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"content": "\u003cfigure id=\"attachment_1634\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Smokestacks_Flickr_SalimVirji_12222011.jpg\">\u003cimg class=\"size-medium wp-image-1634\" title=\"(Salim Virji: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Smokestacks_Flickr_SalimVirji_12222011-300x225.jpg\" alt=\"(Salim Virji: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Salim Virji: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The E.P.A issued its \u003ca title=\"http://yosemite.epa.gov/opa/admpress.nsf/bd4379a92ceceeac8525735900400c27/bd8b3f37edf5716d8525796d005dd086%21OpenDocument\" href=\"http://yosemite.epa.gov/opa/admpress.nsf/bd4379a92ceceeac8525735900400c27/bd8b3f37edf5716d8525796d005dd086%21OpenDocument\" target=\"_blank\">first ever standards\u003c/a> on mercury pollution from coal and oil-burning power plants yesterday, and the topic was the subject of a fervid debate on \u003ca title=\"http://www.kqed.org/a/forum/R201112220900\" href=\"http://www.kqed.org/a/forum/R201112220900\" target=\"_blank\">KQED's Forum\u003c/a> this morning.\u003c/p>\n\u003cp>Just about the only thing Michael Brune, of the \u003ca title=\"http://www.sierraclub.org/\" href=\"http://www.sierraclub.org/\" target=\"_blank\">Sierra Club,\u003c/a> and Scott Segal, of the \u003ca title=\"http://www.electricreliability.org/\" href=\"http://www.electricreliability.org/\" target=\"_blank\">Electric Reliability Coordinating Council\u003c/a>, could agree on was that mercury is, indeed, a neurotoxin, a poison that causes reproductive and developmental disorders, including lower IQs. But whether the new standards will net the public health and environmental benefits the EPA claims was in dispute.\u003c/p>\n\u003cp>The EPA's new standards seek to reduce not just mercury but also other \u003cspan style=\"font-family: Arial\">toxic air pollutants such as arsenic, acid gas, nickel, selenium, and cyanide. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-family: Arial\">\u003c!--more-->In a statement, the EPA reported \"the new safeguards will prevent as many as 11,000 premature deaths and 4,700 heart attacks a year. The standards will also help America’s children grow up healthier – preventing 130,000 cases of childhood asthma symptoms and about 6,300 fewer cases of acute bronchitis among children each year.\"\u003c/span>\u003c/p>\n\u003cp>On \u003cem>Forum\u003c/em> this morning Segal argued these public health pluses aren't coming from mercury reductions. Instead they're the result of \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/01/clearing-the-air-on-air-pollution-and-smog/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/01/clearing-the-air-on-air-pollution-and-smog/\" target=\"_blank\">co-benefits\u003c/a> detailed on State of Health last month. The public health improvements, Segal said, come from getting \u003ca title=\"http://www.epa.gov/pm/\" href=\"http://www.epa.gov/pm/\" target=\"_blank\">particulate matter\u003c/a>, otherwise known as soot, out of the air. And that's already happening, he insisted.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Our argument,\" Segal said, \"is other parts of the \u003ca title=\"http://www.epa.gov/air/caa/\" href=\"http://www.epa.gov/air/caa/\" target=\"_blank\">Clean Air Act \u003c/a>that are purposely targeted and designed to reduce particulate matter are doing so to levels fully protective of human health and the environment, including for susceptible populations like children, the elderly and asthmatics.\"\u003c/p>\n\u003cp>Brune was unfazed. \"I'm surprised that we're actually arguing about this rule,\" he said. \"This is a rule that will reduce by 90 percent the amount of mercury in the environment, a potent neurotoxin which means it's a brain poison. ... It will also reduce the amount of arsenic, dioxins, acid gases in the atmosphere. For every dollar of cost, we're getting a least nine dollars in benefits, and that's only measuring the amount of benefits from reduced soot.\"\u003c/p>\n\u003cp>But at what total cost, Segal wanted to know. \"No one doubts the fact that mercury is a neurotoxin, it absolutely is.\" (Ah, the point of agreement.) \"The question is whether this rule produces tangible benefits in this area,\" Segal said. \"The rule costs about $10 billion. Of the $10 billion, the EPA admits the amount of benefit to be achieved by reducing the amount of mercury that would be achieved by this rule could be as low as $500,000.\"\u003c/p>\n\u003cp>The new rule could still be blocked by Congress or the courts, but if it goes forward, the EPA says the mercury standard, in combination with the final \u003ca title=\"http://www.epa.gov/airtransport/\" href=\"http://www.epa.gov/airtransport/\" target=\"_blank\">Cross-State Air Pollution Rule\u003c/a> which was issued earlier this year, are \"the most significant steps to clean up pollution from power plant smokestacks since the \u003ca title=\"http://www.epa.gov/airmarkets/progsregs/arp/\" href=\"http://www.epa.gov/airmarkets/progsregs/arp/\" target=\"_blank\">Acid Rain Program \u003c/a>of the 1990s.\"\u003c/p>\n\u003cp>No matter how you feel about the new mercury standards and coal-fired power plants, the EPA's reach obviously extends only to the edges of this country. Near the end of Forum, a caller pointed out that air pollution is a global issue. Brune shared the \"good news\" that China, for example, is making its coal plants more efficient. \"The bad news is that every time China builds a new coal plant, they're locking in that dirty technology for the next 40 years. Here on the west coast, there is lots of disturbing data that we're breathing the pollution that's produced all the way over in China.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>You can listen to the full episode of Forum \u003ca title=\"http://www.kqed.org/a/forum/R201112220900\" href=\"http://www.kqed.org/a/forum/R201112220900\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\n",
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"excerpt": "The E.P.A issued its first ever standards on mercury pollution from coal and oil-burning power plants yesterday, and the topic was the subject of a fervid debate on KQED's Forum this morning.\r\n\r\nJust about the only thing Michael Brune, of the Sierra Club, and Scott Segal, of the Electric Reliability Coordinating Council, could agree on was that mercury is, indeed, a neurotoxin, a poison that causes reproductive and developmental disorders, including lower IQs. But whether the new standards will net the public health and environmental benefits the EPA claims was in dispute.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1634\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Smokestacks_Flickr_SalimVirji_12222011.jpg\">\u003cimg class=\"size-medium wp-image-1634\" title=\"(Salim Virji: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Smokestacks_Flickr_SalimVirji_12222011-300x225.jpg\" alt=\"(Salim Virji: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Salim Virji: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The E.P.A issued its \u003ca title=\"http://yosemite.epa.gov/opa/admpress.nsf/bd4379a92ceceeac8525735900400c27/bd8b3f37edf5716d8525796d005dd086%21OpenDocument\" href=\"http://yosemite.epa.gov/opa/admpress.nsf/bd4379a92ceceeac8525735900400c27/bd8b3f37edf5716d8525796d005dd086%21OpenDocument\" target=\"_blank\">first ever standards\u003c/a> on mercury pollution from coal and oil-burning power plants yesterday, and the topic was the subject of a fervid debate on \u003ca title=\"http://www.kqed.org/a/forum/R201112220900\" href=\"http://www.kqed.org/a/forum/R201112220900\" target=\"_blank\">KQED's Forum\u003c/a> this morning.\u003c/p>\n\u003cp>Just about the only thing Michael Brune, of the \u003ca title=\"http://www.sierraclub.org/\" href=\"http://www.sierraclub.org/\" target=\"_blank\">Sierra Club,\u003c/a> and Scott Segal, of the \u003ca title=\"http://www.electricreliability.org/\" href=\"http://www.electricreliability.org/\" target=\"_blank\">Electric Reliability Coordinating Council\u003c/a>, could agree on was that mercury is, indeed, a neurotoxin, a poison that causes reproductive and developmental disorders, including lower IQs. But whether the new standards will net the public health and environmental benefits the EPA claims was in dispute.\u003c/p>\n\u003cp>The EPA's new standards seek to reduce not just mercury but also other \u003cspan style=\"font-family: Arial\">toxic air pollutants such as arsenic, acid gas, nickel, selenium, and cyanide. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-family: Arial\">\u003c!--more-->In a statement, the EPA reported \"the new safeguards will prevent as many as 11,000 premature deaths and 4,700 heart attacks a year. The standards will also help America’s children grow up healthier – preventing 130,000 cases of childhood asthma symptoms and about 6,300 fewer cases of acute bronchitis among children each year.\"\u003c/span>\u003c/p>\n\u003cp>On \u003cem>Forum\u003c/em> this morning Segal argued these public health pluses aren't coming from mercury reductions. Instead they're the result of \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/01/clearing-the-air-on-air-pollution-and-smog/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/01/clearing-the-air-on-air-pollution-and-smog/\" target=\"_blank\">co-benefits\u003c/a> detailed on State of Health last month. The public health improvements, Segal said, come from getting \u003ca title=\"http://www.epa.gov/pm/\" href=\"http://www.epa.gov/pm/\" target=\"_blank\">particulate matter\u003c/a>, otherwise known as soot, out of the air. And that's already happening, he insisted.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Our argument,\" Segal said, \"is other parts of the \u003ca title=\"http://www.epa.gov/air/caa/\" href=\"http://www.epa.gov/air/caa/\" target=\"_blank\">Clean Air Act \u003c/a>that are purposely targeted and designed to reduce particulate matter are doing so to levels fully protective of human health and the environment, including for susceptible populations like children, the elderly and asthmatics.\"\u003c/p>\n\u003cp>Brune was unfazed. \"I'm surprised that we're actually arguing about this rule,\" he said. \"This is a rule that will reduce by 90 percent the amount of mercury in the environment, a potent neurotoxin which means it's a brain poison. ... It will also reduce the amount of arsenic, dioxins, acid gases in the atmosphere. For every dollar of cost, we're getting a least nine dollars in benefits, and that's only measuring the amount of benefits from reduced soot.\"\u003c/p>\n\u003cp>But at what total cost, Segal wanted to know. \"No one doubts the fact that mercury is a neurotoxin, it absolutely is.\" (Ah, the point of agreement.) \"The question is whether this rule produces tangible benefits in this area,\" Segal said. \"The rule costs about $10 billion. Of the $10 billion, the EPA admits the amount of benefit to be achieved by reducing the amount of mercury that would be achieved by this rule could be as low as $500,000.\"\u003c/p>\n\u003cp>The new rule could still be blocked by Congress or the courts, but if it goes forward, the EPA says the mercury standard, in combination with the final \u003ca title=\"http://www.epa.gov/airtransport/\" href=\"http://www.epa.gov/airtransport/\" target=\"_blank\">Cross-State Air Pollution Rule\u003c/a> which was issued earlier this year, are \"the most significant steps to clean up pollution from power plant smokestacks since the \u003ca title=\"http://www.epa.gov/airmarkets/progsregs/arp/\" href=\"http://www.epa.gov/airmarkets/progsregs/arp/\" target=\"_blank\">Acid Rain Program \u003c/a>of the 1990s.\"\u003c/p>\n\u003cp>No matter how you feel about the new mercury standards and coal-fired power plants, the EPA's reach obviously extends only to the edges of this country. Near the end of Forum, a caller pointed out that air pollution is a global issue. Brune shared the \"good news\" that China, for example, is making its coal plants more efficient. \"The bad news is that every time China builds a new coal plant, they're locking in that dirty technology for the next 40 years. Here on the west coast, there is lots of disturbing data that we're breathing the pollution that's produced all the way over in China.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>You can listen to the full episode of Forum \u003ca title=\"http://www.kqed.org/a/forum/R201112220900\" href=\"http://www.kqed.org/a/forum/R201112220900\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Are California's Mental Health Hospitals Hazardous Work Environments?",
"title": "Are California's Mental Health Hospitals Hazardous Work Environments?",
