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"content": "\u003cp>\u003cstrong>By Marnette Federis\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_6047\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-23-at-1.23.26-PM.png\">\u003cimg class=\"size-medium wp-image-6047\" title='\"Then my 25th birthday came. I never thought I would make it this far,\" says Filipino-American Henry Ocampo in his video \"Parachute.\"' src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-23-at-1.23.26-PM-300x165.png\" alt='\"Then my 25th birthday came. I never thought I would make it this far,\" says Filipino-American Henry Ocampo in his video \"Parachute.\"' width=\"300\" height=\"165\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">\"Then my 25th birthday came. I never thought I would make it this far,\" says Filipino-American Henry Ocampo in his video \"Parachute.\"\u003c/figcaption>\u003c/figure>\n\u003cp>While Asian-American and Pacific Islanders have very low rates of HIV infection -- in the single digits -- they had the highest rate of increase in new HIV infections between 2001 and 2008. While other ethnic groups had declining infection rates, Asian-Americans and Pacific Islanders experienced a 4.4 percent increase.\u003c/p>\n\u003cp>What’s more alarming to many advocates is the low testing rates within the community. Less than one-third of Asian-Americans and less than half of Pacific Islanders have been tested for HIV. Experts estimate that many who have the virus delay getting tested. If they don't get tested, they cannot be treated, potentially shortening their lives.\u003c/p>\n\u003caside class=\"pullquote alignright\">For many Asian-Americans and Pacific Islanders, the topics of sex and sexually transmitted diseases are taboo.\u003c/aside>\n\u003cp>One reason why people do not get tested is the fear and stigma that surrounds HIV. For many Asian-Americans and Pacific Islanders, the topics of sex and sexually transmitted diseases are taboo. The burden of shaming one’s family and misconceptions about the disease are high, according to \u003ca title=\"http://ceciliachung.com/about/\" href=\"http://ceciliachung.com/about/\" target=\"_blank\">Cecilia Chung\u003c/a>, newly appointed San Francisco Health Commissioner and noted advocate for HIV awareness.\u003c/p>\n\u003cp>“They still have … stereotypes about people living with HIV,” said Chung. “There are surveys where people think that people with HIV should not work at restaurants. ... That’s pretty significant.” In addition, advocates say Asian American and Pacific Islander communities have been overlooked in national HIV/AIDS awareness campaigns.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Community-driven projects aimed at reducing stigma will encourage people to break their silence and help normalize the subject, said Chung.\u003c/p>\n\u003cp>\u003ca title=\"http://www.banyantreeproject.org/takingroot.php\" href=\"http://www.banyantreeproject.org/takingroot.php\" target=\"_blank\">Taking Root: Our Stories, Our Community\u003c/a> is one of those projects. It's part of a national initiative to get Asian Americans and Pacific Islanders to start talking about how HIV is affecting the community.\u003c/p>\n\u003cp>\u003cem>Taking Root\u003c/em> recently gathered six HIV-positive people in the Bay Area in a three-day workshop where they focused on one aspect of their HIV. Then they produced short videos about their experiences.\u003c/p>\n\u003cp>Henry Ocampo's is a gay man who told of his diagnosis at age 23 and his initial fear of telling his overachieving Filipino-American family. He created a powerful video and says he wants to send a message to those living with HIV who might be hiding their status.\u003c/p>\n\u003cp>“I'm hoping that when people hear our stories, even though some of it is really deep, really personal, kind of depressing,” said Ocampo, they will see \"that there is hope.”\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=FhXyThXPrqQ]\u003c/p>\n\u003cp>Participants of the workshop came from diverse backgrounds and tackled the theme of stigma in various ways.\u003c/p>\n\u003cp>One 28-year-old Japanese-American woman known as “Hatsume,” contracted the virus from a boy she met while studying abroad during her college years. She tells the story of being unable to share with close college friends her status for fear of being blamed and labeled “a slut.\"\u003c/p>\n\u003cp>All women fight against the stereotypes of the virgin and the whore, said Hatsume, who did not want to use her real name.\u003c/p>\n\u003cp>“For Asian and Pacific Islander [women], that’s even more magnified,” she said. “That interferes with a woman’s subconscious … and makes it harder to negotiate in relationships, to ask for a condom, to talk about sex or about getting tested.”\u003c/p>\n\u003cp>Participants described the workshop as intense. The first day was devoted to solely talking about their individual experiences and they were encouraged to examine deeply personal feelings and memories.\u003c/p>\n\u003cp>The process was therapeutic, according to Hatsume, though she said she has yet to disclose her status to certain individuals in her life.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Taking Root organizers plan to take the audio storytelling workshops on the road to other places in the Bay Area. Future interviews will not only incorporate stories from HIV patients but also from family members, friends and those who know or care for someone living with the virus.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Community-driven projects aimed at reducing stigma will encourage people to break their silence and help normalize the subject, said Chung.\u003c/p>\n\u003cp>\u003ca title=\"http://www.banyantreeproject.org/takingroot.php\" href=\"http://www.banyantreeproject.org/takingroot.php\" target=\"_blank\">Taking Root: Our Stories, Our Community\u003c/a> is one of those projects. It's part of a national initiative to get Asian Americans and Pacific Islanders to start talking about how HIV is affecting the community.\u003c/p>\n\u003cp>\u003cem>Taking Root\u003c/em> recently gathered six HIV-positive people in the Bay Area in a three-day workshop where they focused on one aspect of their HIV. Then they produced short videos about their experiences.\u003c/p>\n\u003cp>Henry Ocampo's is a gay man who told of his diagnosis at age 23 and his initial fear of telling his overachieving Filipino-American family. He created a powerful video and says he wants to send a message to those living with HIV who might be hiding their status.\u003c/p>\n\u003cp>“I'm hoping that when people hear our stories, even though some of it is really deep, really personal, kind of depressing,” said Ocampo, they will see \"that there is hope.”\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/FhXyThXPrqQ'\n title='//www.youtube.com/embed/FhXyThXPrqQ'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Participants of the workshop came from diverse backgrounds and tackled the theme of stigma in various ways.\u003c/p>\n\u003cp>One 28-year-old Japanese-American woman known as “Hatsume,” contracted the virus from a boy she met while studying abroad during her college years. She tells the story of being unable to share with close college friends her status for fear of being blamed and labeled “a slut.\"\u003c/p>\n\u003cp>All women fight against the stereotypes of the virgin and the whore, said Hatsume, who did not want to use her real name.\u003c/p>\n\u003cp>“For Asian and Pacific Islander [women], that’s even more magnified,” she said. “That interferes with a woman’s subconscious … and makes it harder to negotiate in relationships, to ask for a condom, to talk about sex or about getting tested.”\u003c/p>\n\u003cp>Participants described the workshop as intense. The first day was devoted to solely talking about their individual experiences and they were encouraged to examine deeply personal feelings and memories.\u003c/p>\n\u003cp>The process was therapeutic, according to Hatsume, though she said she has yet to disclose her status to certain individuals in her life.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Taking Root organizers plan to take the audio storytelling workshops on the road to other places in the Bay Area. Future interviews will not only incorporate stories from HIV patients but also from family members, friends and those who know or care for someone living with the virus.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Bill Would Make Vaccine \"Opt-Out\" A Little Tougher",
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"content": "\u003cfigure id=\"attachment_5990\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty.jpg\">\u003cimg class=\"size-medium wp-image-5990\" title=\"(Jeff J. Mitchell: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-300x192.jpg\" alt=\"(Jeff J. Mitchell: Getty Images)\" width=\"300\" height=\"192\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jeff J. Mitchell: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California is one of \u003ca title=\"http://www.vaccinesafety.edu/cc-exem.htm\" href=\"http://www.vaccinesafety.edu/cc-exem.htm\" target=\"_blank\">20 states \u003c/a>that allows parents to “opt out” of vaccines for their children simply by signing a form. It's called a \"personal belief exemption.\" But \u003ca title=\"http://www.aroundthecapitol.com/Bills/AB_2109/20112012/\" href=\"http://www.aroundthecapitol.com/Bills/AB_2109/20112012/\" target=\"_blank\">AB 2109\u003c/a> would change that. The bill has cleared the Assembly and is starting its path through Senate committees.\u003c/p>\n\u003cp>If the bill becomes law, parents who wish to refuse vaccines would first need to receive counseling from a licensed health professional about the risks and benefits of skipping immunizations for their children.\u003c/p>\n\u003cp>Vaccination rates in California have been dropping in recent years, worrying public health officials. Ten infants died in a whooping cough outbreak in 2009.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"This is not about taking away the rights of parents to make decisions.\"\u003c/aside>\n\u003cp>\"Democratic \u003ca title=\"http://asmdc.org/members/a05/\" href=\"http://asmdc.org/members/a05/\" target=\"_blank\">Assemblyman Richard Pan\u003c/a> wrote the bill. He’s also a pediatrician and says parents’ decision not to vaccinate their own child puts others at risk too.\u003c/p>\n\u003cp>Very young children, infants may be too young to be immunized,\" he told me in a recent interview. \"People with cancer and on chemotherapy, people with HIV or AIDS ... they cannot receive immunizations.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Republican \u003ca title=\"http://arc.asm.ca.gov/member/3/\" href=\"http://arc.asm.ca.gov/member/3/\" target=\"_blank\">Assemblyman Dan Logue\u003c/a> co-chairs the Assembly’s Health Committee. He opposes the bill – but not for medical reasons.\u003c/p>\n\u003cp>“What we do now in California is we tell you how much salt to put on your food, what kind of light bulb you should screw in your lamp,\" he says. \"The people of California are fed up with a state government that thinks it can run our lives better than they can, and enough is enough.”\u003c/p>\n\u003cp>But Pan counters the nanny-state argument. \"This is not about taking away the rights of parents to make decisions. Parents are still free to make these decisions. But it's also the role of government to protect the public, that's why we have a police force, to protect us from criminals,\" he says. \"We have diseases out there that can kill people ... and vaccinations are one of the most effective and cost-effective means of protecting the public from infectious disease.\"\u003c/p>\n\u003cp>Statewide,\u003ca title=\"http://www.cdph.ca.gov/programs/immunize/Documents/2010KindergartenAssessmentReport.pdf\" href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2010KindergartenAssessmentReport.pdf\" target=\"_blank\"> just slightly over 90 percent \u003c/a>of all children entering kindergarten have received all required vaccinations, but that rate varies dramatically by county. Public health officials worry when the overall vaccination rate drops below 90 percent, but 95 percent is much better to protect everyone against measles -- which is highly contagious.\u003c/p>\n\u003cp>California counties with the lowest rates of vaccinations include Nevada, Mariposa, Tuolumne and Humboldt, all between 73 and 76 percent. Marin County's rate is just under 83 percent.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The bill is currently in the Senate Rules committee and is expected to be heard in the Senate Health committee in the next few weeks.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5990\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty.jpg\">\u003cimg class=\"size-medium wp-image-5990\" title=\"(Jeff J. Mitchell: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-300x192.jpg\" alt=\"(Jeff J. Mitchell: Getty Images)\" width=\"300\" height=\"192\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jeff J. Mitchell: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California is one of \u003ca title=\"http://www.vaccinesafety.edu/cc-exem.htm\" href=\"http://www.vaccinesafety.edu/cc-exem.htm\" target=\"_blank\">20 states \u003c/a>that allows parents to “opt out” of vaccines for their children simply by signing a form. It's called a \"personal belief exemption.\" But \u003ca title=\"http://www.aroundthecapitol.com/Bills/AB_2109/20112012/\" href=\"http://www.aroundthecapitol.com/Bills/AB_2109/20112012/\" target=\"_blank\">AB 2109\u003c/a> would change that. The bill has cleared the Assembly and is starting its path through Senate committees.\u003c/p>\n\u003cp>If the bill becomes law, parents who wish to refuse vaccines would first need to receive counseling from a licensed health professional about the risks and benefits of skipping immunizations for their children.\u003c/p>\n\u003cp>Vaccination rates in California have been dropping in recent years, worrying public health officials. Ten infants died in a whooping cough outbreak in 2009.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"This is not about taking away the rights of parents to make decisions.\"\u003c/aside>\n\u003cp>\"Democratic \u003ca title=\"http://asmdc.org/members/a05/\" href=\"http://asmdc.org/members/a05/\" target=\"_blank\">Assemblyman Richard Pan\u003c/a> wrote the bill. He’s also a pediatrician and says parents’ decision not to vaccinate their own child puts others at risk too.\u003c/p>\n\u003cp>Very young children, infants may be too young to be immunized,\" he told me in a recent interview. \"People with cancer and on chemotherapy, people with HIV or AIDS ... they cannot receive immunizations.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Republican \u003ca title=\"http://arc.asm.ca.gov/member/3/\" href=\"http://arc.asm.ca.gov/member/3/\" target=\"_blank\">Assemblyman Dan Logue\u003c/a> co-chairs the Assembly’s Health Committee. He opposes the bill – but not for medical reasons.\u003c/p>\n\u003cp>“What we do now in California is we tell you how much salt to put on your food, what kind of light bulb you should screw in your lamp,\" he says. \"The people of California are fed up with a state government that thinks it can run our lives better than they can, and enough is enough.”\u003c/p>\n\u003cp>But Pan counters the nanny-state argument. \"This is not about taking away the rights of parents to make decisions. Parents are still free to make these decisions. But it's also the role of government to protect the public, that's why we have a police force, to protect us from criminals,\" he says. \"We have diseases out there that can kill people ... and vaccinations are one of the most effective and cost-effective means of protecting the public from infectious disease.\"\u003c/p>\n\u003cp>Statewide,\u003ca title=\"http://www.cdph.ca.gov/programs/immunize/Documents/2010KindergartenAssessmentReport.pdf\" href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2010KindergartenAssessmentReport.pdf\" target=\"_blank\"> just slightly over 90 percent \u003c/a>of all children entering kindergarten have received all required vaccinations, but that rate varies dramatically by county. Public health officials worry when the overall vaccination rate drops below 90 percent, but 95 percent is much better to protect everyone against measles -- which is highly contagious.\u003c/p>\n\u003cp>California counties with the lowest rates of vaccinations include Nevada, Mariposa, Tuolumne and Humboldt, all between 73 and 76 percent. Marin County's rate is just under 83 percent.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The bill is currently in the Senate Rules committee and is expected to be heard in the Senate Health committee in the next few weeks.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Richmond Voters Will Decide on \"Soda Tax\"",
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"content": "\u003cfigure id=\"attachment_5842\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SodaForSale_RexSorgatz_Flickr_05162012.jpg\">\u003cimg class=\"size-medium wp-image-5842\" title=\"(Rex Sorgatz: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SodaForSale_RexSorgatz_Flickr_05162012-300x225.jpg\" alt=\"(Rex Sorgatz: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Rex Sorgatz: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The people of Richmond will decide in November whether businesses should have to pay a fee for every ounce of sugar-sweetened drinks they sell. In other words, a soda tax is on the ballot November 6th. If voters approve the measure, Richmond would be the first city in California to impose such a fee.\u003c/p>\n\u003cp>\"The city of Richmond has the opportunity to make history,\" Harold Goldstein of the \u003ca title=\"http://www.publichealthadvocacy.org/\" href=\"http://www.publichealthadvocacy.org/\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a> told me today, adding that the campaign will be closely watched nationally. \"Cities and states will be watching this across the country. ... They too want to put a small tax on sugary drinks and use those funds to mitigate the harmful effects that all these sugary drinks are causing.\"\u003c/p>\n\u003cp>Debate stretched more than four hours at last night's City Council meeting to determine whether to put two related measures on the ballot. In addition to the penny-per-ounce business license fee, a second measure asks voters if they wish the money to be directed to obesity prevention programs. The measure is an advisory one. If voters approve the new fee, the money it generates goes into the general fund. Richmond's finance director estimates the fee will generate from $4 million to $8 million for city coffers.\u003c!--more-->\u003c/p>\n\u003cp>People on both sides turned out in droves. Many people spoke of deep concern about children's health. About one-third of children in Richmond are obese, 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\u003c/a> by the Contra Costa Health Services (CCHS). Tracey Rattray, \u003ca title=\"http://cchealth.org/groups/prevention/\" href=\"http://cchealth.org/groups/prevention/\" target=\"_blank\">Director of Community Wellness for CCHS \u003c/a>attended last night's meeting. \"Sugar sweetened beverages are making us fat,\" she told me today in an interview, \"and we know that sugar-sweetened beverages are leading cause of empty calories in teenagers' diets.\"\u003c/p>\n\u003cp>Others worried that the fee could threaten Richmond businesses. Many speakers pointed out that people could easily shop in neighboring cities. Bob Achermann is executive director of the \u003ca title=\"http://www.ameribev.org/about-aba/other-associations/state-associations/index.aspx\" href=\"http://www.ameribev.org/about-aba/other-associations/state-associations/index.aspx\" target=\"_blank\">California/Nevada Soft Drink Association\u003c/a>. \"It's a substantial tax, and it will have a dramatic impact on businesses in the Richmond area,\" he told me in an interview. \"It will drive people to buy their beverages outside of Richmond and possibly loss of purchases in other areas. It's $3 per case and that's what people will be looking at price-wise.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But Harold Goldstein believes people will continue to buy locally, but will switch to diet beverages or juice instead of their sugary counterparts. \"People are still going to be thirsty,\" he says, \"They're still going to be buying those products in their neighborhoods. They're not going to drive 20 miles to buy some thing. It's all a charade the beverage industry is using to try to scare people.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>City Council member Jeff Ritterman is a co-sponsor of the bill and acknowledged the campaign will be tough one, noting that last night's debate highlighted a \"real strain\" small grocers are feeling. He promised a public education campaign about the harmful effects of sugary drinks. \"That's our strong suit, is our ability to do grassroots organizing. We're deeply rooted in this community,\" he says. \"Those who are funding the opposition are coming from the outside and that works against them, but they have a lot of resources. Money doesn't talk, it swears.\"\u003c/p>\n\n",
