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"disqusTitle": "Male in Life, Female in Death: The Story of Christopher Lee’s Death Certificate",
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"content": "\u003cfigure id=\"attachment_18754\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/RS9694_christopher-long-hpf.jpg\">\u003cimg class=\"size-full wp-image-18754\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/RS9694_christopher-long-hpf.jpg\" alt=\"Christopher Lee lived his life as a man, but after he died by suicide, the death certificate listed his gender as female.\" width=\"640\" height=\"294\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9694_christopher-long-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9694_christopher-long-hpf-400x184.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9694_christopher-long-hpf-320x147.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Christopher Lee lived his life as a man, but after he died by suicide, the death certificate listed his gender as female.\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Matt Levin\u003c/strong>\u003c/p>\n\u003cp>Death certificates are typically pretty boring documents. A box for name, a box for date, a box for place and time, for cause of death. A bureaucratic afterthought to help family and friends settle the affairs of a deceased loved one.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“I looked at it, and it said 'female' on it. And I asked her, ‘Why does it say female? He was male.'\"\u003c/aside>\n\u003cp>A death certificate was not on the forefront of Chino Scott-Chung’s mind as he waited for the ashes of his best friend, Christopher Lee. Lee, 48, had committed suicide in December 2012, and Scott-Chung was still reeling from the death of the friend who had served as best man in his wedding.\u003c/p>\n\u003cp>After receiving the ashes, Scott-Chung prepared to leave when the employee from the Oakland cremation services company handed him Lee’s death certificate.\u003c/p>\n\u003cp>Scott-Chung immediately noticed something was wrong. Something that Christopher would never have consented to if he were still alive.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I looked at it, and it said female on it,” said Scott-Chung. “And I asked her, ‘Why does it say female? He was male. You must have made a mistake.’”\u003c/p>\n\u003cp>Lee was a female-to-male transgender person, and had identified as male for two decades. His driver’s license, which Scott-Chung and his spouse had turned over to the Alameda County coroner shortly after Lee’s death, identified Lee as male.\u003c/p>\n\u003cp>But on Lee’s death certificate, under the box marked “SEX”, was the word “female.”\u003c/p>\n\u003cp>“That can’t be,” Scott-Chung remembered telling the cremation company employee. “He’s a man, and he has lived as man for close to twenty years.”\u003c/p>\n\u003cp>The employee explained to Lee that the death certificate was filled out by the Alameda County coroner’s office, and that gender on the form is typically determined by the presence of male or female genitalia.\u003c/p>\n\u003cp>While Lee identified as male and had secondary male sex characteristics like facial hair, he had not undergone sex reassignment surgery, and so retained female reproductive anatomy.\u003c/p>\n\u003cp>Scott-Chung was shocked. It wasn’t just that he believed a public document incorrectly identified Lee’s gender. It’s that Lee had spent much of his adult life as a public figure in the Bay Area transgender community, and was in many respects a pioneer in the transgender rights movement.\u003c/p>\n\u003cp>Lee had co-founded the \u003ca href=\"http://www.sftff.org/\">Transgender Film Festival\u003c/a>, then known as “Tranny Fest”, in San Francisco in 1997. The festival, which screens works that seek to counter negative stereotypes about transgender people, was the first of its kind in North America and is still hosted annually in Bay Area theaters.\u003c/p>\n\u003cp>In 2002, Lee served as the first female-to-male transgender grand marshal of the San Francisco LGBT Pride Parade. He made several films about the transgender experience, including the autobiographical “Christopher’s Chronicles.”\u003c/p>\n\u003cp>“When they put RIP on people’s tombstones, it’s rest in peace” said Maya Scott-Chung, Chino’s spouse and a close friend of Lee’s. “And I just felt like Christopher’s spirit will not rest in peace with a death certificate that says female.”\u003c/p>\n\u003cp>Shortly after receiving Lee’s death certificate, the couple contacted the Transgender Law Center, an Oakland-based legal services and advocacy organization, to see what they could do to amend the document.\u003c/p>\n\u003cp>\"Under current law, we were actually surprised to learn that there's essentially no guidance to people filling out death certificates about what they should put for sex,\" said Ilona Turner, legal director for the Transgender Law Center.\u003c/p>\n\u003cp>“Whenever transgender people pass away, it’s completely up to the discretion, education, knowledge, of that individual coroner or funeral director to use their best judgment in the face of what is sometimes conflicting information.”\u003c/p>\n\u003cp>Such conflicting information could arise in the form of reproductive genitalia of one sex and secondary sex characteristics of another, such as in Lee’s case. Because the cost of sex reassignment surgery is generally prohibitively high and often not covered by health insurance, this is common among transgender people.\u003c/p>\n\u003cp>Adding to the uncertainty, coroners and funeral directors typically rely on the next of kin of the deceased when filling out vital information on a death certificate, including name, age, occupation, and sex. This may be problematic for many transgender people who are estranged from their biological families because of their gender transition.\u003c/p>\n\u003cp>“This is one of those elements that can come up where people may disagree as to what should be included on the death certificate, what the deceased wanted to have included in terms of their gender,” said Bob Achermann, executive director of the California Funeral Directors Association.\u003c/p>\n\u003cp>Achermann says this could leave funeral directors in legally vulnerable territory.\u003c/p>\n\u003cp>“You don’t want to put yourself in the middle, expose yourself to liability because you can’t resolve a conflict between two parties saying totally contrary things.”\u003c/p>\n\u003cp>The legal limbo surrounding transgender death certificates prompted Transgender Law Center and Equality California, a gay rights group, to push for new legislation in the state capitol this year. The \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1551-1600/ab_1577_cfa_20140321_162401_asm_comm.html\" target=\"_blank\">“Respect After Death Act”\u003c/a>, introduced by Assemblymember Toni Atkins (D-San Diego), requires that individuals completing a death certificate record the decedent’s sex to reflect his or her gender identity, not simply sexual anatomy.\u003c/p>\n\u003cp>The bill, AB 1577, passed a health committee vote earlier this month and awaits a May hearing in the Assembly Appropriations Committee. It specifies legal documents that officials should defer to when determining gender on a death certificate. These documents include a birth certificate, a court order approving a name or gender change, a passport, proof of clinical treatment for gender transition, and a valid driver’s license. In the event of a conflict, such documents would trump preferences of next-of-kin.\u003c/p>\n\u003cp>The bill would also shield coroners and funeral directors from lawsuits if they fill out death certificates according to these new protocols.\u003c/p>\n\u003cp>“Passing AB 1577 will ensure that transgender people who have memorialized their gender transition can be recognized properly at death with simple, objective criteria,” Atkins said during the bill’s hearing.\u003c/p>\n\u003cp>Atkins has taken on transgender issues as part of her legislative agenda. Last year, Atkins co-authored \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1251-1300/ab_1266_bill_20130812_chaptered.html\" target=\"_blank\">AB 1266\u003c/a>, which allowed transgender students to use facilities like bathrooms that conform to their gender identity. She also sponsored separate legislation that makes it easier for transgender people to change the name and gender listed on their birth certificate. Atkins will become the first lesbian Assembly Speaker later this spring.\u003c/p>\n\u003cp>Capitol Resource Institute, a family values advocacy group, has registered opposition to the bill, arguing that it would give legal authority to non-family members to influence the recording of gender on a death certificate. The group did not respond to multiple requests for comment.\u003c/p>\n\u003cp>Turner, the attorney from the Transgender Law Center, argues that the bill is one step in a broader effort against the posthumous “mis-gendering” of transgender people. Lawyers from the organization say they’ve heard of cases where family bury the transgender deceased in clothes of their birth gender, rather than how the person dressed as an adult.\u003c/p>\n\u003cp>“It's incredibly painful to the family, friends, and broader community members of a transgender person who passed away when that person is wrongly gendered after their death,” said Turner. “It sends a message, really a pretty strong signal to the rest of the community, that your wishes around your gender, your identity, your life as this person, who you are doesn't matter and can be completely erased once you're not here to stand up for yourself.”\u003c/p>\n\u003cp>As far as Lee’s death certificate is concerned, Chino and Maya Scott-Chung are currently in the process of attempting to amend it. While Lee was not close to his biological family for many reasons, the family has deferred to the Scott-Chungs to settle Lee’s affairs. The family declined to be interviewed by KQED.\u003c/p>\n\u003cp>An amended death certificate in California does not replace the original certificate -- an amended version is simply attached to the original. Once the amendment process is complete, if someone requested Lee’s death certificate as a public record, they would see two genders: the original “female” on the old certificate, and “male” on the corrected one.\u003c/p>\n\u003cp>\u003cem>Additional reporting by April Dembosky. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>More:\u003c/strong> \u003ca href=\"http://www.californiareport.org/archive/R201404181630/b\" target=\"_blank\">Transgender Activist's Death Opens Political Battle\u003c/a>\u003cstrong> (The California Report Magazine)\u003c/strong>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"6mSHroZjr9uZ5jyrrJgUO3oMZjGOUsVL\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18754\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/RS9694_christopher-long-hpf.jpg\">\u003cimg class=\"size-full wp-image-18754\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/RS9694_christopher-long-hpf.jpg\" alt=\"Christopher Lee lived his life as a man, but after he died by suicide, the death certificate listed his gender as female.\" width=\"640\" height=\"294\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9694_christopher-long-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9694_christopher-long-hpf-400x184.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9694_christopher-long-hpf-320x147.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Christopher Lee lived his life as a man, but after he died by suicide, the death certificate listed his gender as female.\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Matt Levin\u003c/strong>\u003c/p>\n\u003cp>Death certificates are typically pretty boring documents. A box for name, a box for date, a box for place and time, for cause of death. A bureaucratic afterthought to help family and friends settle the affairs of a deceased loved one.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“I looked at it, and it said 'female' on it. And I asked her, ‘Why does it say female? He was male.'\"\u003c/aside>\n\u003cp>A death certificate was not on the forefront of Chino Scott-Chung’s mind as he waited for the ashes of his best friend, Christopher Lee. Lee, 48, had committed suicide in December 2012, and Scott-Chung was still reeling from the death of the friend who had served as best man in his wedding.\u003c/p>\n\u003cp>After receiving the ashes, Scott-Chung prepared to leave when the employee from the Oakland cremation services company handed him Lee’s death certificate.\u003c/p>\n\u003cp>Scott-Chung immediately noticed something was wrong. Something that Christopher would never have consented to if he were still alive.\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 looked at it, and it said female on it,” said Scott-Chung. “And I asked her, ‘Why does it say female? He was male. You must have made a mistake.’”\u003c/p>\n\u003cp>Lee was a female-to-male transgender person, and had identified as male for two decades. His driver’s license, which Scott-Chung and his spouse had turned over to the Alameda County coroner shortly after Lee’s death, identified Lee as male.\u003c/p>\n\u003cp>But on Lee’s death certificate, under the box marked “SEX”, was the word “female.”\u003c/p>\n\u003cp>“That can’t be,” Scott-Chung remembered telling the cremation company employee. “He’s a man, and he has lived as man for close to twenty years.”\u003c/p>\n\u003cp>The employee explained to Lee that the death certificate was filled out by the Alameda County coroner’s office, and that gender on the form is typically determined by the presence of male or female genitalia.\u003c/p>\n\u003cp>While Lee identified as male and had secondary male sex characteristics like facial hair, he had not undergone sex reassignment surgery, and so retained female reproductive anatomy.\u003c/p>\n\u003cp>Scott-Chung was shocked. It wasn’t just that he believed a public document incorrectly identified Lee’s gender. It’s that Lee had spent much of his adult life as a public figure in the Bay Area transgender community, and was in many respects a pioneer in the transgender rights movement.\u003c/p>\n\u003cp>Lee had co-founded the \u003ca href=\"http://www.sftff.org/\">Transgender Film Festival\u003c/a>, then known as “Tranny Fest”, in San Francisco in 1997. The festival, which screens works that seek to counter negative stereotypes about transgender people, was the first of its kind in North America and is still hosted annually in Bay Area theaters.\u003c/p>\n\u003cp>In 2002, Lee served as the first female-to-male transgender grand marshal of the San Francisco LGBT Pride Parade. He made several films about the transgender experience, including the autobiographical “Christopher’s Chronicles.”\u003c/p>\n\u003cp>“When they put RIP on people’s tombstones, it’s rest in peace” said Maya Scott-Chung, Chino’s spouse and a close friend of Lee’s. “And I just felt like Christopher’s spirit will not rest in peace with a death certificate that says female.”\u003c/p>\n\u003cp>Shortly after receiving Lee’s death certificate, the couple contacted the Transgender Law Center, an Oakland-based legal services and advocacy organization, to see what they could do to amend the document.\u003c/p>\n\u003cp>\"Under current law, we were actually surprised to learn that there's essentially no guidance to people filling out death certificates about what they should put for sex,\" said Ilona Turner, legal director for the Transgender Law Center.\u003c/p>\n\u003cp>“Whenever transgender people pass away, it’s completely up to the discretion, education, knowledge, of that individual coroner or funeral director to use their best judgment in the face of what is sometimes conflicting information.”\u003c/p>\n\u003cp>Such conflicting information could arise in the form of reproductive genitalia of one sex and secondary sex characteristics of another, such as in Lee’s case. Because the cost of sex reassignment surgery is generally prohibitively high and often not covered by health insurance, this is common among transgender people.\u003c/p>\n\u003cp>Adding to the uncertainty, coroners and funeral directors typically rely on the next of kin of the deceased when filling out vital information on a death certificate, including name, age, occupation, and sex. This may be problematic for many transgender people who are estranged from their biological families because of their gender transition.\u003c/p>\n\u003cp>“This is one of those elements that can come up where people may disagree as to what should be included on the death certificate, what the deceased wanted to have included in terms of their gender,” said Bob Achermann, executive director of the California Funeral Directors Association.\u003c/p>\n\u003cp>Achermann says this could leave funeral directors in legally vulnerable territory.\u003c/p>\n\u003cp>“You don’t want to put yourself in the middle, expose yourself to liability because you can’t resolve a conflict between two parties saying totally contrary things.”\u003c/p>\n\u003cp>The legal limbo surrounding transgender death certificates prompted Transgender Law Center and Equality California, a gay rights group, to push for new legislation in the state capitol this year. The \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1551-1600/ab_1577_cfa_20140321_162401_asm_comm.html\" target=\"_blank\">“Respect After Death Act”\u003c/a>, introduced by Assemblymember Toni Atkins (D-San Diego), requires that individuals completing a death certificate record the decedent’s sex to reflect his or her gender identity, not simply sexual anatomy.