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"disqusTitle": "How California's Mentally Ill Children Suffer – Few Hospital Beds Statewide",
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"content": "\u003cp>\u003cstrong>\u003cem>\u003c/em>\u003c/strong>\u003cem>CORRECTION: Due to a reporting error, the original version of this story incorrectly identified John Muir Medical Center, Concord as the facility where Maria Ramirez's granddaughter was taken. We regret that error. The post has been edited so that it no longer contains the incorrect information.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Elaine Korry\u003c/strong>\u003c/p>\n\u003cp>Maria Ramirez began caring for her granddaughter when the girl was just a toddler. Her granddaughter began hurting herself -- cutting her arms and swallowing things -- before she was 10. Soon, says Ramirez, she couldn't let the girl out of her sight. “She was running in front of cars, just really impulsive,” says Ramirez. “It was out of control, and I was really scared.”\u003c/p>\n\u003cp>Ramirez has a job and health insurance, so she did what any parent or guardian would do: she took her granddaughter to her local hospital for treatment. But instead of finding help, she always got the same reply, “No beds, no beds.”\u003c/p>\n\u003cp>Ramirez, a Bay Area artist who loves gardening, says she knew early on that her granddaughter was going to need help. “She was a hard child to make smile. She was very serious,” says Ramirez.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She was also very anxious. The girl couldn't leave the bathroom if there was water in the tub. A wrinkled bedspread could ruin her day. By the time she was 12 she was taking medication and seeing a therapist. But she was not getting better.\u003c/p>\n\u003cp>Then one day she stabbed herself. Ramirez rushed her to a psychiatric emergency service, where she remained for days.\u003c/p>\n\u003cp>“It had been five days, and she was not getting helped,” says Ramirez. “She was confined. There was no intervention, there was no therapy, there were no services. There was nothing.“\u003c/p>\n\u003cp>Finally the girl was admitted to a child psychiatric facility.\u003c/p>\n\u003cp>\u003cstrong>No Regional Planning\u003c/strong>\u003c/p>\n\u003cp>Liz Stallings is the chief operations officer at John Muir Behavioral Health Center in Contra Costa County and expert on child mental health care. She, says the scarcity of hospital beds is a problem throughout California. “We have 12 child beds here at John Muir Behavioral Health, and they are occupied all the time from all over the state,” says Stallings.\u003c/p>\n\u003cp>Stallings, a psychiatric nurse, also chairs the California Hospital Association Center for Behavioral Health. The CHA has been sounding an alarm over the steady loss of hospital beds for adult and child psychiatric emergencies. In the entire state there are now fewer than 100 beds reserved for children 12 and under. Most of those beds are in the Bay Area or the Los Angeles basin; the overwhelming majority of California's 58 counties have no beds at all for your children experiencing a psychiatric emergency.\u003c/p>\n\u003cfigure id=\"attachment_16767\" class=\"wp-caption alignleft\" style=\"max-width: 269px\">\u003ca href=\"http://www.calhospital.org/sites/main/files/file-attachments/psych_bed_data_14.pdf\">\u003cimg class=\"size-medium wp-image-16767 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/Screen-Shot-2013-12-16-at-9.25.34-PM-300x334.png\" alt=\"In California, 47 of 58 counties have no child or adolescent inpatient psychiatric hospital beds. This map was created by the California Hospital Association using 2011 state data.\" width=\"269\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In California, 47 of 58 counties have no child or adolescent inpatient psychiatric hospital beds. This map was created by the California Hospital Association using 2011 state data.\u003c/figcaption>\u003c/figure>\n\u003cp>This didn't happen overnight, according to Stallings. Lawmakers decentralized mental health care in the 1990s, which gave counties more local control -- at the expense of regional planning. Both private and county hospitals started closing psychiatric wards to save money. “There is no planning process,” says Stallings. “They just expect me to absorb these patients.”\u003c/p>\n\u003cp>Since John Muir's beds are always occupied, local children can wind up stalled in the ER, like Ramirez' granddaughter. Or they are sent far away, where their parents can't visit or attend family therapy.\u003c/p>\n\u003cp>It's a problem officials in some counties are working to address.\u003c/p>\n\u003cp>Gail Price was appointed to the Santa Clara County Mental Health Board after her own son's psychiatric emergency. Now she co-chairs of the Family, Adolescents & Children’s Committee At 17 he had an episode of bipolar mania, which took the entire family by surprise. “It is very anxiety-producing, and most people are not prepared for this,” says Price.\u003c/p>\n\u003cp>Price was shocked to find that wealthy Santa Clara County doesn't have a single hospital psychiatric bed for adolescents. So she rallied all her connections and finally got her son admitted to a hospital about an hour away. He’s doing better now, but Price never forgot the experience. “We're comfortable. We speak English; we have transportation and resources. We were very fortunate, but I often think of individuals who did not have the advantages we had,” says Price.\u003c/p>\n\u003cp>Some of the hospital closures were done with the best intentions: public health officials and some mental health advocates insist psychiatric patients respond better to treatment in community settings, instead of being locked in a hospital. Price says that may be true for stable patients, but in a real emergency such as her son’s, Price says people need more structured intervention. Not only that, she adds, budget cuts have left most county services, including mental health, in tatters. “Frankly, I think it's a lack of political will,” says Price. “The data's there, and it's clear we have a moral responsibility to do something.”\u003c/p>\n\u003cp>When mental illness is treated, people can recover. But left untreated, their jobs and relationships can suffer. Many people with a serious mental illness wind up homeless or in jail. Earlier this year, state lawmakers recognized that after years of deep budget cuts, they needed to shore up the mental health system. Under the leadership of Sen. Darrel Steinberg, (D-Sacramento), the legislature approved $206 million in new mental health funding.\u003c/p>\n\u003cp>“What's lacking in the system is the crisis beds that allow somebody to get stable and the people who can help somebody get from those settings to a place where they can begin to get help,” says Steinberg.\u003c/p>\n\u003cp>Ramirez's granddaughter now lives in a psychiatric residential program for teenagers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor’s note: This is the second of three stories about psychiatric inpatient services airing this week on \u003ca href=\"http://www.californiareport.org/\" target=\"_blank\" rel=\"noopener noreferrer\">The California Report.\u003c/a> In part one, reporter Elaine Korry looked at the lack of \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/16/sharp-drop-in-psychiatric-beds-leaves-severely-mentally-ill-with-few-places-to-go/\" target=\"_blank\" rel=\"noopener noreferrer\">psychiatric inpatient services for adults\u003c/a>. In part three, Korry looks at how \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/18/after-years-of-decline-more-psychiatric-resources-coming/\" target=\"_blank\" rel=\"noopener noreferrer\">new mental health fundin\u003c/a>g will be implemented.\u003cbr>\n\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>\u003cem>\u003c/em>\u003c/strong>\u003cem>CORRECTION: Due to a reporting error, the original version of this story incorrectly identified John Muir Medical Center, Concord as the facility where Maria Ramirez's granddaughter was taken. We regret that error. The post has been edited so that it no longer contains the incorrect information.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Elaine Korry\u003c/strong>\u003c/p>\n\u003cp>Maria Ramirez began caring for her granddaughter when the girl was just a toddler. Her granddaughter began hurting herself -- cutting her arms and swallowing things -- before she was 10. Soon, says Ramirez, she couldn't let the girl out of her sight. “She was running in front of cars, just really impulsive,” says Ramirez. “It was out of control, and I was really scared.”\u003c/p>\n\u003cp>Ramirez has a job and health insurance, so she did what any parent or guardian would do: she took her granddaughter to her local hospital for treatment. But instead of finding help, she always got the same reply, “No beds, no beds.”\u003c/p>\n\u003cp>Ramirez, a Bay Area artist who loves gardening, says she knew early on that her granddaughter was going to need help. “She was a hard child to make smile. She was very serious,” says Ramirez.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She was also very anxious. The girl couldn't leave the bathroom if there was water in the tub. A wrinkled bedspread could ruin her day. By the time she was 12 she was taking medication and seeing a therapist. But she was not getting better.\u003c/p>\n\u003cp>Then one day she stabbed herself. Ramirez rushed her to a psychiatric emergency service, where she remained for days.\u003c/p>\n\u003cp>“It had been five days, and she was not getting helped,” says Ramirez. “She was confined. There was no intervention, there was no therapy, there were no services. There was nothing.“\u003c/p>\n\u003cp>Finally the girl was admitted to a child psychiatric facility.\u003c/p>\n\u003cp>\u003cstrong>No Regional Planning\u003c/strong>\u003c/p>\n\u003cp>Liz Stallings is the chief operations officer at John Muir Behavioral Health Center in Contra Costa County and expert on child mental health care. She, says the scarcity of hospital beds is a problem throughout California. “We have 12 child beds here at John Muir Behavioral Health, and they are occupied all the time from all over the state,” says Stallings.\u003c/p>\n\u003cp>Stallings, a psychiatric nurse, also chairs the California Hospital Association Center for Behavioral Health. The CHA has been sounding an alarm over the steady loss of hospital beds for adult and child psychiatric emergencies. In the entire state there are now fewer than 100 beds reserved for children 12 and under. Most of those beds are in the Bay Area or the Los Angeles basin; the overwhelming majority of California's 58 counties have no beds at all for your children experiencing a psychiatric emergency.\u003c/p>\n\u003cfigure id=\"attachment_16767\" class=\"wp-caption alignleft\" style=\"max-width: 269px\">\u003ca href=\"http://www.calhospital.org/sites/main/files/file-attachments/psych_bed_data_14.pdf\">\u003cimg class=\"size-medium wp-image-16767 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/Screen-Shot-2013-12-16-at-9.25.34-PM-300x334.png\" alt=\"In California, 47 of 58 counties have no child or adolescent inpatient psychiatric hospital beds. This map was created by the California Hospital Association using 2011 state data.\" width=\"269\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In California, 47 of 58 counties have no child or adolescent inpatient psychiatric hospital beds. This map was created by the California Hospital Association using 2011 state data.\u003c/figcaption>\u003c/figure>\n\u003cp>This didn't happen overnight, according to Stallings. Lawmakers decentralized mental health care in the 1990s, which gave counties more local control -- at the expense of regional planning. Both private and county hospitals started closing psychiatric wards to save money. “There is no planning process,” says Stallings. “They just expect me to absorb these patients.”\u003c/p>\n\u003cp>Since John Muir's beds are always occupied, local children can wind up stalled in the ER, like Ramirez' granddaughter. Or they are sent far away, where their parents can't visit or attend family therapy.\u003c/p>\n\u003cp>It's a problem officials in some counties are working to address.\u003c/p>\n\u003cp>Gail Price was appointed to the Santa Clara County Mental Health Board after her own son's psychiatric emergency. Now she co-chairs of the Family, Adolescents & Children’s Committee At 17 he had an episode of bipolar mania, which took the entire family by surprise. “It is very anxiety-producing, and most people are not prepared for this,” says Price.\u003c/p>\n\u003cp>Price was shocked to find that wealthy Santa Clara County doesn't have a single hospital psychiatric bed for adolescents. So she rallied all her connections and finally got her son admitted to a hospital about an hour away. He’s doing better now, but Price never forgot the experience. “We're comfortable. We speak English; we have transportation and resources. We were very fortunate, but I often think of individuals who did not have the advantages we had,” says Price.\u003c/p>\n\u003cp>Some of the hospital closures were done with the best intentions: public health officials and some mental health advocates insist psychiatric patients respond better to treatment in community settings, instead of being locked in a hospital. Price says that may be true for stable patients, but in a real emergency such as her son’s, Price says people need more structured intervention. Not only that, she adds, budget cuts have left most county services, including mental health, in tatters. “Frankly, I think it's a lack of political will,” says Price. “The data's there, and it's clear we have a moral responsibility to do something.”\u003c/p>\n\u003cp>When mental illness is treated, people can recover. But left untreated, their jobs and relationships can suffer. Many people with a serious mental illness wind up homeless or in jail. Earlier this year, state lawmakers recognized that after years of deep budget cuts, they needed to shore up the mental health system. Under the leadership of Sen. Darrel Steinberg, (D-Sacramento), the legislature approved $206 million in new mental health funding.\u003c/p>\n\u003cp>“What's lacking in the system is the crisis beds that allow somebody to get stable and the people who can help somebody get from those settings to a place where they can begin to get help,” says Steinberg.\u003c/p>\n\u003cp>Ramirez's granddaughter now lives in a psychiatric residential program for teenagers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor’s note: This is the second of three stories about psychiatric inpatient services airing this week on \u003ca href=\"http://www.californiareport.org/\" target=\"_blank\" rel=\"noopener noreferrer\">The California Report.\u003c/a> In part one, reporter Elaine Korry looked at the lack of \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/16/sharp-drop-in-psychiatric-beds-leaves-severely-mentally-ill-with-few-places-to-go/\" target=\"_blank\" rel=\"noopener noreferrer\">psychiatric inpatient services for adults\u003c/a>. In part three, Korry looks at how \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/12/18/after-years-of-decline-more-psychiatric-resources-coming/\" target=\"_blank\" rel=\"noopener noreferrer\">new mental health fundin\u003c/a>g will be implemented.\u003cbr>\n\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Sharp Drop in Psychiatric Beds Leaves Severely Mentally Ill With Few Places to Go",
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"content": "\u003cfigure id=\"attachment_16713\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/Carole-Ford_Korry-e1386982312190.jpg\">\u003cimg class=\"size-large wp-image-16713 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/Carole-Ford_Korry-640x480.jpg\" alt=\"Carole Ford (Elaine Korry/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Carole Ford of Lakeport, seen here in front of the community health center she runs, was often taken to hospitals far from her Lakeport home to treat her mental illness. (Elaine Korry/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Elaine Korry\u003c/strong>\u003c/p>\n\u003cp>In the small town of Clearlake, about a hundred miles north of San Francisco, Carole Ford, a great-grandmother with a mane of silver-gray hair, runs a community mental health center called The Bridge. She leads support groups and prepares meals for her mostly homeless clients. It's hardly glamorous work, but Ford says this is her dream job. “I know that I’m where I’m supposed to be -- and doing what I’m supposed to be doing,” she says.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Employees had to scour the state, looking for a vacant psychiatric bed. “Then it's another 2 to 3 hour drive.”\u003c/aside>\n\u003cp>But Ford, 71, hasn't always been so content. She had a traumatic childhood and many bouts of depression. As a younger adult adult she often felt suicidal. She recalls being dragged away to the hospital in Lake County, where she says she felt like she was dumped. There was no psychiatrist or therapist; no peer support or services of any kind.\u003c!--more-->\u003c/p>\n\u003cp>Ford was often forced to wait in the emergency room for hours for an evaluation, suffering all the while. “First of all, you hate feeling the way you're feeling -- horrible, and you can't face life.” She adds, “You're there, waiting, sort of alone in your emotions. It definitely added to my anxiety.”\u003c/p>\n\u003cp>By the time county behavioral health workers arrived for evaluations, Ford was often so upset that she was perceived to be in danger of hurting herself. So crisis workers ordered her to be hospitalized -- more than once -- without her consent for a three-day hold. Ford says it was the last thing she wanted. But it wasn't a matter of admitting her to the hospital affiliated with the emergency room. That hospital had no beds for psychiatric patients. Employees had to scour the state, looking for a vacant psychiatric bed. “Then it's usually like another 2 to 3 hour drive,” says Ford. “Waiting, you're in limbo.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Finally, Ford says, she would be dropped off, frightened and alone, at some unfamiliar place several counties away. “The door is locked behind you and here you are, surrounded by a bunch of strangers,” says Ford. “It was horrifying.”\u003c/p>\n\u003cp>\u003cstrong>Shortage of Acute Psych Beds\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_16710\" class=\"wp-caption alignleft\" style=\"max-width: 286px\">\u003ca href=\"http://www.calhospital.org/sites/main/files/file-attachments/psych_bed_data_14.pdf\">\u003cimg class=\"size-medium wp-image-16710 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/Screen-Shot-2013-12-13-at-4.42.45-PM-300x314.png\" alt=\"Screen Shot 2013-12-13 at 4.42.45 PM\" width=\"286\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The counties colored white have no inpatient psychiatric services of any kind, according to the California Hospital Association which created this map from state data.\u003c/figcaption>\u003c/figure>\n\u003cp>The guiding principle of medicine is to do no harm. Yet, advocates for people with mental illness say they go through this sort of ordeal all the time. Some lawmakers concede there's a problem. “There are still significant holes in the system and at or near the top of the list is the shortage of acute psychiatric beds,” says Darrel Steinberg, the President Pro Tem of the California Senate.