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"content": "\u003cfigure id=\"attachment_23614\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-e1422076915312.jpg\">\u003cimg class=\"size-large wp-image-23614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-640x456.jpg\" alt=\"A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\" width=\"640\" height=\"456\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A Contra Costa Country resident commuting to and from work in San Francisco last week may have exposed some BART riders to measles, health officials said today.\u003c/p>\n\u003cp>Officials with Contra Costa Health Services and the San Francisco Department of Public Health said risk of contracting measles by being exposed to the disease on BART is low, but riders should nonetheless be aware of the situation.\u003c/p>\n\u003cp>The person traveled between the Lafayette and Montgomery BART stations during the morning and evening commutes from 6 a.m. to 8 a.m. and from 7 p.m. to 9 p.m. last Wednesday, Thursday and Friday. The person also spent time at E&O Kitchen and Bar, a restaurant located at 314 Sutter St. in San Francisco, on Feb. 4 between 5:30 p.m. and 7:30 p.m.\u003c!--more-->\u003c/p>\n\u003cp>People who are vaccinated or have had measles are unlikely to catch the disease, health officials said. However, those who have not previously been vaccinated are at high risk if exposed.\u003c/p>\n\u003cp>It's the first confirmed case of measles in Contra Costa County since the statewide outbreak in December, county health officials said. The state reported \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Measles_update_2-9-2015.pdf\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Measles_update_2-9-2015.pdf\" target=\"_blank\">107 measles cases on Monday\u003c/a>, in the outbreak that began in late December.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Measles is a highly contagious illness, and if someone coughs or sneezes, virus droplets linger in the air and on surfaces up to two hours. Because BART trains circulate through the system, anyone who used BART during that time could have been exposed.\u003c/p>\n\u003cp>\"Measles is circulating in the Bay Area and we don’t know yet where this person was exposed,” said Erika Jenssen, Communicable Disease Program Chief with Contra Costa Public Health.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The ongoing measles outbreak in California highlights the need for people to be vaccinated, and this is just another example of how interconnected our region is and how important it is for everyone to be up to date on their immunizations.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23614\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-e1422076915312.jpg\">\u003cimg class=\"size-large wp-image-23614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-640x456.jpg\" alt=\"A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\" width=\"640\" height=\"456\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A Contra Costa Country resident commuting to and from work in San Francisco last week may have exposed some BART riders to measles, health officials said today.\u003c/p>\n\u003cp>Officials with Contra Costa Health Services and the San Francisco Department of Public Health said risk of contracting measles by being exposed to the disease on BART is low, but riders should nonetheless be aware of the situation.\u003c/p>\n\u003cp>The person traveled between the Lafayette and Montgomery BART stations during the morning and evening commutes from 6 a.m. to 8 a.m. and from 7 p.m. to 9 p.m. last Wednesday, Thursday and Friday. The person also spent time at E&O Kitchen and Bar, a restaurant located at 314 Sutter St. in San Francisco, on Feb. 4 between 5:30 p.m. and 7:30 p.m.\u003c!--more-->\u003c/p>\n\u003cp>People who are vaccinated or have had measles are unlikely to catch the disease, health officials said. However, those who have not previously been vaccinated are at high risk if exposed.\u003c/p>\n\u003cp>It's the first confirmed case of measles in Contra Costa County since the statewide outbreak in December, county health officials said. The state reported \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Measles_update_2-9-2015.pdf\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Measles_update_2-9-2015.pdf\" target=\"_blank\">107 measles cases on Monday\u003c/a>, in the outbreak that began in late December.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Measles is a highly contagious illness, and if someone coughs or sneezes, virus droplets linger in the air and on surfaces up to two hours. Because BART trains circulate through the system, anyone who used BART during that time could have been exposed.\u003c/p>\n\u003cp>\"Measles is circulating in the Bay Area and we don’t know yet where this person was exposed,” said Erika Jenssen, Communicable Disease Program Chief with Contra Costa Public Health.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The ongoing measles outbreak in California highlights the need for people to be vaccinated, and this is just another example of how interconnected our region is and how important it is for everyone to be up to date on their immunizations.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Marin School District Considers Endorsing Ban of Vaccine 'Personal Belief Exemption'",
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"content": "\u003cfigure id=\"attachment_23868\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/image2-copy-3.jpg\">\u003cimg class=\"size-large wp-image-23868\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/image2-copy-3-640x476.jpg\" alt=\"Rhett Krawitt with his oncologist, Dr. Rob Goldsby, taken Monday at an appointment at UCSF. (Courtesy: Carl Krawitt)\" width=\"640\" height=\"476\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rhett Krawitt with his oncologist, Dr. Rob Goldsby, taken Monday at an appointment at UCSF. (Courtesy: the Krawitt family)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update Feb. 10, 10:00pm: \u003c/strong>The board of the Reed Union School District voted 4-1 to \"encourage the state of California\" to eliminate the personal belief exemption.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>As first reported on State of Health,\u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" target=\"_blank\"> the face of the vaccine debate\u003c/a> in southern Marin's small Reed Union School District is Rhett Krawitt. He's a first grader at Reed Elementary in Tiburon. Rhett was diagnosed with leukemia when he was 2 and went through three years of chemotherapy.\u003c/p>\n\u003cp>Rhett is in remission now, but cannot yet be vaccinated, for medical reasons. A small percentage of school children statewide -- \u003ca title=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">0.19 percent\u003c/a> -- have such medical exemptions. They depend on everyone around them being vaccinated to protect them from disease. This community protection is called herd immunity.\u003c/p>\n\u003cp>But Marin County has a much higher rate of \"personal belief exemptions\" -- a way for parents to lawfully refuse vaccines on behalf of their children.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In large part because of prodding from Rhett's parents, the district's board at its regular meeting tonight will consider whether to formally endorse \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/02/04/new-vaccination-bill-would-end-exemptions-for-personal-religious-beliefs/\" href=\"http://ww2.kqed.org/stateofhealth/2015/02/04/new-vaccination-bill-would-end-exemptions-for-personal-religious-beliefs/\" target=\"_blank\">a new bill\u003c/a> that would abolish the personal belief exemption in California.\u003c!--more-->\u003c/p>\n\u003cp>Seven-year-old Rhett is going to read a short statement in favor of the proposed bill. He happily read his remarks to me on Monday in a clear, bright voice. \"Thank you Reed school board for teaching science and making everyone get vaccinated,\" he read aloud.\u003c/p>\n\u003cp>While the overwhelming majority of Marin students are vaccinated, the county's vaccine refusal rate of 6.45 percent is almost triple the statewide average. Pockets of the county have refusal rates \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">that are much higher\u003c/a>. Measles is highly contagious, one of the most contagious illnesses known. To achieve herd immunity against measles, vaccine rates must be 92 to 94 percent.\u003c/p>\n\u003cp>State Senator Richard Pan of Sacramento, who is introducing the bill, plans to attend the district's board meeting.\u003c/p>\n\u003cp>\"I’ll be talking to the board about why it’s important for them to protect children like Rhett in their school district\" he said, adding that many adults also have weakened immune systems from cancer treatments or other illnesses and rely on herd immunity for protection.\u003c/p>\n\u003cp>\"I certainly would ask that they support my bill so that we can get our immunization rates up,\" Pan said.\u003c/p>\n\u003cp>Many children have completed only some of their vaccines. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/02/02/not-just-un-vaccinated-under-vaccination-also-a-problem-statewide/\" href=\"http://ww2.kqed.org/stateofhealth/2015/02/02/not-just-un-vaccinated-under-vaccination-also-a-problem-statewide/\" target=\"_blank\">Across California, this \"under-vaccination\" is another issue\u003c/a> that can allow diseases to spread.\u003c/p>\n\u003cp>Reed Union's superintendent, Steve Herzog, says school nurses have been working hard since the beginning of the year to get all students up-to-date on their vaccinations. He says all but 24 students out of more than 1,500 in the district have had at least one measles, mumps, rubella vaccine of the two recommended doses. And one dose will protect 95 percent of people.\u003c/p>\n\u003cp>Herzog says he will recommend tonight that the board formally endorse Pan's bill.\u003c/p>\n\u003cp>\"Any legislation that will support getting more of our people immunized is good,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Herzog says that since measles cases started mounting in early January, he's heard more from parents who support vaccination than from those who do not.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23868\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/image2-copy-3.jpg\">\u003cimg class=\"size-large wp-image-23868\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/image2-copy-3-640x476.jpg\" alt=\"Rhett Krawitt with his oncologist, Dr. Rob Goldsby, taken Monday at an appointment at UCSF. (Courtesy: Carl Krawitt)\" width=\"640\" height=\"476\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rhett Krawitt with his oncologist, Dr. Rob Goldsby, taken Monday at an appointment at UCSF. (Courtesy: the Krawitt family)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update Feb. 10, 10:00pm: \u003c/strong>The board of the Reed Union School District voted 4-1 to \"encourage the state of California\" to eliminate the personal belief exemption.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>As first reported on State of Health,\u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" target=\"_blank\"> the face of the vaccine debate\u003c/a> in southern Marin's small Reed Union School District is Rhett Krawitt. He's a first grader at Reed Elementary in Tiburon. Rhett was diagnosed with leukemia when he was 2 and went through three years of chemotherapy.\u003c/p>\n\u003cp>Rhett is in remission now, but cannot yet be vaccinated, for medical reasons. A small percentage of school children statewide -- \u003ca title=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">0.19 percent\u003c/a> -- have such medical exemptions. They depend on everyone around them being vaccinated to protect them from disease. This community protection is called herd immunity.\u003c/p>\n\u003cp>But Marin County has a much higher rate of \"personal belief exemptions\" -- a way for parents to lawfully refuse vaccines on behalf of their children.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In large part because of prodding from Rhett's parents, the district's board at its regular meeting tonight will consider whether to formally endorse \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/02/04/new-vaccination-bill-would-end-exemptions-for-personal-religious-beliefs/\" href=\"http://ww2.kqed.org/stateofhealth/2015/02/04/new-vaccination-bill-would-end-exemptions-for-personal-religious-beliefs/\" target=\"_blank\">a new bill\u003c/a> that would abolish the personal belief exemption in California.\u003c!--more-->\u003c/p>\n\u003cp>Seven-year-old Rhett is going to read a short statement in favor of the proposed bill. He happily read his remarks to me on Monday in a clear, bright voice. \"Thank you Reed school board for teaching science and making everyone get vaccinated,\" he read aloud.\u003c/p>\n\u003cp>While the overwhelming majority of Marin students are vaccinated, the county's vaccine refusal rate of 6.45 percent is almost triple the statewide average. Pockets of the county have refusal rates \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">that are much higher\u003c/a>. Measles is highly contagious, one of the most contagious illnesses known. To achieve herd immunity against measles, vaccine rates must be 92 to 94 percent.\u003c/p>\n\u003cp>State Senator Richard Pan of Sacramento, who is introducing the bill, plans to attend the district's board meeting.\u003c/p>\n\u003cp>\"I’ll be talking to the board about why it’s important for them to protect children like Rhett in their school district\" he said, adding that many adults also have weakened immune systems from cancer treatments or other illnesses and rely on herd immunity for protection.\u003c/p>\n\u003cp>\"I certainly would ask that they support my bill so that we can get our immunization rates up,\" Pan said.\u003c/p>\n\u003cp>Many children have completed only some of their vaccines. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/02/02/not-just-un-vaccinated-under-vaccination-also-a-problem-statewide/\" href=\"http://ww2.kqed.org/stateofhealth/2015/02/02/not-just-un-vaccinated-under-vaccination-also-a-problem-statewide/\" target=\"_blank\">Across California, this \"under-vaccination\" is another issue\u003c/a> that can allow diseases to spread.\u003c/p>\n\u003cp>Reed Union's superintendent, Steve Herzog, says school nurses have been working hard since the beginning of the year to get all students up-to-date on their vaccinations. He says all but 24 students out of more than 1,500 in the district have had at least one measles, mumps, rubella vaccine of the two recommended doses. And one dose will protect 95 percent of people.\u003c/p>\n\u003cp>Herzog says he will recommend tonight that the board formally endorse Pan's bill.\u003c/p>\n\u003cp>\"Any legislation that will support getting more of our people immunized is good,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Herzog says that since measles cases started mounting in early January, he's heard more from parents who support vaccination than from those who do not.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Licensed Midwife Opens Birth Center in Fresno",
"title": "Licensed Midwife Opens Birth Center in Fresno",