\u003c/p>\n\u003cp>The bill, AB 1577, passed a health committee vote earlier this month and awaits a May hearing in the Assembly Appropriations Committee. It specifies legal documents that officials should defer to when determining gender on a death certificate. These documents include a birth certificate, a court order approving a name or gender change, a passport, proof of clinical treatment for gender transition, and a valid driver’s license. In the event of a conflict, such documents would trump preferences of next-of-kin.\u003c/p>\n\u003cp>The bill would also shield coroners and funeral directors from lawsuits if they fill out death certificates according to these new protocols.\u003c/p>\n\u003cp>“Passing AB 1577 will ensure that transgender people who have memorialized their gender transition can be recognized properly at death with simple, objective criteria,” Atkins said during the bill’s hearing.\u003c/p>\n\u003cp>Atkins has taken on transgender issues as part of her legislative agenda. Last year, Atkins co-authored \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1251-1300/ab_1266_bill_20130812_chaptered.html\" target=\"_blank\">AB 1266\u003c/a>, which allowed transgender students to use facilities like bathrooms that conform to their gender identity. She also sponsored separate legislation that makes it easier for transgender people to change the name and gender listed on their birth certificate. Atkins will become the first lesbian Assembly Speaker later this spring.\u003c/p>\n\u003cp>Capitol Resource Institute, a family values advocacy group, has registered opposition to the bill, arguing that it would give legal authority to non-family members to influence the recording of gender on a death certificate. The group did not respond to multiple requests for comment.\u003c/p>\n\u003cp>Turner, the attorney from the Transgender Law Center, argues that the bill is one step in a broader effort against the posthumous “mis-gendering” of transgender people. Lawyers from the organization say they’ve heard of cases where family bury the transgender deceased in clothes of their birth gender, rather than how the person dressed as an adult.\u003c/p>\n\u003cp>“It's incredibly painful to the family, friends, and broader community members of a transgender person who passed away when that person is wrongly gendered after their death,” said Turner. “It sends a message, really a pretty strong signal to the rest of the community, that your wishes around your gender, your identity, your life as this person, who you are doesn't matter and can be completely erased once you're not here to stand up for yourself.”\u003c/p>\n\u003cp>As far as Lee’s death certificate is concerned, Chino and Maya Scott-Chung are currently in the process of attempting to amend it. While Lee was not close to his biological family for many reasons, the family has deferred to the Scott-Chungs to settle Lee’s affairs. 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"content": "\u003cfigure id=\"attachment_18588\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/IMG_0142-e1396906812482.jpg\">\u003cimg class=\"size-large wp-image-18588\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/IMG_0142-640x480.jpg\" alt=\"IMG_0142\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lenworth Poyser (left) works with a colleague at Children's Hospital Los Angeles. Poyser is a health educator for a project focused on reaching young, gay men of color who are HIV-positive. (Susan Valot/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Lack of health insurance isn't the only barrier to getting medical care. The stigma and fear around HIV can keep people from seeking help. As part of our ongoing health series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>, we hear from Lenworth Poyser. He was homeless and living with HIV. Now, Poyser helps young HIV-positive men support each other through a group at Children’s Hospital Los Angeles. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Lenworth Poyser\u003c/strong>\u003c/p>\n\u003cp>When I first came out, when I was still in Texas, I left my mother’s house. At the time I was 18. What she was basically saying is: You can be in this house, just don't be gay in this house. And I couldn't do it. So, I threw my clothes into a trash bag and got out.\u003c/p>\n\u003cp>My sister had invited me to move out to L.A., move out to L.A. And, when HIV hit, I was like, \"Oh, life is too short.\" So, I decided to just do it.\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\">In 2010, young black men who had sex with men made up 55 percent of all new HIV infections for young gay and bisexual men, according to the Centers for Disease Control and Prevention.\n\u003cp>While roughly 10 percent of youth are LGBT, anywhere from 20 to 40 percent of homeless youth are LGBT, according to the United States Interagency Council on Homelessness.\u003c/p>\u003c/aside>\n\u003cp>I do want to sing. And I also knew there were lots of opportunities for people who are positive out here, versus in Texas. But after about 3 months, I still could not find a job. I was kind of just sleeping with friends and stuff like that. Like house hopping.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I started care when I got into the transitional living program at the L.A. Gay and Lesbian Center -- a program for youth, 24 and under, who are homeless. I remember that was one of the first (times) I took my medication. My HIV medication.\u003c/p>\n\u003cp>It's sad that we're thirty-plus years into this disease and like the shame and the stigma is almost -- it's gone away some -- but it's still there, and it's still affecting positive people. So, that's why I want to speak out about it because I know that there are still young people out there, not taking medication for whatever reason, not telling their families, and not telling their partners. And it's fueled by their own fear.[contextly_auto_sidebar id=\"kJIk6LtKJlagzxZbZsec3UJpkXvBitAY\"]\u003c/p>\n\u003cp>I'm a health educator for Children's Hospital Los Angeles. A lot of our guys are here in care, and some of them have been on the streets or are on the streets still. It's tough on the guys to come because, purely for the fact of walking in the room is: 'I'm in an HIV-positive room and who's going to see me?' You know, literally going to the group alone is stepping out on faith.\u003c/p>\n\u003cp>But when they have those friendships, when they have a sense of community -- whether that be their actual family, their blood family, or a family that they make here in L.A. -- it seems to help a ton.\u003c/p>\n\u003cp>\u003cem>Susan Valot reported this story\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Poyser tell his story on The California Report:\u003c/strong>\u003cbr>\n\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/144036516&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18588\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/IMG_0142-e1396906812482.jpg\">\u003cimg class=\"size-large wp-image-18588\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/IMG_0142-640x480.jpg\" alt=\"IMG_0142\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lenworth Poyser (left) works with a colleague at Children's Hospital Los Angeles. Poyser is a health educator for a project focused on reaching young, gay men of color who are HIV-positive. (Susan Valot/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Lack of health insurance isn't the only barrier to getting medical care. The stigma and fear around HIV can keep people from seeking help. As part of our ongoing health series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>, we hear from Lenworth Poyser. He was homeless and living with HIV. Now, Poyser helps young HIV-positive men support each other through a group at Children’s Hospital Los Angeles. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Lenworth Poyser\u003c/strong>\u003c/p>\n\u003cp>When I first came out, when I was still in Texas, I left my mother’s house. At the time I was 18. What she was basically saying is: You can be in this house, just don't be gay in this house. And I couldn't do it. So, I threw my clothes into a trash bag and got out.\u003c/p>\n\u003cp>My sister had invited me to move out to L.A., move out to L.A. And, when HIV hit, I was like, \"Oh, life is too short.\" So, I decided to just do it.\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\">In 2010, young black men who had sex with men made up 55 percent of all new HIV infections for young gay and bisexual men, according to the Centers for Disease Control and Prevention.\n\u003cp>While roughly 10 percent of youth are LGBT, anywhere from 20 to 40 percent of homeless youth are LGBT, according to the United States Interagency Council on Homelessness.\u003c/p>\u003c/aside>\n\u003cp>I do want to sing. And I also knew there were lots of opportunities for people who are positive out here, versus in Texas. But after about 3 months, I still could not find a job. I was kind of just sleeping with friends and stuff like that. Like house hopping.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I started care when I got into the transitional living program at the L.A. Gay and Lesbian Center -- a program for youth, 24 and under, who are homeless. I remember that was one of the first (times) I took my medication. My HIV medication.\u003c/p>\n\u003cp>It's sad that we're thirty-plus years into this disease and like the shame and the stigma is almost -- it's gone away some -- but it's still there, and it's still affecting positive people. So, that's why I want to speak out about it because I know that there are still young people out there, not taking medication for whatever reason, not telling their families, and not telling their partners. And it's fueled by their own fear.[contextly_auto_sidebar id=\"kJIk6LtKJlagzxZbZsec3UJpkXvBitAY\"]\u003c/p>\n\u003cp>I'm a health educator for Children's Hospital Los Angeles. A lot of our guys are here in care, and some of them have been on the streets or are on the streets still. It's tough on the guys to come because, purely for the fact of walking in the room is: 'I'm in an HIV-positive room and who's going to see me?' You know, literally going to the group alone is stepping out on faith.\u003c/p>\n\u003cp>But when they have those friendships, when they have a sense of community -- whether that be their actual family, their blood family, or a family that they make here in L.A. -- it seems to help a ton.\u003c/p>\n\u003cp>\u003cem>Susan Valot reported this story\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Poyser tell his story on The California Report:\u003c/strong>\u003cbr>\n\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/144036516&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "San Francisco's Elderly Chinese Suffer from Nursing Home Closure",
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"content": "\u003cfigure id=\"attachment_18602\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/MissionBay-e1396976031755.jpg\">\u003cimg class=\"size-large wp-image-18602\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/MissionBay-640x480.jpg\" alt=\"Mission Bay Convalescent Hospital closed in February. (Vinnie Tong/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Mission Bay Convalescent Hospital was home to 35 elderly Chinese immigrants. Only two found a new place in San Francisco. Some have passed away since the move. (Vinnie Tong/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Vinnee Tong\u003c/strong>\u003c/p>\n\u003cp>Too often people don’t spend a lot of time thinking about who’s going to take care of them at the end of their life.\u003c/p>\n\u003cp>It’s not hard to imagine why: It’s scary and stirs up all kinds of emotion.\u003c/p>\n\u003caside class=\"pullquote alignleft\">People appreciated Mission Bay because it was familiar, geared to its Chinese-speaking residents.\u003c/aside>\n\u003cp>At the same time, financial pressures can make the whole topic even harder to deal with. For starters, if you need a bed in a home with full-time care, the decent ones are hard to find and cost a lot.\u003c/p>\n\u003cp>That’s why the closure of one small place in San Francisco’s Potrero Hill neighborhood is being felt so acutely. The Mission Bay Convalescent Hospital served a community of elderly Chinese, most of whom didn't speak English. Now the building’s been sold, its occupants scattered, and the city’s supply of affordable nursing home beds is even smaller.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Meanwhile, the families of these elders are helping their loved ones adjust to new and unfamiliar surroundings.\u003c/p>\n\u003cp>Jennifer Huey’s mom, Chu Huey, is 80 years old and now lives in Oakland at the McClure Convalescent Hospital. She has dementia and a slew of other medical problems. She lives her life bed-bound, so everything about her existence is determined by the care she gets at McClure.\u003c/p>\n\u003cp>Chu Huey moved from Mission Bay late last year. She’s one of 35 patients who left before the home closed its doors in February.\u003c/p>\n\u003cp>\u003cstrong>Shrinking Supply of Beds for Low-Income San Franciscans \u003c/strong>\u003c/p>\n\u003cp>Residents like Chu Huey appreciated Mission Bay partly because it was familiar: There were bulletin boards with handwritten notices in Chinese, wall calendars in the good-luck colors of red and gold, and when families brought Chinese food with them, patients were surrounded with the smells of home.\u003c/p>\n\u003cp>But Mission Bay was housed in an aging building -- first built in 1917 -- and it needed major upgrades, like fire sprinklers and disabled access.\u003c/p>\n\u003cp>Mission Bay housed only Medi-Cal patients, so its revenue was limited to the reimbursement it could get, which in 2013 was $185.39 per patient per day according to the state Department of Health Care Services.\u003c/p>\n\u003cp>In short, costs were growing faster than the reimbursements.\u003c/p>\n\u003cp>A lawyer for the owner, Bill Price, declined an interview request from KQED.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/143767118&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>Benson Nadell is director of the San Francisco Long-Term Care Ombudsman Program, a federally-funded patient advocate.\u003c/p>\n\u003cp>Nadell says San Francisco is steadily losing low-income nursing home beds. He estimates 900 Medi-Cal beds have disappeared over the last 20 years -- about a third of the supply. None are being added.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>I was hoping when I first got contacted by the facility about closing, that somehow the city could have rallied around to save these beds,” Nadell said. “Because everyone in there is frail elderly from San Francisco, with families living in San Francisco.\"\u003c/p>\n\u003cp>But, Nadell said families had already received written notice early last fall that they’d have to leave. Given the demand for affordable beds, it became a real race to secure a spot elsewhere. The residents ended up quickly dispersing. Most of the patients at Mission Bay wanted to stay in the city. But out of 35 patients, only two were able to secure a spot in San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Elderly Often Suffer \"Transfer Trauma\"\u003c/strong>\u003c/p>\n\u003cp>After moving, family members now have to travel farther to see loved ones, which means fewer visits. And some Mission Bay patients moved into nursing homes where few other patients or caregivers spoke their language.\u003c/p>\n\u003cp>Then there’s what’s called \"transfer trauma\" -- when a patient’s health suffers just from being moved. Jennifer Huey’s mother made half a dozen trips to the emergency room in the early weeks after her move out of Mission Bay.\u003c/p>\n\u003cp>Two other patients died shortly after they moved.\u003c/p>\n\u003cp>One is a 94-year-old woman who spoke only Cantonese and moved to a Kindred nursing home in Oakland at the end of October.\u003c/p>\n\u003cp>Her oldest son is still reeling with guilt. Tam, who only wanted to use his last name, is 74. He described getting a call from the new nursing home two weeks after his mom moved in.\u003c/p>\n\u003cp>“In the morning, they called and said she had a urinary tract infection,\" he said. \"The doctor had given her medicine and she had taken it. But then that night, they called and said they had to send her to the hospital.\"\u003c/p>\n\u003cp>That was November 11th.\u003c/p>\n\u003cp>Two days later, Tam went to Oakland to visit his mom in the hospital.\u003c/p>\n\u003cp>Early November 14th, she died.\u003c/p>\n\u003cp>Tam says Mission Bay’s closure affected his mother's health.\u003c/p>\n\u003cp>“Once she moved to Oakland, it was not as convenient for me to visit, so I couldn’t go as often,” he said. “My mom was close to me, more attached to me than my other siblings. Being that far away from me affected her mood.”\u003c/p>\n\u003cp>Jennifer Huey says the move has taken a real toll on patients like her mom, too. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Meanwhile, the families of these elders are helping their loved ones adjust to new and unfamiliar surroundings.\u003c/p>\n\u003cp>Jennifer Huey’s mom, Chu Huey, is 80 years old and now lives in Oakland at the McClure Convalescent Hospital. She has dementia and a slew of other medical problems. She lives her life bed-bound, so everything about her existence is determined by the care she gets at McClure.\u003c/p>\n\u003cp>Chu Huey moved from Mission Bay late last year. She’s one of 35 patients who left before the home closed its doors in February.