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"content": "\u003cfigure id=\"attachment_7938\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ChevronRefineryFire_JeremyBrooks_Flickr_08062012.jpg\">\u003cimg class=\"size-medium wp-image-7938\" title=\"Smoke from the Chevron refinery fire blanketed Richmond and surrounding communities Monday night. (Jeremy Brooks: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ChevronRefineryFire_JeremyBrooks_Flickr_08062012-300x200.jpg\" alt=\"Smoke from the Chevron refinery fire blanketed Richmond and surrounding communities Monday night. (Jeremy Brooks: Flickr\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Smoke from the Chevron refinery fire blanketed Richmond and surrounding communities Monday night. (Jeremy Brooks: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Since Monday's fire erupted just after 6pm, more than 600 people have been treated in emergency departments at Kaiser in Richmond and Doctors Medical Center in nearby San Pablo for symptoms caused by the Chevron refinery fire.\u003c/p>\n\u003cp>One of them was Point Richmond resident Cheri Edwards. “The smoke was kind of like an oily smell, it was an oily smell, and I have asthma really bad. And right now I’m at the bus stop trying to go to Kaiser because I have been having respiratory problems.\"\u003c/p>\n\u003cp>Besides breathing problems, people also reported symptoms including sore throats and watery eyes. These symptoms are consistent with exposure to \"a full toxic soup of hundreds, probably thousands, of combustion products and byproducts,\" Greg Karras, senior scientist with the advocacy group \u003ca title=\"http://www.cbecal.org\" href=\"http://www.cbecal.org\" target=\"_blank\">Communities for a Better Environment\u003c/a>, told a \u003ca title=\"http://www.kqed.org/a/forum/R201208070930\" href=\"http://www.kqed.org/a/forum/R201208070930\" target=\"_blank\">Forum\u003c/a> audience Tuesday morning.\u003c!--more-->\u003c/p>\n\u003cp>Richmond is a low socioeconomic community with a high proportion of African American residents that suffers disproportionate rates of asthma and other illnesses. Living near major refineries adds to negative health impacts. \"The cumulative impact of all of the pollution in this overburdened community where there's been a legacy of environmental racism frankly, is also part of the puzzle,\" Karras told me in an interview following\u003cem> Forum.\u003c/em>\u003c/p>\n\u003cp>In a phone interview, Randy Sawyer director of \u003ca title=\"http://cchealth.org/groups/hazmat/\" href=\"http://cchealth.org/groups/hazmat/\" target=\"_blank\">Contra Costa Health Services Hazardous Materials Program\u003c/a> agreed that \"there's all kinds of chemicals that can be in the fire. But the biggest concern that we had last night was the particulates in the smoke because they can lodge in your lungs.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Particulates, also called \u003ca title=\"http://www.epa.gov/pm/health.html\" href=\"http://www.epa.gov/pm/health.html\" target=\"_blank\">particulate matter\u003c/a>, are a complex mix of tiny bits of pollution and liquid droplets. In addition to lodging in a person's lungs, they can also get into the bloodstream and cause heart problems.\u003c/p>\n\u003cp>The \u003ca title=\"http://cchealth.org\" href=\"http://cchealth.org\" target=\"_blank\">shelter-in-place\u003c/a> order was lifted just after 11pm Monday night. People in Richmond today are getting back to normal -- while pondering plenty of remaining questions. My colleagues at \u003cem>Forum\u003c/em> received a question they could not address during their broadcast from a listener concerned about \"toxic particulate matter that may or may not have been deposited in outdoor play structures, vegetable gardens, fruit trees, etc.\"\u003c/p>\n\u003cp>\"I don’t expect too much deposits on people’s cars, but if they see anything,\" Sawyer says, \"it can be washed off, and that should be fine for them. It’s mostly the material would be kind of oily.\"\u003c/p>\n\u003cp>Sawyer explained that \"shelter-in-place\" is the safest thing for residents to do in crises such as this refinery fire. While there is still \"some infiltration, the concentrations inside will be far less than what it is outside.\" He says if everyone tries to evacuate at once, then everyone is outside \"stuck right in the cloud, and that could be very dangerous.\"\u003c/p>\n\u003cp>Finally, Sawyer recommended that people who were advised to shelter-in-place air out their homes today.\u003c/p>\n\u003cp>\u003cstrong>This post was updated at 4:15pm to reflect the number of people who have been to the emergency room.\u003c/strong>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Particulates, also called \u003ca title=\"http://www.epa.gov/pm/health.html\" href=\"http://www.epa.gov/pm/health.html\" target=\"_blank\">particulate matter\u003c/a>, are a complex mix of tiny bits of pollution and liquid droplets. In addition to lodging in a person's lungs, they can also get into the bloodstream and cause heart problems.\u003c/p>\n\u003cp>The \u003ca title=\"http://cchealth.org\" href=\"http://cchealth.org\" target=\"_blank\">shelter-in-place\u003c/a> order was lifted just after 11pm Monday night. People in Richmond today are getting back to normal -- while pondering plenty of remaining questions. My colleagues at \u003cem>Forum\u003c/em> received a question they could not address during their broadcast from a listener concerned about \"toxic particulate matter that may or may not have been deposited in outdoor play structures, vegetable gardens, fruit trees, etc.\"\u003c/p>\n\u003cp>\"I don’t expect too much deposits on people’s cars, but if they see anything,\" Sawyer says, \"it can be washed off, and that should be fine for them. It’s mostly the material would be kind of oily.\"\u003c/p>\n\u003cp>Sawyer explained that \"shelter-in-place\" is the safest thing for residents to do in crises such as this refinery fire. While there is still \"some infiltration, the concentrations inside will be far less than what it is outside.\" He says if everyone tries to evacuate at once, then everyone is outside \"stuck right in the cloud, and that could be very dangerous.\"\u003c/p>\n\u003cp>Finally, Sawyer recommended that people who were advised to shelter-in-place air out their homes today.\u003c/p>\n\u003cp>\u003cstrong>This post was updated at 4:15pm to reflect the number of people who have been to the emergency room.\u003c/strong>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>By Durrie Lawrence\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7912\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/SF_Paramedics_Ambulance_Flickr_JustinBeck.jpg\">\u003cimg class=\"size-medium wp-image-7912\" title=\"San Francisco paramedics transfer a patient into an ambulance. (Justin Beck: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/SF_Paramedics_Ambulance_Flickr_JustinBeck-300x199.jpg\" alt=\"San Francisco paramedics transfer a patient into an ambulance. (Justin Beck: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco paramedics transfer a patient into an ambulance. (Justin Beck: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Overcrowding in California emergency rooms disproportionately affects minority populations, according to a \u003ca title=\"http://content.healthaffairs.org/content/31/8/1767.abstract\" href=\"http://content.healthaffairs.org/content/31/8/1767.abstract\" target=\"_blank\">study\u003c/a> published Monday in the journal \u003cem>Health Affairs\u003c/em>. The findings shed light on flaws in the emergency care system that affect vulnerable populations, including communities of color, lead author \u003ca title=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=4873186\" href=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=4873186\" target=\"_blank\">Dr. Renee Hsia\u003c/a> says.\u003c/p>\n\u003cp>Researchers used ambulance diversion rates to study overcrowding in 202 California hospitals. In ambulance diversion overtaxed hospitals alert ambulances to take patients to other emergency rooms in the surrounding area.\u003c/p>\n\u003cp>In short, Hsia's team found that hospitals which served more minority patients were more likely to divert. This despite controlling for factors such as hospital ownership (nonprofit versus for-profit versus county-run) and the types of patients served. Hsia, who works as an emergency physician at San Francisco General Hospital, says this finding suggests that those hospitals are suffering a greater strain on their resources and a higher demand for emergency care.\u003c!--more-->\u003c/p>\n\u003cp>But this isn’t an example of deep-seated discrimination, she explained.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This is a whole systemic issue,” Hsia said. “This is what happens when we have a health care system that is largely market driven, and there’s not as much regulation about the provision of care as some people might expect.”\u003c/p>\n\u003cp>Hospitals receive lower reimbursement rates when their patients are uninsured or insured through Medi-Cal, the federal-state partnership that provides health insurance for the poor. By contrast, most ER patients in affluent areas have private insurance. Hsia says that these disparities can make emergency services in low-income areas no longer profitable for hospitals.\u003c/p>\n\u003cp>“Over the past 20 years, the number of emergency departments has decreased 27 percent. At the same time, the demand for emergency care has increased by 40 percent, rapidly outpacing population growth,” Hsia said, citing her \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22093435\">earlier research\u003c/a>.\u003c/p>\n\u003cp>She said emergency rooms are closing disproportionately in areas that serve vulnerable populations -- the same vulnerable populations that are seeing a higher demand for emergency care. That’s likely why ambulance diversion rates are higher in those communities.\u003c/p>\n\u003cp>But the surrounding population is not an explanation in every case. “Some hospitals just have fewer resources than others, and they may have more demand on their services,” Hsia said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Hsia says that instances of ambulance diversion can have very real effects on \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/21666277\">patient survival rates\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Durrie Lawrence\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7912\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/SF_Paramedics_Ambulance_Flickr_JustinBeck.jpg\">\u003cimg class=\"size-medium wp-image-7912\" title=\"San Francisco paramedics transfer a patient into an ambulance. (Justin Beck: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/SF_Paramedics_Ambulance_Flickr_JustinBeck-300x199.jpg\" alt=\"San Francisco paramedics transfer a patient into an ambulance. (Justin Beck: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco paramedics transfer a patient into an ambulance. (Justin Beck: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Overcrowding in California emergency rooms disproportionately affects minority populations, according to a \u003ca title=\"http://content.healthaffairs.org/content/31/8/1767.abstract\" href=\"http://content.healthaffairs.org/content/31/8/1767.abstract\" target=\"_blank\">study\u003c/a> published Monday in the journal \u003cem>Health Affairs\u003c/em>. The findings shed light on flaws in the emergency care system that affect vulnerable populations, including communities of color, lead author \u003ca title=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=4873186\" href=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=4873186\" target=\"_blank\">Dr. Renee Hsia\u003c/a> says.\u003c/p>\n\u003cp>Researchers used ambulance diversion rates to study overcrowding in 202 California hospitals. In ambulance diversion overtaxed hospitals alert ambulances to take patients to other emergency rooms in the surrounding area.\u003c/p>\n\u003cp>In short, Hsia's team found that hospitals which served more minority patients were more likely to divert. This despite controlling for factors such as hospital ownership (nonprofit versus for-profit versus county-run) and the types of patients served. Hsia, who works as an emergency physician at San Francisco General Hospital, says this finding suggests that those hospitals are suffering a greater strain on their resources and a higher demand for emergency care.\u003c!--more-->\u003c/p>\n\u003cp>But this isn’t an example of deep-seated discrimination, she explained.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This is a whole systemic issue,” Hsia said. “This is what happens when we have a health care system that is largely market driven, and there’s not as much regulation about the provision of care as some people might expect.”\u003c/p>\n\u003cp>Hospitals receive lower reimbursement rates when their patients are uninsured or insured through Medi-Cal, the federal-state partnership that provides health insurance for the poor. By contrast, most ER patients in affluent areas have private insurance. Hsia says that these disparities can make emergency services in low-income areas no longer profitable for hospitals.\u003c/p>\n\u003cp>“Over the past 20 years, the number of emergency departments has decreased 27 percent. At the same time, the demand for emergency care has increased by 40 percent, rapidly outpacing population growth,” Hsia said, citing her \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22093435\">earlier research\u003c/a>.\u003c/p>\n\u003cp>She said emergency rooms are closing disproportionately in areas that serve vulnerable populations -- the same vulnerable populations that are seeing a higher demand for emergency care. That’s likely why ambulance diversion rates are higher in those communities.\u003c/p>\n\u003cp>But the surrounding population is not an explanation in every case. “Some hospitals just have fewer resources than others, and they may have more demand on their services,” Hsia said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Hsia says that instances of ambulance diversion can have very real effects on \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/21666277\">patient survival rates\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Richmond Soda Tax Campaign in Full Swing",