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"content": "\u003cfigure id=\"attachment_23855\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/image-copy-e1423509749423.jpg\">\u003cimg class=\"size-large wp-image-23855\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/image-copy-640x473.jpg\" alt=\"Detrah Hele (left), a licensed midwife, opened The Birth Place in Fresno last fall. Alex DePastene (right) works with her. (Courtesy: Mike DePastene)\" width=\"640\" height=\"473\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Detrah Hele (left), a licensed midwife, opened The Birth Place in Fresno last fall. Alex DePastene (right) works with her. (Courtesy: Mike DePastene)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Alice Daniel,\u003c/strong> \u003ca href=\"http://www.californiahealthline.org/insight/2015/birth-center-opens-in-san-joaquin-valley\" target=\"_blank\">CaliforniaHealthline\u003c/a>\u003c/p>\n\u003cp>Even as licensed midwife Detrah Hele explained why she recently opened a birth center in Fresno, she was in her car heading to a client's home in Visalia.\u003c/p>\n\u003cp>Her client was a labor and delivery nurse who had already had two home births and was about to have a third one under Hele's supervision. Hele has caught hundreds of babies since she got her license 10 years ago. She said it had been a dream of hers to establish a place where pregnant women could give birth outside a hospital setting.\u003c/p>\n\u003cp>After months of searching, she found the right property in downtown Fresno, a home on the historic register that was most recently the office of the Fresno Women's Medical Group. She dealt with all the necessary city codes and opened The Birth Place in October 2014. It is the only birth center in the San Joaquin Valley. Another licensed midwife, Alex DePastene, works with her.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>How Care Differs at Birth Centers, Hospitals\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Birth centers in the U.S. operate according to standards defined by the \u003ca href=\"http://www.birthcenters.org/\" target=\"_blank\">American Association of Birth Centers\u003c/a>. These include working only with low-risk pregnancies. Pain medications and epidurals aren't used, while pain management techniques such as walking or sitting in a tub of water are encouraged. To facilitate more comfortable labor, women at birth centers are not connected to electronic fetal monitors, which can prevent movement.\u003c/p>\n\u003cp>The model of care offered at a birth center is different from a labor and delivery unit in a hospital, said Kate Bauer, director of the American Association of Birth Centers. \"The philosophy is different,\" she said. At birth centers, \"pregnancy is not seen as an illness that needs to be cured. It's a wellness event for a woman and her family.\" Under birth centers' wellness model, interventions are used only when medically necessary.\u003c/p>\n\u003cp>Hospitals, said Bauer, are more intervention-oriented. That's useful when there are complications, but many healthy, low-risk pregnant women receive unnecessary interventions in hospitals, Bauer said. According to \u003ca href=\"http://www.childbirthconnection.org/pdfs/LTMII_report.pdf\" target=\"_blank\">a report in the \u003cem>Journal of Perinatal Education\u003c/em>\u003c/a>, 47 percent of women have their labor artificially accelerated with medications, and 43 percent of women giving birth for the first time have labor artificially induced.\u003c/p>\n\u003cp>\u003cstrong>Study Highlights Birth Center Benefits\u003c/strong>\u003c/p>\n\u003cp>Multiple studies show that birth centers offer quality and cost-effective care, Bauer said. The most recent report, \"\u003ca href=\"http://www.birthcenters.org/content/new-study-shows-midwife-led-birth-centers-improve-outcomes-and-lower-health-care-costs\" target=\"_blank\">The National Birth Center Study II\u003c/a>,\" published in the \u003cem>Journal of Midwifery and Women's Health\u003c/em>, found that birth centers not only provide safe outcomes for babies, but also have a much lower rate of cesarean sections. The C-section rate for low-risk women giving birth in birth centers was 6 percent, compared with a rate of 24 percent for low-risk women in hospitals.\u003c/p>\n\u003cp>[contextly_sidebar id=\"4fCvmsxGRJQQY1Xv31PYezfHdXCRYLn6\"]\u003c/p>\n\u003cp>There are 34 birth centers in California, many clustered around Southern California and the Bay Area. There are 295 nationwide, an increase of 20 percent since 2013, Bauer said. The country's first recognized birth center opened in New York City in 1975.\u003c/p>\n\u003cp>Birth centers \"have had to overcome some challenges in the reimbursement and liability insurance landscape,\" Bauer said. The recent increase in centers may be related, in part, to the Affordable Care Act. The ACA mandates Medicaid reimbursement for birth center facility services and providers. Prior to the law, reimbursements were open to interpretation and varied from state to state. However, the \u003ca href=\"http://www.birthcenters.org/content/medicaid-implementation-0\" target=\"_blank\">mandate\u003c/a> has been implemented correctly only in about half the states, Bauer said.\u003c/p>\n\u003cp>\u003cstrong>Few Women Opt for Birth Centers\u003c/strong>\u003c/p>\n\u003cp>Very few women use birth centers nationwide. According to the \u003ca href=\"http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_01.pdf\" target=\"_blank\">most recent data\u003c/a> from CDC, only 1.4 percent of births took place out of a hospital in 2013. Of the more than 56,000 out-of-hospital births, about two-thirds took place at home and 30.2 percent in a freestanding birth center.\u003c/p>\n\u003cp>The Birth Place in Fresno can accommodate up to three laboring women at one time but Hele said most of her clients still opt for a home birth. Out of seven clients due in February, two of them want to give birth at the center. \"Home births and the birth center are essentially the same,\" she said. \"The only difference is, at the birth center, you're eventually going to have to go home. At your house, you stay in bed and we go home.\" She said that some clients are more comfortable at the birth center because it's directly across from a local hospital.\u003c/p>\n\u003cp>The American College of Obstetrics and Gynecology recommends hospitals and birthing centers as the safest place for labor and delivery. According to an ACOG spokesperson, the organization just released a new Obstetric Care Consensus recommending the creation of a new system of classification of care levels, including birthing centers.\u003c/p>\n\u003cp>Classifications are important because birthing centers offer different levels of capability, according to ACOG officials. Although obstetrical complications are rare, they can progress rapidly and can be life-threatening for the woman and infant, so it is important that birthing centers have the ability to provide care in an emergency, the spokesperson said.\u003c/p>\n\u003cp>\u003cstrong>Emergency Transfers to Hospitals Are Rare\u003c/strong>\u003c/p>\n\u003cp>According to the \"\u003ca title=\"http://www.birthcenters.org/content/new-study-shows-midwife-led-birth-centers-improve-outcomes-and-lower-health-care-costs\" href=\"http://www.birthcenters.org/content/new-study-shows-midwife-led-birth-centers-improve-outcomes-and-lower-health-care-costs\" target=\"_blank\">National Birth Center Study II,\u003c/a>\" most transfers to hospitals from birth centers were not emergencies -- the most common reason was prolonged labor. For emergency transfers during labor, the most common reason was concern about fetal heart rate patterns; fewer than 1 percent of the study's participants were transferred during labor for emergency reasons.\u003c/p>\n\u003cp>Hele said she always has two skilled attendants at a birth, also recommended by ACOG. \"We're always watching,\" Hele said. \"We know normal, so when something's not normal anymore, we're going to notice it.\"\u003c/p>\n\u003cp>California midwives are licensed and regulated by the Medical Board of California. Licensed midwives are different from Certified Nurse Midwives, who typically practice under doctors and deliver infants in hospitals. In January 2014, \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/09/13/midwifery-physical-therapy-pharmacists-bills-move-to-governors-desk-scope-of-practice/\" href=\"http://ww2.kqed.org/stateofhealth/2013/09/13/midwifery-physical-therapy-pharmacists-bills-move-to-governors-desk-scope-of-practice/\" target=\"_blank\">a state law was passed\u003c/a> giving licensed midwives the right to practice without doctor supervision. Before that, licensed midwives were expected to work with doctors but found they had little support, according to Hele. \"For 20 years, midwives operated out of the letter of the law, and the state knew that,\" Hele said.\u003c/p>\n\u003cp>Hele said she typically charges $4,000 for a home birth and about $500 more at The Birth Place. She said insurance policies vary widely when it comes to births at home or in a center.\u003c/p>\n\u003cp>A \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/01/16/how-much-does-it-cost-to-have-a-baby-in-california/\" href=\"http://ww2.kqed.org/stateofhealth/2014/01/16/how-much-does-it-cost-to-have-a-baby-in-california/\" target=\"_blank\">study published last year\u003c/a> by UC-San Francisco found that costs for an uncomplicated vaginal delivery in California hospitals ranged from $3,296 to $37,227. Women who underwent C-sections were charged between $8,312 and $71,000.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"The birth center is not for everyone, but for many women it is a choice that can provide a really wonderful birth experience,\" said Bauer. \"It's the appropriate level of care at the appropriate time, and it starts with prenatal care.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23855\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/image-copy-e1423509749423.jpg\">\u003cimg class=\"size-large wp-image-23855\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/image-copy-640x473.jpg\" alt=\"Detrah Hele (left), a licensed midwife, opened The Birth Place in Fresno last fall. Alex DePastene (right) works with her. (Courtesy: Mike DePastene)\" width=\"640\" height=\"473\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Detrah Hele (left), a licensed midwife, opened The Birth Place in Fresno last fall. Alex DePastene (right) works with her. (Courtesy: Mike DePastene)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Alice Daniel,\u003c/strong> \u003ca href=\"http://www.californiahealthline.org/insight/2015/birth-center-opens-in-san-joaquin-valley\" target=\"_blank\">CaliforniaHealthline\u003c/a>\u003c/p>\n\u003cp>Even as licensed midwife Detrah Hele explained why she recently opened a birth center in Fresno, she was in her car heading to a client's home in Visalia.\u003c/p>\n\u003cp>Her client was a labor and delivery nurse who had already had two home births and was about to have a third one under Hele's supervision. Hele has caught hundreds of babies since she got her license 10 years ago. She said it had been a dream of hers to establish a place where pregnant women could give birth outside a hospital setting.\u003c/p>\n\u003cp>After months of searching, she found the right property in downtown Fresno, a home on the historic register that was most recently the office of the Fresno Women's Medical Group. She dealt with all the necessary city codes and opened The Birth Place in October 2014. It is the only birth center in the San Joaquin Valley. Another licensed midwife, Alex DePastene, works with her.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>How Care Differs at Birth Centers, Hospitals\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Birth centers in the U.S. operate according to standards defined by the \u003ca href=\"http://www.birthcenters.org/\" target=\"_blank\">American Association of Birth Centers\u003c/a>. These include working only with low-risk pregnancies. Pain medications and epidurals aren't used, while pain management techniques such as walking or sitting in a tub of water are encouraged. To facilitate more comfortable labor, women at birth centers are not connected to electronic fetal monitors, which can prevent movement.\u003c/p>\n\u003cp>The model of care offered at a birth center is different from a labor and delivery unit in a hospital, said Kate Bauer, director of the American Association of Birth Centers. \"The philosophy is different,\" she said. At birth centers, \"pregnancy is not seen as an illness that needs to be cured. It's a wellness event for a woman and her family.\" Under birth centers' wellness model, interventions are used only when medically necessary.\u003c/p>\n\u003cp>Hospitals, said Bauer, are more intervention-oriented. That's useful when there are complications, but many healthy, low-risk pregnant women receive unnecessary interventions in hospitals, Bauer said. According to \u003ca href=\"http://www.childbirthconnection.org/pdfs/LTMII_report.pdf\" target=\"_blank\">a report in the \u003cem>Journal of Perinatal Education\u003c/em>\u003c/a>, 47 percent of women have their labor artificially accelerated with medications, and 43 percent of women giving birth for the first time have labor artificially induced.\u003c/p>\n\u003cp>\u003cstrong>Study Highlights Birth Center Benefits\u003c/strong>\u003c/p>\n\u003cp>Multiple studies show that birth centers offer quality and cost-effective care, Bauer said. The most recent report, \"\u003ca href=\"http://www.birthcenters.org/content/new-study-shows-midwife-led-birth-centers-improve-outcomes-and-lower-health-care-costs\" target=\"_blank\">The National Birth Center Study II\u003c/a>,\" published in the \u003cem>Journal of Midwifery and Women's Health\u003c/em>, found that birth centers not only provide safe outcomes for babies, but also have a much lower rate of cesarean sections. The C-section rate for low-risk women giving birth in birth centers was 6 percent, compared with a rate of 24 percent for low-risk women in hospitals.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>There are 34 birth centers in California, many clustered around Southern California and the Bay Area. There are 295 nationwide, an increase of 20 percent since 2013, Bauer said. The country's first recognized birth center opened in New York City in 1975.\u003c/p>\n\u003cp>Birth centers \"have had to overcome some challenges in the reimbursement and liability insurance landscape,\" Bauer said. The recent increase in centers may be related, in part, to the Affordable Care Act. The ACA mandates Medicaid reimbursement for birth center facility services and providers. Prior to the law, reimbursements were open to interpretation and varied from state to state. However, the \u003ca href=\"http://www.birthcenters.org/content/medicaid-implementation-0\" target=\"_blank\">mandate\u003c/a> has been implemented correctly only in about half the states, Bauer said.\u003c/p>\n\u003cp>\u003cstrong>Few Women Opt for Birth Centers\u003c/strong>\u003c/p>\n\u003cp>Very few women use birth centers nationwide. According to the \u003ca href=\"http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_01.pdf\" target=\"_blank\">most recent data\u003c/a> from CDC, only 1.4 percent of births took place out of a hospital in 2013. Of the more than 56,000 out-of-hospital births, about two-thirds took place at home and 30.2 percent in a freestanding birth center.\u003c/p>\n\u003cp>The Birth Place in Fresno can accommodate up to three laboring women at one time but Hele said most of her clients still opt for a home birth. Out of seven clients due in February, two of them want to give birth at the center. \"Home births and the birth center are essentially the same,\" she said. \"The only difference is, at the birth center, you're eventually going to have to go home. At your house, you stay in bed and we go home.\" She said that some clients are more comfortable at the birth center because it's directly across from a local hospital.\u003c/p>\n\u003cp>The American College of Obstetrics and Gynecology recommends hospitals and birthing centers as the safest place for labor and delivery. According to an ACOG spokesperson, the organization just released a new Obstetric Care Consensus recommending the creation of a new system of classification of care levels, including birthing centers.\u003c/p>\n\u003cp>Classifications are important because birthing centers offer different levels of capability, according to ACOG officials. Although obstetrical complications are rare, they can progress rapidly and can be life-threatening for the woman and infant, so it is important that birthing centers have the ability to provide care in an emergency, the spokesperson said.