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"disqusTitle": "Just in Time for the Weekend! Background on Health Care in California",
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"content": "\u003cfigure id=\"attachment_4625\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/California-Coast.jpg\">\u003cimg class=\"size-medium wp-image-4625\" title=\"(alycat: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/California-Coast-300x222.jpg\" alt=\"(alycat: Flickr)\" width=\"300\" height=\"222\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(alycat: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Admit it. The Supreme Court's \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/29/audiotranscripts-all-the-supreme-courts-oral-arguments-on-the-health-law/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/29/audiotranscripts-all-the-supreme-courts-oral-arguments-on-the-health-law/\" target=\"_blank\">scrutiny\u003c/a> of the health care overhaul has piqued your interest. You've read or heard stories about the oral arguments. But you feel guilty. You haven't been able to keep up on how the federal health care law is playing out in the Golden State. \u003cem>State of Health \u003c/em>is here to help.\u003c/p>\n\u003cp>We've rounded up four stories -- filed by KQED Health Reporter \u003ca title=\"http://www.kqed.org/radio/about/staff/sarah-varney.jsp\" href=\"http://www.kqed.org/radio/about/staff/sarah-varney.jsp\" target=\"_blank\">Sarah Varney\u003c/a> over the last 10 months -- to help give you an overview. These stories all have to do with how California is moving forward in implementing the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. Yes, the Supreme Court might overturn the ACA, but then again, it might not. Presuming the law goes forward, California is in a better position than most states to meet the 2014 full implementation.\u003c/p>\n\u003cp>In just under 22 minutes, you can get up to speed on where California stands. So put on your headphones and listen to the following stories:\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>California's Public Plan for Health Insurance\u003c/strong>: Keeping your health coverage during a recession is tough. No job means no insurance. But part of implementing the Affordable Care Act calls for the creation of state exchanges for health insurance plans that are portable and not tied to work. In California, that exchange will look a lot like the public insurance plan that died in Congress last year.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Health Reform Rolls out in Conservative Kern County\u003c/strong>: Since the passage of the Affordable Care Act, the ideological lines have been clearly drawn: Republicans don't like it -- Democrats do. But, in a cash-strapped rural area like Kern County, the calculus of paying for health care is considerably more complicated. [This story is part of a collaboration with NPR and Kaiser Health News.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal is Moving to a Managed Care Model\u003c/strong>: As of last June 1, hundreds of thousands of disabled Medi-Cal recipients started to move into managed care health plans. Instead of paying for every doctor or hospital visit as it does now, the state pays insurers a set fee to meet the patient's medical needs. State health officials see managed care as a cheaper and more efficient way to run the program, and some for-profit insurance companies see good business.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201105310850a.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201105310850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cstrong>Venture Capital Flows to Cost-Effective Health Care Companies\u003c/strong>: Hospitals and doctors are facing a lot of heat these days to clean up their act. Medicare and some health plans are beginning to withhold payments for medical mishaps, preventable infections and re-admissions. The federal health law also forces them to pay more attention to how much they're spending -- and all of this has a direct effect on the kinds of investments Silicon Valley venture capitalists are betting on.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>And, if you still want more analysis of the Supreme Court hearings this week, here's a 30 minute video from \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/March/29/webcast-supreme-court-health-law.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/March/29/webcast-supreme-court-health-law.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>. The panel includes KHN Senior Correspondent Mary Agnes Carey; \u003ca title=\"http://www.stuarttaylorjr.com/\" href=\"http://www.stuarttaylorjr.com/\" target=\"_blank\">Stuart Taylor\u003c/a>, attorney, author and KHN legal analyst; \u003ca title=\"http://www.scotusblog.com/author/tom-goldstein\" href=\"http://www.scotusblog.com/author/tom-goldstein\" target=\"_blank\">Tom Goldstein\u003c/a>, publisher of SCOTUSblog and \u003ca title=\"http://www.npr.org/people/2101102/julie-rovner\" href=\"http://www.npr.org/people/2101102/julie-rovner\" target=\"_blank\">Julie Rovner\u003c/a>, NPR's health policy correspondent.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject id=\"flashObj\" width=\"486\" height=\"412\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashVars\" value=\"videoId=1536865177001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"base\" value=\"http://admin.brightcove.com\">\u003cparam name=\"seamlesstabbing\" value=\"false\">\u003cparam name=\"allowFullScreen\" value=\"true\">\u003cparam name=\"swLiveConnect\" value=\"true\">\u003cparam name=\"allowScriptAccess\" value=\"always\">\u003cparam name=\"src\" value=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\">\u003cparam name=\"flashvars\" value=\"videoId=1536865177001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"swliveconnect\" value=\"true\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"pluginspage\" value=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003cembed width=\"486\" height=\"412\" type=\"application/x-shockwave-flash\" src=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\" flashvars=\"videoId=1536865177001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\" base=\"http://admin.brightcove.com\" seamlesstabbing=\"false\" allowfullscreen=\"true\" swliveconnect=\"true\" allowscriptaccess=\"always\" pluginspage=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_4625\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/California-Coast.jpg\">\u003cimg class=\"size-medium wp-image-4625\" title=\"(alycat: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/California-Coast-300x222.jpg\" alt=\"(alycat: Flickr)\" width=\"300\" height=\"222\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(alycat: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Admit it. The Supreme Court's \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/29/audiotranscripts-all-the-supreme-courts-oral-arguments-on-the-health-law/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/29/audiotranscripts-all-the-supreme-courts-oral-arguments-on-the-health-law/\" target=\"_blank\">scrutiny\u003c/a> of the health care overhaul has piqued your interest. You've read or heard stories about the oral arguments. But you feel guilty. You haven't been able to keep up on how the federal health care law is playing out in the Golden State. \u003cem>State of Health \u003c/em>is here to help.\u003c/p>\n\u003cp>We've rounded up four stories -- filed by KQED Health Reporter \u003ca title=\"http://www.kqed.org/radio/about/staff/sarah-varney.jsp\" href=\"http://www.kqed.org/radio/about/staff/sarah-varney.jsp\" target=\"_blank\">Sarah Varney\u003c/a> over the last 10 months -- to help give you an overview. These stories all have to do with how California is moving forward in implementing the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. Yes, the Supreme Court might overturn the ACA, but then again, it might not. Presuming the law goes forward, California is in a better position than most states to meet the 2014 full implementation.\u003c/p>\n\u003cp>In just under 22 minutes, you can get up to speed on where California stands. So put on your headphones and listen to the following stories:\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>California's Public Plan for Health Insurance\u003c/strong>: Keeping your health coverage during a recession is tough. No job means no insurance. But part of implementing the Affordable Care Act calls for the creation of state exchanges for health insurance plans that are portable and not tied to work. In California, that exchange will look a lot like the public insurance plan that died in Congress last year.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Health Reform Rolls out in Conservative Kern County\u003c/strong>: Since the passage of the Affordable Care Act, the ideological lines have been clearly drawn: Republicans don't like it -- Democrats do. But, in a cash-strapped rural area like Kern County, the calculus of paying for health care is considerably more complicated. [This story is part of a collaboration with NPR and Kaiser Health News.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal is Moving to a Managed Care Model\u003c/strong>: As of last June 1, hundreds of thousands of disabled Medi-Cal recipients started to move into managed care health plans. Instead of paying for every doctor or hospital visit as it does now, the state pays insurers a set fee to meet the patient's medical needs. State health officials see managed care as a cheaper and more efficient way to run the program, and some for-profit insurance companies see good business.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201105310850a.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201105310850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cstrong>Venture Capital Flows to Cost-Effective Health Care Companies\u003c/strong>: Hospitals and doctors are facing a lot of heat these days to clean up their act. Medicare and some health plans are beginning to withhold payments for medical mishaps, preventable infections and re-admissions. The federal health law also forces them to pay more attention to how much they're spending -- and all of this has a direct effect on the kinds of investments Silicon Valley venture capitalists are betting on.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>And, if you still want more analysis of the Supreme Court hearings this week, here's a 30 minute video from \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/March/29/webcast-supreme-court-health-law.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/March/29/webcast-supreme-court-health-law.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>. The panel includes KHN Senior Correspondent Mary Agnes Carey; \u003ca title=\"http://www.stuarttaylorjr.com/\" href=\"http://www.stuarttaylorjr.com/\" target=\"_blank\">Stuart Taylor\u003c/a>, attorney, author and KHN legal analyst; \u003ca title=\"http://www.scotusblog.com/author/tom-goldstein\" href=\"http://www.scotusblog.com/author/tom-goldstein\" target=\"_blank\">Tom Goldstein\u003c/a>, publisher of SCOTUSblog and \u003ca title=\"http://www.npr.org/people/2101102/julie-rovner\" href=\"http://www.npr.org/people/2101102/julie-rovner\" target=\"_blank\">Julie Rovner\u003c/a>, NPR's health policy correspondent.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject id=\"flashObj\" width=\"486\" height=\"412\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashVars\" value=\"videoId=1536865177001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"base\" value=\"http://admin.brightcove.com\">\u003cparam name=\"seamlesstabbing\" value=\"false\">\u003cparam name=\"allowFullScreen\" value=\"true\">\u003cparam name=\"swLiveConnect\" value=\"true\">\u003cparam name=\"allowScriptAccess\" value=\"always\">\u003cparam name=\"src\" value=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\">\u003cparam name=\"flashvars\" value=\"videoId=1536865177001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"swliveconnect\" value=\"true\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"pluginspage\" value=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003cembed width=\"486\" height=\"412\" type=\"application/x-shockwave-flash\" src=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\" flashvars=\"videoId=1536865177001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\" base=\"http://admin.brightcove.com\" seamlesstabbing=\"false\" allowfullscreen=\"true\" swliveconnect=\"true\" allowscriptaccess=\"always\" pluginspage=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>By: Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4113\" class=\"wp-caption alignleft\" style=\"max-width: 329px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MathImageSoH_Alan-Levine_cogdogblog_Flickr1.jpg\">\u003cimg class=\"size-large wp-image-4113 \" title=\"Doing the Math\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MathImageSoH_Alan-Levine_cogdogblog_Flickr1-620x412.jpg\" alt=\"\" width=\"329\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some school children respond with fear when facing math problems. (Alan Levine:Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Some people are afraid of atomic explosions (atomosophobia), Bolsheviks (bolshephobia), nose bleeds (epistaxiophobia), forests (xylophobia), or long words (sesquipedalophobia).\u003c/p>\n\u003cp>But for many elementary school kids, the phobia is much more common. It's math. Teachers have known this for a long time, but now scientists are looking inside these kids' brains in search of clues.\u003c/p>\n\u003cp>As reported in this month’s \u003ca title=\"http://pss.sagepub.com/content/early/2012/03/20/0956797611429134.abstract?rss=1\" href=\"http://pss.sagepub.com/content/early/2012/03/20/0956797611429134.abstract?rss=1\" target=\"_blank\">\u003cem>Psychological Science\u003c/em>\u003c/a>, scientists have found that the brains of kids with \"math anxiety\" light up with fear when they are presented with math problems. This brain response also partially shuts down the part of the brain involved in problem solving and mathematical reasoning.\u003c/p>\n\u003cp>Stanford Professor \u003ca title=\"http://med.stanford.edu/profiles/Vinod_Menon/\" href=\"http://med.stanford.edu/profiles/Vinod_Menon/\" target=\"_blank\">Vinod Menon\u003c/a> is a neuroscientist and lead author on the study. “The same part of the brain that responds to fearful situations--such as seeing a spider or a snake-- also shows a heightened response in children with high math anxiety,\" he says. \"And that was a surprise to us.\"\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The study focused on second- and third-graders from around the Bay Area. Their fearful responses seemed to be specific to math problems, as these kids did not show signs of general anxiety. They also weren't significantly different from their peers in terms of IQ, memory or proficiency in math.\u003c/p>\n\u003cp>In the study, these kids' high math anxiety translated into taking longer to solve math problems. But as these kids get older, they may experience serious consequences as a result of their aversion to math.\u003c/p>\n\u003cp>“It’s now fairly well-documented that in high school, individuals who have math anxiety generally tend to avoid math-related classes. And you can see that if you avoid these classes, you’re not going to get very far in science or engineering or finance,” he said.\u003c/p>\n\u003cp>Getting more students to enter math-heavy fields has become a priority at schools across the country. At the White House Science Fair last month, President Obama \u003ca title=\"$80 Million for Math and Science Education\" href=\"http://www.whitehouse.gov/the-press-office/2012/02/07/president-obama-host-white-house-science-fair\" target=\"_blank\">announced\u003c/a> that he was seeking $80 million to boost math education in the U.S., with the goal of getting one million more American students to graduate in science, technology, engineering, and math over the next 10 years.\u003c/p>\n\u003cp>Reaching these goals will mean getting students to embrace math, not fear it. Menon's group found that the part of the brain that is most activated in math anxiety is associated with learned fear. \"How children come to see [math problems] as being particularly anxiety provoking, and what is the context in which that happens, is still a mystery,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But hope is not lost. Researchers believe that kids who experience this fear could still go on to successful careers in math-heavy fields. But it will depend on getting them more help when they're young, and their brains still have lots of plasticity. How best to do that is a question without an answer. Menon says research is still needed to determine what types of interventions might work best.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By: Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4113\" class=\"wp-caption alignleft\" style=\"max-width: 329px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MathImageSoH_Alan-Levine_cogdogblog_Flickr1.jpg\">\u003cimg class=\"size-large wp-image-4113 \" title=\"Doing the Math\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MathImageSoH_Alan-Levine_cogdogblog_Flickr1-620x412.jpg\" alt=\"\" width=\"329\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some school children respond with fear when facing math problems. (Alan Levine:Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Some people are afraid of atomic explosions (atomosophobia), Bolsheviks (bolshephobia), nose bleeds (epistaxiophobia), forests (xylophobia), or long words (sesquipedalophobia).\u003c/p>\n\u003cp>But for many elementary school kids, the phobia is much more common. It's math. Teachers have known this for a long time, but now scientists are looking inside these kids' brains in search of clues.\u003c/p>\n\u003cp>As reported in this month’s \u003ca title=\"http://pss.sagepub.com/content/early/2012/03/20/0956797611429134.abstract?rss=1\" href=\"http://pss.sagepub.com/content/early/2012/03/20/0956797611429134.abstract?rss=1\" target=\"_blank\">\u003cem>Psychological Science\u003c/em>\u003c/a>, scientists have found that the brains of kids with \"math anxiety\" light up with fear when they are presented with math problems. This brain response also partially shuts down the part of the brain involved in problem solving and mathematical reasoning.\u003c/p>\n\u003cp>Stanford Professor \u003ca title=\"http://med.stanford.edu/profiles/Vinod_Menon/\" href=\"http://med.stanford.edu/profiles/Vinod_Menon/\" target=\"_blank\">Vinod Menon\u003c/a> is a neuroscientist and lead author on the study. “The same part of the brain that responds to fearful situations--such as seeing a spider or a snake-- also shows a heightened response in children with high math anxiety,\" he says. \"And that was a surprise to us.\"\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The study focused on second- and third-graders from around the Bay Area. Their fearful responses seemed to be specific to math problems, as these kids did not show signs of general anxiety. They also weren't significantly different from their peers in terms of IQ, memory or proficiency in math.\u003c/p>\n\u003cp>In the study, these kids' high math anxiety translated into taking longer to solve math problems. But as these kids get older, they may experience serious consequences as a result of their aversion to math.\u003c/p>\n\u003cp>“It’s now fairly well-documented that in high school, individuals who have math anxiety generally tend to avoid math-related classes. And you can see that if you avoid these classes, you’re not going to get very far in science or engineering or finance,” he said.