\u003c/p>\n\u003cp>Steinberg, the author of the\u003ca href=\"http://www.dmh.ca.gov/prop_63/mhsa/\" target=\"_blank\"> Mental Health Services Act\u003c/a>, and other key legislative reforms, says it wasn't supposed to be this way.\u003c/p>\n\u003cp>Advocates for reform wanted to move mental health treatment from locked hospitals to less restrictive, and less costly, community settings. The reform movement goes back to the 60s. People with schizophrenia or bipolar disorder who were once locked away in state asylums now often live with their illnesses in the community. But that reform movement may have gone too far too fast, some advocates say. Over the last 15 years, psychiatric facilities have closed in record numbers. California lost one in three hospital beds once reserved for behavioral health emergencies. At the same time funding shifted from inpatient to outpatient treatment, the system of community care never got fully built.\u003c/p>\n\u003cp>A wave of corporate hospital closures and county budget cuts resulted in California losing about 4,000 hospital beds once reserved for psychiatric emergencies. Some areas were hit harder than others. Most of the rural northern and Sierra counties have no inpatient mental health services at all.\u003c/p>\n\u003cp>\u003cstrong>\"We Do Medical Care Here\"\u003c/strong>\u003c/p>\n\u003cp>At Sutter Lakeside Hospital, in the county seat of Lakeport, you can have back surgery, or give birth, but chief administrator Siri Nelson says if you're hallucinating or suicidal, then you're out of luck. “We're not a psychiatric facility,” says Nelson. “We do medical care here.”\u003cstrong>\u003cem> \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Serious mental illness is a brain disorder which also requires proper medical care. But Nelson says there simply isn't enough demand in this small county of 65,000 people to make a psychiatric unit profitable. And that calculation affects a wide array of other county services.\u003c/p>\n\u003cp>Because there are no local beds, last year Fire Chief Willie Sapeta had to transport 200 patients out of Lake County for psychiatric treatment. “Those transports can be a four-hour turnaround time to as much as a 10- or 12-hour turnaround,” he says, “when we've had to go to Salinas or up into Humboldt or Del Norte County.”\u003c/p>\n\u003cp>And it's not just paramedics who are affected. If the patient is considered potentially dangerous, then law enforcement has to step in. Sheriff's deputies have had to monitor patients in the emergency department for 10 to 12 hours at a time before a county behavioral health worker arrives.\u003c/p>\n\u003cp>Lt. Chris Chwialkowski, with the Lake County Sheriff’s Department, says the wait is a hardship for the patient, but also for his department. “If that deputy is on overtime, you're talking about time-and-a-half,” says Chwialkowski. \"If that deputy's not on overtime, then you're taking a deputy off the street.”\u003c/p>\n\u003cp>It's a bad situation all around, says Kristy Kelly, behavioral health director for Lake County. “It's difficult for law enforcement because they may have to stand by to make sure that it's safe,” she says. “It's difficult for the ER because that's their patient and they want to move their patients on. It's difficult for the Mental Health Department because we're trying to find a placement and we're calling and calling and calling and calling, and we're getting a lot of nos.\u003c/p>\n\u003cp>With the scarcity of beds, the moment one patient is discharged from a psychiatric bed, another is moved in. So the timing has to be just right for Kelly’s people to find a vacant bed. “We just keep calling until we get a yes,” says Kelly.\u003c/p>\n\u003cp>Back at The Bridge, Ford described how she found peace. About 15 years ago, she reached out to self-help groups and embarked on what she calls a spiritual path. She is much more settled now and says it's been years since she was hospitalized.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/125135790&color=ff6600&auto_play=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Editor's note: This is the first of three stories about psychiatric inpatient services airing this week on \u003ca href=\"http://www.californiareport.org\" target=\"_blank\">The California Report.\u003c/a> \u003c/em>\u003c/p>\n\n",
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"excerpt": "In the small town of Clearlake, about a hundred miles north of San Francisco, Carole Ford, a great-grandmother with a mane of silver-gray hair, runs a community mental health center called The Bridge. She leads support groups and prepares meals for her mostly homeless clients. It's hardly glamorous work, but Ford says this is her dream job. “I know that I’m where I’m supposed to be -- and doing what I’m supposed to be doing,” she says.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16713\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/Carole-Ford_Korry-e1386982312190.jpg\">\u003cimg class=\"size-large wp-image-16713 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/Carole-Ford_Korry-640x480.jpg\" alt=\"Carole Ford (Elaine Korry/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Carole Ford of Lakeport, seen here in front of the community health center she runs, was often taken to hospitals far from her Lakeport home to treat her mental illness. (Elaine Korry/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Elaine Korry\u003c/strong>\u003c/p>\n\u003cp>In the small town of Clearlake, about a hundred miles north of San Francisco, Carole Ford, a great-grandmother with a mane of silver-gray hair, runs a community mental health center called The Bridge. She leads support groups and prepares meals for her mostly homeless clients. It's hardly glamorous work, but Ford says this is her dream job. “I know that I’m where I’m supposed to be -- and doing what I’m supposed to be doing,” she says.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Employees had to scour the state, looking for a vacant psychiatric bed. “Then it's another 2 to 3 hour drive.”\u003c/aside>\n\u003cp>But Ford, 71, hasn't always been so content. She had a traumatic childhood and many bouts of depression. As a younger adult adult she often felt suicidal. She recalls being dragged away to the hospital in Lake County, where she says she felt like she was dumped. There was no psychiatrist or therapist; no peer support or services of any kind.\u003c!--more-->\u003c/p>\n\u003cp>Ford was often forced to wait in the emergency room for hours for an evaluation, suffering all the while. “First of all, you hate feeling the way you're feeling -- horrible, and you can't face life.” She adds, “You're there, waiting, sort of alone in your emotions. It definitely added to my anxiety.”\u003c/p>\n\u003cp>By the time county behavioral health workers arrived for evaluations, Ford was often so upset that she was perceived to be in danger of hurting herself. So crisis workers ordered her to be hospitalized -- more than once -- without her consent for a three-day hold. Ford says it was the last thing she wanted. But it wasn't a matter of admitting her to the hospital affiliated with the emergency room. That hospital had no beds for psychiatric patients. Employees had to scour the state, looking for a vacant psychiatric bed. “Then it's usually like another 2 to 3 hour drive,” says Ford. “Waiting, you're in limbo.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Finally, Ford says, she would be dropped off, frightened and alone, at some unfamiliar place several counties away. “The door is locked behind you and here you are, surrounded by a bunch of strangers,” says Ford. “It was horrifying.”\u003c/p>\n\u003cp>\u003cstrong>Shortage of Acute Psych Beds\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_16710\" class=\"wp-caption alignleft\" style=\"max-width: 286px\">\u003ca href=\"http://www.calhospital.org/sites/main/files/file-attachments/psych_bed_data_14.pdf\">\u003cimg class=\"size-medium wp-image-16710 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/Screen-Shot-2013-12-13-at-4.42.45-PM-300x314.png\" alt=\"Screen Shot 2013-12-13 at 4.42.45 PM\" width=\"286\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The counties colored white have no inpatient psychiatric services of any kind, according to the California Hospital Association which created this map from state data.\u003c/figcaption>\u003c/figure>\n\u003cp>The guiding principle of medicine is to do no harm. Yet, advocates for people with mental illness say they go through this sort of ordeal all the time. Some lawmakers concede there's a problem. “There are still significant holes in the system and at or near the top of the list is the shortage of acute psychiatric beds,” says Darrel Steinberg, the President Pro Tem of the California Senate.\u003c/p>\n\u003cp>Steinberg, the author of the\u003ca href=\"http://www.dmh.ca.gov/prop_63/mhsa/\" target=\"_blank\"> Mental Health Services Act\u003c/a>, and other key legislative reforms, says it wasn't supposed to be this way.\u003c/p>\n\u003cp>Advocates for reform wanted to move mental health treatment from locked hospitals to less restrictive, and less costly, community settings. The reform movement goes back to the 60s. People with schizophrenia or bipolar disorder who were once locked away in state asylums now often live with their illnesses in the community. But that reform movement may have gone too far too fast, some advocates say. Over the last 15 years, psychiatric facilities have closed in record numbers. California lost one in three hospital beds once reserved for behavioral health emergencies. At the same time funding shifted from inpatient to outpatient treatment, the system of community care never got fully built.\u003c/p>\n\u003cp>A wave of corporate hospital closures and county budget cuts resulted in California losing about 4,000 hospital beds once reserved for psychiatric emergencies. Some areas were hit harder than others. Most of the rural northern and Sierra counties have no inpatient mental health services at all.\u003c/p>\n\u003cp>\u003cstrong>\"We Do Medical Care Here\"\u003c/strong>\u003c/p>\n\u003cp>At Sutter Lakeside Hospital, in the county seat of Lakeport, you can have back surgery, or give birth, but chief administrator Siri Nelson says if you're hallucinating or suicidal, then you're out of luck. “We're not a psychiatric facility,” says Nelson. “We do medical care here.”\u003cstrong>\u003cem> \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Serious mental illness is a brain disorder which also requires proper medical care. But Nelson says there simply isn't enough demand in this small county of 65,000 people to make a psychiatric unit profitable. And that calculation affects a wide array of other county services.\u003c/p>\n\u003cp>Because there are no local beds, last year Fire Chief Willie Sapeta had to transport 200 patients out of Lake County for psychiatric treatment. “Those transports can be a four-hour turnaround time to as much as a 10- or 12-hour turnaround,” he says, “when we've had to go to Salinas or up into Humboldt or Del Norte County.”\u003c/p>\n\u003cp>And it's not just paramedics who are affected. If the patient is considered potentially dangerous, then law enforcement has to step in. Sheriff's deputies have had to monitor patients in the emergency department for 10 to 12 hours at a time before a county behavioral health worker arrives.\u003c/p>\n\u003cp>Lt. Chris Chwialkowski, with the Lake County Sheriff’s Department, says the wait is a hardship for the patient, but also for his department. “If that deputy is on overtime, you're talking about time-and-a-half,” says Chwialkowski. \"If that deputy's not on overtime, then you're taking a deputy off the street.”\u003c/p>\n\u003cp>It's a bad situation all around, says Kristy Kelly, behavioral health director for Lake County. “It's difficult for law enforcement because they may have to stand by to make sure that it's safe,” she says. “It's difficult for the ER because that's their patient and they want to move their patients on. It's difficult for the Mental Health Department because we're trying to find a placement and we're calling and calling and calling and calling, and we're getting a lot of nos.\u003c/p>\n\u003cp>With the scarcity of beds, the moment one patient is discharged from a psychiatric bed, another is moved in. So the timing has to be just right for Kelly’s people to find a vacant bed. “We just keep calling until we get a yes,” says Kelly.\u003c/p>\n\u003cp>Back at The Bridge, Ford described how she found peace. About 15 years ago, she reached out to self-help groups and embarked on what she calls a spiritual path. She is much more settled now and says it's been years since she was hospitalized.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/125135790&color=ff6600&auto_play=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's note: This is the first of three stories about psychiatric inpatient services airing this week on \u003ca href=\"http://www.californiareport.org\" target=\"_blank\">The California Report.\u003c/a> \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "What Does Climate Change Have to Do with Health? Plenty",
"title": "What Does Climate Change Have to Do with Health? Plenty",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_16665\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS2860_smog-scr-e1386893175781.jpg\">\u003cimg class=\"size-large wp-image-16665\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS2860_smog-scr-640x426.jpg\" alt=\"A smoggy sunset in San Diego. (Sandy Huffaker/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A smoggy sunset in San Diego. (Sandy Huffaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>When people think of climate change, they tend to think of it as a science and environmental issue. But climbing levels of greenhouse gases, particulate matter, and rising seas hurts more than the environment. It harms people's health, too.\u003c/p>\n\u003cp>“Climate change is one of greatest public health threats of our time,\" said Anne Kelsey Lamb of Oakland's Public Health Institute.\u003c/p>\n\u003cp>Lamb was talking to a roomful of her own in a gathering this week when some 100 public health professionals from around the state and beyond were in Oakland to learn more about the intersection \u003ca href=\"http://climatehealthconnect.org/resource/framework-climate-change-and-health-opportunities-action\" target=\"_blank\">between climate change and public health\u003c/a> — and what they can do about it.\u003c!--more-->\u003c/p>\n\u003cp>While it's impossible to tie any specific illness or death to climate change, it's easy to imagine how the worst effects of global warming harm health. Here are just a few examples: deaths related to heat waves (\u003ca href=\"http://www.cdph.ca.gov/HealthInfo/injviosaf/Documents/HeatPlanAssessment-EPIC.pdf\" target=\"_blank\">140 people died\u003c/a> in the 2006 heat wave in California); a warming planet also \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/03/16/doctors-expect-climate-change-to-worsen-lung-diseases/\" target=\"_blank\">leads to more pollen\u003c/a>, which aggravates asthma; and climate change \u003ca href=\"http://www.californiareport.org/archive/R201209120850/b\" target=\"_blank\">can mean more mosquitoes\u003c/a> and an easier spread of the diseases they can transmit.\u003c/p>\n\u003cp>Who will bear the brunt of these changes? Climate change \"threatens to exacerbate existing inequities,\" said PHI's Linda Rudolph, disproportionately impacting people who are poor and people of color.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rudolph is the co-director of PHI's Climate Change and Public Health Project, and she's aiming to start a movement. There's been \"no coherent strategy,\" she said, from the health community on climate change. \"There's a critical window of opportunity right now,\" she said. \"We can seize that opportunity to build a movement to reduce climate change and build healthy communities or stick our heads in the sand.\"\u003c/p>\n\u003cp>With that, she unveiled a \"framework\" to help public health professionals see where they could make a difference. Fair warning before you click, \u003ca href=\"http://climatehealthconnect.org/sites/climatehealthconnect.org/files/resources/ClimateHealthDiagram.Layer08.pdf\" target=\"_blank\">the framework\u003c/a> is something only a public health professional could love. Initially it made about as much sense to me as this \u003ca href=\"http://www.flickr.com/photos/13649621@N00/3428577561/in/photolist-6dYmEe-6eK1dA-6rM5dB-6w1XsR-6yE65A-6yE6mW-6ALHci-6ALHcr-6ALHcB-6BsPdV-6BwYpu-6EWQ7F-6HLjgt-6JAhtk-6JAhv8-6TxESg-6X4tnQ-77X5Vp-7fUBK6-7kthcR-83Ls38-9WqHt1-dA28AU-914syp-arx6kw-8NveDf-9bNS3g-bzicgi-dgHLq4-cDj4UW-8AUEkM-7Gq9T1-e3Z1ic-9YkiXE-eDUj5A-bYJoqG-aTnnBH-aTnr94-aTnwvx-aTnySM-9tEMnU-82aD43-7GnSmW-7MvJXU-buXryS-dBRxXp-cCb1Du-cJCPNb-827uEk-82aCzu-827vbF\" target=\"_blank\">circuit board\u003c/a>, but once Rudolph walked us all through it, I started to be able to follow the paths, too.\u003c/p>\n\u003cp>The main takeaway, Rudolph argued, is that there are all kinds of levers along the climate trajectory where public health folks can do their jobs and achieve \"co-benefits.\" For example, \"urban greening\" can lead to better air quality — but it also leads to higher property values and green space for physical activity, which both improve a neighborhood and give individuals the space to lead more active lives. Or think of getting people out of their cars urging them to bike or walk where they need to go. Fewer cars on the road means less air pollution — and people out of their cars and moving improves health.\u003c/p>\n\u003cp>\"The health co-benefits are a huge piece\" that needs more attention, said Dr. Ron Chapman, director of the California Department of Public Health.\u003c/p>\n\u003cp>Perhaps the greatest challenges come in moving \"upstream\" — toward policy and systemic changes, which can \"affect the root causes of climate change,\" Rudolph said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But it's not easily accomplished. This work is \"really complex, really challenging,\" Chapman said. But the more \"we've been able to tie climate change to health impacts, the more public health gets on board.\"\u003c/p>\n\n",
