong>\u003c/p>\n\u003cp>Cristin Kearns found the papers after a long hunt. In 2007, she says, while attending a conference, she was handed a government pamphlet titled, \"How to Talk to Patients About Diabetes.\" She was startled that the diet advice didn't mention reducing sugar intake. It made her wonder if the sugar industry \"somehow impacted what the government can or cannot say about diet advice for diabetics?\"\u003c/p>\n\u003cp>She started searching online and, ultimately \u003ca title=\"http://www.motherjones.com/environment/2012/10/former-dentist-sugar-industry-lies\" href=\"http://www.motherjones.com/environment/2012/10/former-dentist-sugar-industry-lies\" target=\"_blank\">quit her day job\u003c/a>. After months of looking, she uncovered some documents and ultimately identified the documents discussed in the analysis today.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Kearns says there are more documents to be found, \"just need time and money to do it.\" And, with an eye toward the history of tobacco litigation, she believes litigation is \"certainly a possibility\" in this case as well. \"We've only just begun to scratch the surface of understanding some of the tactics the sugar groups have implemented.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "For Breast-feeding Teen Moms, High Schools Don't Make the Grade",
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"content": "\u003cfigure id=\"attachment_24374\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/RS14473_photo-e1425671532570.jpg\">\u003cimg class=\"size-large wp-image-24374\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/RS14473_photo-640x480.jpg\" alt=\"Norma Acker hangs out in the kitchen with her mom and her daughter. (Alice Daniel/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Norma Acker (right) hangs out in the kitchen with her mother and her daughter, Samantha Grace. She breast-fed her for eight months. (Alice Daniel/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Alice Daniel\u003c/strong>\u003c/p>\n\u003cp>Norma Acker’s 3-year-old daughter Samantha Grace has opened a bottle of bright red fingernail polish without anyone noticing. Now it’s everywhere.\u003c/p>\n\u003caside class=\"pullquote alignleft\">California has strong employer laws to accommodate breast-feeding mothers, but high schools are different. \u003c/aside>\n\u003cp>“Oh Gracie!” says Acker. “Let me see. Give it to mommy. Go wash your hands.” She then laughs the laugh of a mother who has had many a day like this.\u003c/p>\n\u003cp>Parenting is hard, Acker says. Being a teen parent is even harder. Acker was barely 15 when she had Gracie.\u003c/p>\n\u003cp>Even though she was a young mother, she’d heard about the benefits of breast-feeding and decided she would try to breast-feed while attending her local high school in the Central Valley town of Reedley.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The people that can, should breast-feed,” she says. “Children need the extra vitamins and antibodies that breast milk has.”\u003c/p>\n\u003cp>\u003cstrong>Pressure to Skip Breast-feeding from Administrators, Friends\u003c/strong>\u003c/p>\n\u003cp>But she ran into some obstacles. For one, it was hard to find a private place where she could breast-feed or pump. When she told administrators she would likely need to pump every two hours, they gave her a list of all the possible cons: she would miss out on too much class time; she might lose credits; her grades might be affected.\u003c/p>\n\u003cp>Even the other young mothers thought she was odd for wanting to breast-feed. There was a lot of pressure to be more carefree.\u003c/p>\n\u003cp>“They were like, ‘Girl, why aren’t you out eating your lunch?’” Acker says.\u003c/p>\n\u003cp>She says she was encouraged to go a continuation school -- an alternative program that’s typically for at-risk kids. She finally agreed because it would be easier to breast-feed there. But it came with a cost. Acker says the school wasn't challenging.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/194623554\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Genevieve Colvin of Breastfeed LA says Acker’s story is pretty common. She says while many teenage moms don’t choose to breast-feed, those who do cite barriers at school.\u003c/p>\n\u003cp>“They are worried about completing their assignments and not having appropriate accommodations,” she said.\u003c/p>\n\u003cp>In fact, Colvin says only 18 percent of LA County’s school districts have policies for lactation accommodations and that lack of consistency is statewide. She says outside agencies like Women, Infants and Children (WIC) advocate for lactating students by making sure they have a safe private place to breast-feed, but systemically, school districts don’t take an active role in implementing policy.\u003c/p>\n\u003cp>Colvin says that's a problem because teen moms are already at a disadvantage. It’s important, she says, that when a woman is pregnant during her high school years, she has every opportunity to improve the life of her child and that includes being encouraged to breast-feed.\u003c/p>\n\u003cp>California has some of the strongest laws in the country to support working mothers who breast-feed, she ways, but high schools are different.\u003c/p>\n\u003cp>“We have very little substantive language in our education code that actually provides students with the same accommodations,” she says.