\u003c/p>\n\u003cp>Getting more students to enter math-heavy fields has become a priority at schools across the country. At the White House Science Fair last month, President Obama \u003ca title=\"$80 Million for Math and Science Education\" href=\"http://www.whitehouse.gov/the-press-office/2012/02/07/president-obama-host-white-house-science-fair\" target=\"_blank\">announced\u003c/a> that he was seeking $80 million to boost math education in the U.S., with the goal of getting one million more American students to graduate in science, technology, engineering, and math over the next 10 years.\u003c/p>\n\u003cp>Reaching these goals will mean getting students to embrace math, not fear it. Menon's group found that the part of the brain that is most activated in math anxiety is associated with learned fear. \"How children come to see [math problems] as being particularly anxiety provoking, and what is the context in which that happens, is still a mystery,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But hope is not lost. Researchers believe that kids who experience this fear could still go on to successful careers in math-heavy fields. But it will depend on getting them more help when they're young, and their brains still have lots of plasticity. How best to do that is a question without an answer. Menon says research is still needed to determine what types of interventions might work best.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>President Obama has tapped San Francisco's own Dr. Grant Colfax to head the\u003ca href=\"http://www.whitehouse.gov/administration/eop/onap\" target=\"_blank\"> Office of National AIDS Policy\u003c/a> in Washington, D.C. Dr. Colfax is the former director of \u003ca href=\"http://www.helpfighthiv.org/\" target=\"_blank\">HIV prevention and research at the San Francisco Department of Public Health\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_3984\" class=\"wp-caption alignleft\" style=\"max-width: 175px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/grant_colfax.gif\">\u003cimg class=\"size-full wp-image-3984 \" title=\"grant_colfax\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/grant_colfax.gif\" alt=\"\" width=\"175\" height=\"175\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax.gif 175w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax-75x75.gif 75w\" sizes=\"(max-width: 175px) 100vw, 175px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Grant Colfax, newly appointed director of the Office of National AIDS Policy and former director of HIV prevention and research at the San Francisco Department of Public Health. (Photo: S.F. Dept. of Public Health)\u003c/figcaption>\u003c/figure>\n\u003cp>In an interview on \u003ca href=\"http://www.kqed.org/a/forum/R201203190900\" target=\"_blank\">KQED's Forum\u003c/a> earlier this week Dr. Colfax was optimistic about a new phase in the fight against HIV. “We’ve had some striking scientific advances in prevention and care. We really are for the first time talking about an HIV-free generation,” Dr. Colfax told Forum's Michael Krasny. To achieve that future Dr. Colfax said HIV testing should become a regular part of primary health care. “HIV testing needs to be part of routine primary care and we need to break down the stigma that is still unfortunately associated with HIV testing,” he emphasized.\u003c/p>\n\u003cp>People who are at higher risk of HIV infection like gay men, people with HIV-positive partners and people with many sexual partners should get tested often. San Francisco recommends gay men get tested every 6 months, especially because gay men represent almost two-thirds of new HIV cases domestically. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2011/12/01/hivaids-cases-up-most-for-people-of-color/\">African-American women\u003c/a> are also much more likely to be infected for reasons that are still unclear to researchers.\u003c!--more-->\u003c/p>\n\u003cp>Dr. Colfax focuses on early identification and treatment because \u003ca href=\"http://sciencespeaksblog.org/2011/05/12/early-hiv-treatment-prevents-new-infections-preserves-health/\">research shows that treatment can help prevent\u003c/a> new cases of HIV. “We know what the right things to do are. But now the question is how do we come together as a scientific community and put the facts to work here,” Dr. Colfax said.\u003c/p>\n\u003cp>Dr. Colfax also defended the Obama administration's track record and commitment to HIV prevention and treatment both internationally and domestically. \"Even in these tight budget times we are investing in the HIV epidemic. The president’s budget includes an $800 million increase in funding,\" he said. One of the Obama administration's biggest achievements has been developing the first-ever \u003ca href=\"http://www.whitehouse.gov/administration/eop/onap/nhas\">National HIV/AIDS Strategy\u003c/a> -- even if it comes 30 years into the epidemic.“We really do have a blueprint now to move forward as a nation in having an effect on the epidemic,” Dr. Colfax said confidently. The three principal goals of the strategy are:\u003c/p>\n\u003cul>\n\u003cli>Reduce HIV incidences,\u003c/li>\n\u003cli>Improve access to care and health outcomes for people with HIV,\u003c/li>\n\u003cli>Reduce HIV-related disparities\u003c/li>\n\u003c/ul>\n\u003cp>Dr. Colfax believes his work with the San Francisco Public Health Department will serve him well as he makes his debut on the national stage.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "President Obama has tapped San Francisco's own Dr. Grant Colfax to head the Office of National AIDS Policy in Washington, D.C. Dr. Colfax is the former director of HIV prevention and research at the San Francisco Department of Public Health.\r\n\r\n\r\nDr. Grant Colfax, newly appointed director of the Office of National AIDS Policy and former director of HIV prevention and research at the San Francisco Department of Public Health. (Photo: S.F. Dept. of Public Health)\r\nIn an interview on KQED's Forum earlier this week Dr. Colfax was optimistic about a new phase in the fight against HIV. “We’ve had some striking scientific advances in prevention and care. We really are for the first time talking about an HIV-free generation,” Dr. Colfax told Forum's Michael Krasny. To achieve that future Dr. Colfax said HIV testing should become a regular part of primary health care. “HIV testing needs to be part of routine primary care and we need to break down the stigma that is still unfortunately associated with HIV testing,” he emphasized.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>President Obama has tapped San Francisco's own Dr. Grant Colfax to head the\u003ca href=\"http://www.whitehouse.gov/administration/eop/onap\" target=\"_blank\"> Office of National AIDS Policy\u003c/a> in Washington, D.C. Dr. Colfax is the former director of \u003ca href=\"http://www.helpfighthiv.org/\" target=\"_blank\">HIV prevention and research at the San Francisco Department of Public Health\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_3984\" class=\"wp-caption alignleft\" style=\"max-width: 175px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/grant_colfax.gif\">\u003cimg class=\"size-full wp-image-3984 \" title=\"grant_colfax\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/grant_colfax.gif\" alt=\"\" width=\"175\" height=\"175\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax.gif 175w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/grant_colfax-75x75.gif 75w\" sizes=\"(max-width: 175px) 100vw, 175px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Grant Colfax, newly appointed director of the Office of National AIDS Policy and former director of HIV prevention and research at the San Francisco Department of Public Health. (Photo: S.F. Dept. of Public Health)\u003c/figcaption>\u003c/figure>\n\u003cp>In an interview on \u003ca href=\"http://www.kqed.org/a/forum/R201203190900\" target=\"_blank\">KQED's Forum\u003c/a> earlier this week Dr. Colfax was optimistic about a new phase in the fight against HIV. “We’ve had some striking scientific advances in prevention and care. We really are for the first time talking about an HIV-free generation,” Dr. Colfax told Forum's Michael Krasny. To achieve that future Dr. Colfax said HIV testing should become a regular part of primary health care. “HIV testing needs to be part of routine primary care and we need to break down the stigma that is still unfortunately associated with HIV testing,” he emphasized.\u003c/p>\n\u003cp>People who are at higher risk of HIV infection like gay men, people with HIV-positive partners and people with many sexual partners should get tested often. San Francisco recommends gay men get tested every 6 months, especially because gay men represent almost two-thirds of new HIV cases domestically. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2011/12/01/hivaids-cases-up-most-for-people-of-color/\">African-American women\u003c/a> are also much more likely to be infected for reasons that are still unclear to researchers.\u003c!--more-->\u003c/p>\n\u003cp>Dr. Colfax focuses on early identification and treatment because \u003ca href=\"http://sciencespeaksblog.org/2011/05/12/early-hiv-treatment-prevents-new-infections-preserves-health/\">research shows that treatment can help prevent\u003c/a> new cases of HIV. “We know what the right things to do are. But now the question is how do we come together as a scientific community and put the facts to work here,” Dr. Colfax said.\u003c/p>\n\u003cp>Dr. Colfax also defended the Obama administration's track record and commitment to HIV prevention and treatment both internationally and domestically. \"Even in these tight budget times we are investing in the HIV epidemic. The president’s budget includes an $800 million increase in funding,\" he said. One of the Obama administration's biggest achievements has been developing the first-ever \u003ca href=\"http://www.whitehouse.gov/administration/eop/onap/nhas\">National HIV/AIDS Strategy\u003c/a> -- even if it comes 30 years into the epidemic.“We really do have a blueprint now to move forward as a nation in having an effect on the epidemic,” Dr. Colfax said confidently. The three principal goals of the strategy are:\u003c/p>\n\u003cul>\n\u003cli>Reduce HIV incidences,\u003c/li>\n\u003cli>Improve access to care and health outcomes for people with HIV,\u003c/li>\n\u003cli>Reduce HIV-related disparities\u003c/li>\n\u003c/ul>\n\u003cp>Dr. Colfax believes his work with the San Francisco Public Health Department will serve him well as he makes his debut on the national stage.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Global Experts Meet in Oakland to Share Ideas on Children's Health ",
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"headTitle": "State of Health | KQED News",
"content": "\u003cp>Malaria, tuberculosis, HIV -- these are the communicable diseases many people associate with death in the developing world. But increasingly diseases like diabetes, heart disease and conditions related to obesity have become the ticking \"time bomb\" that public health experts are desperately trying to prevent form exploding.\u003c/p>\n\u003cfigure id=\"attachment_3952\" class=\"wp-caption alignleft\" style=\"max-width: 225px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SchoolLunch.gif\">\u003cimg class=\"size-full wp-image-3952 \" title=\"SchoolLunch\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SchoolLunch.gif\" alt=\"\" width=\"225\" height=\"225\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch.gif 225w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-75x75.gif 75w\" sizes=\"(max-width: 225px) 100vw, 225px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Healthier school lunches can help fight obesity and its related diseases. (Photo: USDAgov/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca title=\"http://www.phi.org/\" href=\"http://www.phi.org/\" target=\"_blank\">Public Health Institute\u003c/a> (PHI) convened the first-ever conference focusing exclusively on \u003cem>children\u003c/em> and non-communicable diseases this week in downtown Oakland. Experts from around the world gathered to exchange ideas about how to prevent diseases that were once thought to be illnesses of the developed world from spreading globally. It's no coincidence that the conference is being held in Oakland. “Poverty is a root cause of a lot of the problems that bring diseases like this to the fore, and it’s something that we grapple with on a daily basis in Oakland,\" explained \u003ca title=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A571\" href=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A571\" target=\"_blank\">Jeff Meer\u003c/a>, PHI's special advisor for global health. \"If we can get a handle on how poverty relates to illness in Oakland, then we can understand it in Bujumbura and Kigali.\"\u003c/p>\n\u003cp>The four most common non-communicable diseases (NCDs) are diabetes, cancer, chronic lung disease and chronic heart disease. \"Most of us think of them as illnesses that strike in rich, highly developed countries; but the fact is that there is a tidal wave, an epidemic of non-communicable diseases that is striking populations all over the world, and striking, frankly with great ferocity in very poor places that have fewer resources than we do to deal with them,” Meer told me. A tidal wave indeed -- two-thirds of deaths worldwide can be attributed to NCDs according to Meer.\u003c!--more-->\u003c/p>\n\u003cp>The presentations focused on preventing risk factors like obesity early, before they become a problem -- a big challenge when \u003ca title=\"http://www.who.int/dietphysicalactivity/childhood/en/\" href=\"http://www.who.int/dietphysicalactivity/childhood/en/\" target=\"_blank\">42 million children\u003c/a> under the age of five are obese or overweight worldwide and nearly 35 million of them live in the developing world.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"There is a tidal wave, an epidemic of non-communicable diseases that is striking populations all over the world...\"\u003c/aside>\n\u003cp>California has been a leader in preventing NCDs. \"We are hearing today from some of the leading experts in the field who are based here in California because the funding exists here, the support exists here and quite frankly the track record exists here,” explained Meer. \u003ca title=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A547\" href=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A547\" target=\"_blank\">Mary Pittman\u003c/a>, the President and CEO of the Public Health Institute pointed to California's leadership on anti-smoking campaigns as an example. \"California was really one of the leading states to reduce tobacco consumption. And what we've been able to show is a decline in many of the diseases associated with tobacco consumption,\" she said.\u003c/p>\n\u003cfigure id=\"attachment_3959\" class=\"wp-caption alignright\" style=\"max-width: 225px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/veggies.gif\">\u003cimg class=\"size-full wp-image-3959\" title=\"veggies\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/veggies.gif\" alt=\"\" width=\"225\" height=\"225\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies.gif 225w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-75x75.gif 75w\" sizes=\"(max-width: 225px) 100vw, 225px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fresh vegetable cups prepared for the National School Lunch Program. Photo: USDAgov/Flickr\u003c/figcaption>\u003c/figure>\n\u003cp>California leads the way in some prevention areas like child nutrition. One presentation stressed a social media campaign targeting \"tweens,\" kids aged 9-11, who are open to messages of change and often bring what they learn back to their parents and their communities.“Nine-to-eleven year olds are at that age when they are becoming more active consumers,” said Steve Kempster, a social marketing specialist working on the \u003ca title=\"http://www.cdph.ca.gov/programs/CPNS/Pages/default.aspx\" href=\"http://www.cdph.ca.gov/programs/CPNS/Pages/default.aspx\" target=\"_blank\">California Department of Health's Network for a Healthy California program\u003c/a>. All the presentations stressed that in order to affect the health outcomes for children, healthy behaviors have to be taught early.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Much of the money for non-communicable disease prevention is embedded in federal funding for \u003ca title=\"http://www.fns.usda.gov/snap/\" href=\"http://www.fns.usda.gov/snap/\" target=\"_blank\">food stamps\u003c/a>, school lunches, school breakfast and the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. If California wants to keep innovating in the field of public health it will have to aggressively continue to pursue federal funds for these activities, something that PHI actively supports. \"California has a lot to learn and we have a lot of ground to make up,\" Matthew Marsom, vice-president for public health policy and advocacy at PHI told me. While California initially led in reducing tobacco consumption, other states have passed it in levying higher taxes, he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to reflect the correct number of overweight and obese children both worldwide and in developing countries.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Malaria, tuberculosis, HIV -- these are the communicable diseases many people associate with death in the developing world. But increasingly diseases like diabetes, heart disease and conditions related to obesity have become the ticking \"time bomb\" that public health experts are desperately trying to prevent form exploding. \r\n\r\n\r\nCalifornia public health advocates are integrating healthy food into free lunch programs to help prevent NCDs. Photo: USDAgov/Flickr\r\nThe Public Health Institute (PHI) convened the first-ever conference focusing on children and non-communicable diseases this week in downtown Oakland. Experts from around the world gathered to exchange ideas about how to prevent diseases that were once thought to be illnesses of the developed world from spreading globally. It's no coincidence that the conference is being held in Oakland.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Malaria, tuberculosis, HIV -- these are the communicable diseases many people associate with death in the developing world. But increasingly diseases like diabetes, heart disease and conditions related to obesity have become the ticking \"time bomb\" that public health experts are desperately trying to prevent form exploding.\u003c/p>\n\u003cfigure id=\"attachment_3952\" class=\"wp-caption alignleft\" style=\"max-width: 225px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SchoolLunch.gif\">\u003cimg class=\"size-full wp-image-3952 \" title=\"SchoolLunch\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SchoolLunch.gif\" alt=\"\" width=\"225\" height=\"225\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch.gif 225w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-75x75.gif 75w\" sizes=\"(max-width: 225px) 100vw, 225px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Healthier school lunches can help fight obesity and its related diseases. (Photo: USDAgov/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca title=\"http://www.phi.org/\" href=\"http://www.phi.org/\" target=\"_blank\">Public Health Institute\u003c/a> (PHI) convened the first-ever conference focusing exclusively on \u003cem>children\u003c/em> and non-communicable diseases this week in downtown Oakland. Experts from around the world gathered to exchange ideas about how to prevent diseases that were once thought to be illnesses of the developed world from spreading globally. It's no coincidence that the conference is being held in Oakland. “Poverty is a root cause of a lot of the problems that bring diseases like this to the fore, and it’s something that we grapple with on a daily basis in Oakland,\" explained \u003ca title=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A571\" href=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A571\" target=\"_blank\">Jeff Meer\u003c/a>, PHI's special advisor for global health. \"If we can get a handle on how poverty relates to illness in Oakland, then we can understand it in Bujumbura and Kigali.