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"excerpt": "When people think of climate change, they tend to think of it as a science and environmental issue. But climbing levels of greenhouse gases, particulate matter, and rising seas hurts more than the environment. It harms people's health, too.\r\n\r\n“Climate change is one of greatest public health threats of our time,\" said Anne Kelsey Lamb of Oakland's Public Health Institute.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16665\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS2860_smog-scr-e1386893175781.jpg\">\u003cimg class=\"size-large wp-image-16665\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS2860_smog-scr-640x426.jpg\" alt=\"A smoggy sunset in San Diego. (Sandy Huffaker/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A smoggy sunset in San Diego. (Sandy Huffaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>When people think of climate change, they tend to think of it as a science and environmental issue. But climbing levels of greenhouse gases, particulate matter, and rising seas hurts more than the environment. It harms people's health, too.\u003c/p>\n\u003cp>“Climate change is one of greatest public health threats of our time,\" said Anne Kelsey Lamb of Oakland's Public Health Institute.\u003c/p>\n\u003cp>Lamb was talking to a roomful of her own in a gathering this week when some 100 public health professionals from around the state and beyond were in Oakland to learn more about the intersection \u003ca href=\"http://climatehealthconnect.org/resource/framework-climate-change-and-health-opportunities-action\" target=\"_blank\">between climate change and public health\u003c/a> — and what they can do about it.\u003c!--more-->\u003c/p>\n\u003cp>While it's impossible to tie any specific illness or death to climate change, it's easy to imagine how the worst effects of global warming harm health. Here are just a few examples: deaths related to heat waves (\u003ca href=\"http://www.cdph.ca.gov/HealthInfo/injviosaf/Documents/HeatPlanAssessment-EPIC.pdf\" target=\"_blank\">140 people died\u003c/a> in the 2006 heat wave in California); a warming planet also \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/03/16/doctors-expect-climate-change-to-worsen-lung-diseases/\" target=\"_blank\">leads to more pollen\u003c/a>, which aggravates asthma; and climate change \u003ca href=\"http://www.californiareport.org/archive/R201209120850/b\" target=\"_blank\">can mean more mosquitoes\u003c/a> and an easier spread of the diseases they can transmit.\u003c/p>\n\u003cp>Who will bear the brunt of these changes? Climate change \"threatens to exacerbate existing inequities,\" said PHI's Linda Rudolph, disproportionately impacting people who are poor and people of color.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Rudolph is the co-director of PHI's Climate Change and Public Health Project, and she's aiming to start a movement. There's been \"no coherent strategy,\" she said, from the health community on climate change. \"There's a critical window of opportunity right now,\" she said. \"We can seize that opportunity to build a movement to reduce climate change and build healthy communities or stick our heads in the sand.\"\u003c/p>\n\u003cp>With that, she unveiled a \"framework\" to help public health professionals see where they could make a difference. Fair warning before you click, \u003ca href=\"http://climatehealthconnect.org/sites/climatehealthconnect.org/files/resources/ClimateHealthDiagram.Layer08.pdf\" target=\"_blank\">the framework\u003c/a> is something only a public health professional could love. Initially it made about as much sense to me as this \u003ca href=\"http://www.flickr.com/photos/13649621@N00/3428577561/in/photolist-6dYmEe-6eK1dA-6rM5dB-6w1XsR-6yE65A-6yE6mW-6ALHci-6ALHcr-6ALHcB-6BsPdV-6BwYpu-6EWQ7F-6HLjgt-6JAhtk-6JAhv8-6TxESg-6X4tnQ-77X5Vp-7fUBK6-7kthcR-83Ls38-9WqHt1-dA28AU-914syp-arx6kw-8NveDf-9bNS3g-bzicgi-dgHLq4-cDj4UW-8AUEkM-7Gq9T1-e3Z1ic-9YkiXE-eDUj5A-bYJoqG-aTnnBH-aTnr94-aTnwvx-aTnySM-9tEMnU-82aD43-7GnSmW-7MvJXU-buXryS-dBRxXp-cCb1Du-cJCPNb-827uEk-82aCzu-827vbF\" target=\"_blank\">circuit board\u003c/a>, but once Rudolph walked us all through it, I started to be able to follow the paths, too.\u003c/p>\n\u003cp>The main takeaway, Rudolph argued, is that there are all kinds of levers along the climate trajectory where public health folks can do their jobs and achieve \"co-benefits.\" For example, \"urban greening\" can lead to better air quality — but it also leads to higher property values and green space for physical activity, which both improve a neighborhood and give individuals the space to lead more active lives. Or think of getting people out of their cars urging them to bike or walk where they need to go. Fewer cars on the road means less air pollution — and people out of their cars and moving improves health.\u003c/p>\n\u003cp>\"The health co-benefits are a huge piece\" that needs more attention, said Dr. Ron Chapman, director of the California Department of Public Health.\u003c/p>\n\u003cp>Perhaps the greatest challenges come in moving \"upstream\" — toward policy and systemic changes, which can \"affect the root causes of climate change,\" Rudolph said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But it's not easily accomplished. This work is \"really complex, really challenging,\" Chapman said. But the more \"we've been able to tie climate change to health impacts, the more public health gets on board.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_16479\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-e1385742653284.jpg\">\u003cimg class=\"size-large wp-image-16479\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-640x423.jpg\" alt=\"San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\" width=\"640\" height=\"423\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jim Bunn\u003c/strong>\u003c/p>\n\u003cp>It was the summer of 1983 and my first day on the job at KPIX -- San Francisco's CBS television affiliate. My assignment: cover a news conference at the Irwin Memorial Blood Bank. It was about the new and mysterious disease, AIDS, and the blood supply.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“We need a day. Like 'Cold-Turkey' in the States where people quit smoking for a day.”\u003c/aside>\n\u003cp>Sitting in the car to return to the station, my head was reeling. I had heard about AIDS in my previous job on the east coast, but nothing more than that. Clearly this had all the earmarks of a tremendously important story. It was a fearful time. People were dying. The nation’s blood supply was somehow at risk. There was an international race to find the cause and, hopefully, some way to treat this terrible disease and save countless lives.\u003c/p>\n\u003cp>The kind of story a reporter yearns to cover.\u003c/p>\n\u003cp>But at the center of it was science. Significant, because not too many years earlier I was the stupidest high school biology student in the history of public education. No joke. Two weeks before graduation I still had an “incomplete” for sophomore biology. Only through the good graces of my biology teacher, who gave me an oral exam, during which he fed me the answers to his questions, was I able to graduate.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So the science of the AIDS “story” stared me in the face –- and scared me.\u003c!--more-->\u003c/p>\n\u003cp>Little could I anticipate that within a very few years of that news conference my coverage of the story would be the centerpiece of KPIX’s “AIDS Lifeline,” a community service project that won the country’s first national Emmy ever awarded to a local station, The Presidential Citation for Private-Sector Initiatives, and The Peabody Award, broadcasting’s highest honor.\u003c/p>\n\u003cp>The premise of “AIDS Lifeline” was simple. A television station in a community where there was a public health crisis had the tools to impact that crisis –- with clear information. Separating fact from fiction. Helping people understand what to be afraid of, and, what \u003cem>not\u003c/em> to be afraid of. Producer Nancy Saslow and Managing Editor Kim Montour were champions of the project.\u003c/p>\n\u003cp>I overcame my fear of science. I asked the stupid questions. Learned the language of scientists, about scientific method, what constituted a good study -- and which theories didn’t warrant coverage. Also during that time, I went from being an advocate for the story to becoming an advocate for the issue.\u003c/p>\n\u003cp>“AIDS Lifeline” was a unique partnership between KPIX, the San Francisco AIDS Foundation, and the Department of Public Health. I believed that we could still do our jobs as journalists, \u003cem>and \u003c/em>our company could be good corporate citizens, helping our community respond to this public health threat.\u003c/p>\n\u003cp>Our coverage put me in the company of the top people in the world who were grappling with this disease. One of them was Dr. Jonathan Mann, a brilliant epidemiologist for the Centers for Disease Control. One day, while I was covering a scientific conference in Washington, D.C., Dr. Mann told me that he was being assigned to work for the United Nations, to head up the Global Programme on AIDS for the World Health Organization (WHO). Before I could finish congratulating him he said, “I want you to come with me, be the Public Information Officer” for the group. My jaw dropped. All I could think was –- \"Wow, the stupidest high school biology student in the history of public education…\"\u003c/p>\n\u003cp>Weeks later, I was in Geneva working for the UN. One of the most important assignments for me and Tom Netter, my colleague in the Public Information Office, was to make sure we knew whenever anyone working for the UN said \u003cem>anything\u003c/em> about AIDS. The reason? The politics of AIDS were electric, and even the slightest misstep or misstatement would lead to a bevvy of reporters calling our office –- and Dr. Mann –- for comment.\u003c/p>\n\u003cp>In August of 1987, Tom was reading aloud a speech given by Dr. Halfdan Mahler, the Director-General of WHO. Buried in it was an oblique reference for the need to mobilize countries in the global fight against AIDS. Before Tom finished I interrupted, “Yeah, we need a day. Like 'Cold-Turkey' in the states where people quit smoking for a day.” Tom got up out of his chair. “Yes,” I said, as he walked over to the white board and started writing, “you know, something like Global or World AIDS Day.”\u003c/p>\n\u003cp>Ideas went up on the white board fast and furious. We chose December 1\u003csup>st\u003c/sup> because we knew it was a dead spot in the news calendar, so editors would be looking for stories. We would create “Action Kits” for AIDS support groups and tell them how to put on events that would draw media coverage. We would send press kits to media outlets telling them to look out for the kinds of events we were suggesting to the AIDS support groups. We would get them to begin a conversation. We would get the media and these groups to see how they could work together. Just as we did with “AIDS Lifeline” in San Francisco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now, 25 years later, that conversation continues.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16479\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-e1385742653284.jpg\">\u003cimg class=\"size-large wp-image-16479\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-640x423.jpg\" alt=\"San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\" width=\"640\" height=\"423\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jim Bunn\u003c/strong>\u003c/p>\n\u003cp>It was the summer of 1983 and my first day on the job at KPIX -- San Francisco's CBS television affiliate. My assignment: cover a news conference at the Irwin Memorial Blood Bank. It was about the new and mysterious disease, AIDS, and the blood supply.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“We need a day. Like 'Cold-Turkey' in the States where people quit smoking for a day.”\u003c/aside>\n\u003cp>Sitting in the car to return to the station, my head was reeling. I had heard about AIDS in my previous job on the east coast, but nothing more than that. Clearly this had all the earmarks of a tremendously important story. It was a fearful time. People were dying. The nation’s blood supply was somehow at risk. There was an international race to find the cause and, hopefully, some way to treat this terrible disease and save countless lives.\u003c/p>\n\u003cp>The kind of story a reporter yearns to cover.\u003c/p>\n\u003cp>But at the center of it was science. Significant, because not too many years earlier I was the stupidest high school biology student in the history of public education. No joke. Two weeks before graduation I still had an “incomplete” for sophomore biology. Only through the good graces of my biology teacher, who gave me an oral exam, during which he fed me the answers to his questions, was I able to graduate.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So the science of the AIDS “story” stared me in the face –- and scared me.\u003c!--more-->\u003c/p>\n\u003cp>Little could I anticipate that within a very few years of that news conference my coverage of the story would be the centerpiece of KPIX’s “AIDS Lifeline,” a community service project that won the country’s first national Emmy ever awarded to a local station, The Presidential Citation for Private-Sector Initiatives, and The Peabody Award, broadcasting’s highest honor.\u003c/p>\n\u003cp>The premise of “AIDS Lifeline” was simple. A television station in a community where there was a public health crisis had the tools to impact that crisis –- with clear information. Separating fact from fiction. Helping people understand what to be afraid of, and, what \u003cem>not\u003c/em> to be afraid of. Producer Nancy Saslow and Managing Editor Kim Montour were champions of the project.\u003c/p>\n\u003cp>I overcame my fear of science. I asked the stupid questions. Learned the language of scientists, about scientific method, what constituted a good study -- and which theories didn’t warrant coverage. Also during that time, I went from being an advocate for the story to becoming an advocate for the issue.\u003c/p>\n\u003cp>“AIDS Lifeline” was a unique partnership between KPIX, the San Francisco AIDS Foundation, and the Department of Public Health. I believed that we could still do our jobs as journalists, \u003cem>and \u003c/em>our company could be good corporate citizens, helping our community respond to this public health threat.\u003c/p>\n\u003cp>Our coverage put me in the company of the top people in the world who were grappling with this disease. One of them was Dr. Jonathan Mann, a brilliant epidemiologist for the Centers for Disease Control. One day, while I was covering a scientific conference in Washington, D.C., Dr. Mann told me that he was being assigned to work for the United Nations, to head up the Global Programme on AIDS for the World Health Organization (WHO). Before I could finish congratulating him he said, “I want you to come with me, be the Public Information Officer” for the group. My jaw dropped. All I could think was –- \"Wow, the stupidest high school biology student in the history of public education…\"\u003c/p>\n\u003cp>Weeks later, I was in Geneva working for the UN. One of the most important assignments for me and Tom Netter, my colleague in the Public Information Office, was to make sure we knew whenever anyone working for the UN said \u003cem>anything\u003c/em> about AIDS. The reason? The politics of AIDS were electric, and even the slightest misstep or misstatement would lead to a bevvy of reporters calling our office –- and Dr. Mann –- for comment.\u003c/p>\n\u003cp>In August of 1987, Tom was reading aloud a speech given by Dr. Halfdan Mahler, the Director-General of WHO. Buried in it was an oblique reference for the need to mobilize countries in the global fight against AIDS. Before Tom finished I interrupted, “Yeah, we need a day. Like 'Cold-Turkey' in the states where people quit smoking for a day.” Tom got up out of his chair. “Yes,” I said, as he walked over to the white board and started writing, “you know, something like Global or World AIDS Day.”\u003c/p>\n\u003cp>Ideas went up on the white board fast and furious. We chose December 1\u003csup>st\u003c/sup> because we knew it was a dead spot in the news calendar, so editors would be looking for stories. We would create “Action Kits” for AIDS support groups and tell them how to put on events that would draw media coverage. We would send press kits to media outlets telling them to look out for the kinds of events we were suggesting to the AIDS support groups. We would get them to begin a conversation. We would get the media and these groups to see how they could work together. Just as we did with “AIDS Lifeline” in San Francisco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now, 25 years later, that conversation continues.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Can Air Pollution Make Children Fat?",
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"content": "\u003cfigure id=\"attachment_16466\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/181753809-e1385582095189.jpg\">\u003cimg class=\"size-large wp-image-16466\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/181753809-640x433.jpg\" alt=\"(Jeff Swenson/Getty Images)\" width=\"640\" height=\"433\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jeff Swenson/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>Studies have linked air pollution exposure, especially exposure to pollution from congested roadways, with serious health conditions ranging from asthma, to heart disease, to cancer, to low birth weight.\u003c/p>\n\u003cp>Now a research team at the University of Southern California’s Keck School of Medicine has received funding to investigate whether children living near busy roadways are more prone to obesity.\u003c/p>\n\u003cp>The National Institute of Environmental Health Sciences and the federal Environmental Protection Agency recently awarded $7.8 million to the medical school’s \u003ca href=\"http://hydra.usc.edu/cehc/\">Southern California Children’s Environmental Health Center\u003c/a> to fund research by over the next five years.\u003c/p>\n\u003cp>Scientists will conduct new studies and analyze existing data on whether and how roadway pollution may make children obese. They’ll also study metabolic abnormalities linked to air pollution from roads that might increase the risk of Type 2 diabetes.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rob McConnell, professor of preventive medicine at Keck, will oversee the new investigations. He said the research proposal grew out of an earlier study on how the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/31/if-we-build-it-will-people-be-more-healthy/\" target=\"_blank\"> built environment\u003c/a> might induce obesity.\u003c/p>\n\u003cp>For the past decade or so, scientists have looked into correlations between recreation and exercise opportunities and comparative leanness or heaviness.\u003c/p>\n\u003cp>Children who attend schools with recreation programs or live in a neighborhood with a sidewalk, where it’s easy to walk around, do tend to be a little more lean, McConnell said.\u003c/p>\n\u003cp>“The common wisdom is that we’ve got an epidemic of obesity and diabetes because we eat a lot of unhealthy foods and we don’t get any exercise. I think that’s certainly a big part of the explanation, but I think it’s more complicated that what we’ve thought,” he said.\u003c/p>\n\u003cp>Some three years ago, McConnell participated in a study that found a correlation between heavier children and higher traffic density around their homes. Not only were the children who were exposed to a lot of traffic fatter, but the more traffic they had in their neighborhoods, the more quickly they packed on pounds.\u003c/p>\n\u003cp>Researchers surmised that parents might be reluctant to send their children out to play in a neighborhood where going outside was unpleasant and possibly dangerous. So McConnell and his colleagues expected to find the kids who got the least exercise gained the most weight.