\u003c/p>\n\u003cp>\u003cstrong>Shrinking Supply of Beds for Low-Income San Franciscans \u003c/strong>\u003c/p>\n\u003cp>Residents like Chu Huey appreciated Mission Bay partly because it was familiar: There were bulletin boards with handwritten notices in Chinese, wall calendars in the good-luck colors of red and gold, and when families brought Chinese food with them, patients were surrounded with the smells of home.\u003c/p>\n\u003cp>But Mission Bay was housed in an aging building -- first built in 1917 -- and it needed major upgrades, like fire sprinklers and disabled access.\u003c/p>\n\u003cp>Mission Bay housed only Medi-Cal patients, so its revenue was limited to the reimbursement it could get, which in 2013 was $185.39 per patient per day according to the state Department of Health Care Services.\u003c/p>\n\u003cp>In short, costs were growing faster than the reimbursements.\u003c/p>\n\u003cp>A lawyer for the owner, Bill Price, declined an interview request from KQED.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/143767118&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>Benson Nadell is director of the San Francisco Long-Term Care Ombudsman Program, a federally-funded patient advocate.\u003c/p>\n\u003cp>Nadell says San Francisco is steadily losing low-income nursing home beds. He estimates 900 Medi-Cal beds have disappeared over the last 20 years -- about a third of the supply. None are being added.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>I was hoping when I first got contacted by the facility about closing, that somehow the city could have rallied around to save these beds,” Nadell said. “Because everyone in there is frail elderly from San Francisco, with families living in San Francisco.\"\u003c/p>\n\u003cp>But, Nadell said families had already received written notice early last fall that they’d have to leave. Given the demand for affordable beds, it became a real race to secure a spot elsewhere. The residents ended up quickly dispersing. Most of the patients at Mission Bay wanted to stay in the city. But out of 35 patients, only two were able to secure a spot in San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Elderly Often Suffer \"Transfer Trauma\"\u003c/strong>\u003c/p>\n\u003cp>After moving, family members now have to travel farther to see loved ones, which means fewer visits. And some Mission Bay patients moved into nursing homes where few other patients or caregivers spoke their language.\u003c/p>\n\u003cp>Then there’s what’s called \"transfer trauma\" -- when a patient’s health suffers just from being moved. Jennifer Huey’s mother made half a dozen trips to the emergency room in the early weeks after her move out of Mission Bay.\u003c/p>\n\u003cp>Two other patients died shortly after they moved.\u003c/p>\n\u003cp>One is a 94-year-old woman who spoke only Cantonese and moved to a Kindred nursing home in Oakland at the end of October.\u003c/p>\n\u003cp>Her oldest son is still reeling with guilt. Tam, who only wanted to use his last name, is 74. He described getting a call from the new nursing home two weeks after his mom moved in.\u003c/p>\n\u003cp>“In the morning, they called and said she had a urinary tract infection,\" he said. \"The doctor had given her medicine and she had taken it. But then that night, they called and said they had to send her to the hospital.\"\u003c/p>\n\u003cp>That was November 11th.\u003c/p>\n\u003cp>Two days later, Tam went to Oakland to visit his mom in the hospital.\u003c/p>\n\u003cp>Early November 14th, she died.\u003c/p>\n\u003cp>Tam says Mission Bay’s closure affected his mother's health.\u003c/p>\n\u003cp>“Once she moved to Oakland, it was not as convenient for me to visit, so I couldn’t go as often,” he said. “My mom was close to me, more attached to me than my other siblings. Being that far away from me affected her mood.”\u003c/p>\n\u003cp>Jennifer Huey says the move has taken a real toll on patients like her mom, too. And she says Mission Bay’s closure is a loss for the city as a whole.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>The heart of it is, there has been nothing to replace what Mission Bay was to the Chinese community,” Huey said.\u003c/p>\n\u003cp>Nadell, the patient advocate, hopes the city has a way to prevent more nursing homes from closing or leaving the city, based on financial pressure alone.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>I feel that individuals should not be squeezed out of the system based solely on the financial profile,” he said. “San Francisco has an obligation to its old people.”\u003c/p>\n\u003cp>As for the building itself, a local real estate dealer bought it for $2.7 million dollars.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"FvoQj4Yjo4Qq9zcRdDb4AitBrLkGU822\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "School Nurses on Front Lines to Raise Vaccine Rates",
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"content": "\u003cfigure id=\"attachment_18566\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/SchoolnurseGrassVallNo2March2014JA.jpg\">\u003cimg class=\"size-large wp-image-18566 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/SchoolnurseGrassVallNo2March2014JA-640x426.jpg\" alt=\"(Jane Meredith Adams/EdSource)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Robyn Ettl, Grass Valley Unified school nurse, gives a vision test to second grader Chase Littlejohn at the Grass Valley Charter School. (Jane Meredith Adams/EdSource)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jane Meredith Adams,\u003c/strong>\u003ca href=\"http://edsource.org/2014/under-new-law-school-nurses-aim-to-stop-rise-in-vaccination-opt-outs/60044#.U0LWDf2PSDV\" target=\"_blank\"> EdSource\u003c/a>\u003c/p>\n\u003cp>In her 33 years as a school nurse, Robyn Ettl has listened, sometimes quietly, sometimes not, to parents in rural Nevada County explain why their children don’t need vaccinations against contagious and potentially fatal diseases, including polio, diphtheria, measles and pertussis.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Parents must now meet with health provider before opting-out of vaccines for their children. \u003c/aside>\n\u003cp>Now, with nearly a half a million children in California registering for kindergarten in the fall, school nurses like Ettl are more invested than ever in a delicate task: trying to change the minds of parents intent on opting out of school-entrance immunizations.\u003c/p>\n\u003cp>Under a\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201120120AB2109\" target=\"_blank\"> state law\u003c/a> that took effect Jan. 1, parents may no longer simply file a letter to opt-out of vaccines. Instead, they are required to consult with a health practitioner –- doctor, naturopath or credentialed school nurse –- before they’re allowed to obtain what's known as a \"personal-belief exemption\" from their child’s required immunizations.\u003c!--more-->\u003c/p>\n\u003cp>Nowhere is the impact of the law more anticipated than in Nevada County, a former gold mining haven in the Sierra foothills, northeast of Sacramento. The county had the highest opt-out rate in the state for many years and is now a close second to sparsely populated Trinity County. Here, 20 percent of kindergartners have a personal belief exemption on file.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Public Charter Schools Have Highest Opt-Out Rates\u003c/strong>\u003c/p>\n\u003cp>That exemption rate is driven by huge percentages of vaccination opt-outs at public charter schools in the county, led by Yuba River Charter School in Nevada City. In the current school year, 81 percent of kindergarteners at the school received personal-belief exemptions.\u003c/p>\n\u003cp>Caleb Buckley, director of the Yuba River Charter School, said many students’ parents steer clear of Western medicine and, by association, its core tenet that immunizations save lives. “I don’t know too many that go to see the local pediatrician group, unless they really have to,” Buckley said.\u003c/p>\n\u003cp>As Trevor Michael, president of the Nevada County Board of Education, explained, “Our county is rural. People live alternative lifestyles and have alternative beliefs.”\u003c/p>\n\u003cp>At Grass Valley Unified, Ettl hears parents state that it is better for a child’s immune system to get the disease than the vaccination, and that polio is passé. And even though a research paper alleging a link between vaccinations and autism was \u003ca href=\"http://download.thelancet.com/flatcontentassets/pdfs/S0140673610601754.pdf\" target=\"_blank\">retracted\u003c/a>, deemed a \u003ca href=\"http://www.bmj.com/content/342/bmj.c7452\" target=\"_blank\">fraud\u003c/a> by the British Medical Journal and its author \u003ca href=\"http://www.gmc-uk.org/Wakefield_SPM_and_SANCTION.pdf_32595267.pdf\" target=\"_blank\">stripped of his medical license\u003c/a>, they say they’re still not sure that a vaccination won’t give their child autism.\u003c/p>\n\u003cp>“I don’t argue with them,” Ettl said. In the past, when she has refuted their claims, “They get mad and head right to Holly,” she said, referring to Holly Hermansen, superintendent of the Nevada County Office of Education.\u003c/p>\n\u003cp style=\"text-align: center\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">\u003cstrong>[Related: More California Parents Opt-Out of Vaccines -- Look Up Your School Online]\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>At some charter schools in the county, a philosophical opposition to vaccinations has become a defining feature of the culture, said Sharyn Turner, coordinator of school health services at the Nevada County Office of Education.\u003c/p>\n\u003cp>“All of a sudden it becomes socially unacceptable to be one of the few parents immunizing your child,” Turner said.\u003c/p>\n\u003cp>Public charter schools lead the state in enrolling the highest percentage of kindergarteners with personal-belief exemptions – 10.1 percent in 2013-14, according to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">new data \u003c/a>from the California Department of Public Health. At private schools, 5.6 percent of kindergarteners received personal-belief exemptions, while 2.3 percent opted out at public schools.\u003c/p>\n\u003cp>Those high rates are driving an overall increase in personal belief exemptions statewide. The percentage of exempted kindergarteners more than doubled, from 1.4 percent in 2007 to 3.1 percent in 2013-14, according to the state Department of Public Health.\u003c/p>\n\u003cp>\u003cstrong>Fading Awareness of Dire Infectious Diseases\u003c/strong>\u003c/p>\n\u003cp>If roughly 90 percent of a population is fully vaccinated, “\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">herd immunity\u003c/a>” helps keep at bay infectious diseases including measles, pertussis or rubella. But with longstanding herd immunity comes fading awareness of dire infectious diseases. “There’s no fear,” said Lindsay Dunckel, executive director of First 5 Nevada County, which funds community programs for babies and young children. “These diseases that were once so frightening have disappeared.”\u003c/p>\n\u003cp>Now some of them are coming back, and the role of unvaccinated people in spreading disease is under scrutiny. In 159 cases of measles across the country last year, 82 percent of those infected \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6236a2.htm\" target=\"_blank\">were unvaccinated\u003c/a> and of those, 79 percent had philosophical objections to vaccinations, according to the CDC.\u003c/p>\n\u003cp>So far in 2014, the California Department of Public Health has received reports of \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">51 cases\u003c/a> of measles in the state, the largest number since 2000, when measles was declared eliminated in the U.S. In the decade before the introduction of a measles vaccine in 1963, the disease killed about \u003ca href=\"http://www.cdc.gov/vaccines/vac-gen/whatifstop.htm#measles\" target=\"_blank\">450 people a year \u003c/a>in the U.S., according to the CDC.\u003c/p>\n\u003cp>Also increasing in California is the number of cases of pertussis, better known as whooping cough. Reported cases in 2013 hit more than \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Pages/PertussisSummaryReports.aspx\" target=\"_blank\">2,300\u003c/a>, including an infant who contracted the disease at 4 weeks old and died. During a 2010 California outbreak of pertussis, in which 10 infants died and more than 9,000 cases were reported, children with personal-belief exemptions \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-0878.abstract\" target=\"_blank\">played a role\u003c/a> in transmitting the disease. Communities with high rates of personal-belief exemptions were 2.5 times more likely to also have pertussis clusters.\u003c/p>\n\u003cp>\u003cstrong>Can the New Law Help Raise Vaccine Rates?\u003c/strong>\u003c/p>\n\u003cp>At Grass Valley Unified, Ettl met recently with a parent of an incoming kindergartener who was dead-set against immunizations. The meeting was perfunctory: The parent read the vaccination information sheet, and Ettl explained that an unvaccinated child may not attend school for 21 days if an outbreak of whooping cough or measles occurs. Then Ettl and the parent signed the new \u003ca href=\"http://eziz.org/assets/docs/CDPH-8262.pdf\" target=\"_blank\">personal belief exemption form\u003c/a>.\u003c/p>\n\u003cp>Ettl’s hopes, and the hopes of public health officials, rest largely with parents whose opposition to vaccination is not entirely locked in. “‘I’ll ask, ‘Are you against every vaccine or some of them?’” she said.\u003c/p>\n\u003cp>One mother of a kindergartener recently told Ettl that although her child had received one vaccination, she was now inclined to opt out of the rest. Ettl talked to her about the risk of tetanus, a bacterial infection that can be contracted through a wound or animal bite. “We live in a rural place and tetanus is a serious disease,” Ettl recalled telling her. “I said, ‘Why don’t you start with one?’”\u003c/p>\n\u003cp>The mother left without a personal belief exemption in hand, saying she would think about it.\u003c/p>\n\u003cp>That’s just what the law is intended to do. The state of Washington passed a similar law in 2011 and its opt-out rate has dropped about 40 percent.\u003c/p>\n\u003cp>“Some parents are never going to change their mind,” said Catherine Flores Martin, director of the California Immunization Coalition, “but there is a larger number that want to have their vaccine concerns acknowledged and answered.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"XFhbYjl34gl1ZRPLwBP1QZhMQzjUqiEo\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18566\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/SchoolnurseGrassVallNo2March2014JA.jpg\">\u003cimg class=\"size-large wp-image-18566 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/SchoolnurseGrassVallNo2March2014JA-640x426.jpg\" alt=\"(Jane Meredith Adams/EdSource)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Robyn Ettl, Grass Valley Unified school nurse, gives a vision test to second grader Chase Littlejohn at the Grass Valley Charter School. (Jane Meredith Adams/EdSource)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jane Meredith Adams,\u003c/strong>\u003ca href=\"http://edsource.org/2014/under-new-law-school-nurses-aim-to-stop-rise-in-vaccination-opt-outs/60044#.U0LWDf2PSDV\" target=\"_blank\"> EdSource\u003c/a>\u003c/p>\n\u003cp>In her 33 years as a school nurse, Robyn Ettl has listened, sometimes quietly, sometimes not, to parents in rural Nevada County explain why their children don’t need vaccinations against contagious and potentially fatal diseases, including polio, diphtheria, measles and pertussis.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Parents must now meet with health provider before opting-out of vaccines for their children. \u003c/aside>\n\u003cp>Now, with nearly a half a million children in California registering for kindergarten in the fall, school nurses like Ettl are more invested than ever in a delicate task: trying to change the minds of parents intent on opting out of school-entrance immunizations.\u003c/p>\n\u003cp>Under a\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201120120AB2109\" target=\"_blank\"> state law\u003c/a> that took effect Jan. 1, parents may no longer simply file a letter to opt-out of vaccines. Instead, they are required to consult with a health practitioner –- doctor, naturopath or credentialed school nurse –- before they’re allowed to obtain what's known as a \"personal-belief exemption\" from their child’s required immunizations.\u003c!--more-->\u003c/p>\n\u003cp>Nowhere is the impact of the law more anticipated than in Nevada County, a former gold mining haven in the Sierra foothills, northeast of Sacramento. The county had the highest opt-out rate in the state for many years and is now a close second to sparsely populated Trinity County. Here, 20 percent of kindergartners have a personal belief exemption on file.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Public Charter Schools Have Highest Opt-Out Rates\u003c/strong>\u003c/p>\n\u003cp>That exemption rate is driven by huge percentages of vaccination opt-outs at public charter schools in the county, led by Yuba River Charter School in Nevada City. In the current school year, 81 percent of kindergarteners at the school received personal-belief exemptions.\u003c/p>\n\u003cp>Caleb Buckley, director of the Yuba River Charter School, said many students’ parents steer clear of Western medicine and, by association, its core tenet that immunizations save lives. “I don’t know too many that go to see the local pediatrician group, unless they really have to,” Buckley said.