\"\u003c/p>\n\u003cp>The four most common non-communicable diseases (NCDs) are diabetes, cancer, chronic lung disease and chronic heart disease. \"Most of us think of them as illnesses that strike in rich, highly developed countries; but the fact is that there is a tidal wave, an epidemic of non-communicable diseases that is striking populations all over the world, and striking, frankly with great ferocity in very poor places that have fewer resources than we do to deal with them,” Meer told me. A tidal wave indeed -- two-thirds of deaths worldwide can be attributed to NCDs according to Meer.\u003c!--more-->\u003c/p>\n\u003cp>The presentations focused on preventing risk factors like obesity early, before they become a problem -- a big challenge when \u003ca title=\"http://www.who.int/dietphysicalactivity/childhood/en/\" href=\"http://www.who.int/dietphysicalactivity/childhood/en/\" target=\"_blank\">42 million children\u003c/a> under the age of five are obese or overweight worldwide and nearly 35 million of them live in the developing world.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"There is a tidal wave, an epidemic of non-communicable diseases that is striking populations all over the world...\"\u003c/aside>\n\u003cp>California has been a leader in preventing NCDs. \"We are hearing today from some of the leading experts in the field who are based here in California because the funding exists here, the support exists here and quite frankly the track record exists here,” explained Meer. \u003ca title=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A547\" href=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A547\" target=\"_blank\">Mary Pittman\u003c/a>, the President and CEO of the Public Health Institute pointed to California's leadership on anti-smoking campaigns as an example. \"California was really one of the leading states to reduce tobacco consumption. And what we've been able to show is a decline in many of the diseases associated with tobacco consumption,\" she said.\u003c/p>\n\u003cfigure id=\"attachment_3959\" class=\"wp-caption alignright\" style=\"max-width: 225px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/veggies.gif\">\u003cimg class=\"size-full wp-image-3959\" title=\"veggies\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/veggies.gif\" alt=\"\" width=\"225\" height=\"225\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies.gif 225w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-75x75.gif 75w\" sizes=\"(max-width: 225px) 100vw, 225px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fresh vegetable cups prepared for the National School Lunch Program. Photo: USDAgov/Flickr\u003c/figcaption>\u003c/figure>\n\u003cp>California leads the way in some prevention areas like child nutrition. One presentation stressed a social media campaign targeting \"tweens,\" kids aged 9-11, who are open to messages of change and often bring what they learn back to their parents and their communities.“Nine-to-eleven year olds are at that age when they are becoming more active consumers,” said Steve Kempster, a social marketing specialist working on the \u003ca title=\"http://www.cdph.ca.gov/programs/CPNS/Pages/default.aspx\" href=\"http://www.cdph.ca.gov/programs/CPNS/Pages/default.aspx\" target=\"_blank\">California Department of Health's Network for a Healthy California program\u003c/a>. All the presentations stressed that in order to affect the health outcomes for children, healthy behaviors have to be taught early.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Much of the money for non-communicable disease prevention is embedded in federal funding for \u003ca title=\"http://www.fns.usda.gov/snap/\" href=\"http://www.fns.usda.gov/snap/\" target=\"_blank\">food stamps\u003c/a>, school lunches, school breakfast and the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. If California wants to keep innovating in the field of public health it will have to aggressively continue to pursue federal funds for these activities, something that PHI actively supports. \"California has a lot to learn and we have a lot of ground to make up,\" Matthew Marsom, vice-president for public health policy and advocacy at PHI told me. While California initially led in reducing tobacco consumption, other states have passed it in levying higher taxes, he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to reflect the correct number of overweight and obese children both worldwide and in developing countries.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Trauma Fuels HIV Epidemic Among Women",
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"content": "\u003cfigure id=\"attachment_3911\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Rhodessa-Cassandra-Eddy.jpg\">\u003cimg class=\"size-medium wp-image-3911 \" title=\"UCSF helped create a theater workshop for HIV-positive women suffering from trauma (From left to right: Cassandra Steptoe, Edward Machtinger & Rhodessa Jones. Photo courtesy of UCSF).\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Rhodessa-Cassandra-Eddy-300x199.jpg\" alt=\"UCSF helped create a theater workshop for HIV-positive women suffering from trauma (From left to right: Cassandra Steptoe, Edward Machtinger & Rhodessa Jones. Photo courtesy of UCSF).\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">UCSF helped create a theater workshop for HIV-positive women suffering from PTSD and other forms of trauma. From left to right: theater participant Cassandra Steptoe, UCSF Professor Edward Machtinger & Rhodessa Jones of the theater group Cultural Odyssey. (Photo: UCSF).\u003c/figcaption>\u003c/figure>\n\u003cp>Scientists know that women who have been traumatized or suffer from post-traumatic stress disorder (PTSD) are \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/19049353\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/19049353\" target=\"_blank\">more likely to be at risk for HIV\u003c/a>.\u003c/p>\n\u003cp>Now two new studies published in the journal \u003ca title=\"http://www.springerlink.com/content/n164716853x285h7/\" href=\"http://www.springerlink.com/content/n164716853x285h7/\" target=\"_blank\">AIDS and Behavior\u003c/a> show that HIV-positive women suffer disproportionately high rates of trauma and PTSD. In a vicious circle, the high rates of trauma lead to increased risk of further spreading the illness.\u003c/p>\n\u003cp>In the first study researchers at U.C. San Francisco and Harvard Medical School looked at nearly 6,000 HIV-positive women. They found HIV-positive women were twice as likely to experience violence from their partner and five times more likely to suffer from PTSD than the national average.\u003c/p>\n\u003cp>In the second smaller study of 113 HIV-positive women, researchers reported that women experiencing ongoing trauma were about four times more likely both to have unsafe sex \u003cem>and\u003c/em> to fail taking antiretroviral medications correctly.\u003c/p>\n\u003cp>That combination of skipping medication and unsafe sex leads to alarming public health consequences, says lead author Edward Machtinger, who directs UCSF's \u003ca title=\"http://www.whp.ucsf.edu/\" href=\"http://www.whp.ucsf.edu/\" target=\"_blank\">Women’s HIV Program\u003c/a>. He said if a woman isn't taking HIV medications properly, she is more infectious.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"Our hope is that screening for trauma and intervening for trauma becomes a required aspect of the care for all women with HIV.\"\u003c/aside>\n\u003cp>\"And if that person is having unprotected sex with HIV-negative partners,\" Machtinger told me, \"that is a situation that predisposes further transmission more than any other. The conclusion that we come to is that trauma fuels all aspects of the HIV epidemic among women.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->Machtinger said the key to curbing this epidemic is to address the trauma, not just the illness. \"Our hope is that screening for trauma and intervening for trauma becomes a required aspect of the care for all women with HIV, along with blood tests and HIV medication adherence.\"\u003c/p>\n\u003cp>Machtinger says the Women's HIV Program (WHP) has turned to an innovative approach to intervention--theater. In a unique collaboration between the WHP and the San Francisco group \u003ca title=\"http://culturalodyssey.org/v2/season/winter10/\" href=\"http://culturalodyssey.org/v2/season/winter10/\" target=\"_blank\">Cultural Odyssey\u003c/a>, HIV-positive women go through a year-long workshop. At the end of the year, the women disclose their HIV status publicly in a performance called \u003ca title=\"http://culturalodyssey.org/v2/season/winter10/\" href=\"http://culturalodyssey.org/v2/season/winter10/\" target=\"_blank\">Dancing with the Clown of Love\u003c/a>.\u003c/p>\n\u003cp>\"None were completely out about their diagnosis prior to participating, and now all of them are out publicly - to their families, and friends and entire community,\" said Machtinger. \"The women who participated described it as transformative.\"\u003c/p>\n\u003cp>Cassandra Steptoe is one of those women. Steptoe was diagnosed with HIV in 1987, a time when she was working as a prostitute to support her own heroin and cocaine addictions, as well as her then-husband's addiction. She didn't reveal that she was HIV-positive for almost two decades. Steptoe says she was frequently beaten, both by her husband and her clients.\u003c/p>\n\u003cp>\"At that point I felt that my life was useless,\" said Steptoe. \"I didn’t have no hope. Because 1987, when I was diagnosed, there was a lot of people dying in the circle of men and women that I would hang around with. They was dying. And so I just waited around, wanting to die and wondering when I was gonna die. But in the process I was still shooting dope, I was still selling my body, I didn’t care about life, period. I lived in a dark world.\"\u003c/p>\n\u003cp>Steptoe lived on the streets for much of the next two decades. Then in 2001 she was sent to a drug treatment center in San Francisco. That's where she met Machtinger, and was introduced to the HIV-positive women's theater workshop. In the workshop, HIV-positive women like Steptoe write and perform their traumatic personal stories, under the guidance of Cultural Odyssey's Rhodessa Jones.\u003c/p>\n\u003cp>\"Rodessa has a way of having us write our feelings about our past out -- the dark places that we wouldn’t go into and we wouldn’t talk about,\" Steptoe said. \"But because of the safety and trust in this group, I was able to go deeper into my past and write about some things that I didn’t tell nobody. And that freed me a lot about my past.\"\u003c/p>\n\u003cp>Steptoe did her first series of live performances in 2010. She said she now takes all her antiretroviral medications, and works with other HIV-positive women in the community to overcome the shame associated with the virus. \"There’s no reason to feel shame. It’s not a crime to be HIV-positive--it’s a health condition. And you know what? We not alone. We in this together. Let’s have safe sex. We don’t need to keep spreading it. Let’s be open about this.\"\u003c/p>\n\u003cp>\u003cem>Watch Cassandra Steptoe's performance about her HIV status.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>http://www.youtube.com/watch?v=2mw7zZqOCJM&feature=youtu.be\u003c/p>\n\n",
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"excerpt": "Scientists know that women who have been traumatized or suffer from post-traumatic stress disorder (PTSD) are more likely to be at risk for HIV.\r\n\r\nNow two new studies published in the journal AIDS and Behavior show that HIV-positive women suffer disproportionately high rates of trauma and PTSD. In a vicious circle, the high rates of trauma lead to increased risk of further spreading the illness.",
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"description": "Scientists know that women who have been traumatized or suffer from post-traumatic stress disorder (PTSD) are more likely to be at risk for HIV.\r\n\r\nNow two new studies published in the journal AIDS and Behavior show that HIV-positive women suffer disproportionately high rates of trauma and PTSD. In a vicious circle, the high rates of trauma lead to increased risk of further spreading the illness.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_3911\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Rhodessa-Cassandra-Eddy.jpg\">\u003cimg class=\"size-medium wp-image-3911 \" title=\"UCSF helped create a theater workshop for HIV-positive women suffering from trauma (From left to right: Cassandra Steptoe, Edward Machtinger & Rhodessa Jones. Photo courtesy of UCSF).\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Rhodessa-Cassandra-Eddy-300x199.jpg\" alt=\"UCSF helped create a theater workshop for HIV-positive women suffering from trauma (From left to right: Cassandra Steptoe, Edward Machtinger & Rhodessa Jones. Photo courtesy of UCSF).\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">UCSF helped create a theater workshop for HIV-positive women suffering from PTSD and other forms of trauma. From left to right: theater participant Cassandra Steptoe, UCSF Professor Edward Machtinger & Rhodessa Jones of the theater group Cultural Odyssey. (Photo: UCSF).\u003c/figcaption>\u003c/figure>\n\u003cp>Scientists know that women who have been traumatized or suffer from post-traumatic stress disorder (PTSD) are \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/19049353\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/19049353\" target=\"_blank\">more likely to be at risk for HIV\u003c/a>.\u003c/p>\n\u003cp>Now two new studies published in the journal \u003ca title=\"http://www.springerlink.com/content/n164716853x285h7/\" href=\"http://www.springerlink.com/content/n164716853x285h7/\" target=\"_blank\">AIDS and Behavior\u003c/a> show that HIV-positive women suffer disproportionately high rates of trauma and PTSD. In a vicious circle, the high rates of trauma lead to increased risk of further spreading the illness.\u003c/p>\n\u003cp>In the first study researchers at U.C. San Francisco and Harvard Medical School looked at nearly 6,000 HIV-positive women. They found HIV-positive women were twice as likely to experience violence from their partner and five times more likely to suffer from PTSD than the national average.\u003c/p>\n\u003cp>In the second smaller study of 113 HIV-positive women, researchers reported that women experiencing ongoing trauma were about four times more likely both to have unsafe sex \u003cem>and\u003c/em> to fail taking antiretroviral medications correctly.\u003c/p>\n\u003cp>That combination of skipping medication and unsafe sex leads to alarming public health consequences, says lead author Edward Machtinger, who directs UCSF's \u003ca title=\"http://www.whp.ucsf.edu/\" href=\"http://www.whp.ucsf.edu/\" target=\"_blank\">Women’s HIV Program\u003c/a>. He said if a woman isn't taking HIV medications properly, she is more infectious.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"Our hope is that screening for trauma and intervening for trauma becomes a required aspect of the care for all women with HIV.\"\u003c/aside>\n\u003cp>\"And if that person is having unprotected sex with HIV-negative partners,\" Machtinger told me, \"that is a situation that predisposes further transmission more than any other. The conclusion that we come to is that trauma fuels all aspects of the HIV epidemic among women.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->Machtinger said the key to curbing this epidemic is to address the trauma, not just the illness. \"Our hope is that screening for trauma and intervening for trauma becomes a required aspect of the care for all women with HIV, along with blood tests and HIV medication adherence.\"\u003c/p>\n\u003cp>Machtinger says the Women's HIV Program (WHP) has turned to an innovative approach to intervention--theater. In a unique collaboration between the WHP and the San Francisco group \u003ca title=\"http://culturalodyssey.org/v2/season/winter10/\" href=\"http://culturalodyssey.org/v2/season/winter10/\" target=\"_blank\">Cultural Odyssey\u003c/a>, HIV-positive women go through a year-long workshop. At the end of the year, the women disclose their HIV status publicly in a performance called \u003ca title=\"http://culturalodyssey.org/v2/season/winter10/\" href=\"http://culturalodyssey.org/v2/season/winter10/\" target=\"_blank\">Dancing with the Clown of Love\u003c/a>.\u003c/p>\n\u003cp>\"None were completely out about their diagnosis prior to participating, and now all of them are out publicly - to their families, and friends and entire community,\" said Machtinger. \"The women who participated described it as transformative.\"\u003c/p>\n\u003cp>Cassandra Steptoe is one of those women. Steptoe was diagnosed with HIV in 1987, a time when she was working as a prostitute to support her own heroin and cocaine addictions, as well as her then-husband's addiction. She didn't reveal that she was HIV-positive for almost two decades. Steptoe says she was frequently beaten, both by her husband and her clients.\u003c/p>\n\u003cp>\"At that point I felt that my life was useless,\" said Steptoe. \"I didn’t have no hope. Because 1987, when I was diagnosed, there was a lot of people dying in the circle of men and women that I would hang around with. They was dying. And so I just waited around, wanting to die and wondering when I was gonna die. But in the process I was still shooting dope, I was still selling my body, I didn’t care about life, period. I lived in a dark world.\"\u003c/p>\n\u003cp>Steptoe lived on the streets for much of the next two decades. Then in 2001 she was sent to a drug treatment center in San Francisco. That's where she met Machtinger, and was introduced to the HIV-positive women's theater workshop. In the workshop, HIV-positive women like Steptoe write and perform their traumatic personal stories, under the guidance of Cultural Odyssey's Rhodessa Jones.\u003c/p>\n\u003cp>\"Rodessa has a way of having us write our feelings about our past out -- the dark places that we wouldn’t go into and we wouldn’t talk about,\" Steptoe said. \"But because of the safety and trust in this group, I was able to go deeper into my past and write about some things that I didn’t tell nobody. And that freed me a lot about my past.\"\u003c/p>\n\u003cp>Steptoe did her first series of live performances in 2010. She said she now takes all her antiretroviral medications, and works with other HIV-positive women in the community to overcome the shame associated with the virus. \"There’s no reason to feel shame. It’s not a crime to be HIV-positive--it’s a health condition. And you know what? We not alone. We in this together. Let’s have safe sex. We don’t need to keep spreading it. Let’s be open about this.\"\u003c/p>\n\u003cp>\u003cem>Watch Cassandra Steptoe's performance about her HIV status.