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"excerpt": "The people of Richmond will decide in November whether businesses should have to pay a fee for every ounce of sugar-sweetened drinks they sell. In other words, a soda tax is on the ballot November 6th. If voters approve the measure, Richmond would be the first city in California to impose such a fee.\r\n\r\n\"The city of Richmond has the opportunity to make history,\" Harold Goldstein of the California Center for Public Health Advocacy told me today, adding that the campaign will be closely watched nationally. \"Cities and states will be watching this across the country. ... They too want to put a small tax on sugary drinks and use those funds to mitigate the harmful effects that all these sugary drinks are causing.\"",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5842\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SodaForSale_RexSorgatz_Flickr_05162012.jpg\">\u003cimg class=\"size-medium wp-image-5842\" title=\"(Rex Sorgatz: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SodaForSale_RexSorgatz_Flickr_05162012-300x225.jpg\" alt=\"(Rex Sorgatz: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Rex Sorgatz: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The people of Richmond will decide in November whether businesses should have to pay a fee for every ounce of sugar-sweetened drinks they sell. In other words, a soda tax is on the ballot November 6th. If voters approve the measure, Richmond would be the first city in California to impose such a fee.\u003c/p>\n\u003cp>\"The city of Richmond has the opportunity to make history,\" Harold Goldstein of the \u003ca title=\"http://www.publichealthadvocacy.org/\" href=\"http://www.publichealthadvocacy.org/\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a> told me today, adding that the campaign will be closely watched nationally. \"Cities and states will be watching this across the country. ... They too want to put a small tax on sugary drinks and use those funds to mitigate the harmful effects that all these sugary drinks are causing.\"\u003c/p>\n\u003cp>Debate stretched more than four hours at last night's City Council meeting to determine whether to put two related measures on the ballot. In addition to the penny-per-ounce business license fee, a second measure asks voters if they wish the money to be directed to obesity prevention programs. The measure is an advisory one. If voters approve the new fee, the money it generates goes into the general fund. Richmond's finance director estimates the fee will generate from $4 million to $8 million for city coffers.\u003c!--more-->\u003c/p>\n\u003cp>People on both sides turned out in droves. Many people spoke of deep concern about children's health. About one-third of children in Richmond are obese, 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\u003c/a> by the Contra Costa Health Services (CCHS). Tracey Rattray, \u003ca title=\"http://cchealth.org/groups/prevention/\" href=\"http://cchealth.org/groups/prevention/\" target=\"_blank\">Director of Community Wellness for CCHS \u003c/a>attended last night's meeting. \"Sugar sweetened beverages are making us fat,\" she told me today in an interview, \"and we know that sugar-sweetened beverages are leading cause of empty calories in teenagers' diets.\"\u003c/p>\n\u003cp>Others worried that the fee could threaten Richmond businesses. Many speakers pointed out that people could easily shop in neighboring cities. Bob Achermann is executive director of the \u003ca title=\"http://www.ameribev.org/about-aba/other-associations/state-associations/index.aspx\" href=\"http://www.ameribev.org/about-aba/other-associations/state-associations/index.aspx\" target=\"_blank\">California/Nevada Soft Drink Association\u003c/a>. \"It's a substantial tax, and it will have a dramatic impact on businesses in the Richmond area,\" he told me in an interview. \"It will drive people to buy their beverages outside of Richmond and possibly loss of purchases in other areas. It's $3 per case and that's what people will be looking at price-wise.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Harold Goldstein believes people will continue to buy locally, but will switch to diet beverages or juice instead of their sugary counterparts. \"People are still going to be thirsty,\" he says, \"They're still going to be buying those products in their neighborhoods. They're not going to drive 20 miles to buy some thing. It's all a charade the beverage industry is using to try to scare people.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>City Council member Jeff Ritterman is a co-sponsor of the bill and acknowledged the campaign will be tough one, noting that last night's debate highlighted a \"real strain\" small grocers are feeling. He promised a public education campaign about the harmful effects of sugary drinks. \"That's our strong suit, is our ability to do grassroots organizing. We're deeply rooted in this community,\" he says. \"Those who are funding the opposition are coming from the outside and that works against them, but they have a lot of resources. Money doesn't talk, it swears.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "More Than a Haircut -- Get a Health Check Up Too",
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"content": "\u003cp>\u003cstrong>By Marnette Federis\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5809\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/BlackBarbershop_MarnetteFederis.jpg\">\u003cimg class=\"size-medium wp-image-5809 \" title=\"Center Stage Salon Oakland's Lakeshore District hosted a health screening event for The Black Barbershop Program. (Photo: Marnette Federis) \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/BlackBarbershop_MarnetteFederis-300x219.jpg\" alt=\"Center Stage Salon Oakland's Lakeshore District hosted a health screening event for The Black Barbershop Program. (Photo: Marnette Federis) \" width=\"300\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chris Holiday of Oakland has his blood pressure checked at Center Stage Salon in Oakland's Lakeshore District. The salon hosted a health screening as part of The Black Barbershop Program. (Photo: Marnette Federis)\u003c/figcaption>\u003c/figure>\n\u003cp>Oakland’s Center Stage Salon was buzzing like any other busy Saturday morning last weekend. But salon clients weren’t there just to get haircuts. They also lined up to get their blood pressure and glucose levels checked.\u003c/p>\n\u003cp>It was all part of a nationwide effort -- The Black Barbershop Program. The goal was to screen African American men for high blood pressure and diabetes by going to the place where you would easily find them – at the barbershop. The screenings are free and volunteers also gave out health information.\u003c/p>\n\u003cp>“I’d like to live a hundred years,” said James Fulbright, one of the hairstylists at the salon who was screened for high blood pressure and diabetes. “So I just try to keep myself healthy and I needed to be checked.”\u003c/p>\n\u003cp>According to program organizers, African American men suffer worse health outcomes compared to other racial groups. For starters, 40 percent of black men die prematurely from heart disease compared to 21 percent of white men.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Program organizers say African American men face a number of barriers and access issues when it comes to health including lack of affordable services, poor health education and insufficient services that cater to black men.\u003c!--more-->\u003c/p>\n\u003cp>In addition, African American men tend to avoid visiting the doctor. On Saturday, both volunteers and participants told stories of family members who were afraid to go to the doctor.\u003c/p>\n\u003cp>“My father’s deathly afraid of the hospital and going to the doctor, he refuses to get checkups and things of that nature” said Ersie Joyner, a captain with the Oakland’s Police Department who was screened at the salon. “I think we just have this fear of either getting bad news and taking things for granted that everything's ok.”\u003c/p>\n\u003cp>Kim Wilson, a volunteer and medical assistant student from Merritt College, said that knowing one’s blood pressure and glucose levels can help motivate individuals to make small changes in diet and exercise to prevent an illness from becoming more serious.\u003c/p>\n\u003cp>“Know your numbers, go to the doctor annually, get checked up, don't be afraid,” said Wilson. “You can do something about it.”\u003c/p>\n\u003cfigure id=\"attachment_5815\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/CenterStateSalonOwners_MarnetteFederis.jpg\">\u003cimg class=\"size-medium wp-image-5815 \" title=\"(Photo: Marnette Federis)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/CenterStateSalonOwners_MarnetteFederis-300x219.jpg\" alt=\"\" width=\"300\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sisters Bobbie Cooper, Paula Welsh and Brenda Taylor co-own Center Stage Salon. (Photo:Marnette Federis)\u003c/figcaption>\u003c/figure>\n\u003cp>Volunteers stood outside of Center Stage Salon, and encouraged passersby and salon clients to join in the free screenings. In just 15 minutes, volunteers took blood pressure levels and also checked for diabetes by pricking a man’s finger to get a quick read on blood sugar levels.\u003c/p>\n\u003cp>By noon, just an hour into the event, nearly three dozen men had been screened and given their results on the spot. Men with abnormal numbers were encouraged to go to their own doctor or received referrals to doctors in the area.\u003c/p>\n\u003cp>James Dailey of Oakland was positive about the event. \"This place is owned by a really good family friend, so when I walked by and they suggested it, I thought it would be a good idea to come and get checked out. So far so good,\" he said. \"It was real quick, the ladies were very good and personable. It took three minutes and I got good news also. It always makes you feel good that you know you're not in bad health. It's definitely important to know where you're at.\"\u003c/p>\n\u003cp>Paula Welsh, co-owner of Center Stage with her two sisters, said the salon plans to regularly offer the screenings.\u003c/p>\n\u003cp>“Men don't like to go to the doctor and here, we can reach a large amount of people in a matter of hours,” said Welsh.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Center Stage Salon has been a community hub in Oakland’s Grand-Lakeshore district for nearly 30 years. In the past, the family-owned business has hosted a number of health-related community outreach events for HIV/AIDS and breast cancer awareness and violence prevention.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Marnette Federis\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5809\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/BlackBarbershop_MarnetteFederis.jpg\">\u003cimg class=\"size-medium wp-image-5809 \" title=\"Center Stage Salon Oakland's Lakeshore District hosted a health screening event for The Black Barbershop Program. (Photo: Marnette Federis) \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/BlackBarbershop_MarnetteFederis-300x219.jpg\" alt=\"Center Stage Salon Oakland's Lakeshore District hosted a health screening event for The Black Barbershop Program. (Photo: Marnette Federis) \" width=\"300\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chris Holiday of Oakland has his blood pressure checked at Center Stage Salon in Oakland's Lakeshore District. The salon hosted a health screening as part of The Black Barbershop Program. (Photo: Marnette Federis)\u003c/figcaption>\u003c/figure>\n\u003cp>Oakland’s Center Stage Salon was buzzing like any other busy Saturday morning last weekend. But salon clients weren’t there just to get haircuts. They also lined up to get their blood pressure and glucose levels checked.\u003c/p>\n\u003cp>It was all part of a nationwide effort -- The Black Barbershop Program. The goal was to screen African American men for high blood pressure and diabetes by going to the place where you would easily find them – at the barbershop. The screenings are free and volunteers also gave out health information.\u003c/p>\n\u003cp>“I’d like to live a hundred years,” said James Fulbright, one of the hairstylists at the salon who was screened for high blood pressure and diabetes. “So I just try to keep myself healthy and I needed to be checked.”\u003c/p>\n\u003cp>According to program organizers, African American men suffer worse health outcomes compared to other racial groups. For starters, 40 percent of black men die prematurely from heart disease compared to 21 percent of white men.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Program organizers say African American men face a number of barriers and access issues when it comes to health including lack of affordable services, poor health education and insufficient services that cater to black men.\u003c!--more-->\u003c/p>\n\u003cp>In addition, African American men tend to avoid visiting the doctor. On Saturday, both volunteers and participants told stories of family members who were afraid to go to the doctor.\u003c/p>\n\u003cp>“My father’s deathly afraid of the hospital and going to the doctor, he refuses to get checkups and things of that nature” said Ersie Joyner, a captain with the Oakland’s Police Department who was screened at the salon. “I think we just have this fear of either getting bad news and taking things for granted that everything's ok.”\u003c/p>\n\u003cp>Kim Wilson, a volunteer and medical assistant student from Merritt College, said that knowing one’s blood pressure and glucose levels can help motivate individuals to make small changes in diet and exercise to prevent an illness from becoming more serious.\u003c/p>\n\u003cp>“Know your numbers, go to the doctor annually, get checked up, don't be afraid,” said Wilson. “You can do something about it.”\u003c/p>\n\u003cfigure id=\"attachment_5815\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/CenterStateSalonOwners_MarnetteFederis.jpg\">\u003cimg class=\"size-medium wp-image-5815 \" title=\"(Photo: Marnette Federis)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/CenterStateSalonOwners_MarnetteFederis-300x219.jpg\" alt=\"\" width=\"300\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sisters Bobbie Cooper, Paula Welsh and Brenda Taylor co-own Center Stage Salon. (Photo:Marnette Federis)\u003c/figcaption>\u003c/figure>\n\u003cp>Volunteers stood outside of Center Stage Salon, and encouraged passersby and salon clients to join in the free screenings. In just 15 minutes, volunteers took blood pressure levels and also checked for diabetes by pricking a man’s finger to get a quick read on blood sugar levels.\u003c/p>\n\u003cp>By noon, just an hour into the event, nearly three dozen men had been screened and given their results on the spot. Men with abnormal numbers were encouraged to go to their own doctor or received referrals to doctors in the area.\u003c/p>\n\u003cp>James Dailey of Oakland was positive about the event. \"This place is owned by a really good family friend, so when I walked by and they suggested it, I thought it would be a good idea to come and get checked out. So far so good,\" he said. \"It was real quick, the ladies were very good and personable. It took three minutes and I got good news also. It always makes you feel good that you know you're not in bad health. It's definitely important to know where you're at.\"\u003c/p>\n\u003cp>Paula Welsh, co-owner of Center Stage with her two sisters, said the salon plans to regularly offer the screenings.\u003c/p>\n\u003cp>“Men don't like to go to the doctor and here, we can reach a large amount of people in a matter of hours,” said Welsh.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Center Stage Salon has been a community hub in Oakland’s Grand-Lakeshore district for nearly 30 years. In the past, the family-owned business has hosted a number of health-related community outreach events for HIV/AIDS and breast cancer awareness and violence prevention.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Rural California Hospitals Slow to Digitize",