\u003c/p>\n\u003cp>\u003cstrong>New Bill Addresses Accommodations for Breast-feeding\u003c/strong>\u003c/p>\n\u003cp>Assemblywoman Cristina Garcia (D-Bell Gardens) wants to strengthen that language. She recently sponsored\u003ca title=\"https://legiscan.com/CA/text/AB302/id/1124035\" href=\"https://legiscan.com/CA/text/AB302/id/1124035\" target=\"_blank\"> Assembly Bill 302\u003c/a>. She says the bill is simple and to the point.\u003c/p>\n\u003cp>“It doesn’t say you must have a lactation room or a pumping room. It says if you have a student that needs to lactate, you will create accommodations for them,” Garcia says.\u003c/p>\n\u003cp>It’s one more way to encourage young mothers to breast-feed while keeping them in a regular high school setting, she believes.\u003c/p>\n\u003cp>“A student at a traditional high school is going to have more opportunities and more options than a student at a continuation school,” Garcia says. Teen parents are already at a disadvantage, “I want to make sure that ... we don’t add to the layer of disadvantages that are there.”\u003c/p>\n\u003cp>It’s a policy Norma Acker wishes were in place when she went to high school. She’s proud to say she breast-fed her daughter for eight months, and she would have done so no matter what the cost.\u003c/p>\n\u003cp>“If it meant me dropping out of high school just to make her well, then I would do that,” she says. “If it meant that I would fail as a person myself but be the best mom I could be for her, I would do that.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But Acker didn’t fail. She’s now in her second year of community college, and she’s still making sure her daughter eats well.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24374\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/RS14473_photo-e1425671532570.jpg\">\u003cimg class=\"size-large wp-image-24374\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/RS14473_photo-640x480.jpg\" alt=\"Norma Acker hangs out in the kitchen with her mom and her daughter. (Alice Daniel/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Norma Acker (right) hangs out in the kitchen with her mother and her daughter, Samantha Grace. She breast-fed her for eight months. (Alice Daniel/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Alice Daniel\u003c/strong>\u003c/p>\n\u003cp>Norma Acker’s 3-year-old daughter Samantha Grace has opened a bottle of bright red fingernail polish without anyone noticing. Now it’s everywhere.\u003c/p>\n\u003caside class=\"pullquote alignleft\">California has strong employer laws to accommodate breast-feeding mothers, but high schools are different. \u003c/aside>\n\u003cp>“Oh Gracie!” says Acker. “Let me see. Give it to mommy. Go wash your hands.” She then laughs the laugh of a mother who has had many a day like this.\u003c/p>\n\u003cp>Parenting is hard, Acker says. Being a teen parent is even harder. Acker was barely 15 when she had Gracie.\u003c/p>\n\u003cp>Even though she was a young mother, she’d heard about the benefits of breast-feeding and decided she would try to breast-feed while attending her local high school in the Central Valley town of Reedley.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The people that can, should breast-feed,” she says. “Children need the extra vitamins and antibodies that breast milk has.”\u003c/p>\n\u003cp>\u003cstrong>Pressure to Skip Breast-feeding from Administrators, Friends\u003c/strong>\u003c/p>\n\u003cp>But she ran into some obstacles. For one, it was hard to find a private place where she could breast-feed or pump. When she told administrators she would likely need to pump every two hours, they gave her a list of all the possible cons: she would miss out on too much class time; she might lose credits; her grades might be affected.\u003c/p>\n\u003cp>Even the other young mothers thought she was odd for wanting to breast-feed. There was a lot of pressure to be more carefree.\u003c/p>\n\u003cp>“They were like, ‘Girl, why aren’t you out eating your lunch?’” Acker says.\u003c/p>\n\u003cp>She says she was encouraged to go a continuation school -- an alternative program that’s typically for at-risk kids. She finally agreed because it would be easier to breast-feed there. But it came with a cost. Acker says the school wasn't challenging.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/194623554&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/194623554'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Genevieve Colvin of Breastfeed LA says Acker’s story is pretty common. She says while many teenage moms don’t choose to breast-feed, those who do cite barriers at school.\u003c/p>\n\u003cp>“They are worried about completing their assignments and not having appropriate accommodations,” she said.\u003c/p>\n\u003cp>In fact, Colvin says only 18 percent of LA County’s school districts have policies for lactation accommodations and that lack of consistency is statewide. She says outside agencies like Women, Infants and Children (WIC) advocate for lactating students by making sure they have a safe private place to breast-feed, but systemically, school districts don’t take an active role in implementing policy.\u003c/p>\n\u003cp>Colvin says that's a problem because teen moms are already at a disadvantage. It’s important, she says, that when a woman is pregnant during her high school years, she has every opportunity to improve the life of her child and that includes being encouraged to breast-feed.