\u003c/p>\n\u003cp>\u003cstrong>Emergency Transfers to Hospitals Are Rare\u003c/strong>\u003c/p>\n\u003cp>According to the \"\u003ca title=\"http://www.birthcenters.org/content/new-study-shows-midwife-led-birth-centers-improve-outcomes-and-lower-health-care-costs\" href=\"http://www.birthcenters.org/content/new-study-shows-midwife-led-birth-centers-improve-outcomes-and-lower-health-care-costs\" target=\"_blank\">National Birth Center Study II,\u003c/a>\" most transfers to hospitals from birth centers were not emergencies -- the most common reason was prolonged labor. For emergency transfers during labor, the most common reason was concern about fetal heart rate patterns; fewer than 1 percent of the study's participants were transferred during labor for emergency reasons.\u003c/p>\n\u003cp>Hele said she always has two skilled attendants at a birth, also recommended by ACOG. \"We're always watching,\" Hele said. \"We know normal, so when something's not normal anymore, we're going to notice it.\"\u003c/p>\n\u003cp>California midwives are licensed and regulated by the Medical Board of California. Licensed midwives are different from Certified Nurse Midwives, who typically practice under doctors and deliver infants in hospitals. In January 2014, \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/09/13/midwifery-physical-therapy-pharmacists-bills-move-to-governors-desk-scope-of-practice/\" href=\"http://ww2.kqed.org/stateofhealth/2013/09/13/midwifery-physical-therapy-pharmacists-bills-move-to-governors-desk-scope-of-practice/\" target=\"_blank\">a state law was passed\u003c/a> giving licensed midwives the right to practice without doctor supervision. Before that, licensed midwives were expected to work with doctors but found they had little support, according to Hele. \"For 20 years, midwives operated out of the letter of the law, and the state knew that,\" Hele said.\u003c/p>\n\u003cp>Hele said she typically charges $4,000 for a home birth and about $500 more at The Birth Place. She said insurance policies vary widely when it comes to births at home or in a center.\u003c/p>\n\u003cp>A \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/01/16/how-much-does-it-cost-to-have-a-baby-in-california/\" href=\"http://ww2.kqed.org/stateofhealth/2014/01/16/how-much-does-it-cost-to-have-a-baby-in-california/\" target=\"_blank\">study published last year\u003c/a> by UC-San Francisco found that costs for an uncomplicated vaginal delivery in California hospitals ranged from $3,296 to $37,227. Women who underwent C-sections were charged between $8,312 and $71,000.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The birth center is not for everyone, but for many women it is a choice that can provide a really wonderful birth experience,\" said Bauer. \"It's the appropriate level of care at the appropriate time, and it starts with prenatal care.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Health Officials Discourage 'Measles Parties'",
"title": "Health Officials Discourage 'Measles Parties'",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17842\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-medium wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-300x287.jpg\" alt=\"Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images)\" width=\"300\" height=\"287\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Julie Schiffman is a mother of two in Marin County. The choice to not vaccinate her kids, now 6 and 8, was a long and difficult one, she said. But deciding whether to intentionally expose them to measles was easy.\u003c/p>\n\u003cp>“I would never do that to my kid,” she said.\u003c/p>\n\u003cp>She was approached recently by a friend who knew her kids were unvaccinated. The friend offered to help set up a play date with another child who was sick.\u003c/p>\n\u003cp>“She said, ‘I know someone who has the measles, would you like to be connected with them?’” Schiffman said.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Measles parties and chicken pox parties are practices that developed in eras before vaccines for those diseases were available. Both viruses are known to cause greater, more dangerous complications in adults. So some parents would intentionally infect their kids when they were young to work through the illness in its milder form, then retain immunity.\u003c/p>\n\u003cp>“People did this with chicken pox all the time,” said \u003ca href=\"http://www.sph.berkeley.edu/arthur-reingold\">Art Reingold\u003c/a>, an epidemiology professor at UC Berkeley who worked at the Centers for Disease Control in the 1980s. “Parents would have kids lick a lollipop and give it to other kids, or mail it to other kids.”\u003c/p>\n\u003cp>The chicken pox vaccine was licensed for use in 1995; for measles in 1963. Today, some parents are still deliberately getting their kids sick because they don't believe in vaccines.\u003c/p>\n\u003cp>“The basic notion is ‘this is my opportunity for my kid to get immune the old fashioned way, the way God intended,’” Reingold said. “’The way nature intended.’”\u003c/p>\n\u003cp>Pockets of the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\"> San Francisco Bay Area\u003c/a>, Los Angeles, and rural areas in the far north of the state have an unusually high number of parents who opt out of vaccinating their kids. Public health officials are worried about what might happen if parents take it upon themselves to infect their children with measles.\u003c/p>\n\u003cp>“It unnecessarily places the exposed children at potentially grave risk and could contribute to further spread of the outbreak,” the California Department of Public Health said in an email, adding that it \"strongly recommends against the intentional exposure of children to measles.\"\u003c/p>\n\u003cp>Thirty percent of people with measles in the current California outbreak have been hospitalized. While measles is most dangerous in children under 5 and adults over 20, there can be serious consequences for kids, including pneumonia or hearing loss. A small number die.\u003c/p>\n\u003cp>Reingold says hosting measles play dates or parties is ill-advised.\u003c/p>\n\u003cp>“To me, it's looney tunes,” he said. “We have a safe, effective vaccine, why would you do it?”\u003c/p>\n\u003cp>Julie Schiffman says she and her husband are willing to reconsider vaccinating their kids, but no evidence has surfaced to change their minds yet. She says she respects the choice of other parents who decide to expose their unvaccinated kids to measles. But she and her husband declined the opportunity.\u003c/p>\n\u003cp>“I would want that to be something they decide on their own, when they’re older and are more capable of assessing the risks and dangers,” she says.\u003c/p>\n\u003cp>“When they’re teenagers, I’d say, ‘okay, you have a choice, you can get vaccinated or you can get the measles, what would you rather?’” she said. “Then they have more say over what they do with their bodies. And I would respect their choice, whatever it was.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/189791419\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17842\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-medium wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-300x287.jpg\" alt=\"Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images)\" width=\"300\" height=\"287\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Julie Schiffman is a mother of two in Marin County. The choice to not vaccinate her kids, now 6 and 8, was a long and difficult one, she said. But deciding whether to intentionally expose them to measles was easy.\u003c/p>\n\u003cp>“I would never do that to my kid,” she said.\u003c/p>\n\u003cp>She was approached recently by a friend who knew her kids were unvaccinated. The friend offered to help set up a play date with another child who was sick.\u003c/p>\n\u003cp>“She said, ‘I know someone who has the measles, would you like to be connected with them?’” Schiffman said.\u003c/p>\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>Measles parties and chicken pox parties are practices that developed in eras before vaccines for those diseases were available. Both viruses are known to cause greater, more dangerous complications in adults. So some parents would intentionally infect their kids when they were young to work through the illness in its milder form, then retain immunity.\u003c/p>\n\u003cp>“People did this with chicken pox all the time,” said \u003ca href=\"http://www.sph.berkeley.edu/arthur-reingold\">Art Reingold\u003c/a>, an epidemiology professor at UC Berkeley who worked at the Centers for Disease Control in the 1980s. “Parents would have kids lick a lollipop and give it to other kids, or mail it to other kids.”\u003c/p>\n\u003cp>The chicken pox vaccine was licensed for use in 1995; for measles in 1963. Today, some parents are still deliberately getting their kids sick because they don't believe in vaccines.\u003c/p>\n\u003cp>“The basic notion is ‘this is my opportunity for my kid to get immune the old fashioned way, the way God intended,’” Reingold said. “’The way nature intended.’”\u003c/p>\n\u003cp>Pockets of the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\"> San Francisco Bay Area\u003c/a>, Los Angeles, and rural areas in the far north of the state have an unusually high number of parents who opt out of vaccinating their kids. Public health officials are worried about what might happen if parents take it upon themselves to infect their children with measles.\u003c/p>\n\u003cp>“It unnecessarily places the exposed children at potentially grave risk and could contribute to further spread of the outbreak,” the California Department of Public Health said in an email, adding that it \"strongly recommends against the intentional exposure of children to measles.\"\u003c/p>\n\u003cp>Thirty percent of people with measles in the current California outbreak have been hospitalized. While measles is most dangerous in children under 5 and adults over 20, there can be serious consequences for kids, including pneumonia or hearing loss. A small number die.\u003c/p>\n\u003cp>Reingold says hosting measles play dates or parties is ill-advised.\u003c/p>\n\u003cp>“To me, it's looney tunes,” he said. “We have a safe, effective vaccine, why would you do it?”\u003c/p>\n\u003cp>Julie Schiffman says she and her husband are willing to reconsider vaccinating their kids, but no evidence has surfaced to change their minds yet. She says she respects the choice of other parents who decide to expose their unvaccinated kids to measles. But she and her husband declined the opportunity.\u003c/p>\n\u003cp>“I would want that to be something they decide on their own, when they’re older and are more capable of assessing the risks and dangers,” she says.\u003c/p>\n\u003cp>“When they’re teenagers, I’d say, ‘okay, you have a choice, you can get vaccinated or you can get the measles, what would you rather?’” she said. “Then they have more say over what they do with their bodies. And I would respect their choice, whatever it was.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='undefined' height='undefined'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/189791419&visual=true&undefined'\n title='https://api.soundcloud.com/tracks/189791419'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_23631\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Daisy-Matthias-Photo.jpg\">\u003cimg class=\"size-large wp-image-23631\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Daisy-Matthias-Photo-640x478.jpg\" alt=\"Daisy Matthias is a counselor at the San Francisco-based Mental Health Triage Warm Line. Most callers are struggling with anxiety, depression, loneliness, and stress. (Jeremy Raff /KQED)\" width=\"640\" height=\"478\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Daisy Matthias is a counselor at the San Francisco-based Mental Health Triage Warm Line. Most callers are struggling with anxiety, depression, loneliness, and stress. (Jeremy Raff /KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's note: a warm line is a place where people struggling with mental illness, but not in an acute state of crisis, can call and talk to a trained counselor as long as they need to. As part our community health series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>, we caught up with Daisy Matthias, a counselor at San Francisco’s new warm line, in between phone calls.\u003cbr>\n\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Daisy Matthias\u003cbr>\n\u003c/strong>\u003cbr>\nThe majority of the people call about anxiety, depression, loneliness, or even stress.\u003c/p>\n\u003cp>We’ll be there for as long as you need us. We don’t have a time limit. And other warm lines sometimes will have a time limit of 20 minutes, 30 minutes.\u003c/p>\n\u003cp>Every counselor has a history of dealing with mental health.\u003c!--more-->\u003c/p>\n\u003cp>In my case, there was a moment I was very stressed out at my last job. I really just couldn't take it anymore. I was depressed, and since I worked overnight I had no one to call. I called a crisis line and I said, “I just want someone to talk to.” But they couldn't help me cause I wasn't going to commit suicide.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So when I heard about the warm line and applied for it, I was like, “Oh thank god -- there’s something like that here.”\u003c/p>\n\u003cp>Every since I was a little girl, I've been living with depression and anxiety. I did do my best to find ways to cope with it, but I always felt like I was different.\u003c/p>\n\u003cp>I grew up in the United States -- with American values in a very traditional Mexican home. So there was a lot of conflict especially when it came to gender roles.\u003c/p>\n\u003cp>Even though I was a student at UC Berkeley, none of my accomplishments mattered because I was bisexual. That little fact seemed to block everything else I've done -- and that led to my anxiety and depression.\u003c/p>\n\u003cp>The reasons why we have callers is that people just want to vent, and they just want to talk.\u003c/p>\n\u003cp>In the medical community, sometimes ... they don’t listen to us, they don’t want to talk to us. They just want to solve the problem.\u003c/p>\n\u003cp>Here in the warm line, I love it because we can talk to people. They don’t have to be in an extreme crisis.\u003c/p>\n\u003cp>Sometimes people are stressed out; they need someone to talk to. They just want to hear a voice, just to hear, \"It's going to be ok.\"[soundcloud url=\"https://api.soundcloud.com/tracks/189660688\" 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>\u003cem>\u003ca href=\"http://ww2.kqed.org/news/author/jeremyraff\" target=\"_blank\">Jeremy Raff\u003c/a> reported this story. Email him: jraff@kqed.org\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Reach a Mental Health Triage Warm Line counselor at (855) 845-7415; or\u003c/em> \u003ca href=\"http://mentalhealthsf.org/\" target=\"_blank\">chat with counselor\u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23631\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Daisy-Matthias-Photo.jpg\">\u003cimg class=\"size-large wp-image-23631\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Daisy-Matthias-Photo-640x478.jpg\" alt=\"Daisy Matthias is a counselor at the San Francisco-based Mental Health Triage Warm Line. Most callers are struggling with anxiety, depression, loneliness, and stress. (Jeremy Raff /KQED)\" width=\"640\" height=\"478\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Daisy Matthias is a counselor at the San Francisco-based Mental Health Triage Warm Line. Most callers are struggling with anxiety, depression, loneliness, and stress. (Jeremy Raff /KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's note: a warm line is a place where people struggling with mental illness, but not in an acute state of crisis, can call and talk to a trained counselor as long as they need to. As part our community health series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>, we caught up with Daisy Matthias, a counselor at San Francisco’s new warm line, in between phone calls.\u003cbr>\n\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Daisy Matthias\u003cbr>\n\u003c/strong>\u003cbr>\nThe majority of the people call about anxiety, depression, loneliness, or even stress.