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/2mw7zZqOCJM'\n title='//www.youtube.com/embed/2mw7zZqOCJM'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>In some parts of California air quality is already a big issue.\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_3800\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/tractor300x300.gif\">\u003cimg class=\"size-full wp-image-3800 \" title=\"tractor300x300\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/tractor300x300.gif\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300.gif 300w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300-75x75.gif 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Farming in the Central Valley contributes to the poor air quality there. (Photo: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As if there wasn’t already enough to worry about, now doctors are predicting that climate change will harm people's respiratory health. The American Thoracic Society is so concerned it filed a \u003ca title=\"http://pats.atsjournals.org/content/9/1/3.abstract\" href=\"http://pats.atsjournals.org/content/9/1/3.abstract\" target=\"_blank\">report\u003c/a> with two goals. The Society not only wants to raise awareness with doctors so they can take preventive measures with their patients but also is enticing researchers to take on the question for further study. They found that climate change has a direct impact on air quality. A hotter climate, wildfires, more pollen in the air and rates of airborne diseases are worsening respiratory health worldwide.\u003c/p>\n\u003cp>Climate change will likely affect different places in different ways, but in California it could mean \u003ca href=\"http://blogs.kqed.org/climatewatch/2011/12/14/take-your-pick-wetter-drier-and-hotter-for-california/\" target=\"_blank\">hotter summers and more wildfires\u003c/a>. The itchy eyes and sneeze-inducing allergies that plague many people during pollen season could also hang around longer if weather patterns continue to change. All of that is bad for asthmatics, children and the elderly, but also for poor people – as it turns out.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\"It was really an eye opener for us,\" said \u003ca title=\"http://faculty.vetmed.ucdavis.edu/faculty/kepinkerton/\" href=\"http://faculty.vetmed.ucdavis.edu/faculty/kepinkerton/\" target=\"_blank\">Kent Pinkerton\u003c/a>, a professor of pediatrics at UC Davis and the lead author on the report. \"We were really not aware of the implications of change in temperature on respiratory health. But it really is a global issue. It’s not just a concern for here in our country,\" he added. In some parts of Africa and Turkey desertification and increased particulates in the air have already forced people to relocate, often into cramped conditions, which further heightens their risk for respiratory diseases.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In California, wildfires are a blazing example of how increasing dryness and changing weather patterns harm people's lungs. Pinkerton pointed to the summer of 2008. \"We had over 1000 wildfires burning at the same time. And that really had a significant impact on air quality and particle concentration within the atmosphere,\" he explained to me. Another big change -- doctors are seeing infections from molds--molds not seen before in California. \"I think a good example of this has been a fungal type of infection that was only found in Central America, that is now found as far north as British Columbia, in Canada,\" said Pinkerton. So far the people most at risk are those with preexisting lung conditions, the very old and the very young. But in California's Central Valley some of these affects have gotten so bad that doctors are seeing them in all age groups.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"We were really not aware of the implications of change in temperature on respiratory health. But it really is a global issue.\"\u003c/aside>\n\u003cp>“I’m seeing an increase in the last 19-20 years in the number of patients I’m seeing who are experiencing chronic lung disease,” Kevin Hamilton, deputy chief of programs at \u003ca href=\"http://www.clinicasierravista.org/programs/\" target=\"_blank\">Clinica Sierra Vista\u003c/a> in Fresno told me. \"If we see continued changes in the climate you will see resulting problems in people’s health,” he continued. Hamilton is a respiratory therapist who treats mostly low-income patients, often Latino farmworkers making their living in the Central Valley. He says in his experience if air pollution is high, people pass a threshold where they keep getting sick. He says the San Joaquin Valley often has more than 150 days a year that break the health statutes for particulate matter--fine particles in the air that can affect people's lungs. Consistent poor air quality exacerbates--and can cause--illnesses like asthma and chronic obstructive pulmonary disease (COPD). In Hamilton's 34 years of treating lung diseases he says he thinks it’s getting worse. Something else different -- he’s seeing problems in all age groups among his low-income patients, something he doesn’t see with wealthier patients.\u003c/p>\n\u003cp>John Capitman, the Executive Director of the \u003ca href=\"http://www.csufresno.edu/ccchhs/institutes_programs/CVHPI/index.shtml\">Central Valley Health Policy Institute\u003c/a> and a professor of public health at CSU Fresno, says not all lung problems are created equally in the Central Valley. In fact, he’s also \u003ca href=\"http://www.csufresno.edu/ccchhs/institutes_programs/CVHPI/publications/MVAreport.pdf\">done research\u003c/a> that links the poorest air quality and the poorest health to communities that are low-income and often segregated. “In some of our more affluent communities we have health status outcomes that are similar to anywhere else in the country,” Capitman explained. “But in other communities, particularly low-income communities, places that are racially segregated basically, there is evidence that life expectancy is much lower.” Life expectancy is not linked solely to air quality, but exposure to high levels of particulate matter, ozone and pesticides are a contributing factor to the overall poor health that these communities experience.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That disparity is true around the world. Pinkerton's report makes clear that many respiratory illnesses linked to a changing climate have a socio-economic component. The people in Africa being forced to relocate are often the poorest, just as the farmworkers in the Central Valley bear the brunt of poor air conditions and increased ozone.\u003c/p>\n\n",
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"excerpt": "As if there wasn’t already enough to worry about, now doctors are predicting that climate change will harm people's respiratory health. The American Thoracic Society is so concerned it filed a report with two goals. The Society not only wants to raise awareness with doctors so they can take preventive measures with their patients but also is enticing researchers to take on the question for further study. They found that climate change has a direct impact on air quality. A hotter climate, wildfires, more pollen in the air and rates of airborne diseases are worsening respiratory health worldwide.\r\n\r\nClimate change will likely affect different places in different ways, but in California it could mean hotter summers and more wildfires. The itchy eyes and sneeze-inducing allergies that plague many people during pollen season could also hang around longer if weather patterns continue to change. All of that is bad for asthmatics, children and the elderly, but also for poor people – as it turns out.",
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"description": "As if there wasn’t already enough to worry about, now doctors are predicting that climate change will harm people's respiratory health. The American Thoracic Society is so concerned it filed a report with two goals. The Society not only wants to raise awareness with doctors so they can take preventive measures with their patients but also is enticing researchers to take on the question for further study. They found that climate change has a direct impact on air quality. A hotter climate, wildfires, more pollen in the air and rates of airborne diseases are worsening respiratory health worldwide.\r\n\r\nClimate change will likely affect different places in different ways, but in California it could mean hotter summers and more wildfires. The itchy eyes and sneeze-inducing allergies that plague many people during pollen season could also hang around longer if weather patterns continue to change. All of that is bad for asthmatics, children and the elderly, but also for poor people – as it turns out.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>In some parts of California air quality is already a big issue.\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_3800\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/tractor300x300.gif\">\u003cimg class=\"size-full wp-image-3800 \" title=\"tractor300x300\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/tractor300x300.gif\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300.gif 300w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/tractor300x300-75x75.gif 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Farming in the Central Valley contributes to the poor air quality there. (Photo: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As if there wasn’t already enough to worry about, now doctors are predicting that climate change will harm people's respiratory health. The American Thoracic Society is so concerned it filed a \u003ca title=\"http://pats.atsjournals.org/content/9/1/3.abstract\" href=\"http://pats.atsjournals.org/content/9/1/3.abstract\" target=\"_blank\">report\u003c/a> with two goals. The Society not only wants to raise awareness with doctors so they can take preventive measures with their patients but also is enticing researchers to take on the question for further study. They found that climate change has a direct impact on air quality. A hotter climate, wildfires, more pollen in the air and rates of airborne diseases are worsening respiratory health worldwide.\u003c/p>\n\u003cp>Climate change will likely affect different places in different ways, but in California it could mean \u003ca href=\"http://blogs.kqed.org/climatewatch/2011/12/14/take-your-pick-wetter-drier-and-hotter-for-california/\" target=\"_blank\">hotter summers and more wildfires\u003c/a>. The itchy eyes and sneeze-inducing allergies that plague many people during pollen season could also hang around longer if weather patterns continue to change. All of that is bad for asthmatics, children and the elderly, but also for poor people – as it turns out.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\"It was really an eye opener for us,\" said \u003ca title=\"http://faculty.vetmed.ucdavis.edu/faculty/kepinkerton/\" href=\"http://faculty.vetmed.ucdavis.edu/faculty/kepinkerton/\" target=\"_blank\">Kent Pinkerton\u003c/a>, a professor of pediatrics at UC Davis and the lead author on the report. \"We were really not aware of the implications of change in temperature on respiratory health. But it really is a global issue. It’s not just a concern for here in our country,\" he added. In some parts of Africa and Turkey desertification and increased particulates in the air have already forced people to relocate, often into cramped conditions, which further heightens their risk for respiratory diseases.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In California, wildfires are a blazing example of how increasing dryness and changing weather patterns harm people's lungs. Pinkerton pointed to the summer of 2008. \"We had over 1000 wildfires burning at the same time. And that really had a significant impact on air quality and particle concentration within the atmosphere,\" he explained to me. Another big change -- doctors are seeing infections from molds--molds not seen before in California. \"I think a good example of this has been a fungal type of infection that was only found in Central America, that is now found as far north as British Columbia, in Canada,\" said Pinkerton. So far the people most at risk are those with preexisting lung conditions, the very old and the very young. But in California's Central Valley some of these affects have gotten so bad that doctors are seeing them in all age groups.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"We were really not aware of the implications of change in temperature on respiratory health. But it really is a global issue.\"\u003c/aside>\n\u003cp>“I’m seeing an increase in the last 19-20 years in the number of patients I’m seeing who are experiencing chronic lung disease,” Kevin Hamilton, deputy chief of programs at \u003ca href=\"http://www.clinicasierravista.org/programs/\" target=\"_blank\">Clinica Sierra Vista\u003c/a> in Fresno told me. \"If we see continued changes in the climate you will see resulting problems in people’s health,” he continued. Hamilton is a respiratory therapist who treats mostly low-income patients, often Latino farmworkers making their living in the Central Valley. He says in his experience if air pollution is high, people pass a threshold where they keep getting sick. He says the San Joaquin Valley often has more than 150 days a year that break the health statutes for particulate matter--fine particles in the air that can affect people's lungs. Consistent poor air quality exacerbates--and can cause--illnesses like asthma and chronic obstructive pulmonary disease (COPD). In Hamilton's 34 years of treating lung diseases he says he thinks it’s getting worse. Something else different -- he’s seeing problems in all age groups among his low-income patients, something he doesn’t see with wealthier patients.\u003c/p>\n\u003cp>John Capitman, the Executive Director of the \u003ca href=\"http://www.csufresno.edu/ccchhs/institutes_programs/CVHPI/index.shtml\">Central Valley Health Policy Institute\u003c/a> and a professor of public health at CSU Fresno, says not all lung problems are created equally in the Central Valley. In fact, he’s also \u003ca href=\"http://www.csufresno.edu/ccchhs/institutes_programs/CVHPI/publications/MVAreport.pdf\">done research\u003c/a> that links the poorest air quality and the poorest health to communities that are low-income and often segregated. “In some of our more affluent communities we have health status outcomes that are similar to anywhere else in the country,” Capitman explained. “But in other communities, particularly low-income communities, places that are racially segregated basically, there is evidence that life expectancy is much lower.” Life expectancy is not linked solely to air quality, but exposure to high levels of particulate matter, ozone and pesticides are a contributing factor to the overall poor health that these communities experience.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That disparity is true around the world. Pinkerton's report makes clear that many respiratory illnesses linked to a changing climate have a socio-economic component. The people in Africa being forced to relocate are often the poorest, just as the farmworkers in the Central Valley bear the brunt of poor air conditions and increased ozone.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "L.A. Health Care Director's Vision Brings Change, Challenge",
"title": "L.A. Health Care Director's Vision Brings Change, Challenge",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>By Sarah Varney\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_3755\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MitchKatzonBike_03142012.jpg\">\u003cimg class=\"size-medium wp-image-3755 \" title=\"Colleagues say Dr. Mitch Katz rides his bike everywhere, including to work and many appointments. (Photo: Michael Wilson)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MitchKatzonBike_03142012-300x200.jpg\" alt=\"Colleagues say Dr. Mitch Katz rides his bike everywhere, including to work and many appointments. (Photo: Michael Wilson)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Colleagues say Dr. Mitch Katz rides his bike everywhere, including to work and many appointments. (Photo: Michael Wilson)\u003c/figcaption>\u003c/figure>\n\u003cp>It would be easy to confuse \u003ca title=\"http://www.ladhs.org/wps/portal/\" href=\"http://www.ladhs.org/wps/portal/\" target=\"_blank\">Dr. Mitch Katz\u003c/a> with any other doctor at the Roybal clinic in East Los Angeles. His desk in a closet-sized, windowless office is littered with patient records, x-rays and cans of Diet Coke.\u003c/p>\n\u003cp>His every man demeanor belies his stature. In fact, he even rides his bike to work and many appointments. But Mitch Katz is Director of Los Angeles County’s Department of Health Services, long one of the most beleaguered in the country. Katz oversees L.A.’s public hospitals and clinics, the place of last resort for millions of low-income Angelenos. He has 22,000 employees and a $3.7-billion dollar budget. When he arrived in Los Angeles last year after running San Francisco’s health department, he insisted on seeing patients one afternoon a week, a demand that struck many here as odd, if not impossible. How would Katz have time to treat patients with a system in ruin?\u003c!--more-->\u003c/p>\n\u003cp>Right now though, Katz is focused on a man who has walked into the clinic with a large tumor in his lung. We wear face masks because there is also a risk of tuberculosis.\u003c/p>\n\u003cp>Katz speaks Spanish to the patient in his native Brooklyn accent. He sits opposite the man, their knees almost touching, and carefully explains the possible causes of the tumor and what he hopes a visit to the pulmonologist will reveal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It’s clear Katz finds these clinic hours deeply satisfying, but the effect is much more practical. His time in the clinic informs his priorities as an administrator: he sees the road blocks and tries to clear them. Katz’s primary aim though, and what he came to Los Angeles to do, is to steer low-income Angelenos away from the emergency rooms they’ve long relied on and into primary care clinics where problems, like a tumor, can be detected earlier.\u003c/p>\n\u003cp>\"They sent me the L.A. org. chart. I said, 'Where’s primary care?' Well, it’s under the hospital,\" Katz told me. \"Well, that may explain why you have a problem with primary care!\"\u003c/p>\n\u003cp>Katz has moved swiftly. In the last six months, his team has assigned nearly a quarter of a million people to a primary care doctor at county clinics without hiring any additional staff.\u003c/p>\n\u003cp>\"What I did is say, 'No, we’re not running this anymore as a drop-in--see who you see and no one is responsible,'\" Katz says.\u003c/p>\n\u003cp>Katz’s predecessors promised many of the same reforms, but government observers here say they were stymied by a \u003ca title=\"http://bos.co.la.ca.us/\" href=\"http://bos.co.la.ca.us/\" target=\"_blank\">Board of Supervisors\u003c/a> which often governs Los Angeles like five competing fiefdoms. Indeed, many of the people I interviewed said they advised Katz not to take the job, that Los Angeles was beyond repair. But that sense of resignation may have worked to Katz’s advantage, says \u003ca title=\"http://www.usc.edu/schools/price/faculty/nontenure/cousineau.html\" href=\"http://www.usc.edu/schools/price/faculty/nontenure/cousineau.html\" target=\"_blank\">Michael Cousineau,\u003c/a> a professor at the University of Southern California’s Keck School of Medicine. \"People are just so tired of failure,\" Cousineau told me.