"title": "Rural California Hospitals Slow to Digitize",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>By Eve Harris\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5596\" class=\"wp-caption alignleft\" style=\"max-width: 292px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/QuincyCA_SomeshKumar_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-5596\" title=\"Fall colors in Quincy. (Somesh Kumar: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/QuincyCA_SomeshKumar_Flickr-300x308.jpg\" alt=\"Fall colors in Quincy. (Somesh Kumar: Flickr)\" width=\"292\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fall colors in Quincy. (Somesh Kumar: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>High in the Sierra in the town of Quincy, doctors at \u003ca title=\"http://www.pdh.org/\" href=\"http://www.pdh.org/\" target=\"_blank\">Plumas District Hospital\u003c/a> are using iPads in the clinic. Technicians and nurses are also getting better acquainted with their new electronic health records (EHR) system. This 25-bed hospital has gone digital.\u003c/p>\n\u003cp>Plumas District joins a digitizing trend at least partially sparked by financial incentives in the\u003ca href=\"http://www.healthcare.gov/law/full/index.html\" target=\"_blank\"> federal health care law\u003c/a>. Plumas District CEO Doug Lafferty was recruited just nine months ago to get the EHR up and running. In a recent interview he said his adopted community is full of “wonderful people.”\u003c/p>\n\u003cp>But in contrast to his own prior experience in major, urban hospitals, Lafferty said most of the Plumas District staff have never worked anywhere else. Sure, the iPads are welcome, but when it comes to the nitty-gritty of implementing an electronic system of medical records, change can be painful. The culture of “consistency” leaves no doubt that he is “a change agent,” Lafferty said.\u003c/p>\n\u003cp>While Plumas District has been fortunate to have the capital and leadership to make this change, other California towns are not so lucky. A recent \u003ca href=\"http://content.healthaffairs.org/content/early/2012/04/19/hlthaff.2012.0153.full\">nationwide report\u003c/a> confirmed the widely-held concern that small, nonteaching and rural hospitals are lagging behind their urban counterparts in adoption of electronic health records.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->That lag has a direct effect on the five million Californians who live in rural areas. Only about half of the state’s \u003ca title=\"http://www.statehealthfacts.org/profileind.jsp?ind=423&cat=8&rgn=6\" href=\"http://www.statehealthfacts.org/profileind.jsp?ind=423&cat=8&rgn=6\" target=\"_blank\">293 designated rural health centers \u003c/a>are already using or in the process of implementing an EHR system, according to a recent \u003ca href=\"http://www.chcf.org/publications/2012/03/ca-rural-clinics-obstacles?\">report\u003c/a> by The California Healthcare Foundation (CHCF).\u003c/p>\n\u003cp>Resources are an issue. In California, large clinics are more likely to use EHRs than small clinics. Many rural clinics are feeling financially unstable, CHCF wrote, and limited resources are the most important obstacle to increased adoption of EHRs. Initial purchase cost is the biggest barrier cited by rural hospitals, although the perceived cost and difficulty of implementing an EHR system was a close second, CHCF reported.\u003c/p>\n\u003cp>There is a federal financial incentive, but there are other reasons to digitize, too. Lafferty said trading paper files for digital can result in a more complete medical record. EHR software makes charting, billing and ordering labs easier because “it prompts the physician” to record information in a very specific format. “It’s readable and more consistent,” Lafferty said.\u003c/p>\n\u003cp>EHRs improve the collaboration with providers who are at a distance -- a great advantage in rural areas of the state. Plumas patients in need of specialty care travel to Chico or Reno “a lot,” said Lafferty, but now their medical records can go with them on a thumb drive. Most rural clinics with EHRs use them to record and track patient information; more than half also order and track prescriptions and lab tests electronically, according to the CHCF report. These functions were among the most easily adopted at Plumas and are \u003ca href=\"http://weill.cornell.edu/news/releases/wcmc/wcmc_2011/05_25_11.shtml\">likely to save time and reduce errors\u003c/a>.\u003c/p>\n\u003cp>Although high speed Internet access has improved in recent years, a persistent challenge in rural parts of the state is the relative \u003ca href=\"http://www.chcf.org/publications/2012/03/ca-rural-clinics-obstacles?view=print\">shortage of IT professionals\u003c/a>. Lafferty said “many pieces came together” to create the strong IT staff working on EHR implementation. The Plumas Hospital's in-house information systems director, for example, “has spent countless hours” on the project, he said.\u003c/p>\n\u003cp>And additional tech support? “Well, it’s not too hard to recruit,” Lafferty said, “because this has got to be one of the most gorgeous places in California.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Still, Lafferty acknowledged that updating the care delivery systems at Plumas District presented challenges. “It’s a culture change,” he said, “but it’s the right choice for the future.”\u003c/p>\n\n",
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"excerpt": "High in the Sierra in the town of Quincy, doctors at Plumas District Hospital are using iPads in the clinic. Technicians and nurses are also getting better acquainted with their new electronic health records (EHR) system. This 25-bed hospital has gone digital.\r\n\r\nPlumas District joins a digitizing trend at least partially sparked by financial incentives in the federal health care law. Plumas District CEO Doug Lafferty was recruited just nine months ago to get the EHR up and running. In a recent interview he said his adopted community is full of “wonderful people.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Eve Harris\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5596\" class=\"wp-caption alignleft\" style=\"max-width: 292px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/QuincyCA_SomeshKumar_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-5596\" title=\"Fall colors in Quincy. (Somesh Kumar: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/QuincyCA_SomeshKumar_Flickr-300x308.jpg\" alt=\"Fall colors in Quincy. (Somesh Kumar: Flickr)\" width=\"292\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fall colors in Quincy. (Somesh Kumar: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>High in the Sierra in the town of Quincy, doctors at \u003ca title=\"http://www.pdh.org/\" href=\"http://www.pdh.org/\" target=\"_blank\">Plumas District Hospital\u003c/a> are using iPads in the clinic. Technicians and nurses are also getting better acquainted with their new electronic health records (EHR) system. This 25-bed hospital has gone digital.\u003c/p>\n\u003cp>Plumas District joins a digitizing trend at least partially sparked by financial incentives in the\u003ca href=\"http://www.healthcare.gov/law/full/index.html\" target=\"_blank\"> federal health care law\u003c/a>. Plumas District CEO Doug Lafferty was recruited just nine months ago to get the EHR up and running. In a recent interview he said his adopted community is full of “wonderful people.”\u003c/p>\n\u003cp>But in contrast to his own prior experience in major, urban hospitals, Lafferty said most of the Plumas District staff have never worked anywhere else. Sure, the iPads are welcome, but when it comes to the nitty-gritty of implementing an electronic system of medical records, change can be painful. The culture of “consistency” leaves no doubt that he is “a change agent,” Lafferty said.\u003c/p>\n\u003cp>While Plumas District has been fortunate to have the capital and leadership to make this change, other California towns are not so lucky. A recent \u003ca href=\"http://content.healthaffairs.org/content/early/2012/04/19/hlthaff.2012.0153.full\">nationwide report\u003c/a> confirmed the widely-held concern that small, nonteaching and rural hospitals are lagging behind their urban counterparts in adoption of electronic health records.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->That lag has a direct effect on the five million Californians who live in rural areas. Only about half of the state’s \u003ca title=\"http://www.statehealthfacts.org/profileind.jsp?ind=423&cat=8&rgn=6\" href=\"http://www.statehealthfacts.org/profileind.jsp?ind=423&cat=8&rgn=6\" target=\"_blank\">293 designated rural health centers \u003c/a>are already using or in the process of implementing an EHR system, according to a recent \u003ca href=\"http://www.chcf.org/publications/2012/03/ca-rural-clinics-obstacles?\">report\u003c/a> by The California Healthcare Foundation (CHCF).\u003c/p>\n\u003cp>Resources are an issue. In California, large clinics are more likely to use EHRs than small clinics. Many rural clinics are feeling financially unstable, CHCF wrote, and limited resources are the most important obstacle to increased adoption of EHRs. Initial purchase cost is the biggest barrier cited by rural hospitals, although the perceived cost and difficulty of implementing an EHR system was a close second, CHCF reported.\u003c/p>\n\u003cp>There is a federal financial incentive, but there are other reasons to digitize, too. Lafferty said trading paper files for digital can result in a more complete medical record. EHR software makes charting, billing and ordering labs easier because “it prompts the physician” to record information in a very specific format. “It’s readable and more consistent,” Lafferty said.\u003c/p>\n\u003cp>EHRs improve the collaboration with providers who are at a distance -- a great advantage in rural areas of the state. Plumas patients in need of specialty care travel to Chico or Reno “a lot,” said Lafferty, but now their medical records can go with them on a thumb drive. Most rural clinics with EHRs use them to record and track patient information; more than half also order and track prescriptions and lab tests electronically, according to the CHCF report. These functions were among the most easily adopted at Plumas and are \u003ca href=\"http://weill.cornell.edu/news/releases/wcmc/wcmc_2011/05_25_11.shtml\">likely to save time and reduce errors\u003c/a>.\u003c/p>\n\u003cp>Although high speed Internet access has improved in recent years, a persistent challenge in rural parts of the state is the relative \u003ca href=\"http://www.chcf.org/publications/2012/03/ca-rural-clinics-obstacles?view=print\">shortage of IT professionals\u003c/a>. Lafferty said “many pieces came together” to create the strong IT staff working on EHR implementation. The Plumas Hospital's in-house information systems director, for example, “has spent countless hours” on the project, he said.\u003c/p>\n\u003cp>And additional tech support? “Well, it’s not too hard to recruit,” Lafferty said, “because this has got to be one of the most gorgeous places in California.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Still, Lafferty acknowledged that updating the care delivery systems at Plumas District presented challenges. “It’s a culture change,” he said, “but it’s the right choice for the future.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Humboldt County – Amid Stunning Beauty, Sad Health Profile",
"title": "Humboldt County – Amid Stunning Beauty, Sad Health Profile",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By \u003ca title=\"http://centerforhealthreporting.org/author/richard-kipling\" href=\"http://centerforhealthreporting.org/author/richard-kipling\" target=\"_blank\">Richard Kipling\u003c/a>, \u003ca title=\"http://centerforhealthreporting.org/blog/humboldt-county-–-amid-stunning-beauty-sad-health-profile872\" href=\"http://centerforhealthreporting.org/blog/humboldt-county-%E2%80%93-amid-stunning-beauty-sad-health-profile872\" target=\"_blank\">Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5429\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Redwoods_BenRamirez_Flickr_04262012.jpg\">\u003cimg class=\"size-large wp-image-5429\" title=\"(Ben Ramirez: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Redwoods_BenRamirez_Flickr_04262012-620x465.jpg\" alt=\"(Ben Ramirez: Flickr)\" width=\"620\" height=\"465\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ben Ramirez: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>I don’t want to beat up on Humboldt County. I’ve driven through it a few times and it’s quintessential far northern California -- beautiful, alluring, with Redwoods everywhere (the county motto is The Home of the Redwoods), a scenic coastline, pretty towns, friendly folk. The kind of place that sets an urban mind to wondering: Could I live in this lush green paradise?\u003c/p>\n\u003cp>I’d like to spend more time there, for sure. But after a close look at the latest California Department of Public Health statistics, I might want to remain a visitor and not a resident. The county’s astounding beauty and apparent serenity disguise some truly disturbing health numbers.\u003c/p>\n\u003cp>The department recently released its \u003ca href=\"http://www.cdph.ca.gov/pubsforms/Pubs/OHIRProfiles2012.pdf\">County Health Status Profiles 2012\u003c/a>, which provides a fascinating look at the leading causes of death for the years 2008-2010 for each of the state’s 58 counties. I just slalomed through 19 categories of death rates and Humboldt was a blinking neon sign. Let me take you on a tour.\u003c!--more-->\u003c/p>\n\u003cp>In its overall death rate from all causes, Humboldt ranked next to last, 57th, with 865 deaths per 100,000 people. That compares to, say, Santa Clara County, with 509 deaths/100,000, or Marin County with 527. Quite a spread.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Or try the next category, deaths from all cancers. Humboldt ranked 56\u003csup>th\u003c/sup>, with 185 per 100,000. I looked for another California county with a similar population number. Poor and rural Imperial County fit the bill. Its numbers? 126 per 100,000, about a third lower.\u003c/p>\n\u003cp>The numbers are numbing. Comb through the categories and there’s hardly any relief in the rankings for Humboldt County. Here's where Humboldt ranked across many diseases. Remember, these rankings are out of 58 counties:\u003c/p>\n\u003cul>\n\u003cli>Colorectal cancer – 51\u003csup>st\u003c/sup>\u003c/li>\n\u003cli>Lung cancer – 40\u003csup>th\u003c/sup>\u003c/li>\n\u003cli>Female breast cancer – 51\u003csup>st\u003c/sup>\u003c/li>\n\u003cli>Prostate cancer – 52\u003csup>nd\u003c/sup>\u003c/li>\n\u003cli>Diabetes – 49\u003csup>th\u003c/sup>\u003c/li>\n\u003cli>Alzheimer’s – 41\u003csup>st\u003c/sup>\u003c/li>\n\u003cli>Coronary heart disease – 39\u003csup>th \u003c/sup>\u003c/li>\n\u003c/ul>\n\u003cp>Some of these constitute the county’s not-so-bad health outcomes – as if being ranked 41\u003csup>st \u003c/sup>out of 58 is something to celebrate. I don’t pretend that they do.\u003c/p>\n\u003cp>But back to reality. For stroke, the county ranked dead last -- 58th -- and is the only county in the state that failed to meet the “\u003ca title=\"http://www.healthypeople.gov/2020/about/default.aspx\" href=\"http://www.healthypeople.gov/2020/about/default.aspx\" target=\"_blank\">Healthy People 2010 National Objective\u003c/a>” for that category.\u003c/p>\n\u003cp>Overall, it ranked 50\u003csup>th\u003c/sup> or lower in 13 of the 19 categories.\u003c/p>\n\u003cp>What could possibly explain this? Many of these categories line up with the characteristics explored in \u003ca href=\"http://co.humboldt.ca.us/hhs/mhb/mhsa/documents/suicide%20in%20humboldt%20county%202003-2007.pdf\">a 2008 study of suicide\u003c/a> by the mental health branch of \u003ca title=\"http://co.humboldt.ca.us/hhs/\" href=\"http://co.humboldt.ca.us/hhs/\" target=\"_blank\">Humboldt County’s Department of Health and Human Services\u003c/a>. It concluded that counties with high suicide rates “are largely rural, have lower median household income and 85 percent of counties had a higher proportion of people living in poverty as compared to the national percentage.”\u003c/p>\n\u003cp>A number of rural California counties fit this profile, Humboldt among them. The \u003ca href=\"http://quickfacts.census.gov/qfd/states/06/06023.html\">Census Bureau\u003c/a> shows that Humboldt County’s poverty level is substantially higher than the state average, and its household income is one-third lower. But other California counties have income and poverty profiles just as bad – in some cases considerably worse – without the widespread health problems.\u003c/p>\n\u003cp>Perhaps the mix of poverty and rural character is a factor, creating a physical and socio-cultural isolation that could be affecting health. The physical isolation is made emphatically clear by Census figures: Humboldt’s density is 38 persons per square mile; the state’s average is 239.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In Humboldt County, the isolation we outsiders perceive as beauty may affect locals differently. Just think about the weather and the land. With rainfall averaging from 40 to 100 inches a year, perhaps there is a psychological dimension these statistics only hint at. The county encompasses 2.3 million acres, 80 percent of which, \u003ca href=\"http://co.humboldt.ca.us/portal/about.asp\">according to the county\u003c/a>, “is forestlands, protected redwoods and recreation areas.” Eighty percent unsettled. Now that’s isolation.\u003c/p>\n\n",
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"excerpt": "I don’t want to beat up on Humboldt County. I’ve driven through it a few times and it’s quintessential far northern California -- beautiful, alluring, with Redwoods everywhere (the county motto is The Home of the Redwoods), a scenic coastline, pretty towns, friendly folk. The kind of place that sets an urban mind to wondering: Could I live in this lush green paradise?\r\n\r\nI’d like to spend more time there, for sure. But after a close look at the latest California Department of Public Health statistics, I might want to remain a visitor and not a resident. The county’s astounding beauty and apparent serenity disguise some truly disturbing health numbers.\r\n\r\nThe department recently released its County Health Status Profiles 2012, which provides a fascinating look at the leading causes of death for the years 2008-2010 for each of the state’s 58 counties. I just slalomed through 19 categories of death rates and Humboldt was a blinking neon sign. Let me take you on a tour.",
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"description": "I don’t want to beat up on Humboldt County. I’ve driven through it a few times and it’s quintessential far northern California -- beautiful, alluring, with Redwoods everywhere (the county motto is The Home of the Redwoods), a scenic coastline, pretty towns, friendly folk. The kind of place that sets an urban mind to wondering: Could I live in this lush green paradise?\r\n\r\nI’d like to spend more time there, for sure. But after a close look at the latest California Department of Public Health statistics, I might want to remain a visitor and not a resident. The county’s astounding beauty and apparent serenity disguise some truly disturbing health numbers.\r\n\r\nThe department recently released its County Health Status Profiles 2012, which provides a fascinating look at the leading causes of death for the years 2008-2010 for each of the state’s 58 counties. I just slalomed through 19 categories of death rates and Humboldt was a blinking neon sign. Let me take you on a tour.",