\u003c/p>\n\u003cp>California has some of the strongest laws in the country to support working mothers who breast-feed, she ways, but high schools are different.\u003c/p>\n\u003cp>“We have very little substantive language in our education code that actually provides students with the same accommodations,” she says.\u003c/p>\n\u003cp>\u003cstrong>New Bill Addresses Accommodations for Breast-feeding\u003c/strong>\u003c/p>\n\u003cp>Assemblywoman Cristina Garcia (D-Bell Gardens) wants to strengthen that language. She recently sponsored\u003ca title=\"https://legiscan.com/CA/text/AB302/id/1124035\" href=\"https://legiscan.com/CA/text/AB302/id/1124035\" target=\"_blank\"> Assembly Bill 302\u003c/a>. She says the bill is simple and to the point.\u003c/p>\n\u003cp>“It doesn’t say you must have a lactation room or a pumping room. It says if you have a student that needs to lactate, you will create accommodations for them,” Garcia says.\u003c/p>\n\u003cp>It’s one more way to encourage young mothers to breast-feed while keeping them in a regular high school setting, she believes.\u003c/p>\n\u003cp>“A student at a traditional high school is going to have more opportunities and more options than a student at a continuation school,” Garcia says. Teen parents are already at a disadvantage, “I want to make sure that ... we don’t add to the layer of disadvantages that are there.”\u003c/p>\n\u003cp>It’s a policy Norma Acker wishes were in place when she went to high school. She’s proud to say she breast-fed her daughter for eight months, and she would have done so no matter what the cost.\u003c/p>\n\u003cp>“If it meant me dropping out of high school just to make her well, then I would do that,” she says. “If it meant that I would fail as a person myself but be the best mom I could be for her, I would do that.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But Acker didn’t fail. She’s now in her second year of community college, and she’s still making sure her daughter eats well.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Don’t call Marty Turcios inspiring. Yes, he motivates and challenges his students, but not simply because he’s a golf coach with cerebral palsy.\u003c/p>\n\u003cp>Instead, his students say it’s his commitment to self-directed learning that is so empowering.\u003c/p>\n\u003cp>At the center of his coaching is this question: “When we teach, are we teaching people to think for themselves?”\u003c/p>\n\u003cp>https://vimeo.com/120747574\u003c/p>\n\u003cp>On Friday mornings, Turcios critiques the golf swings of able-bodied UC Berkeley students at the Tilden Park driving range. Some regulars have been coming for two years; others are holding a golf club for the first time.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For the uninitiated, it is surprising to see Turcios, with his spasmodic movements and halting gait, swing a golf club. But he says his disability is not his problem: “My problem is how people look at me with a disability.”\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Oppressive Misconceptions\u003c/strong>\u003c/p>\n\u003cp>In the 1960s, the disability rights movement grew out of the movement for civil rights. Activists criticized what they called the medical model of disability, which is the idea that people with, say, cerebral palsy are broken and must be rehabilitated by medical experts to rejoin society—in other words, to \"fix\" them.\u003c/p>\n\u003cp>The social model of disability, by contrast, says that people with disabilities are actually the experts on their conditions, and that they should be free to define their own normal. Society’s role is not to fix them, but to remove barriers to independent living by providing housing subsidies, assistive technology, choice of medical providers and other help.\u003c/p>\n\u003cfigure id=\"attachment_24142\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Marty_Toothbrush.png\">\u003cimg class=\"size-large wp-image-24142\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Marty_Toothbrush-640x360.png\" alt='With cerebral palsy, everyday tasks can be time-consuming, but Turcios says \"disability is not my problem...my problem is what people see.\" (Jeremy Raff/KQED)' width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Though everyday tasks can be time-consuming, Turcios says \"disability is not my problem … my problem is what people see.\" (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp> \u003c/p>\n\u003cp>Another barrier is the baggage that comes along with having a disability. Ingrid Tischer of the Disability Rights Education & Defense Fund says misconceptions are a common burden. “Nobody wants to carry around being the personification of everyone’s worst nightmare,” she says.\u003c/p>\n\u003cp>Turcios, for his part, says cerebral palsy is not as disabling as the stereotypes that come with it. “It’s a dismissive attitude—‘we’ll \u003cem>let\u003c/em> you do this, but it’s not real—you’re not doing it the way we would.' ” He says that if it weren't for him, disability and all, activities such as teaching golf in Concord to autistic teens and vets with PTSD wouldn't happen at all.\u003c/p>\n\u003cp>Turcios, who is 55 and lives in Martinez, provides instruction every Tuesday to Veterans Administration patients at a Concord driving range. “I really connect with them,” Turcios said, “because I probably suffered PTSD, too, only from the way I had to grow up.”