\u003c/p>\n\u003cp>And the stakes have gotten higher. Under the federal health law, the federal government will sharply reduce payments to public hospitals that treat the uninsured. That's because, in 2014 when the federal health care law goes into effect, nearly all those who are legally documented will have health insurance coverage. In Los Angeles, says \u003ca title=\"https://www.lacare.org/aboutlacare/leadership\" href=\"https://www.lacare.org/aboutlacare/leadership\" target=\"_blank\">Howard Kahn\u003c/a>, CEO of the county health insurance plan \"L.A. Care,\" that means millions of newly insured people. People who have long had no choice but public clinics and hospitals will be able to switch to private providers, a worrisome prospect for the county.\u003c/p>\n\u003cp>\"They have a realistic concern that that’s going to happen,\" Kahn says, \"if they don’t improve customer service.\"\u003c/p>\n\u003cp>One report commissioned by the county put it bluntly--if LA loses its paying customers and is left treating only the undocumented, the financial survival of its health system is at stake. USC Professor Cousineau agrees. \"To move it rhetorically from a system of last resort to a system of choice is not going to be an easy thing,\" Cousineau said. \"But the price of failure is thousands of people losing their jobs, closing of health centers. So that’s what the supervisors have to grapple with.\"\u003c/p>\n\u003cp>For their part, the Supervisors seem supremely, and unusually, confident in Katz’s initiatives. Supervisor \u003ca title=\"http://molina.lacounty.gov/\" href=\"http://molina.lacounty.gov/\" target=\"_blank\">Gloria Molina\u003c/a> represents East Los Angeles and says \"I was one that was worried he was just going to be another guy that just took us so far and then would leave us. But instead he’s had the most daunting challenges and he’s meeting all our expectations.\"\u003c/p>\n\u003cp>One test of Katz’ vision for re-making L.A.’s system is taking place at the heart of where it all went terribly wrong. The Martin Luther King Junior-Harbor Hospital in South L.A. closed in 2007 after it reached near-third world standards and one patient died of egregious errors. It’s now re-opened as a \u003ca title=\"http://www.ladhs.org/wps/portal/KingHomepage\" href=\"http://www.ladhs.org/wps/portal/KingHomepage\" target=\"_blank\">clinic\u003c/a> where patients with chronic diseases are counseled by a team of nurses and medical assistants.\u003c/p>\n\u003cp>The clinic’s nurse manager Kimberly Thomas says customer service is now a top priority, \"The patients like the fact that they have someone to call. That they know WHO to call,\" she says, then adds there are additional incentives for better health. \"They’ll bring patients who have diabetes and high cholesterol then bring them in again and look at their labs and see if they’re improved or gone down. And they give gifts to people who are most improved, and they really love that.\"\u003c/p>\n\u003cp>Assigning low-income patients to a medical home makes for better medicine, but whether it engenders good will and loyalty when these same patients gain insurance is an open question. And this may, in fact, be Director Katz’s greatest challenge: giving Angelenos a reason to believe in what the county can offer.\u003c/p>\n\u003cp>\u003cstrong>More:\u003c/strong>\u003c/p>\n\u003cp>Listen to the audio version of Sarah Varney's piece:\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201203140850b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201203140850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "It would be easy to confuse Dr. Mitch Katz with any other doctor at the Roybal clinic in East Los Angeles. His desk in a closet-sized, windowless office is littered with patient records, x-rays and cans of Diet Coke.\r\n\r\nHis every man demeanor belies his stature. In fact, he even rides his bike to work and many appointments. But Mitch Katz is Director of Los Angeles County’s Department of Health Services, long one of the most beleaguered in the country. Katz oversees L.A.’s public hospitals and clinics, the place of last resort for millions of low-income Angelenos. He has 22,000 employees and a $3.7-billion dollar budget. When he arrived in Los Angeles last year after running San Francisco’s health department, he insisted on seeing patients one afternoon a week, a demand that struck many here as odd, if not impossible. How would Katz have time to treat patients with a system in ruin?",
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"description": "It would be easy to confuse Dr. Mitch Katz with any other doctor at the Roybal clinic in East Los Angeles. His desk in a closet-sized, windowless office is littered with patient records, x-rays and cans of Diet Coke.\r\n\r\nHis every man demeanor belies his stature. In fact, he even rides his bike to work and many appointments. But Mitch Katz is Director of Los Angeles County’s Department of Health Services, long one of the most beleaguered in the country. Katz oversees L.A.’s public hospitals and clinics, the place of last resort for millions of low-income Angelenos. He has 22,000 employees and a $3.7-billion dollar budget. When he arrived in Los Angeles last year after running San Francisco’s health department, he insisted on seeing patients one afternoon a week, a demand that struck many here as odd, if not impossible. How would Katz have time to treat patients with a system in ruin?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Sarah Varney\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_3755\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MitchKatzonBike_03142012.jpg\">\u003cimg class=\"size-medium wp-image-3755 \" title=\"Colleagues say Dr. Mitch Katz rides his bike everywhere, including to work and many appointments. (Photo: Michael Wilson)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MitchKatzonBike_03142012-300x200.jpg\" alt=\"Colleagues say Dr. Mitch Katz rides his bike everywhere, including to work and many appointments. (Photo: Michael Wilson)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Colleagues say Dr. Mitch Katz rides his bike everywhere, including to work and many appointments. (Photo: Michael Wilson)\u003c/figcaption>\u003c/figure>\n\u003cp>It would be easy to confuse \u003ca title=\"http://www.ladhs.org/wps/portal/\" href=\"http://www.ladhs.org/wps/portal/\" target=\"_blank\">Dr. Mitch Katz\u003c/a> with any other doctor at the Roybal clinic in East Los Angeles. His desk in a closet-sized, windowless office is littered with patient records, x-rays and cans of Diet Coke.\u003c/p>\n\u003cp>His every man demeanor belies his stature. In fact, he even rides his bike to work and many appointments. But Mitch Katz is Director of Los Angeles County’s Department of Health Services, long one of the most beleaguered in the country. Katz oversees L.A.’s public hospitals and clinics, the place of last resort for millions of low-income Angelenos. He has 22,000 employees and a $3.7-billion dollar budget. When he arrived in Los Angeles last year after running San Francisco’s health department, he insisted on seeing patients one afternoon a week, a demand that struck many here as odd, if not impossible. How would Katz have time to treat patients with a system in ruin?\u003c!--more-->\u003c/p>\n\u003cp>Right now though, Katz is focused on a man who has walked into the clinic with a large tumor in his lung. We wear face masks because there is also a risk of tuberculosis.\u003c/p>\n\u003cp>Katz speaks Spanish to the patient in his native Brooklyn accent. He sits opposite the man, their knees almost touching, and carefully explains the possible causes of the tumor and what he hopes a visit to the pulmonologist will reveal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It’s clear Katz finds these clinic hours deeply satisfying, but the effect is much more practical. His time in the clinic informs his priorities as an administrator: he sees the road blocks and tries to clear them. Katz’s primary aim though, and what he came to Los Angeles to do, is to steer low-income Angelenos away from the emergency rooms they’ve long relied on and into primary care clinics where problems, like a tumor, can be detected earlier.\u003c/p>\n\u003cp>\"They sent me the L.A. org. chart. I said, 'Where’s primary care?' Well, it’s under the hospital,\" Katz told me. \"Well, that may explain why you have a problem with primary care!\"\u003c/p>\n\u003cp>Katz has moved swiftly. In the last six months, his team has assigned nearly a quarter of a million people to a primary care doctor at county clinics without hiring any additional staff.\u003c/p>\n\u003cp>\"What I did is say, 'No, we’re not running this anymore as a drop-in--see who you see and no one is responsible,'\" Katz says.\u003c/p>\n\u003cp>Katz’s predecessors promised many of the same reforms, but government observers here say they were stymied by a \u003ca title=\"http://bos.co.la.ca.us/\" href=\"http://bos.co.la.ca.us/\" target=\"_blank\">Board of Supervisors\u003c/a> which often governs Los Angeles like five competing fiefdoms. Indeed, many of the people I interviewed said they advised Katz not to take the job, that Los Angeles was beyond repair. But that sense of resignation may have worked to Katz’s advantage, says \u003ca title=\"http://www.usc.edu/schools/price/faculty/nontenure/cousineau.html\" href=\"http://www.usc.edu/schools/price/faculty/nontenure/cousineau.html\" target=\"_blank\">Michael Cousineau,\u003c/a> a professor at the University of Southern California’s Keck School of Medicine. \"People are just so tired of failure,\" Cousineau told me.\u003c/p>\n\u003cp>And the stakes have gotten higher. Under the federal health law, the federal government will sharply reduce payments to public hospitals that treat the uninsured. That's because, in 2014 when the federal health care law goes into effect, nearly all those who are legally documented will have health insurance coverage. In Los Angeles, says \u003ca title=\"https://www.lacare.org/aboutlacare/leadership\" href=\"https://www.lacare.org/aboutlacare/leadership\" target=\"_blank\">Howard Kahn\u003c/a>, CEO of the county health insurance plan \"L.A. Care,\" that means millions of newly insured people. People who have long had no choice but public clinics and hospitals will be able to switch to private providers, a worrisome prospect for the county.\u003c/p>\n\u003cp>\"They have a realistic concern that that’s going to happen,\" Kahn says, \"if they don’t improve customer service.\"\u003c/p>\n\u003cp>One report commissioned by the county put it bluntly--if LA loses its paying customers and is left treating only the undocumented, the financial survival of its health system is at stake. USC Professor Cousineau agrees. \"To move it rhetorically from a system of last resort to a system of choice is not going to be an easy thing,\" Cousineau said. \"But the price of failure is thousands of people losing their jobs, closing of health centers. So that’s what the supervisors have to grapple with.\"\u003c/p>\n\u003cp>For their part, the Supervisors seem supremely, and unusually, confident in Katz’s initiatives. Supervisor \u003ca title=\"http://molina.lacounty.gov/\" href=\"http://molina.lacounty.gov/\" target=\"_blank\">Gloria Molina\u003c/a> represents East Los Angeles and says \"I was one that was worried he was just going to be another guy that just took us so far and then would leave us. But instead he’s had the most daunting challenges and he’s meeting all our expectations.\"\u003c/p>\n\u003cp>One test of Katz’ vision for re-making L.A.’s system is taking place at the heart of where it all went terribly wrong. The Martin Luther King Junior-Harbor Hospital in South L.A. closed in 2007 after it reached near-third world standards and one patient died of egregious errors. It’s now re-opened as a \u003ca title=\"http://www.ladhs.org/wps/portal/KingHomepage\" href=\"http://www.ladhs.org/wps/portal/KingHomepage\" target=\"_blank\">clinic\u003c/a> where patients with chronic diseases are counseled by a team of nurses and medical assistants.\u003c/p>\n\u003cp>The clinic’s nurse manager Kimberly Thomas says customer service is now a top priority, \"The patients like the fact that they have someone to call. That they know WHO to call,\" she says, then adds there are additional incentives for better health. \"They’ll bring patients who have diabetes and high cholesterol then bring them in again and look at their labs and see if they’re improved or gone down. And they give gifts to people who are most improved, and they really love that.\"\u003c/p>\n\u003cp>Assigning low-income patients to a medical home makes for better medicine, but whether it engenders good will and loyalty when these same patients gain insurance is an open question. And this may, in fact, be Director Katz’s greatest challenge: giving Angelenos a reason to believe in what the county can offer.\u003c/p>\n\u003cp>\u003cstrong>More:\u003c/strong>\u003c/p>\n\u003cp>Listen to the audio version of Sarah Varney's piece:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Nitrates in Drinking Water: New Attention from State Water Board",
"title": "Nitrates in Drinking Water: New Attention from State Water Board",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_3728\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Tooleville_SashaKhokha.jpg\">\u003cimg class=\"size-medium wp-image-3728 \" title=\"The drinking water in the town of Tulare County's Tooleville is contaminated with nitrates. (Photo: Sasha Khokha)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Tooleville_SashaKhokha-300x225.jpg\" alt=\"The drinking water in the town of Tulare County's Tooleville is contaminated with nitrates. (Photo: Sasha Khokha)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The drinking water in the Tulare County community of Tooleville is contaminated with nitrates. (Photo: Sasha Khokha)\u003c/figcaption>\u003c/figure>\n\u003cp>As Sasha Khokha detailed on \u003ca title=\"http://www.californiareport.org/archive/R201203130850/a\" href=\"http://www.californiareport.org/archive/R201203130850/a\" target=\"_blank\">The California Report\u003c/a> this morning, a \u003ca title=\"http://groundwaternitrate.ucdavis.edu/\" href=\"http://groundwaternitrate.ucdavis.edu/\" target=\"_blank\">major U.C. Davis report\u003c/a> released today found that more than 250,000 people living in some of California's prime farming areas are at risk of drinking water contaminated with nitrates. The contamination is largely from fertilizer used widely across California farmland and from animal manure from large dairies and other confined animal facilities.\u003c/p>\n\u003cp>Nitrates are linked to health problems including thyroid illnesses, some cancers and a type of \"blue baby syndrome,\" a blood disorder caused by a high concentration of nitrates which can be fatal to babies.\u003c/p>\n\u003cp>The new report--\u003cem>Addressing Nitrate in California's Drinking Water--\u003c/em>looks at the Tulare Lake Basin, including Fresno and Bakersfield, as well as the Salinas Valley, including Salinas and areas near Monterey. \u003c!--more-->\u003c/p>\n\u003cp>Khokha has been reporting on the issue of nitrates in drinking water for five years. In 2010, Khokha and The California Report collaborated with \u003ca title=\"http://californiawatch.org/\" href=\"http://californiawatch.org/\" target=\"_blank\">California Watch\u003c/a> on a multi-platform series \"\u003ca title=\"http://californiawatch.org/coping-with-nitrate-contamination/\" href=\"http://californiawatch.org/coping-with-nitrate-contamination/\" target=\"_blank\">Living with Nitrates\u003c/a>.\" The series later was honored with awards by the \u003ca title=\"http://www.spjnorcal.org/blog/2010/10/16/2010-excellence-in-journalism-award-winners-announced/\" href=\"http://www.spjnorcal.org/blog/2010/10/16/2010-excellence-in-journalism-award-winners-announced/\" target=\"_blank\">Society of Professional Journalists\u003c/a> and the\u003ca title=\"http://knightrisser.stanford.edu/winner2011.html\" href=\"http://knightrisser.stanford.edu/winner2011.html\" target=\"_blank\"> Knight-Risser Prize for Western Environmental Journalism\u003c/a>.\u003c/p>\n\u003cp>In that 2010 series, Khokha interviewed a \u003ca title=\"http://www.swrcb.ca.gov/\" href=\"http://www.swrcb.ca.gov/\" target=\"_blank\">State Water Resources Control Board\u003c/a> official who said nitrates took a backseat to more pressing water concerns, such as perchlorate and dry cleaning solvents.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“On the scale of things we deal with, while nitrates is certainly a concern and we’re managing for it, I don’t rank it high up there as something that makes me stay awake at night,” Darrin Polhemus, then-deputy director of the Board's division of water quality, said at the time.\u003c/p>\n\u003cp>But in reporting today's story, Khokha talked to \u003ca title=\"http://www.waterboards.ca.gov/mywaterquality/monitoring_council/\" href=\"http://www.waterboards.ca.gov/mywaterquality/monitoring_council/\" target=\"_blank\">Jonathan Bishop\u003c/a>, Chief Deputy Director of the State Water Board, which commissioned today's study. When she asked him about what Mr. Polhemus told her back in 2010, Bishop said, “I’m sure that his comment is something he regrets, now, and then.” Bishop said. Then he added, “I don’t think you’d find anyone that would say, 'well, we just don’t need to worry about these small disadvantaged communities. There’s just not enough people; we won’t worry about them.' I think everyone is concerned about them. It [nitrates in drinking water] had never been looked at in this comprehensive of a way.”\u003c/p>\n\u003cp>Ironically, people who live in these small communities Bishop cites may pay more for tap water than people who live in major urban areas. But if that tap water is contaminated with nitrates, then they also have at the expense of buying bottled water.\u003c/p>\n\u003cp>\"This report is going to be a challenge to many,\" said co-author \u003ca title=\"http://lawr.ucdavis.edu/directory_facultypages.php?id=41\" href=\"http://lawr.ucdavis.edu/directory_facultypages.php?id=41\" target=\"_blank\">Thomas Harter\u003c/a>, of the U.C. Davis Department of Land, Air and Water Resources. \"What I hope is that this report provides a way for us to all sit together and find ways to move forward. There are many promising options outlined in the report in terms of practices and technologies. I hope we can find sources of funding to do this.\"\u003c/p>\n\u003cp>Sources of funding are bound to be a big challenge as the report estimates that fixing drinking water systems just in the two basins examined could run up to $35 million a year for \u003cem>decades.\u003c/em> Among other ideas, the report suggests a sales tax on fertilizer, something farmers currently do not pay. This idea is likely to be met with resistance from California's powerful agriculture lobby.\u003c/p>\n\u003cp>But it's a problem that must be addressed, the authors urge. \"California is not alone in this problem,\" Harter says. \"To the degree that we will need to feed ten billion people in the year 2050 that will demand food and fiber at about twice the rate that is being produced today. We all need to tackle this challenge and figure out how to do this sustainably. We can also lead and teach the world on how to do this. This is really a global responsibility that we carry here in California.