\u003c/p>\n\u003cp>However, the data didn’t match that hypothesis. There wasn’t the strong correlation between fat and a sedentary life that researchers had expected to see. The exercise records were spotty, but still, it was puzzling.\u003c/p>\n\u003cp>Around the same time as McConnell's study, researchers at Ohio State University published research in which they had fed mice a high-fat diet and made them breathe polluted air. The mice developed a resistance to insulin and gained abdominal fat quickly, both reactions that match animal models for diabetes.\u003c/p>\n\u003cp>McConnell said he remained intrigued by the mismatch between weight and exercise in his study, and he thought the Ohio State research held the key to an explanation.\u003c/p>\n\u003cp>Later, other researchers found a correlation between prenatal exposure to urban pollution and higher obesity rates among children, and the Ohio State team’s follow-up investigations on their mouse study reinforced the link between fat and a polluted atmosphere.\u003c/p>\n\u003cp>So it does appear true that where the overweight kids live has a big influence on whether or not they grow fat. But there’s probably more to the story than exercise opportunity. There are increasing indications that the air the children breathe plays a significant role too, McConnell said.\u003c/p>\n\u003cp>His team will examine the records for 12,000 children who have been followed from elementary school through high school graduation as part of the USC Children’s Health Study, checking their exposure to air pollution against obesity. Researchers will give 200 obese children MRI exams, checking to see whether their body fat has concentrated around their abdominal organs, as it did with the mice in the Ohio study. Such fat buildups are increasingly believed to be a key risk factor for diabetes, McConnell said. He said the team also will test blood and fat samples for signs of inflammatory and pre-diabetic characteristics found in the mouse studies. Finally, an animal study will try exposing the test subjects to air pollution at different points in their lives – for example, before and after birth. The goal there will be to identify a point where exposure has the greatest impact, McConnell said.\u003c/p>\n\u003cp>“Over the next five years, I think we have a great opportunity to nail down what’s going on by looking at it from a variety of different levels,” he said.\u003c/p>\n\u003cp>McConnell also has been a leader in research showing how roadway air pollution \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&cad=rja&ved=0CEIQtwIwAw&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3D15Qj_JsCdpM&ei=oViGUu-KAYTtiwLbu4HACw&usg=AFQjCNFv9chhlmQNZwP7DIgFHKG21elg2A&bvm=bv.56643336,d.cGE\">may cause asthma\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We don’t need a lot of additional reasons to control air pollution, but I think understanding the true burdens associated with it probably helps policy makers decide what to do,” McConnell said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16466\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/181753809-e1385582095189.jpg\">\u003cimg class=\"size-large wp-image-16466\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/181753809-640x433.jpg\" alt=\"(Jeff Swenson/Getty Images)\" width=\"640\" height=\"433\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jeff Swenson/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>Studies have linked air pollution exposure, especially exposure to pollution from congested roadways, with serious health conditions ranging from asthma, to heart disease, to cancer, to low birth weight.\u003c/p>\n\u003cp>Now a research team at the University of Southern California’s Keck School of Medicine has received funding to investigate whether children living near busy roadways are more prone to obesity.\u003c/p>\n\u003cp>The National Institute of Environmental Health Sciences and the federal Environmental Protection Agency recently awarded $7.8 million to the medical school’s \u003ca href=\"http://hydra.usc.edu/cehc/\">Southern California Children’s Environmental Health Center\u003c/a> to fund research by over the next five years.\u003c/p>\n\u003cp>Scientists will conduct new studies and analyze existing data on whether and how roadway pollution may make children obese. They’ll also study metabolic abnormalities linked to air pollution from roads that might increase the risk of Type 2 diabetes.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Rob McConnell, professor of preventive medicine at Keck, will oversee the new investigations. He said the research proposal grew out of an earlier study on how the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/31/if-we-build-it-will-people-be-more-healthy/\" target=\"_blank\"> built environment\u003c/a> might induce obesity.\u003c/p>\n\u003cp>For the past decade or so, scientists have looked into correlations between recreation and exercise opportunities and comparative leanness or heaviness.\u003c/p>\n\u003cp>Children who attend schools with recreation programs or live in a neighborhood with a sidewalk, where it’s easy to walk around, do tend to be a little more lean, McConnell said.\u003c/p>\n\u003cp>“The common wisdom is that we’ve got an epidemic of obesity and diabetes because we eat a lot of unhealthy foods and we don’t get any exercise. I think that’s certainly a big part of the explanation, but I think it’s more complicated that what we’ve thought,” he said.\u003c/p>\n\u003cp>Some three years ago, McConnell participated in a study that found a correlation between heavier children and higher traffic density around their homes. Not only were the children who were exposed to a lot of traffic fatter, but the more traffic they had in their neighborhoods, the more quickly they packed on pounds.\u003c/p>\n\u003cp>Researchers surmised that parents might be reluctant to send their children out to play in a neighborhood where going outside was unpleasant and possibly dangerous. So McConnell and his colleagues expected to find the kids who got the least exercise gained the most weight.\u003c/p>\n\u003cp>However, the data didn’t match that hypothesis. There wasn’t the strong correlation between fat and a sedentary life that researchers had expected to see. The exercise records were spotty, but still, it was puzzling.\u003c/p>\n\u003cp>Around the same time as McConnell's study, researchers at Ohio State University published research in which they had fed mice a high-fat diet and made them breathe polluted air. The mice developed a resistance to insulin and gained abdominal fat quickly, both reactions that match animal models for diabetes.\u003c/p>\n\u003cp>McConnell said he remained intrigued by the mismatch between weight and exercise in his study, and he thought the Ohio State research held the key to an explanation.\u003c/p>\n\u003cp>Later, other researchers found a correlation between prenatal exposure to urban pollution and higher obesity rates among children, and the Ohio State team’s follow-up investigations on their mouse study reinforced the link between fat and a polluted atmosphere.\u003c/p>\n\u003cp>So it does appear true that where the overweight kids live has a big influence on whether or not they grow fat. But there’s probably more to the story than exercise opportunity. There are increasing indications that the air the children breathe plays a significant role too, McConnell said.\u003c/p>\n\u003cp>His team will examine the records for 12,000 children who have been followed from elementary school through high school graduation as part of the USC Children’s Health Study, checking their exposure to air pollution against obesity. Researchers will give 200 obese children MRI exams, checking to see whether their body fat has concentrated around their abdominal organs, as it did with the mice in the Ohio study. Such fat buildups are increasingly believed to be a key risk factor for diabetes, McConnell said. He said the team also will test blood and fat samples for signs of inflammatory and pre-diabetic characteristics found in the mouse studies. Finally, an animal study will try exposing the test subjects to air pollution at different points in their lives – for example, before and after birth. The goal there will be to identify a point where exposure has the greatest impact, McConnell said.\u003c/p>\n\u003cp>“Over the next five years, I think we have a great opportunity to nail down what’s going on by looking at it from a variety of different levels,” he said.\u003c/p>\n\u003cp>McConnell also has been a leader in research showing how roadway air pollution \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&cad=rja&ved=0CEIQtwIwAw&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3D15Qj_JsCdpM&ei=oViGUu-KAYTtiwLbu4HACw&usg=AFQjCNFv9chhlmQNZwP7DIgFHKG21elg2A&bvm=bv.56643336,d.cGE\">may cause asthma\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We don’t need a lot of additional reasons to control air pollution, but I think understanding the true burdens associated with it probably helps policy makers decide what to do,” McConnell said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Foster Kids Learn About Nutrition, Get Job Training in Oakland Program",
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"headTitle": "Vital Signs | State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_15964\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/IMG_0015-e1383158697331.jpg\">\u003cimg class=\"size-large wp-image-15964\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/IMG_0015-640x480.jpg\" alt=\"IMG_0015\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Former foster youth, Kawanzza Byrd, is gaining culinary skills and tips on healthy eating through a youth program called GROW Oakland. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Project \u003ca href=\"http://growoakland.org/about-us/taste-and-texture/\" target=\"_blank\">GROW Oakland\u003c/a> trains young people to become chefs -- to build job skills and healthy eating habits. Some youth are on probation; while others are -- or were -- in the foster care system. As part of our ongoing series of first-person health profiles called “What’s Your Story?” 19-year-old Kawanzza Byrd, a former foster youth, says the program has changed the way she eats. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By: Kawanzza Byrd\u003c/strong>\u003c/p>\n\u003cp>When you’re in foster care, you really have no control over what you eat. With my partner when she was in foster care, they ate a lot of fast food. Every night. The foster mom, she didn’t cook: She just bought pizza. She bought hot pockets.\u003c!--more-->\u003cspan>The food we eat here gives us a different mindset. I wake up feeling different and thinking clearly. Everything that we make is from scratch, which means soups, stocks, salad, dressings, sauces.\u003c/span>\u003c/p>\n\u003cp>I’ve witnessed people being murdered, that are not here anymore. You know, homeless, on drugs. Just not in the right path at a very young age. So, I really appreciate this program. It’s like a god’s gift to me because my passion is cooking and my goal is to own my own restaurant.\u003c/p>\n\u003cp>I like to see the smiles on people’s faces when they try my food. It gives me a warm feeling to know that I’m making somebody else happy.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Byrd's story:\u003c/strong>\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201311210850d.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201311210850d.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "When you’re in foster care, you really have no control over what you eat. With my partner when she was in foster care, they ate a lot of fast food. Every night. The foster mom, she didn’t cook: She just bought pizza. She bought hot pockets.The food we eat here gives us a different mindset. I wake up feeling different and thinking clearly. Everything that we make is from scratch, which means soups, stocks, salad, dressings, sauces.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15964\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/IMG_0015-e1383158697331.jpg\">\u003cimg class=\"size-large wp-image-15964\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/IMG_0015-640x480.jpg\" alt=\"IMG_0015\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Former foster youth, Kawanzza Byrd, is gaining culinary skills and tips on healthy eating through a youth program called GROW Oakland. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Project \u003ca href=\"http://growoakland.org/about-us/taste-and-texture/\" target=\"_blank\">GROW Oakland\u003c/a> trains young people to become chefs -- to build job skills and healthy eating habits. Some youth are on probation; while others are -- or were -- in the foster care system. As part of our ongoing series of first-person health profiles called “What’s Your Story?” 19-year-old Kawanzza Byrd, a former foster youth, says the program has changed the way she eats. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By: Kawanzza Byrd\u003c/strong>\u003c/p>\n\u003cp>When you’re in foster care, you really have no control over what you eat. With my partner when she was in foster care, they ate a lot of fast food. Every night. The foster mom, she didn’t cook: She just bought pizza. She bought hot pockets.\u003c!--more-->\u003cspan>The food we eat here gives us a different mindset. I wake up feeling different and thinking clearly. Everything that we make is from scratch, which means soups, stocks, salad, dressings, sauces.\u003c/span>\u003c/p>\n\u003cp>I’ve witnessed people being murdered, that are not here anymore. You know, homeless, on drugs. Just not in the right path at a very young age. So, I really appreciate this program. It’s like a god’s gift to me because my passion is cooking and my goal is to own my own restaurant.\u003c/p>\n\u003cp>I like to see the smiles on people’s faces when they try my food. It gives me a warm feeling to know that I’m making somebody else happy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Future of Program for Low-Income HIV/AIDS Patients Unclear After Obamacare",
"title": "Future of Program for Low-Income HIV/AIDS Patients Unclear After Obamacare",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_16313\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Sharon-Wilson.jpg\">\u003cimg class=\"size-large wp-image-16313\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Sharon-Wilson-640x425.jpg\" alt=\"Sharon Wilson, 53, picks up her weekly allotment of produce from the AIDS Project of the East Bay. Wilson, who has HIV, says without help, she couldn't afford to buy fresh vegetables. (Angela Hart/KQED) \" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sharon Wilson, 53, picks up her weekly allotment of produce from the AIDS Project of the East Bay. Wilson, who has HIV, says without help, she couldn't afford to buy fresh vegetables. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Angela Hart\u003c/strong>\u003c/p>\n\u003cp>Several times each week, Sharon Wilson, a 53-year-old HIV-positive retired caregiver, takes an hour-long bus ride from her Berkeley home to her clinic in downtown Oakland. Wilson doesn’t mind making the trip, because she says the care she has received there since her diagnosis has saved her life.\u003c/p>\n\u003cp>Wilson says multiple chronic diseases, including HIV, have made it impossible for her to work. Ensuing financial struggles make managing her disease increasingly difficult.\u003c/p>\n\u003cp>\"I can't afford healthy food and all the medications I need to take,\" Wilson said as she described her strict antiretroviral drug regimen. \"It's not easy to learn a new way of living. I take a handful of pills when I wake up in the morning, a handful of pills with lunch, and another handful before I go to bed.\"\u003c/p>\n\u003cp>For people like Wilson, the AIDS Project of the East Bay — one of Alameda County's six HIV specialty clinics — is a place of refuge. There, Wilson has received primary care for her HIV and specialty care since 2006. She's been referred to Oakland's Highland Hospital multiple times to treat other chronic conditions, including congestive heart failure and arthritis.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But Wilson said equally important to her medical care is the bevy of other resources the clinic provides: food, housing assistance, free transportation, nutrition classes, and substance abuse counseling.\u003c/p>\n\u003cp>\"This place is the reason I'm not homeless — it's my lifeline,\" she said on a recent day as she picked up her weekly allotment of vegetables.\u003c/p>\n\u003cp>It's because of a federal program commonly referred to as \u003ca href=\"http://hab.hrsa.gov/abouthab/aboutprogram.html\">Ryan White\u003c/a> that clinics like AIDS Project of the East Bay can afford to provide that range of other services, in addition to primary and specialty care. Ryan White funds are divvied out to clinics that offer these services for low-income, HIV-positive patients and people with AIDS to provide a broad spectrum of care — from being able to purchase a bus ticket, to scheduling a medical appointment, to buying groceries with food vouchers.\u003c/p>\n\u003cp>For Wilson and hundreds of others in Alameda County who are poor and chronically ill, the program is critical. Ryan White, passed by Congress in 1990 to provide life-saving health care for the poor and uninsured, is credited with building some of the first effective coordinated care for people with the disease.\u003c/p>\n\u003cp>But the future of Ryan White is uncertain.\u003c/p>\n\u003cp>The program expired at the end of September, although Congress approved its continuance without an official reauthorization.\u003c/p>\n\u003cp>As of Jan. 1, as part of the Affordable Care Act, California is expanding Medi-Cal, the state's version of Medicaid, and will allow childless adults making less than $15,856 a year to sign up.\u003c/p>\n\u003cp>That means that the vast majority of low-income Californians who currently use Ryan White funds for their medical care will move into Medi-Cal on Jan. 1.\u003c/p>\n\u003cp>The transition of poor, sick people living with HIV or AIDS moving from one public program to another has ignited concerns among patient advocates and nonprofits that provide care for a population whose health relies on stable medical homes and expensive antiretroviral medications.\u003c/p>\n\u003cp>Patient advocates say Ryan White remains important because it can pay for the other necessities that HIV/AIDS patients find crucial.\u003c/p>\n\u003cp>\"Health reform has been challenging for us in a number of ways,\" said Alvan Quamina, the executive director for the AIDS Project of the East Bay, which provides services for about 700 people in Alameda County annually. \"Though long-term benefits are obvious, health reform means funding streams for HIV services are in jeopardy.\"\u003c/p>\n\u003cp>Alameda County HIV specialists argue that Ryan White is critical for clinics to provide the services that make daily life possible: transportation, counseling, housing assistance, and emergency food..\u003c/p>\n\u003cp>\"Ryan White will continue to be important to provide the ancillary support services,\" Quamina said. \"While primary care transitioning to Medi-Cal, Ryan White can pay for things like BART fare or a free bus pass, food vouchers, and peer counseling,\" he said.\u003c/p>\n\u003cp>\u003cstrong>PUBLIC HEALTH BENEFIT\u003c/strong>\u003c/p>\n\u003cp>Keith Waltrip, the acting director for the Alameda County Office of AIDS Administration, agreed that Ryan White is critical to ensure a continuum of care for patients with sensitive health needs.\u003c/p>\n\u003cp>\"Support services help get these low-income people into care,\" Waltrip said. \"So making sure they have transportation, and healthy food, and psycho-social services is important. Those services aren't going to be paid for under Medi-Cal, so that's where Ryan White comes in.\"\u003c/p>\n\u003cp>Waltrip said those services benefit not only the health of an individual, but also the health of a community.\u003c/p>\n\u003cp>\"There is a public health benefit of keeping patients in care,\" Waltrip said. \"Continuous treatment reduces their viral load, and decreases their chances of passing along HIV to another individual, thus reducing the number of infections in a community.\"\u003c/p>\n\u003cp>Kathleen Clanon is an HIV specialist and the interim chief medical officer for the Health Program of Alameda County. She is overseeing the transition of Ryan White patients to Medi-Cal.\u003c/p>\n\u003cp>Clanon said Alameda County is ahead of the curve in aggressively preparing for the transition of Ryan White patients to Medi-Cal, or Covered California — whichever program patients are eligible for, depending on income.\u003c/p>\n\u003cp>Each of the county's six HIV specialty clinics will welcome new Medi-Cal patients after ACA implementation — something the county has been negotiating since January. That will mean better access to health care for the low income and a reduction in the likelihood for patients having to switch providers, Clanon said.\u003c/p>\n\u003cp>Though the long-term future of Ryan White is uncertain, Clanon said she expects it to remain in place at least through 2014, in some capacity.\u003c/p>\n\u003cp>Other county health officials agreed, and said that meanwhile, HIV workers are advocating for the program's continuance at the local, state and federal levels.\u003c/p>\n\u003cp>\"It's unclear where we're headed, and it really doesn't look good,\" Quamina said. \"What we're hearing is we should start planning, but my response is we're going to prepare, but we need to fight.\"\u003c/p>\n\u003cp>For patients like Wilson, the shaky future of the program that she relies on is worrisome.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"I just hope we can get people educated about what's happening, so we can keep getting the assistance we depend on,\" she said.\u003c/p>\n\n",