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"content": "\u003cfigure id=\"attachment_1538\" class=\"wp-caption alignleft\" style=\"max-width: 240px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/NapaStateHospital_LisleBoomer_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-1538 \" title=\"Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/NapaStateHospital_LisleBoomer_Flickr-300x224.jpg\" alt=\"Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr)\" width=\"240\" height=\"179\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr) \u003ccite>(Lisle Boomer via Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>NPR's Ina Jaffe has filed a \u003ca title=\"http://www.npr.org/series/135540070/violence-at-californias-psychiatric-hospitals\" href=\"http://www.npr.org/series/135540070/violence-at-californias-psychiatric-hospitals\" target=\"_blank\">series of reports\u003c/a> this year about violence in California's psychiatric hospitals. The spark was the October 2010 murder of a health care worker at Napa State Hospital, allegedly by a psychiatric patient with a violent history.\u003c/p>\n\u003cp>Today, Jaffe reports that \"thousands of violent incidents occur every year\" at the state's mental hospitals, but few are treated as crimes.\u003c/p>\n\u003cblockquote>\u003cp>Violence in California's psychiatric hospitals has been increasing, partly because the kind of patients treated at the hospitals has changed. Generally, people with mental illness aren't especially dangerous. But these days, about 90 percent of the patients in California's mental hospitals are committed by the criminal justice system. They've been found not guilty by reason of insanity, for example, or incompetent to stand trial.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Jaffe further reports that the increase in violence came after a Justice Department imposed treatment plan in 2006-2007 following \"horrifying\" cases of abuse and neglect. Treatment improved, but the violence got worse. The Justice Department imposed similar plans on other hospitals around the country, but oddly only in California do the hospitals affected but Justice Department action treat patients who have committed serious crimes.\u003c/p>\n\u003cblockquote>\u003cp>The state Legislature has been holding hearings on this issue. Psychiatrist Mona Mosk told lawmakers she was attacked by a patient who was sent to her hospital from a penitentiary \"because that person was so dangerous, they couldn't be managed effectively in prison.\"\u003c/p>\n\u003cp>\u003cstrong>Arrests Rare After Assaults\u003c/strong>\u003c/p>\n\u003cp>Mosk has been working at \u003ca href=\"http://www.dmh.ca.gov/services_and_programs/state_hospitals/patton/default.asp\">Patton State Hospital\u003c/a> near San Bernardino, Calif., for more than 10 years. She explained that expectations for personal safety and accountability are completely different in the hospital than they are on the street.\u003c/p>\n\u003cp>\"If anyone came up to you on the street and clocked you in the face, I'm pretty sure they would be arrested,\" Mosk told lawmakers. But she said that at the hospitals, \"arrest is something that happens very rarely, although assaults occur almost on a daily basis.\u003c/p>\u003c/blockquote>\n\u003cp>Read the rest of Jaffe's report \u003ca title=\"http://www.npr.org/2011/12/20/143785211/in-calif-mental-hospitals-assaults-rarely-a-crime\" href=\"http://www.npr.org/2011/12/20/143785211/in-calif-mental-hospitals-assaults-rarely-a-crime\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "NPR's Ina Jaffe has filed a series of reports this year about violence in California's psychiatric hospitals. The spark was the October 2010 murder of a health care worker at Napa State Hospital, allegedly by a psychiatric patient with a violent history.\r\n\r\nToday, Jaffe reports that \"thousands of violent incidents occur every year\" at the state's mental hospitals, but few are treated as crimes.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1538\" class=\"wp-caption alignleft\" style=\"max-width: 240px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/NapaStateHospital_LisleBoomer_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-1538 \" title=\"Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/NapaStateHospital_LisleBoomer_Flickr-300x224.jpg\" alt=\"Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr)\" width=\"240\" height=\"179\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr) \u003ccite>(Lisle Boomer via Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>NPR's Ina Jaffe has filed a \u003ca title=\"http://www.npr.org/series/135540070/violence-at-californias-psychiatric-hospitals\" href=\"http://www.npr.org/series/135540070/violence-at-californias-psychiatric-hospitals\" target=\"_blank\">series of reports\u003c/a> this year about violence in California's psychiatric hospitals. The spark was the October 2010 murder of a health care worker at Napa State Hospital, allegedly by a psychiatric patient with a violent history.\u003c/p>\n\u003cp>Today, Jaffe reports that \"thousands of violent incidents occur every year\" at the state's mental hospitals, but few are treated as crimes.\u003c/p>\n\u003cblockquote>\u003cp>Violence in California's psychiatric hospitals has been increasing, partly because the kind of patients treated at the hospitals has changed. Generally, people with mental illness aren't especially dangerous. But these days, about 90 percent of the patients in California's mental hospitals are committed by the criminal justice system. They've been found not guilty by reason of insanity, for example, or incompetent to stand trial.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Jaffe further reports that the increase in violence came after a Justice Department imposed treatment plan in 2006-2007 following \"horrifying\" cases of abuse and neglect. Treatment improved, but the violence got worse. The Justice Department imposed similar plans on other hospitals around the country, but oddly only in California do the hospitals affected but Justice Department action treat patients who have committed serious crimes.\u003c/p>\n\u003cblockquote>\u003cp>The state Legislature has been holding hearings on this issue. Psychiatrist Mona Mosk told lawmakers she was attacked by a patient who was sent to her hospital from a penitentiary \"because that person was so dangerous, they couldn't be managed effectively in prison.\"\u003c/p>\n\u003cp>\u003cstrong>Arrests Rare After Assaults\u003c/strong>\u003c/p>\n\u003cp>Mosk has been working at \u003ca href=\"http://www.dmh.ca.gov/services_and_programs/state_hospitals/patton/default.asp\">Patton State Hospital\u003c/a> near San Bernardino, Calif., for more than 10 years. She explained that expectations for personal safety and accountability are completely different in the hospital than they are on the street.\u003c/p>\n\u003cp>\"If anyone came up to you on the street and clocked you in the face, I'm pretty sure they would be arrested,\" Mosk told lawmakers. But she said that at the hospitals, \"arrest is something that happens very rarely, although assaults occur almost on a daily basis.\u003c/p>\u003c/blockquote>\n\u003cp>Read the rest of Jaffe's report \u003ca title=\"http://www.npr.org/2011/12/20/143785211/in-calif-mental-hospitals-assaults-rarely-a-crime\" href=\"http://www.npr.org/2011/12/20/143785211/in-calif-mental-hospitals-assaults-rarely-a-crime\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_1463\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabySleeping_Flickr_MeganMyers.jpg\">\u003cimg class=\"size-medium wp-image-1463\" title=\"(Flickr: Megan Myers)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabySleeping_Flickr_MeganMyers-300x199.jpg\" alt=\"(Flickr: Megan Myers)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Flickr: Megan Myers)\u003c/figcaption>\u003c/figure>\n\u003cp>A children's advocacy group in Santa Clara County has launched a campaign to discourage parents from sleeping in bed with their infants. As the \u003ca title=\"http://www.mercurynews.com/health/ci_19556235\" href=\"http://www.mercurynews.com/health/ci_19556235\" target=\"_blank\">San Jose Mercury News reports\u003c/a>, advocates say bed sharing is not just dangerous, but can be lethal. The Mercury News cites statistics showing 20 babies in Santa Clara County have died since 2005 due to \"unsafe sleeping practices.\" But critics argue that bed sharing can be safe, under the right circumstances.\u003c/p>\n\u003cp>Yesterday's press conference from \u003ca title=\"http://www.first5kids.org/\" href=\"http://www.first5kids.org/\" target=\"_blank\">First Five Santa Clara County\u003c/a> included the emotional story of Karma Sunshine King, the mother of an infant who died while sleeping in bed with her.\u003c/p>\n\u003cblockquote>\u003cp>The 33-year-old Santa Clara mother said she crawled into her bed last November with her 3-month-old son, Cash, and when she woke up, \"my son did not wake up with me.\"\u003c/p>\n\u003cp>\"That was the worst day of my life,\" King said. \"It changed me forever.\"\u003c/p>\n\u003cp>King said she grew up in a Filipino family where bed sharing is the norm.\u003c/p>\n\u003cp>That's until Cash died, and Dr. Michelle Jorden, a county medical examiner, came to her home and conducted a baby death re-enactment with her.\u003c/p>\n\u003cp>Jorden strongly argues against bed sharing because children can have blankets and pillows accidentally placed on their faces.\u003c/p>\u003c/blockquote>\n\u003cp>But critics say each case must be looked at in detail.\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>James McKenna, who heads the\u003ca title=\"http://cosleeping.nd.edu/\" href=\"http://cosleeping.nd.edu/\" target=\"_blank\"> Mother-Baby Behavioral Sleep Lab at the University of Notre Dame\u003c/a>, called the statistics \"a fraud.\"\u003c/p>\n\u003cp>\"There's no proof here that all bed sharing is unsafe,\" McKenna said. \"It matters how you sleep with your baby.\"\u003c/p>\n\u003cp>When told the circumstances of Cash's death, he said other factors surrounding the bed sharing made a dangerous environment for Cash.\u003c/p>\n\u003cp>For example, King admitted to drinking at Santana Row in San Jose the night before Cash died. She also smoked, bottle fed her baby and kept her bed full of pillows and a fluffy comforter. All of those factors, McKenna said, have to be accounted for, because they can cause an infant's death.\u003c/p>\n\u003cp>The two sides do agree on one piece of advice: Babies should be put to bed safely, on their backs without blankets and pillows to potentially suffocate them.\u003c/p>\n\u003cp>McKenna added he does not support bedsharing for all parents: Parents who are severely overweight, who smoke and who bottle feed should not sleep with their babies because their physiological responses are not as alert.\u003c/p>\u003c/blockquote>\n\u003cp>The American Academy of Pediatrics has for years recommended\u003ca title=\"http://www.healthychildren.org/English/ages-stages/baby/sleep/pages/A-Parents-Guide-to-Safe-Sleep.aspx\" href=\"http://www.healthychildren.org/English/ages-stages/baby/sleep/pages/A-Parents-Guide-to-Safe-Sleep.aspx\" target=\"_blank\"> putting babies to sleep on their backs. \u003c/a>In addition, the organization says babies, ideally, should sleep in the same room as their parents, but on a separate sleeping surface. Even Attachment Parenting International, an advocacy group promoting emotional bonds between parents and children, is careful to distinguish between \u003ca title=\"http://www.attachmentparenting.org/principles/night.php\" href=\"http://www.attachmentparenting.org/principles/night.php\" target=\"_blank\">room sharing and bed sharing for infants\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "A children's advocacy group in Santa Clara County has launched a campaign to discourage parents from sleeping in bed with their infants. As the San Jose Mercury News reports, advocates say bed sharing is not just dangerous, but can be lethal. The Mercury News cites statistics showing 20 babies in Santa Clara County have died since 2005 due to \"unsafe sleeping practices.\" But critics argue that bed sharing can be safe, under the right circumstances.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1463\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabySleeping_Flickr_MeganMyers.jpg\">\u003cimg class=\"size-medium wp-image-1463\" title=\"(Flickr: Megan Myers)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabySleeping_Flickr_MeganMyers-300x199.jpg\" alt=\"(Flickr: Megan Myers)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Flickr: Megan Myers)\u003c/figcaption>\u003c/figure>\n\u003cp>A children's advocacy group in Santa Clara County has launched a campaign to discourage parents from sleeping in bed with their infants. As the \u003ca title=\"http://www.mercurynews.com/health/ci_19556235\" href=\"http://www.mercurynews.com/health/ci_19556235\" target=\"_blank\">San Jose Mercury News reports\u003c/a>, advocates say bed sharing is not just dangerous, but can be lethal. The Mercury News cites statistics showing 20 babies in Santa Clara County have died since 2005 due to \"unsafe sleeping practices.\" But critics argue that bed sharing can be safe, under the right circumstances.\u003c/p>\n\u003cp>Yesterday's press conference from \u003ca title=\"http://www.first5kids.org/\" href=\"http://www.first5kids.org/\" target=\"_blank\">First Five Santa Clara County\u003c/a> included the emotional story of Karma Sunshine King, the mother of an infant who died while sleeping in bed with her.\u003c/p>\n\u003cblockquote>\u003cp>The 33-year-old Santa Clara mother said she crawled into her bed last November with her 3-month-old son, Cash, and when she woke up, \"my son did not wake up with me.\"\u003c/p>\n\u003cp>\"That was the worst day of my life,\" King said. \"It changed me forever.\"\u003c/p>\n\u003cp>King said she grew up in a Filipino family where bed sharing is the norm.