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"content": "\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/28/study-its-the-sugar-not-obesity-that-causes-diabetes/sugarbowl_judy_flickr/\" rel=\"attachment wp-att-10839\">\u003cimg class=\"alignright size-medium wp-image-10839\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/SugarBowl_Judy_Flickr-300x225.jpg\" alt=\"SugarBowl_Judy_Flickr\" width=\"300\" height=\"225\">\u003c/a>For years, doctors have debated sugar's role in causing diabetes. The prevailing medical opinion has been that eating more sugar means eating more calories, and it's the resulting weight gain that leads to diabetes. But a \u003ca href=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0057873\" target=\"_blank\">major new study\u003c/a> shows a direct link between sugar and diabetes -- a link that's independent of a person's weight.\u003c/p>\n\u003cp>KQED's Stephanie Martin interviewed one of the study's authors, Dr. Robert Lustig from UCSF. Lustig is an expert on childhood obesity and has been vocal about the health hazards of sugar for years. His video \"\u003ca href=\"http://www.youtube.com/watch?v=dBnniua6-oM\" target=\"_blank\">Sugar: The Bitter Truth\u003c/a>\" has more than three million views on YouTube.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“This is the same level of proof that was available to us when we implicated cigarettes as the cause of lung cancer back in the 1960′s.\"\u003c/aside>\n\u003cp>Lustig told Martin that the study was very carefully done -- researchers looked at sugar consumption in 175 countries over a decade and controlled for just about everything including obesity, poverty, and physical activity. They found that the more sugar in the food supply, the higher the rates of diabetes in that country, no matter what the obesity rates were.\u003c/p>\n\u003cp>In the study, sugar was 11 times stronger than total calories in explaining diabetes rates around the world. \"Those countries where sugar went up showed increases in [diabetes] rates. Those countries where sugar availability went down, showed decreases in rate.\"\u003c!--more-->\u003c/p>\n\u003cp>Lustig said their findings point to proof of causation that should be accepted by doctors. \"This is the same level of proof that was available to us when we implicated cigarettes as the cause of lung cancer back in the 1960's,\" he told Martin. He believes the findings are sufficiently strong to lead to policy interventions around sugar.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lustig has long suspected sugar as a major driver of diabetes. He pointed out that diabetes afflicts people across the weight spectrum.\u003c/p>\n\u003cp>\"Twenty percent of obese people have completely normal metabolic signatures,\" Lustig told Martin. \"Conversely, up to 40 percent of normal weight people have the exact same metabolic problems that the obese do; they are just not obese. The obesity is a marker for the metabolic problems which we call metabolic syndrome, rather than a cause.\" He cautioned that people who are normal weight, but eat a lot of sugar, could be sick and not know it.\u003c/p>\n\u003cp>The study was not designed to address whether the type of sugar mattered -- for example, table sugar versus high fructose corn syrup. Lustig said that in the study researchers looked at all sugars collectively, not individually.\u003c/p>\n\u003cp>At present, sugar is classified by the Food and Drug Administration as \"\u003ca href=\"http://www.fda.gov/Food/FoodIngredientsPackaging/GenerallyRecognizedasSafeGRAS/default.htm\" target=\"_blank\">Generally Regarded As Safe\u003c/a>.\" Lustig believes the FDA should re-evaluate whether sugar should stay on that list. He has previously \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\">called for sugar to be regulated\u003c/a> in the same way alcohol is.\u003c/p>\n\u003cp>Marion Nestle, professor of nutrition, food studies and public health at New York University was not affiliated with the study, but in a release she praised the research saying it was the first paper she knew of to link sugar consumption to diabetes. She said the study adds to a body of research that is sufficient to \"advise people to keep their sugar a lot lower than it normally is.\"\u003c/p>\n\u003cp>In his medical practice, Lustig says he sees adolescents with Type 2 diabetes. He asserts that one-fourth of U.S. adolescents consume at least 840 calories a day in sugar, more than 40 percent of a daily diet of 2,000 calories. \"The question is,\" he asked rhetorically, \"what does that do to you? What does that do to your liver? What does that do to your pancreas?\"\u003c/p>\n\u003cp>\u003cstrong>Learn More\u003c/strong>:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.npr.org/blogs/thesalt/2013/02/28/173170149/sugars-role-in-rise-of-diabetes-gets-clearer?ft=1&f=1128&sc=tw\" target=\"_blank\">Sugar's Role in Rise of Diabetes Gets Clearer\u003c/a> (NPR)\u003c/p>\n\n",
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"excerpt": "For years, doctors have debated sugar's role in causing diabetes. The prevailing medical opinion has been that eating more sugar means eating more calories, and it's the resulting weight gain that leads to diabetes. But a major new study shows a direct link between sugar and diabetes -- a link that's independent of a person's weight.\r\n\r\nKQED's Stephanie Martin interviewed one of the study's authors, Dr. Robert Lustig from UCSF. Lustig is an expert on childhood obesity and has been vocal about the health hazards of sugar for years. His video \"Sugar: The Bitter Truth\" has more than three million views on YouTube.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/28/study-its-the-sugar-not-obesity-that-causes-diabetes/sugarbowl_judy_flickr/\" rel=\"attachment wp-att-10839\">\u003cimg class=\"alignright size-medium wp-image-10839\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/SugarBowl_Judy_Flickr-300x225.jpg\" alt=\"SugarBowl_Judy_Flickr\" width=\"300\" height=\"225\">\u003c/a>For years, doctors have debated sugar's role in causing diabetes. The prevailing medical opinion has been that eating more sugar means eating more calories, and it's the resulting weight gain that leads to diabetes. But a \u003ca href=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0057873\" target=\"_blank\">major new study\u003c/a> shows a direct link between sugar and diabetes -- a link that's independent of a person's weight.\u003c/p>\n\u003cp>KQED's Stephanie Martin interviewed one of the study's authors, Dr. Robert Lustig from UCSF. Lustig is an expert on childhood obesity and has been vocal about the health hazards of sugar for years. His video \"\u003ca href=\"http://www.youtube.com/watch?v=dBnniua6-oM\" target=\"_blank\">Sugar: The Bitter Truth\u003c/a>\" has more than three million views on YouTube.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“This is the same level of proof that was available to us when we implicated cigarettes as the cause of lung cancer back in the 1960′s.\"\u003c/aside>\n\u003cp>Lustig told Martin that the study was very carefully done -- researchers looked at sugar consumption in 175 countries over a decade and controlled for just about everything including obesity, poverty, and physical activity. They found that the more sugar in the food supply, the higher the rates of diabetes in that country, no matter what the obesity rates were.\u003c/p>\n\u003cp>In the study, sugar was 11 times stronger than total calories in explaining diabetes rates around the world. \"Those countries where sugar went up showed increases in [diabetes] rates. Those countries where sugar availability went down, showed decreases in rate.\"\u003c!--more-->\u003c/p>\n\u003cp>Lustig said their findings point to proof of causation that should be accepted by doctors. \"This is the same level of proof that was available to us when we implicated cigarettes as the cause of lung cancer back in the 1960's,\" he told Martin. He believes the findings are sufficiently strong to lead to policy interventions around sugar.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lustig has long suspected sugar as a major driver of diabetes. He pointed out that diabetes afflicts people across the weight spectrum.\u003c/p>\n\u003cp>\"Twenty percent of obese people have completely normal metabolic signatures,\" Lustig told Martin. \"Conversely, up to 40 percent of normal weight people have the exact same metabolic problems that the obese do; they are just not obese. The obesity is a marker for the metabolic problems which we call metabolic syndrome, rather than a cause.\" He cautioned that people who are normal weight, but eat a lot of sugar, could be sick and not know it.\u003c/p>\n\u003cp>The study was not designed to address whether the type of sugar mattered -- for example, table sugar versus high fructose corn syrup. Lustig said that in the study researchers looked at all sugars collectively, not individually.\u003c/p>\n\u003cp>At present, sugar is classified by the Food and Drug Administration as \"\u003ca href=\"http://www.fda.gov/Food/FoodIngredientsPackaging/GenerallyRecognizedasSafeGRAS/default.htm\" target=\"_blank\">Generally Regarded As Safe\u003c/a>.\" Lustig believes the FDA should re-evaluate whether sugar should stay on that list. He has previously \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\">called for sugar to be regulated\u003c/a> in the same way alcohol is.\u003c/p>\n\u003cp>Marion Nestle, professor of nutrition, food studies and public health at New York University was not affiliated with the study, but in a release she praised the research saying it was the first paper she knew of to link sugar consumption to diabetes. She said the study adds to a body of research that is sufficient to \"advise people to keep their sugar a lot lower than it normally is.\"\u003c/p>\n\u003cp>In his medical practice, Lustig says he sees adolescents with Type 2 diabetes. He asserts that one-fourth of U.S. adolescents consume at least 840 calories a day in sugar, more than 40 percent of a daily diet of 2,000 calories. \"The question is,\" he asked rhetorically, \"what does that do to you? What does that do to your liver? What does that do to your pancreas?\"\u003c/p>\n\u003cp>\u003cstrong>Learn More\u003c/strong>:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.npr.org/blogs/thesalt/2013/02/28/173170149/sugars-role-in-rise-of-diabetes-gets-clearer?ft=1&f=1128&sc=tw\" target=\"_blank\">Sugar's Role in Rise of Diabetes Gets Clearer\u003c/a> (NPR)\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Seniors Help Kids CATCH Healthy Habits in San Diego",