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"content": "\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/JeffRitterman_sugar_MinaKim_08062012.jpg\">\u003cimg class=\"size-medium wp-image-7899\" title=\"Jeff Ritterman, Richmond city councilman who is championing the soda tax. (Photo: Mina Kim)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/JeffRitterman_sugar_MinaKim_08062012-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jeff Ritterman, Richmond city councilman who is championing the soda tax, on the campaign trail. (Photo: Mina Kim)\u003c/figcaption>\u003c/figure>\n\u003cp>On MacDonald Avenue, the city of Richmond’s main drag, \u003ca title=\"http://www.ci.richmond.ca.us/index.aspx?nid=1799\" href=\"http://www.ci.richmond.ca.us/index.aspx?nid=1799\" target=\"_blank\">Jeff Ritterman\u003c/a> is pulling a little red wagon that holds a plastic water cooler jug filled with forty pounds of sugar. Ritterman says that's the average amount a child in Richmond consumes each year, just from drinking sodas. \"The child gets overweight,\" he says, \"and the arteries of the heart fill up with bad fat. And that’s a real health problem.\"\u003c/p>\n\u003cp>Ritterman is a retired cardiologist who likes to wear his graying hair in a ponytail. He’s also a city councilman and \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" href=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" target=\"_blank\">the man behind a November ballot measure\u003c/a> that would make Richmond one of the first cities in the nation to impose a penny-per-ounce tax on sodas and other sugar-sweetened drinks.\u003c/p>\n\u003cp>According to \u003ca title=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" href=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" target=\"_blank\">a report from Contra Costa Health Services\u003c/a> [PDF], more than half of Richmond’s children are overweight or obese.\u003c/p>\n\u003cp>At a shopping plaza, Ritterman's wagon catches the attention of passerby Michael Bracey.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"I know what that sugar will do,\" Bracey says. \"It'll swell you up and once you get swole up you going to get like you said, diabetes, high blood pressure or heart failure, you going to have one or the other. That's what this sugar going to do, so I think it's a good cause that you fighting right now, yeah, I’m behind it.\"\u003c/p>\n\u003cp>Shopper Raymond Landry disagrees. Holding a tall can of Arizona iced tea, Landry says the tax hurts those who can least afford to pay it. And government, he says, shouldn’t control what he has a right to do.\u003c/p>\n\u003cp>\"I understand it’s an effort to promote health,\" Landry says. \"But at the same time, it comes at the expense of business, and there has to be a balance between the two.\"\u003c/p>\n\u003cp>That’s how opponents of the tax are casting this proposal. The tax would be imposed as a business license fee and would require any retailer that sells drinks with added sugar -- including energy drinks and sweetened teas -- to tally up all ounces sold and write a check to the city.\u003c/p>\n\u003cp>For weeks, 26-year-old, Richmond native Rosa Lara has been mobilizing local business owners against the measure. City officials project the tax could raise up to 8 million dollars a year to be used for things like more sports fields, nutrition education, and other anti-obesity programs geared at Latino and African American youth. But Lara says most of the people she talks to don’t believe that’s how the money will be spent\u003c/p>\n\u003cp>\"When I approach the people to let them know what’s going on it’s to educate them on how it’s going to affect the businesses and where the money’s going,\" Lara says. \"The money is going to a general fund. There’s no strings attached to that money.\"\u003c/p>\n\u003cp>Lara says she’s already signed up more than a hundred business owners against the tax. Her anti-tax signs can be found on the windows and shopping aisles of several businesses on 23rd Street, a hub of Latino-owned shops. Lara says business owners worry their customers will go to neighboring cities for cheaper sodas.\u003c/p>\n\u003cp>At La Raza Market, where cases of soda are stacked counter high, Alejandra Nava, a cashier, says trying to track all ounces sold could mean having to hire another person.\u003c/p>\n\u003cp>But what makes the outgoing Lara a particularly formidable tax foe is that she has the deep pockets of the \u003ca title=\"http://www.ameribev.org\" href=\"http://www.ameribev.org\" target=\"_blank\">American Beverage Association\u003c/a> -- the trade group that represents Pepsi Co, Coke and others -- paying her for her work.\u003c/p>\n\u003cp>Karen Hanretty is the group's vice-president of public affairs. \"The American Beverage Association always opposes discriminatory taxes on our products,\" she says. \"We think it is fundamentally unfair to single out any soft drink as a unique contributor to obesity.\"\u003c/p>\n\u003cp>But Harold Goldstein, head of the nonprofit \u003ca title=\"http://www.publichealthadvocacy.org\" href=\"http://www.publichealthadvocacy.org\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a> which supports the Richmond tax, says the real reason the soda industry is invested in the measure’s defeat is to discourage other cities from following suit. Late last month, the Southern California city of El Monte voted to put a soda tax measure -- modeled on Richmond's -- on its November ballot. \u003ca title=\"http://www.mercurynews.com/peninsula/ci_21223933/san-mateo-county-sipping-thought-soda-tax\" href=\"http://www.mercurynews.com/peninsula/ci_21223933/san-mateo-county-sipping-thought-soda-tax\" target=\"_blank\">The Palo Alto Daily News\u003c/a> reports that officials in San Mateo County are researching the idea of a soda tax for unincorporated areas of the county.\u003c/p>\n\u003cp>Goldstein draws an interesting parallel to another product, challenged on health issues. \"I think the soda industry is in the long run going to really go the way of the tobacco industry,\" he says, \"that people are going to begin to see that the soda industry has one thing in mind and that is to protect their profits.\"\u003c/p>\n\u003cp>Back at his council office, Jeff Ritterman says he knows he has a tough fight on his hands but he says he’s determined to do this for the health his community -- especially the kids who are so overweight. \"Everybody loves their children and when we put the issue of children’s health front and center and we let people know what we’re doing then we get people’s support.\u003c/p>\n\u003cp>Then Ritterman begins working the phones -- in his quest for votes this November.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Listen to Mina Kim's report:\u003c/em>\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/R201208060850a.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/R201208060850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "On MacDonald Avenue, the city of Richmond’s main drag, Jeff Ritterman is pulling a little red wagon that holds a plastic water cooler jug filled with forty pounds of sugar. Ritterman says that's the average amount a child in Richmond consumes each year, just from drinking sodas. \"The child gets overweight,\" he says, \"and the arteries of the heart fill up with bad fat. And that’s a real health problem.\"\r\n\r\nRitterman is a retired cardiologist who likes to wear his graying hair in a ponytail. He’s also a city councilman and the man behind a November ballot measure that would make Richmond one of the first cities in the nation to impose a penny-per-ounce tax on sodas and other sugar-sweetened drinks.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/JeffRitterman_sugar_MinaKim_08062012.jpg\">\u003cimg class=\"size-medium wp-image-7899\" title=\"Jeff Ritterman, Richmond city councilman who is championing the soda tax. (Photo: Mina Kim)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/JeffRitterman_sugar_MinaKim_08062012-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jeff Ritterman, Richmond city councilman who is championing the soda tax, on the campaign trail. (Photo: Mina Kim)\u003c/figcaption>\u003c/figure>\n\u003cp>On MacDonald Avenue, the city of Richmond’s main drag, \u003ca title=\"http://www.ci.richmond.ca.us/index.aspx?nid=1799\" href=\"http://www.ci.richmond.ca.us/index.aspx?nid=1799\" target=\"_blank\">Jeff Ritterman\u003c/a> is pulling a little red wagon that holds a plastic water cooler jug filled with forty pounds of sugar. Ritterman says that's the average amount a child in Richmond consumes each year, just from drinking sodas. \"The child gets overweight,\" he says, \"and the arteries of the heart fill up with bad fat. And that’s a real health problem.\"\u003c/p>\n\u003cp>Ritterman is a retired cardiologist who likes to wear his graying hair in a ponytail. He’s also a city councilman and \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" href=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" target=\"_blank\">the man behind a November ballot measure\u003c/a> that would make Richmond one of the first cities in the nation to impose a penny-per-ounce tax on sodas and other sugar-sweetened drinks.\u003c/p>\n\u003cp>According to \u003ca title=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" href=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" target=\"_blank\">a report from Contra Costa Health Services\u003c/a> [PDF], more than half of Richmond’s children are overweight or obese.\u003c/p>\n\u003cp>At a shopping plaza, Ritterman's wagon catches the attention of passerby Michael Bracey.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I know what that sugar will do,\" Bracey says. \"It'll swell you up and once you get swole up you going to get like you said, diabetes, high blood pressure or heart failure, you going to have one or the other. That's what this sugar going to do, so I think it's a good cause that you fighting right now, yeah, I’m behind it.\"\u003c/p>\n\u003cp>Shopper Raymond Landry disagrees. Holding a tall can of Arizona iced tea, Landry says the tax hurts those who can least afford to pay it. And government, he says, shouldn’t control what he has a right to do.\u003c/p>\n\u003cp>\"I understand it’s an effort to promote health,\" Landry says. \"But at the same time, it comes at the expense of business, and there has to be a balance between the two.\"\u003c/p>\n\u003cp>That’s how opponents of the tax are casting this proposal. The tax would be imposed as a business license fee and would require any retailer that sells drinks with added sugar -- including energy drinks and sweetened teas -- to tally up all ounces sold and write a check to the city.\u003c/p>\n\u003cp>For weeks, 26-year-old, Richmond native Rosa Lara has been mobilizing local business owners against the measure. City officials project the tax could raise up to 8 million dollars a year to be used for things like more sports fields, nutrition education, and other anti-obesity programs geared at Latino and African American youth. But Lara says most of the people she talks to don’t believe that’s how the money will be spent\u003c/p>\n\u003cp>\"When I approach the people to let them know what’s going on it’s to educate them on how it’s going to affect the businesses and where the money’s going,\" Lara says. \"The money is going to a general fund. There’s no strings attached to that money.\"\u003c/p>\n\u003cp>Lara says she’s already signed up more than a hundred business owners against the tax. Her anti-tax signs can be found on the windows and shopping aisles of several businesses on 23rd Street, a hub of Latino-owned shops. Lara says business owners worry their customers will go to neighboring cities for cheaper sodas.\u003c/p>\n\u003cp>At La Raza Market, where cases of soda are stacked counter high, Alejandra Nava, a cashier, says trying to track all ounces sold could mean having to hire another person.\u003c/p>\n\u003cp>But what makes the outgoing Lara a particularly formidable tax foe is that she has the deep pockets of the \u003ca title=\"http://www.ameribev.org\" href=\"http://www.ameribev.org\" target=\"_blank\">American Beverage Association\u003c/a> -- the trade group that represents Pepsi Co, Coke and others -- paying her for her work.\u003c/p>\n\u003cp>Karen Hanretty is the group's vice-president of public affairs. \"The American Beverage Association always opposes discriminatory taxes on our products,\" she says. \"We think it is fundamentally unfair to single out any soft drink as a unique contributor to obesity.\"\u003c/p>\n\u003cp>But Harold Goldstein, head of the nonprofit \u003ca title=\"http://www.publichealthadvocacy.org\" href=\"http://www.publichealthadvocacy.org\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a> which supports the Richmond tax, says the real reason the soda industry is invested in the measure’s defeat is to discourage other cities from following suit. Late last month, the Southern California city of El Monte voted to put a soda tax measure -- modeled on Richmond's -- on its November ballot. \u003ca title=\"http://www.mercurynews.com/peninsula/ci_21223933/san-mateo-county-sipping-thought-soda-tax\" href=\"http://www.mercurynews.com/peninsula/ci_21223933/san-mateo-county-sipping-thought-soda-tax\" target=\"_blank\">The Palo Alto Daily News\u003c/a> reports that officials in San Mateo County are researching the idea of a soda tax for unincorporated areas of the county.\u003c/p>\n\u003cp>Goldstein draws an interesting parallel to another product, challenged on health issues. \"I think the soda industry is in the long run going to really go the way of the tobacco industry,\" he says, \"that people are going to begin to see that the soda industry has one thing in mind and that is to protect their profits.\"\u003c/p>\n\u003cp>Back at his council office, Jeff Ritterman says he knows he has a tough fight on his hands but he says he’s determined to do this for the health his community -- especially the kids who are so overweight. \"Everybody loves their children and when we put the issue of children’s health front and center and we let people know what we’re doing then we get people’s support.\u003c/p>\n\u003cp>Then Ritterman begins working the phones -- in his quest for votes this November.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Listen to Mina Kim's report:\u003c/em>\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/R201208060850a.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/R201208060850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>By Richard Kipling, \u003ca title=\"http://centerforhealthreporting.org/blog/health-training-program-everybody-likes-but…950\" href=\"http://centerforhealthreporting.org/blog/health-training-program-everybody-likes-but%E2%80%A6950\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7841\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012.jpg\">\u003cimg class=\"size-medium wp-image-7841\" title=\"(Flickr: Alec Couros)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-300x234.jpg\" alt=\"(Flickr: Alec Couros)\" width=\"300\" height=\"234\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Flickr: Alec Couros)\u003c/figcaption>\u003c/figure>\n\u003cp>The past couple years, we’ve witnessed a seeming contradiction in state health policy.\u003c/p>\n\u003cp>On the one hand, we’ve had an unending march of state health programs to the budgetary cutting block, victims of California’s impoverished financial condition; on the other, that same state government has busily prepared for the \u003ca title=\"http://www.healthcare.gov\" href=\"http://www.healthcare.gov\" target=\"_blank\">Affordable Care Act\u003c/a>, set to hit ground in January 2014.\u003c/p>\n\u003cp>While glancing at data on the website of the\u003ca title=\"http://www.oshpd.ca.gov\" href=\"http://www.oshpd.ca.gov\" target=\"_blank\"> Office of Statewide Health Planning and Development\u003c/a> (better known as OSHPD), I thought I’d found a program that was another example of California preparing for reform and decided to dig deeper.