\u003c/p>\n\u003cp>We’ll be there for as long as you need us. We don’t have a time limit. And other warm lines sometimes will have a time limit of 20 minutes, 30 minutes.\u003c/p>\n\u003cp>Every counselor has a history of dealing with mental health.\u003c!--more-->\u003c/p>\n\u003cp>In my case, there was a moment I was very stressed out at my last job. I really just couldn't take it anymore. I was depressed, and since I worked overnight I had no one to call. I called a crisis line and I said, “I just want someone to talk to.” But they couldn't help me cause I wasn't going to commit suicide.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So when I heard about the warm line and applied for it, I was like, “Oh thank god -- there’s something like that here.”\u003c/p>\n\u003cp>Every since I was a little girl, I've been living with depression and anxiety. I did do my best to find ways to cope with it, but I always felt like I was different.\u003c/p>\n\u003cp>I grew up in the United States -- with American values in a very traditional Mexican home. So there was a lot of conflict especially when it came to gender roles.\u003c/p>\n\u003cp>Even though I was a student at UC Berkeley, none of my accomplishments mattered because I was bisexual. That little fact seemed to block everything else I've done -- and that led to my anxiety and depression.\u003c/p>\n\u003cp>The reasons why we have callers is that people just want to vent, and they just want to talk.\u003c/p>\n\u003cp>In the medical community, sometimes ... they don’t listen to us, they don’t want to talk to us. They just want to solve the problem.\u003c/p>\n\u003cp>Here in the warm line, I love it because we can talk to people. They don’t have to be in an extreme crisis.\u003c/p>\n\u003cp>Sometimes people are stressed out; they need someone to talk to. They just want to hear a voice, just to hear, \"It's going to be ok.\"\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/189660688&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/189660688'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://ww2.kqed.org/news/author/jeremyraff\" target=\"_blank\">Jeremy Raff\u003c/a> reported this story. Email him: jraff@kqed.org\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Reach a Mental Health Triage Warm Line counselor at (855) 845-7415; or\u003c/em> \u003ca href=\"http://mentalhealthsf.org/\" target=\"_blank\">chat with counselor\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "New Vaccination Bill Would End 'Personal Belief Exemption'",
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"content": "\u003cfigure id=\"attachment_23614\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-e1422076915312.jpg\">\u003cimg class=\"size-large wp-image-23614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-640x456.jpg\" alt=\"A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\" width=\"640\" height=\"456\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By \u003ca href=\"https://twitter.com/FenitN\" target=\"_blank\">Fenit Nirappil\u003c/a>\u003cbr>\nAssociated Press\u003c/strong>\u003c/p>\n\u003cp>SACRAMENTO — California lawmakers are proposing legislation that would require parents to vaccinate all school children unless a child's health is in danger, joining only two other states with such stringent restrictions.\u003c/p>\n\u003cp>Parents could no longer cite personal beliefs or religious reasons to send unvaccinated children to school under a proposal introduced Wednesday after dozens of people have fallen ill from a measles outbreak that started in late December at Disneyland.\u003c/p>\n\u003cp>Mississippi and West Virginia are the only other states with such strict vaccine rules, though the California bill's chief author said he would consider including a religious exemption, as allowed now.\u003c!--more-->\u003c/p>\n\u003cp>\"People are starting to realize, 'I'm vulnerable, my children are vulnerable,'\" said \u003ca href=\"http://sd06.senate.ca.gov/\">state Sen. Richard Pan\u003c/a>, a Democrat and pediatrician from Sacramento. \"We should not wait for more children to sicken or die before we act.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Earlier Wednesday, California's two U.S. senators issued a joint letter calling for a repeal of the state's \"personal belief exemption.\"\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/189545740\" 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>“While a small number of children cannot be vaccinated due to an underlying medical condition, we believe there should be no such thing as a philosophical or personal belief exemption, since everyone uses public spaces,” Sens. Barbara Boxer and Dianne Feinstein wrote. “As we have learned in the past month, parents who refuse to vaccinate their children not only put their own family at risk, but they also endanger other families who choose to vaccinate.”\u003c/p>\n\u003cp>Childhood vaccine has become an emotionally charged topic and a national issue amid a measles outbreak that has sickened more than 100 people across the United States and in Mexico.\u003c/p>\n\u003cp>Like most other states, California allows religious or personal belief exemptions. According to the National Conference of State Legislatures, California is among 20 states that allow for personal belief exemptions and 48 that allow for religious exemptions.\u003c/p>\n\u003cp>Parents cite a variety of reasons for not immunizing their children, among them: religious values, concerns the shots could cause illness and a belief that allowing children to get sick helps them to build a stronger immune system.\u003c/p>\n\u003cp>Public health officials believe an immunization rate of at least 90 percent in all communities, including schools, is critical to minimizing the potential for a disease outbreak. Statistics \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Child%20Care%20Immunization%20Assessment.pdf\" target=\"_blank\">reported recently\u003c/a> by the state Department of Public Health show 89.4 percent of children in California child-care facilities -- kids between age 2 and 5 -- had received all required vaccinations at the start of the 2014-15 school year.\u003c/p>\n\u003cp>The report showed 2.67 percent of those children -- about 12,500 statewide -- were unvaccinated due to personal belief exemptions. About 2,500 students were unvaccinated due to permanent medical exemptions -- the only group that would remain exempt under Pan's proposal.\u003c/p>\n\u003cp>Pan, who previously served in the Assembly, was the author of another vaccination bill that took effect last year. It requires parents who don't have their children vaccinated for non-religious reasons to get a note from the doctor's office before enrolling their children in school.\u003c/p>\n\u003cp>A spokesman for Gov. Jerry Brown, who signed that bill, did not say if the governor would oppose efforts to end exemptions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The Governor believes that vaccinations are profoundly important and a major public health benefit and any bill that reaches his desk will be closely considered,\" Spokesman Evan Westrup wrote in an e-mail.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23614\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-e1422076915312.jpg\">\u003cimg class=\"size-large wp-image-23614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-640x456.jpg\" alt=\"A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\" width=\"640\" height=\"456\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By \u003ca href=\"https://twitter.com/FenitN\" target=\"_blank\">Fenit Nirappil\u003c/a>\u003cbr>\nAssociated Press\u003c/strong>\u003c/p>\n\u003cp>SACRAMENTO — California lawmakers are proposing legislation that would require parents to vaccinate all school children unless a child's health is in danger, joining only two other states with such stringent restrictions.\u003c/p>\n\u003cp>Parents could no longer cite personal beliefs or religious reasons to send unvaccinated children to school under a proposal introduced Wednesday after dozens of people have fallen ill from a measles outbreak that started in late December at Disneyland.\u003c/p>\n\u003cp>Mississippi and West Virginia are the only other states with such strict vaccine rules, though the California bill's chief author said he would consider including a religious exemption, as allowed now.\u003c!--more-->\u003c/p>\n\u003cp>\"People are starting to realize, 'I'm vulnerable, my children are vulnerable,'\" said \u003ca href=\"http://sd06.senate.ca.gov/\">state Sen. Richard Pan\u003c/a>, a Democrat and pediatrician from Sacramento. \"We should not wait for more children to sicken or die before we act.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Earlier Wednesday, California's two U.S. senators issued a joint letter calling for a repeal of the state's \"personal belief exemption.\"\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/189545740&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/189545740'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“While a small number of children cannot be vaccinated due to an underlying medical condition, we believe there should be no such thing as a philosophical or personal belief exemption, since everyone uses public spaces,” Sens. Barbara Boxer and Dianne Feinstein wrote. “As we have learned in the past month, parents who refuse to vaccinate their children not only put their own family at risk, but they also endanger other families who choose to vaccinate.”\u003c/p>\n\u003cp>Childhood vaccine has become an emotionally charged topic and a national issue amid a measles outbreak that has sickened more than 100 people across the United States and in Mexico.\u003c/p>\n\u003cp>Like most other states, California allows religious or personal belief exemptions. According to the National Conference of State Legislatures, California is among 20 states that allow for personal belief exemptions and 48 that allow for religious exemptions.\u003c/p>\n\u003cp>Parents cite a variety of reasons for not immunizing their children, among them: religious values, concerns the shots could cause illness and a belief that allowing children to get sick helps them to build a stronger immune system.\u003c/p>\n\u003cp>Public health officials believe an immunization rate of at least 90 percent in all communities, including schools, is critical to minimizing the potential for a disease outbreak. Statistics \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Child%20Care%20Immunization%20Assessment.pdf\" target=\"_blank\">reported recently\u003c/a> by the state Department of Public Health show 89.4 percent of children in California child-care facilities -- kids between age 2 and 5 -- had received all required vaccinations at the start of the 2014-15 school year.\u003c/p>\n\u003cp>The report showed 2.67 percent of those children -- about 12,500 statewide -- were unvaccinated due to personal belief exemptions. About 2,500 students were unvaccinated due to permanent medical exemptions -- the only group that would remain exempt under Pan's proposal.\u003c/p>\n\u003cp>Pan, who previously served in the Assembly, was the author of another vaccination bill that took effect last year. It requires parents who don't have their children vaccinated for non-religious reasons to get a note from the doctor's office before enrolling their children in school.\u003c/p>\n\u003cp>A spokesman for Gov. Jerry Brown, who signed that bill, did not say if the governor would oppose efforts to end exemptions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The Governor believes that vaccinations are profoundly important and a major public health benefit and any bill that reaches his desk will be closely considered,\" Spokesman Evan Westrup wrote in an e-mail.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Once A Vaccine Skeptic, This Mom Changed Her Mind",
"title": "Once A Vaccine Skeptic, This Mom Changed Her Mind",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_23813\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/Screen-Shot-2015-02-04-at-10.26.34-AM.png\">\u003cimg class=\"size-large wp-image-23813\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/Screen-Shot-2015-02-04-at-10.26.34-AM-640x420.png\" alt=\"Juniper Russo walks her dogs with her daughter Vivian (left). (Courtesy of Juniper Russo)\" width=\"640\" height=\"420\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Juniper Russo walks her dogs with her daughter Vivian (left).\u003cbr>(Courtesy of Juniper Russo)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jon Hamilton,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2015/02/04/383567862/once-a-vaccine-skeptic-this-mom-changed-her-mind\" href=\"http://www.npr.org/blogs/health/2015/02/04/383567862/once-a-vaccine-skeptic-this-mom-changed-her-mind\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>The ongoing measles outbreak linked to Disneyland has led to some harsh comments about parents who don't vaccinate their kids. But Juniper Russo, a writer in Chattanooga, Tenn., says she understands those parents because she used to be one of them.\u003c/p>\n\u003cp>\"I know what it's like to be scared and just want to protect your children, and make the wrong decisions,\" Russo says.\u003c/p>\n\u003cp>When her daughter Vivian was born, \"I was really adamant that she not get vaccines,\" Russo says. \"I thought that she was going to be safe without them and they would unnecessarily introduce chemicals into her body that could hurt her.\"\u003c/p>\n\u003cp>That's a view shared by many parents who choose not to vaccinate. And in Russo's case, it was reinforced by parents she met online.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"I had a lot of online acquaintances who claimed that their kids had become autistic because of vaccines,\" Russo says. \"I got kind of swept up in that.\"\u003c/p>\n\u003cp>But fear of autism was only part of the reason Russo didn't want vaccines for her daughter. She says at that point in her life she identified strongly with what she calls \"crunchy moms\" who question mainstream medicine and things that aren't natural.\u003c/p>\n\u003cp>\"They're the ones who breast-feed and cloth-diaper and co-sleep and all that stuff,\" Russo says. \"And so much of who I was, was being a crunchy mom. At the time I thought that if I went along with what my pediatrician suggested ... I would be losing part of who I was.\"\u003c/p>\n\u003cp>Her daughter's pediatrician, though, kept talking to Russo about vaccines. And, over the next couple of years, she began to reconsider her position.\u003c/p>\n\u003cp>She also began to worry about Vivian. At 16 months old, her daughter still wasn't walking and her speech was odd.\u003c/p>\n\u003cp>Over the next year or so, Russo allowed the pediatrician to give her daughter a few shots — though not the vaccine against measles, mumps and rubella.\u003c/p>\n\u003cp>Then, when Vivian was nearly 3, Russo decided her daughter should get all her vaccines. By that time, Russo says, it was pretty clear that Vivian had autism, caused by something other than a vaccination.\u003c/p>\n\u003cp>Russo's story reveals a lot about why people fear vaccines, says David Ropeik, the author of How Risky Is It, Really? Why Our Fears Don't Always Match the Facts. For one thing, science often has little influence on what we are afraid of, Ropeik says.\u003c/p>\n\u003cp>\"Fear, or the perception of risk, is subjective,\" Ropeik says. \"It's a matter of how we feel about the facts we have, not just what the facts say.\u003c/p>\n\u003cp>\"Also, our perceptions are often shaped by the communities we choose to join,\" Ropeik says. In Russo's case, that community was self-described \"crunchy moms\" who distrust mainstream medicine. But there are plenty of other communities with subgroups that reject vaccination for other reasons, he says.\u003c/p>\n\u003cp>\"There's conservatism: I don't like government butting in. There's libertarianism: Leave me alone, I want to decide for myself. There's environmentalism, there's religion,\" Ropeik says.