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"description": "Several times each week, Sharon Wilson, a 53-year-old HIV-positive retired caregiver, takes an hour-long bus ride from her Berkeley home to her clinic in downtown Oakland. Wilson doesn’t mind making the trip, because she says the care she has received there since her diagnosis has saved her life.\r\n\r\nWilson says multiple chronic diseases, including HIV, have made it impossible for her to work. Ensuing financial struggles make managing her disease increasingly difficult.",
"title": "Future of Program for Low-Income HIV/AIDS Patients Unclear After Obamacare | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16313\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Sharon-Wilson.jpg\">\u003cimg class=\"size-large wp-image-16313\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Sharon-Wilson-640x425.jpg\" alt=\"Sharon Wilson, 53, picks up her weekly allotment of produce from the AIDS Project of the East Bay. Wilson, who has HIV, says without help, she couldn't afford to buy fresh vegetables. (Angela Hart/KQED) \" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sharon Wilson, 53, picks up her weekly allotment of produce from the AIDS Project of the East Bay. Wilson, who has HIV, says without help, she couldn't afford to buy fresh vegetables. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Angela Hart\u003c/strong>\u003c/p>\n\u003cp>Several times each week, Sharon Wilson, a 53-year-old HIV-positive retired caregiver, takes an hour-long bus ride from her Berkeley home to her clinic in downtown Oakland. Wilson doesn’t mind making the trip, because she says the care she has received there since her diagnosis has saved her life.\u003c/p>\n\u003cp>Wilson says multiple chronic diseases, including HIV, have made it impossible for her to work. Ensuing financial struggles make managing her disease increasingly difficult.\u003c/p>\n\u003cp>\"I can't afford healthy food and all the medications I need to take,\" Wilson said as she described her strict antiretroviral drug regimen. \"It's not easy to learn a new way of living. I take a handful of pills when I wake up in the morning, a handful of pills with lunch, and another handful before I go to bed.\"\u003c/p>\n\u003cp>For people like Wilson, the AIDS Project of the East Bay — one of Alameda County's six HIV specialty clinics — is a place of refuge. There, Wilson has received primary care for her HIV and specialty care since 2006. She's been referred to Oakland's Highland Hospital multiple times to treat other chronic conditions, including congestive heart failure and arthritis.\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 Wilson said equally important to her medical care is the bevy of other resources the clinic provides: food, housing assistance, free transportation, nutrition classes, and substance abuse counseling.\u003c/p>\n\u003cp>\"This place is the reason I'm not homeless — it's my lifeline,\" she said on a recent day as she picked up her weekly allotment of vegetables.\u003c/p>\n\u003cp>It's because of a federal program commonly referred to as \u003ca href=\"http://hab.hrsa.gov/abouthab/aboutprogram.html\">Ryan White\u003c/a> that clinics like AIDS Project of the East Bay can afford to provide that range of other services, in addition to primary and specialty care. Ryan White funds are divvied out to clinics that offer these services for low-income, HIV-positive patients and people with AIDS to provide a broad spectrum of care — from being able to purchase a bus ticket, to scheduling a medical appointment, to buying groceries with food vouchers.\u003c/p>\n\u003cp>For Wilson and hundreds of others in Alameda County who are poor and chronically ill, the program is critical. Ryan White, passed by Congress in 1990 to provide life-saving health care for the poor and uninsured, is credited with building some of the first effective coordinated care for people with the disease.\u003c/p>\n\u003cp>But the future of Ryan White is uncertain.\u003c/p>\n\u003cp>The program expired at the end of September, although Congress approved its continuance without an official reauthorization.\u003c/p>\n\u003cp>As of Jan. 1, as part of the Affordable Care Act, California is expanding Medi-Cal, the state's version of Medicaid, and will allow childless adults making less than $15,856 a year to sign up.\u003c/p>\n\u003cp>That means that the vast majority of low-income Californians who currently use Ryan White funds for their medical care will move into Medi-Cal on Jan. 1.\u003c/p>\n\u003cp>The transition of poor, sick people living with HIV or AIDS moving from one public program to another has ignited concerns among patient advocates and nonprofits that provide care for a population whose health relies on stable medical homes and expensive antiretroviral medications.\u003c/p>\n\u003cp>Patient advocates say Ryan White remains important because it can pay for the other necessities that HIV/AIDS patients find crucial.\u003c/p>\n\u003cp>\"Health reform has been challenging for us in a number of ways,\" said Alvan Quamina, the executive director for the AIDS Project of the East Bay, which provides services for about 700 people in Alameda County annually. \"Though long-term benefits are obvious, health reform means funding streams for HIV services are in jeopardy.\"\u003c/p>\n\u003cp>Alameda County HIV specialists argue that Ryan White is critical for clinics to provide the services that make daily life possible: transportation, counseling, housing assistance, and emergency food..\u003c/p>\n\u003cp>\"Ryan White will continue to be important to provide the ancillary support services,\" Quamina said. \"While primary care transitioning to Medi-Cal, Ryan White can pay for things like BART fare or a free bus pass, food vouchers, and peer counseling,\" he said.\u003c/p>\n\u003cp>\u003cstrong>PUBLIC HEALTH BENEFIT\u003c/strong>\u003c/p>\n\u003cp>Keith Waltrip, the acting director for the Alameda County Office of AIDS Administration, agreed that Ryan White is critical to ensure a continuum of care for patients with sensitive health needs.\u003c/p>\n\u003cp>\"Support services help get these low-income people into care,\" Waltrip said. \"So making sure they have transportation, and healthy food, and psycho-social services is important. Those services aren't going to be paid for under Medi-Cal, so that's where Ryan White comes in.\"\u003c/p>\n\u003cp>Waltrip said those services benefit not only the health of an individual, but also the health of a community.\u003c/p>\n\u003cp>\"There is a public health benefit of keeping patients in care,\" Waltrip said. \"Continuous treatment reduces their viral load, and decreases their chances of passing along HIV to another individual, thus reducing the number of infections in a community.\"\u003c/p>\n\u003cp>Kathleen Clanon is an HIV specialist and the interim chief medical officer for the Health Program of Alameda County. She is overseeing the transition of Ryan White patients to Medi-Cal.\u003c/p>\n\u003cp>Clanon said Alameda County is ahead of the curve in aggressively preparing for the transition of Ryan White patients to Medi-Cal, or Covered California — whichever program patients are eligible for, depending on income.\u003c/p>\n\u003cp>Each of the county's six HIV specialty clinics will welcome new Medi-Cal patients after ACA implementation — something the county has been negotiating since January. That will mean better access to health care for the low income and a reduction in the likelihood for patients having to switch providers, Clanon said.\u003c/p>\n\u003cp>Though the long-term future of Ryan White is uncertain, Clanon said she expects it to remain in place at least through 2014, in some capacity.\u003c/p>\n\u003cp>Other county health officials agreed, and said that meanwhile, HIV workers are advocating for the program's continuance at the local, state and federal levels.\u003c/p>\n\u003cp>\"It's unclear where we're headed, and it really doesn't look good,\" Quamina said. \"What we're hearing is we should start planning, but my response is we're going to prepare, but we need to fight.\"\u003c/p>\n\u003cp>For patients like Wilson, the shaky future of the program that she relies on is worrisome.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I just hope we can get people educated about what's happening, so we can keep getting the assistance we depend on,\" she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Air Pollution Standards Mean Truckers Must Retrofit or Upgrade -- Soon",
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"content": "\u003cfigure id=\"attachment_16298\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-16298\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/RS7621_TruckersAndCARB4-scr-640x428.jpg\" alt=\"California Air Resources Board field representative Barry Pratt (right) questions Canadian trucker Henry Gustof, left, as a CARB team inspects trucks for compliance with clean air rules at a weighing station north of Los Angeles. Gustof’s engine met CARB standards. (Chris Richard/KQED)\" width=\"640\" height=\"428\">\u003cfigcaption class=\"wp-caption-text\">California Air Resources Board field representative Barry Pratt (right) questions Canadian trucker Henry Gustof, left, as a CARB team inspects trucks for compliance with clean air rules at a weighing station north of Los Angeles. Gustof’s engine met CARB standards. (Chris Richard/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>Every time Bloomington dump truck operator Ruben Garcia pulls up at a job site, he finds himself caught in the same conversation: “What are you going to do next year?”\u003c/p>\n\u003cp>Not everyone has a good answer.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“If we can clean up these fleets, then we will definitely have a positive impact on public health.”\u003c/aside>\n\u003cp>Truckers in the Port of Oakland \u003ca href=\"http://ww2.kqed.org/news/2013/11/18/port-of-oakland-independent-truckers-protest\">grabbed headlines recently\u003c/a> when they held a demonstration at Oakland City Hall, demanding an extension to the January 1\u003csup>st\u003c/sup> deadline to upgrade their engines to meet \u003ca href=\"http://www.arb.ca.gov/msprog/onrdiesel/documents/multirule.pdf\" target=\"_blank\">California pollution standards\u003c/a>. They also want additional state subsidies to help them meet the cost. Meanwhile, general freight and construction truck drivers face a separate January deadline to start replacing their vehicles or install filters that can cost as much as a second-hand truck. That rule applies to most of the big rigs on the state’s roads. It’s an especially heavy burden for small operators.\u003c/p>\n\u003cp>“It’s like telling the person who works in an office that they’ve got to tear down the office because the outside of the office building doesn’t work well with the environment.” he said. “Those trucks are our offices. That’s how we make our living.”\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>With trucks a major source of particulate air pollution, officials with the California Air Resources Board counter that they’re duty bound to do all they can to clean up particulate air pollution.\u003c/p>\n\u003cp>These new standards are already making a difference. In early 2010, the Port of Oakland instituted a program to replace and retrofit some vehicles. Just a few months later, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/19/quick-read-diesel-truck-pollution-in-west-oakland-plummets/\" target=\"_blank\">researchers at UC Berkeley reported\u003c/a> that some pollutants dropped by 40-50 percent.\u003c/p>\n\u003cp>Now with the next phase of requirements coming for soot filters and other pollution controls, Air Resources Board inspection crews are checking trucks throughout the state.\u003c/p>\n\u003cp>Recently, field enforcement supervisor Ching Yang’s team set up at a weighing station north of Los Angeles. Yang motioned a truck emblazoned with the stars and stripes to pull over. Then he called to the driver to rev the engine.\u003c/p>\n\u003cp>Moments later, Yang had the hood open. He started spotting problems right away. Memphis-based driver Mike Cooper’s rig didn’t have a factory-issued sticker showing his engine is the right model for his truck. That meant an $800 fix-it ticket. Even worse, Cooper didn’t know his 1999 rig is supposed to have a particulate filter costing as much as $20,000. That’s almost what another used truck would cost him.\u003c/p>\n\u003cp>The median pay for self-employed truck drivers like Cooper is about $40,000. He said there’s no way he can afford a filter. But if he wants to keep doing business in California, he’ll have to get one in the next two months.\u003c/p>\n\u003cp>Standing a few yards from Cooper’s truck, Air Resources spokeswoman Karen Caesar said her agency has distributed flyers, set up web sites and run training sessions for truckers. She says regulators understand the economy has been weak; they’ve extended deadlines and raised extra money to help the truckers comply with the rules. But Caesar notes that 43 percent of California’s diesel particulate pollution comes from trucks. And the bottom line is, the Air Board is under orders to safeguard public health.\u003c/p>\n\u003cp>“You’ve probably driven down the freeway at some point in your life behind some truck that’s just spewing all this toxic stuff, and you wonder ‘Why doesn’t somebody do something about that?’” she said. “And you know, that’s what we’re doing.”\u003c/p>\n\u003cp>As of Jan. 1st, trucks built after 1995 must have state-approved filters that intercept soot and toxic metals. Owners of three or fewer trucks must make a good faith effort to install their first filter on time. Then they have up to three years to get filters on the rest. Violators face fines of up to $10,000. Trucks built in 1995 or before get out of the filter requirement, but they have to upgrade their engines to a clean-burning 2010 model or better over the next two years.\u003c/p>\n\u003cp>“If we can clean up these fleets, then we will definitely have a positive impact on public health,” Caesar said. “We’re talking about everybody -- but especially the sensitive populations, which are generally children, and elderly and people with impaired immune systems.”\u003c/p>\n\u003cp>Joe Rajkovacz, government affairs director at the California Construction Trucking Assn., said regulators should take the still-impaired economy more into account.\u003c/p>\n\u003cp>“There is a crisis in transportation,” he said. “If they enforce their rules from the first of the year, there’s a very good chance that 40 percent to 50 percent of the trucks that operate in this state are not in compliance. You’re talking construction coming to a halt, goods movement coming to a halt. Agriculture’s the goose that lays the golden eggs in this state. And they’re facing the same rules.”\u003c/p>\n\u003cp>To help the truckers out, the state has distributed nearly $340 million in grants to pay for newer vehicles, up to $50,000 per truck. State-sponsored loans have provided another $200 million.\u003c/p>\n\u003cp>Sieb Bangma, whose two trucks haul sulfuric acid for Los Angeles oil refineries, got a grant. In exchange for junking his 1998 truck, he received a $15,000 check toward the purchase of a much newer rig. That fell well short of the new truck’s $50,000 price tag, because the subsidy was limited by Bangma’s low annual mileage. Nevertheless, he’s happy with the deal.\u003c/p>\n\u003cp>“It was probably about three, four months for us to get the whole thing going. I’m glad to get it over with and don’t have to worry about it for a couple years, and then we’ll see where it goes,” he said.\u003c/p>\n\u003cp>Monte Eberhardt is measuring his future in months. He just found out at a roadside inspection that he’s going to need a $17,000 filter for his 1998 truck by Jan. 1. Eberhardt thought he had more time to get one, and he says he had been working on it well before he got pulled over.\u003c/p>\n\u003cp>Eberhardt thinks he could afford the monthly payment, if he could just get a little more time. He says he’s called the Air Board over and over.\u003c/p>\n\u003cp>“If they’re gonna stand there and make me feel like I’m doing something wrong, trying to feed my family, on the side of the road, like I’m breaking the law, at least when I call to see if I can get some kind of financial aid or help, answer the damn phone.”\u003c/p>\n\u003cp>The air board’s Karen Caesar says they’ve been getting about 2,000 calls a week, four times the number received this time last year. Caesar says they’ve installed a better phone system and put more people on the line, and they’re returning calls as fast as they can.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>Listen to Chris Richard's report:\u003c/strong>\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201311190850b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201311190850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "Truckers in the Port of Oakland grabbed headlines recently when they held a demonstration at Oakland City Hall, demanding an extension to the January 1st deadline to upgrade their engines to meet California pollution standards. They also want additional state subsidies to help them meet the cost. Meanwhile, general freight and construction truck drivers face a separate January deadline to start replacing their vehicles or install filters that can cost as much as a second-hand truck. That rule applies to most of the big rigs on the state’s roads. It’s an especially heavy burden for small operators.\r\n",