"title": "Humboldt County – Amid Stunning Beauty, Sad Health Profile | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By \u003ca title=\"http://centerforhealthreporting.org/author/richard-kipling\" href=\"http://centerforhealthreporting.org/author/richard-kipling\" target=\"_blank\">Richard Kipling\u003c/a>, \u003ca title=\"http://centerforhealthreporting.org/blog/humboldt-county-–-amid-stunning-beauty-sad-health-profile872\" href=\"http://centerforhealthreporting.org/blog/humboldt-county-%E2%80%93-amid-stunning-beauty-sad-health-profile872\" target=\"_blank\">Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5429\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Redwoods_BenRamirez_Flickr_04262012.jpg\">\u003cimg class=\"size-large wp-image-5429\" title=\"(Ben Ramirez: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Redwoods_BenRamirez_Flickr_04262012-620x465.jpg\" alt=\"(Ben Ramirez: Flickr)\" width=\"620\" height=\"465\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ben Ramirez: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>I don’t want to beat up on Humboldt County. I’ve driven through it a few times and it’s quintessential far northern California -- beautiful, alluring, with Redwoods everywhere (the county motto is The Home of the Redwoods), a scenic coastline, pretty towns, friendly folk. The kind of place that sets an urban mind to wondering: Could I live in this lush green paradise?\u003c/p>\n\u003cp>I’d like to spend more time there, for sure. But after a close look at the latest California Department of Public Health statistics, I might want to remain a visitor and not a resident. The county’s astounding beauty and apparent serenity disguise some truly disturbing health numbers.\u003c/p>\n\u003cp>The department recently released its \u003ca href=\"http://www.cdph.ca.gov/pubsforms/Pubs/OHIRProfiles2012.pdf\">County Health Status Profiles 2012\u003c/a>, which provides a fascinating look at the leading causes of death for the years 2008-2010 for each of the state’s 58 counties. I just slalomed through 19 categories of death rates and Humboldt was a blinking neon sign. Let me take you on a tour.\u003c!--more-->\u003c/p>\n\u003cp>In its overall death rate from all causes, Humboldt ranked next to last, 57th, with 865 deaths per 100,000 people. That compares to, say, Santa Clara County, with 509 deaths/100,000, or Marin County with 527. Quite a spread.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Or try the next category, deaths from all cancers. Humboldt ranked 56\u003csup>th\u003c/sup>, with 185 per 100,000. I looked for another California county with a similar population number. Poor and rural Imperial County fit the bill. Its numbers? 126 per 100,000, about a third lower.\u003c/p>\n\u003cp>The numbers are numbing. Comb through the categories and there’s hardly any relief in the rankings for Humboldt County. Here's where Humboldt ranked across many diseases. Remember, these rankings are out of 58 counties:\u003c/p>\n\u003cul>\n\u003cli>Colorectal cancer – 51\u003csup>st\u003c/sup>\u003c/li>\n\u003cli>Lung cancer – 40\u003csup>th\u003c/sup>\u003c/li>\n\u003cli>Female breast cancer – 51\u003csup>st\u003c/sup>\u003c/li>\n\u003cli>Prostate cancer – 52\u003csup>nd\u003c/sup>\u003c/li>\n\u003cli>Diabetes – 49\u003csup>th\u003c/sup>\u003c/li>\n\u003cli>Alzheimer’s – 41\u003csup>st\u003c/sup>\u003c/li>\n\u003cli>Coronary heart disease – 39\u003csup>th \u003c/sup>\u003c/li>\n\u003c/ul>\n\u003cp>Some of these constitute the county’s not-so-bad health outcomes – as if being ranked 41\u003csup>st \u003c/sup>out of 58 is something to celebrate. I don’t pretend that they do.\u003c/p>\n\u003cp>But back to reality. For stroke, the county ranked dead last -- 58th -- and is the only county in the state that failed to meet the “\u003ca title=\"http://www.healthypeople.gov/2020/about/default.aspx\" href=\"http://www.healthypeople.gov/2020/about/default.aspx\" target=\"_blank\">Healthy People 2010 National Objective\u003c/a>” for that category.\u003c/p>\n\u003cp>Overall, it ranked 50\u003csup>th\u003c/sup> or lower in 13 of the 19 categories.\u003c/p>\n\u003cp>What could possibly explain this? Many of these categories line up with the characteristics explored in \u003ca href=\"http://co.humboldt.ca.us/hhs/mhb/mhsa/documents/suicide%20in%20humboldt%20county%202003-2007.pdf\">a 2008 study of suicide\u003c/a> by the mental health branch of \u003ca title=\"http://co.humboldt.ca.us/hhs/\" href=\"http://co.humboldt.ca.us/hhs/\" target=\"_blank\">Humboldt County’s Department of Health and Human Services\u003c/a>. It concluded that counties with high suicide rates “are largely rural, have lower median household income and 85 percent of counties had a higher proportion of people living in poverty as compared to the national percentage.”\u003c/p>\n\u003cp>A number of rural California counties fit this profile, Humboldt among them. The \u003ca href=\"http://quickfacts.census.gov/qfd/states/06/06023.html\">Census Bureau\u003c/a> shows that Humboldt County’s poverty level is substantially higher than the state average, and its household income is one-third lower. But other California counties have income and poverty profiles just as bad – in some cases considerably worse – without the widespread health problems.\u003c/p>\n\u003cp>Perhaps the mix of poverty and rural character is a factor, creating a physical and socio-cultural isolation that could be affecting health. The physical isolation is made emphatically clear by Census figures: Humboldt’s density is 38 persons per square mile; the state’s average is 239.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In Humboldt County, the isolation we outsiders perceive as beauty may affect locals differently. Just think about the weather and the land. With rainfall averaging from 40 to 100 inches a year, perhaps there is a psychological dimension these statistics only hint at. The county encompasses 2.3 million acres, 80 percent of which, \u003ca href=\"http://co.humboldt.ca.us/portal/about.asp\">according to the county\u003c/a>, “is forestlands, protected redwoods and recreation areas.” Eighty percent unsettled. Now that’s isolation.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Tobacco Brands Target Black Teens, Study Finds",
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"content": "\u003cfigure id=\"attachment_5336\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/ManCigarette_Flickr_Mahin.jpg\">\u003cimg class=\"size-medium wp-image-5336\" title=\"(Mahin: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/ManCigarette_Flickr_Mahin-300x168.jpg\" alt=\"(Mahin: Flickr)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Mahin: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Tobacco companies may have \u003ca title=\"http://www.philipmorrisusa.com/en/cms/Responsibility/Helping_Nav/Helping_Reduce_Underage_Tobacco_Use/default.aspx\" href=\"http://www.philipmorrisusa.com/en/cms/Responsibility/Helping_Nav/Helping_Reduce_Underage_Tobacco_Use/default.aspx\" target=\"_blank\">corporate campaigns \u003c/a>against under-age smoking, but how does that play out on the ground -- especially in low-income or minority communities? \u003ca title=\"http://californiawatch.org/dailyreport/tobacco-brands-target-black-youth-study-finds-15868\" href=\"http://californiawatch.org/dailyreport/tobacco-brands-target-black-youth-study-finds-15868\">California Watch\u003c/a> reports today on \u003ca title=\"http://www.trdrp.org/\" href=\"http://www.trdrp.org/\" target=\"_blank\">state-funded research\u003c/a> which found that tobacco marketing targets low-income and African American teens. As the percentage of African American students at a California high school went up, so did Newport brand promotions and menthol-related advertising at nearby stores, according to the report.\u003c/p>\n\u003cp>While the \u003ca title=\"http://www.trdrp.org/priorities/targeted-advpromos.pdf\" href=\"http://www.trdrp.org/priorities/targeted-advpromos.pdf\" target=\"_blank\">study \u003c/a>reviewed all cigarette advertising, it focused specifically on Newport and Marlboro which researchers say are two of the most popular brands with under-age smokers.\u003c/p>\n\u003cp>From California Watch:\u003c/p>\n\u003cblockquote>\u003cp>“There is a systematic targeting (of disadvantaged communities) by the tobacco industry, which is an extraordinary public health problem,” said \u003ca title=\"http://med.stanford.edu/profiles/prevention/frdActionServlet?choiceId=facProfile&fid=6283\" href=\"http://med.stanford.edu/profiles/prevention/frdActionServlet?choiceId=facProfile&fid=6283\" target=\"_blank\">Lisa Henriksen\u003c/a> of the \u003ca title=\"http://prevention.stanford.edu/\" href=\"http://prevention.stanford.edu/\" target=\"_blank\">Stanford Prevention Research Center\u003c/a>, who presented the research at a legislative briefing in Sacramento last week. “The addition of menthol to cigarettes makes it easier to smoke and more difficult to quit.”\u003c/p>\n\u003cp>The University of Michigan’s \u003ca title=\"http://www.med.umich.edu/injurycenter/people.htm\" href=\"http://www.med.umich.edu/injurycenter/people.htm\" target=\"_blank\">Robert Lipton\u003c/a> also presented research at the briefing showing that in the Los Angeles area, communities that tended to be dense, poor and minority had greater rates of underage tobacco sales.\u003c!--more-->\u003c/p>\n\u003cp>Henriksen’s ongoing study of menthol cigarette marketing has found that African American students were better able to recognize a Newport ad than [were] teens of other races. Regardless of race, however, nonsmoking students who were familiar with the Newport ad were 49 percent more likely to start using tobacco than nonsmoking students who weren’t.\u003c/p>\u003c/blockquote>\n\u003cp>California Watch reports that another analysis done of California's schools by Henriksen found:\u003c/p>\n\u003cul>\n\u003cli>24% of school campuses were within 600 feet of a store that sold tobacco\u003c/li>\n\u003cli>38% of schools were within 1000 feet of a place where cigarettes were sold\u003c/li>\n\u003c/ul>\n\u003cdiv>\n\u003cblockquote>\u003cp>Stores near California high schools featured an average of 25 cigarette ads, Henriksen said at the briefing.\u003c/p>\n\u003cp>Eliminating disparities and minimizing youth exposure to tobacco advertising are \u003ca href=\"http://www.cdph.ca.gov/services/boards/teroc/Documents/TEROCMasterPlan09-11.pdf\" target=\"_blank\">among the goals [PDF]\u003c/a> of the state Tobacco Education and Research Oversight Committee, which advises the California Tobacco Control Program, said \u003ca title=\"http://www.cancer.ucla.edu/Index.aspx?page=243&recordid=345\" href=\"http://www.cancer.ucla.edu/Index.aspx?page=243&recordid=345\" target=\"_blank\">Dr. Michael Ong\u003c/a>, an assistant professor at the David Geffen School of Medicine at UCLA who chairs the committee.\u003c/p>\n\u003cp>Ong said locating tobacco retailers near schools is not good public health policy. “In terms of trying to reduce harms from tobacco use in California, we do need to try to further restrict easy access to tobacco, particularly from our youth,” he said.\u003c/p>\n\u003cp>A spokesman for Philip Morris’ parent company, Altria Group, which manufactures Marlboro cigarettes, said in a statement that the company is “committed to responsibly marketing its cigarettes to adult smokers.”\u003c/p>\n\u003cp>“Kids should not smoke any cigarettes, menthol or non-menthol,” Altria spokesman David Sutton wrote in an e-mail. “Based on our review of the limited literature and data available, menthol cigarettes do not appear to have a unique role in smoking initiation.”\u003c/p>\n\u003cp>Lorillard, the makers of Newport cigarettes, did not respond to a request for comment.\u003c/p>\n\u003cp>Last week’s briefing on tobacco advertising and menthol cigarettes comes at a time when policy issues are being considered at the national and state level.\u003c/p>\n\u003cp>The Food and Drug Administration is \u003ca href=\"http://www.fda.gov/AdvisoryCommittees/CommitteesMeetingMaterials/TobaccoProductsScientificAdvisoryCommittee/ucm247605.htm\" target=\"_blank\">considering a ban on menthol additives\u003c/a> to cigarettes. In June, California voters will consider \u003ca href=\"http://voterguide.sos.ca.gov/propositions/29/\" target=\"_blank\">Proposition 29\u003c/a>, a ballot initiative that would impose a $1-per-pack tax on cigarettes. A portion would go to research on tobacco, and the state Tobacco Education and Research Oversight Committee has endorsed the bill.\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "Tobacco companies may have corporate campaigns against under-age smoking, but how does that play out on the ground -- especially in low-income or minority communities? California Watch reports today on state-funded research which found that tobacco marketing targets low-income and African American teens. As the percentage of African American students at a California high school went up, so did Newport brand promotions and menthol-related advertising at nearby stores, according to the report.\r\n\r\nWhile the study reviewed all cigarette advertising, it focused specifically on Newport and Marlboro which researchers say are two of the most popular brands with under-age smokers.",
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"description": "Tobacco companies may have corporate campaigns against under-age smoking, but how does that play out on the ground -- especially in low-income or minority communities? California Watch reports today on state-funded research which found that tobacco marketing targets low-income and African American teens. As the percentage of African American students at a California high school went up, so did Newport brand promotions and menthol-related advertising at nearby stores, according to the report.\r\n\r\nWhile the study reviewed all cigarette advertising, it focused specifically on Newport and Marlboro which researchers say are two of the most popular brands with under-age smokers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5336\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/ManCigarette_Flickr_Mahin.jpg\">\u003cimg class=\"size-medium wp-image-5336\" title=\"(Mahin: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/ManCigarette_Flickr_Mahin-300x168.jpg\" alt=\"(Mahin: Flickr)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Mahin: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Tobacco companies may have \u003ca title=\"http://www.philipmorrisusa.com/en/cms/Responsibility/Helping_Nav/Helping_Reduce_Underage_Tobacco_Use/default.aspx\" href=\"http://www.philipmorrisusa.com/en/cms/Responsibility/Helping_Nav/Helping_Reduce_Underage_Tobacco_Use/default.aspx\" target=\"_blank\">corporate campaigns \u003c/a>against under-age smoking, but how does that play out on the ground -- especially in low-income or minority communities? \u003ca title=\"http://californiawatch.org/dailyreport/tobacco-brands-target-black-youth-study-finds-15868\" href=\"http://californiawatch.org/dailyreport/tobacco-brands-target-black-youth-study-finds-15868\">California Watch\u003c/a> reports today on \u003ca title=\"http://www.trdrp.org/\" href=\"http://www.trdrp.org/\" target=\"_blank\">state-funded research\u003c/a> which found that tobacco marketing targets low-income and African American teens. As the percentage of African American students at a California high school went up, so did Newport brand promotions and menthol-related advertising at nearby stores, according to the report.\u003c/p>\n\u003cp>While the \u003ca title=\"http://www.trdrp.org/priorities/targeted-advpromos.pdf\" href=\"http://www.trdrp.org/priorities/targeted-advpromos.pdf\" target=\"_blank\">study \u003c/a>reviewed all cigarette advertising, it focused specifically on Newport and Marlboro which researchers say are two of the most popular brands with under-age smokers.\u003c/p>\n\u003cp>From California Watch:\u003c/p>\n\u003cblockquote>\u003cp>“There is a systematic targeting (of disadvantaged communities) by the tobacco industry, which is an extraordinary public health problem,” said \u003ca title=\"http://med.stanford.edu/profiles/prevention/frdActionServlet?choiceId=facProfile&fid=6283\" href=\"http://med.stanford.edu/profiles/prevention/frdActionServlet?choiceId=facProfile&fid=6283\" target=\"_blank\">Lisa Henriksen\u003c/a> of the \u003ca title=\"http://prevention.stanford.edu/\" href=\"http://prevention.stanford.edu/\" target=\"_blank\">Stanford Prevention Research Center\u003c/a>, who presented the research at a legislative briefing in Sacramento last week. “The addition of menthol to cigarettes makes it easier to smoke and more difficult to quit.”\u003c/p>\n\u003cp>The University of Michigan’s \u003ca title=\"http://www.med.umich.edu/injurycenter/people.htm\" href=\"http://www.med.umich.edu/injurycenter/people.htm\" target=\"_blank\">Robert Lipton\u003c/a> also presented research at the briefing showing that in the Los Angeles area, communities that tended to be dense, poor and minority had greater rates of underage tobacco sales.\u003c!--more-->\u003c/p>\n\u003cp>Henriksen’s ongoing study of menthol cigarette marketing has found that African American students were better able to recognize a Newport ad than [were] teens of other races. Regardless of race, however, nonsmoking students who were familiar with the Newport ad were 49 percent more likely to start using tobacco than nonsmoking students who weren’t.\u003c/p>\u003c/blockquote>\n\u003cp>California Watch reports that another analysis done of California's schools by Henriksen found:\u003c/p>\n\u003cul>\n\u003cli>24% of school campuses were within 600 feet of a store that sold tobacco\u003c/li>\n\u003cli>38% of schools were within 1000 feet of a place where cigarettes were sold\u003c/li>\n\u003c/ul>\n\u003cdiv>\n\u003cblockquote>\u003cp>Stores near California high schools featured an average of 25 cigarette ads, Henriksen said at the briefing.\u003c/p>\n\u003cp>Eliminating disparities and minimizing youth exposure to tobacco advertising are \u003ca href=\"http://www.cdph.ca.gov/services/boards/teroc/Documents/TEROCMasterPlan09-11.pdf\" target=\"_blank\">among the goals [PDF]\u003c/a> of the state Tobacco Education and Research Oversight Committee, which advises the California Tobacco Control Program, said \u003ca title=\"http://www.cancer.ucla.edu/Index.aspx?page=243&recordid=345\" href=\"http://www.cancer.ucla.edu/Index.aspx?page=243&recordid=345\" target=\"_blank\">Dr. Michael Ong\u003c/a>, an assistant professor at the David Geffen School of Medicine at UCLA who chairs the committee.\u003c/p>\n\u003cp>Ong said locating tobacco retailers near schools is not good public health policy. “In terms of trying to reduce harms from tobacco use in California, we do need to try to further restrict easy access to tobacco, particularly from our youth,” he said.\u003c/p>\n\u003cp>A spokesman for Philip Morris’ parent company, Altria Group, which manufactures Marlboro cigarettes, said in a statement that the company is “committed to responsibly marketing its cigarettes to adult smokers.”\u003c/p>\n\u003cp>“Kids should not smoke any cigarettes, menthol or non-menthol,” Altria spokesman David Sutton wrote in an e-mail. “Based on our review of the limited literature and data available, menthol cigarettes do not appear to have a unique role in smoking initiation.”\u003c/p>\n\u003cp>Lorillard, the makers of Newport cigarettes, did not respond to a request for comment.\u003c/p>\n\u003cp>Last week’s briefing on tobacco advertising and menthol cigarettes comes at a time when policy issues are being considered at the national and state level.\u003c/p>\n\u003cp>The Food and Drug Administration is \u003ca href=\"http://www.fda.gov/AdvisoryCommittees/CommitteesMeetingMaterials/TobaccoProductsScientificAdvisoryCommittee/ucm247605.htm\" target=\"_blank\">considering a ban on menthol additives\u003c/a> to cigarettes. In June, California voters will consider \u003ca href=\"http://voterguide.sos.ca.gov/propositions/29/\" target=\"_blank\">Proposition 29\u003c/a>, a ballot initiative that would impose a $1-per-pack tax on cigarettes. A portion would go to research on tobacco, and the state Tobacco Education and Research Oversight Committee has endorsed the bill.\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Teaching Hmong Shamans Western Medicine",