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"content": "\u003cp>\u003cstrong>By Marnette Federis\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_10688\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/20/seniors-help-kids-catch-healthy-habits-in-san-diego/2marnette-federis/\" rel=\"attachment wp-att-10688\">\u003cimg class=\"size-medium wp-image-10688\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/2Marnette-Federis-300x219.jpg\" alt=\"During the physical activity component of CATCH Healthy Habits, kids play active games for 30 minutes. (Photo: Marnette Federis)\" width=\"300\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">During the physical activity component of CATCH Healthy Habits, kids play active games for 30 minutes. (Photo: Marnette Federis)\u003c/figcaption>\u003c/figure>\n\u003cp>A novel after-school program in the San Diego area is bringing together older and younger generations and helping encourage healthy lifestyles.\u003c/p>\n\u003cp>The program, called Coordinated Approach To Child Health, or CATCH Healthy Habits, trains and places senior volunteers in after-school programs and youth clubs where they teach kids about health.\u003c/p>\n\u003cp>CATCH is run by San Diego OASIS, an older adult educational center that encourages productive living for adults 50 years of age or older.\u003c/p>\n\u003cp>Many volunteers are retired teachers and nurses who said they were looking to give back to the community and be active even though they are no longer in the workforce.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lala Bence, 69, worked as a pre-school teacher for 25 years. “I love children, I retired [from teaching] for a year and I couldn't do without it,” said Bence, who now works with CATCH in San Diego’s Logan Heights neighborhood.\u003c!--more-->\u003c/p>\n\u003cp>Each class of CATCH Healthy Habits, usually held for one hour each week for up to eight weeks, is made up of three elements -- a healthy snack, a nutrition lesson and physical activity.\u003c/p>\n\u003cp>The classes always start with adults encouraging kids to eat something healthy such as grains, yogurt, fruit or vegetables. The volunteers then go on to teach nutritional facts. For example, volunteers talk to third and fifth graders about the importance of fiber and to be careful about daily sodium intake. Younger-aged kids, from kindergarten through second grade, learn about food that is healthy versus ones that are unhealthy. Then kids play tag and other games that get them moving.\u003c/p>\n\u003cp>Erica Macht, coordinator for CATCH, says the curriculum gives children simple tools on how they can make healthy decisions in their lives.\u003c/p>\n\u003cp>“I always say it's implanting that little seed in their head,\" says Macht, \"They might not get a whole bunch of stuff out of the program, but if they can go away with just a little bit, that would be great.\"\u003c/p>\n\u003cp>Proponents say what makes CATCH unique is its intergenerational approach to health and nutrition education. They said the program not only benefits the young, but also the retirees who feel that they are doing something productive.\u003c/p>\n\u003cp>Bence said the dynamic between the older and younger generations works because the volunteers are seen as the “grandmother and grandfather” figures, unlike other adults, such as a parent or a teacher, who have to play more authoritative roles.\u003c/p>\n\u003cp>Many of the children said they enjoyed interacting with the seniors.\u003c/p>\n\u003cp>\"They're really nice and caring,\" said 8-year-old Bubba, a CATCH participant.\u003c/p>\n\u003cp>Diane Lieberman, 63, said she has plenty of other physical activities, such as cycling and soccer. But she said volunteering is different.\u003c/p>\n\u003cp>“This is the one thing that I really get the most satisfaction out of,” said Lieberman, who volunteers with CATCH at an elementary school in east San Diego.\u003c/p>\n\u003cp>“Since I started volunteering,\" said Malcolm Carmichael, 73, \"my general health is so much better than it would be if I didn't participate in these things.\"\u003c/p>\n\u003cp>The program is funded by Anthem Blue Cross Foundation and administered around the country through regional branches of OASIS. CATCH is also in Los Angeles County, and program coordinators are looking to bring CATCH to the Sacramento area.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>Before and after the 8-week sessions both the children and volunteers take surveys to track whether they changed their eating and exercise habits. Nationally, surveys show a significant increase in physical activity, fruit and vegetable consumption, and nutrition label reading within the adult and children groups.\u003c/p>\n\u003cp>Volunteers said one important component of the program is that the kids are encouraged to bring what they learn to their families.\u003c/p>\n\u003cp>“Parents always pay attention to their children no matter what, so if a child says ‘Mom, salt isn't good for you, let's read the label,’ … that's a big deal,” said Bence.\u003c/p>\n\u003cp>CATCH Healthy Habits is even more important to communities such as Logan Heights, a working-class neighborhood in southeast San Diego.\u003c/p>\n\u003cp>Ricardo Sandoval the director of Boys & Girls Club, whose membership is 80 percent Latino families, said the kids in CATCH learn about the importance of a balanced lifestyle.\u003c/p>\n\u003cp>“Especially with Hispanic cooking that might have lard, grease, a lot of carbs … it’s a lot of things that add up,” said Sandoval.\u003c/p>\n\u003cp>School sites and youth clubs decide who is eligible to participate in the free program. Sandoval said that while CATCH is still new at the Boys & Girls Club, enthusiasm for the program is high.\u003c/p>\n\u003cp>\"I think it's really good and healthy, they always give us healthy foods, and they always make us feel better and they give us healthy stuff,\" said 8-year-old Heaven.\u003c/p>\n\u003cp>CATCH Healthy Habits is at 20 locations throughout the San Diego region. This includes elementary schools, youth clubs and some city-run facilities such as local libraries.\u003cem>\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Marnette Federis is a freelance writer living in San Diego.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Marnette Federis\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_10688\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/20/seniors-help-kids-catch-healthy-habits-in-san-diego/2marnette-federis/\" rel=\"attachment wp-att-10688\">\u003cimg class=\"size-medium wp-image-10688\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/2Marnette-Federis-300x219.jpg\" alt=\"During the physical activity component of CATCH Healthy Habits, kids play active games for 30 minutes. (Photo: Marnette Federis)\" width=\"300\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">During the physical activity component of CATCH Healthy Habits, kids play active games for 30 minutes. (Photo: Marnette Federis)\u003c/figcaption>\u003c/figure>\n\u003cp>A novel after-school program in the San Diego area is bringing together older and younger generations and helping encourage healthy lifestyles.\u003c/p>\n\u003cp>The program, called Coordinated Approach To Child Health, or CATCH Healthy Habits, trains and places senior volunteers in after-school programs and youth clubs where they teach kids about health.\u003c/p>\n\u003cp>CATCH is run by San Diego OASIS, an older adult educational center that encourages productive living for adults 50 years of age or older.\u003c/p>\n\u003cp>Many volunteers are retired teachers and nurses who said they were looking to give back to the community and be active even though they are no longer in the workforce.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lala Bence, 69, worked as a pre-school teacher for 25 years. “I love children, I retired [from teaching] for a year and I couldn't do without it,” said Bence, who now works with CATCH in San Diego’s Logan Heights neighborhood.\u003c!--more-->\u003c/p>\n\u003cp>Each class of CATCH Healthy Habits, usually held for one hour each week for up to eight weeks, is made up of three elements -- a healthy snack, a nutrition lesson and physical activity.\u003c/p>\n\u003cp>The classes always start with adults encouraging kids to eat something healthy such as grains, yogurt, fruit or vegetables. The volunteers then go on to teach nutritional facts. For example, volunteers talk to third and fifth graders about the importance of fiber and to be careful about daily sodium intake. Younger-aged kids, from kindergarten through second grade, learn about food that is healthy versus ones that are unhealthy. Then kids play tag and other games that get them moving.