\u003c/p>\n\u003cp>And for a long time, Ropeik says, these subgroups didn't have to confront a downside to rejecting vaccines. \"There is the sense that the diseases are largely gone, so why take even a small risk for no benefit?\" he says.\u003c/p>\n\u003cp>Now that sort of thinking is getting \u003ca title=\"http://www.npr.org/blogs/13.7/2015/02/03/383501038/science-denialism-has-consequences\" href=\"http://www.npr.org/blogs/13.7/2015/02/03/383501038/science-denialism-has-consequences\" target=\"_blank\">harder to justify\u003c/a> because \"the diseases are back,\" Ropeik says. Equally important, the current measles outbreak involves Disneyland — \"an iconic, happy, associated-with-nothing-bad-happening kind of place,\" he says.\u003c/p>\n\u003cp>That's helped generate a huge amount of publicity for this outbreak, even though it's still much smaller than an outbreak centered in Ohio that occurred just last year. And it's got some former vaccine skeptics thinking that perhaps diseases do pose a greater risk than vaccines, Ropeik says.\u003c/p>\n\u003cp>Russo hopes the current outbreak gets a lot of people thinking about protecting children.\u003c/p>\n\u003cp>Her daughter is 6 now and has grown into a quirky kid who loves Pokemon, reading and writing and cats, Russo says. The concern now is for Russo's son, who is just 6 months old.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"He's too young to have the measles vaccine, and I know that there's a chance that he could end up catching measles before he's old enough to get the vaccine,\" she says.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23813\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/Screen-Shot-2015-02-04-at-10.26.34-AM.png\">\u003cimg class=\"size-large wp-image-23813\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/Screen-Shot-2015-02-04-at-10.26.34-AM-640x420.png\" alt=\"Juniper Russo walks her dogs with her daughter Vivian (left). (Courtesy of Juniper Russo)\" width=\"640\" height=\"420\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Juniper Russo walks her dogs with her daughter Vivian (left).\u003cbr>(Courtesy of Juniper Russo)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jon Hamilton,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2015/02/04/383567862/once-a-vaccine-skeptic-this-mom-changed-her-mind\" href=\"http://www.npr.org/blogs/health/2015/02/04/383567862/once-a-vaccine-skeptic-this-mom-changed-her-mind\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>The ongoing measles outbreak linked to Disneyland has led to some harsh comments about parents who don't vaccinate their kids. But Juniper Russo, a writer in Chattanooga, Tenn., says she understands those parents because she used to be one of them.\u003c/p>\n\u003cp>\"I know what it's like to be scared and just want to protect your children, and make the wrong decisions,\" Russo says.\u003c/p>\n\u003cp>When her daughter Vivian was born, \"I was really adamant that she not get vaccines,\" Russo says. \"I thought that she was going to be safe without them and they would unnecessarily introduce chemicals into her body that could hurt her.\"\u003c/p>\n\u003cp>That's a view shared by many parents who choose not to vaccinate. And in Russo's case, it was reinforced by parents she met online.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I had a lot of online acquaintances who claimed that their kids had become autistic because of vaccines,\" Russo says. \"I got kind of swept up in that.\"\u003c/p>\n\u003cp>But fear of autism was only part of the reason Russo didn't want vaccines for her daughter. She says at that point in her life she identified strongly with what she calls \"crunchy moms\" who question mainstream medicine and things that aren't natural.\u003c/p>\n\u003cp>\"They're the ones who breast-feed and cloth-diaper and co-sleep and all that stuff,\" Russo says. \"And so much of who I was, was being a crunchy mom. At the time I thought that if I went along with what my pediatrician suggested ... I would be losing part of who I was.\"\u003c/p>\n\u003cp>Her daughter's pediatrician, though, kept talking to Russo about vaccines. And, over the next couple of years, she began to reconsider her position.\u003c/p>\n\u003cp>She also began to worry about Vivian. At 16 months old, her daughter still wasn't walking and her speech was odd.\u003c/p>\n\u003cp>Over the next year or so, Russo allowed the pediatrician to give her daughter a few shots — though not the vaccine against measles, mumps and rubella.\u003c/p>\n\u003cp>Then, when Vivian was nearly 3, Russo decided her daughter should get all her vaccines. By that time, Russo says, it was pretty clear that Vivian had autism, caused by something other than a vaccination.\u003c/p>\n\u003cp>Russo's story reveals a lot about why people fear vaccines, says David Ropeik, the author of How Risky Is It, Really? Why Our Fears Don't Always Match the Facts. For one thing, science often has little influence on what we are afraid of, Ropeik says.\u003c/p>\n\u003cp>\"Fear, or the perception of risk, is subjective,\" Ropeik says. \"It's a matter of how we feel about the facts we have, not just what the facts say.\u003c/p>\n\u003cp>\"Also, our perceptions are often shaped by the communities we choose to join,\" Ropeik says. In Russo's case, that community was self-described \"crunchy moms\" who distrust mainstream medicine. But there are plenty of other communities with subgroups that reject vaccination for other reasons, he says.\u003c/p>\n\u003cp>\"There's conservatism: I don't like government butting in. There's libertarianism: Leave me alone, I want to decide for myself. There's environmentalism, there's religion,\" Ropeik says.\u003c/p>\n\u003cp>And for a long time, Ropeik says, these subgroups didn't have to confront a downside to rejecting vaccines. \"There is the sense that the diseases are largely gone, so why take even a small risk for no benefit?\" he says.\u003c/p>\n\u003cp>Now that sort of thinking is getting \u003ca title=\"http://www.npr.org/blogs/13.7/2015/02/03/383501038/science-denialism-has-consequences\" href=\"http://www.npr.org/blogs/13.7/2015/02/03/383501038/science-denialism-has-consequences\" target=\"_blank\">harder to justify\u003c/a> because \"the diseases are back,\" Ropeik says. Equally important, the current measles outbreak involves Disneyland — \"an iconic, happy, associated-with-nothing-bad-happening kind of place,\" he says.\u003c/p>\n\u003cp>That's helped generate a huge amount of publicity for this outbreak, even though it's still much smaller than an outbreak centered in Ohio that occurred just last year. And it's got some former vaccine skeptics thinking that perhaps diseases do pose a greater risk than vaccines, Ropeik says.\u003c/p>\n\u003cp>Russo hopes the current outbreak gets a lot of people thinking about protecting children.\u003c/p>\n\u003cp>Her daughter is 6 now and has grown into a quirky kid who loves Pokemon, reading and writing and cats, Russo says. The concern now is for Russo's son, who is just 6 months old.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"He's too young to have the measles vaccine, and I know that there's a chance that he could end up catching measles before he's old enough to get the vaccine,\" she says.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Got P.E.? Settlement Says Schools Must Prove They Provide It",
"title": "Got P.E.? Settlement Says Schools Must Prove They Provide It",
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"content": "\u003cfigure id=\"attachment_23798\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/Kids-running-Santa-Rosa-elementary-e1422991871174.jpg\">\u003cimg class=\"wp-image-23798 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/Kids-running-Santa-Rosa-elementary-640x427.jpg\" alt=\"Recess at Cox Academy in Oakland. (Jane Meredith Adams/EdSource)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Recess at Cox Academy in Oakland. (Jane Meredith Adams/EdSource)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jane Meredith Adams, \u003ca title=\"http://edsource.org/2015/lawsuit-agreement-to-force-schools-to-provide-physical-education/73544#.VNEhmEvJ4Tt\" href=\"http://edsource.org/2015/lawsuit-agreement-to-force-schools-to-provide-physical-education/73544#.VNEhmEvJ4Tt\" target=\"_blank\">EdSource\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>As schools tout the importance of exercise in an era of childhood obesity, a California parent and his lawyer have agreed to a settlement with \u003ca title=\"http://edsource.org/wp-content/uploads/2015/01/pe-lawsuit.png\" href=\"http://edsource.org/wp-content/uploads/2015/01/pe-lawsuit.png\" target=\"_blank\">dozens of districts across California \u003c/a>that will force elementary schools to prove they are providing at least the minimum amount of physical education required by state law.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Now there's another lawsuit against Oakland Unified and other districts. \u003c/aside>\n\u003cp>“We think it’s a huge accomplishment and it’s going to benefit public health in California,” said attorney Donald Driscoll, who represents Alameda parent Marc Babin and the advocacy group Cal200 in a\u003ca title=\"https://www.documentcloud.org/documents/1513042-1stamendedcomplaintcal200babin.html\" href=\"https://www.documentcloud.org/documents/1513042-1stamendedcomplaintcal200babin.html\" target=\"_blank\"> 2013 lawsuit\u003c/a> that alleges 37 school districts, including Los Angeles Unified, the largest district in the state, are out of compliance with state physical education law.\u003c/p>\n\u003cp>The districts, which educate more than 20 percent of elementary students grades 1 through 6 statewide, have agreed to a settlement that requires elementary school teachers to publicly document how many minutes of physical education students receive, according to lawyers involved in the case.\u003c!--more-->\u003c/p>\n\u003cp>Under \u003ca title=\"http://www.leginfo.ca.gov/cgi-bin/displaycode?section=edc&group=51001-52000&file=51210-51212\" href=\"http://www.leginfo.ca.gov/cgi-bin/displaycode?section=edc&group=51001-52000&file=51210-51212\" target=\"_blank\">the state education code\u003c/a>, schools are required to provide 200 minutes of physical education every 10 school days for elementary students, but physical education classes have sunk to the bottom of the priority list in many schools that focus on preparing students for standardized tests.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>All parties in the lawsuit have asked San Francisco Superior Court Judge Mary Wiss to grant final approval to the settlement, which is expected by late March. Babin is president of Cal200, which advocates for physical education; it takes its name from the 200-minute physical education requirement.\u003c/p>\n\u003cp>What began as a quest in 2009 by Driscoll to ensure that his 3rd-grade son was receiving state-mandated physical education time at Albany’s Cornell Elementary School has developed into a series of lawsuits filed by Driscoll, Babin and \u003ca title=\"http://cal200.org/\" href=\"http://cal200.org/\" target=\"_blank\">Cal200\u003c/a> to ensure that all elementary school students in the state are receiving the physical education instruction they are entitled to by law.\u003c/p>\n\u003cp>Public health \u003ca title=\"http://cwh.berkeley.edu/sites/default/files/primary_pdfs/PE_Toolkit_Presentation_9.13.pdf\" href=\"http://cwh.berkeley.edu/sites/default/files/primary_pdfs/PE_Toolkit_Presentation_9.13.pdf\" target=\"_blank\">advocates\u003c/a>, physical education teachers and the California Legislature have long urged districts to comply with physical education requirements, but those requirements are “rarely enforced,” according to a \u003ca title=\"http://tcenews.calendow.org/archives/california-physical-education\" href=\"http://tcenews.calendow.org/archives/california-physical-education\" target=\"_blank\">2008 report, “Physical Education Matters,”\u003c/a> by researchers at San Diego State University. The California Department of Education includes an evaluation of physical education in its cycle of compliance monitoring of districts, but according to the researchers at San Diego State, “There are no real consequences for failure to comply.”\u003c/p>\n\u003cp>A key legal turning point occurred during a 2009 lawsuit Driscoll filed against Albany Unified. When the district argued that the Education Code requirement of 200 minutes of physical education every 10 days was a goal and a guideline, not a mandate, a Sacramento Superior Court judge agreed and dismissed the case. But the California Third District Court of Appeals overturned that judgment and\u003ca title=\"http://www.leagle.com/decision/In%20CACO%2020101130059\" href=\"http://www.leagle.com/decision/In%20CACO%2020101130059\" target=\"_blank\"> ruled that physical education requirements were a mandate\u003c/a>, not a suggestion.\u003c/p>\n\u003cp>\u003cstrong>New Suit Filed Against Oakland Unified and Other Districts\u003c/strong>\u003c/p>\n\u003cp>Driscoll then teamed up with Babin, a retired investigator with the California Department of Insurance. Babin declined through Driscoll to be interviewed. But Driscoll said Babin likes the investigative challenge of the cases. “In a sense it’s an extension of the sorts of things he did as an investigator for the state,” he said.\u003c/p>\n\u003cp>They began to look into physical education instruction compliance in elementary schools across the state.\u003c/p>\n\u003cp>“I thought it was important to speak up not just for my son’s school but for the schools of other people’s kids,” Driscoll said.\u003c/p>\n\u003cp>They have no plans to stop.\u003c/p>\n\u003cp>“He’s just going to keep going after folks,” said Michael Fine, deputy superintendent for the Riverside Unified School District, one of the districts named in the lawsuit, Cal200 and Marc Babin v. San Francisco Unified School District et al. Asked if he was referring to Driscoll or Babin, Fine said, “Both. I think they’re going to pick off groups of districts.”\u003c/p>\n\u003cp>That appears to be happening already. In November, Babin and Cal200, represented by Driscoll, \u003ca title=\"https://www.documentcloud.org/documents/1513063-cal200babin-oaklandunifed-relatedcase.html\" href=\"https://www.documentcloud.org/documents/1513063-cal200babin-oaklandunifed-relatedcase.html\" target=\"_blank\">filed suit\u003c/a> against Oakland Unified School District et al., alleging that Oakland and other districts, which are to be named at a later date, are not compliant with elementary school physical education requirements.\u003c/p>\n\u003cp>Insurers have put school districts on notice. In 2013, the Alliance of Schools for Cooperative Insurance Programs, a public agency that provides insurance to about 100 California school districts, sent out a “risk alert” that Cal200 and Babin “are seeking additional districts” to sue. Districts should be prepared to prove they are providing the required minutes of physical education or that they have an action plan to do so, the alert stated.\u003c/p>\n\u003cp>Under the settlement agreement, elementary school teachers in the districts must report the minutes they spend teaching physical education, publish the schedule to parents and be subject to spot checks from principals. If teachers skip scheduled physical education instruction, they will note the reason why and report when those minutes were made up. The schedules will be submitted to local school boards for review.\u003c/p>\n\u003cp>While no one disputes the value of exercise in children’s development, budget cuts have reduced or eliminated credentialed physical education teaching positions in many elementary schools. As a result, classroom teachers are asked to squeeze in physical education while simultaneously improving academic test scores.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Jane Meredith Adams covers student health and well-being for \u003ca title=\"http://edsource.org\" href=\"http://edsource.org\" target=\"_blank\">EdSource.\u003c/a>\u003c/em>\u003c/p>\n\n",