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"content": "\u003cfigure id=\"attachment_5175\" class=\"wp-caption alignleft\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-woman.jpg\">\u003cimg class=\"size-large wp-image-5175\" title=\"A Hmong shaman blesses a pregnant woman during a traditional healing ceremony.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-woman-620x412.jpg\" alt=\"A Hmong shaman blesses a pregnant woman during a traditional healing ceremony.\" width=\"620\" height=\"412\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A Hmong shaman blesses a pregnant woman so that she will have a safe birth. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>A Hmong shaman dressed in an ornate red and pink costume is standing in a crowded living room in Winton, a small Central Valley town near Merced. She sways back and forth rhythmically as she shakes small ceremonial bells over a young pregnant woman. The woman sits quietly, with a rope lightly tied around her stomach. Her rope connects to another rope -- wrapped around the belly of a newly slaughtered pig that lays on a sheet of plastic on the living room floor. For the next two hours, the shaman chants prayers to the spirit world, offering the slaughtered pig as a sacrifice in exchange for a healthy birth. Throughout the ceremony, the shaman's husband burns pieces of paper money as offerings to the spirits.\u003c/p>\n\u003cp>Afterward, the pregnant woman and her family \u003ca href=\"http://blogs.kqed.org/bayareabites/2012/04/20/after-a-hmong-healing-ceremony-a-feast/\">prepare for a feast\u003c/a>. May Yang, the shaman, explains that this ceremony is the Hmong version of prenatal care. \"This ceremony was to help the mother and baby,\" Yang said through a translator.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The shaman they can see spirits, whereas the doctor use CT, x-ray, and microscope to see disease or illness.\"\u003c/aside>\n\u003cp>More specifically, to help their souls separate. Yang explained that the slaughtered pig was an offering to the spirits so that they would assist in the birthing process. It's part of their customs. Traditionally, in Laos, the Hmong were always more likely to visit a shaman than a doctor when they were sick or needed prenatal care. So when Hmong refugees began resettling to the Central Valley after the CIA's \u003ca title=\"https://www.cia.gov/library/center-for-the-study-of-intelligence/csi-publications/csi-studies/studies/winter99-00/art7.html\" href=\"https://www.cia.gov/library/center-for-the-study-of-intelligence/csi-publications/csi-studies/studies/winter99-00/art7.html\" target=\"_blank\">Secret War\u003c/a> in Laos, they didn't go to the doctor.\u003c/p>\n\u003cp>The Hmong traditionally believe that if the body is sick, the soul is sick. So to heal the body, you must first heal the soul. Additionally, many Hmong were distrustful of western practices when they first arrived to the U.S., so they refused to get treated in hospitals, unless it was a crisis. That led to the Hmong filling up emergency rooms at local hospitals -- and it left doctors struggling to understand how to treat them.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cfigure id=\"attachment_5204\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-bells.jpg\">\u003cimg class=\"size-medium wp-image-5204\" title=\"A Hmong shamans chants and rattles ceremonial bells at a healing ceremony.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-bells-300x199.jpg\" alt=\"A Hmong shamans chants and rattles ceremonial bells at a healing ceremony.\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A Hmong shamans chants and rattles ceremonial bells at a healing ceremony. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>But that's been changing ever since a non-profit called \u003ca href=\"http://healthyhousemerced.org/default.aspx\" target=\"_blank\">Healthy House Merced\u003c/a> started a program that teaches shamans the basics of western medicine. Now shamans like May Yang visit \u003ca href=\"http://www.mercymercedcares.org/index.htm\" target=\"_blank\">Mercy Medical Center\u003c/a> to learn things like what x-rays are, what heart monitors do, and when to call for an ambulance. \"I learn about the disease,\" said Yang about the program. \"I learn about diseases like Hepatitis B. And I learn about strokes, how it happen to human's body.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The shaman training program, \u003ca href=\"http://healthyhousemerced.org/Trainings.aspx\" target=\"_blank\">Partners in Healing\u003c/a>, is now in its twelfth year and has trained over 100 shamans throughout the Central Valley. The program also teaches shamans when to refer their patients to a doctor.\u003c/p>\n\u003cp>\"It’s pretty much the shaman that do the referral,\" said Yang. \"Because if patient call me ... more of the time I would tell them, 'You have disease, you have virus, or you have infection. You need to go to the doctor right away.' And the patient will listen and say, 'OK, if you say so. I’ll go see my doctor right away.' If the doctor cannot find anything then they will come to me and I will do the ceremony for them.\"\u003cbr>\n\u003ca href=\"http://blogs.kqed.org/ourxperience/author/johndoe/\" target=\"_blank\">\u003cbr>\nChangvang Her\u003c/a> is an interpreter with Healthy House who interprets for shamans and the hospital’s Hmong patients. He also acts as a cultural broker between the shamans and medical staff. Her says the key is to explain things like CAT Scans in a way that’s sensitive to how shamans see the world.\u003c/p>\n\u003cp>\"In order to make the shamans understand about the image here, I explain, 'The shaman they can see spirits, whereas the doctor use CT, x-ray, and microscope to see disease or illness.' So we make that comparison so they understand about the equipment.\"\u003c/p>\n\u003cfigure id=\"attachment_5211\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/changvang-ctscan.jpg\">\u003cimg class=\"size-medium wp-image-5211\" title=\"Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/changvang-ctscan-300x199.jpg\" alt=\"Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate.\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>Changvang Her says the Partners in Healing program helps make shamans and the Hmong community more trusting of western medicine. And the reverse is also true -- doctors now know what to expect from their Hmong patients. But that wasn't always the case; just as Hmong refugees didn't know what to do about western doctors, western doctors didn't know how to approach the Hmong.\u003c/p>\n\u003cp>Janice Wilkerson directs cultural programs at Mercy Medical Center. She said when the Hmong first starting coming to the hospital, the staff didn't know their practices. That led to the hospital making some mistakes they weren’t very proud of, and did not want to have happen again.\u003c/p>\n\u003cp>A series of mistakes is chronicled in Anne Fadiman's non-fiction book \"\u003ca href=\"http://us.macmillan.com/thespiritcatchesyouandyoufalldown/AnneFadiman\" target=\"_blank\">The Spirit Catches You and You Fall Down\u003c/a>.\" The true story is about a young Hmong girl in Merced with severe epilepsy who didn't get properly treated -- and ultimately died at a young age -- because of the cultural misunderstandings between the girl's parents and hospital staff. Wilkerson says there were other cultural misunderstandings too.\u003c/p>\n\u003cp>\"When the Hmong would come to our emergency department, staff would sometimes cut off the knotted strings on their wrists, which was part of the Hmong shamans healing,\" said Wilkerson.\u003c/p>\n\u003cp>Wilkerson says they don't do that any more. Mercy Medical Center now permits Hmong shamans to come to patients' rooms to perform healing ceremonies. They even have a list of ceremonies that have been pre-approved by the hospital.\u003c/p>\n\u003cp>Wilkerson said it has been a two-way learning process. Doctors also attend traditional Hmong ceremonies where they get to spend time with shamans outside of the hospital setting and learn more about their healing traditions. Now physicians in cities with large Hmong populations, like Sacramento and Fresno, are looking to Mery Medical Center as a model. \"It’s bridged that gap, from our physicians, our staff, to the Hmong culture.\"\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.kqed.org/assets/slideshow/hmongshaman/_files/iframe.html\" width=\"480\" height=\"320\" scrolling=\"no\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>LEARN MORE: \u003c/strong>\u003c/p>\n\u003cul>Listen to the story on KQED's \u003ca href=\"http://www.californiareport.org/archive/R201205041630/d\" target=\"_blank\">The California Report.\u003c/a>\n\u003cul>Visit KQED'S \u003ca href=\"http://blogs.kqed.org/bayareabites/2012/04/20/after-a-hmong-healing-ceremony-a-feast/\" target=\"_blank\">Bay Area Bites\u003c/a> to view a slideshow of a traditional Hmong feast after a shaman healing ceremony.\u003c/ul>\n\u003cp>\u003cem>EDITOR's NOTE: Changvang Her writes for our California-wide community health blog, \u003ca href=\"http://blogs.kqed.org/ourxperience/author/johndoe/\" target=\"_blank\">ourXperience\u003c/a>.\u003c/em>\u003c/p>\n\u003c/ul>\n",
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"excerpt": "The Hmong traditionally believe that if the body is sick, the soul is sick. So to heal the body, you must first heal the soul. Additionally, many Hmong were distrustful of western practices across the board, so they refused to get treated in hospitals when they were ill. But that led to the Hmong filling up emergency rooms at local hospitals -- and it left doctors struggling to understand how to treat them.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5175\" class=\"wp-caption alignleft\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-woman.jpg\">\u003cimg class=\"size-large wp-image-5175\" title=\"A Hmong shaman blesses a pregnant woman during a traditional healing ceremony.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-woman-620x412.jpg\" alt=\"A Hmong shaman blesses a pregnant woman during a traditional healing ceremony.\" width=\"620\" height=\"412\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A Hmong shaman blesses a pregnant woman so that she will have a safe birth. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>A Hmong shaman dressed in an ornate red and pink costume is standing in a crowded living room in Winton, a small Central Valley town near Merced. She sways back and forth rhythmically as she shakes small ceremonial bells over a young pregnant woman. The woman sits quietly, with a rope lightly tied around her stomach. Her rope connects to another rope -- wrapped around the belly of a newly slaughtered pig that lays on a sheet of plastic on the living room floor. For the next two hours, the shaman chants prayers to the spirit world, offering the slaughtered pig as a sacrifice in exchange for a healthy birth. Throughout the ceremony, the shaman's husband burns pieces of paper money as offerings to the spirits.\u003c/p>\n\u003cp>Afterward, the pregnant woman and her family \u003ca href=\"http://blogs.kqed.org/bayareabites/2012/04/20/after-a-hmong-healing-ceremony-a-feast/\">prepare for a feast\u003c/a>. May Yang, the shaman, explains that this ceremony is the Hmong version of prenatal care. \"This ceremony was to help the mother and baby,\" Yang said through a translator.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The shaman they can see spirits, whereas the doctor use CT, x-ray, and microscope to see disease or illness.\"\u003c/aside>\n\u003cp>More specifically, to help their souls separate. Yang explained that the slaughtered pig was an offering to the spirits so that they would assist in the birthing process. It's part of their customs. Traditionally, in Laos, the Hmong were always more likely to visit a shaman than a doctor when they were sick or needed prenatal care. So when Hmong refugees began resettling to the Central Valley after the CIA's \u003ca title=\"https://www.cia.gov/library/center-for-the-study-of-intelligence/csi-publications/csi-studies/studies/winter99-00/art7.html\" href=\"https://www.cia.gov/library/center-for-the-study-of-intelligence/csi-publications/csi-studies/studies/winter99-00/art7.html\" target=\"_blank\">Secret War\u003c/a> in Laos, they didn't go to the doctor.\u003c/p>\n\u003cp>The Hmong traditionally believe that if the body is sick, the soul is sick. So to heal the body, you must first heal the soul. Additionally, many Hmong were distrustful of western practices when they first arrived to the U.S., so they refused to get treated in hospitals, unless it was a crisis. That led to the Hmong filling up emergency rooms at local hospitals -- and it left doctors struggling to understand how to treat them.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cfigure id=\"attachment_5204\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-bells.jpg\">\u003cimg class=\"size-medium wp-image-5204\" title=\"A Hmong shamans chants and rattles ceremonial bells at a healing ceremony.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/hmong-shaman-bells-300x199.jpg\" alt=\"A Hmong shamans chants and rattles ceremonial bells at a healing ceremony.\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A Hmong shamans chants and rattles ceremonial bells at a healing ceremony. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>But that's been changing ever since a non-profit called \u003ca href=\"http://healthyhousemerced.org/default.aspx\" target=\"_blank\">Healthy House Merced\u003c/a> started a program that teaches shamans the basics of western medicine. Now shamans like May Yang visit \u003ca href=\"http://www.mercymercedcares.org/index.htm\" target=\"_blank\">Mercy Medical Center\u003c/a> to learn things like what x-rays are, what heart monitors do, and when to call for an ambulance. \"I learn about the disease,\" said Yang about the program. \"I learn about diseases like Hepatitis B. And I learn about strokes, how it happen to human's body.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The shaman training program, \u003ca href=\"http://healthyhousemerced.org/Trainings.aspx\" target=\"_blank\">Partners in Healing\u003c/a>, is now in its twelfth year and has trained over 100 shamans throughout the Central Valley. The program also teaches shamans when to refer their patients to a doctor.\u003c/p>\n\u003cp>\"It’s pretty much the shaman that do the referral,\" said Yang. \"Because if patient call me ... more of the time I would tell them, 'You have disease, you have virus, or you have infection. You need to go to the doctor right away.' And the patient will listen and say, 'OK, if you say so. I’ll go see my doctor right away.' If the doctor cannot find anything then they will come to me and I will do the ceremony for them.\"\u003cbr>\n\u003ca href=\"http://blogs.kqed.org/ourxperience/author/johndoe/\" target=\"_blank\">\u003cbr>\nChangvang Her\u003c/a> is an interpreter with Healthy House who interprets for shamans and the hospital’s Hmong patients. He also acts as a cultural broker between the shamans and medical staff. Her says the key is to explain things like CAT Scans in a way that’s sensitive to how shamans see the world.\u003c/p>\n\u003cp>\"In order to make the shamans understand about the image here, I explain, 'The shaman they can see spirits, whereas the doctor use CT, x-ray, and microscope to see disease or illness.' So we make that comparison so they understand about the equipment.\"\u003c/p>\n\u003cfigure id=\"attachment_5211\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/changvang-ctscan.jpg\">\u003cimg class=\"size-medium wp-image-5211\" title=\"Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/changvang-ctscan-300x199.jpg\" alt=\"Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate.\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Changvang Her demonstrates how a CAT Scan machine at Mercy Medical Center plays an automated recording of his voice giving directions in Hmong -- for when he's not around to translate. (Photo: Shuka Kalantari)\u003c/figcaption>\u003c/figure>\n\u003cp>Changvang Her says the Partners in Healing program helps make shamans and the Hmong community more trusting of western medicine. And the reverse is also true -- doctors now know what to expect from their Hmong patients. But that wasn't always the case; just as Hmong refugees didn't know what to do about western doctors, western doctors didn't know how to approach the Hmong.\u003c/p>\n\u003cp>Janice Wilkerson directs cultural programs at Mercy Medical Center. She said when the Hmong first starting coming to the hospital, the staff didn't know their practices. That led to the hospital making some mistakes they weren’t very proud of, and did not want to have happen again.\u003c/p>\n\u003cp>A series of mistakes is chronicled in Anne Fadiman's non-fiction book \"\u003ca href=\"http://us.macmillan.com/thespiritcatchesyouandyoufalldown/AnneFadiman\" target=\"_blank\">The Spirit Catches You and You Fall Down\u003c/a>.\" The true story is about a young Hmong girl in Merced with severe epilepsy who didn't get properly treated -- and ultimately died at a young age -- because of the cultural misunderstandings between the girl's parents and hospital staff. Wilkerson says there were other cultural misunderstandings too.\u003c/p>\n\u003cp>\"When the Hmong would come to our emergency department, staff would sometimes cut off the knotted strings on their wrists, which was part of the Hmong shamans healing,\" said Wilkerson.\u003c/p>\n\u003cp>Wilkerson says they don't do that any more. Mercy Medical Center now permits Hmong shamans to come to patients' rooms to perform healing ceremonies. They even have a list of ceremonies that have been pre-approved by the hospital.\u003c/p>\n\u003cp>Wilkerson said it has been a two-way learning process. Doctors also attend traditional Hmong ceremonies where they get to spend time with shamans outside of the hospital setting and learn more about their healing traditions. Now physicians in cities with large Hmong populations, like Sacramento and Fresno, are looking to Mery Medical Center as a model. \"It’s bridged that gap, from our physicians, our staff, to the Hmong culture.\"\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.kqed.org/assets/slideshow/hmongshaman/_files/iframe.html\" width=\"480\" height=\"320\" scrolling=\"no\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>LEARN MORE: \u003c/strong>\u003c/p>\n\u003cul>Listen to the story on KQED's \u003ca href=\"http://www.californiareport.org/archive/R201205041630/d\" target=\"_blank\">The California Report.\u003c/a>\n\u003cul>Visit KQED'S \u003ca href=\"http://blogs.kqed.org/bayareabites/2012/04/20/after-a-hmong-healing-ceremony-a-feast/\" target=\"_blank\">Bay Area Bites\u003c/a> to view a slideshow of a traditional Hmong feast after a shaman healing ceremony.\u003c/ul>\n\u003cp>\u003cem>EDITOR's NOTE: Changvang Her writes for our California-wide community health blog, \u003ca href=\"http://blogs.kqed.org/ourxperience/author/johndoe/\" target=\"_blank\">ourXperience\u003c/a>.\u003c/em>\u003c/p>\n\u003c/ul>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>By \u003ca title=\"View user profile.