\u003c/p>\n\u003cp>As Trevor Michael, president of the Nevada County Board of Education, explained, “Our county is rural. People live alternative lifestyles and have alternative beliefs.”\u003c/p>\n\u003cp>At Grass Valley Unified, Ettl hears parents state that it is better for a child’s immune system to get the disease than the vaccination, and that polio is passé. And even though a research paper alleging a link between vaccinations and autism was \u003ca href=\"http://download.thelancet.com/flatcontentassets/pdfs/S0140673610601754.pdf\" target=\"_blank\">retracted\u003c/a>, deemed a \u003ca href=\"http://www.bmj.com/content/342/bmj.c7452\" target=\"_blank\">fraud\u003c/a> by the British Medical Journal and its author \u003ca href=\"http://www.gmc-uk.org/Wakefield_SPM_and_SANCTION.pdf_32595267.pdf\" target=\"_blank\">stripped of his medical license\u003c/a>, they say they’re still not sure that a vaccination won’t give their child autism.\u003c/p>\n\u003cp>“I don’t argue with them,” Ettl said. In the past, when she has refuted their claims, “They get mad and head right to Holly,” she said, referring to Holly Hermansen, superintendent of the Nevada County Office of Education.\u003c/p>\n\u003cp style=\"text-align: center\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">\u003cstrong>[Related: More California Parents Opt-Out of Vaccines -- Look Up Your School Online]\u003c/strong>\u003c/a>\u003c/p>\n\u003cp>At some charter schools in the county, a philosophical opposition to vaccinations has become a defining feature of the culture, said Sharyn Turner, coordinator of school health services at the Nevada County Office of Education.\u003c/p>\n\u003cp>“All of a sudden it becomes socially unacceptable to be one of the few parents immunizing your child,” Turner said.\u003c/p>\n\u003cp>Public charter schools lead the state in enrolling the highest percentage of kindergarteners with personal-belief exemptions – 10.1 percent in 2013-14, according to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">new data \u003c/a>from the California Department of Public Health. At private schools, 5.6 percent of kindergarteners received personal-belief exemptions, while 2.3 percent opted out at public schools.\u003c/p>\n\u003cp>Those high rates are driving an overall increase in personal belief exemptions statewide. The percentage of exempted kindergarteners more than doubled, from 1.4 percent in 2007 to 3.1 percent in 2013-14, according to the state Department of Public Health.\u003c/p>\n\u003cp>\u003cstrong>Fading Awareness of Dire Infectious Diseases\u003c/strong>\u003c/p>\n\u003cp>If roughly 90 percent of a population is fully vaccinated, “\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">herd immunity\u003c/a>” helps keep at bay infectious diseases including measles, pertussis or rubella. But with longstanding herd immunity comes fading awareness of dire infectious diseases. “There’s no fear,” said Lindsay Dunckel, executive director of First 5 Nevada County, which funds community programs for babies and young children. “These diseases that were once so frightening have disappeared.”\u003c/p>\n\u003cp>Now some of them are coming back, and the role of unvaccinated people in spreading disease is under scrutiny. In 159 cases of measles across the country last year, 82 percent of those infected \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6236a2.htm\" target=\"_blank\">were unvaccinated\u003c/a> and of those, 79 percent had philosophical objections to vaccinations, according to the CDC.\u003c/p>\n\u003cp>So far in 2014, the California Department of Public Health has received reports of \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">51 cases\u003c/a> of measles in the state, the largest number since 2000, when measles was declared eliminated in the U.S. In the decade before the introduction of a measles vaccine in 1963, the disease killed about \u003ca href=\"http://www.cdc.gov/vaccines/vac-gen/whatifstop.htm#measles\" target=\"_blank\">450 people a year \u003c/a>in the U.S., according to the CDC.\u003c/p>\n\u003cp>Also increasing in California is the number of cases of pertussis, better known as whooping cough. Reported cases in 2013 hit more than \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Pages/PertussisSummaryReports.aspx\" target=\"_blank\">2,300\u003c/a>, including an infant who contracted the disease at 4 weeks old and died. During a 2010 California outbreak of pertussis, in which 10 infants died and more than 9,000 cases were reported, children with personal-belief exemptions \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-0878.abstract\" target=\"_blank\">played a role\u003c/a> in transmitting the disease. Communities with high rates of personal-belief exemptions were 2.5 times more likely to also have pertussis clusters.\u003c/p>\n\u003cp>\u003cstrong>Can the New Law Help Raise Vaccine Rates?\u003c/strong>\u003c/p>\n\u003cp>At Grass Valley Unified, Ettl met recently with a parent of an incoming kindergartener who was dead-set against immunizations. The meeting was perfunctory: The parent read the vaccination information sheet, and Ettl explained that an unvaccinated child may not attend school for 21 days if an outbreak of whooping cough or measles occurs. Then Ettl and the parent signed the new \u003ca href=\"http://eziz.org/assets/docs/CDPH-8262.pdf\" target=\"_blank\">personal belief exemption form\u003c/a>.\u003c/p>\n\u003cp>Ettl’s hopes, and the hopes of public health officials, rest largely with parents whose opposition to vaccination is not entirely locked in. “‘I’ll ask, ‘Are you against every vaccine or some of them?’” she said.\u003c/p>\n\u003cp>One mother of a kindergartener recently told Ettl that although her child had received one vaccination, she was now inclined to opt out of the rest. Ettl talked to her about the risk of tetanus, a bacterial infection that can be contracted through a wound or animal bite. “We live in a rural place and tetanus is a serious disease,” Ettl recalled telling her. “I said, ‘Why don’t you start with one?’”\u003c/p>\n\u003cp>The mother left without a personal belief exemption in hand, saying she would think about it.\u003c/p>\n\u003cp>That’s just what the law is intended to do. The state of Washington passed a similar law in 2011 and its opt-out rate has dropped about 40 percent.\u003c/p>\n\u003cp>“Some parents are never going to change their mind,” said Catherine Flores Martin, director of the California Immunization Coalition, “but there is a larger number that want to have their vaccine concerns acknowledged and answered.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Why is Fort Hood Shooter's 'Mental Health' Constantly Reported?",
"title": "Why is Fort Hood Shooter's 'Mental Health' Constantly Reported?",
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"content": "\u003cfigure id=\"attachment_18538\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/482664019-e1396633537590.jpg\">\u003cimg class=\"size-large wp-image-18538\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/482664019-640x426.jpg\" alt=\"Television news live trucks at the front gate of Fort Hood, Texas. (Joe Raedle/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Television news live trucks at the front gate of Fort Hood, Texas. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>To state the obvious, the shooting at Fort Hood is a tragedy. But in press reports the alleged shooter, Ivan Lopez, cannot be mentioned without \u003ca href=\"http://time.com/49093/fort-hood-shooter-mental-health-ptsd/\" target=\"_blank\" rel=\"noopener noreferrer\">reference\u003c/a> to his recent evaluation and treatment for mental health issues.\u003c/p>\n\u003cp>As NPR correctly points out, the fact of the shooter's treatment could not have predicted that the violent event would have occurred. Worse, the press reports wrongly scare people into thinking that mental illness is easily linked to violent behavior.\u003c/p>\n\u003cp>It's not. From\u003ca href=\"http://www.npr.org/blogs/thetwo-way/2014/04/03/298752099/shooting-unfairly-links-violence-with-mental-illness-again\" target=\"_blank\" rel=\"noopener noreferrer\"> NPR\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>One national survey in 2006 found that most Americans — 60 percent — believed people with schizophrenia were likely to be violent. But the vast majority of people with psychiatric disorders are \u003ca href=\"http://www.nimh.nih.gov/health/publications/schizophrenia/index.shtml\" target=\"_blank\" rel=\"noopener noreferrer\">not violent\u003c/a>. In fact, another study found they are far more likely to be the \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2811%2961851-5/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">victims of violence\u003c/a>, and that 1 in 4 experience violence every year.\u003c!--more-->\u003c/p>\n\u003cp>Dr. Carl Bell, a psychiatrist at the University of Illinois at Chicago, says being able to predict who will be violent in advance \"is impossible.\"\u003c/p>\n\u003cp>\"The reality,\" Bell says, \"is that prediction of violence is only useful in an immediate clinical situation: Someone comes in and says, 'I'm going to kill myself.' Then you take their word for it, and can predict violence in the short term. But you cannot use that to predict violence in the long term.\"\u003c/p>\n\u003cp>Army officials said Thursday that Lopez had seen a psychiatrist in the past month, but there were no indications that he was suicidal.\u003c/p>\u003c/blockquote>\n\u003cp>Yes, Ivan Lopez was being treated for depression and anxiety. \u003ca href=\"http://www.cdc.gov/mentalhealth/basics/burden.htm\" target=\"_blank\" rel=\"noopener noreferrer\">According to the CDC\u003c/a>, close to 7 percent of Americans suffer a major depressive episode every year, and about 10 percent suffer from an anxiety disorder.\u003c/p>\n\u003cp>In other words, Lopez was diagnosed with very common conditions. Reporters may as well discuss the color of Lopez' hair or his height.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"ROkzHelapGxpsGmh87Q4nmiqt6V130Ff\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18538\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/482664019-e1396633537590.jpg\">\u003cimg class=\"size-large wp-image-18538\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/482664019-640x426.jpg\" alt=\"Television news live trucks at the front gate of Fort Hood, Texas. (Joe Raedle/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Television news live trucks at the front gate of Fort Hood, Texas. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>To state the obvious, the shooting at Fort Hood is a tragedy. But in press reports the alleged shooter, Ivan Lopez, cannot be mentioned without \u003ca href=\"http://time.com/49093/fort-hood-shooter-mental-health-ptsd/\" target=\"_blank\" rel=\"noopener noreferrer\">reference\u003c/a> to his recent evaluation and treatment for mental health issues.\u003c/p>\n\u003cp>As NPR correctly points out, the fact of the shooter's treatment could not have predicted that the violent event would have occurred. Worse, the press reports wrongly scare people into thinking that mental illness is easily linked to violent behavior.\u003c/p>\n\u003cp>It's not. From\u003ca href=\"http://www.npr.org/blogs/thetwo-way/2014/04/03/298752099/shooting-unfairly-links-violence-with-mental-illness-again\" target=\"_blank\" rel=\"noopener noreferrer\"> NPR\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>One national survey in 2006 found that most Americans — 60 percent — believed people with schizophrenia were likely to be violent. But the vast majority of people with psychiatric disorders are \u003ca href=\"http://www.nimh.nih.gov/health/publications/schizophrenia/index.shtml\" target=\"_blank\" rel=\"noopener noreferrer\">not violent\u003c/a>. In fact, another study found they are far more likely to be the \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2811%2961851-5/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">victims of violence\u003c/a>, and that 1 in 4 experience violence every year.\u003c!--more-->\u003c/p>\n\u003cp>Dr. Carl Bell, a psychiatrist at the University of Illinois at Chicago, says being able to predict who will be violent in advance \"is impossible.\"\u003c/p>\n\u003cp>\"The reality,\" Bell says, \"is that prediction of violence is only useful in an immediate clinical situation: Someone comes in and says, 'I'm going to kill myself.' Then you take their word for it, and can predict violence in the short term. But you cannot use that to predict violence in the long term.\"\u003c/p>\n\u003cp>Army officials said Thursday that Lopez had seen a psychiatrist in the past month, but there were no indications that he was suicidal.\u003c/p>\u003c/blockquote>\n\u003cp>Yes, Ivan Lopez was being treated for depression and anxiety. \u003ca href=\"http://www.cdc.gov/mentalhealth/basics/burden.htm\" target=\"_blank\" rel=\"noopener noreferrer\">According to the CDC\u003c/a>, close to 7 percent of Americans suffer a major depressive episode every year, and about 10 percent suffer from an anxiety disorder.\u003c/p>\n\u003cp>In other words, Lopez was diagnosed with very common conditions. Reporters may as well discuss the color of Lopez' hair or his height.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "New Report Finds Dramatic Racial Disparities for California Kids",
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"content": "\u003cfigure id=\"attachment_18470\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/health-equity.jpg\">\u003cimg class=\"size-large wp-image-18470\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/health-equity-640x436.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"436\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images) \u003ccite>(Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Many children of color in the state face different health and education opportunities from the earliest years.\u003c/p>\n\u003cp>That's according to a \u003ca href=\"http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid=%7B5B863B11-62C7-41EC-9F7F-6D12125C4DC2%7D\" target=\"_blank\">new study \u003c/a>from the Annie E. Casey Foundation.\u003c/p>\n\u003cp>The report looked at factors like birthweight, access to preschool and, later, reading and math proficiency. The researchers then created an index that weighted these and other social markers to measure a child's opportunity to thrive later on.\u003c/p>\n\u003cp>The findings were stark. On a scale of 0 to 1000 (with 1000 being the highest), Asian and Pacific Islander children in California scored 768, Whites 748, American Indians 529, Latinos 405, and African American children 395.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"A multicultural state needs multicultural solutions,\" Nadereh Pourat, UCLA Center for Health Policy Research\u003c/aside>\n\u003cp>The report gives this analogy for thinking about the results. Think about a power grid that brings power to an area. A \"prosperity grid\" offers critical links to help kids succeed - in this case whether someone in their household has a high school diploma, their parents income, and achievement levels at their school.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The inability of children of color to connect to this network through their neighborhoods clearly has significant consequences for their healthy development and well-being,\" the authors wrote.\u003c!--more-->Sarah de Guia, director of government affairs at the California Pan-Ethnic Health Network (CPEHN), said she is grateful that the Casey foundation is collecting and analyzing the data by race and ethnicity. De Guia said she would like to see more of this analysis.\u003c/p>\n\u003cp>\"We push for breaking the data out [by ethnic and racial groups] at CPEHN. It is critical for a deeper understanding of the numbers. But sometimes there is pushback to collecting the data,\" says de Guia.\u003c/p>\n\u003cp>De Guia said different communities have different needs and whether a proposed policy works may hinge on language or cultural understandings.\u003c/p>\n\u003cp>\"We need to understand exactly what is going on to make better policies,\" said de Guia.\u003c/p>\n\u003cp>While health markers, beyond birthweight, were not explicit in the child well-being index, de Guia says health is reflected in social markers - it's hard to do well in school if you don't feel well - and, she says conversely, social issues can't be improved without taking health into account.\u003c/p>\n\u003cp>\"It is very important that we look at all policies through a health lens,\" said de Guia. She says everything from the environment where children live, to the available transportation to whether there are school-based health centers are factors that affect the whole child.\u003c/p>\n\u003cp>To Ted Lempert, the president of Children Now, an Oakland-based child advocacy organization, the study is a vital piece of information about the future of the state.\u003c/p>\n\u003cp>\"Three quarters of kids starting kindergarten today in California are children of color,\" said Lempert.\u003c/p>\n\u003cp>\"What this study points out is we need to get serious about every single kid having access to quality early learning, quality K-12 and quality health. If we focus that way, our future is going to be a lot better off and we're also going to close these racial disparities,\" said Lempert.