\u003c/p>\n\u003cp>Its moniker, \u003ca href=\"http://www.oshpd.ca.gov/hwdd/cal-search/\" target=\"_blank\">Cal-SEARCH\u003c/a>, stands for Student/Resident Experiences and Rotations in Community Health. Its description reads like a perfect fit for this health-reform, getting-health-providers-to-underserved-communities world we’ve entered.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Cal-SEARCH, its literature says, “will provide funded training opportunities for health professional students and residents statewide\" who are enrolled in one of 15 programs ranging from primary care residencies to clinical psychology to clinical social work. Those who qualify “will serve a 4-8 week, 80-hour minimum, clinical rotation in CCHCs (community clinics and health centers) and complete a community project.”\u003c!--more-->\u003c/p>\n\u003cp>If students successfully complete their stints, they get “a modest stipend” of $700. The program provides no money for housing or food or transportation. That’s all on the student.\u003c/p>\n\u003cp>And speaking of modest, I found that Cal-SEARCH is part of a national SEARCH program, funded by the U.S. Department of Health and Human Services, that since its inception three years ago has cost the government a paltry $579,000. That’s right, a little more than half a million for three years, less than the cost of one moderately priced home in California. Since the program operates in a number of states, it’s a safe bet that the budget for California’s version is a modest part of that modest amount.\u003c/p>\n\u003cp>It sure sounds like an unusually cost-effective way to open the world of medically underserved California to medical students, to acquaint them with the challenges, opportunities and rewards that working in such an environment can offer.\u003c/p>\n\u003cp>And again, the state uses \u003cem>federal\u003c/em> monies, not its own, to get a leg up on a major challenge facing California -- getting medical professionals to underserved areas and populations.\u003c/p>\n\u003cp>So, using exclusively federal dollars to solve a California problem? Too good to be true, eh?\u003c/p>\n\u003cp>Well, it is.\u003c/p>\n\u003cp>Money for the program has run out, and there are no federal dollars to keep Cal-SEARCH alive, said Donna Scheerer-Treleven, senior program coordinator with the California Primary Care Association. The \u003ca href=\"http://www.cpca.org/\" target=\"_blank\">CPCA\u003c/a> serves as one of several partners for the program’s California arm.\u003c/p>\n\u003cp>The SEARCH program, or some rendering of it, has been around for years. The most recent version began in September of 2009, funded by Washington stimulus money. But, “we’re at the tail end of that now,” said Scheerer-Treleven. The program will end on September 30, despite its popularity.\u003c/p>\n\u003cp>“Feedback has been overwhelmingly positive from program participants,” said Lupe Alonzo-Diaz, acting deputy director at OSHPD’s Healthcare Workforce Development Division.\u003c/p>\n\u003cp>So positive that the program grew almost exponentially over the last three years – from 25 students in year one to 45 the second year and 78 this year.\u003c/p>\n\u003cp>“It’s a great way to get students into rotations who might not have gone this route if it weren’t for this program,” said Scheerer-Treleven. “Students have loved it.”\u003c/p>\n\u003cp>Long Beach native Christine Ruby, 30, certainly did. Ruby, who has eight months to go for a master’s degree in public health plus a second one in physician assistant studies at \u003ca href=\"http://www.tu.edu/\" target=\"_blank\">Touro University\u003c/a>, completed a six-week program at \u003ca href=\"http://www.altamed.org/contact_altamed/orange_county_locations\" target=\"_blank\">Altamed’s Huntington Beach\u003c/a> community clinic just last month.\u003c/p>\n\u003cp>By the second week she was seeing patients on her own, with a “preceptor” to guide her. Over the course of her training, “I easily saw hundreds of patients,” Ruby said.\u003c/p>\n\u003cp>So was the program worth it? “The whole basis of the program is to encourage people to go into primary care and serve the community,” Ruby said. “It benefits the health care system at no cost to the system at all. It just seems silly to me not to continue to fund it.”\u003c/p>\n\u003cp>The folks at OSHPD seem to feel the same way.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“While initial funding has ended, OSHPD is optimistic that it will secure funding and continue to offer students and residents the opportunity to participate in the future,\" Alonzo-Diaz said in an email statement.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Richard Kipling, \u003ca title=\"http://centerforhealthreporting.org/blog/health-training-program-everybody-likes-but…950\" href=\"http://centerforhealthreporting.org/blog/health-training-program-everybody-likes-but%E2%80%A6950\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7841\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012.jpg\">\u003cimg class=\"size-medium wp-image-7841\" title=\"(Flickr: Alec Couros)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-300x234.jpg\" alt=\"(Flickr: Alec Couros)\" width=\"300\" height=\"234\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Flickr: Alec Couros)\u003c/figcaption>\u003c/figure>\n\u003cp>The past couple years, we’ve witnessed a seeming contradiction in state health policy.\u003c/p>\n\u003cp>On the one hand, we’ve had an unending march of state health programs to the budgetary cutting block, victims of California’s impoverished financial condition; on the other, that same state government has busily prepared for the \u003ca title=\"http://www.healthcare.gov\" href=\"http://www.healthcare.gov\" target=\"_blank\">Affordable Care Act\u003c/a>, set to hit ground in January 2014.\u003c/p>\n\u003cp>While glancing at data on the website of the\u003ca title=\"http://www.oshpd.ca.gov\" href=\"http://www.oshpd.ca.gov\" target=\"_blank\"> Office of Statewide Health Planning and Development\u003c/a> (better known as OSHPD), I thought I’d found a program that was another example of California preparing for reform and decided to dig deeper.\u003c/p>\n\u003cp>Its moniker, \u003ca href=\"http://www.oshpd.ca.gov/hwdd/cal-search/\" target=\"_blank\">Cal-SEARCH\u003c/a>, stands for Student/Resident Experiences and Rotations in Community Health. Its description reads like a perfect fit for this health-reform, getting-health-providers-to-underserved-communities world we’ve entered.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cal-SEARCH, its literature says, “will provide funded training opportunities for health professional students and residents statewide\" who are enrolled in one of 15 programs ranging from primary care residencies to clinical psychology to clinical social work. Those who qualify “will serve a 4-8 week, 80-hour minimum, clinical rotation in CCHCs (community clinics and health centers) and complete a community project.”\u003c!--more-->\u003c/p>\n\u003cp>If students successfully complete their stints, they get “a modest stipend” of $700. The program provides no money for housing or food or transportation. That’s all on the student.\u003c/p>\n\u003cp>And speaking of modest, I found that Cal-SEARCH is part of a national SEARCH program, funded by the U.S. Department of Health and Human Services, that since its inception three years ago has cost the government a paltry $579,000. That’s right, a little more than half a million for three years, less than the cost of one moderately priced home in California. Since the program operates in a number of states, it’s a safe bet that the budget for California’s version is a modest part of that modest amount.\u003c/p>\n\u003cp>It sure sounds like an unusually cost-effective way to open the world of medically underserved California to medical students, to acquaint them with the challenges, opportunities and rewards that working in such an environment can offer.\u003c/p>\n\u003cp>And again, the state uses \u003cem>federal\u003c/em> monies, not its own, to get a leg up on a major challenge facing California -- getting medical professionals to underserved areas and populations.\u003c/p>\n\u003cp>So, using exclusively federal dollars to solve a California problem? Too good to be true, eh?\u003c/p>\n\u003cp>Well, it is.\u003c/p>\n\u003cp>Money for the program has run out, and there are no federal dollars to keep Cal-SEARCH alive, said Donna Scheerer-Treleven, senior program coordinator with the California Primary Care Association. The \u003ca href=\"http://www.cpca.org/\" target=\"_blank\">CPCA\u003c/a> serves as one of several partners for the program’s California arm.\u003c/p>\n\u003cp>The SEARCH program, or some rendering of it, has been around for years. The most recent version began in September of 2009, funded by Washington stimulus money. But, “we’re at the tail end of that now,” said Scheerer-Treleven. The program will end on September 30, despite its popularity.\u003c/p>\n\u003cp>“Feedback has been overwhelmingly positive from program participants,” said Lupe Alonzo-Diaz, acting deputy director at OSHPD’s Healthcare Workforce Development Division.\u003c/p>\n\u003cp>So positive that the program grew almost exponentially over the last three years – from 25 students in year one to 45 the second year and 78 this year.\u003c/p>\n\u003cp>“It’s a great way to get students into rotations who might not have gone this route if it weren’t for this program,” said Scheerer-Treleven. “Students have loved it.”\u003c/p>\n\u003cp>Long Beach native Christine Ruby, 30, certainly did. Ruby, who has eight months to go for a master’s degree in public health plus a second one in physician assistant studies at \u003ca href=\"http://www.tu.edu/\" target=\"_blank\">Touro University\u003c/a>, completed a six-week program at \u003ca href=\"http://www.altamed.org/contact_altamed/orange_county_locations\" target=\"_blank\">Altamed’s Huntington Beach\u003c/a> community clinic just last month.\u003c/p>\n\u003cp>By the second week she was seeing patients on her own, with a “preceptor” to guide her. Over the course of her training, “I easily saw hundreds of patients,” Ruby said.\u003c/p>\n\u003cp>So was the program worth it? “The whole basis of the program is to encourage people to go into primary care and serve the community,” Ruby said. “It benefits the health care system at no cost to the system at all. It just seems silly to me not to continue to fund it.”\u003c/p>\n\u003cp>The folks at OSHPD seem to feel the same way.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“While initial funding has ended, OSHPD is optimistic that it will secure funding and continue to offer students and residents the opportunity to participate in the future,\" Alonzo-Diaz said in an email statement.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Mobile Health Vans Care for Alameda's Homeless ",
"title": "Mobile Health Vans Care for Alameda's Homeless ",
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"content": "\u003cp>\u003cstrong>\u003cspan style=\"font-size: small\">\u003cspan style=\"color: #000000\">\u003cspan style=\"font-family: Times New Roman\">By Alvin Tran\u003c/span>\u003c/span>\u003c/span>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7791\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/IMG_0154.jpg\">\u003cimg class=\"size-medium wp-image-7791 \" title=\"Alameda County Mobile Health Services Unit van, set up to treat patients in downtown, Berkeley\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/IMG_0154-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Alameda County Mobile Health Services Unit van, set up to treat patients in downtown Berkeley. (Photo: Alvin Tran)\u003c/figcaption>\u003c/figure>\n\u003cp>The walking wounded wander the streets of Alameda County.\u003c/p>\n\u003cp>They are people who are homeless and live day to day in public parks and shelters. They are people in need of support for mental health issues and drug and alcohol addiction. And says Addie Brown, they are also one of the most difficult groups of patients to treat.\u003c/p>\n\u003cp>Brown would know. She oversees the operation of the Mobile Health Services Van headed by the \u003ca href=\"http://www.acphd.org/hchp.aspx\">Alameda County Health Care for the Homeless Program\u003c/a> (ACHCHP). The van travels throughout Alameda County serving approximately 160 homeless individuals each month. A team of healthcare providers, including nurse practitioners and social workers, provide no-cost primary care and support services, such as counseling and testing for sexually transmitted diseases.\u003c/p>\n\u003cp>“Over the years, we’ve saved a lot of lives. A lot of clients come with conditions that would have gone untreated had we not gone out there. We’ve been able to help them with their medical issues and getting them hooked up to the appropriate clinic, or doctor, or specialty care,” Brown explained.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Reggie Evans came to the van to get treated for his allergies. As a street vendor who sells homemade jewelry on the streets in downtown Berkeley, Reggie said he often encounters passersby who ignore and discriminate against him for being homeless. But on the van, it's different. “They’re not snotty. They don't judge you,” Reggie told me.\u003c/p>\n\u003cp>But despite the mobile team's success in treating the homeless over the years, there has been a growth of patients with untreated mental health conditions and drug and alcohol addiction.\u003c/p>\n\u003cp>Not altogether surprisingly, Brown says these patients often fail to follow through with their medical referrals and go on with their lives -- untreated.\u003c/p>\n\u003cp>“Those are the hardest clients to work with and the hardest clients to get a positive outcome with because of their struggles with mental health and substance abuse,” Brown said.\u003c/p>\n\u003cp>Gerald Walker, a mental health specialist from \u003ca title=\"http://www.acbhcs.org/\" href=\"http://www.acbhcs.org/\" target=\"_blank\">Alameda County Behavioral Health Services Agency\u003c/a>, counsels mentally ill patients and helps them seek proper treatment. Walker began working for the van on a part-time basis in 1991 to help patients with mental illnesses. While he cannot treat them, he can refer them to the appropriate care.\u003c/p>\n\u003cp>“Part of our job is to teach them to become better patients,” Walker said.\u003c/p>\n\u003cp>He described the van’s mentally ill patients as “treatment resistant individuals,” because it is up to them to decide if they want to get treated for their conditions.\u003c/p>\n\u003cp>“They haven’t come to a point where they want to admit that they have a mental illness,” said Walker. “It’s almost impossible to treat someone who is telling you that the problem does not exist.\u003c/p>\n\u003cp>Even with the current challenges, Walker remains optimistic and points to Alameda County and the state of California’s current push to combine behavioral health care and primary care in treating patients.\u003c/p>\n\u003cp>“We are a few steps ahead of many others because we ... realized that this has been a problem for a really long time. We’ve been putting systems together that can address that,” Walker explained.\u003c/p>\n\u003cp>Still, the systems do not support all patients equally.\u003c/p>\n\u003cp>“In Alameda County right now, we have a pretty strong system of care for people that have a serious mental illness,\" said \u003ca title=\"http://www.acphd.org/hchp/contact-information.aspx\" href=\"http://www.acphd.org/hchp/contact-information.aspx\" target=\"_blank\">David Modersbach\u003c/a>, Director of ACHCHP. \"That could be something like schizophrenia or very severe depression or other sometimes organic mental illnesses. However, persons that have a low acuity mental illness such as depression, anxiety, personality disorders -- these mental illnesses don’t qualify them for low cost care.\"\u003c/p>\n\u003cp>Modersbach calls these patients the “walking wounded” because they don’t have access to support services and care that other community members “take for granted.”\u003c/p>\n\u003cp>To address these patients, Modersbach said his team is working with Alameda County Behavioral Health Care Services to explore expanding the current mental health services being offered.\u003c/p>\n\u003cp>Part of this potential expansion includes adding psychiatrists and licensed clinical social workers to the Health Services Vans so they can directly treat mentally ill patients.\u003c/p>\n\u003cp>“What we would like to do is have a system where we’re able to provide some sort of treatment for people at the places where homeless people are,” Modersbach explained.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>While ACHCHP and Behavioral Health Care Services are still in the planning stage of the expansion, Modersbach said he remains optimistic and hopes to see the expansion happen in early 2013.\u003c/p>\n\n",