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>KQED's \u003cem>Forum \u003c/em>March 14, 2012\u003c/p>\n\u003cul>\n\u003cli>\u003ca title=\"http://www.kqed.org/a/forum/R201203140900\" href=\"http://www.kqed.org/a/forum/R201203140900\" target=\"_blank\">Central Valley Drinking Water Contamination\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cdiv>\n\u003cp>California Watch on today's U.C. Davis report:\u003c/p>\n\u003cul>\n\u003cli>\u003ca title=\"http://californiawatch.org/dailyreport/farming-communities-facing-crisis-over-nitrate-pollution-study-says-15258\" href=\"http://californiawatch.org/dailyreport/farming-communities-facing-crisis-over-nitrate-pollution-study-says-15258\" target=\"_blank\">Farming Communities Facing Crisis over Nitrate Pollution, Study Says\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/div>\n\u003cp>Sasha Khokha's 2010 series \"Nitrates in Our Drinking Water:\"\u003c/p>\n\u003cul>\n\u003cli>\u003ca title=\"http://www.californiareport.org/archive/R201005140850/a\" href=\"http://www.californiareport.org/archive/R201005140850/a\" target=\"_blank\">Part 1: The Present Threat\u003c/a>\u003c/li>\n\u003cli>\u003ca title=\"http://www.californiareport.org/archive/R201005170850/a\" href=\"http://www.californiareport.org/archive/R201005170850/a\" target=\"_blank\">Part 2: Charting A Cleaner Future\u003c/a>\u003c/li>\n\u003cli>\u003ca title=\"http://www.californiareport.org/archive/R201005180850/a\" href=\"http://www.californiareport.org/archive/R201005180850/a\" target=\"_blank\">Part 3: Cleaning up the Past\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"excerpt": "As Sasha Khokha details today on The California Report, a major U.C. Davis report released today found that more than 250,000 people living in some of California's prime farming areas are at risk of drinking water contaminated with nitrates. Nitrates are a common fertilizer used widely across California's farmland. It can be made synthetically and also comes from animal manure.\r\n\r\nThe new report looks at the Tulare Lake Basin, including Fresno and Bakersfield, as well as the Salinas Valley, including not just Salinas, but also areas near Monterey. This new research shows that nitrates are linked to health problems including thyroid illnesses, some cancers and a type of \"blue baby syndrome,\" a blood disorder thought to be caused by a high concentration of nitrates which can be fatal to babies.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_3728\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Tooleville_SashaKhokha.jpg\">\u003cimg class=\"size-medium wp-image-3728 \" title=\"The drinking water in the town of Tulare County's Tooleville is contaminated with nitrates. (Photo: Sasha Khokha)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Tooleville_SashaKhokha-300x225.jpg\" alt=\"The drinking water in the town of Tulare County's Tooleville is contaminated with nitrates. (Photo: Sasha Khokha)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The drinking water in the Tulare County community of Tooleville is contaminated with nitrates. (Photo: Sasha Khokha)\u003c/figcaption>\u003c/figure>\n\u003cp>As Sasha Khokha detailed on \u003ca title=\"http://www.californiareport.org/archive/R201203130850/a\" href=\"http://www.californiareport.org/archive/R201203130850/a\" target=\"_blank\">The California Report\u003c/a> this morning, a \u003ca title=\"http://groundwaternitrate.ucdavis.edu/\" href=\"http://groundwaternitrate.ucdavis.edu/\" target=\"_blank\">major U.C. Davis report\u003c/a> released today found that more than 250,000 people living in some of California's prime farming areas are at risk of drinking water contaminated with nitrates. The contamination is largely from fertilizer used widely across California farmland and from animal manure from large dairies and other confined animal facilities.\u003c/p>\n\u003cp>Nitrates are linked to health problems including thyroid illnesses, some cancers and a type of \"blue baby syndrome,\" a blood disorder caused by a high concentration of nitrates which can be fatal to babies.\u003c/p>\n\u003cp>The new report--\u003cem>Addressing Nitrate in California's Drinking Water--\u003c/em>looks at the Tulare Lake Basin, including Fresno and Bakersfield, as well as the Salinas Valley, including Salinas and areas near Monterey. \u003c!--more-->\u003c/p>\n\u003cp>Khokha has been reporting on the issue of nitrates in drinking water for five years. In 2010, Khokha and The California Report collaborated with \u003ca title=\"http://californiawatch.org/\" href=\"http://californiawatch.org/\" target=\"_blank\">California Watch\u003c/a> on a multi-platform series \"\u003ca title=\"http://californiawatch.org/coping-with-nitrate-contamination/\" href=\"http://californiawatch.org/coping-with-nitrate-contamination/\" target=\"_blank\">Living with Nitrates\u003c/a>.\" The series later was honored with awards by the \u003ca title=\"http://www.spjnorcal.org/blog/2010/10/16/2010-excellence-in-journalism-award-winners-announced/\" href=\"http://www.spjnorcal.org/blog/2010/10/16/2010-excellence-in-journalism-award-winners-announced/\" target=\"_blank\">Society of Professional Journalists\u003c/a> and the\u003ca title=\"http://knightrisser.stanford.edu/winner2011.html\" href=\"http://knightrisser.stanford.edu/winner2011.html\" target=\"_blank\"> Knight-Risser Prize for Western Environmental Journalism\u003c/a>.\u003c/p>\n\u003cp>In that 2010 series, Khokha interviewed a \u003ca title=\"http://www.swrcb.ca.gov/\" href=\"http://www.swrcb.ca.gov/\" target=\"_blank\">State Water Resources Control Board\u003c/a> official who said nitrates took a backseat to more pressing water concerns, such as perchlorate and dry cleaning solvents.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“On the scale of things we deal with, while nitrates is certainly a concern and we’re managing for it, I don’t rank it high up there as something that makes me stay awake at night,” Darrin Polhemus, then-deputy director of the Board's division of water quality, said at the time.\u003c/p>\n\u003cp>But in reporting today's story, Khokha talked to \u003ca title=\"http://www.waterboards.ca.gov/mywaterquality/monitoring_council/\" href=\"http://www.waterboards.ca.gov/mywaterquality/monitoring_council/\" target=\"_blank\">Jonathan Bishop\u003c/a>, Chief Deputy Director of the State Water Board, which commissioned today's study. When she asked him about what Mr. Polhemus told her back in 2010, Bishop said, “I’m sure that his comment is something he regrets, now, and then.” Bishop said. Then he added, “I don’t think you’d find anyone that would say, 'well, we just don’t need to worry about these small disadvantaged communities. There’s just not enough people; we won’t worry about them.' I think everyone is concerned about them. It [nitrates in drinking water] had never been looked at in this comprehensive of a way.”\u003c/p>\n\u003cp>Ironically, people who live in these small communities Bishop cites may pay more for tap water than people who live in major urban areas. But if that tap water is contaminated with nitrates, then they also have at the expense of buying bottled water.\u003c/p>\n\u003cp>\"This report is going to be a challenge to many,\" said co-author \u003ca title=\"http://lawr.ucdavis.edu/directory_facultypages.php?id=41\" href=\"http://lawr.ucdavis.edu/directory_facultypages.php?id=41\" target=\"_blank\">Thomas Harter\u003c/a>, of the U.C. Davis Department of Land, Air and Water Resources. \"What I hope is that this report provides a way for us to all sit together and find ways to move forward. There are many promising options outlined in the report in terms of practices and technologies. I hope we can find sources of funding to do this.\"\u003c/p>\n\u003cp>Sources of funding are bound to be a big challenge as the report estimates that fixing drinking water systems just in the two basins examined could run up to $35 million a year for \u003cem>decades.\u003c/em> Among other ideas, the report suggests a sales tax on fertilizer, something farmers currently do not pay. This idea is likely to be met with resistance from California's powerful agriculture lobby.\u003c/p>\n\u003cp>But it's a problem that must be addressed, the authors urge. \"California is not alone in this problem,\" Harter says. \"To the degree that we will need to feed ten billion people in the year 2050 that will demand food and fiber at about twice the rate that is being produced today. We all need to tackle this challenge and figure out how to do this sustainably. We can also lead and teach the world on how to do this. This is really a global responsibility that we carry here in California.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>KQED's \u003cem>Forum \u003c/em>March 14, 2012\u003c/p>\n\u003cul>\n\u003cli>\u003ca title=\"http://www.kqed.org/a/forum/R201203140900\" href=\"http://www.kqed.org/a/forum/R201203140900\" target=\"_blank\">Central Valley Drinking Water Contamination\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cdiv>\n\u003cp>California Watch on today's U.C. Davis report:\u003c/p>\n\u003cul>\n\u003cli>\u003ca title=\"http://californiawatch.org/dailyreport/farming-communities-facing-crisis-over-nitrate-pollution-study-says-15258\" href=\"http://californiawatch.org/dailyreport/farming-communities-facing-crisis-over-nitrate-pollution-study-says-15258\" target=\"_blank\">Farming Communities Facing Crisis over Nitrate Pollution, Study Says\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/div>\n\u003cp>Sasha Khokha's 2010 series \"Nitrates in Our Drinking Water:\"\u003c/p>\n\u003cul>\n\u003cli>\u003ca title=\"http://www.californiareport.org/archive/R201005140850/a\" href=\"http://www.californiareport.org/archive/R201005140850/a\" target=\"_blank\">Part 1: The Present Threat\u003c/a>\u003c/li>\n\u003cli>\u003ca title=\"http://www.californiareport.org/archive/R201005170850/a\" href=\"http://www.californiareport.org/archive/R201005170850/a\" target=\"_blank\">Part 2: Charting A Cleaner Future\u003c/a>\u003c/li>\n\u003cli>\u003ca title=\"http://www.californiareport.org/archive/R201005180850/a\" href=\"http://www.californiareport.org/archive/R201005180850/a\" target=\"_blank\">Part 3: Cleaning up the Past\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Infection Rates: Did Your Hospital Earn a White Dot?",
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"content": "\u003cp>By Deborah Schoch,\u003ca title=\"http://centerforhealthreporting.org/blog/infection-ratings-did-your-hospital-earn-white-dot818\" href=\"http://centerforhealthreporting.org/blog/infection-ratings-did-your-hospital-earn-white-dot818\" target=\"_blank\"> Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_3644\" class=\"wp-caption alignleft\" style=\"max-width: 255px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Surgery_Christiana-Care_Flickr_03082012.jpg\">\u003cimg class=\"size-medium wp-image-3644\" title=\"(Christiana Care:Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Surgery_Christiana-Care_Flickr_03082012-300x352.jpg\" alt=\"(Christiana Care:Flickr)\" width=\"255\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Christiana Care:Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Last week, a friend of mine was showing her Cal State Long Beach journalism students how to check \u003ca href=\"http://www2.mbc.ca.gov/LicenseLookupSystem/PhysicianSurgeon/Search.aspx\" target=\"_blank\">physicians’ credentials\u003c/a> on line when a student’s question stopped her short.\u003c/p>\n\u003cp>Where is the website, the student asked, that grades the hospitals where those doctors work?\u003c/p>\n\u003cp>The simple answer: The web abounds in hospital ratings these days, most of them based on consumer comments rather than hard data.\u003c/p>\n\u003cp>Readers of Yelp, for instance, can rate, not only the local Chinese takeout place, but the hospital up the street. \u003ca href=\"http://www.memorialcare.org/long_beach/about.cfm\" target=\"_blank\">Long Beach Memorial Medical Center\u003c/a> -- generally respected among its peers -- \u003ca href=\"http://www.yelp.com/biz/long-beach-memorial-medical-center-long-beach\" target=\"_blank\">earned only two and a half gold stars\u003c/a> out of five on Yelp. It received plenty of comments like AWFUL and NEVER, a complaint about a broken parking pay machine, and a few kind words for its cafeteria’s Chinese chicken salad.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>These comments have value, of course, but they don’t reflect the views of the regulatory experts charged with assessing health care quality.\u003c/p>\n\u003cp>Fortunately, Cal State Long Beach students don’t have to rely solely on Yelp to judge their local hospitals .\u003c/p>\n\u003cp>The national push for health care transparency has produced several high-quality sites that use credible data from government regulatory agencies.\u003c/p>\n\u003cp>I told my teacher friend about a few well-known sites, including Medicare’s \u003ca href=\"http://www.hospitalcompare.hhs.gov/\" target=\"_blank\">Hospital Compare\u003c/a>, but also about a \u003ca href=\"http://www.cdph.ca.gov/programs/hai/Documents/T2-CLABSI-%202010-2011.pdf\" target=\"_blank\">new report on hospital infections\u003c/a> on the website of the \u003ca href=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" target=\"_blank\">California Department of Public Health\u003c/a>.\u003c/p>\n\u003cp>Borrowing from Yelp and Consumer Reports, it’s one of the most readable reports that I’ve seen from an agency rightfully criticized in the past for technical, impenetrable infection reporting.\u003c/p>\n\u003cp>This year, state infection experts rethought how to inform consumers about the incidence of central line-associated bloodstream infections at hospitals across the state in the year ending in March 2011.\u003c/p>\n\u003cp>For seriously ill patients, these lines are critical for delivering food and medication. But they can turn into conduits for bacteria, spawning infections with a 25-percent mortality rate.\u003c/p>\n\u003cp>Such infections are relatively easy to prevent, however, and some consumer groups use line infection rates to measure the rigor of a hospital’s infection control program.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdph.ca.gov/programs/hai/Documents/Central-Line-Associated-Bloodstream-Infections-April-2010--3-2011.pdf\" target=\"_blank\">complete 146-page state report\u003c/a> on line infections is highly complex, but the consumer-friendly 16-page \u003ca href=\"http://www.cdph.ca.gov/programs/hai/Documents/T2-CLABSI-%202010-2011.pdf\" target=\"_blank\">summary\u003c/a> uses simple black, gray and white dots to put rates in context.\u003c/p>\n\u003cp>White dots show that a hospital’s rate is significantly better than the state norm.\u003c/p>\n\u003cp>Black dots show that the rate is significantly worse than the norm.\u003c/p>\n\u003cp>Gray dots—circles with specks inside—indicate that the rate is no different statistically than those of other hospitals\u003c/p>\n\u003cp>The system allows consumers to check out a hospital’s performance at a glance.\u003c/p>\n\u003cp>\u003ca href=\"http://cedars-sinai.edu/\" target=\"_blank\">Cedars-Sinai Medical Center\u003c/a> in Los Angeles excelled in the report, winning two white dots and 14 gray “average” dots. Cedars has targeted central line infections in a facility-wide campaign called “Zero is the Greatest Number,” \u003ca href=\"http://centerforhealthreporting.org/article/hospitals-actively-seeking-reduce-infections-facilities\" target=\"_blank\">as I wrote about last year\u003c/a> in the Riverside Press-Enterprise.\u003c/p>\n\u003cp>Long Beach Memorial received one black dot and seven “average” dots in the eight categories in which it was rated. The black dot showed its rates in oncology care, where patients are among those most prone to infection.\u003c/p>\n\u003cp>It could do better. But that’s a better performance than many hospitals in Southern California—and it’s far more statistically precise than those two-and-a-half stars and AWFUL comments on Yelp.\u003c/p>\n\u003cp>\u003cstrong>UPDATE:\u003c/strong> A reader asked why hospitals don’t have dots in every category. That’s largely because the state collects its infection data according to the types of patient care offered by each hospital — whether in a trauma unit, neonatal unit, burn unit, and so on. If a hospital doesn’t have a burn unit — and most hospitals don’t — it won’t have a dot in the burn category.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>By the way, readers can see details about infections in each category by clicking on the links at the top of each page.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Deborah Schoch,\u003ca title=\"http://centerforhealthreporting.org/blog/infection-ratings-did-your-hospital-earn-white-dot818\" href=\"http://centerforhealthreporting.org/blog/infection-ratings-did-your-hospital-earn-white-dot818\" target=\"_blank\"> Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_3644\" class=\"wp-caption alignleft\" style=\"max-width: 255px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Surgery_Christiana-Care_Flickr_03082012.jpg\">\u003cimg class=\"size-medium wp-image-3644\" title=\"(Christiana Care:Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Surgery_Christiana-Care_Flickr_03082012-300x352.jpg\" alt=\"(Christiana Care:Flickr)\" width=\"255\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Christiana Care:Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Last week, a friend of mine was showing her Cal State Long Beach journalism students how to check \u003ca href=\"http://www2.mbc.ca.gov/LicenseLookupSystem/PhysicianSurgeon/Search.aspx\" target=\"_blank\">physicians’ credentials\u003c/a> on line when a student’s question stopped her short.\u003c/p>\n\u003cp>Where is the website, the student asked, that grades the hospitals where those doctors work?\u003c/p>\n\u003cp>The simple answer: The web abounds in hospital ratings these days, most of them based on consumer comments rather than hard data.\u003c/p>\n\u003cp>Readers of Yelp, for instance, can rate, not only the local Chinese takeout place, but the hospital up the street. \u003ca href=\"http://www.memorialcare.org/long_beach/about.cfm\" target=\"_blank\">Long Beach Memorial Medical Center\u003c/a> -- generally respected among its peers -- \u003ca href=\"http://www.yelp.com/biz/long-beach-memorial-medical-center-long-beach\" target=\"_blank\">earned only two and a half gold stars\u003c/a> out of five on Yelp. It received plenty of comments like AWFUL and NEVER, a complaint about a broken parking pay machine, and a few kind words for its cafeteria’s Chinese chicken salad.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>These comments have value, of course, but they don’t reflect the views of the regulatory experts charged with assessing health care quality.\u003c/p>\n\u003cp>Fortunately, Cal State Long Beach students don’t have to rely solely on Yelp to judge their local hospitals .\u003c/p>\n\u003cp>The national push for health care transparency has produced several high-quality sites that use credible data from government regulatory agencies.\u003c/p>\n\u003cp>I told my teacher friend about a few well-known sites, including Medicare’s \u003ca href=\"http://www.hospitalcompare.hhs.gov/\" target=\"_blank\">Hospital Compare\u003c/a>, but also about a \u003ca href=\"http://www.cdph.ca.gov/programs/hai/Documents/T2-CLABSI-%202010-2011.pdf\" target=\"_blank\">new report on hospital infections\u003c/a> on the website of the \u003ca href=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" target=\"_blank\">California Department of Public Health\u003c/a>.\u003c/p>\n\u003cp>Borrowing from Yelp and Consumer Reports, it’s one of the most readable reports that I’ve seen from an agency rightfully criticized in the past for technical, impenetrable infection reporting.