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"description": "Truckers in the Port of Oakland grabbed headlines recently when they held a demonstration at Oakland City Hall, demanding an extension to the January 1st deadline to upgrade their engines to meet California pollution standards. They also want additional state subsidies to help them meet the cost. Meanwhile, general freight and construction truck drivers face a separate January deadline to start replacing their vehicles or install filters that can cost as much as a second-hand truck. That rule applies to most of the big rigs on the state’s roads. It’s an especially heavy burden for small operators.\r\n",
"title": "Air Pollution Standards Mean Truckers Must Retrofit or Upgrade -- Soon | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16298\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-16298\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/RS7621_TruckersAndCARB4-scr-640x428.jpg\" alt=\"California Air Resources Board field representative Barry Pratt (right) questions Canadian trucker Henry Gustof, left, as a CARB team inspects trucks for compliance with clean air rules at a weighing station north of Los Angeles. Gustof’s engine met CARB standards. (Chris Richard/KQED)\" width=\"640\" height=\"428\">\u003cfigcaption class=\"wp-caption-text\">California Air Resources Board field representative Barry Pratt (right) questions Canadian trucker Henry Gustof, left, as a CARB team inspects trucks for compliance with clean air rules at a weighing station north of Los Angeles. Gustof’s engine met CARB standards. (Chris Richard/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>Every time Bloomington dump truck operator Ruben Garcia pulls up at a job site, he finds himself caught in the same conversation: “What are you going to do next year?”\u003c/p>\n\u003cp>Not everyone has a good answer.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“If we can clean up these fleets, then we will definitely have a positive impact on public health.”\u003c/aside>\n\u003cp>Truckers in the Port of Oakland \u003ca href=\"http://ww2.kqed.org/news/2013/11/18/port-of-oakland-independent-truckers-protest\">grabbed headlines recently\u003c/a> when they held a demonstration at Oakland City Hall, demanding an extension to the January 1\u003csup>st\u003c/sup> deadline to upgrade their engines to meet \u003ca href=\"http://www.arb.ca.gov/msprog/onrdiesel/documents/multirule.pdf\" target=\"_blank\">California pollution standards\u003c/a>. They also want additional state subsidies to help them meet the cost. Meanwhile, general freight and construction truck drivers face a separate January deadline to start replacing their vehicles or install filters that can cost as much as a second-hand truck. That rule applies to most of the big rigs on the state’s roads. It’s an especially heavy burden for small operators.\u003c/p>\n\u003cp>“It’s like telling the person who works in an office that they’ve got to tear down the office because the outside of the office building doesn’t work well with the environment.” he said. “Those trucks are our offices. That’s how we make our living.”\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>With trucks a major source of particulate air pollution, officials with the California Air Resources Board counter that they’re duty bound to do all they can to clean up particulate air pollution.\u003c/p>\n\u003cp>These new standards are already making a difference. In early 2010, the Port of Oakland instituted a program to replace and retrofit some vehicles. Just a few months later, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/19/quick-read-diesel-truck-pollution-in-west-oakland-plummets/\" target=\"_blank\">researchers at UC Berkeley reported\u003c/a> that some pollutants dropped by 40-50 percent.\u003c/p>\n\u003cp>Now with the next phase of requirements coming for soot filters and other pollution controls, Air Resources Board inspection crews are checking trucks throughout the state.\u003c/p>\n\u003cp>Recently, field enforcement supervisor Ching Yang’s team set up at a weighing station north of Los Angeles. Yang motioned a truck emblazoned with the stars and stripes to pull over. Then he called to the driver to rev the engine.\u003c/p>\n\u003cp>Moments later, Yang had the hood open. He started spotting problems right away. Memphis-based driver Mike Cooper’s rig didn’t have a factory-issued sticker showing his engine is the right model for his truck. That meant an $800 fix-it ticket. Even worse, Cooper didn’t know his 1999 rig is supposed to have a particulate filter costing as much as $20,000. That’s almost what another used truck would cost him.\u003c/p>\n\u003cp>The median pay for self-employed truck drivers like Cooper is about $40,000. He said there’s no way he can afford a filter. But if he wants to keep doing business in California, he’ll have to get one in the next two months.\u003c/p>\n\u003cp>Standing a few yards from Cooper’s truck, Air Resources spokeswoman Karen Caesar said her agency has distributed flyers, set up web sites and run training sessions for truckers. She says regulators understand the economy has been weak; they’ve extended deadlines and raised extra money to help the truckers comply with the rules. But Caesar notes that 43 percent of California’s diesel particulate pollution comes from trucks. And the bottom line is, the Air Board is under orders to safeguard public health.\u003c/p>\n\u003cp>“You’ve probably driven down the freeway at some point in your life behind some truck that’s just spewing all this toxic stuff, and you wonder ‘Why doesn’t somebody do something about that?’” she said. “And you know, that’s what we’re doing.”\u003c/p>\n\u003cp>As of Jan. 1st, trucks built after 1995 must have state-approved filters that intercept soot and toxic metals. Owners of three or fewer trucks must make a good faith effort to install their first filter on time. Then they have up to three years to get filters on the rest. Violators face fines of up to $10,000. Trucks built in 1995 or before get out of the filter requirement, but they have to upgrade their engines to a clean-burning 2010 model or better over the next two years.\u003c/p>\n\u003cp>“If we can clean up these fleets, then we will definitely have a positive impact on public health,” Caesar said. “We’re talking about everybody -- but especially the sensitive populations, which are generally children, and elderly and people with impaired immune systems.”\u003c/p>\n\u003cp>Joe Rajkovacz, government affairs director at the California Construction Trucking Assn., said regulators should take the still-impaired economy more into account.\u003c/p>\n\u003cp>“There is a crisis in transportation,” he said. “If they enforce their rules from the first of the year, there’s a very good chance that 40 percent to 50 percent of the trucks that operate in this state are not in compliance. You’re talking construction coming to a halt, goods movement coming to a halt. Agriculture’s the goose that lays the golden eggs in this state. And they’re facing the same rules.”\u003c/p>\n\u003cp>To help the truckers out, the state has distributed nearly $340 million in grants to pay for newer vehicles, up to $50,000 per truck. State-sponsored loans have provided another $200 million.\u003c/p>\n\u003cp>Sieb Bangma, whose two trucks haul sulfuric acid for Los Angeles oil refineries, got a grant. In exchange for junking his 1998 truck, he received a $15,000 check toward the purchase of a much newer rig. That fell well short of the new truck’s $50,000 price tag, because the subsidy was limited by Bangma’s low annual mileage. Nevertheless, he’s happy with the deal.\u003c/p>\n\u003cp>“It was probably about three, four months for us to get the whole thing going. I’m glad to get it over with and don’t have to worry about it for a couple years, and then we’ll see where it goes,” he said.\u003c/p>\n\u003cp>Monte Eberhardt is measuring his future in months. He just found out at a roadside inspection that he’s going to need a $17,000 filter for his 1998 truck by Jan. 1. Eberhardt thought he had more time to get one, and he says he had been working on it well before he got pulled over.\u003c/p>\n\u003cp>Eberhardt thinks he could afford the monthly payment, if he could just get a little more time. He says he’s called the Air Board over and over.\u003c/p>\n\u003cp>“If they’re gonna stand there and make me feel like I’m doing something wrong, trying to feed my family, on the side of the road, like I’m breaking the law, at least when I call to see if I can get some kind of financial aid or help, answer the damn phone.”\u003c/p>\n\u003cp>The air board’s Karen Caesar says they’ve been getting about 2,000 calls a week, four times the number received this time last year. Caesar says they’ve installed a better phone system and put more people on the line, and they’re returning calls as fast as they can.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Chris Richard's report:\u003c/strong>\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201311190850b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201311190850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Central Valley Community Fights for Clean Drinking Water",
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"content": "\u003cfigure id=\"attachment_16162\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Alice_LanareStory-e1383958739240.jpg\">\u003cimg class=\"size-large wp-image-16162 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Alice_LanareStory-640x480.jpg\" alt=\"(Alice Daniel/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Isabel Solorio (left) and Carrie Bonner talk about water issues outside the Lanare Community Center. (Alice Daniel/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Alice Daniel, KQED\u003c/strong>\u003c/p>\n\u003cp>There are no streetlights here in Lanare, no sidewalks, no sewer system in this tiny, rural enclave of 600 smack dab in the middle of farming country in the Central Valley.\u003c/p>\n\u003cp>There is a community center and on this night, many locals are here dancing and eating.\u003c/p>\n\u003cp>“Tonight I make salad and my friend makes beans, and I make beans so just, you know, everybody help,” said Isabel Solorio.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Many people stopped drinking the tap water years ago because it has high levels of arsenic.\u003c/aside>\n\u003cp>Solorio is the president of a local group that holds fundraisers twice a year to support the community center. The group also advocates for clean drinking water –- something Lanare doesn’t have. Lanare did not come out of an organized planning process. Like many unincorporated communities in the San Joaquin Valley, the town arose out of the fields surrounding it.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It was a lot of labor camps, they call them,” said Carrie Bonner, a Lanare resident still tall and strong at 89. “Cotton chopping, picking and cutting grapes. … Whatever season it was, that’s what they would do.”\u003c!--more-->\u003c/p>\n\u003cp>Lanare was once a series of shacks for African-American farmworkers, Bonner says. Her father-in-law ran a juke joint not far from here and was a labor contractor.\u003c/p>\n\u003cp>She said when she first moved to Lanare in the 1950s, there were very few farmworkers who came from Mexico. But as time went on, the population changed. “Now it’s just a few blacks and more Spanish, you know,” she said.\u003c/p>\n\u003cp>\u003cstrong>Water lines arrived in the 70s -- but drinkable water didn't last\u003c/strong>\u003c/p>\n\u003cp>In the 1970s, a Quaker organization helped the people of Lanare build houses and put in water lines. Bonner was one of the first to move into a new home, the one she still lives in today. But she and others stopped drinking the tap water years ago because it has high levels of arsenic.\u003c/p>\n\u003cp>In 2002, the town got some federal grant money to clean the water. “The county allocated it, 1.3 million dollars,” said Veronica Garibay of the Leadership Council for Justice and Accountability.\u003c/p>\n\u003cp>The town used the money to build a water treatment facility in 2006. But there was trouble from the start. Fresno county rubber-stamped the federally funded plant without an adequate cost analysis, said Garibay. It’s expensive to treat arsenic, and costs spiraled beyond what the community could manage. The town had no water meters to track residents’ usage. And some of the pricey filtered water was unintentionally going to irrigate fields. On top of that, the local water district lacked financial and technical expertise.\u003c/p>\n\u003cp>“A board of five volunteers from the community without any background in water operation or maintenance are running a treatment plant,” said Garibay.\u003c/p>\n\u003cp>Lanare couldn’t afford to run it, and the state shut down the plant after just six months. Now the town’s water system is operated by a private company or receiver. Residents pay a monthly bill for running water –- but they still can’t drink it. Instead, many spend $20 to $30 more each month for bottled water. That’s not uncommon in the valley where hundreds more small water districts have problems with pollutants, including nitrates and selenium.\u003c/p>\n\u003cp>\u003cstrong>\"Who gets control of the good water?\"\u003c/strong>\u003c/p>\n\u003cp>“It’s a really complicated story,” said John Capitman, a public policy expert at Fresno State University. “It may be the farming practices of somebody 20 miles away 20 years ago that spoiled the water that your well draws on. So this is something about a long term process of connected aquifers underneath the ground, pumping, history, exploitation. Who gets the control of the good water? It plays out all over the region.”\u003c/p>\n\u003cp>These small, volunteer water districts not only lack the political clout, but also technical and financial wherewithal, he says. “The patience to make it through crazy bureaucratic systems,” he added.\u003c/p>\n\u003cp>And there’s a catch when it comes to technical and financial expertise.\u003c/p>\n\u003cp>\u003cspan>“Those capabilities are also federal requirements in order to get funding,” said Mark Starr, deputy director of the Center for Environmental Health at the California Department of Public Health. His agency is charged with helping these communities comply with the Safe Drinking Water Act.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Millions for water improvements left unspent\u003c/strong>\u003c/p>\n\u003cp>But last spring, the EPA scolded the Department of Public Health for failing to spend hundreds of millions of dollars for water improvements. The state said it is working harder to move the funds more quickly and provide more technical assistance.\u003c/p>\n\u003cp>Lanare recently got grants to take steps toward a permanent solution, said Starr. The grants “were used to install water meters, a project that’s underway -- and also educate Lanare residents about conservation.”\u003c/p>\n\u003cp>A study to explore solutions for Lanare will be completed by June, said Starr. These options include digging a new well, restarting the old treatment plant and hooking into a nearby town’s water treatment facility.\u003c/p>\n\u003cp>Back\u003cem> \u003c/em>at the community center, Isabel Solorio said she knows the town is poor and treating tainted water is expensive. But she and other residents won’t quit pushing for clean water.\u003cem> \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s a lot of work, but you know what? I am so happy when I see part of my community here and tell everybody ‘come on let’s go working together,’” she said. “Because this is your community.”\u003c/p>\n\n",
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"excerpt": "In the 1970s, a Quaker organization helped the people of Lanare build houses and put in water lines. Bonner was one of the first to move into a new home, the one she still lives in today. But she and others stopped drinking the tap water years ago because it has high levels of arsenic.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16162\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Alice_LanareStory-e1383958739240.jpg\">\u003cimg class=\"size-large wp-image-16162 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Alice_LanareStory-640x480.jpg\" alt=\"(Alice Daniel/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Isabel Solorio (left) and Carrie Bonner talk about water issues outside the Lanare Community Center. (Alice Daniel/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Alice Daniel, KQED\u003c/strong>\u003c/p>\n\u003cp>There are no streetlights here in Lanare, no sidewalks, no sewer system in this tiny, rural enclave of 600 smack dab in the middle of farming country in the Central Valley.\u003c/p>\n\u003cp>There is a community center and on this night, many locals are here dancing and eating.\u003c/p>\n\u003cp>“Tonight I make salad and my friend makes beans, and I make beans so just, you know, everybody help,” said Isabel Solorio.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Many people stopped drinking the tap water years ago because it has high levels of arsenic.\u003c/aside>\n\u003cp>Solorio is the president of a local group that holds fundraisers twice a year to support the community center. The group also advocates for clean drinking water –- something Lanare doesn’t have. Lanare did not come out of an organized planning process. Like many unincorporated communities in the San Joaquin Valley, the town arose out of the fields surrounding it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It was a lot of labor camps, they call them,” said Carrie Bonner, a Lanare resident still tall and strong at 89. “Cotton chopping, picking and cutting grapes. … Whatever season it was, that’s what they would do.”\u003c!--more-->\u003c/p>\n\u003cp>Lanare was once a series of shacks for African-American farmworkers, Bonner says. Her father-in-law ran a juke joint not far from here and was a labor contractor.\u003c/p>\n\u003cp>She said when she first moved to Lanare in the 1950s, there were very few farmworkers who came from Mexico. But as time went on, the population changed. “Now it’s just a few blacks and more Spanish, you know,” she said.\u003c/p>\n\u003cp>\u003cstrong>Water lines arrived in the 70s -- but drinkable water didn't last\u003c/strong>\u003c/p>\n\u003cp>In the 1970s, a Quaker organization helped the people of Lanare build houses and put in water lines. Bonner was one of the first to move into a new home, the one she still lives in today. But she and others stopped drinking the tap water years ago because it has high levels of arsenic.