\u003c/p>\n\u003cp>Erica Macht, coordinator for CATCH, says the curriculum gives children simple tools on how they can make healthy decisions in their lives.\u003c/p>\n\u003cp>“I always say it's implanting that little seed in their head,\" says Macht, \"They might not get a whole bunch of stuff out of the program, but if they can go away with just a little bit, that would be great.\"\u003c/p>\n\u003cp>Proponents say what makes CATCH unique is its intergenerational approach to health and nutrition education. They said the program not only benefits the young, but also the retirees who feel that they are doing something productive.\u003c/p>\n\u003cp>Bence said the dynamic between the older and younger generations works because the volunteers are seen as the “grandmother and grandfather” figures, unlike other adults, such as a parent or a teacher, who have to play more authoritative roles.\u003c/p>\n\u003cp>Many of the children said they enjoyed interacting with the seniors.\u003c/p>\n\u003cp>\"They're really nice and caring,\" said 8-year-old Bubba, a CATCH participant.\u003c/p>\n\u003cp>Diane Lieberman, 63, said she has plenty of other physical activities, such as cycling and soccer. But she said volunteering is different.\u003c/p>\n\u003cp>“This is the one thing that I really get the most satisfaction out of,” said Lieberman, who volunteers with CATCH at an elementary school in east San Diego.\u003c/p>\n\u003cp>“Since I started volunteering,\" said Malcolm Carmichael, 73, \"my general health is so much better than it would be if I didn't participate in these things.\"\u003c/p>\n\u003cp>The program is funded by Anthem Blue Cross Foundation and administered around the country through regional branches of OASIS. CATCH is also in Los Angeles County, and program coordinators are looking to bring CATCH to the Sacramento area.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>Before and after the 8-week sessions both the children and volunteers take surveys to track whether they changed their eating and exercise habits. Nationally, surveys show a significant increase in physical activity, fruit and vegetable consumption, and nutrition label reading within the adult and children groups.\u003c/p>\n\u003cp>Volunteers said one important component of the program is that the kids are encouraged to bring what they learn to their families.\u003c/p>\n\u003cp>“Parents always pay attention to their children no matter what, so if a child says ‘Mom, salt isn't good for you, let's read the label,’ … that's a big deal,” said Bence.\u003c/p>\n\u003cp>CATCH Healthy Habits is even more important to communities such as Logan Heights, a working-class neighborhood in southeast San Diego.\u003c/p>\n\u003cp>Ricardo Sandoval the director of Boys & Girls Club, whose membership is 80 percent Latino families, said the kids in CATCH learn about the importance of a balanced lifestyle.\u003c/p>\n\u003cp>“Especially with Hispanic cooking that might have lard, grease, a lot of carbs … it’s a lot of things that add up,” said Sandoval.\u003c/p>\n\u003cp>School sites and youth clubs decide who is eligible to participate in the free program. Sandoval said that while CATCH is still new at the Boys & Girls Club, enthusiasm for the program is high.\u003c/p>\n\u003cp>\"I think it's really good and healthy, they always give us healthy foods, and they always make us feel better and they give us healthy stuff,\" said 8-year-old Heaven.\u003c/p>\n\u003cp>CATCH Healthy Habits is at 20 locations throughout the San Diego region. This includes elementary schools, youth clubs and some city-run facilities such as local libraries.\u003cem>\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Marnette Federis is a freelance writer living in San Diego.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Children and the Health Care Overhaul: Where is Coverage Best?",
"title": "Children and the Health Care Overhaul: Where is Coverage Best?",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cem>Editor's note: this post was updated to clarify benefits available to children who receive Medi-Cal and benefits available in the new Health Insurance Exchange.\u003c/em>\u003c/p>\n\u003cp>\u003cem>By Elaine Korry\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_9421\" class=\"wp-caption alignleft\" style=\"max-width: 287px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/PediatricianPorshiaMack_SaniaBettancourt_ElaineKorry_KQED.jpg\">\u003cimg class=\"size-medium wp-image-9421\" title=\"Pediatrician Porshia Mack examines 3-year-old Sania Bettancourt at Richmond LifeLong community health clinic. (Photo:Elaine Korry)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/PediatricianPorshiaMack_SaniaBettancourt_ElaineKorry_KQED-300x313.jpg\" alt=\"Pediatrician Porshia Mack examines 3-year-old Sania Bettancourt at Richmond LifeLong community health clinic. (Photo:Elaine Korry)\" width=\"287\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pediatrician Porshia Mack examines 3-year-old Sania Bettancourt at Richmond LifeLong community health clinic. (Photo:Elaine Korry)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"http://keck.usc.edu/About/Administrative_Offices/Office_of_Public_Relations_and_Marketing/News/Detail/2012__pr_and_marketing__fall__cousineau_chcf_111412\" target=\"_blank\">More than a million California children\u003c/a> who currently lack health insurance will qualify for coverage under the Affordable Care Act. When the health care overhaul goes into effect in 2014, more children from poor families will qualify for Medi-Cal, and other children will get subsidies for private low-cost insurance through the new state Exchange, Covered California. But children’s advocates are concerned that some kids won’t get the best coverage.\u003c/p>\n\u003cp>The nation’s pediatricians devised a gold standard of care. The name is a mouthful -- the \u003ca href=\"EARLY%20AND%20PERIODIC%20SCREENING,%20DIAGNOSTIC,%20AND%20TREATMENT%20SERVICES\" target=\"_blank\">Early and Periodic Screening, Diagnostic and Treatment Services\u003c/a>, or EPSDT for short. It's a standard to meet kids' medical needs -- and it's the standard of care at the Richmond LifeLong Medical Care, a community clinic in San Francisco's East Bay that serves low-income families.\u003c/p>\n\u003cp>On a recent visit, Dr. Porshia Mack, head of pediatrics at the clinic, treated 3-year-old Sania Bettancourt. Dr. Mack listened to Sania's lungs, checked her heartbeat, and peered into her throat and ears. Mack told Sania’s mother that all seemed well except for one recurring problem. Sania’s mild anemia was back, so Mack prescribed a multi-vitamin.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Mack has treated Sania since she was a baby and knew her well enough to realize that this bout of anemia was not serious. But she said that wouldn’t necessarily be the case for kids who aren’t covered for early pediatric care. “It could be a sign of something more ominous than it is, and we wouldn’t know that unless I saw her on a regular interval,” says Mack. “The AAP, the American Academy of Pediatrics, recommends certain lab tests drawn at certain intervals so we can catch these things.”\u003c/p>\n\u003cp>Under the Affordable Care Act, children who are on Medi-Cal, like Sania, will continue to have the full range of coverage recommended by the AAP. Children whose families have slightly more income and qualify for coverage under the new insurance Exchange will likely get significantly better benefits than they have now, but those benefits may not be equal to those under Medi-Cal.\u003c/p>\n\u003cp>The federal law outlines the so-called \u003ca href=\"http://www.healthcare.gov/glossary/e/essential.html\" target=\"_blank\">essential health benefits\u003c/a> that insurers in the state Exchanges must cover. Each state must pick an existing insurance plan as a model -- a plan that has \u003ca href=\"http://aspe.hhs.gov/health/reports/2011/MarketComparison/rb.shtml\" target=\"_blank\">equivalent benefits to a \"typical\" employer plan\u003c/a>. California was among the first states to pick its model benchmark.\u003c/p>\n\u003cp>“It’s a huge step forward for children’s health,” says Kelly Hardy, director of health policy at Children Now, a statewide advocacy group. California chose as its benchmark a Kaiser Small Group plan. That is the baseline plan, and there will be more expensive plans to trade up to, if people want to pay for more benefits. Although Kelly rejects the idea of one-size-fits-all insurance, she says state lawmakers did expand on the Kaiser plan to meet some of children’s needs.\u003c/p>\n\u003cp>“We’re really pleased that the legislature chose to add strong vision and comprehensive dental benefits for children,” says Kelly. “Those are two additions that are really important.\" (By comparison, people with employer-based health insurance often have separate insurance plans for dental and vision coverage.)\u003c/p>\n\u003cp>Yet children’s advocates like Hardy did not get everything they hoped for. Most importantly, she says, they did not convince state lawmakers to adopt the EPSDT for children insured through the state's Exchange. Hardy says that wasn’t practical to include for all kids because it’s simply too expensive. She also noted that many private plans, employer-based health insurance plans included, may not meet that standard.\u003c/p>\n\u003cp>Many pediatricians say that in reality, even the AAP standard is minimal coverage, especially for children with special needs such as asthma, Down syndrome or heart disease. As east bay physician Dr. Thomas Long puts it, “Is it the floor or is it the ceiling? We think it’s the floor, and the least we can do for all children.”