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"excerpt": "The walking wounded wander the streets of Alameda County.\r\n\r\nThey are people who are homeless and live day to day in public parks and shelters. They are people in need of support for mental health issues and drug and alcohol addiction. And says Addie Brown, they are also one of the most difficult groups of patients to treat. \r\n\r\nBrown would know. She oversees the operation the Mobile Health Services Van headed by the Alameda County Health Care for the Homeless Program (ACHCHP). The van travels throughout Alameda County serving approximately 160 patients each month. A team of healthcare providers, including nurse of practitioners and social workers, provide no-cost primary care and support services, such as counseling and testing for sexually transmitted diseases, to homeless individuals.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>\u003cspan style=\"font-size: small\">\u003cspan style=\"color: #000000\">\u003cspan style=\"font-family: Times New Roman\">By Alvin Tran\u003c/span>\u003c/span>\u003c/span>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7791\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/IMG_0154.jpg\">\u003cimg class=\"size-medium wp-image-7791 \" title=\"Alameda County Mobile Health Services Unit van, set up to treat patients in downtown, Berkeley\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/IMG_0154-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Alameda County Mobile Health Services Unit van, set up to treat patients in downtown Berkeley. (Photo: Alvin Tran)\u003c/figcaption>\u003c/figure>\n\u003cp>The walking wounded wander the streets of Alameda County.\u003c/p>\n\u003cp>They are people who are homeless and live day to day in public parks and shelters. They are people in need of support for mental health issues and drug and alcohol addiction. And says Addie Brown, they are also one of the most difficult groups of patients to treat.\u003c/p>\n\u003cp>Brown would know. She oversees the operation of the Mobile Health Services Van headed by the \u003ca href=\"http://www.acphd.org/hchp.aspx\">Alameda County Health Care for the Homeless Program\u003c/a> (ACHCHP). The van travels throughout Alameda County serving approximately 160 homeless individuals each month. A team of healthcare providers, including nurse practitioners and social workers, provide no-cost primary care and support services, such as counseling and testing for sexually transmitted diseases.\u003c/p>\n\u003cp>“Over the years, we’ve saved a lot of lives. A lot of clients come with conditions that would have gone untreated had we not gone out there. We’ve been able to help them with their medical issues and getting them hooked up to the appropriate clinic, or doctor, or specialty care,” Brown explained.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Reggie Evans came to the van to get treated for his allergies. As a street vendor who sells homemade jewelry on the streets in downtown Berkeley, Reggie said he often encounters passersby who ignore and discriminate against him for being homeless. But on the van, it's different. “They’re not snotty. They don't judge you,” Reggie told me.\u003c/p>\n\u003cp>But despite the mobile team's success in treating the homeless over the years, there has been a growth of patients with untreated mental health conditions and drug and alcohol addiction.\u003c/p>\n\u003cp>Not altogether surprisingly, Brown says these patients often fail to follow through with their medical referrals and go on with their lives -- untreated.\u003c/p>\n\u003cp>“Those are the hardest clients to work with and the hardest clients to get a positive outcome with because of their struggles with mental health and substance abuse,” Brown said.\u003c/p>\n\u003cp>Gerald Walker, a mental health specialist from \u003ca title=\"http://www.acbhcs.org/\" href=\"http://www.acbhcs.org/\" target=\"_blank\">Alameda County Behavioral Health Services Agency\u003c/a>, counsels mentally ill patients and helps them seek proper treatment. Walker began working for the van on a part-time basis in 1991 to help patients with mental illnesses. While he cannot treat them, he can refer them to the appropriate care.\u003c/p>\n\u003cp>“Part of our job is to teach them to become better patients,” Walker said.\u003c/p>\n\u003cp>He described the van’s mentally ill patients as “treatment resistant individuals,” because it is up to them to decide if they want to get treated for their conditions.\u003c/p>\n\u003cp>“They haven’t come to a point where they want to admit that they have a mental illness,” said Walker. “It’s almost impossible to treat someone who is telling you that the problem does not exist.\u003c/p>\n\u003cp>Even with the current challenges, Walker remains optimistic and points to Alameda County and the state of California’s current push to combine behavioral health care and primary care in treating patients.\u003c/p>\n\u003cp>“We are a few steps ahead of many others because we ... realized that this has been a problem for a really long time. We’ve been putting systems together that can address that,” Walker explained.\u003c/p>\n\u003cp>Still, the systems do not support all patients equally.\u003c/p>\n\u003cp>“In Alameda County right now, we have a pretty strong system of care for people that have a serious mental illness,\" said \u003ca title=\"http://www.acphd.org/hchp/contact-information.aspx\" href=\"http://www.acphd.org/hchp/contact-information.aspx\" target=\"_blank\">David Modersbach\u003c/a>, Director of ACHCHP. \"That could be something like schizophrenia or very severe depression or other sometimes organic mental illnesses. However, persons that have a low acuity mental illness such as depression, anxiety, personality disorders -- these mental illnesses don’t qualify them for low cost care.\"\u003c/p>\n\u003cp>Modersbach calls these patients the “walking wounded” because they don’t have access to support services and care that other community members “take for granted.”\u003c/p>\n\u003cp>To address these patients, Modersbach said his team is working with Alameda County Behavioral Health Care Services to explore expanding the current mental health services being offered.\u003c/p>\n\u003cp>Part of this potential expansion includes adding psychiatrists and licensed clinical social workers to the Health Services Vans so they can directly treat mentally ill patients.\u003c/p>\n\u003cp>“What we would like to do is have a system where we’re able to provide some sort of treatment for people at the places where homeless people are,” Modersbach explained.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>While ACHCHP and Behavioral Health Care Services are still in the planning stage of the expansion, Modersbach said he remains optimistic and hopes to see the expansion happen in early 2013.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>By \u003cstrong>\u003ca title=\"http://gracerubenstein.com/\" href=\"http://gracerubenstein.com/\" target=\"_blank\">Grace Rubenstein\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7749\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-31-at-9.44.14-AM.png\">\u003cimg class=\"size-medium wp-image-7749 \" title=\"Still from Jose Vadi's video-poem "The Corner." (Courtesy: The Bigger Picture)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-31-at-9.44.14-AM-300x170.png\" alt=\"Still from Jose Vadi's video-poem "The Corner." \" width=\"300\" height=\"170\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Still from Jose Vadi's video-poem \"The Corner.\" (Courtesy: The Bigger Picture)\u003c/figcaption>\u003c/figure>\n\u003cp>So long to the purely pious messages about eating right and exercising to ward off diabetes, Type II diabetes, that is.\u003c/p>\n\u003cp>A group of Bay Area youth have a new message for their peers about the disease, which afflicts poor people of color in disproportionately high numbers. Their rallying cry: \u003cem>It’s about justice, man\u003c/em>.\u003c/p>\n\u003cp>The spoken-word poetry organization \u003ca title=\"http://youthspeaks.org/\" href=\"http://youthspeaks.org/\" target=\"_blank\">Youth Speaks\u003c/a> has teamed up with U.C. San Francisco to train young poets on how living conditions common in poor neighborhoods — unsafe streets, few green spaces, a preponderance of fast-food joints — appear to propel people toward diabetes. (For more on this line of research, see the \u003ca href=\"http://www.who.int/social_determinants/en/\">World Health Organization\u003c/a> and this \u003ca href=\"http://www.barhii.org/press/download/barhii_report08.pdf\">report\u003c/a> [PDF] from the Bay Area Regional Health Inequities Initiative.)\u003c/p>\n\u003cp>Twenty poet-mentors have already been trained as part of the program, \u003ca title=\"http://youthspeaks.org/thebiggerpicture/\" href=\"http://youthspeaks.org/thebiggerpicture/\" target=\"_blank\">The Bigger Picture\u003c/a> (website under construction). They worked with Oakland-native slam poet and videographer \u003ca title=\"http://en.wikipedia.org/wiki/Jamie_DeWolf\" href=\"http://en.wikipedia.org/wiki/Jamie_DeWolf\" target=\"_blank\">Jamie DeWolf\u003c/a> to turn their poems into online videos, delivered in a lyrical and cinematic style that 21st century teens relate to. In the coming school year, they’ll visit 10 Bay Area high schools to perform their poems, educate students on diabetes, and coach them to write health-justice poetry themselves.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Ultimately, they hope to expand the program statewide and inspire an army of young activists to change their communities, demand healthy food in schools, and press local governments to help make their neighborhoods more conducive to good health.\u003c/p>\n\u003cp>“We’re putting the onus not just on the individual but also on the community, and that begins on the street, at home and at school,” poet-mentor José Vadi, 27, of Oakland told me. “It’s a new approach that can be seen as very political.”\u003c/p>\n\u003cp>The new tactic comes none too soon, says Dr. Dean Schillinger with the \u003ca href=\"http://www.caldiabetes.org/index.cfm\">California Diabetes Program\u003c/a>, run jointly between the state and UCSF. When we discussed that project’s mission, he minced no words about the severity of the diabetes epidemic.\u003c/p>\n\u003cp>“We’re at a tipping point with diabetes,” he said. He called “frightening” a \u003ca href=\"http://pediatrics.aappublications.org/content/early/2012/05/15/peds.2011-1082.abstract\">study\u003c/a> published in May in the journal \u003cem>Pediatrics \u003c/em>which found that just between 2000 and 2008, rates of diabetes and prediabetes among U.S. youth ages 12 to 19 shot from 9 percent to 23 percent.\u003c/p>\n\u003cp>One in seven Californian adults has the disease, and the number is rising, reports the California Diabetes Program. Diabetes is the leading cause of blindness, amputations and kidney failure, and a major contributor to heart attacks and strokes. It doubles a person’s risk of death.\u003c/p>\n\u003cp>Individual health choices are still an important factor in the disease, say Schillinger and Vadi. But they don’t believe we’ll ever defeat diabetes if we focus on that aspect alone.\u003c/p>\n\u003cp>“We understand that diabetes is the result of a complex interplay between genetic risk, environment and behavior, and those three things are very tightly woven,” Schillinger said. “They’re not three independent pillars.”\u003c/p>\n\u003cp>Vadi, whose grandmother died of diabetes, feels the effects personally. Where he used to live, in downtown Oakland, his most practical food options within a mile and a half were a pricey natural-foods store and a McDonald’s, kitty-corner from each other. Day to day, he said he faced a choice between health and cost.\u003c/p>\n\u003cp>In Vadi’s video-poem, “\u003ca href=\"http://www.youtube.com/watch?v=18DZ8MjhxLc&feature=player_embedded\">The Corner\u003c/a>,” he rails against the food industry’s marketing of “deep-fried death” and “corporate-sponsored deadly delicacies.”\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=18DZ8MjhxLc]\u003c/p>\n\u003cp>There’s a clear common enemy, a sinister, selfish villain in Vadi’s verse: Big Food. In “\u003ca href=\"http://www.youtube.com/watch?v=oTxxm-EeCug&feature=player_embedded\">Pushin’ Weight\u003c/a>,” poet Simone Bridges portrays herself as a cold-blooded drug dealer pushing sugar to kids as if it were cocaine. In “\u003ca href=\"http://www.youtube.com/watch?v=zjASMfhNW-w&feature=player_embedded\">Health Justice Manifesto\u003c/a>,” the poets’ collaborative theme poem, they assert: “We believe it is the individual’s responsibility to maintain physical fitness. However, it is nearly impossible for those of us who live in neighborhoods without safe streets, parks or playgrounds, where the nearest substitute is often inside a fast food restaurant’s playpen,” all benefits which they add are “readily available for wealthy neighborhoods.”\u003c/p>\n\u003cp>When I first heard about the Bigger Picture, that struck me as its most astute aspect: framing diabetes as a matter not simply of health, but of inequality. Little inspires youth quite like a fight for justice.\u003c/p>\n\u003cp>Schillinger agrees. “That’s the innovation,” he told me. “Youth are especially incensed by any form of injustice.”\u003c/p>\n\u003cp>Less political poems, like Joshua Merchant’s “\u003ca href=\"http://www.youtube.com/watch?v=ijmyey2VkuA&feature=relmfu\">Hear No\u003c/a>” and Erica McMath Sheppard’s “\u003ca href=\"http://www.youtube.com/watch?v=QOiPOSOGvS8&feature=player_embedded\">Death Recipe\u003c/a>,” also pack emotional power. They describe in painful, personal detail the unhealthy habits embedded in their families, and how hard it is to change.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Schillinger is especially eager to reach Central Valley sites like Stockton and Fresno, “where rates of diabetes are just astounding, and often we don’t hear the stories from these highly impacted areas.”\u003c/p>\n\n",