\u003c/p>\n\u003cp>That's until Cash died, and Dr. Michelle Jorden, a county medical examiner, came to her home and conducted a baby death re-enactment with her.\u003c/p>\n\u003cp>Jorden strongly argues against bed sharing because children can have blankets and pillows accidentally placed on their faces.\u003c/p>\u003c/blockquote>\n\u003cp>But critics say each case must be looked at in detail.\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>James McKenna, who heads the\u003ca title=\"http://cosleeping.nd.edu/\" href=\"http://cosleeping.nd.edu/\" target=\"_blank\"> Mother-Baby Behavioral Sleep Lab at the University of Notre Dame\u003c/a>, called the statistics \"a fraud.\"\u003c/p>\n\u003cp>\"There's no proof here that all bed sharing is unsafe,\" McKenna said. \"It matters how you sleep with your baby.\"\u003c/p>\n\u003cp>When told the circumstances of Cash's death, he said other factors surrounding the bed sharing made a dangerous environment for Cash.\u003c/p>\n\u003cp>For example, King admitted to drinking at Santana Row in San Jose the night before Cash died. She also smoked, bottle fed her baby and kept her bed full of pillows and a fluffy comforter. All of those factors, McKenna said, have to be accounted for, because they can cause an infant's death.\u003c/p>\n\u003cp>The two sides do agree on one piece of advice: Babies should be put to bed safely, on their backs without blankets and pillows to potentially suffocate them.\u003c/p>\n\u003cp>McKenna added he does not support bedsharing for all parents: Parents who are severely overweight, who smoke and who bottle feed should not sleep with their babies because their physiological responses are not as alert.\u003c/p>\u003c/blockquote>\n\u003cp>The American Academy of Pediatrics has for years recommended\u003ca title=\"http://www.healthychildren.org/English/ages-stages/baby/sleep/pages/A-Parents-Guide-to-Safe-Sleep.aspx\" href=\"http://www.healthychildren.org/English/ages-stages/baby/sleep/pages/A-Parents-Guide-to-Safe-Sleep.aspx\" target=\"_blank\"> putting babies to sleep on their backs. \u003c/a>In addition, the organization says babies, ideally, should sleep in the same room as their parents, but on a separate sleeping surface. Even Attachment Parenting International, an advocacy group promoting emotional bonds between parents and children, is careful to distinguish between \u003ca title=\"http://www.attachmentparenting.org/principles/night.php\" href=\"http://www.attachmentparenting.org/principles/night.php\" target=\"_blank\">room sharing and bed sharing for infants\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Building Houses Near Transit Is Good; But What About Air Pollution?",
"title": "Building Houses Near Transit Is Good; But What About Air Pollution?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_1392\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/LosAngelesTraffic_OrdinaryGrace_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-1392\" title=\"(Ordinary Grace: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/LosAngelesTraffic_OrdinaryGrace_Flickr-300x200.jpg\" alt=\"(Ordinary Grace: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ordinary Grace: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California has embarked on a landmark effort to reduce greenhouse gasses. As part of that work, local jurisdictions are busy spotlighting zones for housing infill and transit-oriented development. Infill sounds good, right? Let's avoid further suburban sprawl and direct people to mass transit, reducing greenhouse gasses.\u003c/p>\n\u003cp>Not so fast.\u003c/p>\n\u003cp>Here's the problem: the state Air Resources Board has evaluated air pollution risk and identified swaths of urban areas that create public health hazards because of diesel truck traffic or other pollution.\u003c/p>\n\u003cp>Call it the irony of unintended consequences. The housing development areas overlap with the communities with high air pollution in too many places in the Bay Area. It looks like we're on a road to reduce greenhouse gases while increasing public health risks.\u003c/p>\n\u003cp>That's where a \u003ca title=\"http://pacinst.org/reports/crossroads_for_health/report_without_maps.pdf\" href=\"http://pacinst.org/reports/crossroads_for_health/report_without_maps.pdf\" target=\"_blank\">study today \u003c/a>from the \u003ca title=\"http://pacinst.org/\" href=\"http://pacinst.org/\" target=\"_blank\">Pacific Institute\u003c/a> is critically important. It has lots of colorful maps and detailed information that provide tools to cities and counties to consider when planning new housing.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Here's a starting point in San Francisco County. The blue priority development area is almost completely encircled by an area the Air Resources Board says has health risk from toxic air pollution.\u003c/p>\n\u003cfigure id=\"attachment_1385\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/San-Francisco-Priority-Dev-Area-with-CARE1.png\">\u003cimg class=\"size-large wp-image-1385 \" title='San Francisco map shows \"Priority Development Area\" located almost completely inside an area of concur to the state Air Resources Board. (Map: Pacific Institute)' src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/San-Francisco-Priority-Dev-Area-with-CARE1-620x408.png\" alt='San Francisco map shows \"Priority Development Area\" located almost completely inside an area of concur to the state Air Resources Board. (Map: Pacific Institute)' width=\"620\" height=\"408\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco map shows \"Priority Development Area\" located almost completely inside an area of concur to the state Air Resources Board. (Map: Pacific Institute)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->Major highways run right through the bright blue area where local planners say more housing development would be good. Would you want to live next to a freeway?\u003c/p>\n\u003cp>But the Pacific Institute report looked at recommendations for a buffer zone around highways, especially those that carry pollution-spewing big rigs. By adding these buffer zones, public health concerns can be greatly reduced.\u003c/p>\n\u003cp>Here's another map, showing a 500 foot buffer zone:\u003c/p>\n\u003cfigure id=\"attachment_1381\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Screen-Shot-2011-12-14-at-4.36.04-PM.png\">\u003cimg class=\"size-large wp-image-1381\" title=\"San Francisco map showing 500 foot buffer zone around freeways. (Map: Pacific Institute)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Screen-Shot-2011-12-14-at-4.36.04-PM-620x421.png\" alt=\"San Francisco map showing 500 foot buffer zone around freeways. (Map: Pacific Institute)\" width=\"620\" height=\"421\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco map showing 500 foot buffer zone around freeways. (Map: Pacific Institute)\u003c/figcaption>\u003c/figure>\n\u003cp>By inserting these buffer zones around freeways and other so-called freight transit hazards, the Pacific Institute report says, 74% of the land in these locally identified priority development areas is far enough away from pollution hazards for new housing to be safe, from a public health perspective.\u003c/p>\n\u003cp>\u003ca title=\"http://www.pacinst.org/about_us/staff_board/garzon/index.htm\" href=\"http://www.pacinst.org/about_us/staff_board/garzon/index.htm\" target=\"_blank\">Catalina Garzon\u003c/a>, program director of the Pacific Institute, is co-author of the study. \"What we're hoping is that regional agencies that are currently developing a plan for meeting greenhouse gas requirements as part of state climate policy will include protections for health in decisions about siting land use in the region.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Pacific Institute also has maps for \u003ca title=\"http://pacinst.org/reports/crossroads_for_health/AL_FWY500.pdf\" href=\"http://pacinst.org/reports/crossroads_for_health/AL_FWY500.pdf\">Alameda County\u003c/a>, \u003ca title=\"http://pacinst.org/reports/crossroads_for_health/CCE_FWY500.pdf\" href=\"http://pacinst.org/reports/crossroads_for_health/CCE_FWY500.pdf\" target=\"_blank\">East Contra Costa County\u003c/a>, \u003ca title=\"http://pacinst.org/reports/crossroads_for_health/CCW_FWY500.pdf\" href=\"http://pacinst.org/reports/crossroads_for_health/CCW_FWY500.pdf\" target=\"_blank\">West Contra Costa County\u003c/a>, \u003ca title=\"http://pacinst.org/reports/crossroads_for_health/AL_FWY500.pdf\" href=\"http://pacinst.org/reports/crossroads_for_health/AL_FWY500.pdf\" target=\"_blank\">San Mateo County\u003c/a>, and \u003ca title=\"http://pacinst.org/reports/crossroads_for_health/SC_RAIL1000.pdf\" href=\"http://pacinst.org/reports/crossroads_for_health/SC_RAIL1000.pdf\" target=\"_blank\">Santa Clara County\u003c/a>. [All maps are PDF].\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Here's a starting point in San Francisco County. The blue priority development area is almost completely encircled by an area the Air Resources Board says has health risk from toxic air pollution.\u003c/p>\n\u003cfigure id=\"attachment_1385\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/San-Francisco-Priority-Dev-Area-with-CARE1.png\">\u003cimg class=\"size-large wp-image-1385 \" title='San Francisco map shows \"Priority Development Area\" located almost completely inside an area of concur to the state Air Resources Board. (Map: Pacific Institute)' src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/San-Francisco-Priority-Dev-Area-with-CARE1-620x408.png\" alt='San Francisco map shows \"Priority Development Area\" located almost completely inside an area of concur to the state Air Resources Board. (Map: Pacific Institute)' width=\"620\" height=\"408\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco map shows \"Priority Development Area\" located almost completely inside an area of concur to the state Air Resources Board. (Map: Pacific Institute)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->Major highways run right through the bright blue area where local planners say more housing development would be good. Would you want to live next to a freeway?\u003c/p>\n\u003cp>But the Pacific Institute report looked at recommendations for a buffer zone around highways, especially those that carry pollution-spewing big rigs. By adding these buffer zones, public health concerns can be greatly reduced.\u003c/p>\n\u003cp>Here's another map, showing a 500 foot buffer zone:\u003c/p>\n\u003cfigure id=\"attachment_1381\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Screen-Shot-2011-12-14-at-4.36.04-PM.png\">\u003cimg class=\"size-large wp-image-1381\" title=\"San Francisco map showing 500 foot buffer zone around freeways. (Map: Pacific Institute)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Screen-Shot-2011-12-14-at-4.36.04-PM-620x421.png\" alt=\"San Francisco map showing 500 foot buffer zone around freeways. (Map: Pacific Institute)\" width=\"620\" height=\"421\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco map showing 500 foot buffer zone around freeways. (Map: Pacific Institute)\u003c/figcaption>\u003c/figure>\n\u003cp>By inserting these buffer zones around freeways and other so-called freight transit hazards, the Pacific Institute report says, 74% of the land in these locally identified priority development areas is far enough away from pollution hazards for new housing to be safe, from a public health perspective.\u003c/p>\n\u003cp>\u003ca title=\"http://www.pacinst.org/about_us/staff_board/garzon/index.htm\" href=\"http://www.pacinst.org/about_us/staff_board/garzon/index.htm\" target=\"_blank\">Catalina Garzon\u003c/a>, program director of the Pacific Institute, is co-author of the study. \"What we're hoping is that regional agencies that are currently developing a plan for meeting greenhouse gas requirements as part of state climate policy will include protections for health in decisions about siting land use in the region.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Pacific Institute also has maps for \u003ca title=\"http://pacinst.org/reports/crossroads_for_health/AL_FWY500.pdf\" href=\"http://pacinst.org/reports/crossroads_for_health/AL_FWY500.pdf\">Alameda County\u003c/a>, \u003ca title=\"http://pacinst.org/reports/crossroads_for_health/CCE_FWY500.pdf\" href=\"http://pacinst.org/reports/crossroads_for_health/CCE_FWY500.pdf\" target=\"_blank\">East Contra Costa County\u003c/a>, \u003ca title=\"http://pacinst.org/reports/crossroads_for_health/CCW_FWY500.pdf\" href=\"http://pacinst.org/reports/crossroads_for_health/CCW_FWY500.pdf\" target=\"_blank\">West Contra Costa County\u003c/a>, \u003ca title=\"http://pacinst.org/reports/crossroads_for_health/AL_FWY500.pdf\" href=\"http://pacinst.org/reports/crossroads_for_health/AL_FWY500.pdf\" target=\"_blank\">San Mateo County\u003c/a>, and \u003ca title=\"http://pacinst.org/reports/crossroads_for_health/SC_RAIL1000.pdf\" href=\"http://pacinst.org/reports/crossroads_for_health/SC_RAIL1000.pdf\" target=\"_blank\">Santa Clara County\u003c/a>. [All maps are PDF].\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_1235\" class=\"wp-caption alignleft\" style=\"max-width: 200px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Vietnamese-MONICA-M.