\u003c/p>\n\u003cp>This year, state infection experts rethought how to inform consumers about the incidence of central line-associated bloodstream infections at hospitals across the state in the year ending in March 2011.\u003c/p>\n\u003cp>For seriously ill patients, these lines are critical for delivering food and medication. But they can turn into conduits for bacteria, spawning infections with a 25-percent mortality rate.\u003c/p>\n\u003cp>Such infections are relatively easy to prevent, however, and some consumer groups use line infection rates to measure the rigor of a hospital’s infection control program.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdph.ca.gov/programs/hai/Documents/Central-Line-Associated-Bloodstream-Infections-April-2010--3-2011.pdf\" target=\"_blank\">complete 146-page state report\u003c/a> on line infections is highly complex, but the consumer-friendly 16-page \u003ca href=\"http://www.cdph.ca.gov/programs/hai/Documents/T2-CLABSI-%202010-2011.pdf\" target=\"_blank\">summary\u003c/a> uses simple black, gray and white dots to put rates in context.\u003c/p>\n\u003cp>White dots show that a hospital’s rate is significantly better than the state norm.\u003c/p>\n\u003cp>Black dots show that the rate is significantly worse than the norm.\u003c/p>\n\u003cp>Gray dots—circles with specks inside—indicate that the rate is no different statistically than those of other hospitals\u003c/p>\n\u003cp>The system allows consumers to check out a hospital’s performance at a glance.\u003c/p>\n\u003cp>\u003ca href=\"http://cedars-sinai.edu/\" target=\"_blank\">Cedars-Sinai Medical Center\u003c/a> in Los Angeles excelled in the report, winning two white dots and 14 gray “average” dots. Cedars has targeted central line infections in a facility-wide campaign called “Zero is the Greatest Number,” \u003ca href=\"http://centerforhealthreporting.org/article/hospitals-actively-seeking-reduce-infections-facilities\" target=\"_blank\">as I wrote about last year\u003c/a> in the Riverside Press-Enterprise.\u003c/p>\n\u003cp>Long Beach Memorial received one black dot and seven “average” dots in the eight categories in which it was rated. The black dot showed its rates in oncology care, where patients are among those most prone to infection.\u003c/p>\n\u003cp>It could do better. But that’s a better performance than many hospitals in Southern California—and it’s far more statistically precise than those two-and-a-half stars and AWFUL comments on Yelp.\u003c/p>\n\u003cp>\u003cstrong>UPDATE:\u003c/strong> A reader asked why hospitals don’t have dots in every category. That’s largely because the state collects its infection data according to the types of patient care offered by each hospital — whether in a trauma unit, neonatal unit, burn unit, and so on. If a hospital doesn’t have a burn unit — and most hospitals don’t — it won’t have a dot in the burn category.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>By the way, readers can see details about infections in each category by clicking on the links at the top of each page.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_3621\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Chemicals_GerberGrinsandGiggles.jpg\">\u003cimg class=\"size-medium wp-image-3621 \" title=\"(Image: Environmental Working Group)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Chemicals_GerberGrinsandGiggles-300x200.jpg\" alt=\"(Image: Environmental Working Group)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The FDA requires listing of \"fragrance\" but not the chemicals in it. (Image: Environmental Working Group)\u003c/figcaption>\u003c/figure>\n\u003cp>It's a topic well known to advocates, but perhaps surprise the average consumer--not all chemicals need to be listed on a product's ingredients labels. Worse, little research has been done on many chemicals, including those in common household products. Today,\u003ca title=\"http://www.forbes.com/sites/amywestervelt/2012/03/08/study-highlights-hidden-dangers-in-everyday-products/\" href=\"http://www.forbes.com/sites/amywestervelt/2012/03/08/study-highlights-hidden-dangers-in-everyday-products/\" target=\"_blank\"> Forbes\u003c/a> reports on a major peer-reviewed study in \u003ca title=\"http://ehp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3Adoi%2F10.1289%2Fehp.1104052#top\" href=\"http://ehp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3Adoi%2F10.1289%2Fehp.1104052#top\" target=\"_blank\">Environmental Health Perspectives\u003c/a>--published by the \u003ca title=\"http://www.niehs.nih.gov/\" href=\"http://www.niehs.nih.gov/\" target=\"_blank\">National Institute for Environmental Health Sciences\u003c/a>.\u003c/p>\n\u003cp>Researchers tested 213 products across 50 different categories, looking specifically at 66 chemicals associated with endocrine disruption or asthma. As Forbes reports:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>The study included both conventional products, such as Windex original glass cleaner and Irish Spring deodorant soap, as well as “alternative” products marketed as containing safer ingredients than their conventional counterparts, such as Seventh Generation Free and Clear natural glass and surface cleaner and Tom’s of Maine natural moisturizing body bar. Lab tests detected 55 chemicals of concern–including parabens, phthalates, bisphenol A (BPA), antimicrobials, cyclosiloxanes, glycol ethers, and fragrances–in the conventional product samples tested and also found 41 concerning chemical compounds in all but 11 alternative products. Very few of these chemicals were included on product labels.\u003c/p>\u003c/blockquote>\n\u003cp>The Silent Spring Institute funded the study. In its \u003ca title=\"http://www.silentspring.org/pdf/in_the_news/product-test-press-release.pdf\" href=\"http://www.silentspring.org/pdf/in_the_news/product-test-press-release.pdf\" target=\"_blank\">press release\u003c/a>, the Institute listed the following findings as being especially important:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Vinyl products, such as shower curtains and pillow protectors, contain more than 10% by weight of the phthalate DEHP, an endocrine disruptor (anti‐androgen) that has also been associated with increased respiratory symptoms in some studies.\u003c/li>\n\u003cli>Fragranced products – including air fresheners, dryer sheets, and perfume – and sunscreens had the largest number of target chemicals and some of the highest concentrations. Fragrances can trigger asthma and some have been shown to mimic estrogen, including making breast cancer cells grow in laboratory studies.\u003c/li>\n\u003cli>In addition to the labeled ingredients, alternative sunscreens contained up to 7 target chemicals that were unlabeled, including estrogenic UV filters. The alternative sunscreen with the highest number of target chemicals was a product marketed for babies, children, and sensitive adults.\u003c/li>\n\u003cli>A consumer who used the tested alternative surface cleaner, tub and tile cleaner, laundry detergent, bar soap, shampoo and conditioner, facial cleanser and lotion, and toothpaste would be exposed to 19 of the target compounds.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>Sunscreens? Bar soap? Shampoo? You might think that these are the very products which are heavily regulated, but no.\u003c/p>\n\u003cp>In the study, the researchers spotlight the limited regulation by the Food and Drug Administration around labeling of ingredients. Many regulations for consumer products were last updated more than 40 years ago. For cosmetics, while the word \"fragrance\" must be labelled, the individual chemicals of a fragrance and \"incidental ingredients\" do not need to be itemized. The terms \"natural,\" \"non-toxic\" and \"green\" are unregulated, the researchers say.\u003ca title=\"http://ehp03.niehs.nih.gov/article/info%3Adoi%2F10.1289%2Fehp.119-a16\" href=\"http://ehp03.niehs.nih.gov/article/info%3Adoi%2F10.1289%2Fehp.119-a16\" target=\"_blank\"> Another study\u003c/a> looked at \"green\" labelled fragranced products and found that \"VOC\"s--volatile organic compounds--were just as plentiful in the \"green\" products than in those products not labelled \"green.\" (I liked the title of that study, \"Scented Products Emit a Bouquet of VOCs.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Dr. Robin Dodson of the Centers for Disease Control was the lead author of the study. Just about the only approach Dodson can argue for at this point is avoidance. As Forbes reports:\u003c/p>\n\u003cblockquote>\u003cp>“Avoiding fragrance products can significantly reduce exposure to many of these compounds,” she says. ”Another one that’s easy to avoid is antibacterials; people are often using them when they don’t really need to, and they are typically labeled.”\u003c/p>\n\u003cp>Silent Spring has prepared\u003ca title=\"Silent Spring Consumer Products Tip Sheet\" href=\"http://www.silentspring.org/tips-card-top-12-tips-greening-your-cleaning-and-personal-care\" target=\"_blank\"> a list\u003c/a> of other consumer tips, including looking for products with plant-based ingredients and using plain water, baking soda, and vinegar for cleaning. Perhaps surprisingly, the tip list also includes opting for shade, hats, and cover-ups for sun protection.\u003c/p>\n\u003cp>“The results of the tests on sunscreen are worrisome,” Dodson says. “We tested four conventional and five alternative brands, and some were better than others, but all contained some of the concerning chemical compounds. We did only test five of the available alternative sunscreen products, so there may very well be one out there that doesn’t contain any of these chemicals. That said, there may be times where it’s best to use sunscreen, but if you can avoid it, and opt for shade and hats, then great.”\u003c/p>\n\u003cp>“Sunscreen could really become the poster child for the green chemistry movement,” Dodson adds. “Can we engineer something that is not an endocrine disruptor and that still protects from skin cancer?”\u003c/p>\u003c/blockquote>\n\u003cdiv>The Washington, D.C. advocacy organization, \u003ca title=\"http://www.ewg.org/\" href=\"http://www.ewg.org/\" target=\"_blank\">Environmental Working Group\u003c/a>, has long followed the issue of chemicals in consumer products. In an email, senior analyst Sonya Lunder said of the study, \"It is a fascinating read, and confirms many of our concerns about the widespread use of suspect chemicals in consumer products, particularly air fresheners, dryer sheets and sunscreens. With the oil spill dispersant 2-butoxyethanol in glass cleaner and hormone-disrupting phthalates in pillow protectors, the findings remind us how difficult it can be to avoid exposure to these ubiquitous hazards.\"\u003c/div>\n\n",
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"excerpt": "It's a topic well known to advocates, but perhaps surprise the average consumer--not all chemicals need to be listed on a product's ingredients labels. Worse, little research has been done on many chemicals, including those in common household products. Today, Forbes reports on a major peer-reviewed study in Environmental Health Perspectives--published by the National Institute for Environmental Health Sciences.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_3621\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Chemicals_GerberGrinsandGiggles.jpg\">\u003cimg class=\"size-medium wp-image-3621 \" title=\"(Image: Environmental Working Group)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Chemicals_GerberGrinsandGiggles-300x200.jpg\" alt=\"(Image: Environmental Working Group)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The FDA requires listing of \"fragrance\" but not the chemicals in it. (Image: Environmental Working Group)\u003c/figcaption>\u003c/figure>\n\u003cp>It's a topic well known to advocates, but perhaps surprise the average consumer--not all chemicals need to be listed on a product's ingredients labels. Worse, little research has been done on many chemicals, including those in common household products. Today,\u003ca title=\"http://www.forbes.com/sites/amywestervelt/2012/03/08/study-highlights-hidden-dangers-in-everyday-products/\" href=\"http://www.forbes.com/sites/amywestervelt/2012/03/08/study-highlights-hidden-dangers-in-everyday-products/\" target=\"_blank\"> Forbes\u003c/a> reports on a major peer-reviewed study in \u003ca title=\"http://ehp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3Adoi%2F10.1289%2Fehp.1104052#top\" href=\"http://ehp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3Adoi%2F10.1289%2Fehp.1104052#top\" target=\"_blank\">Environmental Health Perspectives\u003c/a>--published by the \u003ca title=\"http://www.niehs.nih.gov/\" href=\"http://www.niehs.nih.gov/\" target=\"_blank\">National Institute for Environmental Health Sciences\u003c/a>.\u003c/p>\n\u003cp>Researchers tested 213 products across 50 different categories, looking specifically at 66 chemicals associated with endocrine disruption or asthma. As Forbes reports:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>The study included both conventional products, such as Windex original glass cleaner and Irish Spring deodorant soap, as well as “alternative” products marketed as containing safer ingredients than their conventional counterparts, such as Seventh Generation Free and Clear natural glass and surface cleaner and Tom’s of Maine natural moisturizing body bar. Lab tests detected 55 chemicals of concern–including parabens, phthalates, bisphenol A (BPA), antimicrobials, cyclosiloxanes, glycol ethers, and fragrances–in the conventional product samples tested and also found 41 concerning chemical compounds in all but 11 alternative products. Very few of these chemicals were included on product labels.\u003c/p>\u003c/blockquote>\n\u003cp>The Silent Spring Institute funded the study. In its \u003ca title=\"http://www.silentspring.org/pdf/in_the_news/product-test-press-release.pdf\" href=\"http://www.silentspring.org/pdf/in_the_news/product-test-press-release.pdf\" target=\"_blank\">press release\u003c/a>, the Institute listed the following findings as being especially important:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Vinyl products, such as shower curtains and pillow protectors, contain more than 10% by weight of the phthalate DEHP, an endocrine disruptor (anti‐androgen) that has also been associated with increased respiratory symptoms in some studies.\u003c/li>\n\u003cli>Fragranced products – including air fresheners, dryer sheets, and perfume – and sunscreens had the largest number of target chemicals and some of the highest concentrations. Fragrances can trigger asthma and some have been shown to mimic estrogen, including making breast cancer cells grow in laboratory studies.\u003c/li>\n\u003cli>In addition to the labeled ingredients, alternative sunscreens contained up to 7 target chemicals that were unlabeled, including estrogenic UV filters. The alternative sunscreen with the highest number of target chemicals was a product marketed for babies, children, and sensitive adults.\u003c/li>\n\u003cli>A consumer who used the tested alternative surface cleaner, tub and tile cleaner, laundry detergent, bar soap, shampoo and conditioner, facial cleanser and lotion, and toothpaste would be exposed to 19 of the target compounds.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>Sunscreens? Bar soap? Shampoo? You might think that these are the very products which are heavily regulated, but no.\u003c/p>\n\u003cp>In the study, the researchers spotlight the limited regulation by the Food and Drug Administration around labeling of ingredients. Many regulations for consumer products were last updated more than 40 years ago. For cosmetics, while the word \"fragrance\" must be labelled, the individual chemicals of a fragrance and \"incidental ingredients\" do not need to be itemized. The terms \"natural,\" \"non-toxic\" and \"green\" are unregulated, the researchers say.\u003ca title=\"http://ehp03.niehs.nih.gov/article/info%3Adoi%2F10.1289%2Fehp.119-a16\" href=\"http://ehp03.niehs.nih.gov/article/info%3Adoi%2F10.1289%2Fehp.119-a16\" target=\"_blank\"> Another study\u003c/a> looked at \"green\" labelled fragranced products and found that \"VOC\"s--volatile organic compounds--were just as plentiful in the \"green\" products than in those products not labelled \"green.\" (I liked the title of that study, \"Scented Products Emit a Bouquet of VOCs.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Dr. Robin Dodson of the Centers for Disease Control was the lead author of the study. Just about the only approach Dodson can argue for at this point is avoidance. As Forbes reports:\u003c/p>\n\u003cblockquote>\u003cp>“Avoiding fragrance products can significantly reduce exposure to many of these compounds,” she says. ”Another one that’s easy to avoid is antibacterials; people are often using them when they don’t really need to, and they are typically labeled.”\u003c/p>\n\u003cp>Silent Spring has prepared\u003ca title=\"Silent Spring Consumer Products Tip Sheet\" href=\"http://www.silentspring.org/tips-card-top-12-tips-greening-your-cleaning-and-personal-care\" target=\"_blank\"> a list\u003c/a> of other consumer tips, including looking for products with plant-based ingredients and using plain water, baking soda, and vinegar for cleaning. Perhaps surprisingly, the tip list also includes opting for shade, hats, and cover-ups for sun protection.\u003c/p>\n\u003cp>“The results of the tests on sunscreen are worrisome,” Dodson says. “We tested four conventional and five alternative brands, and some were better than others, but all contained some of the concerning chemical compounds. We did only test five of the available alternative sunscreen products, so there may very well be one out there that doesn’t contain any of these chemicals. That said, there may be times where it’s best to use sunscreen, but if you can avoid it, and opt for shade and hats, then great.”\u003c/p>\n\u003cp>“Sunscreen could really become the poster child for the green chemistry movement,” Dodson adds. “Can we engineer something that is not an endocrine disruptor and that still protects from skin cancer?”\u003c/p>\u003c/blockquote>\n\u003cdiv>The Washington, D.C. advocacy organization, \u003ca title=\"http://www.ewg.org/\" href=\"http://www.ewg.org/\" target=\"_blank\">Environmental Working Group\u003c/a>, has long followed the issue of chemicals in consumer products. In an email, senior analyst Sonya Lunder said of the study, \"It is a fascinating read, and confirms many of our concerns about the widespread use of suspect chemicals in consumer products, particularly air fresheners, dryer sheets and sunscreens. With the oil spill dispersant 2-butoxyethanol in glass cleaner and hormone-disrupting phthalates in pillow protectors, the findings remind us how difficult it can be to avoid exposure to these ubiquitous hazards.\"\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "FDA Investigating Two Canadians for Distributing Fake Avastin",