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"excerpt": "So long to the purely pious messages about eating right and exercising to ward off diabetes, Type II diabetes, that is.\r\n\r\nA group of Bay Area youth have a new message for their peers about the disease, which afflicts poor people of color in disproportionately high numbers. Their rallying cry: It’s about justice, man.\r\n\r\nThe spoken-word poetry organization Youth Speaks has teamed up with U.C. San Francisco to train young poets on how living conditions common in poor neighborhoods — unsafe streets, few green spaces, a preponderance of fast-food joints — appear to propel people toward diabetes.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By \u003cstrong>\u003ca title=\"http://gracerubenstein.com/\" href=\"http://gracerubenstein.com/\" target=\"_blank\">Grace Rubenstein\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7749\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-31-at-9.44.14-AM.png\">\u003cimg class=\"size-medium wp-image-7749 \" title=\"Still from Jose Vadi's video-poem "The Corner." (Courtesy: The Bigger Picture)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-31-at-9.44.14-AM-300x170.png\" alt=\"Still from Jose Vadi's video-poem "The Corner." \" width=\"300\" height=\"170\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Still from Jose Vadi's video-poem \"The Corner.\" (Courtesy: The Bigger Picture)\u003c/figcaption>\u003c/figure>\n\u003cp>So long to the purely pious messages about eating right and exercising to ward off diabetes, Type II diabetes, that is.\u003c/p>\n\u003cp>A group of Bay Area youth have a new message for their peers about the disease, which afflicts poor people of color in disproportionately high numbers. Their rallying cry: \u003cem>It’s about justice, man\u003c/em>.\u003c/p>\n\u003cp>The spoken-word poetry organization \u003ca title=\"http://youthspeaks.org/\" href=\"http://youthspeaks.org/\" target=\"_blank\">Youth Speaks\u003c/a> has teamed up with U.C. San Francisco to train young poets on how living conditions common in poor neighborhoods — unsafe streets, few green spaces, a preponderance of fast-food joints — appear to propel people toward diabetes. (For more on this line of research, see the \u003ca href=\"http://www.who.int/social_determinants/en/\">World Health Organization\u003c/a> and this \u003ca href=\"http://www.barhii.org/press/download/barhii_report08.pdf\">report\u003c/a> [PDF] from the Bay Area Regional Health Inequities Initiative.)\u003c/p>\n\u003cp>Twenty poet-mentors have already been trained as part of the program, \u003ca title=\"http://youthspeaks.org/thebiggerpicture/\" href=\"http://youthspeaks.org/thebiggerpicture/\" target=\"_blank\">The Bigger Picture\u003c/a> (website under construction). They worked with Oakland-native slam poet and videographer \u003ca title=\"http://en.wikipedia.org/wiki/Jamie_DeWolf\" href=\"http://en.wikipedia.org/wiki/Jamie_DeWolf\" target=\"_blank\">Jamie DeWolf\u003c/a> to turn their poems into online videos, delivered in a lyrical and cinematic style that 21st century teens relate to. In the coming school year, they’ll visit 10 Bay Area high schools to perform their poems, educate students on diabetes, and coach them to write health-justice poetry themselves.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ultimately, they hope to expand the program statewide and inspire an army of young activists to change their communities, demand healthy food in schools, and press local governments to help make their neighborhoods more conducive to good health.\u003c/p>\n\u003cp>“We’re putting the onus not just on the individual but also on the community, and that begins on the street, at home and at school,” poet-mentor José Vadi, 27, of Oakland told me. “It’s a new approach that can be seen as very political.”\u003c/p>\n\u003cp>The new tactic comes none too soon, says Dr. Dean Schillinger with the \u003ca href=\"http://www.caldiabetes.org/index.cfm\">California Diabetes Program\u003c/a>, run jointly between the state and UCSF. When we discussed that project’s mission, he minced no words about the severity of the diabetes epidemic.\u003c/p>\n\u003cp>“We’re at a tipping point with diabetes,” he said. He called “frightening” a \u003ca href=\"http://pediatrics.aappublications.org/content/early/2012/05/15/peds.2011-1082.abstract\">study\u003c/a> published in May in the journal \u003cem>Pediatrics \u003c/em>which found that just between 2000 and 2008, rates of diabetes and prediabetes among U.S. youth ages 12 to 19 shot from 9 percent to 23 percent.\u003c/p>\n\u003cp>One in seven Californian adults has the disease, and the number is rising, reports the California Diabetes Program. Diabetes is the leading cause of blindness, amputations and kidney failure, and a major contributor to heart attacks and strokes. It doubles a person’s risk of death.\u003c/p>\n\u003cp>Individual health choices are still an important factor in the disease, say Schillinger and Vadi. But they don’t believe we’ll ever defeat diabetes if we focus on that aspect alone.\u003c/p>\n\u003cp>“We understand that diabetes is the result of a complex interplay between genetic risk, environment and behavior, and those three things are very tightly woven,” Schillinger said. “They’re not three independent pillars.”\u003c/p>\n\u003cp>Vadi, whose grandmother died of diabetes, feels the effects personally. Where he used to live, in downtown Oakland, his most practical food options within a mile and a half were a pricey natural-foods store and a McDonald’s, kitty-corner from each other. Day to day, he said he faced a choice between health and cost.\u003c/p>\n\u003cp>In Vadi’s video-poem, “\u003ca href=\"http://www.youtube.com/watch?v=18DZ8MjhxLc&feature=player_embedded\">The Corner\u003c/a>,” he rails against the food industry’s marketing of “deep-fried death” and “corporate-sponsored deadly delicacies.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/18DZ8MjhxLc'\n title='//www.youtube.com/embed/18DZ8MjhxLc'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>There’s a clear common enemy, a sinister, selfish villain in Vadi’s verse: Big Food. In “\u003ca href=\"http://www.youtube.com/watch?v=oTxxm-EeCug&feature=player_embedded\">Pushin’ Weight\u003c/a>,” poet Simone Bridges portrays herself as a cold-blooded drug dealer pushing sugar to kids as if it were cocaine. In “\u003ca href=\"http://www.youtube.com/watch?v=zjASMfhNW-w&feature=player_embedded\">Health Justice Manifesto\u003c/a>,” the poets’ collaborative theme poem, they assert: “We believe it is the individual’s responsibility to maintain physical fitness. However, it is nearly impossible for those of us who live in neighborhoods without safe streets, parks or playgrounds, where the nearest substitute is often inside a fast food restaurant’s playpen,” all benefits which they add are “readily available for wealthy neighborhoods.”\u003c/p>\n\u003cp>When I first heard about the Bigger Picture, that struck me as its most astute aspect: framing diabetes as a matter not simply of health, but of inequality. Little inspires youth quite like a fight for justice.\u003c/p>\n\u003cp>Schillinger agrees. “That’s the innovation,” he told me. “Youth are especially incensed by any form of injustice.”\u003c/p>\n\u003cp>Less political poems, like Joshua Merchant’s “\u003ca href=\"http://www.youtube.com/watch?v=ijmyey2VkuA&feature=relmfu\">Hear No\u003c/a>” and Erica McMath Sheppard’s “\u003ca href=\"http://www.youtube.com/watch?v=QOiPOSOGvS8&feature=player_embedded\">Death Recipe\u003c/a>,” also pack emotional power. They describe in painful, personal detail the unhealthy habits embedded in their families, and how hard it is to change.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Schillinger is especially eager to reach Central Valley sites like Stockton and Fresno, “where rates of diabetes are just astounding, and often we don’t hear the stories from these highly impacted areas.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_7708\" class=\"wp-caption alignleft\" style=\"max-width: 294px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/710freeway_sign_DeanTerry_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-7708\" title=\"A draft environmental impact report about an expansion to the Los Angeles basin's 710 freeway was issued last month. (DeanTerry: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/710freeway_sign_DeanTerry_Flickr-300x306.jpg\" alt=\"A draft environmental impact report about an expansion to the Los Angeles basin's 710 freeway was issued last month. (DeanTerry: Flickr)\" width=\"294\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A draft environmental impact report about an expansion to the Los Angeles basin's 710 freeway was issued last month. (DeanTerry: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Caltrans issued its draft environmental impact report on a major freeway project in Los Angeles -- the 710 expansion. The freeway currently stretches 25 miles freeway from East Los Angeles to Long Beach, but is commonly chokes with traffic of both people and goods. As Bernice Yeung at \u003ca title=\"http://californiawatch.org/dailyreport/caltrans-la-freeway-expansion-could-improve-public-health-17300\" href=\"http://californiawatch.org/dailyreport/caltrans-la-freeway-expansion-could-improve-public-health-17300\" target=\"_blank\">California Watch\u003c/a> reports, Caltrans asserts the expansion could improve public health. As Yeung details:\u003c/p>\n\u003cblockquote>\u003cp>“The project would improve air quality and public health, improve traffic safety, modernize the freeway design, and accommodate projected growth for population, employment, and economic activities related to goods movement,” the report stated.\u003c/p>\u003c/blockquote>\n\u003cp>Maybe improving congestion can reduce pollution and improve public health, but community activists and longtime researchers are not so sure.\u003c/p>\n\u003cp>In her piece, Yeung delves into the background of the project. There are several possible iterations of the 710 expansion on the table, ranging from adding 10 lanes all the way down to \"no-build\" -- where the existing freeway is improved, but no lanes are added.\u003c!--more-->\u003c/p>\n\u003cp>The problem with the draft environmental impact report (EIR), say public health experts, is lack of clarity. It's hard to understand exactly why air quality is supposed to improve.\u003c/p>\n\u003cblockquote>\u003cp>“The draft EIR for the I-710 corridor has thousands of pages, and Caltrans does not always make its underlying assumptions easy to understand,” Andrea Hricko, a professor of clinical preventive medicine at the University of Southern California's Keck School of Medicine, wrote in an email. “The health risk analyses are confusing, with some of the alternatives for expansion showing increased PM (particulate matter pollution) levels, yet decreased health risks.”\u003c/p>\n\u003cp>USC researchers have looked closely at the health impacts of traffic-related air pollution on kids by tracking the health of thousands of children in Southern California for 20 years.\u003c/p>\n\u003cp>“The studies have shown that children growing up in communities with high particle pollution are more likely to have reduced lung function,” Hricko wrote in an email. “Children in communities with high ozone levels are more likely to miss more school through absences. … There are now lots of papers published on this topic, with results showing that children who live or go to school near busy roads and freeways are more likely to have asthma and reduced lung function.”\u003c/p>\n\u003cp>A March letter to Caltrans from the U.S. Environmental Protection Agency also raised concerns about the air quality impacts on communities near the 710 freeway, and on children’s health in particular.\u003c/p>\n\u003cp>“This project will result in a high level of community-wide impacts, in an area that is already heavily burdened from poor air quality related to the goods movement sector,” the letter said. “Because of the anticipated impacts from this project in this setting, it is critical that the EIS (environmental impact statement) include a robust analysis of the air quality, environmental justice, and children's health impacts that will result.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca title=\"http://www.dot.ca.gov/dist07/resources/envdocs/docs/710corridor/docs/public_notice_release_eis-eir_eng.pdf\" href=\"http://www.dot.ca.gov/dist07/resources/envdocs/docs/710corridor/docs/public_notice_release_eis-eir_eng.pdf\" target=\"_blank\">Public hearings\u003c/a> about the draft EIR will run next Tuesday, Wednesday and Thursday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "Caltrans issued its draft environmental impact report on a major freeway project in Los Angeles -- the 710 expansion. The freeway currently stretches 25 miles freeway from East Los Angeles to Long Beach, but is commonly chokes with traffic of both people and goods. As Bernice Yeung at California Watch reports, Caltrans asserts the expansion could improve public health. As Yeung details:\r\n\r\n“The project would improve air quality and public health, improve traffic safety, modernize the freeway design, and accommodate projected growth for population, employment, and economic activities related to goods movement,” the report stated.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_7708\" class=\"wp-caption alignleft\" style=\"max-width: 294px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/710freeway_sign_DeanTerry_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-7708\" title=\"A draft environmental impact report about an expansion to the Los Angeles basin's 710 freeway was issued last month. (DeanTerry: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/710freeway_sign_DeanTerry_Flickr-300x306.jpg\" alt=\"A draft environmental impact report about an expansion to the Los Angeles basin's 710 freeway was issued last month. (DeanTerry: Flickr)\" width=\"294\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A draft environmental impact report about an expansion to the Los Angeles basin's 710 freeway was issued last month. (DeanTerry: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Caltrans issued its draft environmental impact report on a major freeway project in Los Angeles -- the 710 expansion. The freeway currently stretches 25 miles freeway from East Los Angeles to Long Beach, but is commonly chokes with traffic of both people and goods. As Bernice Yeung at \u003ca title=\"http://californiawatch.org/dailyreport/caltrans-la-freeway-expansion-could-improve-public-health-17300\" href=\"http://californiawatch.org/dailyreport/caltrans-la-freeway-expansion-could-improve-public-health-17300\" target=\"_blank\">California Watch\u003c/a> reports, Caltrans asserts the expansion could improve public health. As Yeung details:\u003c/p>\n\u003cblockquote>\u003cp>“The project would improve air quality and public health, improve traffic safety, modernize the freeway design, and accommodate projected growth for population, employment, and economic activities related to goods movement,” the report stated.