\u003c/p>\n\u003cp>While the study was released on an auspicious day - as Affordable Care Act new enrollments were tallied - Nadereh Pourat, professor of health services at the UCLA School of Public Health, says that the study is a good reminder of the work that needs to be done.\u003c/p>\n\u003cp>\"A multicultural state needs multicultural solutions,\" said Pourat. While expanding access to health care providers is a first step to reducing health disparities, it is not a total solution.\u003c/p>\n\u003cp>Now, she said, it is time to focus on improving the actual care the people of different races and ethnicities experience.\u003c/p>\n\u003cp>\"If you need a translator you generally know that the care might not be as good as if you can speak the language,\" said Pourat.\u003c/p>\n\u003cp>Pourat says California can improve its marks on equity by focusing on this clinical piece of the puzzle going forward.\u003c/p>\n\u003cp>Amid all of this news, though, the study did offer a few relative bright spots for California.\u003c/p>\n\u003cp>The national study's authors pointed to California as a positive example for the state's steps last year on education reform. The Local Control Funding Formula is meant to reallocate money to schools with the largest numbers of at risk students. It also gives the schools more say over how to target their resources.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And while many experts agree that access to health care is only the beginning of addressing healthcare inequities, Covered California got an early start and outperformed many states' efforts to enroll the uninsured.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18470\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/health-equity.jpg\">\u003cimg class=\"size-large wp-image-18470\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/health-equity-640x436.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"436\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images) \u003ccite>(Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Many children of color in the state face different health and education opportunities from the earliest years.\u003c/p>\n\u003cp>That's according to a \u003ca href=\"http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid=%7B5B863B11-62C7-41EC-9F7F-6D12125C4DC2%7D\" target=\"_blank\">new study \u003c/a>from the Annie E. Casey Foundation.\u003c/p>\n\u003cp>The report looked at factors like birthweight, access to preschool and, later, reading and math proficiency. The researchers then created an index that weighted these and other social markers to measure a child's opportunity to thrive later on.\u003c/p>\n\u003cp>The findings were stark. On a scale of 0 to 1000 (with 1000 being the highest), Asian and Pacific Islander children in California scored 768, Whites 748, American Indians 529, Latinos 405, and African American children 395.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"A multicultural state needs multicultural solutions,\" Nadereh Pourat, UCLA Center for Health Policy Research\u003c/aside>\n\u003cp>The report gives this analogy for thinking about the results. Think about a power grid that brings power to an area. A \"prosperity grid\" offers critical links to help kids succeed - in this case whether someone in their household has a high school diploma, their parents income, and achievement levels at their school.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The inability of children of color to connect to this network through their neighborhoods clearly has significant consequences for their healthy development and well-being,\" the authors wrote.\u003c!--more-->Sarah de Guia, director of government affairs at the California Pan-Ethnic Health Network (CPEHN), said she is grateful that the Casey foundation is collecting and analyzing the data by race and ethnicity. De Guia said she would like to see more of this analysis.\u003c/p>\n\u003cp>\"We push for breaking the data out [by ethnic and racial groups] at CPEHN. It is critical for a deeper understanding of the numbers. But sometimes there is pushback to collecting the data,\" says de Guia.\u003c/p>\n\u003cp>De Guia said different communities have different needs and whether a proposed policy works may hinge on language or cultural understandings.\u003c/p>\n\u003cp>\"We need to understand exactly what is going on to make better policies,\" said de Guia.\u003c/p>\n\u003cp>While health markers, beyond birthweight, were not explicit in the child well-being index, de Guia says health is reflected in social markers - it's hard to do well in school if you don't feel well - and, she says conversely, social issues can't be improved without taking health into account.\u003c/p>\n\u003cp>\"It is very important that we look at all policies through a health lens,\" said de Guia. She says everything from the environment where children live, to the available transportation to whether there are school-based health centers are factors that affect the whole child.\u003c/p>\n\u003cp>To Ted Lempert, the president of Children Now, an Oakland-based child advocacy organization, the study is a vital piece of information about the future of the state.\u003c/p>\n\u003cp>\"Three quarters of kids starting kindergarten today in California are children of color,\" said Lempert.\u003c/p>\n\u003cp>\"What this study points out is we need to get serious about every single kid having access to quality early learning, quality K-12 and quality health. If we focus that way, our future is going to be a lot better off and we're also going to close these racial disparities,\" said Lempert.\u003c/p>\n\u003cp>While the study was released on an auspicious day - as Affordable Care Act new enrollments were tallied - Nadereh Pourat, professor of health services at the UCLA School of Public Health, says that the study is a good reminder of the work that needs to be done.\u003c/p>\n\u003cp>\"A multicultural state needs multicultural solutions,\" said Pourat. While expanding access to health care providers is a first step to reducing health disparities, it is not a total solution.\u003c/p>\n\u003cp>Now, she said, it is time to focus on improving the actual care the people of different races and ethnicities experience.\u003c/p>\n\u003cp>\"If you need a translator you generally know that the care might not be as good as if you can speak the language,\" said Pourat.\u003c/p>\n\u003cp>Pourat says California can improve its marks on equity by focusing on this clinical piece of the puzzle going forward.\u003c/p>\n\u003cp>Amid all of this news, though, the study did offer a few relative bright spots for California.\u003c/p>\n\u003cp>The national study's authors pointed to California as a positive example for the state's steps last year on education reform. The Local Control Funding Formula is meant to reallocate money to schools with the largest numbers of at risk students. It also gives the schools more say over how to target their resources.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And while many experts agree that access to health care is only the beginning of addressing healthcare inequities, Covered California got an early start and outperformed many states' efforts to enroll the uninsured.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_18416\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Gabriella-health-needs-e1396070111534.jpg\">\u003cimg class=\"size-large wp-image-18416\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Gabriella-health-needs-640x426.jpg\" alt=\"Gabriella Dominguez, a transitional kindergarten student, follows a strict dietary regimen to deal with a congenital intestinal disease. (Courtesy: Dominguez Family) \" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gabriella Dominguez, a transitional kindergarten student, follows a strict dietary regimen to deal with a congenital intestinal disease. (Courtesy: Dominguez Family)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jane Meredith Adams,\u003c/strong> \u003ca href=\"http://edsource.org/2014/report-finds-more-students-with-serious-medical-needs-but-few-school-nurses/60339#.UzZRkP2PRg1\" target=\"_blank\">EdSource\u003c/a>\u003c/p>\n\u003cp>Five-year-old Gabriella Dominguez spends 20 minutes every hour in the back of her transitional kindergarten classroom consuming mini-meals she finds dreadfully unappetizing: no water, no sugar, no fat, the occasional cracker and lots of bland liquid nutritional supplements.\u003c/p>\n\u003cp>Born with \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/001140.htm\" target=\"_blank\">Hirschsprung’s disease\u003c/a>, an intestinal disorder, Gabriella is one of four medically fragile students at Willow Glen Elementary School in San Jose and part of a growing number of students who come to school with chronic and often serious health conditions.\u003c/p>\n\u003cp>The medical oversight that students like Gabriella receive at school is part of a “hidden health care system” that intertwines school nurses, educators and community health providers according to \u003ca href=\"http://lpfch-cshcn.org/publications/fact-sheets/the-hidden-health-care-system-in-california-schools-and-children-with-special-health-care-needs/\" target=\"_blank\">a statewide report\u003c/a> released Friday. That system could be run a lot more efficiently and effectively, according to the report's authors at the School of Nursing at California State University, Sacramento.\u003c!--more-->\u003c/p>\n\u003cp>Medical advances and federal and state laws have opened the door for more chronically ill children to attend general education classrooms, the report said. School nurses, already carrying large case loads because of budget cuts, are now suctioning breathing tubes, inserting urinary catheters, testing blood sugar levels and monitoring ventilators.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And they’re scrambling. Some 57 percent of public school districts report having no school nurse personnel, according to the report, which researchers said relied on an analysis of 2011-2012 state education data, interviews and a large-scale survey of certified school nurses who are members of the California School Nurses Association. These districts serve about 1.2 million students -- about 20 percent of all public school students in the state.\u003c/p>\n\u003cp>At Willow Glen Elementary, school nurse Kelly Shepherd oversees Gabriella’s care as well as the needs of a kindergartener with spina bifida, another kindergartener with pulmonary disease, and a fourth-grader with diabetes. They come to school not only with chronic medical conditions, but a host of technological tools, including a ventilator in case of emergencies, an iPod to track nutritional intake and output, a catheter, and an insulin pump whose battery died recently and set off a persistent alarm. “These kids with the technology, they stand out,” Shepherd said. “They are acute.”\u003c/p>\n\u003cp>Among the report’s recommendations are the creation of systematic data collection and reporting systems in school districts to identify and serve children with special health care needs and to monitor their health and educational outcomes. The report also recommends mandatory training for all personnel delivering health services in schools, including first aid, CPR and procedures needed to serve specific children in each school. It states that funds generated through Medi-Cal claims should be earmarked to support school health services.\u003c/p>\n\u003cp>California provides little data or guidance to ensure that children with special health care needs are being identified and served, said the report’s lead author, Dian Baker, a pediatric nurse practitioner and associate professor of nursing at California State University, Sacramento. “We can do better.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"1NaxcJybRfl3dPbvihjiK8Aej7Qcqfxg\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And they’re scrambling. Some 57 percent of public school districts report having no school nurse personnel, according to the report, which researchers said relied on an analysis of 2011-2012 state education data, interviews and a large-scale survey of certified school nurses who are members of the California School Nurses Association. These districts serve about 1.2 million students -- about 20 percent of all public school students in the state.\u003c/p>\n\u003cp>At Willow Glen Elementary, school nurse Kelly Shepherd oversees Gabriella’s care as well as the needs of a kindergartener with spina bifida, another kindergartener with pulmonary disease, and a fourth-grader with diabetes. They come to school not only with chronic medical conditions, but a host of technological tools, including a ventilator in case of emergencies, an iPod to track nutritional intake and output, a catheter, and an insulin pump whose battery died recently and set off a persistent alarm. “These kids with the technology, they stand out,” Shepherd said. “They are acute.”\u003c/p>\n\u003cp>Among the report’s recommendations are the creation of systematic data collection and reporting systems in school districts to identify and serve children with special health care needs and to monitor their health and educational outcomes. The report also recommends mandatory training for all personnel delivering health services in schools, including first aid, CPR and procedures needed to serve specific children in each school. It states that funds generated through Medi-Cal claims should be earmarked to support school health services.\u003c/p>\n\u003cp>California provides little data or guidance to ensure that children with special health care needs are being identified and served, said the report’s lead author, Dian Baker, a pediatric nurse practitioner and associate professor of nursing at California State University, Sacramento. “We can do better.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"1NaxcJybRfl3dPbvihjiK8Aej7Qcqfxg\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Measles Cases Jump Dramatically; 49 So Far in 2014",
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"content": "\u003cfigure id=\"attachment_17842\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-large wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-640x613.jpg\" alt=\"Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images)\" width=\"640\" height=\"613\">\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>The state is reporting 49 confirmed cases of measles so far in 2014.\u003c/p>\n\u003cp>Last year at this time there were just four.\u003c/p>\n\u003cp>This is the first year since 2000, when officials declared measles eliminated in the U.S., that the number of cases in California climbed above 40. And it's just April.\u003c/p>\n\u003cp>The California Department of Public Health says the highest number of cases - 21 - have been reported in Orange County. Other affected counties in Southern California include Los Angeles County with 10, Riverside with 5 and San Diego County with 4.\u003c/p>\n\u003cp>In Northern California the cases were spread out between Alameda, Contra Costa, Santa Clara and San Mateo.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Eleven of the patients had traveled outside the US and 30 were in known contact with a measels patient. Of the remaining cases, the patients had either had contact with an international traveler or the cause is still under investigation.\u003c/p>\n\u003cp>Measles is highly contagious. It spreads through the air, through a cough or sneeze by an infected person. Symptoms begin with a fever, followed by a cough, runny nose, red, watery eyes and rash. Complications can include diarrhea, ear infections and pneumonia. In severe cases death can occur.\u003c/p>\n\u003cp>Public health officials are urging the public to get fully vaccinated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Being fully vaccinated against measles does more than just protect the person who receives the vaccination,\" says Dr. Ron Chapman, CDPH director and state health officer. \"It also protects their family and friends, including children who may be too young to be vaccinated.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17842\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-large wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-640x613.jpg\" alt=\"Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images)\" width=\"640\" height=\"613\">\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>The state is reporting 49 confirmed cases of measles so far in 2014.\u003c/p>\n\u003cp>Last year at this time there were just four.\u003c/p>\n\u003cp>This is the first year since 2000, when officials declared measles eliminated in the U.S., that the number of cases in California climbed above 40. And it's just April.\u003c/p>\n\u003cp>The California Department of Public Health says the highest number of cases - 21 - have been reported in Orange County. Other affected counties in Southern California include Los Angeles County with 10, Riverside with 5 and San Diego County with 4.\u003c/p>\n\u003cp>In Northern California the cases were spread out between Alameda, Contra Costa, Santa Clara and San Mateo.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Eleven of the patients had traveled outside the US and 30 were in known contact with a measels patient. Of the remaining cases, the patients had either had contact with an international traveler or the cause is still under investigation.\u003c/p>\n\u003cp>Measles is highly contagious. It spreads through the air, through a cough or sneeze by an infected person. Symptoms begin with a fever, followed by a cough, runny nose, red, watery eyes and rash. Complications can include diarrhea, ear infections and pneumonia. In severe cases death can occur.\u003c/p>\n\u003cp>Public health officials are urging the public to get fully vaccinated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Being fully vaccinated against measles does more than just protect the person who receives the vaccination,\" says Dr. Ron Chapman, CDPH director and state health officer. \"It also protects their family and friends, including children who may be too young to be vaccinated.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Oakland Schools Help Parents Sign Up for Covered California",