\" href=\"http://californiawatch.org/user/bernice-yeung\">Bernice Yeung\u003c/a>, \u003ca title=\"http://californiawatch.org/dailyreport/report-finds-fewer-unhealthy-air-days-california-15849\" href=\"http://californiawatch.org/dailyreport/report-finds-fewer-unhealthy-air-days-california-15849\" target=\"_blank\">California Watch\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5284\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/smokestack.gif\">\u003cimg class=\"size-full wp-image-5284\" title=\"smokestack\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/smokestack.gif\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack.gif 300w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack-75x75.gif 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California logged fewer unhealthy air days in 2011 than a decade ago, giving hope that air quality is improving. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California air pollution reached unhealthy levels less often in 2011 than a decade ago, according to a report released this week by a state association of regional air district officers.\u003c/p>\n\u003cp>Compared with 2000, there were about 74 percent fewer days of “unhealthy air” statewide last year, data from the \u003ca href=\"http://www.capcoa.org/wp-content/uploads/downloads/2012/04/CAPCOA-Progress-Toward-Clean-Air-2012.pdf\" target=\"_blank\">report [PDF]\u003c/a> showed. Air quality can range from “good” to “very unhealthy,” and it is \u003ca href=\"http://www.airnow.gov/index.cfm?action=aqibasics.aqi\" target=\"_blank\">calculated\u003c/a> based on local monitoring of four air pollutants regulated by the federal \u003ca href=\"http://www.epa.gov/air/caa/\" target=\"_blank\">Clean Air Act\u003c/a>.\u003c/p>\n\u003cp>The report found that ozone pollution has decreased statewide between 1980 and 2011; there have been smaller and more limited reductions in particulate matter emissions during the same time frame.\u003c/p>\n\u003cp>Dr. John Balmes, a professor of medicine at UC San Francisco, said California is “ahead of the pack with regard to air quality and greenhouse gas control.” He said any reductions in ozone and particulate emissions could have positive effects on public health because these pollutants have been associated with cardiovascular or respiratory disease health risks.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The new report acknowledged that “despite significant improvements, air quality remains a major source of public health concern in large metropolitan areas throughout California,” especially in the San Joaquin Valley and the southern coast area surrounding Los Angeles. California has 35 regional air districts, which regulate businesses and industrial facilities.\u003c!--more-->\u003c/p>\n\u003cp>“We recognize that we have a long way to go in some of these air districts, but we have made a lot of progress,” said Kenneth Koyama, executive director of the California Air Pollution Control Officers Association, which published the report. “Some districts have gone down to one unhealthy day in the past year for air-quality purposes, and others have actually had zero unhealthy days.”\u003c/p>\n\u003cp>The report also outlines the local conditions that create air-quality problems and some ongoing efforts to address them. In the Great Basin Unified Air Pollution Control District, for example, water diversion to Los Angeles from tributaries of the Owens and Mono lakes have resulted in exposed lake beds that contribute to particulate matter pollution in the region. The district is spending $6.5 million on clean air projects.\u003c/p>\n\u003cp>Koyama said the air district association’s report was issued in part as a counterpoint to the American Lung Association’s \u003ca href=\"http://www.stateoftheair.org/2011/states/california/\" target=\"_blank\">State of the Air\u003c/a> analysis, which has been published since 2000. In 2011, the American Lung Association gave 36 California counties an F grade for ozone exposure based on the number of unhealthy ozone days, and 19 California counties received an F for particulate pollution.\u003c/p>\n\u003cp>“Giving a grade of F suggests to me that whatever the air district has done has failed, and that’s certainly not the case,” Koyama said. “We’ve introduced programs that we believe have been very innovative to reduce emissions and improve air quality in the state. We believe we’ve done a lot to protect public health.”\u003c/p>\n\u003cp>Bonnie Holmes-Gen, executive director for air quality and public health for the American Lung Association in California, said her organization’s report offers a complex picture of the state’s air quality.\u003c/p>\n\u003cp>“We think the grades provide a good snapshot as to what people are breathing, and the report also tracks trends over time for each region,” she said. “California has shown tremendous progress in healthy air, which we attribute to California’s groundbreaking regulations” related to vehicle emissions and clean fuels.\u003c/p>\n\u003cp>The 2012 State of the Air findings will be released Wednesday.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“After next week’s report, we will have 13 years of data on unhealthy air days in California, and just as we’ve shown tremendous progress in most areas of the state over the past 12 years,\" Holmes-Gen said, the latest analysis will \"show continued progress despite the serious challenges we still have.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By \u003ca title=\"View user profile.\" href=\"http://californiawatch.org/user/bernice-yeung\">Bernice Yeung\u003c/a>, \u003ca title=\"http://californiawatch.org/dailyreport/report-finds-fewer-unhealthy-air-days-california-15849\" href=\"http://californiawatch.org/dailyreport/report-finds-fewer-unhealthy-air-days-california-15849\" target=\"_blank\">California Watch\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5284\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/smokestack.gif\">\u003cimg class=\"size-full wp-image-5284\" title=\"smokestack\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/smokestack.gif\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack.gif 300w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/smokestack-75x75.gif 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California logged fewer unhealthy air days in 2011 than a decade ago, giving hope that air quality is improving. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California air pollution reached unhealthy levels less often in 2011 than a decade ago, according to a report released this week by a state association of regional air district officers.\u003c/p>\n\u003cp>Compared with 2000, there were about 74 percent fewer days of “unhealthy air” statewide last year, data from the \u003ca href=\"http://www.capcoa.org/wp-content/uploads/downloads/2012/04/CAPCOA-Progress-Toward-Clean-Air-2012.pdf\" target=\"_blank\">report [PDF]\u003c/a> showed. Air quality can range from “good” to “very unhealthy,” and it is \u003ca href=\"http://www.airnow.gov/index.cfm?action=aqibasics.aqi\" target=\"_blank\">calculated\u003c/a> based on local monitoring of four air pollutants regulated by the federal \u003ca href=\"http://www.epa.gov/air/caa/\" target=\"_blank\">Clean Air Act\u003c/a>.\u003c/p>\n\u003cp>The report found that ozone pollution has decreased statewide between 1980 and 2011; there have been smaller and more limited reductions in particulate matter emissions during the same time frame.\u003c/p>\n\u003cp>Dr. John Balmes, a professor of medicine at UC San Francisco, said California is “ahead of the pack with regard to air quality and greenhouse gas control.” He said any reductions in ozone and particulate emissions could have positive effects on public health because these pollutants have been associated with cardiovascular or respiratory disease health risks.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The new report acknowledged that “despite significant improvements, air quality remains a major source of public health concern in large metropolitan areas throughout California,” especially in the San Joaquin Valley and the southern coast area surrounding Los Angeles. California has 35 regional air districts, which regulate businesses and industrial facilities.\u003c!--more-->\u003c/p>\n\u003cp>“We recognize that we have a long way to go in some of these air districts, but we have made a lot of progress,” said Kenneth Koyama, executive director of the California Air Pollution Control Officers Association, which published the report. “Some districts have gone down to one unhealthy day in the past year for air-quality purposes, and others have actually had zero unhealthy days.”\u003c/p>\n\u003cp>The report also outlines the local conditions that create air-quality problems and some ongoing efforts to address them. In the Great Basin Unified Air Pollution Control District, for example, water diversion to Los Angeles from tributaries of the Owens and Mono lakes have resulted in exposed lake beds that contribute to particulate matter pollution in the region. The district is spending $6.5 million on clean air projects.\u003c/p>\n\u003cp>Koyama said the air district association’s report was issued in part as a counterpoint to the American Lung Association’s \u003ca href=\"http://www.stateoftheair.org/2011/states/california/\" target=\"_blank\">State of the Air\u003c/a> analysis, which has been published since 2000. In 2011, the American Lung Association gave 36 California counties an F grade for ozone exposure based on the number of unhealthy ozone days, and 19 California counties received an F for particulate pollution.\u003c/p>\n\u003cp>“Giving a grade of F suggests to me that whatever the air district has done has failed, and that’s certainly not the case,” Koyama said. “We’ve introduced programs that we believe have been very innovative to reduce emissions and improve air quality in the state. We believe we’ve done a lot to protect public health.”\u003c/p>\n\u003cp>Bonnie Holmes-Gen, executive director for air quality and public health for the American Lung Association in California, said her organization’s report offers a complex picture of the state’s air quality.\u003c/p>\n\u003cp>“We think the grades provide a good snapshot as to what people are breathing, and the report also tracks trends over time for each region,” she said. “California has shown tremendous progress in healthy air, which we attribute to California’s groundbreaking regulations” related to vehicle emissions and clean fuels.\u003c/p>\n\u003cp>The 2012 State of the Air findings will be released Wednesday.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“After next week’s report, we will have 13 years of data on unhealthy air days in California, and just as we’ve shown tremendous progress in most areas of the state over the past 12 years,\" Holmes-Gen said, the latest analysis will \"show continued progress despite the serious challenges we still have.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Smoking or Schools: Which is More Important to Your Health?",
"title": "Smoking or Schools: Which is More Important to Your Health?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_5157\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Cigarette_RaulLieberwirth_Flickr_04172012.jpg\">\u003cimg class=\"size-medium wp-image-5157 \" title=\"(Raul Lieberwirth: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Cigarette_RaulLieberwirth_Flickr_04172012-300x237.jpg\" alt=\"(Raul Lieberwirth: Flickr)\" width=\"300\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sorry, cigarettes are still terrible for you, but can a good school system lead to better health? (Raul Lieberwirth: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Too often, we confuse health with health care. Health care comes from a doctor or hospital. But \u003cem>health\u003c/em> comes from many places we don't normally think of as health at all -- things like good schools, safe neighborhoods and access to a variety of jobs. In other words, if you live in places without those things, you have a lower likelihood of enjoying good health.\u003c/p>\n\u003cp>Today, a new study from researchers at Stanford's School of Medicine confirms that health disparities across the country have more to do with social factors than the color of your skin or where you live. In fact, the researchers say that some of these social factors even outweigh -- gasp -- the effect of cigarette smoking. (More on that later).\u003c/p>\n\u003cp>The study, \u003cem>\u003ca title=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0032930\" href=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0032930\" target=\"_blank\">Geographic and Racial Variation in Premature Mortality in the US\u003c/a>\u003c/em>, looked at counties across the United States and the likelihood of people living to age 70. Lead author \u003ca title=\"http://med.stanford.edu/profiles/Mark_Cullen\" href=\"http://med.stanford.edu/profiles/Mark_Cullen\" target=\"_blank\">Dr. Mark Cullen\u003c/a> says this measure is a good alternative to looking at life expectancy, because it shifts attention to events that occur earlier in life. In particular, researchers found that educational opportunities, distribution of income and a mix of jobs accounted for better health outcomes across the population of a county. These \"social determinants of health\" as public health professionals call them, also explain health disparities between African-Americans and caucasians. \"In most parts of the country,\" Cullen says, \"if African-Americans had the same advantages that their white counterparts had, almost ALL of the racial disparity would go away.\"\u003c!--more-->\u003c/p>\n\u003cp>The study is national in scope. Here in California, Cullen says that people who live along the coast up to about Mendocino enjoy the best health statistics. But head east to the Central Valley and the health outcomes are much worse.\u003c/p>\n\u003cp>\"It's not surprising,\" Cullen says, \"the dominant theme there is these are regions of relatively lower socioeconomic status, relatively lower levels of educational attainment. We're not talking about individuals here, we're talking about populations at the county level.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Cullen stresses that all policy avenues lead back to health. \"ALL policy is health policy,\" he says, \"which is to say that every time at the state level or the county level or the federal level, there's a debate about expenditures on housing or job training or education, those frankly are health debates. One of the biggest consequences of either cutting out programs or strengthening programs are the health consequences to the population. You don't see them in a day or a week, you see them over decades.\"\u003c/p>\n\u003cp>One person who sees policy outcomes up close is KQED's Community Correspondent \u003ca title=\"http://blogs.kqed.org/ourxperience/author/xwest/\" href=\"http://blogs.kqed.org/ourxperience/author/xwest/\" target=\"_blank\">Xan West\u003c/a>. She writes for KQED's blog \u003ca title=\"http://blogs.kqed.org/ourxperience/\" href=\"http://blogs.kqed.org/ourxperience/\" target=\"_blank\">ouRXperience\u003c/a> from her neighborhood of West Oakland, which is primarily African-American, low income and high crime. Responding to questions about today's study, she described not only West Oakland's lack of jobs and school closures, but also its run down playgrounds.\u003c/p>\n\u003cp>\"You see a lot of decrepit and broken down play structures, that kids would hurt themselves on,\" she told me. \"Neighborhoods are not safe for kids to be outside in West Oakland. It effects how much being outside, being a kid, being able to play is important to childhood, as well as .. important to obesity, important to hypertension. You see heightened rates of obesity in West Oakland and other inner city places and part of that is the inability of people to go outside and play.\"\u003c/p>\n\u003cp>\u003ca title=\"http://tcenews.calendow.org/pr/tce/tony-iton-bio.aspx\" href=\"http://tcenews.calendow.org/pr/tce/tony-iton-bio.aspx\" target=\"_blank\">Dr. Anthony Iton\u003c/a>, now at The California Endowment, served for six years as Health Officer of Alameda County. While there, he \u003ca title=\"http://www.jointcenter.org/hpi/sites/all/files/Toni%20Iton-Public%20Health%20Practice%20to%20Health%20Equity%20DL8.pdf\" href=\"http://www.jointcenter.org/hpi/sites/all/files/Toni%20Iton-Public%20Health%20Practice%20to%20Health%20Equity%20DL8.pdf\" target=\"_blank\">published research\u003c/a> about Alameda County's social determinants of health. He called today's report a \"great study.\" Like Cullen, he countered the idea that simply being African-American doomed someone to poorer health. \"That is one of the great misperceptions,\" he told me. People need to understand \"the difference between race and racism. \u003cem>Race\u003c/em> doesn't matter, rac\u003cem>ism \u003c/em>does matter because it constrains people's access to ... high educational attainment, high income, high employment.\"\u003c/p>\n\u003cp>And finally, what of cigarettes? By no means is anyone suggesting smoking is good for you, but Cullen's research showed the power of these social determinants of health. \"Some counties have higher rates of smoking,\" he explained. \"Some counties have higher rates of obesity. But it was dwarfed by the social environment that was already measured. In fact, when you added it into the equation, it added very little. Now that's not to say that being obese or smoking is individually a good thing. But it turns out when you look at large swaths of the population, that the underlying factor of education and wealth and occupation and so forth dominate.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's Note: The California Endowment is a funder of KQED.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Too often, we confuse health with health care. But health comes from many places we don't normally think of as health at all -- things like good schools, safe neighborhoods and access to a variety of jobs. In other words, if you live in places without those things, you have a lower likelihood of enjoying good health. Today, a new study from researchers at Stanford's School of Medicine confirms that health disparities across the country have more to do with a group of socioeconomic and environmental conditions than the color of your skin or where you live. In fact, the researchers say that some of these living conditions even outweigh -- gasp -- the effect of cigarette smoking. (More on that later).\r\n\r\nThe study, Geographic and Racial Variation in Premature Mortality in the US, looked at counties across the United States and the likelihood of people living to age 70. Lead author Dr. Mark Cullen says this measure is a good alternative to looking at life expectancy, because it shifts attention to events that occur earlier in life. In particular, researchers found that educational opportunities, distribution of income and a mix of jobs accounted for better health outcomes across the population of a county. These \"social determinants of health\" as public health professionals call them, also explain health disparities between African-Americans and caucasians. \"In most parts of the country,\" Cullen says, \"if African-Americans had the same advantages that their white counterparts had, almost ALL of the racial disparity would go away.\"",