\u003c/p>\n\u003cp>Dr. Long is an expert on child health financing with the American Academy of Pediatrics. He says the new Exchange’s standard of care falls short on things like mental health benefits, access to pediatric specialists and other needed coverage.\u003c/p>\n\u003cp>Insurers respond that the Exchange benefits package is broad enough -- and is certainly an improvement for children who have no or very limited insurance now. Charles Bacci, with the California Association of Health Plans, says there’s always a tradeoff between coverage and cost. “The more broad the benefit package, the more expensive your healthcare premiums are,” says Bacci. “The more narrow the benefit, the more affordable your premiums are.”\u003c/p>\n\u003cp>So the irony is that children on Medi-Cal, including half a million new enrollees under the Affordable Care Act, may have the broadest coverage, while children from slightly higher income families in the Exchange, may have at least somewhat narrower benefits. But, says Bacci, if the half-million new kids in the Exchange were also guaranteed the best coverage, healthcare costs would explode.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Support for this report came from the\u003ca href=\"http://www.reportingonhealth.org/fellowships/seminars/lucile-packard-foundation-childrens-health-journalism-fund\" target=\"_blank\"> Lucile Packard Foundation for Children’s Health Journalism Fund\u003c/a>, a program of the USC Annenberg School of Journalism’s California Endowment Health Journalism Fellowships.\u003c/em>\u003c/p>\n\n",
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"excerpt": "More than a million California children who currently lack health insurance will qualify for coverage under the Affordable Care Act. When Obamacare takes effect in 2014, more children from poor families will qualify for Medi-Cal, and others will get subsidies for private low-cost insurance through the new state exchange, Covered California. But children’s advocates are concerned that some kids won’t get the best coverage.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Editor's note: this post was updated to clarify benefits available to children who receive Medi-Cal and benefits available in the new Health Insurance Exchange.\u003c/em>\u003c/p>\n\u003cp>\u003cem>By Elaine Korry\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_9421\" class=\"wp-caption alignleft\" style=\"max-width: 287px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/PediatricianPorshiaMack_SaniaBettancourt_ElaineKorry_KQED.jpg\">\u003cimg class=\"size-medium wp-image-9421\" title=\"Pediatrician Porshia Mack examines 3-year-old Sania Bettancourt at Richmond LifeLong community health clinic. (Photo:Elaine Korry)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/PediatricianPorshiaMack_SaniaBettancourt_ElaineKorry_KQED-300x313.jpg\" alt=\"Pediatrician Porshia Mack examines 3-year-old Sania Bettancourt at Richmond LifeLong community health clinic. (Photo:Elaine Korry)\" width=\"287\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pediatrician Porshia Mack examines 3-year-old Sania Bettancourt at Richmond LifeLong community health clinic. (Photo:Elaine Korry)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"http://keck.usc.edu/About/Administrative_Offices/Office_of_Public_Relations_and_Marketing/News/Detail/2012__pr_and_marketing__fall__cousineau_chcf_111412\" target=\"_blank\">More than a million California children\u003c/a> who currently lack health insurance will qualify for coverage under the Affordable Care Act. When the health care overhaul goes into effect in 2014, more children from poor families will qualify for Medi-Cal, and other children will get subsidies for private low-cost insurance through the new state Exchange, Covered California. But children’s advocates are concerned that some kids won’t get the best coverage.\u003c/p>\n\u003cp>The nation’s pediatricians devised a gold standard of care. The name is a mouthful -- the \u003ca href=\"EARLY%20AND%20PERIODIC%20SCREENING,%20DIAGNOSTIC,%20AND%20TREATMENT%20SERVICES\" target=\"_blank\">Early and Periodic Screening, Diagnostic and Treatment Services\u003c/a>, or EPSDT for short. It's a standard to meet kids' medical needs -- and it's the standard of care at the Richmond LifeLong Medical Care, a community clinic in San Francisco's East Bay that serves low-income families.\u003c/p>\n\u003cp>On a recent visit, Dr. Porshia Mack, head of pediatrics at the clinic, treated 3-year-old Sania Bettancourt. Dr. Mack listened to Sania's lungs, checked her heartbeat, and peered into her throat and ears. Mack told Sania’s mother that all seemed well except for one recurring problem. Sania’s mild anemia was back, so Mack prescribed a multi-vitamin.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Mack has treated Sania since she was a baby and knew her well enough to realize that this bout of anemia was not serious. But she said that wouldn’t necessarily be the case for kids who aren’t covered for early pediatric care. “It could be a sign of something more ominous than it is, and we wouldn’t know that unless I saw her on a regular interval,” says Mack. “The AAP, the American Academy of Pediatrics, recommends certain lab tests drawn at certain intervals so we can catch these things.”\u003c/p>\n\u003cp>Under the Affordable Care Act, children who are on Medi-Cal, like Sania, will continue to have the full range of coverage recommended by the AAP. Children whose families have slightly more income and qualify for coverage under the new insurance Exchange will likely get significantly better benefits than they have now, but those benefits may not be equal to those under Medi-Cal.\u003c/p>\n\u003cp>The federal law outlines the so-called \u003ca href=\"http://www.healthcare.gov/glossary/e/essential.html\" target=\"_blank\">essential health benefits\u003c/a> that insurers in the state Exchanges must cover. Each state must pick an existing insurance plan as a model -- a plan that has \u003ca href=\"http://aspe.hhs.gov/health/reports/2011/MarketComparison/rb.shtml\" target=\"_blank\">equivalent benefits to a \"typical\" employer plan\u003c/a>. California was among the first states to pick its model benchmark.\u003c/p>\n\u003cp>“It’s a huge step forward for children’s health,” says Kelly Hardy, director of health policy at Children Now, a statewide advocacy group. California chose as its benchmark a Kaiser Small Group plan. That is the baseline plan, and there will be more expensive plans to trade up to, if people want to pay for more benefits. Although Kelly rejects the idea of one-size-fits-all insurance, she says state lawmakers did expand on the Kaiser plan to meet some of children’s needs.\u003c/p>\n\u003cp>“We’re really pleased that the legislature chose to add strong vision and comprehensive dental benefits for children,” says Kelly. “Those are two additions that are really important.\" (By comparison, people with employer-based health insurance often have separate insurance plans for dental and vision coverage.)\u003c/p>\n\u003cp>Yet children’s advocates like Hardy did not get everything they hoped for. Most importantly, she says, they did not convince state lawmakers to adopt the EPSDT for children insured through the state's Exchange. Hardy says that wasn’t practical to include for all kids because it’s simply too expensive. She also noted that many private plans, employer-based health insurance plans included, may not meet that standard.\u003c/p>\n\u003cp>Many pediatricians say that in reality, even the AAP standard is minimal coverage, especially for children with special needs such as asthma, Down syndrome or heart disease. As east bay physician Dr. Thomas Long puts it, “Is it the floor or is it the ceiling? We think it’s the floor, and the least we can do for all children.”\u003c/p>\n\u003cp>Dr. Long is an expert on child health financing with the American Academy of Pediatrics. He says the new Exchange’s standard of care falls short on things like mental health benefits, access to pediatric specialists and other needed coverage.\u003c/p>\n\u003cp>Insurers respond that the Exchange benefits package is broad enough -- and is certainly an improvement for children who have no or very limited insurance now. Charles Bacci, with the California Association of Health Plans, says there’s always a tradeoff between coverage and cost. “The more broad the benefit package, the more expensive your healthcare premiums are,” says Bacci. “The more narrow the benefit, the more affordable your premiums are.”\u003c/p>\n\u003cp>So the irony is that children on Medi-Cal, including half a million new enrollees under the Affordable Care Act, may have the broadest coverage, while children from slightly higher income families in the Exchange, may have at least somewhat narrower benefits. But, says Bacci, if the half-million new kids in the Exchange were also guaranteed the best coverage, healthcare costs would explode.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Support for this report came from the\u003ca href=\"http://www.reportingonhealth.org/fellowships/seminars/lucile-packard-foundation-childrens-health-journalism-fund\" target=\"_blank\"> Lucile Packard Foundation for Children’s Health Journalism Fund\u003c/a>, a program of the USC Annenberg School of Journalism’s California Endowment Health Journalism Fellowships.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Low-income Parents Brace for End of 'Healthy Families'",