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"content": "\u003cfigure id=\"attachment_18348\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/photo-8-e1395864745721.jpg\">\u003cimg class=\"size-large wp-image-18348 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/photo-8-640x480.jpg\" alt=\"Gabino Pablo gets help with Covered Calfiornia enrollment as the deadline approaches. (Rachel Dornhelm/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Antonia Briones (left), an Alameda County Social Services Agency eligibility technician, helps Gabino Pablo (right) with Covered California enrollment as the deadline approaches. (Rachel Dornhelm/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The robocall went out this week to every parent of an Oakland public school student:\u003c/p>\n\u003cp>\"Hello! This is the Oakland Unified School District calling to remind you that March 31st is the deadline for enrolling in health insurance ... The OUSD Central Family Resource Center is here to help.\"\u003c/p>\n\u003cp>The day after that call went out the Central Family Resource Center, housed in a small portable building. was swamped. Over a 100 calls came in and 30 families dropped by.\u003c/p>\n\u003cp>\"We’re just getting flooded with calls and people dropping in asking for appointments so we’re all hands on deck trying to respond to the demand,\" said Eliza Schiffrin, the center's program coordinator.\u003c!--more-->\u003c/p>\n\u003cp>Oakland parent Gabino Pablo came in to sign up for coverage for himself, and Medi-Cal for his 5 week old daughter. He said he knew the deadline was looming, but has no internet access at home.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I don't speak much English. I am Mayan, my second language is Spanish and it’s hard,\" said Pablo. \"A lot of people need help [signing up]. When I go home from here, I am going to tell people I know and send them over here.”\u003c/p>\n\u003cp>Pablo estimates that only 1 in 10 of the adults in his immediate community are signed up for health insurance.\u003c/p>\n\u003cp>Schiffrin says the center has taken their staff on the road, too, visiting individual schools to help people sign up.\u003c/p>\n\u003cp>Language and internet repeatedly came up as significant barriers for parents who came looking for help.\u003c/p>\n\u003cp>One Spanish-speaker who came into the center said that he had been trying to sign up for coverage through Covered California, but every time he called he was put on hold and told there were no translators available.\u003c/p>\n\u003cp>Father to an OUSD 8-year-old, he said that when he got the robocall message on his answering machine this week, he headed in immediately. Like Pablo, he has no internet at home.\u003c/p>\n\u003cp>And just as he was leaving, a Tibetan-language parent called looking for a translator and help signing up.\u003c/p>\n\u003cp>Joanna Locke, director of Health & Wellness for the Oakland Unified School District, said the resource center was not initially geared to Covered California. It got off the ground two years ago as part of an overall effort to sign families up for Medi-Cal, HealthPAC and the Kaiser Child Plan.\u003c/p>\n\u003cp>Locke said the district started the center because they believe that for some families seeking various social services, schools might feel like a safer place to sign up than, say, at a county office or other agency.\u003c/p>\n\u003cp>\"We were rolling out the community schools model, which is the idea we are here to serve the whole child, and because families feel connected to their childrens’ school ... we thought that it might be a successful place to try to reach families that weren’t enrolled,\" said Locke\u003cstrong>.\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>The office is funded by Alameda County, through grants from the Atlantic Philanthropies and through Connecting Kids to Coverage.\u003c/p>\n\u003cp>The idea behind making health and wellness a priority for the schools is that healthy students will have improved attendance and be more successful learners.\u003c/p>\n\u003cp>Schiffrin said the OUSD push for health insurance is unusual for a school district.\u003c/p>\n\u003cp>\"The county is using [our model] to expand into other schools districts. Both Hayward and San Leandro are looking to offer the service to families in their district, but I haven’t heard of it commonly offered in school districts,\" said Schiffrin.\u003c/p>\n\u003cp>Once the deadline for Covered California passes, the Central Family Resource Center will continue to sign people up for Medi-Cal, CalFresh and HealthPAC and then will help with Covered California during each open enrollment period.\u003c/p>\n\u003cp>In the meantime, Schiffrin says the in person technicians are clearly welcome during what can be an overwhelming process.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The [Covered California] website, as good as it is, can often be slow or have complications and a lot of people don’t have internet access. So having the assistance is making a big difference,” said Schiffrin.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18348\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/photo-8-e1395864745721.jpg\">\u003cimg class=\"size-large wp-image-18348 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/photo-8-640x480.jpg\" alt=\"Gabino Pablo gets help with Covered Calfiornia enrollment as the deadline approaches. (Rachel Dornhelm/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Antonia Briones (left), an Alameda County Social Services Agency eligibility technician, helps Gabino Pablo (right) with Covered California enrollment as the deadline approaches. (Rachel Dornhelm/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The robocall went out this week to every parent of an Oakland public school student:\u003c/p>\n\u003cp>\"Hello! This is the Oakland Unified School District calling to remind you that March 31st is the deadline for enrolling in health insurance ... The OUSD Central Family Resource Center is here to help.\"\u003c/p>\n\u003cp>The day after that call went out the Central Family Resource Center, housed in a small portable building. was swamped. Over a 100 calls came in and 30 families dropped by.\u003c/p>\n\u003cp>\"We’re just getting flooded with calls and people dropping in asking for appointments so we’re all hands on deck trying to respond to the demand,\" said Eliza Schiffrin, the center's program coordinator.\u003c!--more-->\u003c/p>\n\u003cp>Oakland parent Gabino Pablo came in to sign up for coverage for himself, and Medi-Cal for his 5 week old daughter. He said he knew the deadline was looming, but has no internet access at home.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I don't speak much English. I am Mayan, my second language is Spanish and it’s hard,\" said Pablo. \"A lot of people need help [signing up]. When I go home from here, I am going to tell people I know and send them over here.”\u003c/p>\n\u003cp>Pablo estimates that only 1 in 10 of the adults in his immediate community are signed up for health insurance.\u003c/p>\n\u003cp>Schiffrin says the center has taken their staff on the road, too, visiting individual schools to help people sign up.\u003c/p>\n\u003cp>Language and internet repeatedly came up as significant barriers for parents who came looking for help.\u003c/p>\n\u003cp>One Spanish-speaker who came into the center said that he had been trying to sign up for coverage through Covered California, but every time he called he was put on hold and told there were no translators available.\u003c/p>\n\u003cp>Father to an OUSD 8-year-old, he said that when he got the robocall message on his answering machine this week, he headed in immediately. Like Pablo, he has no internet at home.\u003c/p>\n\u003cp>And just as he was leaving, a Tibetan-language parent called looking for a translator and help signing up.\u003c/p>\n\u003cp>Joanna Locke, director of Health & Wellness for the Oakland Unified School District, said the resource center was not initially geared to Covered California. It got off the ground two years ago as part of an overall effort to sign families up for Medi-Cal, HealthPAC and the Kaiser Child Plan.\u003c/p>\n\u003cp>Locke said the district started the center because they believe that for some families seeking various social services, schools might feel like a safer place to sign up than, say, at a county office or other agency.\u003c/p>\n\u003cp>\"We were rolling out the community schools model, which is the idea we are here to serve the whole child, and because families feel connected to their childrens’ school ... we thought that it might be a successful place to try to reach families that weren’t enrolled,\" said Locke\u003cstrong>.\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>The office is funded by Alameda County, through grants from the Atlantic Philanthropies and through Connecting Kids to Coverage.\u003c/p>\n\u003cp>The idea behind making health and wellness a priority for the schools is that healthy students will have improved attendance and be more successful learners.\u003c/p>\n\u003cp>Schiffrin said the OUSD push for health insurance is unusual for a school district.\u003c/p>\n\u003cp>\"The county is using [our model] to expand into other schools districts. Both Hayward and San Leandro are looking to offer the service to families in their district, but I haven’t heard of it commonly offered in school districts,\" said Schiffrin.\u003c/p>\n\u003cp>Once the deadline for Covered California passes, the Central Family Resource Center will continue to sign people up for Medi-Cal, CalFresh and HealthPAC and then will help with Covered California during each open enrollment period.\u003c/p>\n\u003cp>In the meantime, Schiffrin says the in person technicians are clearly welcome during what can be an overwhelming process.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The [Covered California] website, as good as it is, can often be slow or have complications and a lot of people don’t have internet access. So having the assistance is making a big difference,” said Schiffrin.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Neighbors Skeptical of L.A. Battery Recycling Plant's Clean Up Proposal",
"title": "Neighbors Skeptical of L.A. Battery Recycling Plant's Clean Up Proposal",
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"content": "\u003cfigure id=\"attachment_18311\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/ExideLead2-e1395774448786.jpg\">\u003cimg class=\"size-large wp-image-18311\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/ExideLead2-640x428.jpg\" alt=\"Doelores Mejia attended a recent public meeting in Boyle Heights where state Department of Toxic Substances Control officials described neighborhood lead contamination. Mejia says state officials should have closed the plant long ago. (Chris Richard)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Doelores Mejia attended a recent public meeting in Boyle Heights where state officials described neighborhood lead contamination. Mejia says regulators should have closed the plant long ago. (Chris Richard)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>Operators of a battery recycling plant suspected of showering its neighbors just east of downtown Los Angeles with lead dust for decades have submitted new \u003ca href=\"http://www.dtsc.ca.gov/HazardousWaste/Projects/upload/Add-to-the-11-15-13-WP-for-Off-site-Soil-Sampling.pdf\" target=\"_blank\">soil testing\u003c/a> and \u003ca href=\"http://www.dtsc.ca.gov/HazardousWaste/Projects/upload/Interim-Measures-Work-Plan.pdf\" target=\"_blank\">remediation\u003c/a> plans. According to the documents, the area that incrementally increases the area to be surveyed will be incrementally increased and homes inhabited by young children and pregnant women will be specially vacuumed or have lead dust sealed.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The Exide plant has been cited repeatedly for leaking lead and arsenic into nearby residential neighborhoods.\u003c/aside>\n\u003cp>Exide Technologies also may remove an undisclosed amount of soil from two yards already identified as hazardous to children.\u003c/p>\n\u003cp>At the same time, the company has received regulatory approval for more than $5 million in improvements to pollution-control measures at its plant in Vernon. That’s on top of $15 million the company has committed to anti-pollution measures since 2010.\u003c/p>\n\u003cp>In separate press releases regarding the ground contamination and the air-quality protection measures, senior Exide director E.N. “Bud” DeSart is quoted as saying the company is resolved to protect the public health.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But some community groups were unconvinced.\u003c/p>\n\u003cp>“They’re trying to put lipstick on this pig,” responded Monseigneur John Moretta. He's pastor of Resurrection Catholic Church in Boyle Heights, a blue-collar, largely Latino community next to Vernon.\u003c/p>\n\u003cp>Moretta added that he won’t be satisfied until the plant is closed.\u003c/p>\n\u003cp>The soil testing and remediation plan went to the state Department of Toxic Substances Control, which regulates ground contamination. The $5 million anti-pollution plan falls under the authority of the South Coast Air Quality Management District, charged with protecting air quality.\u003c/p>\n\u003cp>Liza Tucker of the public interest group Consumer Watchdog questioned this division of authority over what she described as a persistent and unrepentant polluter.\u003c/p>\n\u003cp>“What needs to happen is to regulate in a completely different way, to give companies like that a master permit, coordinated between the air district and the DTSC,” Tucker said.\u003c/p>\n\u003cp>“(Regulators) need to get together and say, ‘OK, what are we concerned about here and what do we do to make sure it doesn’t happen?”\u003c/p>\n\u003cp>Instead, Tucker said, the company has played different regulatory agencies against each other, avoiding effective controls on its behavior.\u003c/p>\n\u003cp>\u003cstrong>Long History of Violations\u003c/strong>\u003c/p>\n\u003cp>The battery recycling plant has operated since December 1981 on\u003ca href=\"http://www.envirostor.dtsc.ca.gov/public/profile_report.asp?global_id=80001733\" target=\"_blank\"> an “interim permit.”\u003c/a> Since then, it has never satisfied regulators that it meets the state’s rules for the safe operation of such toxic sites. Exide \u003ca href=\"https://www.aqmd.gov/prdas/AB2588/Exide/Exide.html\" target=\"_blank\">has been cited repeatedly for letting lead and arsenic leak\u003c/a> into residential neighborhoods less than two miles away.\u003c/p>\n\u003cp>Lead is a neurotoxin that can cause learning disabilities and behavioral problems in children.\u003c/p>\n\u003cp>The Air Quality Management District disclosed last spring that Exide’s arsenic emissions posed a cancer risk to more than 100,000 people living nearby.\u003c/p>\n\u003cp>Two weeks ago, the Department of Toxic Substances Control announced that tests of homes and schools near the plant detected lead levels exceeding 40 milligrams of lead per kilogram of soil. That’s about 40 parts per million, the level at which state guidelines recommend additional testing.\u003c/p>\n\u003cp>The department \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/11/high-levels-of-lead-found-in-soil-near-l-a-battery-recycling-plant/\" target=\"_blank\">warned\u003c/a> residents of Boyle Heights and Maywood, just east of downtown Los Angeles, to keep children away from areas of bare soil and to wash their hands thoroughly, especially when they come inside. Residents should put door mats inside and outside entrances to their homes, only grow produce in raised planter boxes and thoroughly wash any home-gown produce before eating it, the agency warned. It ordered additional testing and strategies to protect residents.\u003c/p>\n\u003cp>\u003cstrong>Expansion of Lead Testing\u003c/strong>\u003c/p>\n\u003cp>The first soil tests took samples from 39 homes and two schools within two miles of the plant. Exide’s new plan, submitted Friday, expands soil testing by 1.9 square miles and includes 59 additional properties. At homes where lead has already been found in concentrations exceeding 40 parts per million, and that are inhabited by pregnant women or young children, Exide may cover bare soil or vacuum the ground, according to the most recent proposal.\u003c/p>\n\u003cp>The first round of testing found lead concentrations exceeding the state Department of Public Health’s defined hazard level for bare soils where children play of 400 milligram per kilogram of soil, or approximately 400 parts per million. At those properties, the company plans to remove soil. The plan didn’t specify how much.\u003c/p>\n\u003cp>As for Exide’s plan to curb air pollution, Sam Atwood, a spokesman for the South Coast Air Quality Management District, noted that the company continued to receive citations for violating air quality rules.\u003c/p>\n\u003cp>\u003ca href=\"https://www.aqmd.gov/prdas/AB2588/Exide/Exide.html\" target=\"_blank\">Those alleged violations\u003c/a> include one this month for failing to report emissions promptly and two in January for temporarily removing part of the roof while work was underway on battery-crushing equipment. That may have released toxic fumes, but Exide failed to notify authorities or warn the public, air district documents claim. Exide also received a citation in January for releasing too much lead into the atmosphere.\u003c/p>\n\u003cp>Further, the company has sued to block an air district order that its blast furnaces achieve “negative pressure” to prevent toxic emissions from escaping, Atwood said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"QrHpQphj8NXCtvfC1HOdhzug1nUBHiHv\"]\u003c/p>\n\n",