-DAVEY-AFP-Getty-Images.jpg\">\u003cimg class=\"size-medium wp-image-1235\" title=\"Vietnamese-MONICA M. DAVEY-AFP-Getty Images\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Vietnamese-MONICA-M.-DAVEY-AFP-Getty-Images-300x449.jpg\" alt=\"More than 130,000 Vietnamese have relocated to Santa Clara County since the end of the Vietnam War.\" width=\"200\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Over 130,000 Vietnamese people relocated to Santa Clara County since the end of the Vietnam War. (Photo: Monica M. DaveyAFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The first wave of Vietnamese refugees came to the San Jose area in the 1980s, after the fall of Saigon. Now San Jose has the largest Vietnamese population of any city in the country. Santa Clara County is also second largest of any county in the U.S., after Orange County.\u003c/p>\n\u003cp>Today, Santa Clara released its first-ever Vietnamese health assessment to get a better understanding of this growing population's health needs.\u003c/p>\n\u003cp>Health Officer Martin Fenstersheib says Santa Clara County didn't have a good understanding of what the health needs of its Vietnamese community were prior to this report.\u003c/p>\n\u003cp>\"We had a great interest in doing this because we tend to lump all of our statistics together, especially in the Asian, Pacific Island community. So things are reported that way also.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">Vietnamese adults have the highest mortality rates for liver cancer, more than four times higher than other county residents.\u003c/aside>\n\u003cp>Three top health concerns are highlighted in the report: access to health care and health insurance, stigma related to getting mental health services, and cancer -- particularly liver cancer related to Hepatitis B. Fenstersheib says the report recommends creating a task force to focus on reducing these health disparities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->\u003cstrong>Health Access and Insurance\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong>More than one in four Vietnamese residents in Santa Clara County doesn't have health insurance. That's lower than for the county as a whole, and lower than any other Asian or Pacific Islander group, says Fenstersheib.\u003c/p>\n\u003cp>Those who \u003cem>do\u003c/em> have health insurance may not be utilizing it. Community leaders say their Vietnamese patients tend to view health care as necessary only when they're sick. That means no preventive care. Thinh Nguyen, a Vietnamese doctor in San Jose and a contributor to the report, wrote that self-diagnosing is very common. Nguyen adds that in Vietnam, medicine is available over the counter, not by prescription. In addition, may people prefer to use herbal and traditional medicines.\u003c/p>\n\u003cp>But the biggest barrier to accessing health care is cost. Twenty-four percent reported not getting medical care in the past year because it was too expensive.\u003c/p>\n\u003cp>The report highlighted a need for a centralized location in Santa Clara County for Vietnamese residents to get information about healthcare coverage.\u003c/p>\n\u003cp>\u003cstrong>Liver Cancer\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Though Vietnamese adults have a lower cancer rate than other racial and ethnic groups in Santa Clara County, cancer is still one of the leading causes of death. Vietnamese adults have the highest mortality rates for liver cancer, more than four times higher than other county residents.\u003c/p>\n\u003cp>A major cause of liver cancer is Hepatitis B. More than half of Vietnamese young adults in the county reported being positive for Hepatitis B. Fenstersheib says Santa Clara County is already well aware that this population is highly at risk for Hepatitis B, pointing to the ongoing work with \u003ca href=\"http://hepbfree.wordpress.com/about/\" target=\"_blank\">Hepatitis B Free\u003c/a> campaign in the Bay Area. But he says it's a matter of doing even more screening and outreach.\u003c/p>\n\u003cp>\"That means we have to educate the general community, but it also means we have to educate the provider community that see the Vietnamese population so that they understand who is at highest risk.\"\u003c/p>\n\u003cp>\u003cstrong>Mental Health Stigmas\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Because people with mental health issues are often stigmatized in the Vietnamese community, many don't seek therapy. Fenstersheib says the community is less sympathetic to people with mental health problems. And if they do talk about it, it's usually not with a therapist.\u003c/p>\n\u003cp>\"It's something that's just spoken about in the immediate family - if at all. People are not as trusting to talking to anybody on the outside.\"\u003c/p>\n\u003cp>Fenstersheib says Vietnamese refugees are affected by mental health problems ranging from Post Traumatic Stress Disorder to isolation and depression. He says outreach needs to be done to communicate that mental health problems are also diseases, and those affected need to be treated -- just like any other disease.\u003c/p>\n\u003cp>\"Just given the history of where they come from and what they've gone through during their decades of immigration and the war, there is certainly a lot of reasons for people to affected by emotional stress and trauma.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The report recommends creating a group of Vietnamese patient advocates who have a history of mental health problems to share their experiences with other Vietnamese resident in hopes of reducing the stigma.\u003c/p>\n\n",
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"excerpt": "The first wave of Vietnamese refugees came to the San Jose area in the 1980s, after the fall of Saigon. Now San Jose has the largest Vietnamese population of any city in the country. Santa Clara County is also second largest of any county in the U.S., after Orange County.\r\n\r\nToday, Santa Clara released its first-ever Vietnamese health assessment to get a better understanding of this growing population's health needs.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1235\" class=\"wp-caption alignleft\" style=\"max-width: 200px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Vietnamese-MONICA-M.-DAVEY-AFP-Getty-Images.jpg\">\u003cimg class=\"size-medium wp-image-1235\" title=\"Vietnamese-MONICA M. DAVEY-AFP-Getty Images\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Vietnamese-MONICA-M.-DAVEY-AFP-Getty-Images-300x449.jpg\" alt=\"More than 130,000 Vietnamese have relocated to Santa Clara County since the end of the Vietnam War.\" width=\"200\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Over 130,000 Vietnamese people relocated to Santa Clara County since the end of the Vietnam War. (Photo: Monica M. DaveyAFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The first wave of Vietnamese refugees came to the San Jose area in the 1980s, after the fall of Saigon. Now San Jose has the largest Vietnamese population of any city in the country. Santa Clara County is also second largest of any county in the U.S., after Orange County.\u003c/p>\n\u003cp>Today, Santa Clara released its first-ever Vietnamese health assessment to get a better understanding of this growing population's health needs.\u003c/p>\n\u003cp>Health Officer Martin Fenstersheib says Santa Clara County didn't have a good understanding of what the health needs of its Vietnamese community were prior to this report.\u003c/p>\n\u003cp>\"We had a great interest in doing this because we tend to lump all of our statistics together, especially in the Asian, Pacific Island community. So things are reported that way also.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">Vietnamese adults have the highest mortality rates for liver cancer, more than four times higher than other county residents.\u003c/aside>\n\u003cp>Three top health concerns are highlighted in the report: access to health care and health insurance, stigma related to getting mental health services, and cancer -- particularly liver cancer related to Hepatitis B. Fenstersheib says the report recommends creating a task force to focus on reducing these health disparities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->\u003cstrong>Health Access and Insurance\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong>More than one in four Vietnamese residents in Santa Clara County doesn't have health insurance. That's lower than for the county as a whole, and lower than any other Asian or Pacific Islander group, says Fenstersheib.\u003c/p>\n\u003cp>Those who \u003cem>do\u003c/em> have health insurance may not be utilizing it. Community leaders say their Vietnamese patients tend to view health care as necessary only when they're sick. That means no preventive care. Thinh Nguyen, a Vietnamese doctor in San Jose and a contributor to the report, wrote that self-diagnosing is very common. Nguyen adds that in Vietnam, medicine is available over the counter, not by prescription. In addition, may people prefer to use herbal and traditional medicines.\u003c/p>\n\u003cp>But the biggest barrier to accessing health care is cost. Twenty-four percent reported not getting medical care in the past year because it was too expensive.\u003c/p>\n\u003cp>The report highlighted a need for a centralized location in Santa Clara County for Vietnamese residents to get information about healthcare coverage.\u003c/p>\n\u003cp>\u003cstrong>Liver Cancer\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Though Vietnamese adults have a lower cancer rate than other racial and ethnic groups in Santa Clara County, cancer is still one of the leading causes of death. Vietnamese adults have the highest mortality rates for liver cancer, more than four times higher than other county residents.\u003c/p>\n\u003cp>A major cause of liver cancer is Hepatitis B. More than half of Vietnamese young adults in the county reported being positive for Hepatitis B. Fenstersheib says Santa Clara County is already well aware that this population is highly at risk for Hepatitis B, pointing to the ongoing work with \u003ca href=\"http://hepbfree.wordpress.com/about/\" target=\"_blank\">Hepatitis B Free\u003c/a> campaign in the Bay Area. But he says it's a matter of doing even more screening and outreach.\u003c/p>\n\u003cp>\"That means we have to educate the general community, but it also means we have to educate the provider community that see the Vietnamese population so that they understand who is at highest risk.\"\u003c/p>\n\u003cp>\u003cstrong>Mental Health Stigmas\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Because people with mental health issues are often stigmatized in the Vietnamese community, many don't seek therapy. Fenstersheib says the community is less sympathetic to people with mental health problems. And if they do talk about it, it's usually not with a therapist.\u003c/p>\n\u003cp>\"It's something that's just spoken about in the immediate family - if at all. People are not as trusting to talking to anybody on the outside.\"\u003c/p>\n\u003cp>Fenstersheib says Vietnamese refugees are affected by mental health problems ranging from Post Traumatic Stress Disorder to isolation and depression. He says outreach needs to be done to communicate that mental health problems are also diseases, and those affected need to be treated -- just like any other disease.\u003c/p>\n\u003cp>\"Just given the history of where they come from and what they've gone through during their decades of immigration and the war, there is certainly a lot of reasons for people to affected by emotional stress and trauma.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The report recommends creating a group of Vietnamese patient advocates who have a history of mental health problems to share their experiences with other Vietnamese resident in hopes of reducing the stigma.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_1202\" class=\"wp-caption alignleft\" style=\"max-width: 240px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/UnitedHealthCentersMendota_SamRubio_120520111.jpg\">\u003cimg class=\"size-medium wp-image-1202 \" title=\"Health clinic expansion coming in Mendota. (Photo: Sam Rubio)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/UnitedHealthCentersMendota_SamRubio_120520111-300x225.jpg\" alt=\"Health clinic expansion coming in Mendota. (Photo: Sam Rubio)\" width=\"240\" height=\"180\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Health clinic expansion coming in Mendota. (Photo: Sam Rubio)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>\u003cem>Editor’s Note: KQED produces \u003ca title=\"http://blogs.kqed.org/ourxperience/\" href=\"http://blogs.kqed.org/ourxperience/\" target=\"_blank\">ouRXperience\u003c/a>, a blog from community correspondents, to enrich coverage of health issues across California. The mission of \u003cem>ouRXperience\u003c/em> is to give voice to those Californians whose concerns might otherwise be overlooked.\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>This week \u003cem>ouRXperience\u003c/em> featured posts from three California communities:\u003c/p>\n\u003cul>\n\u003cli>In San Bernardino, Bobbi Albano \u003ca title=\"http://blogs.kqed.org/ourxperience/2011/12/08/san-bernardino-students-make-a-difference-during-the-holidays/\" href=\"http://blogs.kqed.org/ourxperience/2011/12/08/san-bernardino-students-make-a-difference-during-the-holidays/\" target=\"_blank\">profiled Loma Linda University students\u003c/a> who throw a Christmas Fiesta every year for needy children.\u003c/li>\n\u003cli>From Mendota, Sam Rubio wrote about the major expansion at the\u003ca title=\"http://blogs.kqed.org/ourxperience/2011/12/09/mendota-health-clinic-getting-big-expansion/\" href=\"http://blogs.kqed.org/ourxperience/2011/12/09/mendota-health-clinic-getting-big-expansion/\" target=\"_blank\"> local health clinic.\u003c/a>\u003c/li>\n\u003cli>And in Merced, \u003cem>ouRXperience\u003c/em> welcomes new correspondent \u003ca title=\"http://blogs.kqed.org/ourxperience/2011/12/08/health-concerns-for-merceds-hmong-community/\" href=\"http://blogs.kqed.org/ourxperience/2011/12/08/health-concerns-for-merceds-hmong-community/\" target=\"_blank\">Changvang Her\u003c/a>, whose stories will focus on Merced in general and the Hmong community in particular.\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "This week ouRXperience featured posts from three California communities:\r\n\r\nIn San Bernardino, Bobbi Albano profiled Loma Linda University students who throw a Christmas Fiesta every year for needy children.\r\nFrom Mendota, Sam Rubio wrote about the major expansion at the local health clinic.\r\nAnd in Merced, ouRXperience welcomes new correspondent Changvang Her, whose stories will focus on Merced in general and the Hmong community in particular.",