"title": "Low-income Parents Brace for End of 'Healthy Families'",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_8472\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/MinaPhoto.jpg\">\u003cimg class=\"size-medium wp-image-8472\" title=\"Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/MinaPhoto-300x225.jpg\" alt=\"Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Next January, the state will begin transferring hundreds of thousands of low-income kids from its popular \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> insurance plan to Medi-Cal -- which offers medical coverage to the state's poorest residents.\u003c/p>\n\u003cp>Ending Healthy Families was one of Governor Jerry Brown’s budget-balancing priorities and now families are feeling the weight of that decision.\u003c/p>\n\u003cp>At \u003ca title=\"http://www.napachi.org\" href=\"http://www.napachi.org\" target=\"_blank\">Children’s Health Initiative\u003c/a> in Napa, a nonprofit that helps get kids into affordable health plans, Maria Garibay has just gotten the news. Next year, her three girls will be moved from Healthy Families to Medi-Cal.\u003c/p>\n\u003cp>Speaking through an interpreter, Garibay says she's worried her monthly premium will go up. That's because last year Medi-Cal told her she'd need to start paying $1300 each month, per child, because of her income from a part-time restaurant job.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But then Garibay learned that she qualified for Healthy Families. The federally subsidized program is for families whose incomes are just above the federal poverty level. Under Healthy Families, Garibay pays a total premium of $14 a month. It's a godsend for Garibay whose oldest daughter has a heart condition.\u003c!--more-->\u003c/p>\n\u003cp>Garibay, through the interpreter, says \"My daughter's been seeing the same cardiologist since she was three years old. Will she be able to see her same cardiologist when she switches to Medi-Cal?\"\u003c/p>\n\u003cp>Children's Health Initiative manager Elba Gonzalez-Mares says she just doesn't know. Medi-Cal reimburses doctors at a lower rate than Healthy Families, so some doctors limit the number of Medi-Cal patients they take, or refuse to see them altogether.\u003c/p>\n\u003cp>Gonzales-Mares says she's been reassuring parents that their payments will be similar when the plan changes. But she hasn't been able to guarantee that their kids will be able to see the same doctors.\u003c/p>\n\u003cp>\"The reaction is very upsetting,\" Gonzales-Mares says of the families. \"They're concerned.\"\u003c/p>\n\u003cp>The state is ending Healthy Families as part of a budget deal between Governor Brown and Democratic lawmakers. It's designed to cut costs and save other health programs. Moving the nearly 900,000 kids in the Healthy Families program to Medi-Cal is expected to save $72 million a year by 2015.\u003c/p>\n\u003cp>Latino children make up nearly half the Healthy Families enrollees, and Gonzales-Mares worries they'll suffer the greatest disruptions in care. She says a survey of families the agency sees raises concerns about whether they'll understand that Healthy Families is ending.\u003c/p>\n\u003cp>\"The Latino family, yes, they speak Spanish. But their literacy levels are very low, a third grade level,\" she says, \"even in Spanish.\"\u003c/p>\n\u003cp>But Medi-Cal officials say the program is equipped to deal with the needs of Spanish speakers. \u003ca title=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" href=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" target=\"_blank\">Toby Douglas\u003c/a> leads the state's Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>\"Our proportion of individuals on the Medi-Cal program that are Spanish speaking or Latino descent are the same as those on Healthy Families,\" Douglas explains. \"So it’s an essential component of our Medi-Cal program today.\"\u003c/p>\n\u003cp>Douglas says his office is working hard to make sure there will be enough doctors and specialists to treat these kids. \"Close to 90 percent of the providers who participate in Healthy Families participate in the Medi-Cal program, and we believe that these providers will continue to see these children when they transition.\"\u003c/p>\n\u003cp>Douglas says under the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">federal health care overhaul\u003c/a>, Medi-Cal reimbursement rates will rise significantly for two years, beginning this January.\u003c/p>\n\u003cp>But some pediatricians, like Napa pediatrician Victoria Morgese, are skeptical the state will maintain the higher rates when those federal funds go away. \"The way I was raised, you can't get blood out of a turnip,\" she says. \"If the money's not there, the money's not there.\"\u003c/p>\n\u003cp>Morgese is one of thousands of California doctors now forced to decide whether to keep her Healthy Families patients once they switch over to Medi-Cal. \"My mentality is to take care of these people, to be a care provider,\" she says. \"And yet, I have to take everything into consideration because I have to run a business!\"\u003c/p>\n\u003cp>Morgese has more than 500 Healthy Families patients. She limits the number of Medi-Cal recipients to 10 percent of her patient load. Morgese says at current Medi-Cal reimbursement rates, she'd need to see three times the number of patients to keep the lights on.\u003c/p>\n\u003cp>\"That means that the model of practice that we have set up here,\" she explains, \"which is to spend a long time with our patients, to have a lower than average volume of patients per day in our office ... I wouldn't be able to do that.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Some children's health advocates are pushing for a delay to the transition. The four phase, year-long transfer is scheduled to begin in January.\u003c/p>\n\n",
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"excerpt": "Next January, the state will begin transferring hundreds of thousands of low-income kids from its popular Healthy Families insurance plan to Medi-Cal -- which offers medical coverage to the state's poorest residents.\r\n\r\nEnding Healthy Families was one of Governor Jerry Brown’s budget-balancing priorities and now families are feeling the weight of that decision.\r\n\r\nAt Children’s Health Initiative in Napa, a nonprofit that helps get kids into affordable health plans, Maria Garibay has just gotten the news. Next year, her three girls will be moved from Healthy Families to Medi-Cal.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_8472\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/MinaPhoto.jpg\">\u003cimg class=\"size-medium wp-image-8472\" title=\"Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/MinaPhoto-300x225.jpg\" alt=\"Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Maria Garibay worries her daughters won't be able to stay with their current doctors when they switch from Healthy Families to Medi-Cal next year.(Mina Kim: KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Next January, the state will begin transferring hundreds of thousands of low-income kids from its popular \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> insurance plan to Medi-Cal -- which offers medical coverage to the state's poorest residents.\u003c/p>\n\u003cp>Ending Healthy Families was one of Governor Jerry Brown’s budget-balancing priorities and now families are feeling the weight of that decision.\u003c/p>\n\u003cp>At \u003ca title=\"http://www.napachi.org\" href=\"http://www.napachi.org\" target=\"_blank\">Children’s Health Initiative\u003c/a> in Napa, a nonprofit that helps get kids into affordable health plans, Maria Garibay has just gotten the news. Next year, her three girls will be moved from Healthy Families to Medi-Cal.\u003c/p>\n\u003cp>Speaking through an interpreter, Garibay says she's worried her monthly premium will go up. That's because last year Medi-Cal told her she'd need to start paying $1300 each month, per child, because of her income from a part-time restaurant job.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But then Garibay learned that she qualified for Healthy Families. The federally subsidized program is for families whose incomes are just above the federal poverty level. Under Healthy Families, Garibay pays a total premium of $14 a month. It's a godsend for Garibay whose oldest daughter has a heart condition.\u003c!--more-->\u003c/p>\n\u003cp>Garibay, through the interpreter, says \"My daughter's been seeing the same cardiologist since she was three years old. Will she be able to see her same cardiologist when she switches to Medi-Cal?\"\u003c/p>\n\u003cp>Children's Health Initiative manager Elba Gonzalez-Mares says she just doesn't know. Medi-Cal reimburses doctors at a lower rate than Healthy Families, so some doctors limit the number of Medi-Cal patients they take, or refuse to see them altogether.\u003c/p>\n\u003cp>Gonzales-Mares says she's been reassuring parents that their payments will be similar when the plan changes. But she hasn't been able to guarantee that their kids will be able to see the same doctors.\u003c/p>\n\u003cp>\"The reaction is very upsetting,\" Gonzales-Mares says of the families. \"They're concerned.\"\u003c/p>\n\u003cp>The state is ending Healthy Families as part of a budget deal between Governor Brown and Democratic lawmakers. It's designed to cut costs and save other health programs. Moving the nearly 900,000 kids in the Healthy Families program to Medi-Cal is expected to save $72 million a year by 2015.\u003c/p>\n\u003cp>Latino children make up nearly half the Healthy Families enrollees, and Gonzales-Mares worries they'll suffer the greatest disruptions in care. She says a survey of families the agency sees raises concerns about whether they'll understand that Healthy Families is ending.