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"excerpt": "An Alameda parent sued dozens of districts statewide because they were not providing PE, in violation of school code.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23798\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/Kids-running-Santa-Rosa-elementary-e1422991871174.jpg\">\u003cimg class=\"wp-image-23798 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/Kids-running-Santa-Rosa-elementary-640x427.jpg\" alt=\"Recess at Cox Academy in Oakland. (Jane Meredith Adams/EdSource)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Recess at Cox Academy in Oakland. (Jane Meredith Adams/EdSource)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jane Meredith Adams, \u003ca title=\"http://edsource.org/2015/lawsuit-agreement-to-force-schools-to-provide-physical-education/73544#.VNEhmEvJ4Tt\" href=\"http://edsource.org/2015/lawsuit-agreement-to-force-schools-to-provide-physical-education/73544#.VNEhmEvJ4Tt\" target=\"_blank\">EdSource\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>As schools tout the importance of exercise in an era of childhood obesity, a California parent and his lawyer have agreed to a settlement with \u003ca title=\"http://edsource.org/wp-content/uploads/2015/01/pe-lawsuit.png\" href=\"http://edsource.org/wp-content/uploads/2015/01/pe-lawsuit.png\" target=\"_blank\">dozens of districts across California \u003c/a>that will force elementary schools to prove they are providing at least the minimum amount of physical education required by state law.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Now there's another lawsuit against Oakland Unified and other districts. \u003c/aside>\n\u003cp>“We think it’s a huge accomplishment and it’s going to benefit public health in California,” said attorney Donald Driscoll, who represents Alameda parent Marc Babin and the advocacy group Cal200 in a\u003ca title=\"https://www.documentcloud.org/documents/1513042-1stamendedcomplaintcal200babin.html\" href=\"https://www.documentcloud.org/documents/1513042-1stamendedcomplaintcal200babin.html\" target=\"_blank\"> 2013 lawsuit\u003c/a> that alleges 37 school districts, including Los Angeles Unified, the largest district in the state, are out of compliance with state physical education law.\u003c/p>\n\u003cp>The districts, which educate more than 20 percent of elementary students grades 1 through 6 statewide, have agreed to a settlement that requires elementary school teachers to publicly document how many minutes of physical education students receive, according to lawyers involved in the case.\u003c!--more-->\u003c/p>\n\u003cp>Under \u003ca title=\"http://www.leginfo.ca.gov/cgi-bin/displaycode?section=edc&group=51001-52000&file=51210-51212\" href=\"http://www.leginfo.ca.gov/cgi-bin/displaycode?section=edc&group=51001-52000&file=51210-51212\" target=\"_blank\">the state education code\u003c/a>, schools are required to provide 200 minutes of physical education every 10 school days for elementary students, but physical education classes have sunk to the bottom of the priority list in many schools that focus on preparing students for standardized tests.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>All parties in the lawsuit have asked San Francisco Superior Court Judge Mary Wiss to grant final approval to the settlement, which is expected by late March. Babin is president of Cal200, which advocates for physical education; it takes its name from the 200-minute physical education requirement.\u003c/p>\n\u003cp>What began as a quest in 2009 by Driscoll to ensure that his 3rd-grade son was receiving state-mandated physical education time at Albany’s Cornell Elementary School has developed into a series of lawsuits filed by Driscoll, Babin and \u003ca title=\"http://cal200.org/\" href=\"http://cal200.org/\" target=\"_blank\">Cal200\u003c/a> to ensure that all elementary school students in the state are receiving the physical education instruction they are entitled to by law.\u003c/p>\n\u003cp>Public health \u003ca title=\"http://cwh.berkeley.edu/sites/default/files/primary_pdfs/PE_Toolkit_Presentation_9.13.pdf\" href=\"http://cwh.berkeley.edu/sites/default/files/primary_pdfs/PE_Toolkit_Presentation_9.13.pdf\" target=\"_blank\">advocates\u003c/a>, physical education teachers and the California Legislature have long urged districts to comply with physical education requirements, but those requirements are “rarely enforced,” according to a \u003ca title=\"http://tcenews.calendow.org/archives/california-physical-education\" href=\"http://tcenews.calendow.org/archives/california-physical-education\" target=\"_blank\">2008 report, “Physical Education Matters,”\u003c/a> by researchers at San Diego State University. The California Department of Education includes an evaluation of physical education in its cycle of compliance monitoring of districts, but according to the researchers at San Diego State, “There are no real consequences for failure to comply.”\u003c/p>\n\u003cp>A key legal turning point occurred during a 2009 lawsuit Driscoll filed against Albany Unified. When the district argued that the Education Code requirement of 200 minutes of physical education every 10 days was a goal and a guideline, not a mandate, a Sacramento Superior Court judge agreed and dismissed the case. But the California Third District Court of Appeals overturned that judgment and\u003ca title=\"http://www.leagle.com/decision/In%20CACO%2020101130059\" href=\"http://www.leagle.com/decision/In%20CACO%2020101130059\" target=\"_blank\"> ruled that physical education requirements were a mandate\u003c/a>, not a suggestion.\u003c/p>\n\u003cp>\u003cstrong>New Suit Filed Against Oakland Unified and Other Districts\u003c/strong>\u003c/p>\n\u003cp>Driscoll then teamed up with Babin, a retired investigator with the California Department of Insurance. Babin declined through Driscoll to be interviewed. But Driscoll said Babin likes the investigative challenge of the cases. “In a sense it’s an extension of the sorts of things he did as an investigator for the state,” he said.\u003c/p>\n\u003cp>They began to look into physical education instruction compliance in elementary schools across the state.\u003c/p>\n\u003cp>“I thought it was important to speak up not just for my son’s school but for the schools of other people’s kids,” Driscoll said.\u003c/p>\n\u003cp>They have no plans to stop.\u003c/p>\n\u003cp>“He’s just going to keep going after folks,” said Michael Fine, deputy superintendent for the Riverside Unified School District, one of the districts named in the lawsuit, Cal200 and Marc Babin v. San Francisco Unified School District et al. Asked if he was referring to Driscoll or Babin, Fine said, “Both. I think they’re going to pick off groups of districts.”\u003c/p>\n\u003cp>That appears to be happening already. In November, Babin and Cal200, represented by Driscoll, \u003ca title=\"https://www.documentcloud.org/documents/1513063-cal200babin-oaklandunifed-relatedcase.html\" href=\"https://www.documentcloud.org/documents/1513063-cal200babin-oaklandunifed-relatedcase.html\" target=\"_blank\">filed suit\u003c/a> against Oakland Unified School District et al., alleging that Oakland and other districts, which are to be named at a later date, are not compliant with elementary school physical education requirements.\u003c/p>\n\u003cp>Insurers have put school districts on notice. In 2013, the Alliance of Schools for Cooperative Insurance Programs, a public agency that provides insurance to about 100 California school districts, sent out a “risk alert” that Cal200 and Babin “are seeking additional districts” to sue. Districts should be prepared to prove they are providing the required minutes of physical education or that they have an action plan to do so, the alert stated.\u003c/p>\n\u003cp>Under the settlement agreement, elementary school teachers in the districts must report the minutes they spend teaching physical education, publish the schedule to parents and be subject to spot checks from principals. If teachers skip scheduled physical education instruction, they will note the reason why and report when those minutes were made up. The schedules will be submitted to local school boards for review.\u003c/p>\n\u003cp>While no one disputes the value of exercise in children’s development, budget cuts have reduced or eliminated credentialed physical education teaching positions in many elementary schools. As a result, classroom teachers are asked to squeeze in physical education while simultaneously improving academic test scores.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Jane Meredith Adams covers student health and well-being for \u003ca title=\"http://edsource.org\" href=\"http://edsource.org\" target=\"_blank\">EdSource.\u003c/a>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Ranks Dead Last in Spending on Diabetes Prevention",
"title": "California Ranks Dead Last in Spending on Diabetes Prevention",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_23779\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000015895198_Large-e1422914274182.jpg\">\u003cimg class=\"size-large wp-image-23779\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000015895198_Large-640x428.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Barbara Feder Ostrov,\u003c/strong> \u003ca title=\"http://kaiserhealthnews.org\" href=\"http://kaiserhealthnews.org/news/lots-of-responsibility-for-in-home-care-providers-but-no-training-required/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>California spends less per person than any state on diabetes prevention programs, even as one in 12 California adults is estimated to suffer from the chronic disease, according to a new \u003ca href=\"http://www.auditor.ca.gov/reports/summary/2014-113\">report\u003c/a> from the California state auditor.\u003c/p>\n\u003cp>Using only federal grants, California spent just 3 cents per person on diabetes prevention in the 2012-2013 fiscal year, compared with New York’s 42 cents per person in state and federal money that year, the report noted.\u003c/p>\n\u003cp>No state funding is available for diabetes prevention in California, although the Department of Public Health has solicited the federal grants for programs in some counties, according to the report. The audit takes the agency to task for not doing more.\u003c!--more-->\u003c/p>\n\u003cp>A California Department of Public Health spokesman said no one was available for comment on Friday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Because of declines in federal funding, California in 2012 shuttered nine regional centers devoted to reducing gestational diabetes. Now it has just a \u003ca href=\"http://www.cdph.ca.gov/programs/cdapp/Pages/default.aspx\" target=\"_blank\">website\u003c/a> with information on the condition, which \u003ca href=\"http://www.cdc.gov/pcd/issues/2014/13_0415.htm\" target=\"_blank\">can affect nearly 10 percent of pregnancies\u003c/a>.\u003c/p>\n\u003cp>But the state is not alone in underfunding prevention efforts, according to advocates.\u003c/p>\n\u003cp>“I know we’re on the bottom of the pile on this, but what money is out there for diabetes is just a pittance across the country, when you look at the size of the problem of diabetes,” said Michael Chae, executive director of the American Diabetes Association’s regional office in Oakland. “I’d say you could take this report for most large states and it would read similarly.”\u003c/p>\n\u003cp>Diabetes is a chronic disease that occurs when the body either cannot make enough insulin to control blood sugar (Type 1) or cannot process insulin normally (Type 2). Although diabetes can be controlled with medications and lifestyle changes, including diet and exercise, the yearly health care and related costs of the disease have been estimated at $27.5 billion in California alone, according to the American Diabetes Association.\u003c/p>\n\u003cp>The state auditor’s report acknowledged that the state public health agency appropriately spends its federal dollars. It also recently received new federal grants for diabetes prevention efforts in four counties. But the report faulted the agency for not doing more to identify additional funding and for not expanding programs to other counties with high diabetes rates. Auditors were able to identify two additional federal grants totaling $1 million that the state could have applied for but did not.\u003c/p>\n\u003cp>The auditor described the public health agency’s stated goal of preventing diabetes in 380,000 people by 2022 as “lofty.” It concluded, however, that the agency “will need to do more than it has been able to in the past with its limited funding.”\u003c/p>\n\u003cp>Nationwide, \u003ca href=\"http://www.cdc.gov/diabetes/data/statistics/2014StatisticsReport.html\" target=\"_blank\">nearly 30 million Americans live with diabetes\u003c/a> and about \u003ca href=\"http://www.cdc.gov/diabetes/newsroom/rates.html\" target=\"_blank\">1.7 million people are newly diagnosed\u003c/a> each year, according to the U.S. Centers for Disease Control and Prevention. \u003ca href=\"http://www.cdph.ca.gov/programs/cdcb/Documents/Heart%20DiseaseDiabetesPrev%20Fact%20Sheet.pdf\" target=\"_blank\">More than 2.3 million\u003c/a> California adults report they have been diagnosed with diabetes and many others are considered to have the disease but do not know it. Still others are considered to be at high risk, or “prediabetic,” based on their blood sugar levels.\u003c/p>\n\u003cp>Chae and other diabetes advocates said they have tried repeatedly over the years to persuade lawmakers to devote state money to diabetes prevention, to little avail.\u003c/p>\n\u003cp>It’s challenging to convince lawmakers and the public to devote more money to diabetes prevention, Chae said, because the disease is often unfairly characterized as a lifestyle problem caused by poor choices such as unhealthful eating and inadequate exercise. In addition, it progresses slowly, and symptoms are often invisible for years.\u003c/p>\n\u003cp>However, years of state reliance on federal grants alone has resulted in uncoordinated programs and staffers who come and go as the grants do, said Joan Werblun, a retired nurse and longtime advocate who helped found the \u003ca href=\"http://diabetescoalitionofcalifornia.org/\" target=\"_blank\">Diabetes Coalition of California\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“When you get these grants, you’re so tied into the specifics of the grants, and most of the time, it’s about data collection on how the grant is going,” Werblun said. “That’s where the money’s going. The state’s very happy to point at their projects, but they’re very small and there’s no continuation when the money’s gone. What we need are more people in the communities doing the work.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23779\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000015895198_Large-e1422914274182.jpg\">\u003cimg class=\"size-large wp-image-23779\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000015895198_Large-640x428.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Barbara Feder Ostrov,\u003c/strong> \u003ca title=\"http://kaiserhealthnews.org\" href=\"http://kaiserhealthnews.org/news/lots-of-responsibility-for-in-home-care-providers-but-no-training-required/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>California spends less per person than any state on diabetes prevention programs, even as one in 12 California adults is estimated to suffer from the chronic disease, according to a new \u003ca href=\"http://www.auditor.ca.gov/reports/summary/2014-113\">report\u003c/a> from the California state auditor.\u003c/p>\n\u003cp>Using only federal grants, California spent just 3 cents per person on diabetes prevention in the 2012-2013 fiscal year, compared with New York’s 42 cents per person in state and federal money that year, the report noted.\u003c/p>\n\u003cp>No state funding is available for diabetes prevention in California, although the Department of Public Health has solicited the federal grants for programs in some counties, according to the report. The audit takes the agency to task for not doing more.\u003c!