\u003c/p>\n\u003cp>In 2002, the town got some federal grant money to clean the water. “The county allocated it, 1.3 million dollars,” said Veronica Garibay of the Leadership Council for Justice and Accountability.\u003c/p>\n\u003cp>The town used the money to build a water treatment facility in 2006. But there was trouble from the start. Fresno county rubber-stamped the federally funded plant without an adequate cost analysis, said Garibay. It’s expensive to treat arsenic, and costs spiraled beyond what the community could manage. The town had no water meters to track residents’ usage. And some of the pricey filtered water was unintentionally going to irrigate fields. On top of that, the local water district lacked financial and technical expertise.\u003c/p>\n\u003cp>“A board of five volunteers from the community without any background in water operation or maintenance are running a treatment plant,” said Garibay.\u003c/p>\n\u003cp>Lanare couldn’t afford to run it, and the state shut down the plant after just six months. Now the town’s water system is operated by a private company or receiver. Residents pay a monthly bill for running water –- but they still can’t drink it. Instead, many spend $20 to $30 more each month for bottled water. That’s not uncommon in the valley where hundreds more small water districts have problems with pollutants, including nitrates and selenium.\u003c/p>\n\u003cp>\u003cstrong>\"Who gets control of the good water?\"\u003c/strong>\u003c/p>\n\u003cp>“It’s a really complicated story,” said John Capitman, a public policy expert at Fresno State University. “It may be the farming practices of somebody 20 miles away 20 years ago that spoiled the water that your well draws on. So this is something about a long term process of connected aquifers underneath the ground, pumping, history, exploitation. Who gets the control of the good water? It plays out all over the region.”\u003c/p>\n\u003cp>These small, volunteer water districts not only lack the political clout, but also technical and financial wherewithal, he says. “The patience to make it through crazy bureaucratic systems,” he added.\u003c/p>\n\u003cp>And there’s a catch when it comes to technical and financial expertise.\u003c/p>\n\u003cp>\u003cspan>“Those capabilities are also federal requirements in order to get funding,” said Mark Starr, deputy director of the Center for Environmental Health at the California Department of Public Health. His agency is charged with helping these communities comply with the Safe Drinking Water Act.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Millions for water improvements left unspent\u003c/strong>\u003c/p>\n\u003cp>But last spring, the EPA scolded the Department of Public Health for failing to spend hundreds of millions of dollars for water improvements. The state said it is working harder to move the funds more quickly and provide more technical assistance.\u003c/p>\n\u003cp>Lanare recently got grants to take steps toward a permanent solution, said Starr. The grants “were used to install water meters, a project that’s underway -- and also educate Lanare residents about conservation.”\u003c/p>\n\u003cp>A study to explore solutions for Lanare will be completed by June, said Starr. These options include digging a new well, restarting the old treatment plant and hooking into a nearby town’s water treatment facility.\u003c/p>\n\u003cp>Back\u003cem> \u003c/em>at the community center, Isabel Solorio said she knows the town is poor and treating tainted water is expensive. But she and other residents won’t quit pushing for clean water.\u003cem> \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s a lot of work, but you know what? I am so happy when I see part of my community here and tell everybody ‘come on let’s go working together,’” she said. “Because this is your community.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Woman Finds Relief From Chronic Pain by Caring for Horses",
"title": "Woman Finds Relief From Chronic Pain by Caring for Horses",
"headTitle": "Vital Signs | State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_16114\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/RS7207_IMG_0061-scr.jpg\">\u003cimg class=\"size-large wp-image-16114\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/RS7207_IMG_0061-scr-640x480.jpg\" alt=\"Kaitlyn Pintor visits with horses at Hoof Beats riding school in Petaluma. For the past decade, a nerve disorder has made it painful for her to experience touch. (Ryder Diaz/KQED) \" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaitlyn Pintor visits with horses at Hoof Beats riding school in Petaluma. For the past decade, a nerve disorder has made it painful for her to experience touch. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s Note: As part of our ongoing series of first-person health profiles called “What’s Your Story?” we hear from Kaitlyn Pintor, whose nerve disorder causes pain so severe that she's often felt like her body has been set on fire. When the pain started nearly a decade ago, Pintor was a single mother of two. She still found time to organize support groups for people who share her chronic pain disorder. Now, a new medication has made her chronic pain more manageable. Pintor speaks to us from HoofBeats riding school in Sonoma County, where she goes for horse therapy. Reporter: Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Kaitlyn Pintor\u003c/strong>\u003c/p>\n\u003cp>In 2004, I was diagnosed with Reflex Sympathetic Dystrophy after an ankle sprain. I had burning pain that ended up spreading throughout my body, from head to toe.\u003c/p>\n\u003cp>It literally feels like you’ve been set on fire and you can’t turn the fire down. Just water brushing over my skin would cause intense flame.\u003c/p>\n\u003cp>The normal comforts don’t comfort you. You can’t wrap yourself in a blanket. You can’t go soak in the sun. Sounds bother you. Or the laughter of your children may turn your pain up.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>You can’t have affection and things any more. As the years progressed, I could feel how that partly changed me. From not being able to embrace my kids in the same way. They were two and five when I was diagnosed, and they're 13 and 15 now.\u003c/p>\n\u003cp>It takes a lot of strength to live with pain that people can't see and to keep telling yourself every day, you're not crazy.\u003c/p>\n\u003cp>I've used food pantries. I've lived off of disability. There were so many times where I just prayed that God would take my life because I couldn't picture having to sustain at that level of pain for the rest of my life.\u003c/p>\n\u003cp>I started in a wheelchair, and now I’m walking around on a horse ranch today and feeling compassion from a horse. I never thought that I would be able to do this.\u003c/p>\n\u003cp>I don’t know how long this treatment is going to work. So, I’m afraid I’m going to take on things and let people down because what if my body won’t hold up.\u003c/p>\n\u003cp>My pain story is just one part of me. But it's been in the way of the other stories that I want to tell and things I want to do -- how I want to serve people and help bring healing to people who are suffering.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003cstrong>Listen to Pintor's story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201311130850b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201311130850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "In 2004, I was diagnosed with Reflex Sympathetic Dystrophy after an ankle sprain. I had burning pain that ended up spreading throughout my body, from head to toe.\r\n\r\nIt literally feels like you’ve been set on fire and you can’t turn the fire down. Just water brushing over my skin would cause intense flame.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16114\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/RS7207_IMG_0061-scr.jpg\">\u003cimg class=\"size-large wp-image-16114\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/RS7207_IMG_0061-scr-640x480.jpg\" alt=\"Kaitlyn Pintor visits with horses at Hoof Beats riding school in Petaluma. For the past decade, a nerve disorder has made it painful for her to experience touch. (Ryder Diaz/KQED) \" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaitlyn Pintor visits with horses at Hoof Beats riding school in Petaluma. For the past decade, a nerve disorder has made it painful for her to experience touch. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s Note: As part of our ongoing series of first-person health profiles called “What’s Your Story?” we hear from Kaitlyn Pintor, whose nerve disorder causes pain so severe that she's often felt like her body has been set on fire. When the pain started nearly a decade ago, Pintor was a single mother of two. She still found time to organize support groups for people who share her chronic pain disorder. Now, a new medication has made her chronic pain more manageable. Pintor speaks to us from HoofBeats riding school in Sonoma County, where she goes for horse therapy. Reporter: Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Kaitlyn Pintor\u003c/strong>\u003c/p>\n\u003cp>In 2004, I was diagnosed with Reflex Sympathetic Dystrophy after an ankle sprain. I had burning pain that ended up spreading throughout my body, from head to toe.\u003c/p>\n\u003cp>It literally feels like you’ve been set on fire and you can’t turn the fire down. Just water brushing over my skin would cause intense flame.\u003c/p>\n\u003cp>The normal comforts don’t comfort you. You can’t wrap yourself in a blanket. You can’t go soak in the sun. Sounds bother you. Or the laughter of your children may turn your pain up.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>You can’t have affection and things any more. As the years progressed, I could feel how that partly changed me. From not being able to embrace my kids in the same way. They were two and five when I was diagnosed, and they're 13 and 15 now.\u003c/p>\n\u003cp>It takes a lot of strength to live with pain that people can't see and to keep telling yourself every day, you're not crazy.\u003c/p>\n\u003cp>I've used food pantries. I've lived off of disability. There were so many times where I just prayed that God would take my life because I couldn't picture having to sustain at that level of pain for the rest of my life.\u003c/p>\n\u003cp>I started in a wheelchair, and now I’m walking around on a horse ranch today and feeling compassion from a horse. I never thought that I would be able to do this.\u003c/p>\n\u003cp>I don’t know how long this treatment is going to work. So, I’m afraid I’m going to take on things and let people down because what if my body won’t hold up.\u003c/p>\n\u003cp>My pain story is just one part of me. But it's been in the way of the other stories that I want to tell and things I want to do -- how I want to serve people and help bring healing to people who are suffering.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003cstrong>Listen to Pintor's story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201311130850b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201311130850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Bay Area Groups Struggle to Enroll Filipinos in Covered California",
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"content": "\u003cfigure id=\"attachment_16180\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Ochavillo-News-Story.PhotoCROP-e1384284709202.jpg\">\u003cimg class=\"size-large wp-image-16180\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Ochavillo-News-Story.PhotoCROP-640x359.jpg\" alt=\"Filipino Youth Coalition presents information about Covered California in an event at the Milpitas Library. (Vanessa Ochavillo/Peninsula Press) \" width=\"640\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Filipino Youth Coalition presents information about Covered California in an event at the Milpitas Library. (Vanessa Ochavillo/Peninsula Press)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Vanessa Ochavillo,\u003c/strong> \u003ca href=\"http://peninsulapress.com/2013/11/06/covered-california-enrollment-filipino-community/\" target=\"_blank\">Peninsula Press\u003c/a>\u003c/p>\n\u003cp>Filipino health advocates in the Bay Area are working overtime to educate the community about the Affordable Care Act and to enroll as many people as possible in California’s health insurance online marketplace before the Dec. 15 deadline.\u003c/p>\n\u003cp>The rollout of the state’s new exchange was accompanied by an ambitious outreach program that awarded grants to community organizations that would use their “trusted relationships” to get target populations enrolled.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“We get so many calls to make presentations, and we can only do so much. The resources are so limited.”\u003c/aside>\n\u003cp>But a lack of adequate funding and manpower has made it difficult to educate eligible, uninsured Filipinos about \u003ca href=\"https://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>, the state’s health insurance exchange.\u003c/p>\n\u003cp>The problems in the Filipino community — the largest Asian minority in California — come as uninsured Americans across the country struggle to enroll in a plan because of widespread technical problems with the federally-run \u003ca href=\"https://www.healthcare.gov/\" target=\"_blank\">HealthCare.gov website\u003c/a>. California residents can sign up for a plan via a separate website run by Covered California which has encountered some glitches but not on the scale that the federal website has seen.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Filipino Youth Coalition, the community organization leading Filipino outreach in the Bay Area, started out as a youth service provider for Filipino-American high school students. But since open enrollment for Covered California began, the organization has had to remake itself into a health insurance education resource for all ages.\u003c/p>\n\u003cp>“There’s a lot of work to be done,” said Sarah Gonzalez, executive director of the coalition. “We get so many calls to make presentations, and we can only do so much. The resources are so limited.”\u003c/p>\n\u003cp>Gonzalez has recently resorted to paying out-of-pocket for transportation to and from presentations, as well as for refreshments, which -- although not mandatory -- are customary at Filipino gatherings.\u003c/p>\n\u003cp>Open enrollment will continue until March 31, 2014. But outreach workers are working under the pressure of the Dec. 15 deadline, which is the last day to enroll in order to receive coverage beginning Jan. 1. After that, uninsured individuals may incur a federal penalty.\u003c/p>\n\u003cp>Through its partnership with Asian Americans Advancing Justice, the only Asian and Pacific Islander community organization to receive a grant from Covered California, the Filipino Youth Coalition secured a small grant, which advocates said would be inadequate to fund the entire effort over the next five months.\u003c/p>\n\u003cp>But for outreach specialists like Gonzalez, delivering presentations and setting up information tables at events is worth the extra work. “At every presentation, the response is awesome,” she said. “It’s just, ‘Tell us what to do. Tell us where to sign.’”\u003c/p>\n\u003cp>By going through these familiar sources of information, including community centers, clinics, and churches, Covered California hopes to overcome the language barrier that had been identified as a major deterrent in applying for insurance in the past, said Iyanrick John, senior policy analyst at Asian and Pacific Islander American Health Forum, an advocacy group that closely studies health care in the Asian and Pacific Islander community.\u003c/p>\n\u003cp>As part of this “culturally sensitive” strategy, Covered California has pushed vigorously for resources to be delivered in native languages. Fact sheets and call lines are available in Tagalog, the primary Filipino dialect, as well as 11 other non-English languages.\u003c/p>\n\u003cp>“One of the aspects of the Affordable Care Act is that everybody must have equal access to get health insurance through the marketplace,” John said. “Covered California has done a pretty good job at that.”\u003c/p>\n\u003cp>Despite increased language access, both educators and enrollees struggle with the program’s criteria for qualifying for benefits. Certified outreach workers said those benefits were not thoroughly covered -- if at all -- in their three-day training conducted before the Oct. 1 launch. And educators found that they could not answer all enrollees’ questions like: Are children of undocumented immigrant parents covered but the parents not? Or, how are subsidies classified?\u003c/p>\n\u003cp>To better prepare for upcoming events, educators are regularly tuning in to informational webinars hosted by Covered California.\u003c/p>\n\u003cp>Recognizing the difficulties in signing up minority communities since the Oct. 1 launch, Covered California is ramping up its outreach.\u003c/p>\n\u003cp>Officials posted a series of video advertisements to YouTube on Oct. 17 in different Asian languages, though awareness about them remains low. The Tagalog version received just 145 views after nine days on the web.\u003c/p>\n\u003cp>Not everything can be done online. John explained that older, especially first-generation, immigrants prefer to get information through in-person assistance or via ethnic media, including newspapers or radio.\u003c/p>\n\u003cp>Some popular Asian TV spots and radio stations have already started airing advertisements in multiple languages.\u003c/p>\n\u003cp>Specific to the Filipino community, Tagalog, English and a mix of the two will be the focus languages in Covered California’s print advertisement running in November.\u003c/p>\n\u003cp>“Reaching out to communities with culturally-sensitive information delivered in their languages will be vital to our mission of expanding health care coverage in this state,” said Peter Lee, Covered California executive director, in an Oct. 21 press release announcing the launch of an Asian-language ad campaign.\u003c/p>\n\u003cp>This month, the state will expand advertising to paper mail, billboards, transit signs and other outdoor media, increasing awareness on the streets, where it is lacking.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To effectively distribute the additional resources, the program will continue to certify more educators. As of late last month, more than 4,200 potential enrollment counselors still awaited certification.\u003c/p>\n\n",