\u003c/p>\n\u003cp>\"The Latino family, yes, they speak Spanish. But their literacy levels are very low, a third grade level,\" she says, \"even in Spanish.\"\u003c/p>\n\u003cp>But Medi-Cal officials say the program is equipped to deal with the needs of Spanish speakers. \u003ca title=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" href=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" target=\"_blank\">Toby Douglas\u003c/a> leads the state's Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>\"Our proportion of individuals on the Medi-Cal program that are Spanish speaking or Latino descent are the same as those on Healthy Families,\" Douglas explains. \"So it’s an essential component of our Medi-Cal program today.\"\u003c/p>\n\u003cp>Douglas says his office is working hard to make sure there will be enough doctors and specialists to treat these kids. \"Close to 90 percent of the providers who participate in Healthy Families participate in the Medi-Cal program, and we believe that these providers will continue to see these children when they transition.\"\u003c/p>\n\u003cp>Douglas says under the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">federal health care overhaul\u003c/a>, Medi-Cal reimbursement rates will rise significantly for two years, beginning this January.\u003c/p>\n\u003cp>But some pediatricians, like Napa pediatrician Victoria Morgese, are skeptical the state will maintain the higher rates when those federal funds go away. \"The way I was raised, you can't get blood out of a turnip,\" she says. \"If the money's not there, the money's not there.\"\u003c/p>\n\u003cp>Morgese is one of thousands of California doctors now forced to decide whether to keep her Healthy Families patients once they switch over to Medi-Cal. \"My mentality is to take care of these people, to be a care provider,\" she says. \"And yet, I have to take everything into consideration because I have to run a business!\"\u003c/p>\n\u003cp>Morgese has more than 500 Healthy Families patients. She limits the number of Medi-Cal recipients to 10 percent of her patient load. Morgese says at current Medi-Cal reimbursement rates, she'd need to see three times the number of patients to keep the lights on.\u003c/p>\n\u003cp>\"That means that the model of practice that we have set up here,\" she explains, \"which is to spend a long time with our patients, to have a lower than average volume of patients per day in our office ... I wouldn't be able to do that.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Some children's health advocates are pushing for a delay to the transition. The four phase, year-long transfer is scheduled to begin in January.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Is Organic Food More Nutritious Than Conventional? Probably Not.",
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"content": "\u003cfigure id=\"attachment_8324\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/OrganicProduce_SielJu_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-8324\" title=\"Organic produce. (Siel Ju: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/OrganicProduce_SielJu_Flickr-300x202.jpg\" alt=\"Organic produce. (Siel Ju: Flickr)\" width=\"300\" height=\"202\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Organic produce. (Siel Ju: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As Amy Standen reported this morning for KQED, researchers at Stanford University have combed through hundreds of scientific papers, comparing organically-grown produce to conventional. In one important respect, they found very little difference.\u003c/p>\n\u003cp>\u003ca title=\"http://annals.org/article.aspx?articleid=1355685\" href=\"http://annals.org/article.aspx?articleid=1355685\" target=\"_blank\">The study\u003c/a>, published Monday in the Annals of Internal Medicine, didn't ask whether organic fruits and vegetables are better for the environment, or create a safer workplace for farm workers.\u003c/p>\n\u003cp>It didn't ask whether organic foods taste better, or whether trace amounts of pesticides can affect human health over time.\u003c/p>\n\u003cp>Rather, said physician \u003ca title=\"http://healthpolicy.stanford.edu/people/Dena_M_Bravata\" href=\"http://healthpolicy.stanford.edu/people/Dena_M_Bravata\" target=\"_blank\">Dena Bravata\u003c/a>, the study's co-author, the question was:\u003c/p>\n\u003cp>\"What is the evidence that organic and conventional foods differ in either their nutritional benefit or their safety?\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The answer? There isn't much evidence of that at all. Bravata says when it comes to healthfulness, \"there is, in general, not a robust evidence base for the difference between organic and conventional foods.\"\u003c/p>\n\u003cp>Over at NPR, \u003ca title=\"http://www.npr.org/blogs/thesalt/2012/09/04/160395259/why-organic-food-may-not-be-healthier-for-you\" href=\"http://www.npr.org/blogs/thesalt/2012/09/04/160395259/why-organic-food-may-not-be-healthier-for-you\" target=\"_blank\">the Salt blog\u003c/a> added this context:\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>When it comes to their nutritional quality, vegetables vary enormously, and that's true whether they are organic or conventional. One carrot in the grocery store, for instance, may have two or three times more beta carotene (which gives us vitamin A) than its neighbor. That's due to all kinds of things: differences in the genetic makeup of different varieties, the ripeness of the produce when it was picked, even the weather.\u003c/p>\n\u003cp>So there really are vegetables that are more nutritious than others, but the dividing line between them isn't whether or not they are organic. \"You can't use organic as your sole criteria for judging nutritional quality,\" says Smith-Spangler.\u003c/p>\n\u003cp>Of course, people may have other reasons for buying organic food. It's a different style of agriculture. Organic farmers often control pests by growing a greater variety of crops. They increase the fertility of their fields through nitrogen-fixing plants, or by adding compost instead of applying synthetic fertilizer.\u003c/p>\n\u003cp>That can bring environmental benefits, such as more diverse insect life in the field or less fertilizer runoff into neighboring streams. But such methods also cost money. That's part of what you are buying when you buy organic.\u003c/p>\n\u003cp>So if you really want to find the most nutritious vegetables, and the organic label won't take you there, what will?\u003c/p>\n\u003cp>At the moment, unfortunately, there isn't a good guide. But a lot of scientists are working on it.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>In the meantime, Standen reports, children who ate organic produce had less pesticide in their urine than kids who ate conventional produce. But in both groups, pesticide levels were below federal limits.\u003c/p>\n\n",
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"excerpt": "As Amy Standen reported this morning for KQED, researchers at Stanford University have combed through hundreds of scientific papers, comparing organically-grown produce to conventional. In one important respect, they found very little difference.\r\n\r\nThe study, published Monday in the Annals of Internal Medicine, didn't ask whether organic fruits and vegetables are better for the environment, or create a safer workplace for farm workers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_8324\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/OrganicProduce_SielJu_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-8324\" title=\"Organic produce. (Siel Ju: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/09/OrganicProduce_SielJu_Flickr-300x202.jpg\" alt=\"Organic produce. (Siel Ju: Flickr)\" width=\"300\" height=\"202\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Organic produce. (Siel Ju: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As Amy Standen reported this morning for KQED, researchers at Stanford University have combed through hundreds of scientific papers, comparing organically-grown produce to conventional. In one important respect, they found very little difference.\u003c/p>\n\u003cp>\u003ca title=\"http://annals.org/article.aspx?articleid=1355685\" href=\"http://annals.org/article.aspx?articleid=1355685\" target=\"_blank\">The study\u003c/a>, published Monday in the Annals of Internal Medicine, didn't ask whether organic fruits and vegetables are better for the environment, or create a safer workplace for farm workers.\u003c/p>\n\u003cp>It didn't ask whether organic foods taste better, or whether trace amounts of pesticides can affect human health over time.\u003c/p>\n\u003cp>Rather, said physician \u003ca title=\"http://healthpolicy.stanford.edu/people/Dena_M_Bravata\" href=\"http://healthpolicy.stanford.edu/people/Dena_M_Bravata\" target=\"_blank\">Dena Bravata\u003c/a>, the study's co-author, the question was:\u003c/p>\n\u003cp>\"What is the evidence that organic and conventional foods differ in either their nutritional benefit or their safety?\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The answer? There isn't much evidence of that at all. Bravata says when it comes to healthfulness, \"there is, in general, not a robust evidence base for the difference between organic and conventional foods.