\u003c/p>\u003c/blockquote>\n\u003cp>Maybe improving congestion can reduce pollution and improve public health, but community activists and longtime researchers are not so sure.\u003c/p>\n\u003cp>In her piece, Yeung delves into the background of the project. There are several possible iterations of the 710 expansion on the table, ranging from adding 10 lanes all the way down to \"no-build\" -- where the existing freeway is improved, but no lanes are added.\u003c!--more-->\u003c/p>\n\u003cp>The problem with the draft environmental impact report (EIR), say public health experts, is lack of clarity. It's hard to understand exactly why air quality is supposed to improve.\u003c/p>\n\u003cblockquote>\u003cp>“The draft EIR for the I-710 corridor has thousands of pages, and Caltrans does not always make its underlying assumptions easy to understand,” Andrea Hricko, a professor of clinical preventive medicine at the University of Southern California's Keck School of Medicine, wrote in an email. “The health risk analyses are confusing, with some of the alternatives for expansion showing increased PM (particulate matter pollution) levels, yet decreased health risks.”\u003c/p>\n\u003cp>USC researchers have looked closely at the health impacts of traffic-related air pollution on kids by tracking the health of thousands of children in Southern California for 20 years.\u003c/p>\n\u003cp>“The studies have shown that children growing up in communities with high particle pollution are more likely to have reduced lung function,” Hricko wrote in an email. “Children in communities with high ozone levels are more likely to miss more school through absences. … There are now lots of papers published on this topic, with results showing that children who live or go to school near busy roads and freeways are more likely to have asthma and reduced lung function.”\u003c/p>\n\u003cp>A March letter to Caltrans from the U.S. Environmental Protection Agency also raised concerns about the air quality impacts on communities near the 710 freeway, and on children’s health in particular.\u003c/p>\n\u003cp>“This project will result in a high level of community-wide impacts, in an area that is already heavily burdened from poor air quality related to the goods movement sector,” the letter said. “Because of the anticipated impacts from this project in this setting, it is critical that the EIS (environmental impact statement) include a robust analysis of the air quality, environmental justice, and children's health impacts that will result.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca title=\"http://www.dot.ca.gov/dist07/resources/envdocs/docs/710corridor/docs/public_notice_release_eis-eir_eng.pdf\" href=\"http://www.dot.ca.gov/dist07/resources/envdocs/docs/710corridor/docs/public_notice_release_eis-eir_eng.pdf\" target=\"_blank\">Public hearings\u003c/a> about the draft EIR will run next Tuesday, Wednesday and Thursday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Where You Live Matters to Your Health -- Again Backed Up by Data",
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"content": "\u003cp>By \u003cstrong>Emily Bazar\u003c/strong>, \u003ca title=\"http://centerforhealthreporting.org/blog/data-show-where-you-live-matters-your-health948\" href=\"http://centerforhealthreporting.org/blog/data-show-where-you-live-matters-your-health948\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7627\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/SantaCruzSunset_SteveMarchi_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-7627\" title=\"Sunset over Santa Cruz -- the area has the lowest rate of avoidable emergency room admissions in the nation. (Steve Marchi: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/SantaCruzSunset_SteveMarchi_Flickr-300x224.jpg\" alt=\"Sunset over Santa Cruz -- the area has the lowest rate of avoidable emergency room admissions in the nation. (Steve Marchi: Flickr)\" width=\"300\" height=\"224\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sunset over Santa Cruz -- the area has the lowest rate of avoidable emergency room admissions in the nation. (Steve Marchi: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Medicare users in the Santa Cruz area boast the lowest rate of avoidable emergency room visits in the state. They also happen to have the lowest rate in the nation.\u003c/p>\n\u003cp>This statistical tidbit comes from the health-focused Commonwealth Fund’s “\u003ca title=\"http://www.commonwealthfund.org/Publications/Fund-Reports/2012/Mar/Local-Scorecard.aspx.\" href=\"http://www.commonwealthfund.org/Publications/Fund-Reports/2012/Mar/Local-Scorecard.aspx.\" target=\"_blank\">Scorecard on Local Health System Performance\u003c/a>,” released earlier this year, which offers a treasure trove of data on numerous health measures, from rates of uninsured residents to infant mortality. The data can be compared across states and regions.\u003c/p>\n\u003cp>Interesting, right? But so what?\u003c/p>\n\u003cp>Health data geeks say the “so what” is momentous: such data can identify problems or successes in public health across regions, and the findings can be used to develop solutions and create healthier places to live.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Lower use of emergency rooms reduces not only health care spending but also complications.\u003c/aside>\n\u003cp>On Wednesday, some of those geeks convened at the Capitol for a briefing hosted by the \u003ca title=\"http://www.healthpolicyguide.org/\" href=\"http://www.healthpolicyguide.org/\" target=\"_blank\">California Health Policy Forum\u003c/a> on using data to improve population health. The Forum organizes presentations on pressing health issues.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Where we live matters in terms of how healthy we are and how long we’ll live,” said Karen Shore, president of the national, nonprofit \u003ca title=\"http://www.chipolicy.org/default.asp\" href=\"http://www.chipolicy.org/default.asp\" target=\"_blank\">Center for Health Improvement\u003c/a>.\u003c/p>\n\u003cp>\u003ca title=\"http://www.commonwealthfund.org/Bios/R/Radley-David.aspx\" href=\"http://www.commonwealthfund.org/Bios/R/Radley-David.aspx\" target=\"_blank\">David Radley\u003c/a>, one of the speakers, delved into the findings of the Commonwealth Fund’s recently released scorecard, which shows wide variation across California in health costs, quality of care and health outcomes.\u003c/p>\n\u003cp>Here are a few examples:\u003c/p>\n\u003cul>\n\u003cli>In San Francisco, 18 percent of adults were uninsured in 2009-2010, compared with 31 percent in Los Angeles.\u003c/li>\n\u003cli>Between 2003 and 2011, average health care premiums for family coverage rose 80 percent in San Francisco and 35 percent in Sacramento.\u003c/li>\n\u003cli>Santa Rosa posted the best overall health system performance in the state and Bakersfield had the worst.\u003c/li>\n\u003c/ul>\n\u003cp>Back to Santa Cruz and its low rate of avoidable ER use. Lower use of emergency rooms reduces not only health care spending but also complications related to hospital visits and stays, such as hospital acquired infections.\u003c/p>\n\u003cp>“Can other communities use Santa Cruz as an example to learn from?” Radley asked. “If we have better data systems, we can start to answer simple questions.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Oh, and for the record, Contra Costa County Medicare recipients have the worst rate of potentially avoidable emergency room use in the state, and residents of Kingsport, Tenn., are at the bottom nationwide.\u003c/p>\n\n",
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"excerpt": "Medicare users in the Santa Cruz area boast the lowest rate of avoidable emergency room visits in the state. They also happen to have the lowest rate in the nation.\r\n\r\nThis statistical tidbit comes from the health-focused Commonwealth Fund’s “Scorecard on Local Health System Performance,” released earlier this year, which offers a treasure trove of data on numerous health measures, from rates of uninsured residents to infant mortality. The data can be compared across states and regions.\r\n\r\nInteresting, right? But so what?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By \u003cstrong>Emily Bazar\u003c/strong>, \u003ca title=\"http://centerforhealthreporting.org/blog/data-show-where-you-live-matters-your-health948\" href=\"http://centerforhealthreporting.org/blog/data-show-where-you-live-matters-your-health948\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7627\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/SantaCruzSunset_SteveMarchi_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-7627\" title=\"Sunset over Santa Cruz -- the area has the lowest rate of avoidable emergency room admissions in the nation. (Steve Marchi: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/SantaCruzSunset_SteveMarchi_Flickr-300x224.jpg\" alt=\"Sunset over Santa Cruz -- the area has the lowest rate of avoidable emergency room admissions in the nation. (Steve Marchi: Flickr)\" width=\"300\" height=\"224\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sunset over Santa Cruz -- the area has the lowest rate of avoidable emergency room admissions in the nation. (Steve Marchi: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Medicare users in the Santa Cruz area boast the lowest rate of avoidable emergency room visits in the state. They also happen to have the lowest rate in the nation.\u003c/p>\n\u003cp>This statistical tidbit comes from the health-focused Commonwealth Fund’s “\u003ca title=\"http://www.commonwealthfund.org/Publications/Fund-Reports/2012/Mar/Local-Scorecard.aspx.\" href=\"http://www.commonwealthfund.org/Publications/Fund-Reports/2012/Mar/Local-Scorecard.aspx.\" target=\"_blank\">Scorecard on Local Health System Performance\u003c/a>,” released earlier this year, which offers a treasure trove of data on numerous health measures, from rates of uninsured residents to infant mortality. The data can be compared across states and regions.\u003c/p>\n\u003cp>Interesting, right? But so what?\u003c/p>\n\u003cp>Health data geeks say the “so what” is momentous: such data can identify problems or successes in public health across regions, and the findings can be used to develop solutions and create healthier places to live.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Lower use of emergency rooms reduces not only health care spending but also complications.\u003c/aside>\n\u003cp>On Wednesday, some of those geeks convened at the Capitol for a briefing hosted by the \u003ca title=\"http://www.healthpolicyguide.org/\" href=\"http://www.healthpolicyguide.org/\" target=\"_blank\">California Health Policy Forum\u003c/a> on using data to improve population health. The Forum organizes presentations on pressing health issues.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Where we live matters in terms of how healthy we are and how long we’ll live,” said Karen Shore, president of the national, nonprofit \u003ca title=\"http://www.chipolicy.org/default.asp\" href=\"http://www.chipolicy.org/default.asp\" target=\"_blank\">Center for Health Improvement\u003c/a>.\u003c/p>\n\u003cp>\u003ca title=\"http://www.commonwealthfund.org/Bios/R/Radley-David.aspx\" href=\"http://www.commonwealthfund.org/Bios/R/Radley-David.aspx\" target=\"_blank\">David Radley\u003c/a>, one of the speakers, delved into the findings of the Commonwealth Fund’s recently released scorecard, which shows wide variation across California in health costs, quality of care and health outcomes.\u003c/p>\n\u003cp>Here are a few examples:\u003c/p>\n\u003cul>\n\u003cli>In San Francisco, 18 percent of adults were uninsured in 2009-2010, compared with 31 percent in Los Angeles.\u003c/li>\n\u003cli>Between 2003 and 2011, average health care premiums for family coverage rose 80 percent in San Francisco and 35 percent in Sacramento.\u003c/li>\n\u003cli>Santa Rosa posted the best overall health system performance in the state and Bakersfield had the worst.\u003c/li>\n\u003c/ul>\n\u003cp>Back to Santa Cruz and its low rate of avoidable ER use. Lower use of emergency rooms reduces not only health care spending but also complications related to hospital visits and stays, such as hospital acquired infections.\u003c/p>\n\u003cp>“Can other communities use Santa Cruz as an example to learn from?” Radley asked. “If we have better data systems, we can start to answer simple questions.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Oh, and for the record, Contra Costa County Medicare recipients have the worst rate of potentially avoidable emergency room use in the state, and residents of Kingsport, Tenn., are at the bottom nationwide.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>New report shows California ranks 41st in the nation\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7588\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_JasonHickey_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-7588\" title=\"(JasonHickey: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_JasonHickey_Flickr-300x300.jpg\" alt=\"(JasonHickey: Flickr)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(JasonHickey: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Together with the Annie E. Casey Foundation, the Oakland-based nonprofit Children Now released their \u003ca title=\"http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid=%7B68E8B294-EDCD-444D-85E4-D1C1576830FF%7D\" href=\"http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid=%7B68E8B294-EDCD-444D-85E4-D1C1576830FF%7D\" target=\"_blank\">2012 report on children's well-being\u003c/a>. The report looks across four broad categories: economic well-being; education; health; and family and community. California children had one bright spot -- health -- where the state ranked in the middle, at 23rd. But in the other three categories, the state ranked near the bottom in each, earning a combined score of 41st in the country.\u003c/p>\n\u003cp>In an \u003ca title=\"http://www.kqed.org/news/story/2012/07/25/103526/report_says_californias_less_kidfriendly_than_most?category=health\" href=\"http://www.kqed.org/news/story/2012/07/25/103526/report_says_californias_less_kidfriendly_than_most?category=health\" target=\"_blank\">interview\u003c/a> with KQED's Joshua Johnson, \u003ca title=\"http://www.childrennow.org/index.php/meet/lempert_biography\" href=\"http://www.childrennow.org/index.php/meet/lempert_biography\" target=\"_blank\">Ted Lempert\u003c/a>, president of Children Now, expressed deep concern. \"Our kids are not faring well and it's a real tragedy that we're in the bottom 10 among the 50 states in just about every indicator other than health. Kids are really bearing the brunt of the economic downturn we've been in.\"\u003c/p>\n\u003cp>No kidding. According to the report, more than one-third (36 percent) of California children live in families where no parent has a full-time, year-round job. More than one in five children in the state (22 percent) are living in poverty.