"title": "FDA Investigating Two Canadians for Distributing Fake Avastin",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_3592\" class=\"wp-caption alignleft\" style=\"max-width: 146px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/AvastinVial_20111118.jpg\">\u003cimg class=\"size-medium wp-image-3592\" title=\"(Image: Genentech)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/AvastinVial_20111118-300x615.jpg\" alt=\"(Image: Genentech)\" width=\"146\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: Genentech)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cp>Last month the Food and Drug Administration warned 19 doctors and clinics that counterfeit vials of the chemotherapy drug \u003ca title=\"http://www.avastin.com/patient/index.html\" href=\"http://www.avastin.com/patient/index.html\" target=\"_blank\">Avastin\u003c/a> had been identified in the U.S. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/16/fda-warns-california-clinics-of-fake-avastin/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/16/fda-warns-california-clinics-of-fake-avastin/\" target=\"_blank\">Most of those doctors were in California\u003c/a>. Today the \u003ca title=\"http://online.wsj.com/article/SB10001424052970203370604577261343974214110.html\" href=\"http://online.wsj.com/article/SB10001424052970203370604577261343974214110.html\" target=\"_blank\">Wall Street Journal reports\u003c/a> that the FDA is investigating two businessmen from Canada who may be the source of these vials. One of them had admitted to shipping fake Avastin last year, although he says he did not know the vials contained counterfeit drugs. While it is generally illegal for anyone but the manufacturer to import prescription drugs into the U.S., it happens frequently and has proven difficult to police, the Journal reports.\u003c/p>\n\u003cblockquote>\u003cp>\"We're deeply horrified by this counterfeit [product] being sold by one of my companies,\" said Thomas Haughton, a Canadian citizen who runs a network of drug distributors that sell to U.S. doctors. At the same time he said that his business operated legally. \"We're doing everything we can to be sure that this never happens again.”\u003c/p>\n\u003cp>While experts say most U.S. drugs are safe, the probe may raise new concerns about the weakly regulated gray market in foreign drugs aimed at U.S. patients. The importation of foreign drugs by third parties, which takes advantage of the large price differential between the U.S. market and others abroad, is believed to represent a small but growing portion of the $300 billion U.S. prescription pharmaceutical business.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Haughton’s brother-in-law, Kris Thorkelson, is the second man under investigation. Both Haughton and Thorkelson sell low-cost medicines to doctors or directly to patients in the U.S. According to the \u003cem>Journal\u003c/em> their Canada-based businesses are thought to be the end of a supply chain of counterfeit Avastin that may have started in China and made its way through Turkey, Egypt, Sweden, and Denmark before going through Canada to get to Tennessee. Tennessee-based Volunteer Distribution was then suspected of funneling those vials out to various clinics throughout the country, most of which were in Southern California. Again, from the \u003cem>Journal\u003c/em>:\u003c/p>\n\u003cblockquote>\u003cp>In the last several days, the U.S. Attorney in Los Angeles has subpoenaed California physicians for documents about their dealings with and products purchased from Messrs. Haughton and Thorkelson, three people who have worked for them and 12 companies that are affiliated with one or the other man, according to a copy of a subpoena reviewed by The Wall Street Journal.\u003c/p>\n\u003cp>At least some of the doctors who received a subpoena were warned last month by the FDA that they may have purchased fake Avastin from three companies named in the subpoena and linked to Mr. Haughton. The FDA, which is leading the investigation, declined to comment on the subpoenas or the ongoing investigation.\u003c/p>\n\u003cp>The fake Avastin contained starch, salt, cleaning solvents and other chemicals and none of the drug's active ingredient, bevacizumab, according to Roche. The packaging didn't match U.S.-approved labels for the product, regulators said. As of Monday, the FDA hadn't received any reports of the fake Avastin being administered to patients.\u003c/p>\u003c/blockquote>\n\u003cp>The FDA is pursuing a criminal investigation against the Canadian drug sellers for shipping non-FDA approved drugs into the U.S.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "Last month the Food and Drug Administration warned 19 doctors and clinics that counterfeit vials of the chemotherapy drug Avastin had been identified in the U.S. Most of those doctors were in California. Today the Wall Street Journal reports that the FDA is investigating two businessmen from Canada who may be the source of these vials. One of them had admitted to shipping fake Avastin last year, although he says he did not know the vials contained counterfeit drugs. While it is generally illegal for anyone but the manufacturer to import prescription drugs into the U.S., it happens frequently and has proven difficult to police, the Journal reports.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_3592\" class=\"wp-caption alignleft\" style=\"max-width: 146px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/AvastinVial_20111118.jpg\">\u003cimg class=\"size-medium wp-image-3592\" title=\"(Image: Genentech)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/AvastinVial_20111118-300x615.jpg\" alt=\"(Image: Genentech)\" width=\"146\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: Genentech)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cp>Last month the Food and Drug Administration warned 19 doctors and clinics that counterfeit vials of the chemotherapy drug \u003ca title=\"http://www.avastin.com/patient/index.html\" href=\"http://www.avastin.com/patient/index.html\" target=\"_blank\">Avastin\u003c/a> had been identified in the U.S. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/16/fda-warns-california-clinics-of-fake-avastin/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/16/fda-warns-california-clinics-of-fake-avastin/\" target=\"_blank\">Most of those doctors were in California\u003c/a>. Today the \u003ca title=\"http://online.wsj.com/article/SB10001424052970203370604577261343974214110.html\" href=\"http://online.wsj.com/article/SB10001424052970203370604577261343974214110.html\" target=\"_blank\">Wall Street Journal reports\u003c/a> that the FDA is investigating two businessmen from Canada who may be the source of these vials. One of them had admitted to shipping fake Avastin last year, although he says he did not know the vials contained counterfeit drugs. While it is generally illegal for anyone but the manufacturer to import prescription drugs into the U.S., it happens frequently and has proven difficult to police, the Journal reports.\u003c/p>\n\u003cblockquote>\u003cp>\"We're deeply horrified by this counterfeit [product] being sold by one of my companies,\" said Thomas Haughton, a Canadian citizen who runs a network of drug distributors that sell to U.S. doctors. At the same time he said that his business operated legally. \"We're doing everything we can to be sure that this never happens again.”\u003c/p>\n\u003cp>While experts say most U.S. drugs are safe, the probe may raise new concerns about the weakly regulated gray market in foreign drugs aimed at U.S. patients. The importation of foreign drugs by third parties, which takes advantage of the large price differential between the U.S. market and others abroad, is believed to represent a small but growing portion of the $300 billion U.S. prescription pharmaceutical business.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Haughton’s brother-in-law, Kris Thorkelson, is the second man under investigation. Both Haughton and Thorkelson sell low-cost medicines to doctors or directly to patients in the U.S. According to the \u003cem>Journal\u003c/em> their Canada-based businesses are thought to be the end of a supply chain of counterfeit Avastin that may have started in China and made its way through Turkey, Egypt, Sweden, and Denmark before going through Canada to get to Tennessee. Tennessee-based Volunteer Distribution was then suspected of funneling those vials out to various clinics throughout the country, most of which were in Southern California. Again, from the \u003cem>Journal\u003c/em>:\u003c/p>\n\u003cblockquote>\u003cp>In the last several days, the U.S. Attorney in Los Angeles has subpoenaed California physicians for documents about their dealings with and products purchased from Messrs. Haughton and Thorkelson, three people who have worked for them and 12 companies that are affiliated with one or the other man, according to a copy of a subpoena reviewed by The Wall Street Journal.\u003c/p>\n\u003cp>At least some of the doctors who received a subpoena were warned last month by the FDA that they may have purchased fake Avastin from three companies named in the subpoena and linked to Mr. Haughton. The FDA, which is leading the investigation, declined to comment on the subpoenas or the ongoing investigation.\u003c/p>\n\u003cp>The fake Avastin contained starch, salt, cleaning solvents and other chemicals and none of the drug's active ingredient, bevacizumab, according to Roche. The packaging didn't match U.S.-approved labels for the product, regulators said. As of Monday, the FDA hadn't received any reports of the fake Avastin being administered to patients.\u003c/p>\u003c/blockquote>\n\u003cp>The FDA is pursuing a criminal investigation against the Canadian drug sellers for shipping non-FDA approved drugs into the U.S.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Veterans with PTSD at Risk of Prescription Opioid Abuse",
"title": "Veterans with PTSD at Risk of Prescription Opioid Abuse",
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"content": "\u003cfigure id=\"attachment_3555\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/PillsGenericGetty060611.jpg\">\u003cimg class=\"size-medium wp-image-3555\" title=\"Veterans with PTSD are more likely to be prescribed opioid drugs for pain relief. (Photo: Jupiter Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/PillsGenericGetty060611-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Veterans with PTSD are more likely than other vets to be prescribed opioid drugs for pain relief. (Photo: Jupiter Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Across the country, there's been a greater understanding of \u003ca title=\"http://www.iom.edu/Reports/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research.aspx\" href=\"http://www.iom.edu/Reports/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research.aspx\" target=\"_blank\">treating pain\u003c/a>. The prescription of opioid pain relievers--drugs like codeine, vicodin or morphine--has nearly doubled since 1994. But at the same time, \u003ca title=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6043a4.htm\" href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6043a4.htm\" target=\"_blank\">prescription opioid abuse, overdose and death\u003c/a> has also increased dramatically. The same trends are true for veterans of the Iraq and Afghanistan wars. Today, due to medical advances and improvements in combat protective gear, higher numbers of veterans of these wars are surviving injuries. But once home, they continue to suffer both pain and mental health problems. They are often prescribed opioid pain relievers.\u003c/p>\n\u003cp>But little has been known about mental health disorders and the prescribing of opioids to veterans. Researchers at the San Francisco Veterans Affairs Medical Center and UCSF set out to address this question and found that veterans with mental health problems were more likely to be prescribed opioid drugs than veterans without mental health issues.\u003c!--more-->\u003c/p>\n\u003cp>The study, published Tuesday in the \u003ca title=\"http://jama.ama-assn.org/content/307/9/940.short\" href=\"http://jama.ama-assn.org/content/307/9/940.short\" target=\"_blank\">Journal of the American Medical Association\u003c/a>, reviewed information from more than 140,000 Iraq and Afghanistan war veterans who were diagnosed with pain. Veterans without mental health problems were prescribed opioids much less frequently--about 6.5 percent of them received these prescriptions. That rate went up to 11.7 percent in veterans with a mental health diagnosis. And the rate was highest--17.8 percent--for veterans with Post-Traumatic Stress Disorder (PTSD).\u003c/p>\n\u003cp>The study also showed that all veterans that were prescribed opioids had a higher risk of misusing their prescription opioid by either over-dosing, having drug-related accidents, hurting oneself, or other things that would cause them to end up in the Emergency Room. That risk was the greatest among those with PTSD.\u003c/p>\n\u003cp>Lead author \u003ca title=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=4802489\" href=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=4802489\" target=\"_blank\">Karen Seal\u003c/a> is a physician at the San Francisco Veterans Affairs Medical Center and a professor at UCSF. She says the study results are troubling. \"The message to me is to keep redoubling our efforts to really have conversations with patients about these risks, and really provide them alternatives to just taking Vicodin or oxycodone or morphine, which has become very, very common in our society.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Seal says there were clear patterns in the data showing that Veterans Affairs (VA) patients with PTSD were more at risk for being on higher doses of opioids, and for longer periods of time. PTSD patients also had a higher risk of being prescribed two or more opioids simultaneously, and were more likely to get early refills on medications. She says getting early refills is a good indication that veterans may be abusing drugs by taking more than prescribed.\u003c/p>\n\u003cp>Seal says the VA often offers alternatives to opioid pain medication first, such as anti-inflammatory drugs, physical therapy, complementary alternative medicine, and various relaxation techniques. She says in her own practice, she's found that when she approaches her patients about alternatives to opioid prescriptions, many patients say they would rather avoid the opioids and try these alternative therapies first.\u003c/p>\n\u003cp>\"They particularly like going to physical therapy,\" Seal said. \"And actually trying -- usually for the first time -- modalities like acupuncture, chiropractory, relaxation, and even in some case psychotherapy that's really meant to address their pain and PTSD, or other mental health problems, simultaneously.\"\u003c/p>\n\u003cp>But Seal cautions that these alternative methods don't\u003cem> \u003c/em>always work. Some patients require opioid medication to relieve their pain. \"In those cases you would still prescribe [opioids] to relieve pain and suffering, but you would do so in a way that you are assessing for risk, and you are monitoring their use of the medication.\"\u003c/p>\n\u003cp>In the study, the authors note that the VA has guidelines that \"urge caution in opioid prescribing\" in people with substance abuse issues.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Department of Veterans Affairs issued a written statement in response to the study saying it \"agrees with the recommendation that VA continue to build upon its current approach to treating patients who have both pain and PTSD. This includes expanding \u003ca title=\"http://www.va.gov/primarycare/pcmh/\" href=\"http://www.va.gov/primarycare/pcmh/\" target=\"_blank\">Patient Aligned Care Teams\u003c/a> (PACTs) that align primary care physicians with nurses, mental health providers, pharmacists and social workers. VA is committed to ensuring Veterans receive the quality care and benefits they have earned.\"\u003c/p>\n\n",
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"excerpt": "Across the country, there's been a greater understanding of treating pain. The prescription of opioid pain relievers--drugs like codeine, vicodin or morphine--has nearly doubled since 1994. But at the same time, prescription opioid abuse, overdose and death has also increased dramatically. The same trends are true for veterans of the Iraq and Afghanistan wars. Today, due to medical advances and improvements in combat protective gear, higher numbers of veterans of these wars are surviving injuries. But once home, they continue to suffer both pain and mental health problems. They are often prescribed opioid pain relievers.\r\n",
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"description": "Across the country, there's been a greater understanding of treating pain. The prescription of opioid pain relievers--drugs like codeine, vicodin or morphine--has nearly doubled since 1994. But at the same time, prescription opioid abuse, overdose and death has also increased dramatically. The same trends are true for veterans of the Iraq and Afghanistan wars. Today, due to medical advances and improvements in combat protective gear, higher numbers of veterans of these wars are surviving injuries. But once home, they continue to suffer both pain and mental health problems. They are often prescribed opioid pain relievers.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Seal says there were clear patterns in the data showing that Veterans Affairs (VA) patients with PTSD were more at risk for being on higher doses of opioids, and for longer periods of time. PTSD patients also had a higher risk of being prescribed two or more opioids simultaneously, and were more likely to get early refills on medications. She says getting early refills is a good indication that veterans may be abusing drugs by taking more than prescribed.\u003c/p>\n\u003cp>Seal says the VA often offers alternatives to opioid pain medication first, such as anti-inflammatory drugs, physical therapy, complementary alternative medicine, and various relaxation techniques. She says in her own practice, she's found that when she approaches her patients about alternatives to opioid prescriptions, many patients say they would rather avoid the opioids and try these alternative therapies first.\u003c/p>\n\u003cp>\"They particularly like going to physical therapy,\" Seal said. \"And actually trying -- usually for the first time -- modalities like acupuncture, chiropractory, relaxation, and even in some case psychotherapy that's really meant to address their pain and PTSD, or other mental health problems, simultaneously.\"\u003c/p>\n\u003cp>But Seal cautions that these alternative methods don't\u003cem> \u003c/em>always work. Some patients require opioid medication to relieve their pain. \"In those cases you would still prescribe [opioids] to relieve pain and suffering, but you would do so in a way that you are assessing for risk, and you are monitoring their use of the medication.\"\u003c/p>\n\u003cp>In the study, the authors note that the VA has guidelines that \"urge caution in opioid prescribing\" in people with substance abuse issues.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Department of Veterans Affairs issued a written statement in response to the study saying it \"agrees with the recommendation that VA continue to build upon its current approach to treating patients who have both pain and PTSD. This includes expanding \u003ca title=\"http://www.va.gov/primarycare/pcmh/\" href=\"http://www.va.gov/primarycare/pcmh/\" target=\"_blank\">Patient Aligned Care Teams\u003c/a> (PACTs) that align primary care physicians with nurses, mental health providers, pharmacists and social workers. VA is committed to ensuring Veterans receive the quality care and benefits they have earned.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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}
},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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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.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"rss": "https://feeds.npr.org/510313/podcast.xml"
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
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