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"description": "Too often, we confuse health with health care. But health comes from many places we don't normally think of as health at all -- things like good schools, safe neighborhoods and access to a variety of jobs. In other words, if you live in places without those things, you have a lower likelihood of enjoying good health. Today, a new study from researchers at Stanford's School of Medicine confirms that health disparities across the country have more to do with a group of socioeconomic and environmental conditions than the color of your skin or where you live. In fact, the researchers say that some of these living conditions even outweigh -- gasp -- the effect of cigarette smoking. (More on that later).\r\n\r\nThe study, Geographic and Racial Variation in Premature Mortality in the US, looked at counties across the United States and the likelihood of people living to age 70. Lead author Dr. Mark Cullen says this measure is a good alternative to looking at life expectancy, because it shifts attention to events that occur earlier in life. In particular, researchers found that educational opportunities, distribution of income and a mix of jobs accounted for better health outcomes across the population of a county. These "social determinants of health" as public health professionals call them, also explain health disparities between African-Americans and caucasians. "In most parts of the country," Cullen says, "if African-Americans had the same advantages that their white counterparts had, almost ALL of the racial disparity would go away."",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5157\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Cigarette_RaulLieberwirth_Flickr_04172012.jpg\">\u003cimg class=\"size-medium wp-image-5157 \" title=\"(Raul Lieberwirth: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Cigarette_RaulLieberwirth_Flickr_04172012-300x237.jpg\" alt=\"(Raul Lieberwirth: Flickr)\" width=\"300\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sorry, cigarettes are still terrible for you, but can a good school system lead to better health? (Raul Lieberwirth: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Too often, we confuse health with health care. Health care comes from a doctor or hospital. But \u003cem>health\u003c/em> comes from many places we don't normally think of as health at all -- things like good schools, safe neighborhoods and access to a variety of jobs. In other words, if you live in places without those things, you have a lower likelihood of enjoying good health.\u003c/p>\n\u003cp>Today, a new study from researchers at Stanford's School of Medicine confirms that health disparities across the country have more to do with social factors than the color of your skin or where you live. In fact, the researchers say that some of these social factors even outweigh -- gasp -- the effect of cigarette smoking. (More on that later).\u003c/p>\n\u003cp>The study, \u003cem>\u003ca title=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0032930\" href=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0032930\" target=\"_blank\">Geographic and Racial Variation in Premature Mortality in the US\u003c/a>\u003c/em>, looked at counties across the United States and the likelihood of people living to age 70. Lead author \u003ca title=\"http://med.stanford.edu/profiles/Mark_Cullen\" href=\"http://med.stanford.edu/profiles/Mark_Cullen\" target=\"_blank\">Dr. Mark Cullen\u003c/a> says this measure is a good alternative to looking at life expectancy, because it shifts attention to events that occur earlier in life. In particular, researchers found that educational opportunities, distribution of income and a mix of jobs accounted for better health outcomes across the population of a county. These \"social determinants of health\" as public health professionals call them, also explain health disparities between African-Americans and caucasians. \"In most parts of the country,\" Cullen says, \"if African-Americans had the same advantages that their white counterparts had, almost ALL of the racial disparity would go away.\"\u003c!--more-->\u003c/p>\n\u003cp>The study is national in scope. Here in California, Cullen says that people who live along the coast up to about Mendocino enjoy the best health statistics. But head east to the Central Valley and the health outcomes are much worse.\u003c/p>\n\u003cp>\"It's not surprising,\" Cullen says, \"the dominant theme there is these are regions of relatively lower socioeconomic status, relatively lower levels of educational attainment. We're not talking about individuals here, we're talking about populations at the county level.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cullen stresses that all policy avenues lead back to health. \"ALL policy is health policy,\" he says, \"which is to say that every time at the state level or the county level or the federal level, there's a debate about expenditures on housing or job training or education, those frankly are health debates. One of the biggest consequences of either cutting out programs or strengthening programs are the health consequences to the population. You don't see them in a day or a week, you see them over decades.\"\u003c/p>\n\u003cp>One person who sees policy outcomes up close is KQED's Community Correspondent \u003ca title=\"http://blogs.kqed.org/ourxperience/author/xwest/\" href=\"http://blogs.kqed.org/ourxperience/author/xwest/\" target=\"_blank\">Xan West\u003c/a>. She writes for KQED's blog \u003ca title=\"http://blogs.kqed.org/ourxperience/\" href=\"http://blogs.kqed.org/ourxperience/\" target=\"_blank\">ouRXperience\u003c/a> from her neighborhood of West Oakland, which is primarily African-American, low income and high crime. Responding to questions about today's study, she described not only West Oakland's lack of jobs and school closures, but also its run down playgrounds.\u003c/p>\n\u003cp>\"You see a lot of decrepit and broken down play structures, that kids would hurt themselves on,\" she told me. \"Neighborhoods are not safe for kids to be outside in West Oakland. It effects how much being outside, being a kid, being able to play is important to childhood, as well as .. important to obesity, important to hypertension. You see heightened rates of obesity in West Oakland and other inner city places and part of that is the inability of people to go outside and play.\"\u003c/p>\n\u003cp>\u003ca title=\"http://tcenews.calendow.org/pr/tce/tony-iton-bio.aspx\" href=\"http://tcenews.calendow.org/pr/tce/tony-iton-bio.aspx\" target=\"_blank\">Dr. Anthony Iton\u003c/a>, now at The California Endowment, served for six years as Health Officer of Alameda County. While there, he \u003ca title=\"http://www.jointcenter.org/hpi/sites/all/files/Toni%20Iton-Public%20Health%20Practice%20to%20Health%20Equity%20DL8.pdf\" href=\"http://www.jointcenter.org/hpi/sites/all/files/Toni%20Iton-Public%20Health%20Practice%20to%20Health%20Equity%20DL8.pdf\" target=\"_blank\">published research\u003c/a> about Alameda County's social determinants of health. He called today's report a \"great study.\" Like Cullen, he countered the idea that simply being African-American doomed someone to poorer health. \"That is one of the great misperceptions,\" he told me. People need to understand \"the difference between race and racism. \u003cem>Race\u003c/em> doesn't matter, rac\u003cem>ism \u003c/em>does matter because it constrains people's access to ... high educational attainment, high income, high employment.\"\u003c/p>\n\u003cp>And finally, what of cigarettes? By no means is anyone suggesting smoking is good for you, but Cullen's research showed the power of these social determinants of health. \"Some counties have higher rates of smoking,\" he explained. \"Some counties have higher rates of obesity. But it was dwarfed by the social environment that was already measured. In fact, when you added it into the equation, it added very little. Now that's not to say that being obese or smoking is individually a good thing. But it turns out when you look at large swaths of the population, that the underlying factor of education and wealth and occupation and so forth dominate.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's Note: The California Endowment is a funder of KQED.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Tribal Clinic Uses Native Foods to Fight Diabetes",
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"content": "\u003cp>By: \u003ca title=\"http://californiawatch.org/user/patricia-leigh-brown\" href=\"http://californiawatch.org/user/patricia-leigh-brown\" target=\"_blank\">Patricia Leigh Brown\u003c/a>, \u003ca title=\"http://californiawatch.org/dailyreport/tribal-clinic-uses-native-foods-fight-diabetes-15533\" href=\"http://californiawatch.org/dailyreport/tribal-clinic-uses-native-foods-fight-diabetes-15533\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5071\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/PotawotNativeAmericanHealthVillageArcata_BobWeisenback.jpg\">\u003cimg class=\"size-medium wp-image-5071 \" title=\"Potawot Health Village, a health clinic serving many Native American tribes in Arcata. (Photo: Bob Weisenbach)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/PotawotNativeAmericanHealthVillageArcata_BobWeisenback-300x299.jpg\" alt=\"Potawot Health Village in Arcata serves five tribes in Humboldt and Del Norte counties. (Photo: Bob Weisenbach)\" width=\"300\" height=\"299\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Potawot Health Village opened in 2002 to serve Yurok, Tolowa, Wiyot, Hupa and Karuk Indians who live within in a 5,000-square-mile territory encompassing most of northern Humboldt and Del Norte counties\u003c/figcaption>\u003c/figure>\n\u003cp>To walk into the central gathering space of the\u003ca title=\"http://www.uihs.org/locations/potawot-health-village-arcata\" href=\"http://www.uihs.org/locations/potawot-health-village-arcata\" target=\"_blank\"> Potawot Health Village\u003c/a> in Arcata, a multi-tribal health clinic, is to be made instantly aware of the concept of traditional native food as medicine. “Got Acorns?” reads a poster. “Got salmon?” “Got seaweed?”\u003c/p>\n\u003cp>Built, administered and owned by American Indians, Potawot is at the front line of a national resurgence among native peoples to address the link between the loss of ancestral native foods and disproportionate rates of diabetes and other chronic diseases.\u003c/p>\n\u003cp>California is home to more American Indians and Alaska Natives than any other state. Diabetes is a major community health issue for the 107 federally recognized tribes which live here. The statistics are sobering: the \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5544a4.htm\" target=\"_blank\">Centers for Disease Control and Prevention\u003c/a> reports that from 1994 to 2004 the diabetes rate doubled among Native Americans 35 and younger. Teens fared even worse. For 15 to 19 year olds, the diabetes rates soared by more than two-thirds.\u003c/p>\n\u003cp>“We’re trying to re-establish the traditional ways we thought about food,” explained Paula “Pimm” Allen, the clinic’s traditional resource specialist, who comes from a long line of respected Yurok and Karuk healers and cultural practitioners. “Taking care of ourselves, our families, the community and the environment all are interconnected.\u003c/p>\n\u003caside class=\"pullquote alignright\">“We’re trying to re-establish the traditional ways we thought about food.”\u003c/aside>\n\u003cp>Potawot Health Village opened in 2002 to serve Yurok, Tolowa, Wiyot, Hupa and Karuk Indians who live within a 5,000-square-mile territory encompassing most of northern Humboldt and Del Norte counties. The village also has five satellite clinics, including one in Weitchpec, an isolated Yurok village along the Klamath River that has yet to receive electricity.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The complex is organized around a central “wellness garden” composed of native medicinal plants, fed by rainwater captured from roofs. It is all encircled by a 20-acre restored wetland, along with two miles of walking trails wending their way though a “basket garden” of native grasses used for weaving. A 2½-acre organic garden and orchard supplies produce for the clinic’s seasonal farmers' market, where native cooking demonstrations are part of the repertoire.\u003c/p>\n\u003cp>Cultural traditions are a route to healing, Allen explained. “We were forcibly disconnected from our food, just as we were with our language and our culture,” she said. “People who are connected to community are more likely to take care of themselves.”\u003c/p>\n\u003cp>Potawot was one of 17 Indian organizations nationwide chosen to receive a $100,000 grant from the CDC’s Native Diabetes Wellness Program. The clinic is using the money to develop a comprehensive Food as Medicine program for patients. In conceptualizing the grants, the CDC conferred with tribal leaders.\u003c/p>\n\u003cp>“They said culture is the source of health,” said Dawn Satterfield, team leader of the wellness program at the CDC’s \u003ca href=\"http://www.cdc.gov/diabetes/about/\" target=\"_blank\">Division of Diabetes Translation\u003c/a>. “They made that connection very clear.”\u003c/p>\n\u003cp>Although the reasons for the devastating impact of diabetes on American Indians are complex, many experts believe that historical trauma – including the forced abandonment of traditional practices and native habitat – have been contributing factors.\u003c/p>\n\u003cp>\u003ca title=\"http://www.sfsu.edu/~news/experts/BSS/Ferreira_Mariana.html\" href=\"http://www.sfsu.edu/~news/experts/BSS/Ferreira_Mariana.html\" target=\"_blank\">Mariana Leal Ferreira\u003c/a>, a medical anthropologist and associate professor at San Francisco State University, said government policies – such as forcibly taking children from their homes and placing them in boarding schools – had deleterious, long-term effects. Children were taught to abandon native language and culture, wrenching entire generations away from skills like hunting, fishing and gathering.\u003c/p>\n\u003cp>In Northern California and elsewhere, access to native foods has become both an environmental and human rights issue. Karuk elders recall eating salmon three times a day.\u003c/p>\n\u003cp>Joy Sundberg, a 79-year-old resident of Trinidad Rancheria and a Potawot board member, recalls when the skies over Humboldt and Del Norte counties “were black with ducks,” she said.\u003c/p>\n\u003cp>“When I was young, it was disgraceful to be fat,” she continued. “We always had deer, and smoked salmon was a staple. There were acorns and fish and berries for every season.”\u003c/p>\n\u003cp>Everything changed within her lifetime. Slim and vivacious, Sundberg is nevertheless dealing with diabetes. “You’ve got a McDonald’s here and a Hooters there,” she said. “It’s like Mothers Against Drunk Driving; it’s going to take dedication to change.”\u003c/p>\n\u003cp>At Potawot, about 500 schoolchildren a year visit the demonstration garden to learn about traditional food ways and healthier eating habits. Allen and her colleagues are working on adapting ancestral foods to contemporary life, emphasizing healthy organic foods that can be found at the supermarket, such as grass-fed beef and sustainably harvested fish.\u003c/p>\n\u003cp>Allen recently was diagnosed with diabetes herself. She notes that bad food choices often reflect the day-to-day pressures on families, especially in a down economy. “As a parent, you’re stressed out, trying to get the bills paid,” she said. “Do you buy cauliflower for $6 and cook for an hour? Or zap something in the microwave for 99 cents?”\u003c/p>\n\u003cp>To Allen, making healthier decisions, including growing fruits and vegetables in the backyard, is an embrace of both culture and wellness. “We are trying to make people aware that food comes from people and places,” she said. “We need to be eating food that represents our values.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's Note: This post was excerpted from Brown's original story, which you can read \u003ca title=\"http://californiawatch.org/dailyreport/tribal-clinic-uses-native-foods-fight-diabetes-15533\" href=\"http://californiawatch.org/dailyreport/tribal-clinic-uses-native-foods-fight-diabetes-15533\" target=\"_blank\">here\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By: \u003ca title=\"http://californiawatch.org/user/patricia-leigh-brown\" href=\"http://californiawatch.org/user/patricia-leigh-brown\" target=\"_blank\">Patricia Leigh Brown\u003c/a>, \u003ca title=\"http://californiawatch.org/dailyreport/tribal-clinic-uses-native-foods-fight-diabetes-15533\" href=\"http://californiawatch.org/dailyreport/tribal-clinic-uses-native-foods-fight-diabetes-15533\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5071\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/PotawotNativeAmericanHealthVillageArcata_BobWeisenback.jpg\">\u003cimg class=\"size-medium wp-image-5071 \" title=\"Potawot Health Village, a health clinic serving many Native American tribes in Arcata. (Photo: Bob Weisenbach)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/PotawotNativeAmericanHealthVillageArcata_BobWeisenback-300x299.jpg\" alt=\"Potawot Health Village in Arcata serves five tribes in Humboldt and Del Norte counties. (Photo: Bob Weisenbach)\" width=\"300\" height=\"299\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Potawot Health Village opened in 2002 to serve Yurok, Tolowa, Wiyot, Hupa and Karuk Indians who live within in a 5,000-square-mile territory encompassing most of northern Humboldt and Del Norte counties\u003c/figcaption>\u003c/figure>\n\u003cp>To walk into the central gathering space of the\u003ca title=\"http://www.uihs.org/locations/potawot-health-village-arcata\" href=\"http://www.uihs.org/locations/potawot-health-village-arcata\" target=\"_blank\"> Potawot Health Village\u003c/a> in Arcata, a multi-tribal health clinic, is to be made instantly aware of the concept of traditional native food as medicine. “Got Acorns?” reads a poster. “Got salmon?” “Got seaweed?”\u003c/p>\n\u003cp>Built, administered and owned by American Indians, Potawot is at the front line of a national resurgence among native peoples to address the link between the loss of ancestral native foods and disproportionate rates of diabetes and other chronic diseases.\u003c/p>\n\u003cp>California is home to more American Indians and Alaska Natives than any other state. Diabetes is a major community health issue for the 107 federally recognized tribes which live here. The statistics are sobering: the \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5544a4.htm\" target=\"_blank\">Centers for Disease Control and Prevention\u003c/a> reports that from 1994 to 2004 the diabetes rate doubled among Native Americans 35 and younger. Teens fared even worse. For 15 to 19 year olds, the diabetes rates soared by more than two-thirds.\u003c/p>\n\u003cp>“We’re trying to re-establish the traditional ways we thought about food,” explained Paula “Pimm” Allen, the clinic’s traditional resource specialist, who comes from a long line of respected Yurok and Karuk healers and cultural practitioners. “Taking care of ourselves, our families, the community and the environment all are interconnected.