\"\u003c/p>\n\u003cp>Over at NPR, \u003ca title=\"http://www.npr.org/blogs/thesalt/2012/09/04/160395259/why-organic-food-may-not-be-healthier-for-you\" href=\"http://www.npr.org/blogs/thesalt/2012/09/04/160395259/why-organic-food-may-not-be-healthier-for-you\" target=\"_blank\">the Salt blog\u003c/a> added this context:\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>When it comes to their nutritional quality, vegetables vary enormously, and that's true whether they are organic or conventional. One carrot in the grocery store, for instance, may have two or three times more beta carotene (which gives us vitamin A) than its neighbor. That's due to all kinds of things: differences in the genetic makeup of different varieties, the ripeness of the produce when it was picked, even the weather.\u003c/p>\n\u003cp>So there really are vegetables that are more nutritious than others, but the dividing line between them isn't whether or not they are organic. \"You can't use organic as your sole criteria for judging nutritional quality,\" says Smith-Spangler.\u003c/p>\n\u003cp>Of course, people may have other reasons for buying organic food. It's a different style of agriculture. Organic farmers often control pests by growing a greater variety of crops. They increase the fertility of their fields through nitrogen-fixing plants, or by adding compost instead of applying synthetic fertilizer.\u003c/p>\n\u003cp>That can bring environmental benefits, such as more diverse insect life in the field or less fertilizer runoff into neighboring streams. But such methods also cost money. That's part of what you are buying when you buy organic.\u003c/p>\n\u003cp>So if you really want to find the most nutritious vegetables, and the organic label won't take you there, what will?\u003c/p>\n\u003cp>At the moment, unfortunately, there isn't a good guide. But a lot of scientists are working on it.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>In the meantime, Standen reports, children who ate organic produce had less pesticide in their urine than kids who ate conventional produce. But in both groups, pesticide levels were below federal limits.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Hispanic children have had a lower rate of autism than other children -- although their cases tend to be more severe. Researchers had wondered -- is there something protective about being Hispanic? Or is this a case of lack of access and lack of understanding of warning signs?\u003c/p>\n\u003cp>I think you can guess the answer. But proving it is generally better than guessing.\u003c/p>\n\u003cp>In one of the largest studies so far to compare development in Hispanic children and non-Hispanic children, researchers at the \u003ca title=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" href=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" target=\"_blank\">UC Davis MIND Institute\u003c/a> wrote that Hispanic children \"displayed more similarities than differences compared to non-Hispanics.\" In the case of autism, they found that rates of autism were actually roughly the same between Hispanic and non-Hispanic children.\u003c/p>\n\u003cp>The study's lead author, Virginia Chaidez, Ph.D. said the research filled in a piece of \"large puzzle\" and added \"autism is a spectrum and it's very similar across the board. So we're pretty confident in promoting outreach and trying to encourage the Hispanic community to learn the signs very early in life.\"\u003c!--more-->\u003c/p>\n\u003cp>Chaidez's paper \u003cem>\u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/22399446\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/22399446\" target=\"_blank\">Autism spectrum disorders in Hispanics and non-Hispanics\u003c/a>, \u003c/em>was published in the journal \u003cem>Autism. \u003c/em>Research was funded by government grants and the MIND Institute.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>MIND Institute researchers have been following more than 1,000 children since 2003 as part of the larger CHARGE study (Childhood Autism Risks from Genetics and the Environment). CHARGE children fall into three groups: children with autism, children with developmental delay, but not autism and children enrolled from the general population. While autism is much more about deficits in social interaction and communicating, developmental delay has to do with children who lag in meeting physical or intellectual milestones.\u003c/p>\n\u003cp>In addition to looking at rates of autism in Hispanic and non-Hispanic children, researchers also looked at comparisons in developmental delay and found some surprises. First, in both Hispanic and non-Hispanic children, nearly one in five children in the developmental delay group actually met the criteria for autism. If parents don't get the correct diagnosis, it's much less likely their children can get the correct treatment.\u003c/p>\n\u003cp>In addition, 16.5 percent of Hispanic children enrolled from the general population -- \"typically developing\" -- met criteria for either developmental delay or mixed development, compared with just 2.8 percent of non-Hispanic participants. That's more than a five-fold difference. In the published study, researchers explored many possibilities for this disparity.\u003c/p>\n\u003cp>One explanation is that children who speak two languages at home tend to test lower at young ages. (This is expected in bilingual or multilingual children -- they generally catch up later.) \"Test bias\" may have then accounted for some of the difference. On the other hand, researchers wrote that \"milder forms of developmental disabilities are more likely to go undetected in Hispanics.\" Finally, Hispanics may have cultural differences in expectations for child behavior and parenting practices, so diagnosis and treatment may not be sought out.\u003c/p>\n\u003cp>When Maribel Hernandez of Sacramento noticed something seemed not quite right with her young son, some family members told her not to worry and that he would be fine. Instead, she went to her pediatrician. Her son was diagnosed with autism. After her second son was born, he, too, was diagnosed with the disorder. Hernandez is bilingual and encourages parents -- in both English and Spanish -- to seek out diagnosis and treatment. \"They need to ask,\" she told me, \"they need to go and ask for help. If they don't have a chance to go and review what he's supposed to be doing at six months, 12 months, 18 months, if they don't have that chance, then they can't compare with the peers.\"\u003c/p>\n\u003cp>Chaidez also encourages parents to be aware of\u003ca title=\"http://www.cdc.gov/ncbddd/actearly/milestones/index.html\" href=\"http://www.cdc.gov/ncbddd/actearly/milestones/index.html\" target=\"_blank\"> developmental milestones\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"excerpt": "Hispanic children have had a lower rate of autism than other children -- although their cases tend to be more severe. Researchers wondered -- is there something protective about being Hispanic? Or is this a case of lack of access and lack of understanding of warning signs?\r\n\r\nI think you can guess the answer. But proving it is generally better than guessing.\r\n\r\nIn one of the largest studies so far to compare development in Hispanic children and non-Hispanic children, researchers at the UC Davis MIND Institute wrote that Hispanic children \"displayed more similarities than differences compared to non-Hispanics.\" In the case of autism, they found that rates of autism were about the same between Hispanic and non-Hispanic children.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hispanic children have had a lower rate of autism than other children -- although their cases tend to be more severe. Researchers had wondered -- is there something protective about being Hispanic? Or is this a case of lack of access and lack of understanding of warning signs?\u003c/p>\n\u003cp>I think you can guess the answer. But proving it is generally better than guessing.\u003c/p>\n\u003cp>In one of the largest studies so far to compare development in Hispanic children and non-Hispanic children, researchers at the \u003ca title=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" href=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" target=\"_blank\">UC Davis MIND Institute\u003c/a> wrote that Hispanic children \"displayed more similarities than differences compared to non-Hispanics.\" In the case of autism, they found that rates of autism were actually roughly the same between Hispanic and non-Hispanic children.\u003c/p>\n\u003cp>The study's lead author, Virginia Chaidez, Ph.D. said the research filled in a piece of \"large puzzle\" and added \"autism is a spectrum and it's very similar across the board. So we're pretty confident in promoting outreach and trying to encourage the Hispanic community to learn the signs very early in life.\"\u003c!--more-->\u003c/p>\n\u003cp>Chaidez's paper \u003cem>\u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/22399446\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/22399446\" target=\"_blank\">Autism spectrum disorders in Hispanics and non-Hispanics\u003c/a>, \u003c/em>was published in the journal \u003cem>Autism. \u003c/em>Research was funded by government grants and the MIND Institute.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>MIND Institute researchers have been following more than 1,000 children since 2003 as part of the larger CHARGE study (Childhood Autism Risks from Genetics and the Environment). CHARGE children fall into three groups: children with autism, children with developmental delay, but not autism and children enrolled from the general population. While autism is much more about deficits in social interaction and communicating, developmental delay has to do with children who lag in meeting physical or intellectual milestones.