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"disqusTitle": "Could Richmond Be First California City to Tax Soda?",
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"content": "\u003cfigure id=\"attachment_1002\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/SodaOnShelves_Flickr_KarenBlumberg_12072011.jpg\">\u003cimg class=\"size-medium wp-image-1002 \" title=\"Price going up? (Karen Blumberg: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/SodaOnShelves_Flickr_KarenBlumberg_12072011-300x219.jpg\" alt=\"Price going up? (Karen Blumberg: Flickr)\" width=\"300\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Price going up? (Karen Blumberg: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Last night the Richmond City Council voted to let the people decide. The Council instructed staff to prepare a ballot measure for next November to tax sugar-sweetened beverages, what most people call a \"soda tax.\"\u003c/p>\n\u003cp>Richmond voters may have the chance to make their city the first in California, and one of the first in the country, to slap a special tax not just on sodas, but also sports drinks, energy drinks, fruit-flavored drinks and the like. 100 percent fruit juice and diet drinks would not be affected.\u003c/p>\n\u003cp>The goals are twofold. If the drinks cost more, people will drink fewer of them. Plus, taxes generate revenue, which the City Council says it would devote to new sports fields and other health programs. The motivation for the tax is childhood obesity. Wendel Brunner, Public Health Director of the Contra Costa Health Department walked people through the makings of what has become an epidemic.\u003c/p>\n\u003cul>\n\u003cli>32 percent of school children in Richmond are obese\u003c/li>\n\u003cli>24 percent of adults in Richmond are obese\u003c/li>\n\u003cli>11 percent of all deaths in Richmond are linked to obesity--obesity is shortening people's lives by years\u003c/li>\n\u003c/ul>\n\u003cdiv>And, if childhood obesity goes unchecked in Richmond, \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\">Contra Costa Health researchers found\u003c/a>, the percentage of obese adults will almost double from the current 24 percent to 42 percent. \n\u003caside class=\"pullquote alignright\">\"The thing about sugar-sweetened beverages is that the calories are insidious.\" \u003c/aside>\n\u003cp> So, what's the connection to sugar-sweetened beverages? It comes from Brunner's most jaw-dropping number: the average Richmond teenager who drinks sugary beverages every day consumes a whopping 150,000 calories a year--just from these sweetened drinks. That adds up to 20-30 pounds of additional weight over the year. As Brunner reported, it's those sweet drinks that are driving the obesity epidemic. \"The thing about sugar-sweetened beverages is that the calories are insidious,\" he says, \"so you consume a Big Gulp, you don't realize that you've drunk about 350 calories.\" \u003c!--more-->\u003c/p>\n\u003cp>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> agrees. \"As mammals for the last 250 million years,\" Goldstein said, \"we've consumed mother's milk and water. It turns out if you just drink sugar and water, our body doesn't notice it. ... Every time you drink soda, it's like having a little piece of chocolate cake, except if you ate the cake you'd be full, but if you drink the soda you won't be.\" And so you continue to eat. And then gain more weight. \u003c/p>\n\u003cp>Goldstein \u003ca title=\"http://cwh.berkeley.edu/sites/default/files/primary_pdfs/Sweetened_Bevs_Obesity_Epidemic_PHN_2010_0.pdf\" href=\"http://cwh.berkeley.edu/sites/default/files/primary_pdfs/Sweetened_Bevs_Obesity_Epidemic_PHN_2010_0.pdf\" target=\"_blank\">cites a study\u003c/a> from UC Berkeley Center for Weight and Health which looked at average daily caloric consumption from 1977-2001 and found the average American was eating 278 more calories each day and almost half of those calories were from sweetened drinks. \"The results were mind-blowing,\" he said, but added, \"I realize in my adult lifetime, the beverage industry has changed dramatically. It used to be one little glass with ice. If you wanted more, you had to pay more. Every restaurant now provides free refills. What comes out of the vending machine has gone from 12 ounces to 20 ounces.\"\u003c/p>\n\u003cp>Which brings us back to Richmond and the soda tax coming on next year's ballot. People who spoke up at the meeting were divided. Richmond is a multi-ethnic city that suffers from a high crime rate. Many of the people live at or below the federal poverty level. Some people thought the tax would provide much needed funds for children's health programs; others argued the tax was regressive.\u003c/p>\n\u003cp>City Council member Jeff Ritterman was one of the sponsors of the tax proposal. He said this kind of bold move was needed. \"It's sensible to send this to the voters and if voters vote it down, at least we will be able to talk about childhood obesity for many, many months until the election. We'll do something bold right now. Cautious isn't going to get us anywhere. Cautious is going to get us a 42 percent obesity rate.\"\u003c/p>\n\u003cp>The amount of the tax is under consideration but a penny per ounce is being discussed. Final ballot language will be considered in early 2012.\u003c/p>\n\u003cdiv>\u003cstrong>UPDATE: \u003c/strong>\u003cem>This story was corrected to reflect that the Richmond City Council voted to instruct staff to draft ballot language for a soda tax-- as opposed to voting to put the tax on the ballot. The staff will have the language ready for Council consideration and action in the coming months. State of Health will keep you updated.\u003c/em>\u003c/div>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "Last night the Richmond City Council voted to let the people decide. The Council instructed staff to prepare a ballot measure for next November to tax sugar-sweetened beverages, what most people call a \"soda tax.\"\r\n\r\nRichmond voters may have the chance to make their city the first in California, and one of the first in the country, to slap a special tax not just on sodas, but also sports drinks, energy drinks, fruit-flavored drinks and the like",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1002\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/SodaOnShelves_Flickr_KarenBlumberg_12072011.jpg\">\u003cimg class=\"size-medium wp-image-1002 \" title=\"Price going up? (Karen Blumberg: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/SodaOnShelves_Flickr_KarenBlumberg_12072011-300x219.jpg\" alt=\"Price going up? (Karen Blumberg: Flickr)\" width=\"300\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Price going up? (Karen Blumberg: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Last night the Richmond City Council voted to let the people decide. The Council instructed staff to prepare a ballot measure for next November to tax sugar-sweetened beverages, what most people call a \"soda tax.\"\u003c/p>\n\u003cp>Richmond voters may have the chance to make their city the first in California, and one of the first in the country, to slap a special tax not just on sodas, but also sports drinks, energy drinks, fruit-flavored drinks and the like. 100 percent fruit juice and diet drinks would not be affected.\u003c/p>\n\u003cp>The goals are twofold. If the drinks cost more, people will drink fewer of them. Plus, taxes generate revenue, which the City Council says it would devote to new sports fields and other health programs. The motivation for the tax is childhood obesity. Wendel Brunner, Public Health Director of the Contra Costa Health Department walked people through the makings of what has become an epidemic.\u003c/p>\n\u003cul>\n\u003cli>32 percent of school children in Richmond are obese\u003c/li>\n\u003cli>24 percent of adults in Richmond are obese\u003c/li>\n\u003cli>11 percent of all deaths in Richmond are linked to obesity--obesity is shortening people's lives by years\u003c/li>\n\u003c/ul>\n\u003cdiv>And, if childhood obesity goes unchecked in Richmond, \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\">Contra Costa Health researchers found\u003c/a>, the percentage of obese adults will almost double from the current 24 percent to 42 percent. \n\u003caside class=\"pullquote alignright\">\"The thing about sugar-sweetened beverages is that the calories are insidious.\" \u003c/aside>\n\u003cp> So, what's the connection to sugar-sweetened beverages? It comes from Brunner's most jaw-dropping number: the average Richmond teenager who drinks sugary beverages every day consumes a whopping 150,000 calories a year--just from these sweetened drinks. That adds up to 20-30 pounds of additional weight over the year. As Brunner reported, it's those sweet drinks that are driving the obesity epidemic. \"The thing about sugar-sweetened beverages is that the calories are insidious,\" he says, \"so you consume a Big Gulp, you don't realize that you've drunk about 350 calories.\" \u003c!--more-->\u003c/p>\n\u003cp>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> agrees. \"As mammals for the last 250 million years,\" Goldstein said, \"we've consumed mother's milk and water. It turns out if you just drink sugar and water, our body doesn't notice it. ... Every time you drink soda, it's like having a little piece of chocolate cake, except if you ate the cake you'd be full, but if you drink the soda you won't be.\" And so you continue to eat. And then gain more weight. \u003c/p>\n\u003cp>Goldstein \u003ca title=\"http://cwh.berkeley.edu/sites/default/files/primary_pdfs/Sweetened_Bevs_Obesity_Epidemic_PHN_2010_0.pdf\" href=\"http://cwh.berkeley.edu/sites/default/files/primary_pdfs/Sweetened_Bevs_Obesity_Epidemic_PHN_2010_0.pdf\" target=\"_blank\">cites a study\u003c/a> from UC Berkeley Center for Weight and Health which looked at average daily caloric consumption from 1977-2001 and found the average American was eating 278 more calories each day and almost half of those calories were from sweetened drinks. \"The results were mind-blowing,\" he said, but added, \"I realize in my adult lifetime, the beverage industry has changed dramatically. It used to be one little glass with ice. If you wanted more, you had to pay more. Every restaurant now provides free refills. What comes out of the vending machine has gone from 12 ounces to 20 ounces.\"\u003c/p>\n\u003cp>Which brings us back to Richmond and the soda tax coming on next year's ballot. People who spoke up at the meeting were divided. Richmond is a multi-ethnic city that suffers from a high crime rate. Many of the people live at or below the federal poverty level. Some people thought the tax would provide much needed funds for children's health programs; others argued the tax was regressive.\u003c/p>\n\u003cp>City Council member Jeff Ritterman was one of the sponsors of the tax proposal. He said this kind of bold move was needed. \"It's sensible to send this to the voters and if voters vote it down, at least we will be able to talk about childhood obesity for many, many months until the election. We'll do something bold right now. Cautious isn't going to get us anywhere. Cautious is going to get us a 42 percent obesity rate.\"\u003c/p>\n\u003cp>The amount of the tax is under consideration but a penny per ounce is being discussed. Final ballot language will be considered in early 2012.\u003c/p>\n\u003cdiv>\u003cstrong>UPDATE: \u003c/strong>\u003cem>This story was corrected to reflect that the Richmond City Council voted to instruct staff to draft ballot language for a soda tax-- as opposed to voting to put the tax on the ballot. The staff will have the language ready for Council consideration and action in the coming months. State of Health will keep you updated.\u003c/em>\u003c/div>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Dental Care Hard to Find for Poor in California",