\u003c/p>\n\u003cp>At the other end from these low numbers was the one seeming bright spot for California children: health. Overall, California ranked 23rd, but that comparatively higher ranking is in part due to the state's lower percentage of low-birthweight babies -- less than 7 percent, making California #11 among the 50 states. California's \u003ca title=\"http://www.ccfc.ca.gov/\" href=\"http://www.ccfc.ca.gov/\" target=\"_blank\">First Five\u003c/a> program targets both prenatal care, infant health and child development up to 5 years of age. \"The health stats show that if you\u003c!--more--> have a long-time sustained focus that you can do better,\" Lempert said. \"We've had a real focus on pre-natal care and infant care in this state and that's showing in terms of relatively better stats. But as a lifetime Californian, I'm not jumping around saying, 'Yay, we're #11.' I'd like to be high in all the rankings.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And if money spent on infant health nets better outcomes, money \u003cem>not\u003c/em> spent in other areas takes a toll. For example, education. A whopping 75 percent of 4th graders are not proficient in reading, according to the report. California's children rank near the bottom -- 43rd in the country in the education category. \"These national comparisons are important,\" Lempert told Joshua Johnson. \"California is in the bottom half when it comes to educational funding. We are higher up in lots of other areas, corrections and law enforcement and others. So these budget cuts do take a toll, and we need to get serious about not just giving lip service to education but making sure it truly is the top priority in terms of funding,\" he said. \"The fact that we rank 42nd in high school graduation, that's a bigger hit to our economy than the downturn in recent years. For us to have that many kids not getting a high school degree puts us in severe jeopardy going forward.\"\u003c/p>\n\u003cp>So which states scored high? Coming in 1st, 2nd and 3rd overall were New Hampshire, Massachusetts and Vermont. While these states are significantly smaller and less diverse than California, Lempert insists California could learn much from them. \"When you look at how our state prioritizes kids, there's a lot that our leaders in Sacramento could be doing, and that we could be doing locally, to really make kids the priority. Yes, we have challenges that other states don't, but that's no excuse for some of these measures where we really have not been prioritizing our children.\"\u003c/p>\n\u003cp>You can dive into the full report \u003ca title=\"http://www.aecf.org/KnowledgeCenter/~/media/Pubs/Initiatives/KIDS%20COUNT/123/2012KIDSCOUNTDataBook/KIDSCOUNT2012DataBookFullReport.pdf\" href=\"http://www.aecf.org/KnowledgeCenter/~/media/Pubs/Initiatives/KIDS%20COUNT/123/2012KIDSCOUNTDataBook/KIDSCOUNT2012DataBookFullReport.pdf\" target=\"_blank\">here\u003c/a> [PDF] or below is a recap of the overall rankings, plus the state rankings in each of the four categories.\u003c/p>\n\u003cfigure id=\"attachment_7586\" class=\"wp-caption aligncenter\" style=\"max-width: 518px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png\">\u003cimg class=\"size-full wp-image-7586\" title=\"(Kids Count Data Book: Annie E. Casey Foundation)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png\" alt=\"(Kids Count Data Book: Annie E. Casey Foundation)\" width=\"518\" height=\"710\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png 518w, https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM-400x548.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM-320x439.png 320w\" sizes=\"(max-width: 518px) 100vw, 518px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kids Count Data Book: Annie E. Casey Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"excerpt": "Together with the Annie E. Casey Foundation, the Oakland-based nonprofit Children Now released their 2012 report on children's well-being. The report looks across four broad categories: economic well-being; education; health; and family and community. California children had one bright spot -- health -- where the state ranked in the middle, at 23rd. But in the other three categories, the state ranked near the bottom for children's well-being.\r\n\r\nIn an interview with KQED's Joshua Johnson, Ted Lempert, president of Children Now, expressed deep concern. \"Our kids are not faring well and it's a real tragedy that we're in the bottom 10 among the 50 states in just about every indicator other than health. Kids are really bearing the brunt of the economic downturn we've been in.\"",
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"description": "Together with the Annie E. Casey Foundation, the Oakland-based nonprofit Children Now released their 2012 report on children's well-being. The report looks across four broad categories: economic well-being; education; health; and family and community. California children had one bright spot -- health -- where the state ranked in the middle, at 23rd. But in the other three categories, the state ranked near the bottom for children's well-being.\r\n\r\nIn an interview with KQED's Joshua Johnson, Ted Lempert, president of Children Now, expressed deep concern. "Our kids are not faring well and it's a real tragedy that we're in the bottom 10 among the 50 states in just about every indicator other than health. Kids are really bearing the brunt of the economic downturn we've been in."",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>New report shows California ranks 41st in the nation\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7588\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_JasonHickey_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-7588\" title=\"(JasonHickey: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_JasonHickey_Flickr-300x300.jpg\" alt=\"(JasonHickey: Flickr)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(JasonHickey: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Together with the Annie E. Casey Foundation, the Oakland-based nonprofit Children Now released their \u003ca title=\"http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid=%7B68E8B294-EDCD-444D-85E4-D1C1576830FF%7D\" href=\"http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid=%7B68E8B294-EDCD-444D-85E4-D1C1576830FF%7D\" target=\"_blank\">2012 report on children's well-being\u003c/a>. The report looks across four broad categories: economic well-being; education; health; and family and community. California children had one bright spot -- health -- where the state ranked in the middle, at 23rd. But in the other three categories, the state ranked near the bottom in each, earning a combined score of 41st in the country.\u003c/p>\n\u003cp>In an \u003ca title=\"http://www.kqed.org/news/story/2012/07/25/103526/report_says_californias_less_kidfriendly_than_most?category=health\" href=\"http://www.kqed.org/news/story/2012/07/25/103526/report_says_californias_less_kidfriendly_than_most?category=health\" target=\"_blank\">interview\u003c/a> with KQED's Joshua Johnson, \u003ca title=\"http://www.childrennow.org/index.php/meet/lempert_biography\" href=\"http://www.childrennow.org/index.php/meet/lempert_biography\" target=\"_blank\">Ted Lempert\u003c/a>, president of Children Now, expressed deep concern. \"Our kids are not faring well and it's a real tragedy that we're in the bottom 10 among the 50 states in just about every indicator other than health. Kids are really bearing the brunt of the economic downturn we've been in.\"\u003c/p>\n\u003cp>No kidding. According to the report, more than one-third (36 percent) of California children live in families where no parent has a full-time, year-round job. More than one in five children in the state (22 percent) are living in poverty.\u003c/p>\n\u003cp>At the other end from these low numbers was the one seeming bright spot for California children: health. Overall, California ranked 23rd, but that comparatively higher ranking is in part due to the state's lower percentage of low-birthweight babies -- less than 7 percent, making California #11 among the 50 states. California's \u003ca title=\"http://www.ccfc.ca.gov/\" href=\"http://www.ccfc.ca.gov/\" target=\"_blank\">First Five\u003c/a> program targets both prenatal care, infant health and child development up to 5 years of age. \"The health stats show that if you\u003c!--more--> have a long-time sustained focus that you can do better,\" Lempert said. \"We've had a real focus on pre-natal care and infant care in this state and that's showing in terms of relatively better stats. But as a lifetime Californian, I'm not jumping around saying, 'Yay, we're #11.' I'd like to be high in all the rankings.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And if money spent on infant health nets better outcomes, money \u003cem>not\u003c/em> spent in other areas takes a toll. For example, education. A whopping 75 percent of 4th graders are not proficient in reading, according to the report. California's children rank near the bottom -- 43rd in the country in the education category. \"These national comparisons are important,\" Lempert told Joshua Johnson. \"California is in the bottom half when it comes to educational funding. We are higher up in lots of other areas, corrections and law enforcement and others. So these budget cuts do take a toll, and we need to get serious about not just giving lip service to education but making sure it truly is the top priority in terms of funding,\" he said. \"The fact that we rank 42nd in high school graduation, that's a bigger hit to our economy than the downturn in recent years. For us to have that many kids not getting a high school degree puts us in severe jeopardy going forward.\"\u003c/p>\n\u003cp>So which states scored high? Coming in 1st, 2nd and 3rd overall were New Hampshire, Massachusetts and Vermont. While these states are significantly smaller and less diverse than California, Lempert insists California could learn much from them. \"When you look at how our state prioritizes kids, there's a lot that our leaders in Sacramento could be doing, and that we could be doing locally, to really make kids the priority. Yes, we have challenges that other states don't, but that's no excuse for some of these measures where we really have not been prioritizing our children.\"\u003c/p>\n\u003cp>You can dive into the full report \u003ca title=\"http://www.aecf.org/KnowledgeCenter/~/media/Pubs/Initiatives/KIDS%20COUNT/123/2012KIDSCOUNTDataBook/KIDSCOUNT2012DataBookFullReport.pdf\" href=\"http://www.aecf.org/KnowledgeCenter/~/media/Pubs/Initiatives/KIDS%20COUNT/123/2012KIDSCOUNTDataBook/KIDSCOUNT2012DataBookFullReport.pdf\" target=\"_blank\">here\u003c/a> [PDF] or below is a recap of the overall rankings, plus the state rankings in each of the four categories.\u003c/p>\n\u003cfigure id=\"attachment_7586\" class=\"wp-caption aligncenter\" style=\"max-width: 518px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png\">\u003cimg class=\"size-full wp-image-7586\" title=\"(Kids Count Data Book: Annie E. Casey Foundation)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png\" alt=\"(Kids Count Data Book: Annie E. Casey Foundation)\" width=\"518\" height=\"710\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png 518w, https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM-400x548.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM-320x439.png 320w\" sizes=\"(max-width: 518px) 100vw, 518px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kids Count Data Book: Annie E. Casey Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Carrying Condoms Brings Arrest Risk for Sex Workers",
"title": "Carrying Condoms Brings Arrest Risk for Sex Workers",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>Report presented at International AIDS Conference shows \"chilling effect\" of police policies\u003c/strong>\u003c/p>\n\u003cp>By Alvin Tran\u003c/p>\n\u003cfigure id=\"attachment_7569\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Condoms_AlvinTran_07232012.jpg\">\u003cimg class=\"size-medium wp-image-7569\" title=\"Condoms with a political message, handed out at the International AIDS Conference by St. James Infirmary, a San Francisco health clinic for sex workers. (Photo: Alvin Tran)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Condoms_AlvinTran_07232012-300x225.jpg\" alt=\"Condoms with a political message, handed out at the International AIDS Conference by St. James Infirmary, a San Francisco health clinic for sex workers. (Photo: Alvin Tran)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Condoms with a political message, handed out at the International AIDS Conference by St. James Infirmary, a San Francisco health clinic for sex workers. (Photo: Alvin Tran)\u003c/figcaption>\u003c/figure>\n\u003cp>Police officers in San Francisco and Los Angeles may be undermining public health efforts to prevent the spread of HIV among sex workers.\u003c/p>\n\u003cp>That’s according to the findings of a new Human Rights Watch report “\u003ca title=\"http://www.hrw.org/embargo/node/108771?signature=dc742fe2179a08ff856a3238f45f9db3&suid=6\" href=\"http://www.hrw.org/embargo/node/108771?signature=dc742fe2179a08ff856a3238f45f9db3&suid=6\" target=\"_blank\">Sex Workers at Risk\u003c/a>,” presented at the 19th \u003ca title=\"http://www.aids2012.org/\" href=\"http://www.aids2012.org/\" target=\"_blank\">International AIDS Conference\u003c/a> in Washington, D.C. this week.\u003c/p>\n\u003cp>Researchers interviewed more than 300 people, including current and former sex workers in four major U.S. cities -- San Francisco, L.A., Washington, DC and New York. They found that police officers were either confiscating or taking photographs of sex workers' condoms as evidence of prostitution, putting sex workers at risk.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Sex workers on the street are telling us that they are having unprotected sex with clients as a result of this practice,” said \u003ca title=\"http://www.hrw.org/bios/megan-mclemore\" href=\"http://www.hrw.org/bios/megan-mclemore\" target=\"_blank\">Megan McLemore\u003c/a>, Senior Researcher at Human Rights Watch.\u003c/p>\n\u003cp>In L.A., New York and Washington, police confiscated the condoms and used them as evidence, but San Francisco police instead photographed the condoms before giving them back to sex workers. \u003c!--more-->“They have some awareness that they shouldn’t actually be taking away the condoms permanently but we still consider that to be a confiscation because the condoms are seized,” McLemore said. “They’re targeted as evidence, and it still has the same chilling effect on people who don’t want to be harassed for condoms,” she added.\u003c/p>\n\u003cp>San Francisco’s anti-prostitution enforcement also differs from that of the other cities by targeting prostitution less on streets and more in businesses such as erotic dance clubs, massage parlors, and transgender nightclubs.\u003c/p>\n\u003cp>According to the report, the focus on businesses has interfered with the clubs' willingness to have condoms available on their premises in a few cases.\u003c/p>\n\u003cp>“This undermines the efforts of the San Francisco Department of Public Health which has specifically targeted sex workers and transgendered women ... for part of their condom distribution campaign,” McLemore told me.