\u003c/p>\n\u003caside class=\"pullquote alignright\">“We’re trying to re-establish the traditional ways we thought about food.”\u003c/aside>\n\u003cp>Potawot Health Village opened in 2002 to serve Yurok, Tolowa, Wiyot, Hupa and Karuk Indians who live within a 5,000-square-mile territory encompassing most of northern Humboldt and Del Norte counties. The village also has five satellite clinics, including one in Weitchpec, an isolated Yurok village along the Klamath River that has yet to receive electricity.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The complex is organized around a central “wellness garden” composed of native medicinal plants, fed by rainwater captured from roofs. It is all encircled by a 20-acre restored wetland, along with two miles of walking trails wending their way though a “basket garden” of native grasses used for weaving. A 2½-acre organic garden and orchard supplies produce for the clinic’s seasonal farmers' market, where native cooking demonstrations are part of the repertoire.\u003c/p>\n\u003cp>Cultural traditions are a route to healing, Allen explained. “We were forcibly disconnected from our food, just as we were with our language and our culture,” she said. “People who are connected to community are more likely to take care of themselves.”\u003c/p>\n\u003cp>Potawot was one of 17 Indian organizations nationwide chosen to receive a $100,000 grant from the CDC’s Native Diabetes Wellness Program. The clinic is using the money to develop a comprehensive Food as Medicine program for patients. In conceptualizing the grants, the CDC conferred with tribal leaders.\u003c/p>\n\u003cp>“They said culture is the source of health,” said Dawn Satterfield, team leader of the wellness program at the CDC’s \u003ca href=\"http://www.cdc.gov/diabetes/about/\" target=\"_blank\">Division of Diabetes Translation\u003c/a>. “They made that connection very clear.”\u003c/p>\n\u003cp>Although the reasons for the devastating impact of diabetes on American Indians are complex, many experts believe that historical trauma – including the forced abandonment of traditional practices and native habitat – have been contributing factors.\u003c/p>\n\u003cp>\u003ca title=\"http://www.sfsu.edu/~news/experts/BSS/Ferreira_Mariana.html\" href=\"http://www.sfsu.edu/~news/experts/BSS/Ferreira_Mariana.html\" target=\"_blank\">Mariana Leal Ferreira\u003c/a>, a medical anthropologist and associate professor at San Francisco State University, said government policies – such as forcibly taking children from their homes and placing them in boarding schools – had deleterious, long-term effects. Children were taught to abandon native language and culture, wrenching entire generations away from skills like hunting, fishing and gathering.\u003c/p>\n\u003cp>In Northern California and elsewhere, access to native foods has become both an environmental and human rights issue. Karuk elders recall eating salmon three times a day.\u003c/p>\n\u003cp>Joy Sundberg, a 79-year-old resident of Trinidad Rancheria and a Potawot board member, recalls when the skies over Humboldt and Del Norte counties “were black with ducks,” she said.\u003c/p>\n\u003cp>“When I was young, it was disgraceful to be fat,” she continued. “We always had deer, and smoked salmon was a staple. There were acorns and fish and berries for every season.”\u003c/p>\n\u003cp>Everything changed within her lifetime. Slim and vivacious, Sundberg is nevertheless dealing with diabetes. “You’ve got a McDonald’s here and a Hooters there,” she said. “It’s like Mothers Against Drunk Driving; it’s going to take dedication to change.”\u003c/p>\n\u003cp>At Potawot, about 500 schoolchildren a year visit the demonstration garden to learn about traditional food ways and healthier eating habits. Allen and her colleagues are working on adapting ancestral foods to contemporary life, emphasizing healthy organic foods that can be found at the supermarket, such as grass-fed beef and sustainably harvested fish.\u003c/p>\n\u003cp>Allen recently was diagnosed with diabetes herself. She notes that bad food choices often reflect the day-to-day pressures on families, especially in a down economy. “As a parent, you’re stressed out, trying to get the bills paid,” she said. “Do you buy cauliflower for $6 and cook for an hour? Or zap something in the microwave for 99 cents?”\u003c/p>\n\u003cp>To Allen, making healthier decisions, including growing fruits and vegetables in the backyard, is an embrace of both culture and wellness. “We are trying to make people aware that food comes from people and places,” she said. “We need to be eating food that represents our values.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's Note: This post was excerpted from Brown's original story, which you can read \u003ca title=\"http://californiawatch.org/dailyreport/tribal-clinic-uses-native-foods-fight-diabetes-15533\" href=\"http://californiawatch.org/dailyreport/tribal-clinic-uses-native-foods-fight-diabetes-15533\" target=\"_blank\">here\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_5016\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/FresnoFarmersMarket_DavidPrasad_Flickr_04112012.jpg\">\u003cimg class=\"size-medium wp-image-5016 \" title=\"Farmers' Market in Fresno. (David Prasad: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/FresnoFarmersMarket_DavidPrasad_Flickr_04112012-300x225.jpg\" alt=\"Farmers' Market in Fresno. (David Prasad: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fresh vegetables for sale at farmers' market in Fresno. (David Prasad: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Fresno is located in the heart of what farmers like to call the nation's salad bowl -- prime farmland where a multitude of fruits and vegetables are grown. So at first blush, Fresno might seem like an unusual place for the \u003ca title=\"http://www.cpehn.org/\" href=\"http://www.cpehn.org/\" target=\"_blank\">California Pan-Ethnic Health Network\u003c/a> to hold a half-day meeting about \"\u003ca title=\"http://www.cpehn.org/register.php?id=130\" href=\"http://www.cpehn.org/register.php?id=130\" target=\"_blank\">Ensuring Access to Healthy Foods\u003c/a>.\"\u003c/p>\n\u003cp>But it's no secret to anyone working in health in California that \"food insecurity\"is a big problem in the Central Valley. A group of about thirty participants listened yesterday as Edie Jessup of the \u003ca title=\"http://www.californiaconvergence.org/central-california-regional-obesity-prevention-program-cc\" href=\"http://www.californiaconvergence.org/central-california-regional-obesity-prevention-program-cc\" target=\"_blank\">Central California Regional Obesity Prevention Program\u003c/a> (CCROPP) flashed through a powerpoint including the sobering number that 40 percent of the Valley's residents are hungry. \"It's a paradox,\" she said. \"We raise the food for the nation.\"\u003c/p>\n\u003cp>The point of the meeting was not just to bemoan the problem but to outline strategies for solutions, especially at the local level. After going through the numbers about childhood and adult obesity, high unemployment rates in rural areas and health disparities for communities of color, Jessup said that she sees a big shift from just a few years ago.\u003c!--more-->\u003c/p>\n\u003cp>“There is something changing here in the Valley. All of a sudden it seems like we’ve hit the tipping point,\" she told the group. \"We have folks doing garden work, organic farms here ... We also have folks doing systemic work so there’s a garden in every community. ... There's all these nascent things happening that weren't happening five years ago.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"All of a sudden it seems like we’ve hit the tipping point.\"\u003c/aside>\n\u003cp>One of them is the \u003ca title=\"http://aginnovations.org/alliances/fresno/\" href=\"http://aginnovations.org/alliances/fresno/\" target=\"_blank\">Fresno Food System Allianc\u003c/a>e which started just 18 months ago. Its main project is connecting small farmers to schools with a \"wide group\" of stakeholders, Jessup says, including food processors and the public health department. \"That is the big impact they want to make -- get local foods into the food system so our kids get healthier AND economically it makes sense.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The economics were important to the one business representative attending. \"I'm not the guy who usually sits in this room,\" said Doug Davidian, laughing. He is a member of the \u003ca title=\"http://www.fresnobc.org/\" href=\"http://www.fresnobc.org/\" target=\"_blank\">Fresno Business Council\u003c/a> and was passionate about the triple bottom line -- economic, environmental as well as access and equity. \"It's a team effort that used to be adversarial,\" he said, adding that linking small farmers with schools makes sense across those three bottom lines.\u003c/p>\n\u003cp>Jessup also stressed the need to branch out beyond health -- in order to attain health goals. \"I never wanted to know about zoning and ordinances, but now I know how much it has to do with food access,\" she said. \"When we got started in farmers' markets, Fresno had only two or three farmers' markets. All of our small ethnic farmers were going to Berkeley or L.A. ... We found out that zoning in Fresno prohibited selling fresh produce in commercial and residential zones. So it made it impossible to start a farmers' market.\"\u003c/p>\n\u003cp>CCROPP worked to change those zoning regulations, and now there are more farmers' markets in Fresno, Jessup says.\u003c/p>\n\u003cp>Ellen Braff-Guajardo of \u003ca title=\"http://cfpa.net/\" href=\"http://cfpa.net/\" target=\"_blank\">California Food Policy Advocates\u003c/a> (CFPA) told of progress made on the fresh drinking water front. California Project Lealn\u003ca title=\"http://waterinschools.org/pdfs/WaterInSchools_FullReport_2009.pdf\" href=\"http://waterinschools.org/pdfs/WaterInSchools_FullReport_2009.pdf\" target=\"_blank\"> surveyed school districts [PDF] i\u003c/a>n 2009. In 40 percent of districts, no school cafeterias had fresh drinking water available to students. CFPA used this information to\u003ca title=\"http://www.cde.ca.gov/ls/nu/he/water.asp\" href=\"http://www.cde.ca.gov/ls/nu/he/water.asp\" target=\"_blank\"> back a bill in the California legislature\u003c/a> which went into effect on January 1st. Braff-Guajardo reported that numerous school districts across the Central Valley now offer free drinking water in the cafeteria where they had not before.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Students are \u003ca title=\"http://www.waterinschools.org/whywater.shtml\" href=\"http://www.waterinschools.org/whywater.shtml\" target=\"_blank\">reaping the benefits\u003c/a> on multiple fronts. First, students who are thirsty don't learn as effectively. But having free water available reduces the likelihood that children will drink sugar-sweetened beverages. While sodas are banned from sale in school cafeterias, sugar-sweetened sports drinks are not.\u003c/p>\n\n",
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"excerpt": "Fresno is located in the heart of what farmers like to call the nation's salad bowl -- prime farmland where a multitude of fruits and vegetables are grown. So at first blush, Fresno might seem like an unusual place for a coalition of advocacy groups to hold a four-hour meeting about \"Ensuring Access to Healthy Foods.\"\r\n\r\nBut it's no secret to anyone working in health in California that \"food insecurity\"is a big problem in the Central Valley. A group of about thirty participants listened yesterday as Edie Jessup of the Central California Regional Obesity Prevention Program (CCROPP) flashed through a powerpoint including the sobering number that 40 percent of the Valley's residents are hungry. \"It's a paradox,\" she said. \"We raise the food for the nation.\"",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5016\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/FresnoFarmersMarket_DavidPrasad_Flickr_04112012.jpg\">\u003cimg class=\"size-medium wp-image-5016 \" title=\"Farmers' Market in Fresno. (David Prasad: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/FresnoFarmersMarket_DavidPrasad_Flickr_04112012-300x225.jpg\" alt=\"Farmers' Market in Fresno. (David Prasad: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fresh vegetables for sale at farmers' market in Fresno. (David Prasad: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Fresno is located in the heart of what farmers like to call the nation's salad bowl -- prime farmland where a multitude of fruits and vegetables are grown. So at first blush, Fresno might seem like an unusual place for the \u003ca title=\"http://www.cpehn.org/\" href=\"http://www.cpehn.org/\" target=\"_blank\">California Pan-Ethnic Health Network\u003c/a> to hold a half-day meeting about \"\u003ca title=\"http://www.cpehn.org/register.php?id=130\" href=\"http://www.cpehn.org/register.php?id=130\" target=\"_blank\">Ensuring Access to Healthy Foods\u003c/a>.\"\u003c/p>\n\u003cp>But it's no secret to anyone working in health in California that \"food insecurity\"is a big problem in the Central Valley. A group of about thirty participants listened yesterday as Edie Jessup of the \u003ca title=\"http://www.californiaconvergence.org/central-california-regional-obesity-prevention-program-cc\" href=\"http://www.californiaconvergence.org/central-california-regional-obesity-prevention-program-cc\" target=\"_blank\">Central California Regional Obesity Prevention Program\u003c/a> (CCROPP) flashed through a powerpoint including the sobering number that 40 percent of the Valley's residents are hungry. \"It's a paradox,\" she said. \"We raise the food for the nation.\"\u003c/p>\n\u003cp>The point of the meeting was not just to bemoan the problem but to outline strategies for solutions, especially at the local level. After going through the numbers about childhood and adult obesity, high unemployment rates in rural areas and health disparities for communities of color, Jessup said that she sees a big shift from just a few years ago.\u003c!--more-->\u003c/p>\n\u003cp>“There is something changing here in the Valley. All of a sudden it seems like we’ve hit the tipping point,\" she told the group. \"We have folks doing garden work, organic farms here ... We also have folks doing systemic work so there’s a garden in every community. ... There's all these nascent things happening that weren't happening five years ago.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"All of a sudden it seems like we’ve hit the tipping point.\"\u003c/aside>\n\u003cp>One of them is the \u003ca title=\"http://aginnovations.org/alliances/fresno/\" href=\"http://aginnovations.org/alliances/fresno/\" target=\"_blank\">Fresno Food System Allianc\u003c/a>e which started just 18 months ago. Its main project is connecting small farmers to schools with a \"wide group\" of stakeholders, Jessup says, including food processors and the public health department. \"That is the big impact they want to make -- get local foods into the food system so our kids get healthier AND economically it makes sense.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The economics were important to the one business representative attending. \"I'm not the guy who usually sits in this room,\" said Doug Davidian, laughing. He is a member of the \u003ca title=\"http://www.fresnobc.org/\" href=\"http://www.fresnobc.org/\" target=\"_blank\">Fresno Business Council\u003c/a> and was passionate about the triple bottom line -- economic, environmental as well as access and equity. \"It's a team effort that used to be adversarial,\" he said, adding that linking small farmers with schools makes sense across those three bottom lines.\u003c/p>\n\u003cp>Jessup also stressed the need to branch out beyond health -- in order to attain health goals. \"I never wanted to know about zoning and ordinances, but now I know how much it has to do with food access,\" she said. \"When we got started in farmers' markets, Fresno had only two or three farmers' markets. All of our small ethnic farmers were going to Berkeley or L.A. ... We found out that zoning in Fresno prohibited selling fresh produce in commercial and residential zones. So it made it impossible to start a farmers' market.\"\u003c/p>\n\u003cp>CCROPP worked to change those zoning regulations, and now there are more farmers' markets in Fresno, Jessup says.\u003c/p>\n\u003cp>Ellen Braff-Guajardo of \u003ca title=\"http://cfpa.net/\" href=\"http://cfpa.net/\" target=\"_blank\">California Food Policy Advocates\u003c/a> (CFPA) told of progress made on the fresh drinking water front. California Project Lealn\u003ca title=\"http://waterinschools.org/pdfs/WaterInSchools_FullReport_2009.pdf\" href=\"http://waterinschools.org/pdfs/WaterInSchools_FullReport_2009.pdf\" target=\"_blank\"> surveyed school districts [PDF] i\u003c/a>n 2009. In 40 percent of districts, no school cafeterias had fresh drinking water available to students. CFPA used this information to\u003ca title=\"http://www.cde.ca.gov/ls/nu/he/water.asp\" href=\"http://www.cde.ca.gov/ls/nu/he/water.asp\" target=\"_blank\"> back a bill in the California legislature\u003c/a> which went into effect on January 1st. Braff-Guajardo reported that numerous school districts across the Central Valley now offer free drinking water in the cafeteria where they had not before.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Students are \u003ca title=\"http://www.waterinschools.org/whywater.shtml\" href=\"http://www.waterinschools.org/whywater.shtml\" target=\"_blank\">reaping the benefits\u003c/a> on multiple fronts. First, students who are thirsty don't learn as effectively. But having free water available reduces the likelihood that children will drink sugar-sweetened beverages. While sodas are banned from sale in school cafeterias, sugar-sweetened sports drinks are not.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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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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"order": 8
},
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
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"source": "City Arts & Lectures"
},
"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"
},
"link": "/radio/program/commonwealth-club",
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"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
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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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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
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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": {
"id": "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. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
},
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
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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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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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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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"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
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