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"content": "\u003cfigure id=\"attachment_1032\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/ChildatDentist_Flickr_HeraldPost.jpg\">\u003cimg class=\"size-medium wp-image-1032\" title=\"(HeraldPost: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/ChildatDentist_Flickr_HeraldPost-300x199.jpg\" alt=\"(HeraldPost: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(HeraldPost: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Steve Fisher at Oakland Local has an extensive report today about just how hard it is for children in poor families to get good dental care.\u003c/p>\n\u003cp>California is ranked the \u003ca title=\"http://www.childrennow.org/uploads/documents/oral_health_brief_022011.pdf\" href=\"http://www.childrennow.org/uploads/documents/oral_health_brief_022011.pdf\" target=\"_blank\">third worst state in the country\u003c/a> (after Arizona and Texas) for children's oral health. With numbers like that, it's not so surprising that it can be virtually impossible for people to find a dentist who accepts \u003ca title=\"Medi-Cal\" href=\"http://www.medi-cal.ca.gov/\" target=\"_blank\">Medi-Cal\u003c/a>. People with good dental care may not realize how critical healthy teeth are for overall health and success in school.\u003c/p>\n\u003cblockquote>\u003cp>The lack of adequate dental care for California children is an enormous problem. Although 71 percent of all California children develop tooth decay by the third grade, almost one in four of these children under age 12 have never seen a dentist, according to a June 2011 report by The Children’s Partnership. Recent studies have shown that children in California – especially low-income children - lose millions of hours of school due to dental issues, which can result in poorer academic performance and grades.\u003c/p>\n\u003cp>\u003c!--more-->Small wonder that healthy teeth are often a sign of socio-economic status, as Franks points out. According to the U.S. Centers for Disease Control and Prevention, tooth decay, or “caries,” is the number one disease for children in the country and occur five times more often than asthma, the next most widespread childhood disease.\u003c/p>\n\u003cp>Besides causing extreme pain, tooth decay can turn into an abscess whose infection spreads through the rest of the body, leaving a child vulnerable to ear or sinus infections. In rare cases, an abscess, untreated, can cause dangerous neck and jaw swelling and even death.\u003c/p>\u003c/blockquote>\n\u003cp>You can read Fisher's \u003ca title=\"http://oaklandlocal.com/article/dental-care-poor-challenging-oakland-across-state\" href=\"http://oaklandlocal.com/article/dental-care-poor-challenging-oakland-across-state\" target=\"_blank\">full report\u003c/a> at Oakland Local.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "Steve Fisher at Oakland Local has an extensive report today about just how hard it is for children in poor families to get good dental care. California is ranked the third worst state in the country (after Arizona and Texas) for children's oral health. With numbers like that, it's not so surprising that it can be virtually impossible for people to find a dentist who accepts Medi-Cal. People with good dental care may not realize how critical healthy teeth are for overall health and success in school.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1032\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/ChildatDentist_Flickr_HeraldPost.jpg\">\u003cimg class=\"size-medium wp-image-1032\" title=\"(HeraldPost: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/ChildatDentist_Flickr_HeraldPost-300x199.jpg\" alt=\"(HeraldPost: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(HeraldPost: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Steve Fisher at Oakland Local has an extensive report today about just how hard it is for children in poor families to get good dental care.\u003c/p>\n\u003cp>California is ranked the \u003ca title=\"http://www.childrennow.org/uploads/documents/oral_health_brief_022011.pdf\" href=\"http://www.childrennow.org/uploads/documents/oral_health_brief_022011.pdf\" target=\"_blank\">third worst state in the country\u003c/a> (after Arizona and Texas) for children's oral health. With numbers like that, it's not so surprising that it can be virtually impossible for people to find a dentist who accepts \u003ca title=\"Medi-Cal\" href=\"http://www.medi-cal.ca.gov/\" target=\"_blank\">Medi-Cal\u003c/a>. People with good dental care may not realize how critical healthy teeth are for overall health and success in school.\u003c/p>\n\u003cblockquote>\u003cp>The lack of adequate dental care for California children is an enormous problem. Although 71 percent of all California children develop tooth decay by the third grade, almost one in four of these children under age 12 have never seen a dentist, according to a June 2011 report by The Children’s Partnership. Recent studies have shown that children in California – especially low-income children - lose millions of hours of school due to dental issues, which can result in poorer academic performance and grades.\u003c/p>\n\u003cp>\u003c!--more-->Small wonder that healthy teeth are often a sign of socio-economic status, as Franks points out. According to the U.S. Centers for Disease Control and Prevention, tooth decay, or “caries,” is the number one disease for children in the country and occur five times more often than asthma, the next most widespread childhood disease.\u003c/p>\n\u003cp>Besides causing extreme pain, tooth decay can turn into an abscess whose infection spreads through the rest of the body, leaving a child vulnerable to ear or sinus infections. In rare cases, an abscess, untreated, can cause dangerous neck and jaw swelling and even death.\u003c/p>\u003c/blockquote>\n\u003cp>You can read Fisher's \u003ca title=\"http://oaklandlocal.com/article/dental-care-poor-challenging-oakland-across-state\" href=\"http://oaklandlocal.com/article/dental-care-poor-challenging-oakland-across-state\" target=\"_blank\">full report\u003c/a> at Oakland Local.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_889\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/FieldPesticideSign_PatriciaCarrillo_11292011-300x225.jpg\">\u003cimg class=\"size-full wp-image-889\" title=\"FieldPesticideSign_PatriciaCarrillo_11292011-300x225\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/FieldPesticideSign_PatriciaCarrillo_11292011-300x225.jpg\" alt='Salinas farmers work a field despite clear \"danger\" sign from recent pesticide application. (Photo: Patricia Carrillo)' width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Salinas farmers work a field despite clear \"danger\" sign from recent pesticide application. (Photo: Patricia Carrillo)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>\u003cem>Editor's Note: KQED produces \u003ca title=\"http://blogs.kqed.org/ourxperience/\" href=\"http://blogs.kqed.org/ourxperience/\" target=\"_blank\">ouRXperience\u003c/a>, a blog from community correspondents, to enrich coverage of health issues across California. The mission of \u003cem>ouRXperience\u003c/em> is to give voice to those Californians whose concerns might otherwise be overlooked. \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>This week \u003cem>ouRXperience\u003c/em> featured posts from three California communities:\u003c/p>\n\u003cul>\n\u003cli>In Salinas, Patricia Carrillo details how \u003ca title=\"http://blogs.kqed.org/ourxperience/2011/11/29/pesticide-exposure-and-farmworker-protection/\" href=\"http://blogs.kqed.org/ourxperience/2011/11/29/pesticide-exposure-and-farmworker-protection/\" target=\"_blank\">farmworkers can protect themselves\u003c/a> from pesticide exposure.\u003c/li>\n\u003cli>From Oroville, Rachelle Parker has two posts about a new home for the Hmong Community Center. You can read her stories \u003ca title=\"http://blogs.kqed.org/ourxperience/2011/11/30/orovilles-hmong-cultural-center-has-new-home/\" href=\"http://blogs.kqed.org/ourxperience/2011/11/30/orovilles-hmong-cultural-center-has-new-home/\" target=\"_blank\">here\u003c/a> and \u003ca title=\"http://blogs.kqed.org/ourxperience/2011/12/01/new-programs-for-hmong-teens-in-oroville/\" href=\"http://blogs.kqed.org/ourxperience/2011/12/01/new-programs-for-hmong-teens-in-oroville/\" target=\"_blank\">here\u003c/a>.\u003c/li>\n\u003cli>And in Mendota, Sam Rubio brings us the story of his friend who \u003ca title=\"http://blogs.kqed.org/ourxperience/2011/12/02/big-companys-impact-on-small-town-employees/\" href=\"http://blogs.kqed.org/ourxperience/2011/12/02/big-companys-impact-on-small-town-employees/\" target=\"_blank\">suffered an on-the-job injury\u003c/a> after being instructed to clean a chlorine tank without proper protection. Then he got fired.\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_889\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/FieldPesticideSign_PatriciaCarrillo_11292011-300x225.jpg\">\u003cimg class=\"size-full wp-image-889\" title=\"FieldPesticideSign_PatriciaCarrillo_11292011-300x225\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/FieldPesticideSign_PatriciaCarrillo_11292011-300x225.jpg\" alt='Salinas farmers work a field despite clear \"danger\" sign from recent pesticide application. (Photo: Patricia Carrillo)' width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Salinas farmers work a field despite clear \"danger\" sign from recent pesticide application. (Photo: Patricia Carrillo)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>\u003cem>Editor's Note: KQED produces \u003ca title=\"http://blogs.kqed.org/ourxperience/\" href=\"http://blogs.kqed.org/ourxperience/\" target=\"_blank\">ouRXperience\u003c/a>, a blog from community correspondents, to enrich coverage of health issues across California. The mission of \u003cem>ouRXperience\u003c/em> is to give voice to those Californians whose concerns might otherwise be overlooked. \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>This week \u003cem>ouRXperience\u003c/em> featured posts from three California communities:\u003c/p>\n\u003cul>\n\u003cli>In Salinas, Patricia Carrillo details how \u003ca title=\"http://blogs.kqed.org/ourxperience/2011/11/29/pesticide-exposure-and-farmworker-protection/\" href=\"http://blogs.kqed.org/ourxperience/2011/11/29/pesticide-exposure-and-farmworker-protection/\" target=\"_blank\">farmworkers can protect themselves\u003c/a> from pesticide exposure.\u003c/li>\n\u003cli>From Oroville, Rachelle Parker has two posts about a new home for the Hmong Community Center. You can read her stories \u003ca title=\"http://blogs.kqed.org/ourxperience/2011/11/30/orovilles-hmong-cultural-center-has-new-home/\" href=\"http://blogs.kqed.org/ourxperience/2011/11/30/orovilles-hmong-cultural-center-has-new-home/\" target=\"_blank\">here\u003c/a> and \u003ca title=\"http://blogs.kqed.org/ourxperience/2011/12/01/new-programs-for-hmong-teens-in-oroville/\" href=\"http://blogs.kqed.org/ourxperience/2011/12/01/new-programs-for-hmong-teens-in-oroville/\" target=\"_blank\">here\u003c/a>.\u003c/li>\n\u003cli>And in Mendota, Sam Rubio brings us the story of his friend who \u003ca title=\"http://blogs.kqed.org/ourxperience/2011/12/02/big-companys-impact-on-small-town-employees/\" href=\"http://blogs.kqed.org/ourxperience/2011/12/02/big-companys-impact-on-small-town-employees/\" target=\"_blank\">suffered an on-the-job injury\u003c/a> after being instructed to clean a chlorine tank without proper protection. Then he got fired.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Mental Health Care May be Mandated in California, But Most Aren't Getting Treated",