\u003c/p>\n\u003cfigure id=\"attachment_24143\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Marty-Coaching.png\">\u003cimg class=\"wp-image-24143 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Marty-Coaching-640x360.png\" alt=\""Sometimes he helps you realize you're more capable than you think," said Katie Keliiaa, a UC Berkeley student. (Jeremy Raff/KQED)\" width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">'Sometimes he helps you realize you're more capable than you think,' said Katie Keliiaa, a UC Berkeley student. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>He feels like he’s had to defend his achievements, such as earning a master’s degree in therapeutic recreation at San Jose State and starting a nonprofit organization to support his coaching. “There are even members of my family who think [my work] is a joke or affirmative action,” he said. “It’s sad.\"\u003c/p>\n\u003cp>The late satirist and disability activist Stella Young discussed the negative effects of stereotypes, even if they're well-meaning. In a \u003ca href=\"http://www.ted.com/talks/stella_young_i_m_not_your_inspiration_thank_you_very_much/transcript?language=en#t-291496\" target=\"_blank\">TED talk titled \"I'm not your inspiration, thank you very much,\u003c/a>\" she said: “I've lost count of the number of times that I've been approached by strangers wanting to tell me that they think I'm brave or inspirational … just kind of congratulating me for managing to get up in the morning and remember my own name. It's objectifying ...” she said, calling the phenomenon \u003ca href=\"http://www.abc.net.au/rampup/articles/2012/07/02/3537035.htm\" target=\"_blank\">“inspiration porn.”\u003c/a>\u003c/p>\n\u003cp>The burden of these stereotypes contributed to Turcios’ alcoholism. He’s been sober for decades but says, “I could fall apart all over again in a heartbeat. That’s the reality of my life.”\u003c/p>\n\u003cp>Coaching gives him stability and a sense of meaning. “I love to watch people -- disabled and non-disabled -- be successful at something they thought they couldn’t do,” he said. “To watch people change their outlook.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And, he said, “in a lot of ways I’m helping myself more than anything else. I’m getting out of my head, and that’s why it works so well.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Don’t call Marty Turcios inspiring. Yes, he motivates and challenges his students, but not simply because he’s a golf coach with cerebral palsy.\u003c/p>\n\u003cp>Instead, his students say it’s his commitment to self-directed learning that is so empowering.\u003c/p>\n\u003cp>At the center of his coaching is this question: “When we teach, are we teaching people to think for themselves?”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For the uninitiated, it is surprising to see Turcios, with his spasmodic movements and halting gait, swing a golf club. But he says his disability is not his problem: “My problem is how people look at me with a disability.”\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Oppressive Misconceptions\u003c/strong>\u003c/p>\n\u003cp>In the 1960s, the disability rights movement grew out of the movement for civil rights. Activists criticized what they called the medical model of disability, which is the idea that people with, say, cerebral palsy are broken and must be rehabilitated by medical experts to rejoin society—in other words, to \"fix\" them.\u003c/p>\n\u003cp>The social model of disability, by contrast, says that people with disabilities are actually the experts on their conditions, and that they should be free to define their own normal. Society’s role is not to fix them, but to remove barriers to independent living by providing housing subsidies, assistive technology, choice of medical providers and other help.\u003c/p>\n\u003cfigure id=\"attachment_24142\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Marty_Toothbrush.png\">\u003cimg class=\"size-large wp-image-24142\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Marty_Toothbrush-640x360.png\" alt='With cerebral palsy, everyday tasks can be time-consuming, but Turcios says \"disability is not my problem...my problem is what people see.\" (Jeremy Raff/KQED)' width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Though everyday tasks can be time-consuming, Turcios says \"disability is not my problem … my problem is what people see.\" (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp> \u003c/p>\n\u003cp>Another barrier is the baggage that comes along with having a disability. Ingrid Tischer of the Disability Rights Education & Defense Fund says misconceptions are a common burden. “Nobody wants to carry around being the personification of everyone’s worst nightmare,” she says.\u003c/p>\n\u003cp>Turcios, for his part, says cerebral palsy is not as disabling as the stereotypes that come with it. “It’s a dismissive attitude—‘we’ll \u003cem>let\u003c/em> you do this, but it’s not real—you’re not doing it the way we would.' ” He says that if it weren't for him, disability and all, activities such as teaching golf in Concord to autistic teens and vets with PTSD wouldn't happen at all.