--more-->\u003c/p>\n\u003cp>A California Department of Public Health spokesman said no one was available for comment on Friday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Because of declines in federal funding, California in 2012 shuttered nine regional centers devoted to reducing gestational diabetes. Now it has just a \u003ca href=\"http://www.cdph.ca.gov/programs/cdapp/Pages/default.aspx\" target=\"_blank\">website\u003c/a> with information on the condition, which \u003ca href=\"http://www.cdc.gov/pcd/issues/2014/13_0415.htm\" target=\"_blank\">can affect nearly 10 percent of pregnancies\u003c/a>.\u003c/p>\n\u003cp>But the state is not alone in underfunding prevention efforts, according to advocates.\u003c/p>\n\u003cp>“I know we’re on the bottom of the pile on this, but what money is out there for diabetes is just a pittance across the country, when you look at the size of the problem of diabetes,” said Michael Chae, executive director of the American Diabetes Association’s regional office in Oakland. “I’d say you could take this report for most large states and it would read similarly.”\u003c/p>\n\u003cp>Diabetes is a chronic disease that occurs when the body either cannot make enough insulin to control blood sugar (Type 1) or cannot process insulin normally (Type 2). Although diabetes can be controlled with medications and lifestyle changes, including diet and exercise, the yearly health care and related costs of the disease have been estimated at $27.5 billion in California alone, according to the American Diabetes Association.\u003c/p>\n\u003cp>The state auditor’s report acknowledged that the state public health agency appropriately spends its federal dollars. It also recently received new federal grants for diabetes prevention efforts in four counties. But the report faulted the agency for not doing more to identify additional funding and for not expanding programs to other counties with high diabetes rates. Auditors were able to identify two additional federal grants totaling $1 million that the state could have applied for but did not.\u003c/p>\n\u003cp>The auditor described the public health agency’s stated goal of preventing diabetes in 380,000 people by 2022 as “lofty.” It concluded, however, that the agency “will need to do more than it has been able to in the past with its limited funding.”\u003c/p>\n\u003cp>Nationwide, \u003ca href=\"http://www.cdc.gov/diabetes/data/statistics/2014StatisticsReport.html\" target=\"_blank\">nearly 30 million Americans live with diabetes\u003c/a> and about \u003ca href=\"http://www.cdc.gov/diabetes/newsroom/rates.html\" target=\"_blank\">1.7 million people are newly diagnosed\u003c/a> each year, according to the U.S. Centers for Disease Control and Prevention. \u003ca href=\"http://www.cdph.ca.gov/programs/cdcb/Documents/Heart%20DiseaseDiabetesPrev%20Fact%20Sheet.pdf\" target=\"_blank\">More than 2.3 million\u003c/a> California adults report they have been diagnosed with diabetes and many others are considered to have the disease but do not know it. Still others are considered to be at high risk, or “prediabetic,” based on their blood sugar levels.\u003c/p>\n\u003cp>Chae and other diabetes advocates said they have tried repeatedly over the years to persuade lawmakers to devote state money to diabetes prevention, to little avail.\u003c/p>\n\u003cp>It’s challenging to convince lawmakers and the public to devote more money to diabetes prevention, Chae said, because the disease is often unfairly characterized as a lifestyle problem caused by poor choices such as unhealthful eating and inadequate exercise. In addition, it progresses slowly, and symptoms are often invisible for years.\u003c/p>\n\u003cp>However, years of state reliance on federal grants alone has resulted in uncoordinated programs and staffers who come and go as the grants do, said Joan Werblun, a retired nurse and longtime advocate who helped found the \u003ca href=\"http://diabetescoalitionofcalifornia.org/\" target=\"_blank\">Diabetes Coalition of California\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“When you get these grants, you’re so tied into the specifics of the grants, and most of the time, it’s about data collection on how the grant is going,” Werblun said. “That’s where the money’s going. The state’s very happy to point at their projects, but they’re very small and there’s no continuation when the money’s gone. What we need are more people in the communities doing the work.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Not Just Un-Vaccinated; Under-Vaccination Also a Problem Statewide",
"title": "Not Just Un-Vaccinated; Under-Vaccination Also a Problem Statewide",
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"content": "\u003cfigure id=\"attachment_17082\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8165753357_390e69f46c_b-2-e1389225200216.jpg\">\u003cimg class=\"size-large wp-image-17082\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8165753357_390e69f46c_b-2-640x320.jpg\" alt=\"Nursing student administers flu shot. (queensu/Flickr)\" width=\"640\" height=\"320\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(queensu/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lauren M. Whaley,\u003c/strong> \u003ca title=\"http://centerforhealthreporting.org\" href=\"http://centerforhealthreporting.org\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>Kids without all their vaccinations are falling through the cracks at schools across California.\u003c/p>\n\u003cp>Over 80 percent of kindergarteners at \u003ca title=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Data.pdf\" href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Data.pdf\" target=\"_blank\">some Oakland schools\u003c/a> entered this year without all of their state-required vaccinations. At some \u003ca title=\"http://www.dailynews.com/health/20150130/majority-at-some-lausd-kindergartens-are-under-vaccinated\" href=\"http://www.dailynews.com/health/20150130/majority-at-some-lausd-kindergartens-are-under-vaccinated\" target=\"_blank\">Los Angeles Unified schools,\u003c/a> more than 90 percent are under-vaccinated, meaning only 10 percent of kids -- or far fewer -- are fully up to date on their immunizations.\u003c/p>\n\u003cp>It seems everyone has been focused on parents who opt-out of vaccinations for their kindergarteners. But, there are thousands of under-vaccinated students who may also be walking school halls for months, maybe even the whole school year, without all their shots.\u003c!--more-->\u003c/p>\n\u003cp>“Maybe it’s just not as sexy as Personal Belief Exemptions,” Amy Pine told me, referring to the option parents have to refuse vaccines on behalf of their children and lawfully send them to school. Pine directs the immunization program for the Alameda County Public Health Department.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Not sexy, maybe, but important.\u003c/p>\n\u003cp>Statewide, 2.54 percent of children have a personal belief exemption on file, but 6.86 percent of kindergarteners enter school under-vaccinated.\u003c/p>\n\u003cp>“Under-vaccinated is still making you vulnerable for disease, for getting the disease, and for transmitting the disease,” Pine said.\u003c/p>\n\u003cp>These students may lawfully enter kindergarten on a “conditional basis,” with some, but not all, of their required shots. The condition is that they’ll get up to date soon.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/189379088\"]\u003c/p>\n\u003cp>The problem is, it’s nearly impossible to tell if this ever happens. State and county health officials say it’s up to the schools to keep track. But, there is no official reporting required by schools after they submit their vaccination rates to the state in the fall. The schools are the ones charged with sending notices to parents and excluding kids from school who don’t get up to date within 10 days of those notifications.\u003c/p>\n\u003cp>\u003cspan class=\"Apple-style-span\">But, there's a powerful disincentive to keep kids out of school. \u003c/span>Several school nurses reminded me that schools get paid by how many kids are in school each day.\u003c/p>\n\u003cp>“In general, we have not made a practice of turning students away,” said Troy Flint, spokesperson for Oakland Unified. The Los Angeles Unified School District also said they didn’t keep any “conditional entrants” out of school last year for failing to get the rest of their shots.\u003c/p>\n\u003cp>Los Angeles Unified also did not know how many of their “conditional entrants” ended up fully vaccinated by the end of the 2013-2014 school year. Los Angeles county's conditional entry rate is 12.28 percent, nearly twice the state average. San Francisco's rate is 11.62 percent.\u003c/p>\n\u003cp>But neither of those counties is taking big steps to curb this problem. It’s Alameda County officials who say their rate of 9.68 percent must be fixed.\u003c/p>\n\u003cp>“We have a conditional-entrant problem here,” insisted Pine.. “They’re not immunized. They’re not protected.”\u003c/p>\n\u003cp>Together with Dr. Kristen Lum, a pediatric resident at UC San Francisco Benioff Children’s Hospital Oakland, Pine visited Alameda County schools this fall with chronically high rates of conditional entrants.\u003c/p>\n\u003cp>Pine and Lum have made recommendations to the schools, to Oakland Unified School District, to the county, and to the state. They hope their recommendations will improve tracking of “conditional entrants,” and ultimately, immunization rates statewide.\u003c/p>\n\u003cp>Alameda County’s commitment comes at a critical time in California, with 91 confirmed cases of measles, and the 2014 statewide whooping cough epidemic left two infants dead and sickened nearly 11,000 people.\u003c/p>\n\u003cp>A child could be under-vaccinated for a number of reasons, including lack of training or personnel resources for school staff charged with tracking students; families moving in and out of care; or parents who are unable to get a child to the doctor in time.\u003c/p>\n\u003cp>Pine hopes that her team can change some of this.\u003c/p>\n\u003cp>“There’s nothing like an outbreak to remind people about the importance of getting vaccinated,” she said. “Unfortunately it has to come to an outbreak or a vaccine shortage to get people lined up.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Lauren M. Whaley is the multimedia journalist for the CHCF Center for Health Reporting.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17082\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8165753357_390e69f46c_b-2-e1389225200216.jpg\">\u003cimg class=\"size-large wp-image-17082\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8165753357_390e69f46c_b-2-640x320.jpg\" alt=\"Nursing student administers flu shot. (queensu/Flickr)\" width=\"640\" height=\"320\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(queensu/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lauren M. Whaley,\u003c/strong> \u003ca title=\"http://centerforhealthreporting.org\" href=\"http://centerforhealthreporting.org\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>Kids without all their vaccinations are falling through the cracks at schools across California.\u003c/p>\n\u003cp>Over 80 percent of kindergarteners at \u003ca title=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Data.pdf\" href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Data.pdf\" target=\"_blank\">some Oakland schools\u003c/a> entered this year without all of their state-required vaccinations. At some \u003ca title=\"http://www.dailynews.com/health/20150130/majority-at-some-lausd-kindergartens-are-under-vaccinated\" href=\"http://www.dailynews.com/health/20150130/majority-at-some-lausd-kindergartens-are-under-vaccinated\" target=\"_blank\">Los Angeles Unified schools,\u003c/a> more than 90 percent are under-vaccinated, meaning only 10 percent of kids -- or far fewer -- are fully up to date on their immunizations.\u003c/p>\n\u003cp>It seems everyone has been focused on parents who opt-out of vaccinations for their kindergarteners. But, there are thousands of under-vaccinated students who may also be walking school halls for months, maybe even the whole school year, without all their shots.\u003c!--more-->\u003c/p>\n\u003cp>“Maybe it’s just not as sexy as Personal Belief Exemptions,” Amy Pine told me, referring to the option parents have to refuse vaccines on behalf of their children and lawfully send them to school. Pine directs the immunization program for the Alameda County Public Health Department.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Not sexy, maybe, but important.\u003c/p>\n\u003cp>Statewide, 2.54 percent of children have a personal belief exemption on file, but 6.86 percent of kindergarteners enter school under-vaccinated.\u003c/p>\n\u003cp>“Under-vaccinated is still making you vulnerable for disease, for getting the disease, and for transmitting the disease,” Pine said.\u003c/p>\n\u003cp>These students may lawfully enter kindergarten on a “conditional basis,” with some, but not all, of their required shots. The condition is that they’ll get up to date soon.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='undefined' height='undefined'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/189379088&visual=true&undefined'\n title='https://api.soundcloud.com/tracks/189379088'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The problem is, it’s nearly impossible to tell if this ever happens. State and county health officials say it’s up to the schools to keep track. But, there is no official reporting required by schools after they submit their vaccination rates to the state in the fall. The schools are the ones charged with sending notices to parents and excluding kids from school who don’t get up to date within 10 days of those notifications.\u003c/p>\n\u003cp>\u003cspan class=\"Apple-style-span\">But, there's a powerful disincentive to keep kids out of school. \u003c/span>Several school nurses reminded me that schools get paid by how many kids are in school each day.\u003c/p>\n\u003cp>“In general, we have not made a practice of turning students away,” said Troy Flint, spokesperson for Oakland Unified. The Los Angeles Unified School District also said they didn’t keep any “conditional entrants” out of school last year for failing to get the rest of their shots.\u003c/p>\n\u003cp>Los Angeles Unified also did not know how many of their “conditional entrants” ended up fully vaccinated by the end of the 2013-2014 school year. Los Angeles county's conditional entry rate is 12.28 percent, nearly twice the state average. San Francisco's rate is 11.62 percent.\u003c/p>\n\u003cp>But neither of those counties is taking big steps to curb this problem. It’s Alameda County officials who say their rate of 9.68 percent must be fixed.\u003c/p>\n\u003cp>“We have a conditional-entrant problem here,” insisted Pine.. “They’re not immunized. They’re not protected.”\u003c/p>\n\u003cp>Together with Dr. Kristen Lum, a pediatric resident at UC San Francisco Benioff Children’s Hospital Oakland, Pine visited Alameda County schools this fall with chronically high rates of conditional entrants.\u003c/p>\n\u003cp>Pine and Lum have made recommendations to the schools, to Oakland Unified School District, to the county, and to the state. They hope their recommendations will improve tracking of “conditional entrants,” and ultimately, immunization rates statewide.\u003c/p>\n\u003cp>Alameda County’s commitment comes at a critical time in California, with 91 confirmed cases of measles, and the 2014 statewide whooping cough epidemic left two infants dead and sickened nearly 11,000 people.\u003c/p>\n\u003cp>A child could be under-vaccinated for a number of reasons, including lack of training or personnel resources for school staff charged with tracking students; families moving in and out of care; or parents who are unable to get a child to the doctor in time.\u003c/p>\n\u003cp>Pine hopes that her team can change some of this.\u003c/p>\n\u003cp>“There’s nothing like an outbreak to remind people about the importance of getting vaccinated,” she said. “Unfortunately it has to come to an outbreak or a vaccine shortage to get people lined up.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Lauren M. Whaley is the multimedia journalist for the CHCF Center for Health Reporting.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Vaccine Opt-Out Rate Drops -- First Time Since 1998; Look Up Your Calif. School",