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"content": "\u003cfigure id=\"attachment_831\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/stressed-woman.jpg\">\u003cimg class=\"size-medium wp-image-831\" title=\"Stressed woman\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/stressed-woman-300x226.jpg\" alt=\"17 percent of unmarried women with children report having mental health problems, according to a recent UCLA study. ((Photo: Getty Images)\" width=\"300\" height=\"226\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">17 percent of unmarried women with children report having mental health problems, according to a recent UCLA study. ((Photo: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>More than two million adults in California say they need mental health care, but about half of them aren't getting it, according to a report released Wednesday by the \u003ca href=\"http://healthpolicy.ucla.edu/NewsReleaseDetails.aspx?id=95\" target=\"_blank\">UCLA Center for Health Policy Research\u003c/a>.\u003c/p>\n\u003cp>California \u003ca href=\"http://www.dmhc.ca.gov/dmhc_consumer/br/br_mentalhlth.aspx\" target=\"_blank\">mandates health insurance\u003c/a> companies provide equal care for mental and physical health problems. But mental health services are often inadequate--or they don't exist at all, says lead author David Grant.\u003c/p>\n\u003cp>One reason is when hospitals want to cut costs, mental health care is often the first to go. Grant notes that, just this morning, LA's Cedars-Sinai Medical Center announced it is cutting most of its psychiatric services.\u003c/p>\n\u003cp>\"It's a disaster,\" Grant said about Cedars-Sinai's closing. \"Health care is undergoing so much change and it's under so much financial stress right now. Providers are really looking for ways to reduce health care costs.\"\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>As \u003ca href=\"http://www.latimes.com/health/la-me-cedars-mental-20111201,0,7075456.story\" target=\"_blank\">The Los Angeles Times\u003c/a> reports, these cuts are a part of a larger, statewide trend:\u003c/p>\n\u003cblockquote>\u003cp>California has roughly 6,500 acute in-patient psychiatric beds, down from 8,500 in 1996, according to the California Hospital Assn. There have also been significant cutbacks in Medi-Cal funding for mental health services statewide.\u003c/p>\u003c/blockquote>\n\u003cp>But closing mental health facilities might not save money in the long run. Grant says that's because people with mental health needs are more likely to have chronic diseases like high blood pressure, heart disease and diabetes.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"These are folks that are going to have higher smoking rates, drinking rates, higher rates of disability,\" Grant said. \"And these are factors that will cost the state more and more financial resources.\"\u003c/p>\n\u003cp>The study also shows there are huge disparities in who actually \u003cem>needs \u003c/em>mental health services. Statewide, eight percent of Californians report a mental health issue. But within the LGBT community 20 percent, more than double the state average, report a problem; 17 percent of unmarried women with children, and 12 percent of US-born Latinos also have mental health needs.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Grant says he hopes the report will increase awareness that these groups need to be screened more frequently ... assuming their hospital still has a psychiatric program.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_831\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/stressed-woman.jpg\">\u003cimg class=\"size-medium wp-image-831\" title=\"Stressed woman\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/stressed-woman-300x226.jpg\" alt=\"17 percent of unmarried women with children report having mental health problems, according to a recent UCLA study. ((Photo: Getty Images)\" width=\"300\" height=\"226\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">17 percent of unmarried women with children report having mental health problems, according to a recent UCLA study. ((Photo: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>More than two million adults in California say they need mental health care, but about half of them aren't getting it, according to a report released Wednesday by the \u003ca href=\"http://healthpolicy.ucla.edu/NewsReleaseDetails.aspx?id=95\" target=\"_blank\">UCLA Center for Health Policy Research\u003c/a>.\u003c/p>\n\u003cp>California \u003ca href=\"http://www.dmhc.ca.gov/dmhc_consumer/br/br_mentalhlth.aspx\" target=\"_blank\">mandates health insurance\u003c/a> companies provide equal care for mental and physical health problems. But mental health services are often inadequate--or they don't exist at all, says lead author David Grant.\u003c/p>\n\u003cp>One reason is when hospitals want to cut costs, mental health care is often the first to go. Grant notes that, just this morning, LA's Cedars-Sinai Medical Center announced it is cutting most of its psychiatric services.\u003c/p>\n\u003cp>\"It's a disaster,\" Grant said about Cedars-Sinai's closing. \"Health care is undergoing so much change and it's under so much financial stress right now. Providers are really looking for ways to reduce health care costs.\"\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>As \u003ca href=\"http://www.latimes.com/health/la-me-cedars-mental-20111201,0,7075456.story\" target=\"_blank\">The Los Angeles Times\u003c/a> reports, these cuts are a part of a larger, statewide trend:\u003c/p>\n\u003cblockquote>\u003cp>California has roughly 6,500 acute in-patient psychiatric beds, down from 8,500 in 1996, according to the California Hospital Assn. There have also been significant cutbacks in Medi-Cal funding for mental health services statewide.\u003c/p>\u003c/blockquote>\n\u003cp>But closing mental health facilities might not save money in the long run. Grant says that's because people with mental health needs are more likely to have chronic diseases like high blood pressure, heart disease and diabetes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"These are folks that are going to have higher smoking rates, drinking rates, higher rates of disability,\" Grant said. \"And these are factors that will cost the state more and more financial resources.\"\u003c/p>\n\u003cp>The study also shows there are huge disparities in who actually \u003cem>needs \u003c/em>mental health services. Statewide, eight percent of Californians report a mental health issue. But within the LGBT community 20 percent, more than double the state average, report a problem; 17 percent of unmarried women with children, and 12 percent of US-born Latinos also have mental health needs.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Grant says he hopes the report will increase awareness that these groups need to be screened more frequently ... assuming their hospital still has a psychiatric program.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_593\" class=\"wp-caption alignleft\" style=\"max-width: 225px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/11/pepper-spray-Lauri-Rantala-flickr.jpg\">\u003cimg class=\"size-medium wp-image-593\" title=\"Pepper spray\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/11/pepper-spray-Lauri-Rantala-flickr-300x400.jpg\" alt=\"pepper spray\" width=\"225\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Lauri Rantala/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>This video of \u003ca title=\"UC Davis police pepper spray\" href=\"http://www.youtube.com/watch?v=BjnR7xET7Uo\" target=\"_blank\">UC Davis campus police dousing protesters with pepper spray\u003c/a> has close to two million views on YouTube and counting. UC Davis student David Busco was one of the students sprayed that day, saying the pain felt like \"thousands of pieces of glass shooting into your eyes.\"\u003c/p>\n\u003cp>Busco says the pepper spray was all over his face and mouth, meaning he could not avoid inhaling it, unless he stopped breathing. Concerned students poured bottled water over him, but this only worsened the problem by further spreading the pepper spray around his face and body. Busco says friends soon carried him to the nearest house and, after a quick Google search about pepper spray removal, washed him with dishwasher soap in the shower.\u003c/p>\n\u003cp>Pepper spray is legal for use in most states by anyone over age eighteen who is not a convicted felon. It is frequently being used during Occupy protests nationwide. We're told it hurts (it look likes it hurts), but what exactly are the health effects? And what's the best way to treat it?\u003c/p>\n\u003cp>\u003c!--more-->\u003cbr>\nPepper spray comes from, as you can guess, chemicals derived from peppers, called capsaicin. Deborah Blum writes about the science of pepper spray in her blog \u003ca title=\"Speakeasy Science: Pepper Spray\" href=\"http://blogs.plos.org/speakeasyscience/2011/11/20/about-pepper-spray/\" target=\"_blank\">Speakeasy Science\u003c/a>. She cites a 2004 study, \u003ca title=\"Pepper spray study\" href=\"http://web.archive.org/web/20000817004624/http://www.ncmedicaljournal.com/Smith-OK.htm\" target=\"_blank\">Health Hazards of Pepper Spray\u003c/a>, which found that high doses of some of the chemicals in pepper spray can produce respiratory, cardiac and neurologic problems, including death. Blum writes:\u003c/p>\n\u003cblockquote>\u003cp>Research tells us that pepper spray acts as a potent inflammatory agent. It amplifies allergic sensitivities, it irritates and damages eyes, membranes, bronchial airways, the stomach lining – basically what it touches. It works by causing pain – and, as we know, pain is the body warning us of an injury.\u003c/p>\n\u003cp>In general, these are short term effects. Pepper spray, for instance, induces a burning sensation in the eyes in part by damaging cells in the outer layer of the cornea. Usually, the body repairs this kind of injury fairly neatly. But with repeated exposures, studies find, there can be permanent damage to the cornea.\u003c/p>\n\u003cp>The more worrisome effects have to do with inhalation – and by some reports, California university police officers deliberately put [pepper] spray down protestors throats. Capsaicins inflame the airways, causing swelling and restriction. And this means that pepper sprays pose a genuine risk to people with asthma and other respiratory conditions.\u003c/p>\u003c/blockquote>\n\u003cp>David Busco and his friends found that the kind of dishwasher soap they used to remove the pepper spray worked. What a person should\u003cem> not \u003c/em>do is use an \u003ca href=\"http://police.berkeley.edu/programsandservices/campus_safety/guidelines.html#ds\" target=\"_blank\">oil-based soap\u003c/a> -- that makes the chemicals stick to the skin even more.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Students may carry pepper spray for self-defense, according to the UC Berkeley Campus Police \u003ca title=\"UC Berkeley Campus Police Pepper spray treatment\" href=\"http://police.berkeley.edu/programsandservices/campus_safety/guidelines.html#ds\" target=\"_blank\">website\u003c/a>, which includes information about first aid tips for direct exposure to pepper spray and tear gas:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Avoid panic.\u003c/li>\n\u003cli>Do not rub the face. This will aggravate the pain already being experienced.\u003c/li>\n\u003cli>The best immediate treatment is to expose the person to fresh air, a breeze if possible. A fan can also be used.\u003c/li>\n\u003cli>Flush the affected area with cool water either from the tap or a garden hose.\u003c/li>\n\u003cli>Clean the affected area with non-oil or cold cream based soap. Do not use salves or greases on exposed area because it will trap tear gas particles or OC resin onto the skin.\u003c/li>\n\u003cli>If eyes are exposed, flush copiously with cool, fresh water for 15 minutes.\u003c/li>\n\u003cli>If you wear contact lenses, remove them carefully once hands are thoroughly clean.\u003c/li>\n\u003cli>An ophthalmic examination should be performed by a physician if irritation or pain persists after 15 minutes of flushing with water.\u003c/li>\n\u003cli>Clothing which is contaminated with tear gas should be removed immediately and, if indoors, placed in a sealed plastic bag or container\u003c/li>\n\u003cli>Persons assisting the subject should wear rubber gloves to avoid residual contamination.\u003c/li>\n\u003cli>If any irritation or pain persists after decontamination procedures, a physician should examine the exposed area.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>Jake Wayne of \u003ca title=\"Livestrong.com pepper spray\" href=\"http://www.livestrong.com/article/288402-how-to-remove-pepper-spray-from-the-body/\" target=\"_blank\">Livestrong.com\u003c/a> also has tips on how to safely remove pepper spray. He says people should \"remove any clothes contaminated with the pepper spray. If you would have to pull clothing across you face, seriously consider cutting the clothing off with scissors instead.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_593\" class=\"wp-caption alignleft\" style=\"max-width: 225px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/11/pepper-spray-Lauri-Rantala-flickr.jpg\">\u003cimg class=\"size-medium wp-image-593\" title=\"Pepper spray\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/11/pepper-spray-Lauri-Rantala-flickr-300x400.jpg\" alt=\"pepper spray\" width=\"225\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Lauri Rantala/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>This video of \u003ca title=\"UC Davis police pepper spray\" href=\"http://www.youtube.com/watch?v=BjnR7xET7Uo\" target=\"_blank\">UC Davis campus police dousing protesters with pepper spray\u003c/a> has close to two million views on YouTube and counting. UC Davis student David Busco was one of the students sprayed that day, saying the pain felt like \"thousands of pieces of glass shooting into your eyes.\"\u003c/p>\n\u003cp>Busco says the pepper spray was all over his face and mouth, meaning he could not avoid inhaling it, unless he stopped breathing. Concerned students poured bottled water over him, but this only worsened the problem by further spreading the pepper spray around his face and body. Busco says friends soon carried him to the nearest house and, after a quick Google search about pepper spray removal, washed him with dishwasher soap in the shower.\u003c/p>\n\u003cp>Pepper spray is legal for use in most states by anyone over age eighteen who is not a convicted felon. It is frequently being used during Occupy protests nationwide. We're told it hurts (it look likes it hurts), but what exactly are the health effects? And what's the best way to treat it?\u003c/p>\n\u003cp>\u003c!