\u003c/p>\n\u003cp>Turcios, who is 55 and lives in Martinez, provides instruction every Tuesday to Veterans Administration patients at a Concord driving range. “I really connect with them,” Turcios said, “because I probably suffered PTSD, too, only from the way I had to grow up.”\u003c/p>\n\u003cfigure id=\"attachment_24143\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Marty-Coaching.png\">\u003cimg class=\"wp-image-24143 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Marty-Coaching-640x360.png\" alt=\""Sometimes he helps you realize you're more capable than you think," said Katie Keliiaa, a UC Berkeley student. (Jeremy Raff/KQED)\" width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">'Sometimes he helps you realize you're more capable than you think,' said Katie Keliiaa, a UC Berkeley student. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>He feels like he’s had to defend his achievements, such as earning a master’s degree in therapeutic recreation at San Jose State and starting a nonprofit organization to support his coaching. “There are even members of my family who think [my work] is a joke or affirmative action,” he said. “It’s sad.\"\u003c/p>\n\u003cp>The late satirist and disability activist Stella Young discussed the negative effects of stereotypes, even if they're well-meaning. In a \u003ca href=\"http://www.ted.com/talks/stella_young_i_m_not_your_inspiration_thank_you_very_much/transcript?language=en#t-291496\" target=\"_blank\">TED talk titled \"I'm not your inspiration, thank you very much,\u003c/a>\" she said: “I've lost count of the number of times that I've been approached by strangers wanting to tell me that they think I'm brave or inspirational … just kind of congratulating me for managing to get up in the morning and remember my own name. It's objectifying ...” she said, calling the phenomenon \u003ca href=\"http://www.abc.net.au/rampup/articles/2012/07/02/3537035.htm\" target=\"_blank\">“inspiration porn.”\u003c/a>\u003c/p>\n\u003cp>The burden of these stereotypes contributed to Turcios’ alcoholism. He’s been sober for decades but says, “I could fall apart all over again in a heartbeat. That’s the reality of my life.”\u003c/p>\n\u003cp>Coaching gives him stability and a sense of meaning. “I love to watch people -- disabled and non-disabled -- be successful at something they thought they couldn’t do,” he said. “To watch people change their outlook.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And, he said, “in a lot of ways I’m helping myself more than anything else. I’m getting out of my head, and that’s why it works so well.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Support Wanes For Keeping Doctors Medical Center Afloat Through Parcel Tax",
"title": "Support Wanes For Keeping Doctors Medical Center Afloat Through Parcel Tax",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_24281\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/RS13448_IMG_4134-qut-e1425578050870.jpg\">\u003cimg class=\"size-large wp-image-24281\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/RS13448_IMG_4134-qut-640x480.jpg\" alt=\"Doctors Medical Center in San Pablo\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Doctors Medical Center in San Pablo (Lisa Aliferis/KQED) \u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Sara Hossaini\u003c/strong>\u003c/p>\n\u003cp>Support is waning for another parcel tax aimed at keeping Doctors Medical Center in San Pablo open.\u003c/p>\n\u003cp>Last year, West Contra Costa County voters declined to put a third parcel tax in place that would have benefited West Contra Costa County's public safety-net hospital. Measure C would have imposed an additional $210 parcel tax for a 2,000-square-foot property.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>A 'key blow' to keeping Doctors Medical open, says hospital governing chair.\u003c/strong>\u003cbr>\n\u003c/aside>\n\u003cp>Now Eric Zell, chair of the hospital's governing board, says a new poll of likely voters shows they're even less likely to pass a parcel tax this year. Fewer than half say they'd support a $150 tax, falling well short of the two-thirds needed to pass.\u003c/p>\n\u003cp>\"This is one of a number of elements that we've considered, but it's a cornerstone of the potential funding that we were looking at,\" Zell said. \"So it's a key blow to our ability to put together a sustainable package of funding that would potentially keep this hospital open.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He said he wouldn't recommend putting a measure on the ballot to the board.\u003c/p>\n\u003cp>Doctors Medical Center runs an $18 million-a-year deficit because most of its reimbursements come from Medi-Cal or Medicare, which pay at a lower rate than private insurance.\u003c/p>\n\u003cp>Zell said the hospital expects to sign a deal to sell some of its property to the city of San Pablo next week, and he says officials will next have to decide whether to use that money to stay open or close responsibly. That would mean paying off some of the hospital's debt and paying employee pensions and vacations, he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Zell said those decisions will come in the next two to four weeks.\u003c/p>\n\n",
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"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.",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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