\u003c/p>\n\u003cp>The \u003ca title=\"http://www.cdc.gov/condomeffectiveness/brief.html\" href=\"http://www.cdc.gov/condomeffectiveness/brief.html\" target=\"_blank\">Centers for Disease Control and Prevention \u003c/a>says the consistent use of condoms is highly effective in preventing the transmission of HIV and other sexually transmitted diseases.\u003c/p>\n\u003cp>But according to McLemore, many sex workers that her team interviewed were afraid to carry more than three condoms, meaning they might run out -- putting them at risk of having unprotected sex with clients.\u003c/p>\n\u003cp>“Nowhere in the country is it illegal to carry above a certain number of condoms,” McLemore said. “That was the misinformation. That was another consequence of this.”\u003c/p>\n\u003cp>Tuesday afternoon, Officer Albie Esparza, public information officer for the San Francisco Police Department acknowledged the department's policy to photograph condoms as evidence for prostitution charges.\u003c/p>\n\u003cp>Last week San Francisco Police Chief \u003ca title=\"http://sf-police.org/index.aspx?page=1603\" href=\"http://sf-police.org/index.aspx?page=1603\" target=\"_blank\">Greg Suhr\u003c/a> sent a department-wide memo reminding officers \"not to confiscate unopened condoms.\" But the memo added that officers may photograph condoms to establish \"probable cause for 'Loitering for the Purpose of Prostitution.\"\u003c/p>\n\u003cp>McLemore says Human Rights Watch plans to continue its research in other California cities including Oakland. “There have been some reports in Oakland,\" McLemore said. \"They weren’t consistent enough during the time that we were researching this report to include Oakland but that doesn’t mean that it is not happening in Oakland.\"\u003c/p>\n\u003cp>\u003ca title=\"http://naomimakers.myefolio.com/introduction\" href=\"http://naomimakers.myefolio.com/introduction\" target=\"_blank\">Naomi Akers\u003c/a>, Executive Director of San Francisco's \u003ca title=\"http://stjamesinfirmary.org/\" href=\"http://stjamesinfirmary.org/\" target=\"_blank\">St. James Infirmary\u003c/a> -- a health care and social services agency for sex workers -- is in Washington to attend the AIDS conference. Her goal is to raise international awareness about human rights for sex workers. Locally, she also said she hopes to meet with the SFPD to discuss policies around condoms.\u003c/p>\n\u003cp>McLemore is pushing for such a meeting to happen but says it must also bring together the District Attorney, Department of Public Health, and other members of the community to make sure that public officials follow through in taking action.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The next step is to work with advocates in each of the cities to develop a specific advocacy plan and some goals and some targets and start meeting with public officials and pushing them to take action,” McLemore said.\u003c/p>\n\n",
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"excerpt": "Police officers in San Francisco and Los Angeles may be undermining public health efforts to prevent the spread of HIV among sex workers.\r\n\r\nThat’s according to the findings of a new Human Rights Watch report “Sex Workers at Risk,” presented at the 19th International AIDS Conference in Washington, D.C. this week.\r\n\r\nResearchers interviewed more than 300 people, including current and former sex workers in four major U.S. cities -- San Francisco, L.A., Washington, DC and New York. They found that police officers were either confiscating or taking photographs of sex workers' condoms as evidence of prostitution, putting sex workers at risk.",
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"description": "Police officers in San Francisco and Los Angeles may be undermining public health efforts to prevent the spread of HIV among sex workers.\r\n\r\nThat’s according to the findings of a new Human Rights Watch report “Sex Workers at Risk,” presented at the 19th International AIDS Conference in Washington, D.C. this week.\r\n\r\nResearchers interviewed more than 300 people, including current and former sex workers in four major U.S. cities -- San Francisco, L.A., Washington, DC and New York. They found that police officers were either confiscating or taking photographs of sex workers' condoms as evidence of prostitution, putting sex workers at risk.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Report presented at International AIDS Conference shows \"chilling effect\" of police policies\u003c/strong>\u003c/p>\n\u003cp>By Alvin Tran\u003c/p>\n\u003cfigure id=\"attachment_7569\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Condoms_AlvinTran_07232012.jpg\">\u003cimg class=\"size-medium wp-image-7569\" title=\"Condoms with a political message, handed out at the International AIDS Conference by St. James Infirmary, a San Francisco health clinic for sex workers. (Photo: Alvin Tran)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Condoms_AlvinTran_07232012-300x225.jpg\" alt=\"Condoms with a political message, handed out at the International AIDS Conference by St. James Infirmary, a San Francisco health clinic for sex workers. (Photo: Alvin Tran)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Condoms with a political message, handed out at the International AIDS Conference by St. James Infirmary, a San Francisco health clinic for sex workers. (Photo: Alvin Tran)\u003c/figcaption>\u003c/figure>\n\u003cp>Police officers in San Francisco and Los Angeles may be undermining public health efforts to prevent the spread of HIV among sex workers.\u003c/p>\n\u003cp>That’s according to the findings of a new Human Rights Watch report “\u003ca title=\"http://www.hrw.org/embargo/node/108771?signature=dc742fe2179a08ff856a3238f45f9db3&suid=6\" href=\"http://www.hrw.org/embargo/node/108771?signature=dc742fe2179a08ff856a3238f45f9db3&suid=6\" target=\"_blank\">Sex Workers at Risk\u003c/a>,” presented at the 19th \u003ca title=\"http://www.aids2012.org/\" href=\"http://www.aids2012.org/\" target=\"_blank\">International AIDS Conference\u003c/a> in Washington, D.C. this week.\u003c/p>\n\u003cp>Researchers interviewed more than 300 people, including current and former sex workers in four major U.S. cities -- San Francisco, L.A., Washington, DC and New York. They found that police officers were either confiscating or taking photographs of sex workers' condoms as evidence of prostitution, putting sex workers at risk.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Sex workers on the street are telling us that they are having unprotected sex with clients as a result of this practice,” said \u003ca title=\"http://www.hrw.org/bios/megan-mclemore\" href=\"http://www.hrw.org/bios/megan-mclemore\" target=\"_blank\">Megan McLemore\u003c/a>, Senior Researcher at Human Rights Watch.\u003c/p>\n\u003cp>In L.A., New York and Washington, police confiscated the condoms and used them as evidence, but San Francisco police instead photographed the condoms before giving them back to sex workers. \u003c!--more-->“They have some awareness that they shouldn’t actually be taking away the condoms permanently but we still consider that to be a confiscation because the condoms are seized,” McLemore said. “They’re targeted as evidence, and it still has the same chilling effect on people who don’t want to be harassed for condoms,” she added.\u003c/p>\n\u003cp>San Francisco’s anti-prostitution enforcement also differs from that of the other cities by targeting prostitution less on streets and more in businesses such as erotic dance clubs, massage parlors, and transgender nightclubs.\u003c/p>\n\u003cp>According to the report, the focus on businesses has interfered with the clubs' willingness to have condoms available on their premises in a few cases.\u003c/p>\n\u003cp>“This undermines the efforts of the San Francisco Department of Public Health which has specifically targeted sex workers and transgendered women ... for part of their condom distribution campaign,” McLemore told me.\u003c/p>\n\u003cp>The \u003ca title=\"http://www.cdc.gov/condomeffectiveness/brief.html\" href=\"http://www.cdc.gov/condomeffectiveness/brief.html\" target=\"_blank\">Centers for Disease Control and Prevention \u003c/a>says the consistent use of condoms is highly effective in preventing the transmission of HIV and other sexually transmitted diseases.\u003c/p>\n\u003cp>But according to McLemore, many sex workers that her team interviewed were afraid to carry more than three condoms, meaning they might run out -- putting them at risk of having unprotected sex with clients.\u003c/p>\n\u003cp>“Nowhere in the country is it illegal to carry above a certain number of condoms,” McLemore said. “That was the misinformation. That was another consequence of this.”\u003c/p>\n\u003cp>Tuesday afternoon, Officer Albie Esparza, public information officer for the San Francisco Police Department acknowledged the department's policy to photograph condoms as evidence for prostitution charges.\u003c/p>\n\u003cp>Last week San Francisco Police Chief \u003ca title=\"http://sf-police.org/index.aspx?page=1603\" href=\"http://sf-police.org/index.aspx?page=1603\" target=\"_blank\">Greg Suhr\u003c/a> sent a department-wide memo reminding officers \"not to confiscate unopened condoms.\" But the memo added that officers may photograph condoms to establish \"probable cause for 'Loitering for the Purpose of Prostitution.\"\u003c/p>\n\u003cp>McLemore says Human Rights Watch plans to continue its research in other California cities including Oakland. “There have been some reports in Oakland,\" McLemore said. \"They weren’t consistent enough during the time that we were researching this report to include Oakland but that doesn’t mean that it is not happening in Oakland.\"\u003c/p>\n\u003cp>\u003ca title=\"http://naomimakers.myefolio.com/introduction\" href=\"http://naomimakers.myefolio.com/introduction\" target=\"_blank\">Naomi Akers\u003c/a>, Executive Director of San Francisco's \u003ca title=\"http://stjamesinfirmary.org/\" href=\"http://stjamesinfirmary.org/\" target=\"_blank\">St. James Infirmary\u003c/a> -- a health care and social services agency for sex workers -- is in Washington to attend the AIDS conference. Her goal is to raise international awareness about human rights for sex workers. Locally, she also said she hopes to meet with the SFPD to discuss policies around condoms.\u003c/p>\n\u003cp>McLemore is pushing for such a meeting to happen but says it must also bring together the District Attorney, Department of Public Health, and other members of the community to make sure that public officials follow through in taking action.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The next step is to work with advocates in each of the cities to develop a specific advocacy plan and some goals and some targets and start meeting with public officials and pushing them to take action,” McLemore said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The good people at \u003ca title=\"http://www.slate.com/articles/health_and_science/map_of_the_week/2012/07/map_of_soda_consumption_americans_drink_more_than_anyone_else_.html\" href=\"http://www.slate.com/articles/health_and_science/map_of_the_week/2012/07/map_of_soda_consumption_americans_drink_more_than_anyone_else_.html\" target=\"_blank\">Slate\u003c/a> put together this map of worldwide soda consumption. I'm sure you're shocked, shocked (dating myself here) to discover there's soda consumption going on in this country -- 170 liters per person last year. Mouse over the map to see how other countries are doing ...\u003c/p>\n\u003cp>\u003ciframe src=\"http://a.tiles.mapbox.com/v3/slate.soda.html#2/15.8226/-0\" frameborder=\"0\" width=\"590\" height=\"400\">\u003c/iframe>\u003c/p>\n\u003cp>... or view a larger map \u003ca title=\"http://www.slate.com/articles/health_and_science/map_of_the_week/2012/07/map_of_soda_consumption_americans_drink_more_than_anyone_else_.html\" href=\"http://www.slate.com/articles/health_and_science/map_of_the_week/2012/07/map_of_soda_consumption_americans_drink_more_than_anyone_else_.html\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>\u003ca title=\"http://grist.org/news/easiest-trivia-question-ever-what-country-buys-the-most-soda/\" href=\"http://grist.org/news/easiest-trivia-question-ever-what-country-buys-the-most-soda/\" target=\"_blank\">Grist\u003c/a> points out that China has four times as many people as the U.S., yet we buy 19 times as much soda.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cfigure id=\"attachment_7242\" class=\"wp-caption alignleft\" style=\"max-width: 248px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/AIDSactivists.jpg\">\u003cimg class=\"size-full wp-image-7242\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/AIDSactivists.jpg\" alt=\"\" width=\"248\" height=\"140\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Mark Halston/AFP: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Frontline's two hour documentary \"Endgame: AIDS in Black America\" premiered last night on PBS. As we posted \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/07/10/endgame-frontline-documentary-explores-aids-in-black-america/\" href=\"http://ww2.kqed.org/stateofhealth/2012/07/10/endgame-frontline-documentary-explores-aids-in-black-america/\" target=\"_blank\">here\u003c/a> yesterday, nearly half of all Americans infected with HIV are black men, women and children, despite the fact that blacks make up only 12 percent of the population.\u003c/p>\n\u003cp>In \"Endgame,\" filmmaker Renata Simone illuminates the hidden history of what could have been a preventable epidemic.\u003c/p>\n\u003cp>Today, Frontline hosts a live chat with the filmmaker and other guests. You can join the chat below:\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.coveritlive.com/index2.php/option=com_altcaster/task=viewaltcast/altcast_code=a551878818/height=550/width=470\" frameborder=\"0\" scrolling=\"no\" width=\"470px\" height=\"550px\">\u003c/iframe>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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},
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
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"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
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},
"link": "https://www.cityarts.net",
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"source": "Commonwealth Club of California"
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"order": 9
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"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"id": "fresh-air",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"source": "NPR"
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"how-i-built-this": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
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"id": "latino-usa",
"title": "Latino USA",
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
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"link": "/radio/program/latino-usa",
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"source": "WaitWhat"
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
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"source": "kqed",
"order": 11
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