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"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>By Olivia Allen-Price and Lisa Aliferis\u003c/strong>\u003c/p>\n\u003cp>Under California law, all kindergarteners must be vaccinated against a range of communicable diseases before they can start school. But California also permits parents to opt-out of vaccines on behalf of their children. The opt-out rate \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" target=\"_blank\">doubled over a seven year\u003c/a> period ending last school year. But now, for the first time since 1998, the opt-out rate has declined, from 3.15 percent statewide to 2.5 percent.\u003c/p>\n\u003cp>A\u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\"> new state law\u003c/a> appears to be the driver. Under \u003ca title=\"http://www.aroundthecapitol.com/billtrack/text.html?bvid=20110AB210996AMD\" href=\"http://www.aroundthecapitol.com/billtrack/text.html?bvid=20110AB210996AMD\" target=\"_blank\">AB 2109\u003c/a>, parents who wish to opt out of vaccines must file a personal belief exemption or PBE, a signed statement that vaccines are against their personal belief.\u003c/p>\n\u003cp>\u003ca href=\"#lookup\">\u003cimg class=\"alignright size-full wp-image-23583\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/lookup.jpg\" alt=\"lookup\" width=\"300\" height=\"151\">\u003c/a>This school year, for the first time, parents must first meet with a health provider who explains the risks and benefits of both vaccines and vaccine-preventable diseases. Until the current school year, parents simply had to sign the statement without any consultation.\u003c/p>\n\u003cp>State senator Richard Pan (D-Sacramento) sponsored the bill and is pretty happy about the decline. He believes that requiring the meeting with a health care provider clears up confusion some parents have about vaccines.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"By requiring them to talk to a physician or other health provider,\" Pan said, \"they can get more information and when they get that information, they feel more comfortable about getting their children vaccinated.\"\u003c/p>\n\u003cp>\"In addition, the law likely catches people who might have been too busy to get to the doctor. \"In the past you could just sign before you could go to school,\" said Dr. Dean Blumberg of the UC Davis medical center who is involved in vaccine research. \"Now since you have to talk to your health provider to sign the form, you may as well -- since you're talking to the doctor -- get them vaccinated.\"\u003c/p>\n\u003cp>\u003cstrong>PBE Rates Changed Over Time\u003c/strong>\u003c/p>\n\u003cp>Blumberg provided State of Health with data from a \u003ca title=\"https://cdc.confex.com/cdc/nic2010/webprogram/Paper22752.html\" href=\"https://cdc.confex.com/cdc/nic2010/webprogram/Paper22752.html\" target=\"_blank\">Centers for Disease Control vaccine conference\u003c/a> showing historical rates of personal belief exemptions in California. Rates had been comparatively low, especially after the 1989-1991 measles epidemic when there were 17,000 cases of measles and 70 people died in California.\u003c/p>\n\u003cp>Vaccine rates need to be 90 percent -- or higher -- depending on the disease to create what's known as \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">herd immunity\u003c/a>. That means that enough people are vaccinated to protect those who cannot be vaccinated for medical reasons or whose immune system is compromised. This includes \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" target=\"_blank\">people being treated for cancer\u003c/a> or HIV patients and more. When vaccine rates are high, a disease introduced into a community cannot take hold.\u003c/p>\n\u003cp>Health officials would not be as concerned about the average PBE rate statewide -- but the rate \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">hides clusters where PBE rates are significantly higher\u003c/a>. In the Bay Area there are geographic clusters of vaccine refusals above 10 percent.\u003c/p>\n\u003cp>Right now, California health officials are working to contain a measles outbreak that has reached 91 cases this month.\u003c/p>\n\u003cp>After nearly a decade of low PBE rates in the 1990s, they started to increase in 1998. That was the same year a study was published that claimed a link between the measles, mumps, rubella vaccine and autism. The study was \u003ca title=\"http://www2.aap.org/immunization/families/mmr.html\" href=\"http://www2.aap.org/immunization/families/mmr.html\" target=\"_blank\">later debunked and retracted\u003c/a>.\u003c/p>\n\u003cp>But the damage was done. PBE rates have climbed steadily ever since, until now.\u003c/p>\n\u003cp>The California Department of Public Health \u003ca title=\"California Department of Public Health Immunization page\" href=\"http://www.cdph.ca.gov/programs/immunize/pages/immunizationlevels.aspx\" target=\"_blank\">collects vaccination rates\u003c/a> and PBE rates at every kindergarten in the state with more than 10 students — both public and private schools. Further below, we’ve made it easy for you to look up your own school.\u003c/p>\n\u003cp>Entering kindergarten children are required to be vaccinated against:\u003c/p>\n\u003cul>\n\u003cli>Polio\u003c/li>\n\u003cli>Diphtheria, Tetanus, and Pertussis (DTaP)\u003c/li>\n\u003cli>Measles, Mumps, and Rubella (MMR)\u003c/li>\n\u003cli>Hepatitis B\u003c/li>\n\u003cli>Varicella (Chickenpox)\u003c/li>\n\u003c/ul>\n\u003cp>For years, Marin County has had the highest PBE rate in the Bay Area. In the 2013-2014 school year, the county's PBE rate was 7.57 percent. This school year, it declined to 6.45 percent.\u003c/p>\n\u003cp>Four other Bay Area counties have lower PBE rates than Marin -- and their opt-out rates also declined from last year, as follows:\u003c/p>\n\u003cul>\n\u003cli>Santa Clara: 1.72 percent in 2013-2014 to 1.57 percent this year\u003c/li>\n\u003cli>Alameda: 1.78 percent to 1.54 percent\u003c/li>\n\u003cli>San Mateo: 2.26 percent to 1.85 percent\u003c/li>\n\u003cli>Contra Costa: 2.32 percent to 1.90 percent\u003c/li>\n\u003c/ul>\n\u003cp>But San Francisco County saw a slight increase in its PBE rate from 1.64 percent last year to 1.80 percent this year.\u003c/p>\n\u003cp>\u003cstrong>Find Any School in California\u003c/strong>\u003c/p>\n\u003cp>You can look up the personal belief exemption rate at your own school below. So you can see the trend, \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" target=\"_blank\">we include data\u003c/a> from the 2007-2008 school year through the 2014-2015 school year, the most recent year for which data are available. This tool includes data from every kindergarten in the state, public or private, with 10 or more students.\u003c/p>\n\u003cp>The column to the far right — “PBE” — shows the percentage of children at a kindergarten with a personal belief exemption on file. The higher the number, the more children are not receiving vaccines.\u003c/p>\n\u003cp>\u003cstrong>Enter your child’s school in the search box at right:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"http://projects1.kqed.org/vaccines/pbe2014-6.html\" width=\"100%\" height=\"1300px\" id=\"lookup\">\u003c/iframe>\u003c/p>\n\u003cstyle>\t \t \n.single-post #content {width: 100%; }\t \t \n.single-post #sidebar {display: none;}\t \t \n\u003c/style>\n\n",
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"excerpt": "A new state law appears to be driving higher vaccination rates.",
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"description": "A new state law appears to be driving higher vaccination rates.",
"title": "Vaccine Opt-Out Rate Drops -- First Time Since 1998; Look Up Your Calif. School | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Olivia Allen-Price and Lisa Aliferis\u003c/strong>\u003c/p>\n\u003cp>Under California law, all kindergarteners must be vaccinated against a range of communicable diseases before they can start school. But California also permits parents to opt-out of vaccines on behalf of their children. The opt-out rate \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" target=\"_blank\">doubled over a seven year\u003c/a> period ending last school year. But now, for the first time since 1998, the opt-out rate has declined, from 3.15 percent statewide to 2.5 percent.\u003c/p>\n\u003cp>A\u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\"> new state law\u003c/a> appears to be the driver. Under \u003ca title=\"http://www.aroundthecapitol.com/billtrack/text.html?bvid=20110AB210996AMD\" href=\"http://www.aroundthecapitol.com/billtrack/text.html?bvid=20110AB210996AMD\" target=\"_blank\">AB 2109\u003c/a>, parents who wish to opt out of vaccines must file a personal belief exemption or PBE, a signed statement that vaccines are against their personal belief.\u003c/p>\n\u003cp>\u003ca href=\"#lookup\">\u003cimg class=\"alignright size-full wp-image-23583\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/lookup.jpg\" alt=\"lookup\" width=\"300\" height=\"151\">\u003c/a>This school year, for the first time, parents must first meet with a health provider who explains the risks and benefits of both vaccines and vaccine-preventable diseases. Until the current school year, parents simply had to sign the statement without any consultation.\u003c/p>\n\u003cp>State senator Richard Pan (D-Sacramento) sponsored the bill and is pretty happy about the decline. He believes that requiring the meeting with a health care provider clears up confusion some parents have about vaccines.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"By requiring them to talk to a physician or other health provider,\" Pan said, \"they can get more information and when they get that information, they feel more comfortable about getting their children vaccinated.\"\u003c/p>\n\u003cp>\"In addition, the law likely catches people who might have been too busy to get to the doctor. \"In the past you could just sign before you could go to school,\" said Dr. Dean Blumberg of the UC Davis medical center who is involved in vaccine research. \"Now since you have to talk to your health provider to sign the form, you may as well -- since you're talking to the doctor -- get them vaccinated.\"\u003c/p>\n\u003cp>\u003cstrong>PBE Rates Changed Over Time\u003c/strong>\u003c/p>\n\u003cp>Blumberg provided State of Health with data from a \u003ca title=\"https://cdc.confex.com/cdc/nic2010/webprogram/Paper22752.html\" href=\"https://cdc.confex.com/cdc/nic2010/webprogram/Paper22752.html\" target=\"_blank\">Centers for Disease Control vaccine conference\u003c/a> showing historical rates of personal belief exemptions in California. Rates had been comparatively low, especially after the 1989-1991 measles epidemic when there were 17,000 cases of measles and 70 people died in California.\u003c/p>\n\u003cp>Vaccine rates need to be 90 percent -- or higher -- depending on the disease to create what's known as \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">herd immunity\u003c/a>. That means that enough people are vaccinated to protect those who cannot be vaccinated for medical reasons or whose immune system is compromised. This includes \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" target=\"_blank\">people being treated for cancer\u003c/a> or HIV patients and more. When vaccine rates are high, a disease introduced into a community cannot take hold.\u003c/p>\n\u003cp>Health officials would not be as concerned about the average PBE rate statewide -- but the rate \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">hides clusters where PBE rates are significantly higher\u003c/a>. In the Bay Area there are geographic clusters of vaccine refusals above 10 percent.\u003c/p>\n\u003cp>Right now, California health officials are working to contain a measles outbreak that has reached 91 cases this month.\u003c/p>\n\u003cp>After nearly a decade of low PBE rates in the 1990s, they started to increase in 1998. That was the same year a study was published that claimed a link between the measles, mumps, rubella vaccine and autism. The study was \u003ca title=\"http://www2.aap.org/immunization/families/mmr.html\" href=\"http://www2.aap.org/immunization/families/mmr.html\" target=\"_blank\">later debunked and retracted\u003c/a>.\u003c/p>\n\u003cp>But the damage was done. PBE rates have climbed steadily ever since, until now.\u003c/p>\n\u003cp>The California Department of Public Health \u003ca title=\"California Department of Public Health Immunization page\" href=\"http://www.cdph.ca.gov/programs/immunize/pages/immunizationlevels.aspx\" target=\"_blank\">collects vaccination rates\u003c/a> and PBE rates at every kindergarten in the state with more than 10 students — both public and private schools. Further below, we’ve made it easy for you to look up your own school.\u003c/p>\n\u003cp>Entering kindergarten children are required to be vaccinated against:\u003c/p>\n\u003cul>\n\u003cli>Polio\u003c/li>\n\u003cli>Diphtheria, Tetanus, and Pertussis (DTaP)\u003c/li>\n\u003cli>Measles, Mumps, and Rubella (MMR)\u003c/li>\n\u003cli>Hepatitis B\u003c/li>\n\u003cli>Varicella (Chickenpox)\u003c/li>\n\u003c/ul>\n\u003cp>For years, Marin County has had the highest PBE rate in the Bay Area. In the 2013-2014 school year, the county's PBE rate was 7.57 percent. This school year, it declined to 6.45 percent.\u003c/p>\n\u003cp>Four other Bay Area counties have lower PBE rates than Marin -- and their opt-out rates also declined from last year, as follows:\u003c/p>\n\u003cul>\n\u003cli>Santa Clara: 1.72 percent in 2013-2014 to 1.57 percent this year\u003c/li>\n\u003cli>Alameda: 1.78 percent to 1.54 percent\u003c/li>\n\u003cli>San Mateo: 2.26 percent to 1.85 percent\u003c/li>\n\u003cli>Contra Costa: 2.32 percent to 1.90 percent\u003c/li>\n\u003c/ul>\n\u003cp>But San Francisco County saw a slight increase in its PBE rate from 1.64 percent last year to 1.80 percent this year.\u003c/p>\n\u003cp>\u003cstrong>Find Any School in California\u003c/strong>\u003c/p>\n\u003cp>You can look up the personal belief exemption rate at your own school below. So you can see the trend, \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" target=\"_blank\">we include data\u003c/a> from the 2007-2008 school year through the 2014-2015 school year, the most recent year for which data are available. This tool includes data from every kindergarten in the state, public or private, with 10 or more students.\u003c/p>\n\u003cp>The column to the far right — “PBE” — shows the percentage of children at a kindergarten with a personal belief exemption on file. The higher the number, the more children are not receiving vaccines.\u003c/p>\n\u003cp>\u003cstrong>Enter your child’s school in the search box at right:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"http://projects1.kqed.org/vaccines/pbe2014-6.html\" width=\"100%\" height=\"1300px\" id=\"lookup\">\u003c/iframe>\u003c/p>\n\u003cstyle>\t \t \n.single-post #content {width: 100%; }\t \t \n.single-post #sidebar {display: none;}\t \t \n\u003c/style>\n\n\u003c/div>\u003c/p>",
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
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"airtime": "SUN 7:30pm-8pm",
"meta": {
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},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
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},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
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"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
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"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
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"restaurantIdsSorted": [],
"error": null
},
"userAgentReducer": {
"userAgent": "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)",
"isBot": true
}
}