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"description": "By Chris Richard Operators of a battery recycling plant suspected of showering its neighbors just east of downtown Los Angeles with lead dust for decades have submitted new soil testing and remediation plans. According to the documents, the area that incrementally increases the area to be surveyed will be incrementally increased and homes inhabited by",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18311\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/ExideLead2-e1395774448786.jpg\">\u003cimg class=\"size-large wp-image-18311\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/ExideLead2-640x428.jpg\" alt=\"Doelores Mejia attended a recent public meeting in Boyle Heights where state Department of Toxic Substances Control officials described neighborhood lead contamination. Mejia says state officials should have closed the plant long ago. (Chris Richard)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Doelores Mejia attended a recent public meeting in Boyle Heights where state officials described neighborhood lead contamination. Mejia says regulators should have closed the plant long ago. (Chris Richard)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>Operators of a battery recycling plant suspected of showering its neighbors just east of downtown Los Angeles with lead dust for decades have submitted new \u003ca href=\"http://www.dtsc.ca.gov/HazardousWaste/Projects/upload/Add-to-the-11-15-13-WP-for-Off-site-Soil-Sampling.pdf\" target=\"_blank\">soil testing\u003c/a> and \u003ca href=\"http://www.dtsc.ca.gov/HazardousWaste/Projects/upload/Interim-Measures-Work-Plan.pdf\" target=\"_blank\">remediation\u003c/a> plans. According to the documents, the area that incrementally increases the area to be surveyed will be incrementally increased and homes inhabited by young children and pregnant women will be specially vacuumed or have lead dust sealed.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The Exide plant has been cited repeatedly for leaking lead and arsenic into nearby residential neighborhoods.\u003c/aside>\n\u003cp>Exide Technologies also may remove an undisclosed amount of soil from two yards already identified as hazardous to children.\u003c/p>\n\u003cp>At the same time, the company has received regulatory approval for more than $5 million in improvements to pollution-control measures at its plant in Vernon. That’s on top of $15 million the company has committed to anti-pollution measures since 2010.\u003c/p>\n\u003cp>In separate press releases regarding the ground contamination and the air-quality protection measures, senior Exide director E.N. “Bud” DeSart is quoted as saying the company is resolved to protect the public health.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But some community groups were unconvinced.\u003c/p>\n\u003cp>“They’re trying to put lipstick on this pig,” responded Monseigneur John Moretta. He's pastor of Resurrection Catholic Church in Boyle Heights, a blue-collar, largely Latino community next to Vernon.\u003c/p>\n\u003cp>Moretta added that he won’t be satisfied until the plant is closed.\u003c/p>\n\u003cp>The soil testing and remediation plan went to the state Department of Toxic Substances Control, which regulates ground contamination. The $5 million anti-pollution plan falls under the authority of the South Coast Air Quality Management District, charged with protecting air quality.\u003c/p>\n\u003cp>Liza Tucker of the public interest group Consumer Watchdog questioned this division of authority over what she described as a persistent and unrepentant polluter.\u003c/p>\n\u003cp>“What needs to happen is to regulate in a completely different way, to give companies like that a master permit, coordinated between the air district and the DTSC,” Tucker said.\u003c/p>\n\u003cp>“(Regulators) need to get together and say, ‘OK, what are we concerned about here and what do we do to make sure it doesn’t happen?”\u003c/p>\n\u003cp>Instead, Tucker said, the company has played different regulatory agencies against each other, avoiding effective controls on its behavior.\u003c/p>\n\u003cp>\u003cstrong>Long History of Violations\u003c/strong>\u003c/p>\n\u003cp>The battery recycling plant has operated since December 1981 on\u003ca href=\"http://www.envirostor.dtsc.ca.gov/public/profile_report.asp?global_id=80001733\" target=\"_blank\"> an “interim permit.”\u003c/a> Since then, it has never satisfied regulators that it meets the state’s rules for the safe operation of such toxic sites. Exide \u003ca href=\"https://www.aqmd.gov/prdas/AB2588/Exide/Exide.html\" target=\"_blank\">has been cited repeatedly for letting lead and arsenic leak\u003c/a> into residential neighborhoods less than two miles away.\u003c/p>\n\u003cp>Lead is a neurotoxin that can cause learning disabilities and behavioral problems in children.\u003c/p>\n\u003cp>The Air Quality Management District disclosed last spring that Exide’s arsenic emissions posed a cancer risk to more than 100,000 people living nearby.\u003c/p>\n\u003cp>Two weeks ago, the Department of Toxic Substances Control announced that tests of homes and schools near the plant detected lead levels exceeding 40 milligrams of lead per kilogram of soil. That’s about 40 parts per million, the level at which state guidelines recommend additional testing.\u003c/p>\n\u003cp>The department \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/11/high-levels-of-lead-found-in-soil-near-l-a-battery-recycling-plant/\" target=\"_blank\">warned\u003c/a> residents of Boyle Heights and Maywood, just east of downtown Los Angeles, to keep children away from areas of bare soil and to wash their hands thoroughly, especially when they come inside. Residents should put door mats inside and outside entrances to their homes, only grow produce in raised planter boxes and thoroughly wash any home-gown produce before eating it, the agency warned. It ordered additional testing and strategies to protect residents.\u003c/p>\n\u003cp>\u003cstrong>Expansion of Lead Testing\u003c/strong>\u003c/p>\n\u003cp>The first soil tests took samples from 39 homes and two schools within two miles of the plant. Exide’s new plan, submitted Friday, expands soil testing by 1.9 square miles and includes 59 additional properties. At homes where lead has already been found in concentrations exceeding 40 parts per million, and that are inhabited by pregnant women or young children, Exide may cover bare soil or vacuum the ground, according to the most recent proposal.\u003c/p>\n\u003cp>The first round of testing found lead concentrations exceeding the state Department of Public Health’s defined hazard level for bare soils where children play of 400 milligram per kilogram of soil, or approximately 400 parts per million. At those properties, the company plans to remove soil. The plan didn’t specify how much.\u003c/p>\n\u003cp>As for Exide’s plan to curb air pollution, Sam Atwood, a spokesman for the South Coast Air Quality Management District, noted that the company continued to receive citations for violating air quality rules.\u003c/p>\n\u003cp>\u003ca href=\"https://www.aqmd.gov/prdas/AB2588/Exide/Exide.html\" target=\"_blank\">Those alleged violations\u003c/a> include one this month for failing to report emissions promptly and two in January for temporarily removing part of the roof while work was underway on battery-crushing equipment. That may have released toxic fumes, but Exide failed to notify authorities or warn the public, air district documents claim. Exide also received a citation in January for releasing too much lead into the atmosphere.\u003c/p>\n\u003cp>Further, the company has sued to block an air district order that its blast furnaces achieve “negative pressure” to prevent toxic emissions from escaping, Atwood said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"QrHpQphj8NXCtvfC1HOdhzug1nUBHiHv\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Frustrated Neighbors Want Faster Action Over L.A. Battery Recycling Plant",
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"content": "\u003cfigure id=\"attachment_18237\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/ExideLead1-e1395352488289.jpg\">\u003cimg class=\"size-large wp-image-18237\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/ExideLead1-640x428.jpg\" alt=\"Roberto Cabrales of Communities for a Better Environment regularly includes the Exide Technologies plant in Vernon in the activist group’s “toxic tour” of pollution sites to the east and south of Los Angeles. (Chris Richard)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Roberto Cabrales of Communities for a Better Environment regularly includes the Exide Technologies plant in Vernon in the activist group’s “toxic tour” of pollution sites to the east and south of Los Angeles. (Chris Richard)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>Like most 6-year-olds, Claudia Gomez’s son, Stanley, loves to play in the dirt, and he doesn’t much like washing his hands. But these days more than ever, Gomez is a stickler for cleanliness.\u003c/p>\n\u003cp>On Sunday evening, she spotted the grime as Stanley raced past her on his way to play outside.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Exide plant may have showered its neighbors with lead dust for decades. \u003c/aside>\n\u003cp>“I already washed my hands!” Stanley complained.\u003c/p>\n\u003cp>The protest didn’t work. Gomez hauled Stanley to the sink and started scrubbing.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Gomez is being so careful because the state Department of Toxic Substances Control has warned parents not to let their children play in the dirt. The department is urging frequent hand-washing as a \u003ca href=\"http://www.dtsc.ca.gov/HazardousWaste/Projects/upload/Community_Flier_031014.pdf\" target=\"_blank\">precaution against lead poisoning\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>People in Gomez’s Boyle Heights neighborhood and in Maywood, just east of downtown Los Angeles, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/11/high-levels-of-lead-found-in-soil-near-l-a-battery-recycling-plant/\" target=\"_blank\">got new warnings\u003c/a> earlier this month that a battery recycling plant may have contaminated their houses and yards with lead.\u003c/p>\n\u003cp>State regulators believe the Exide Technologies battery recycling plant may have showered its neighbors with lead dust for decades.\u003c/p>\n\u003cp>Lead poisoning can attack every organ in the body. In children, it can cause brain damage.\u003c/p>\n\u003cp>Exide crushes and melts about 25,000 car batteries a day. The company \u003ca href=\"https://www.aqmd.gov/prdas/AB2588/Exide/Exide.html\" target=\"_blank\">has been cited repeatedly for letting lead and arsenic leak\u003c/a> into residential neighborhoods less than 2 miles away.\u003c/p>\n\u003cp>Last fall, the Department of Toxic Substances Control ordered soil testing at \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/04/neighbors-skeptical-battery-recycler-to-test-soil-for-dangerous-metals-exide-arsenic-los-angeles/\" target=\"_blank\">39 houses and two schools\u003c/a> near the Exide plant.\u003c/p>\n\u003cp>Officials announced recently that all \u003ca href=\"http://www.dtsc.ca.gov/HazardousWaste/Projects/upload/2014_02_18_Exide_Offsite_Soil_Sampling_Rpt.pdf\">the samples exceeded 80 parts per million\u003c/a>, the level at which the state Office of Environmental Health Hazard Assessment recommends additional evaluation. The samples at one home topped 580 parts per million.\u003c/p>\n\u003cp>Brian Johnson, deputy director at the Department of Toxic Substances Control, says eventually, Exide might be ordered to cover the contaminated areas with mulch or sod, or possibly haul away some dirt. But first, Johnson says regulators need to map the poison.\u003c/p>\n\u003cp>“We don’t know (what the strategy will be) yet, because we don’t know how extensive these concentrations are. So, we don’t feel that it’s an emergency, but it does concern us significantly and that’s why we have them moving quickly,” Johnson said.\u003c/p>\n\u003cp>Exide has until today to come up with that broader testing plan -- and a strategy to protect people known to have been exposed to lead.\u003c/p>\n\u003cp>\u003cstrong>Some Neighbors Say State Action is Too Little, Too Late\u003c/strong>\u003c/p>\n\u003cp>But some neighborhood residents are losing faith in a regulatory response they feel is too little, too late.\u003c/p>\n\u003cp>At a neighborhood playground, Alejandro Ramirez wondered how he’s supposed to keep his nephew safe.\u003c/p>\n\u003cp>“I can’t tell him, 'Don’t grab this, don’t grab that,' because he’s a little boy, and what he wants is to experiment and to play in the dirt, or in games,” Ramirez said in Spanish.\u003c/p>\n\u003cp>Liza Tucker of the nonprofit activist group Consumer Watchdog called the request for additional testing “totally passing the buck.”\u003c/p>\n\u003cp>“What I’m concerned about is chronic exposure to lead. Those kids breathe the air. Those adults breathe the air. Lead is a neurotoxin. This has been going on now for years,” Tucker said.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/140727874&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>For its part, Exide says it now meets clean air standards. Plant Manager John Hogarth called the company “part of the green economy.” Exide already helps the environment by recycling some 8 million car batteries a year, Hogarth said, adding that otherwise the batteries would end up in landfills.\u003c/p>\n\u003cp>“What I can say to the community is that we are working very closely with the agencies that regulate us for health and environmental purposes, and we are committed to meet those requirements, whatever they are,” he said.\u003c/p>\n\u003cp>He added that Exide supports its community by providing more than 100 union jobs.\u003c/p>\n\u003cp>“My first priority is their health and hygiene and also the health and, you know, being a good steward of the environment for the communities around us.”\u003c/p>\n\u003cp>\u003cstrong>History of Violations\u003c/strong>\u003c/p>\n\u003cp>State records tell a different story. The plant has operated under an\u003ca href=\"http://www.envirostor.dtsc.ca.gov/public/profile_report.asp?global_id=80001733\" target=\"_blank\"> interim permit since December 1981\u003c/a>. In all that time, Exide hasn’t satisfied regulators that it has fully met California’s rules for the safe operation of such toxic sites. In fact, regulators twice issued deficiency notices that could have allowed the state to close the plant.\u003c/p>\n\u003cp>Instead, the state allowed it to stay open\u003c/p>\n\u003cp>Brian Johnson, of the Department of Toxic Substances Control, says it wasn’t always clear how lead smelters like Exide fit into the regulatory structure. Also, the plant filed several different permit applications. And time dragged on.\u003c/p>\n\u003cp>“We do not have that patience any longer,\" Johnson said. \"We are directing Exide to do the work that should have been done years ago and to do it quickly, and we are moving forward down that path.”\u003c/p>\n\u003cp>On Tuesday, Johnson held a community meeting at a church about 2 miles from Exide.\u003c/p>\n\u003cp>East Los Angeles resident Rafael Yanez, an environmental engineer, pointed out that so far, state regulators have sampled the middle of people’s yards, away from places where rain might concentrate lead, like under rain spouts. State officials are trying to get the average concentrations at first, not the peaks.\u003c/p>\n\u003cp>But Yanez said many families in the neighborhood plant kitchen gardens near downspouts.\u003c/p>\n\u003cp>“Since this is a Latin community, you would see chiles, things like yerba buena or other medicinal herbs that they’ll boil as teas to give to their children that are colicky,” he said.\u003c/p>\n\u003cp>Yanez thinks the lead concentrations in those gardens could be up to six times higher. He urged state regulators to require testing in other places that might have accumulated lead over the years, such as storm drains.\u003c/p>\n\u003cp>Johnson said that regulators put Exide on a tight schedule to come up with the protection and testing plan and he promised rapid action. Meanwhile, the county Department of Public Health will start offering free blood tests for people who want to be screened for lead.\u003c/p>\n\u003cp>Roberto Cabrales of \u003ca href=\"http://www.cbecal.org/\">Communities for a Better Environment\u003c/a> hopes regulators do crack down. He regularly swings by Exide on the organization’s “toxic tour” of pollution hot spots to the east and south of Los Angeles. “But it’s not the only one,” he said.\u003c/p>\n\u003cp>Last week Los Angeles County supervisors voted to set up a task force to identify chronic polluters like Exide and get them cleaned up or closed\u003c/p>\n\u003cp>Claudia Gomez, the mom who can’t stop scrubbing her son’s hands, is also growing weary of a struggle that seems to bring so little result.