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"excerpt": "Filipino health advocates in the Bay Area are working overtime to educate the community about the Affordable Care Act and to enroll as many people as possible in California’s health insurance online marketplace before the Dec. 15 deadline.\r\n\r\nThe rollout of the state’s new exchange was accompanied by an ambitious outreach program that awarded grants to community organizations that would use their “trusted relationships” to get target populations enrolled.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16180\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Ochavillo-News-Story.PhotoCROP-e1384284709202.jpg\">\u003cimg class=\"size-large wp-image-16180\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/Ochavillo-News-Story.PhotoCROP-640x359.jpg\" alt=\"Filipino Youth Coalition presents information about Covered California in an event at the Milpitas Library. (Vanessa Ochavillo/Peninsula Press) \" width=\"640\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Filipino Youth Coalition presents information about Covered California in an event at the Milpitas Library. (Vanessa Ochavillo/Peninsula Press)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Vanessa Ochavillo,\u003c/strong> \u003ca href=\"http://peninsulapress.com/2013/11/06/covered-california-enrollment-filipino-community/\" target=\"_blank\">Peninsula Press\u003c/a>\u003c/p>\n\u003cp>Filipino health advocates in the Bay Area are working overtime to educate the community about the Affordable Care Act and to enroll as many people as possible in California’s health insurance online marketplace before the Dec. 15 deadline.\u003c/p>\n\u003cp>The rollout of the state’s new exchange was accompanied by an ambitious outreach program that awarded grants to community organizations that would use their “trusted relationships” to get target populations enrolled.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“We get so many calls to make presentations, and we can only do so much. The resources are so limited.”\u003c/aside>\n\u003cp>But a lack of adequate funding and manpower has made it difficult to educate eligible, uninsured Filipinos about \u003ca href=\"https://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>, the state’s health insurance exchange.\u003c/p>\n\u003cp>The problems in the Filipino community — the largest Asian minority in California — come as uninsured Americans across the country struggle to enroll in a plan because of widespread technical problems with the federally-run \u003ca href=\"https://www.healthcare.gov/\" target=\"_blank\">HealthCare.gov website\u003c/a>. California residents can sign up for a plan via a separate website run by Covered California which has encountered some glitches but not on the scale that the federal website has seen.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Filipino Youth Coalition, the community organization leading Filipino outreach in the Bay Area, started out as a youth service provider for Filipino-American high school students. But since open enrollment for Covered California began, the organization has had to remake itself into a health insurance education resource for all ages.\u003c/p>\n\u003cp>“There’s a lot of work to be done,” said Sarah Gonzalez, executive director of the coalition. “We get so many calls to make presentations, and we can only do so much. The resources are so limited.”\u003c/p>\n\u003cp>Gonzalez has recently resorted to paying out-of-pocket for transportation to and from presentations, as well as for refreshments, which -- although not mandatory -- are customary at Filipino gatherings.\u003c/p>\n\u003cp>Open enrollment will continue until March 31, 2014. But outreach workers are working under the pressure of the Dec. 15 deadline, which is the last day to enroll in order to receive coverage beginning Jan. 1. After that, uninsured individuals may incur a federal penalty.\u003c/p>\n\u003cp>Through its partnership with Asian Americans Advancing Justice, the only Asian and Pacific Islander community organization to receive a grant from Covered California, the Filipino Youth Coalition secured a small grant, which advocates said would be inadequate to fund the entire effort over the next five months.\u003c/p>\n\u003cp>But for outreach specialists like Gonzalez, delivering presentations and setting up information tables at events is worth the extra work. “At every presentation, the response is awesome,” she said. “It’s just, ‘Tell us what to do. Tell us where to sign.’”\u003c/p>\n\u003cp>By going through these familiar sources of information, including community centers, clinics, and churches, Covered California hopes to overcome the language barrier that had been identified as a major deterrent in applying for insurance in the past, said Iyanrick John, senior policy analyst at Asian and Pacific Islander American Health Forum, an advocacy group that closely studies health care in the Asian and Pacific Islander community.\u003c/p>\n\u003cp>As part of this “culturally sensitive” strategy, Covered California has pushed vigorously for resources to be delivered in native languages. Fact sheets and call lines are available in Tagalog, the primary Filipino dialect, as well as 11 other non-English languages.\u003c/p>\n\u003cp>“One of the aspects of the Affordable Care Act is that everybody must have equal access to get health insurance through the marketplace,” John said. “Covered California has done a pretty good job at that.”\u003c/p>\n\u003cp>Despite increased language access, both educators and enrollees struggle with the program’s criteria for qualifying for benefits. Certified outreach workers said those benefits were not thoroughly covered -- if at all -- in their three-day training conducted before the Oct. 1 launch. And educators found that they could not answer all enrollees’ questions like: Are children of undocumented immigrant parents covered but the parents not? Or, how are subsidies classified?\u003c/p>\n\u003cp>To better prepare for upcoming events, educators are regularly tuning in to informational webinars hosted by Covered California.\u003c/p>\n\u003cp>Recognizing the difficulties in signing up minority communities since the Oct. 1 launch, Covered California is ramping up its outreach.\u003c/p>\n\u003cp>Officials posted a series of video advertisements to YouTube on Oct. 17 in different Asian languages, though awareness about them remains low. The Tagalog version received just 145 views after nine days on the web.\u003c/p>\n\u003cp>Not everything can be done online. 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"disqusTitle": "How California's Law to Encourage Vaccination Could Backfire",
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"content": "\u003cfigure id=\"attachment_8239\" class=\"wp-caption alignnone\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Vaccine_Baby_DanHatton_Flickr.jpg\">\u003cimg class=\"size-large wp-image-8239\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Vaccine_Baby_DanHatton_Flickr-620x413.jpg\" alt=\"Baby cries after receiving a vaccine. (Dan Hatton: Flickr)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Dan Hatton/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/health/2013/11/09/243937869/how-a-california-law-to-encourage-vaccination-could-backfire\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>California has a new law that's supposed to get more of the state's children vaccinated against measles, whooping cough and other infectious diseases.\u003c/p>\n\u003cp>But the law has taken a strange turn on its way to being put into action, one that may instead make it easier for parents to exempt their children from required vaccinations.\u003c/p>\n\u003cp>In recent years the number of parents who request so-called personal belief exemptions from vaccines has been rising. It's gotten to the point that public health officials fear that there could be disease outbreaks in parts of California. Same goes for other states where exemption rates are high.\u003c/p>\n\u003cp>On Sept. 20, 2012, California Gov. Edmund G. Brown Jr. signed a bill aimed at boosting childhood immunization rates. \u003ca href=\"http://gov.ca.gov/docs/AB_2109_Signing_Message.pdf\" target=\"_blank\">His signing letter\u003c/a> included these instructions:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>I am signing AB 2109 and am directing the Department of Public Health to oversee this policy so parents are not overly burdened in its implementation. Additionally, I will direct the department to allow for a separate religious exemption on the form. In this way, people whose religious beliefs preclude vaccinations will not be required to seek a health care practitioner's signature.\u003c/p>\u003c/blockquote>\n\u003cp>The full text of Brown's signing letter is available \u003ca href=\"http://gov.ca.gov/docs/AB_2109_Signing_Message.pdf\">here\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>To address the problem in California, the state legislature passed a \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201120120AB2109\" target=\"_blank\">law\u003c/a> in 2012 requiring parents seeking an exemption to first talk with a health care provider about the risks and benefits of vaccines.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">Look Up Your School's Vaccination Rates Online\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>Last week the state's health department released the form that parents must use to request an exemption. It includes a box for a health care provider to sign, showing that the conversation has taken place.\u003c/p>\n\u003cp>But the form also includes something else. Another box reads, \"I am a member of a religion which prohibits me from seeking medical advice or treatment from authorized health care practitioners.\"\u003c/p>\n\u003cp>Parents who check that box don't need to talk to a health care provider. \"Signature of a health care practitioner not required in Part A\", the \u003ca href=\"http://media.npr.org/documents/2013/nov/vaccine-exemption.pdf\" target=\"_blank\">form\u003c/a> says.\u003c/p>\n\u003cp>Where did the box come from? California Gov. Edmund G. Brown Jr. When he \u003ca href=\"http://gov.ca.gov/docs/AB_2109_Signing_Message.pdf\">signed\u003c/a> the bill into law, he directed the state's health department to include a \"separate religious exemption\" on the form.\u003c/p>\n\u003cp>\"It was a surprise,\" says Catherine Flores Martin, executive director of the California Immunization Coalition, a state-funded advocacy and education group. She and other public health types have been puzzling over it ever since.\u003c/p>\n\u003cp>\"I don't think [Brown] is anti-vaccine at all,\" Martin said, noting that both the governor and legislators were heavily lobbied by groups opposed to childhood vaccines. \"He's very pro-science. I could not say what drove him to do this.\"\u003c/p>\n\u003cp>But Martin and others say this new religious group exemption could fatally weaken the law.\u003c/p>\n\u003cp>\"It will give parents who want to get out of it an easy out,\" says \u003ca href=\"http://www.uchastings.edu/academics/faculty/facultybios/reiss/\" target=\"_blank\">Dorit Reiss\u003c/a>, at University of California, Hastings College of the Law. That includes parents who in the past checked the exemption box just because it was easier than taking the kids in for shots. \"I'm not sure it's good public policy to encourage people to lie.\"\u003c/p>\n\u003cp>Reiss sees another big problem with the new exemption — it's not part of the law. \"With all due respect to the governor, he can't unilaterally change the law,\" she says.\u003c/p>\n\u003cp>That opens up the state to legal challenges from both pro- and anti-vaccine groups, Reiss tells Shots, including constitutional questions like whether it discriminates against people who want an exemption but aren't religious, or whether parents have a right to refuse medical treatment for their children.\u003c/p>\n\u003cp>And it's going to make it pretty darned hard for schools or state agencies to know if parents need to get the doctor signoff or not. The forms says they don't. But the law says they do.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We're going to live with it and see if the exemption rates stay the same or go up,\" Martin says. \"If they go up, then essentially the governor gutted the bill by writing that.\"\u003c/p>\n\n",
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"excerpt": "California has a new law that's supposed to get more of the state's children vaccinated against measles, whooping cough and other infectious diseases.\r\n\r\nBut the law has taken a strange turn on its way to being put into action, one that may instead make it easier for parents to exempt their children from required vaccinations.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_8239\" class=\"wp-caption alignnone\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Vaccine_Baby_DanHatton_Flickr.jpg\">\u003cimg class=\"size-large wp-image-8239\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Vaccine_Baby_DanHatton_Flickr-620x413.jpg\" alt=\"Baby cries after receiving a vaccine. (Dan Hatton: Flickr)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Dan Hatton/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/health/2013/11/09/243937869/how-a-california-law-to-encourage-vaccination-could-backfire\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>California has a new law that's supposed to get more of the state's children vaccinated against measles, whooping cough and other infectious diseases.\u003c/p>\n\u003cp>But the law has taken a strange turn on its way to being put into action, one that may instead make it easier for parents to exempt their children from required vaccinations.\u003c/p>\n\u003cp>In recent years the number of parents who request so-called personal belief exemptions from vaccines has been rising. It's gotten to the point that public health officials fear that there could be disease outbreaks in parts of California. Same goes for other states where exemption rates are high.\u003c/p>\n\u003cp>On Sept. 20, 2012, California Gov. Edmund G. Brown Jr. signed a bill aimed at boosting childhood immunization rates. \u003ca href=\"http://gov.ca.gov/docs/AB_2109_Signing_Message.pdf\" target=\"_blank\">His signing letter\u003c/a> included these instructions:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>I am signing AB 2109 and am directing the Department of Public Health to oversee this policy so parents are not overly burdened in its implementation. Additionally, I will direct the department to allow for a separate religious exemption on the form. In this way, people whose religious beliefs preclude vaccinations will not be required to seek a health care practitioner's signature.\u003c/p>\u003c/blockquote>\n\u003cp>The full text of Brown's signing letter is available \u003ca href=\"http://gov.ca.gov/docs/AB_2109_Signing_Message.pdf\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>To address the problem in California, the state legislature passed a \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201120120AB2109\" target=\"_blank\">law\u003c/a> in 2012 requiring parents seeking an exemption to first talk with a health care provider about the risks and benefits of vaccines.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">Look Up Your School's Vaccination Rates Online\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>Last week the state's health department released the form that parents must use to request an exemption. It includes a box for a health care provider to sign, showing that the conversation has taken place.\u003c/p>\n\u003cp>But the form also includes something else. Another box reads, \"I am a member of a religion which prohibits me from seeking medical advice or treatment from authorized health care practitioners.\"\u003c/p>\n\u003cp>Parents who check that box don't need to talk to a health care provider. \"Signature of a health care practitioner not required in Part A\", the \u003ca href=\"http://media.npr.org/documents/2013/nov/vaccine-exemption.pdf\" target=\"_blank\">form\u003c/a> says.\u003c/p>\n\u003cp>Where did the box come from? California Gov. Edmund G. Brown Jr. When he \u003ca href=\"http://gov.ca.gov/docs/AB_2109_Signing_Message.pdf\">signed\u003c/a> the bill into law, he directed the state's health department to include a \"separate religious exemption\" on the form.\u003c/p>\n\u003cp>\"It was a surprise,\" says Catherine Flores Martin, executive director of the California Immunization Coalition, a state-funded advocacy and education group. She and other public health types have been puzzling over it ever since.\u003c/p>\n\u003cp>\"I don't think [Brown] is anti-vaccine at all,\" Martin said, noting that both the governor and legislators were heavily lobbied by groups opposed to childhood vaccines. \"He's very pro-science. I could not say what drove him to do this.\"\u003c/p>\n\u003cp>But Martin and others say this new religious group exemption could fatally weaken the law.\u003c/p>\n\u003cp>\"It will give parents who want to get out of it an easy out,\" says \u003ca href=\"http://www.uchastings.edu/academics/faculty/facultybios/reiss/\" target=\"_blank\">Dorit Reiss\u003c/a>, at University of California, Hastings College of the Law. That includes parents who in the past checked the exemption box just because it was easier than taking the kids in for shots. \"I'm not sure it's good public policy to encourage people to lie.\"\u003c/p>\n\u003cp>Reiss sees another big problem with the new exemption — it's not part of the law. \"With all due respect to the governor, he can't unilaterally change the law,\" she says.\u003c/p>\n\u003cp>That opens up the state to legal challenges from both pro- and anti-vaccine groups, Reiss tells Shots, including constitutional questions like whether it discriminates against people who want an exemption but aren't religious, or whether parents have a right to refuse medical treatment for their children.\u003c/p>\n\u003cp>And it's going to make it pretty darned hard for schools or state agencies to know if parents need to get the doctor signoff or not. The forms says they don't. But the law says they do.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We're going to live with it and see if the exemption rates stay the same or go up,\" Martin says. \"If they go up, then essentially the governor gutted the bill by writing that.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
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"masters-of-scale": {
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},
"mindshift": {
"id": "mindshift",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
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"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"onourwatch": {
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"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"order": 11
},
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"on-the-media": {
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"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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},
"link": "/radio/program/on-the-media",
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},
"pbs-newshour": {
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"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
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},
"perspectives": {
"id": "perspectives",
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"order": 14
},
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"planet-money": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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},
"link": "/radio/program/planet-money",
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
},
"link": "/podcasts/politicalbreakdown",
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
"meta": {
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"source": "Possible"
},
"link": "/radio/program/possible",
"subscribe": {
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
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