--more-->\u003cbr>\nPepper spray comes from, as you can guess, chemicals derived from peppers, called capsaicin. Deborah Blum writes about the science of pepper spray in her blog \u003ca title=\"Speakeasy Science: Pepper Spray\" href=\"http://blogs.plos.org/speakeasyscience/2011/11/20/about-pepper-spray/\" target=\"_blank\">Speakeasy Science\u003c/a>. She cites a 2004 study, \u003ca title=\"Pepper spray study\" href=\"http://web.archive.org/web/20000817004624/http://www.ncmedicaljournal.com/Smith-OK.htm\" target=\"_blank\">Health Hazards of Pepper Spray\u003c/a>, which found that high doses of some of the chemicals in pepper spray can produce respiratory, cardiac and neurologic problems, including death. Blum writes:\u003c/p>\n\u003cblockquote>\u003cp>Research tells us that pepper spray acts as a potent inflammatory agent. It amplifies allergic sensitivities, it irritates and damages eyes, membranes, bronchial airways, the stomach lining – basically what it touches. It works by causing pain – and, as we know, pain is the body warning us of an injury.\u003c/p>\n\u003cp>In general, these are short term effects. Pepper spray, for instance, induces a burning sensation in the eyes in part by damaging cells in the outer layer of the cornea. Usually, the body repairs this kind of injury fairly neatly. But with repeated exposures, studies find, there can be permanent damage to the cornea.\u003c/p>\n\u003cp>The more worrisome effects have to do with inhalation – and by some reports, California university police officers deliberately put [pepper] spray down protestors throats. Capsaicins inflame the airways, causing swelling and restriction. And this means that pepper sprays pose a genuine risk to people with asthma and other respiratory conditions.\u003c/p>\u003c/blockquote>\n\u003cp>David Busco and his friends found that the kind of dishwasher soap they used to remove the pepper spray worked. What a person should\u003cem> not \u003c/em>do is use an \u003ca href=\"http://police.berkeley.edu/programsandservices/campus_safety/guidelines.html#ds\" target=\"_blank\">oil-based soap\u003c/a> -- that makes the chemicals stick to the skin even more.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Students may carry pepper spray for self-defense, according to the UC Berkeley Campus Police \u003ca title=\"UC Berkeley Campus Police Pepper spray treatment\" href=\"http://police.berkeley.edu/programsandservices/campus_safety/guidelines.html#ds\" target=\"_blank\">website\u003c/a>, which includes information about first aid tips for direct exposure to pepper spray and tear gas:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Avoid panic.\u003c/li>\n\u003cli>Do not rub the face. This will aggravate the pain already being experienced.\u003c/li>\n\u003cli>The best immediate treatment is to expose the person to fresh air, a breeze if possible. A fan can also be used.\u003c/li>\n\u003cli>Flush the affected area with cool water either from the tap or a garden hose.\u003c/li>\n\u003cli>Clean the affected area with non-oil or cold cream based soap. Do not use salves or greases on exposed area because it will trap tear gas particles or OC resin onto the skin.\u003c/li>\n\u003cli>If eyes are exposed, flush copiously with cool, fresh water for 15 minutes.\u003c/li>\n\u003cli>If you wear contact lenses, remove them carefully once hands are thoroughly clean.\u003c/li>\n\u003cli>An ophthalmic examination should be performed by a physician if irritation or pain persists after 15 minutes of flushing with water.\u003c/li>\n\u003cli>Clothing which is contaminated with tear gas should be removed immediately and, if indoors, placed in a sealed plastic bag or container\u003c/li>\n\u003cli>Persons assisting the subject should wear rubber gloves to avoid residual contamination.\u003c/li>\n\u003cli>If any irritation or pain persists after decontamination procedures, a physician should examine the exposed area.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>Jake Wayne of \u003ca title=\"Livestrong.com pepper spray\" href=\"http://www.livestrong.com/article/288402-how-to-remove-pepper-spray-from-the-body/\" target=\"_blank\">Livestrong.com\u003c/a> also has tips on how to safely remove pepper spray. He says people should \"remove any clothes contaminated with the pepper spray. If you would have to pull clothing across you face, seriously consider cutting the clothing off with scissors instead.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Breath of Fresh Air on San Joaquin Valley Air District Board",
"title": "Breath of Fresh Air on San Joaquin Valley Air District Board",
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"content": "\u003cfigure id=\"attachment_576\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/11/BakersfieldPollutedSunset_AndyCastro_Flickr_20111121.jpg\">\u003cimg class=\"size-medium wp-image-576\" title=\"Sunset through a Polluted Bakersfield Sky. (Andy Castro: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/11/BakersfieldPollutedSunset_AndyCastro_Flickr_20111121-300x168.jpg\" alt=\"Sunset through a Polluted Bakersfield Sky. (Andy Castro: Flickr)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sunset through a Polluted Bakersfield Sky. (Andy Castro: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this month, KQED's Sasha Khokha reported \u003ca title=\"http://www.californiareport.org/archive/R201111010850/a\" href=\"http://www.californiareport.org/archive/R201111010850/a\" target=\"_blank\">Central Valley residents' concerns\u003c/a> that the San Joaquin Valley Air Pollution Control District was not effectively communicating public health warnings on poor air quality days.\u003c/p>\n\u003cp>Just hours after that report aired, \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/02/kqed-story-prompts-improved-public-health-alerts/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/02/kqed-story-prompts-improved-public-health-alerts/\" target=\"_blank\">State of Health brought news\u003c/a> that the Valley Air District had issued an air quality alert using significantly stronger language than it had used before. Air quality activists were pleased with the new tone.\u003c/p>\n\u003cp>Today, air quality activists are cheering again. California Governor Jerry Brown appointed a new member to the Valley Air District board. And not just anyone, but a physician with a long background in public health. The new appointee, Dr. Alex Sherriffs, is a professor at UCSF-Fresno in the Department of Family and Community Medicine. He also has been in private practice in Fowler since 1983.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>In other parts of California, the appointment of a doctor to an air district board is not overly significant. But, in the case of the Valley Air District, activists fought for a physician-dedicated position on the board for over five years. The first doctor appointed to the Valley Air District board joined in 2008 and resigned earlier this year. Now, the seat is filled again.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Governor also selected Sherriffs as the Valley Air District board's representative to the statewide California Air Resources Board. Reached by phone this afternoon, Kevin Hall, Director of the \u003ca title=\"http://www.calcleanair.org/\" href=\"http://www.calcleanair.org/\" target=\"_blank\">Central Valley Air Quality Coalition\u003c/a>, was enthusiastic. \"We have come to know Dr. Sherriffs through his work at the medical society and his willingness to take time out of his schedule to speak up on behalf of his patients in an informed manner,\" Hall said. \"That’s why we worked so hard for five years to create a seat for a doctor, so the voice of public health would be right there at the policy level, like the other major air districts in the state.”\u003c/p>\n\u003cp>The San Joaquin Valley is home to some of the most polluted air in the country, fueling a rise in asthma cases across the region. Hall says one in six children will be diagnosed with asthma by age eighteen.\u003c/p>\n\u003cp>In a release, Ray Leon, director of the San Joaquin Valley Latino Environmental Advancement Project echoed Hall's comments. “An expert voice on the deadly impacts of air pollution has been sorely missing from the San Joaquin Valley air board, and the lack of Valley representation on the state air board has been a detriment, too,” he said. “We are pleased that our voices will once again be represented in Sacramento.\"\u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_576\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/11/BakersfieldPollutedSunset_AndyCastro_Flickr_20111121.jpg\">\u003cimg class=\"size-medium wp-image-576\" title=\"Sunset through a Polluted Bakersfield Sky. (Andy Castro: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/11/BakersfieldPollutedSunset_AndyCastro_Flickr_20111121-300x168.jpg\" alt=\"Sunset through a Polluted Bakersfield Sky. (Andy Castro: Flickr)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sunset through a Polluted Bakersfield Sky. (Andy Castro: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this month, KQED's Sasha Khokha reported \u003ca title=\"http://www.californiareport.org/archive/R201111010850/a\" href=\"http://www.californiareport.org/archive/R201111010850/a\" target=\"_blank\">Central Valley residents' concerns\u003c/a> that the San Joaquin Valley Air Pollution Control District was not effectively communicating public health warnings on poor air quality days.\u003c/p>\n\u003cp>Just hours after that report aired, \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/02/kqed-story-prompts-improved-public-health-alerts/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/02/kqed-story-prompts-improved-public-health-alerts/\" target=\"_blank\">State of Health brought news\u003c/a> that the Valley Air District had issued an air quality alert using significantly stronger language than it had used before. Air quality activists were pleased with the new tone.\u003c/p>\n\u003cp>Today, air quality activists are cheering again. California Governor Jerry Brown appointed a new member to the Valley Air District board. And not just anyone, but a physician with a long background in public health. The new appointee, Dr. Alex Sherriffs, is a professor at UCSF-Fresno in the Department of Family and Community Medicine. He also has been in private practice in Fowler since 1983.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>In other parts of California, the appointment of a doctor to an air district board is not overly significant. But, in the case of the Valley Air District, activists fought for a physician-dedicated position on the board for over five years. The first doctor appointed to the Valley Air District board joined in 2008 and resigned earlier this year. Now, the seat is filled again.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Governor also selected Sherriffs as the Valley Air District board's representative to the statewide California Air Resources Board. Reached by phone this afternoon, Kevin Hall, Director of the \u003ca title=\"http://www.calcleanair.org/\" href=\"http://www.calcleanair.org/\" target=\"_blank\">Central Valley Air Quality Coalition\u003c/a>, was enthusiastic. \"We have come to know Dr. Sherriffs through his work at the medical society and his willingness to take time out of his schedule to speak up on behalf of his patients in an informed manner,\" Hall said. \"That’s why we worked so hard for five years to create a seat for a doctor, so the voice of public health would be right there at the policy level, like the other major air districts in the state.”\u003c/p>\n\u003cp>The San Joaquin Valley is home to some of the most polluted air in the country, fueling a rise in asthma cases across the region. Hall says one in six children will be diagnosed with asthma by age eighteen.\u003c/p>\n\u003cp>In a release, Ray Leon, director of the San Joaquin Valley Latino Environmental Advancement Project echoed Hall's comments. “An expert voice on the deadly impacts of air pollution has been sorely missing from the San Joaquin Valley air board, and the lack of Valley representation on the state air board has been a detriment, too,” he said. “We are pleased that our voices will once again be represented in Sacramento.\"\u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
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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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"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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},
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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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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
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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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"hidden-brain": {
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"airtime": "SUN 7:30pm-8pm",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"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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"id": "latino-usa",
"title": "Latino USA",
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
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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",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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