\u003c/p>\n\u003cp>“Sure, we should fight it, and they need to close that thing down and put it somewhere else. But everybody’s sick and stuff like that.”\u003c/p>\n\u003cp>Gomez says her 9-year-old daughter has frequent headaches, and she wonders whether that could be a symptom of lead poisoning. Her 7-month old baby is sickly, too. It’s all getting to be too much, and she says she’s thinking of moving away before things get worse.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"uSdVV7R0as0zppLsQ99uTDQ8d9LewnHl\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18237\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/ExideLead1-e1395352488289.jpg\">\u003cimg class=\"size-large wp-image-18237\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/ExideLead1-640x428.jpg\" alt=\"Roberto Cabrales of Communities for a Better Environment regularly includes the Exide Technologies plant in Vernon in the activist group’s “toxic tour” of pollution sites to the east and south of Los Angeles. (Chris Richard)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Roberto Cabrales of Communities for a Better Environment regularly includes the Exide Technologies plant in Vernon in the activist group’s “toxic tour” of pollution sites to the east and south of Los Angeles. (Chris Richard)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>Like most 6-year-olds, Claudia Gomez’s son, Stanley, loves to play in the dirt, and he doesn’t much like washing his hands. But these days more than ever, Gomez is a stickler for cleanliness.\u003c/p>\n\u003cp>On Sunday evening, she spotted the grime as Stanley raced past her on his way to play outside.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Exide plant may have showered its neighbors with lead dust for decades. \u003c/aside>\n\u003cp>“I already washed my hands!” Stanley complained.\u003c/p>\n\u003cp>The protest didn’t work. Gomez hauled Stanley to the sink and started scrubbing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Gomez is being so careful because the state Department of Toxic Substances Control has warned parents not to let their children play in the dirt. The department is urging frequent hand-washing as a \u003ca href=\"http://www.dtsc.ca.gov/HazardousWaste/Projects/upload/Community_Flier_031014.pdf\" target=\"_blank\">precaution against lead poisoning\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>People in Gomez’s Boyle Heights neighborhood and in Maywood, just east of downtown Los Angeles, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/11/high-levels-of-lead-found-in-soil-near-l-a-battery-recycling-plant/\" target=\"_blank\">got new warnings\u003c/a> earlier this month that a battery recycling plant may have contaminated their houses and yards with lead.\u003c/p>\n\u003cp>State regulators believe the Exide Technologies battery recycling plant may have showered its neighbors with lead dust for decades.\u003c/p>\n\u003cp>Lead poisoning can attack every organ in the body. In children, it can cause brain damage.\u003c/p>\n\u003cp>Exide crushes and melts about 25,000 car batteries a day. The company \u003ca href=\"https://www.aqmd.gov/prdas/AB2588/Exide/Exide.html\" target=\"_blank\">has been cited repeatedly for letting lead and arsenic leak\u003c/a> into residential neighborhoods less than 2 miles away.\u003c/p>\n\u003cp>Last fall, the Department of Toxic Substances Control ordered soil testing at \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/04/neighbors-skeptical-battery-recycler-to-test-soil-for-dangerous-metals-exide-arsenic-los-angeles/\" target=\"_blank\">39 houses and two schools\u003c/a> near the Exide plant.\u003c/p>\n\u003cp>Officials announced recently that all \u003ca href=\"http://www.dtsc.ca.gov/HazardousWaste/Projects/upload/2014_02_18_Exide_Offsite_Soil_Sampling_Rpt.pdf\">the samples exceeded 80 parts per million\u003c/a>, the level at which the state Office of Environmental Health Hazard Assessment recommends additional evaluation. The samples at one home topped 580 parts per million.\u003c/p>\n\u003cp>Brian Johnson, deputy director at the Department of Toxic Substances Control, says eventually, Exide might be ordered to cover the contaminated areas with mulch or sod, or possibly haul away some dirt. But first, Johnson says regulators need to map the poison.\u003c/p>\n\u003cp>“We don’t know (what the strategy will be) yet, because we don’t know how extensive these concentrations are. So, we don’t feel that it’s an emergency, but it does concern us significantly and that’s why we have them moving quickly,” Johnson said.\u003c/p>\n\u003cp>Exide has until today to come up with that broader testing plan -- and a strategy to protect people known to have been exposed to lead.\u003c/p>\n\u003cp>\u003cstrong>Some Neighbors Say State Action is Too Little, Too Late\u003c/strong>\u003c/p>\n\u003cp>But some neighborhood residents are losing faith in a regulatory response they feel is too little, too late.\u003c/p>\n\u003cp>At a neighborhood playground, Alejandro Ramirez wondered how he’s supposed to keep his nephew safe.\u003c/p>\n\u003cp>“I can’t tell him, 'Don’t grab this, don’t grab that,' because he’s a little boy, and what he wants is to experiment and to play in the dirt, or in games,” Ramirez said in Spanish.\u003c/p>\n\u003cp>Liza Tucker of the nonprofit activist group Consumer Watchdog called the request for additional testing “totally passing the buck.”\u003c/p>\n\u003cp>“What I’m concerned about is chronic exposure to lead. Those kids breathe the air. Those adults breathe the air. Lead is a neurotoxin. This has been going on now for years,” Tucker said.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/140727874&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>For its part, Exide says it now meets clean air standards. Plant Manager John Hogarth called the company “part of the green economy.” Exide already helps the environment by recycling some 8 million car batteries a year, Hogarth said, adding that otherwise the batteries would end up in landfills.\u003c/p>\n\u003cp>“What I can say to the community is that we are working very closely with the agencies that regulate us for health and environmental purposes, and we are committed to meet those requirements, whatever they are,” he said.\u003c/p>\n\u003cp>He added that Exide supports its community by providing more than 100 union jobs.\u003c/p>\n\u003cp>“My first priority is their health and hygiene and also the health and, you know, being a good steward of the environment for the communities around us.”\u003c/p>\n\u003cp>\u003cstrong>History of Violations\u003c/strong>\u003c/p>\n\u003cp>State records tell a different story. The plant has operated under an\u003ca href=\"http://www.envirostor.dtsc.ca.gov/public/profile_report.asp?global_id=80001733\" target=\"_blank\"> interim permit since December 1981\u003c/a>. In all that time, Exide hasn’t satisfied regulators that it has fully met California’s rules for the safe operation of such toxic sites. In fact, regulators twice issued deficiency notices that could have allowed the state to close the plant.\u003c/p>\n\u003cp>Instead, the state allowed it to stay open\u003c/p>\n\u003cp>Brian Johnson, of the Department of Toxic Substances Control, says it wasn’t always clear how lead smelters like Exide fit into the regulatory structure. Also, the plant filed several different permit applications. And time dragged on.\u003c/p>\n\u003cp>“We do not have that patience any longer,\" Johnson said. \"We are directing Exide to do the work that should have been done years ago and to do it quickly, and we are moving forward down that path.”\u003c/p>\n\u003cp>On Tuesday, Johnson held a community meeting at a church about 2 miles from Exide.\u003c/p>\n\u003cp>East Los Angeles resident Rafael Yanez, an environmental engineer, pointed out that so far, state regulators have sampled the middle of people’s yards, away from places where rain might concentrate lead, like under rain spouts. State officials are trying to get the average concentrations at first, not the peaks.\u003c/p>\n\u003cp>But Yanez said many families in the neighborhood plant kitchen gardens near downspouts.\u003c/p>\n\u003cp>“Since this is a Latin community, you would see chiles, things like yerba buena or other medicinal herbs that they’ll boil as teas to give to their children that are colicky,” he said.\u003c/p>\n\u003cp>Yanez thinks the lead concentrations in those gardens could be up to six times higher. He urged state regulators to require testing in other places that might have accumulated lead over the years, such as storm drains.\u003c/p>\n\u003cp>Johnson said that regulators put Exide on a tight schedule to come up with the protection and testing plan and he promised rapid action. Meanwhile, the county Department of Public Health will start offering free blood tests for people who want to be screened for lead.\u003c/p>\n\u003cp>Roberto Cabrales of \u003ca href=\"http://www.cbecal.org/\">Communities for a Better Environment\u003c/a> hopes regulators do crack down. He regularly swings by Exide on the organization’s “toxic tour” of pollution hot spots to the east and south of Los Angeles. “But it’s not the only one,” he said.\u003c/p>\n\u003cp>Last week Los Angeles County supervisors voted to set up a task force to identify chronic polluters like Exide and get them cleaned up or closed\u003c/p>\n\u003cp>Claudia Gomez, the mom who can’t stop scrubbing her son’s hands, is also growing weary of a struggle that seems to bring so little result.\u003c/p>\n\u003cp>“Sure, we should fight it, and they need to close that thing down and put it somewhere else. 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"content": "\u003cfigure id=\"attachment_18064\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/IMG_1692-e1394582025449.jpg\">\u003cimg class=\"size-large wp-image-18064\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/IMG_1692-640x359.jpg\" alt=\"IMG_1692\" width=\"640\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Reverend Lorie Adoff has trained over 130 inmate-volunteers to sit with and support dying prisoners at California Men's Colony, a minimum- and medium-security prison in San Luis Obispo. After training inmates for eleven years, Adoff retired in 2013. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Many people hope to die surrounded by friends and family. But for prison inmates death can be unusually isolating. As part of our ongoing health series called \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Vital Signs\u003c/a>, we hear from retired hospice chaplain Lorie Adoff. More than a decade ago, she helped launch a project called Supportive Care Services at the California Men’s Colony -- a prison in San Luis Obispo. The program trained inmates serving life sentences to sit with other men dying behind bars. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Lorie Adoff\u003c/strong>\u003c/p>\n\u003cp>First of all imagine, it's very, very stark. There is nothing pretty about a hospital in prison. Nothing.\u003c/p>\n\u003caside class=\"pullquote alignleft\">But I have discovered, working with the dying in prison, there is transformation. \u003c/aside>\n\u003cp>They have the opportunity to have family come and visit them on a limited basis. A lot of times because they've been there so long though, they don't have anybody who it matters whether or not they die in prison. They've been in prison for 30 years or 40 years and who cares? So, dying alone is a very, very real situation in prison.\u003c/p>\n\u003cp>Before Supportive Care Services, there really wasn't anything in place to be with the dying inmates. Patients who were dying in the hospital would be put in a room. A nurse would check on him periodically, until he died.\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\">Inmates are involved in prison hospice programs at the California Men’s Colony, in San Luis Obispo and the California Medical Facility, in Vacaville.\n\u003cp>In California's prisons, the number of inmates over 50 years old grew from 4 percent in 1990 to 21 percent in 2013.\u003c/p>\u003c/aside>\n\u003cp>All the men I had work [as hospice volunteers] in the program were lifers. That is they had committed a murder or were accessories to it, and they were given a life sentence.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The men are sitting vigil with them. They hold their hand. They talk to them -- whether or not the person can respond.\u003c/p>\n\u003cp>And what happens is those human qualities are given a safe space. They can be more caring and more compassionate and more sensitive.\u003c/p>\n\u003cp>You know, before I started working at the prison I used to think, well, we die the way we lived. But I have discovered, working with the dying in prison to say we die as we lived is not true. There is transformation. There \u003cem>really \u003c/em>are really deepchanges that happen.\u003c/p>\n\u003cp>I remember one of the psychiatrists said to me, \"The last four weeks of my patient's life has been the best that he has ever known.\" And I said, \"Why?\" And he said, \"Because he had friends who weren't trying to get something from him.\" And those were the hospice volunteers. And they made sure he didn't die alone.\u003c/p>\n\u003cp>\u003cstrong>Listen to Adoff's story:\u003c/strong>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/140530576&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>HEAR FROM A FORMER VOLUNTEER\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Roger Brown sat at the bedside of 34 dying men at the California Men's Colony in San Luis Obispo. After serving nearly 35 years of a life sentence, Brown is now on parole. He talks about how the Supportive Care Services program changed him.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/139568377&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>Ryder Diaz was the reporter for this story.\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Listen to more Vital Signs stories here or share your own.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"WiXK6EZFUUl8ghv9G2vsobcDgYIXlb9q\"]\u003c/p>\n\n",
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"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.",
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"order": 9
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"meta": {
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"id": "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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"hidden-brain": {
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"airtime": "SUN 7pm-8pm",
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"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.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
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"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. ",
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"order": 15
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"jerrybrown": {
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"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. ",
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"order": 18
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},
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"title": "Latino USA",
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
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},
"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/",
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"source": "American Public Media"
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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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"meta": {
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"rss": "https://rss.art19.com/masters-of-scale"
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},
"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.",
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"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",
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"officialWebsiteLink": "/podcasts/onourwatch",
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"order": 11
},
"link": "/podcasts/onourwatch",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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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"
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},
"pbs-newshour": {
"id": "pbs-newshour",
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"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
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},
"link": "/radio/program/pbs-newshour",
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"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",
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"officialWebsiteLink": "/perspectives/",
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
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"npr": "https://www.npr.org/podcasts/432309616/perspectives",
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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": {
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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"rss": "https://feeds.npr.org/510289/podcast.xml"
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},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"source": "kqed",
"order": 5
},
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