\u003c/p>\n\u003cp>In addition to looking at rates of autism in Hispanic and non-Hispanic children, researchers also looked at comparisons in developmental delay and found some surprises. First, in both Hispanic and non-Hispanic children, nearly one in five children in the developmental delay group actually met the criteria for autism. If parents don't get the correct diagnosis, it's much less likely their children can get the correct treatment.\u003c/p>\n\u003cp>In addition, 16.5 percent of Hispanic children enrolled from the general population -- \"typically developing\" -- met criteria for either developmental delay or mixed development, compared with just 2.8 percent of non-Hispanic participants. That's more than a five-fold difference. In the published study, researchers explored many possibilities for this disparity.\u003c/p>\n\u003cp>One explanation is that children who speak two languages at home tend to test lower at young ages. (This is expected in bilingual or multilingual children -- they generally catch up later.) \"Test bias\" may have then accounted for some of the difference. On the other hand, researchers wrote that \"milder forms of developmental disabilities are more likely to go undetected in Hispanics.\" Finally, Hispanics may have cultural differences in expectations for child behavior and parenting practices, so diagnosis and treatment may not be sought out.\u003c/p>\n\u003cp>When Maribel Hernandez of Sacramento noticed something seemed not quite right with her young son, some family members told her not to worry and that he would be fine. Instead, she went to her pediatrician. Her son was diagnosed with autism. After her second son was born, he, too, was diagnosed with the disorder. Hernandez is bilingual and encourages parents -- in both English and Spanish -- to seek out diagnosis and treatment. \"They need to ask,\" she told me, \"they need to go and ask for help. If they don't have a chance to go and review what he's supposed to be doing at six months, 12 months, 18 months, if they don't have that chance, then they can't compare with the peers.\"\u003c/p>\n\u003cp>Chaidez also encourages parents to be aware of\u003ca title=\"http://www.cdc.gov/ncbddd/actearly/milestones/index.html\" href=\"http://www.cdc.gov/ncbddd/actearly/milestones/index.html\" target=\"_blank\"> developmental milestones\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Lead in Eye Cosmetic -- and Other Kinds of Makeup",
"title": "Lead in Eye Cosmetic -- and Other Kinds of Makeup",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By Joanna Lin, \u003ca title=\"http://californiawatch.org/dailyreport/health-officials-warn-lead-eye-cosmetic-17600\" href=\"http://californiawatch.org/dailyreport/health-officials-warn-lead-eye-cosmetic-17600\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_8196\" class=\"wp-caption alignleft\" style=\"max-width: 255px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/girl-child-kohl-cosmetic.jpg\">\u003cimg class=\"size-full wp-image-8196\" title=\"A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/girl-child-kohl-cosmetic.jpg\" alt=\"A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\" width=\"255\" height=\"192\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\u003c/figcaption>\u003c/figure>\n\u003cp>After a Massachusetts doctor found high levels of lead in an infant's blood last year, hospital staff found no hazards in common sources of the toxic metal – paint at the family's home, residue from workplace exposure, kitchenware and diet. Instead, they identified an unusual culprit: makeup.\u003c/p>\n\u003cp>For months, three to four times a week, the family had applied a Nigerian cosmetic and folk remedy called \"tiro\" to the boy's eyelids. The amount of lead in the boy's blood -- 13 micrograms per deciliter -- was more than double the \u003ca href=\"http://www.usatoday.com/news/health/story/2012-05-16/cdc-blood-lead-level-standard/55005258/1\" target=\"_blank\">level of concern\u003c/a> set by the Centers for Disease Control and Prevention. A test revealed the cosmetic was 82.6 percent lead.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6130a3.htm?s_cid=mm6130a3_w\" target=\"_blank\">findings\u003c/a>, published earlier this month by the CDC, raise concerns about a product that certain immigrant populations often use but that health care providers rarely question as a source of lead exposure. The case is the first to the CDC's knowledge of an infant being poisoned by a cosmetic like tiro, said Jay Dempsey, the agency's health communications specialist.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Cosmetics are a little-known source of possible lead exposure\u003c/aside>\n\u003cp>\"We're recommending (that) health care providers and workers should ask about eye medications and cosmetics when seeking a source of exposure to lead in children that have been diagnosed with elevated lead levels – particularly if they're from an immigrant population,\" Dempsey said.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lead can build up in the body and damage the nervous system and brain, kidneys and other major organs. There is no known safe level of lead, which can cause learning and behavior problems, seizures and death. Children are especially vulnerable because they absorb the toxin more easily, are still developing and often put their hands or objects that can be contaminated with lead in their mouths.\u003c/p>\n\u003cp>Born in the United States to Nigerian parents, the Massachusetts boy received tiro from a grandparent who had purchased the black powder from a street vendor in Kwara State, Nigeria. \u003ca href=\"http://www.fda.gov/Cosmetics/ProductandIngredientSafety/ProductInformation/ucm137250.htm\" target=\"_blank\">Similar products\u003c/a> are used in other parts of Africa, Asia and the Middle East, and are known in different languages as \"kohl,\" \"surma,\" \"kajal,\" \"tozali\" and \"kwalli.\"\u003c/p>\n\u003cp>In Nigeria, tiro is generally used on infants and by women for both cosmetic and medicinal purposes, Dr. Abdulsalami Nasidi, project director of the Nigeria Centre for Disease Control, said in an email. The product is used to cleanse eyes, beautify eyelids and improve eyesight.\u003c/p>\n\u003cp>In the United States, the Food and Drug Administration and various state and local health departments have published warnings about such products, most often identified as kohl or surma. Still, cosmetics are a little-known source of possible lead exposure, said Lisa Archer, campaign director of the Campaign for Safe Cosmetics, which has conducted tests that found \u003ca href=\"http://safecosmetics.org/article.php?id=223\" target=\"_blank\">lead in lipsticks\u003c/a>.\u003c/p>\n\u003cp>\"People just don't know -- they don't know that cosmetics could be dangerous,\" she said. \"They think that somebody's watching the aisle in the store, and in reality, that's just not the case.\"\u003c/p>\n\u003cp>It's unknown how widespread the use of tiro and similar products is in California.\u003cstrong> \u003c/strong>The California Department of Public Health estimates that cosmetics are involved in less than 5 percent of childhood lead poisoning cases in the state, according to a statement provided to California Watch by Dr. Rick Kreutzer, chief of the California Department of Public Health's environmental and occupational disease control division.\u003c/p>\n\u003cp>Some eyeliners and shadows use the word \"kohl\" to describe their black coloring but do not actually contain kohl; the FDA advises consumers to avoid products that do not list approved color additives in their ingredients.\u003c/p>\n\u003cp>Real kohl is illegal in the United States. But unlike the Consumer Product Safety Commission, which can issue mandatory recalls of lead-tainted toys and jewelry, the FDA does not have recall authority over cosmetics.\u003c/p>\n\u003cp>California's \u003ca href=\"http://www.cdph.ca.gov/programs/cosmetics/Pages/default.aspx\" target=\"_blank\">Safe Cosmetics Program\u003c/a> requires commercial vendors of cosmetics to report products that contain any amount of certain chemicals, including lead, that are known to cause cancer, or reproductive or developmental harm. But even if a vendor reports that a cosmetic contains harmful ingredients, the state cannot ban the product's sale, Kreutzer said.\u003c/p>\n\u003cp>The program has not received any reports of eye cosmetics containing lead, Kreutzer said. And among cases of childhood lead poisoning in California involving surma, which date back to 1993, none stemmed from commercial cosmetics. Surma and products like it are often brought into the country by individuals.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Massachusetts case is \"an example of the bigger problem where cosmetics are virtually unregulated in this country,\" Archer said. Still, she said, \"even if we had the best laws in the world, it might be challenging to keep this stuff out of people's homes.\"\u003c/p>\n\n",
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"excerpt": "After a Massachusetts doctor found high levels of lead in an infant's blood last year, hospital staff found no hazards in common sources of the toxic metal – paint at the family's home, residue from workplace exposure, kitchenware and diet. Instead, they identified an unusual culprit: makeup.\r\n\r\nFor months, three to four times a week, the family had applied a Nigerian cosmetic and folk remedy called \"tiro\" to the boy's eyelids. The amount of lead in the boy's blood -- 13 micrograms per deciliter -- was more than double the level of concern set by the Centers for Disease Control and Prevention. A test revealed the cosmetic was 82.6 percent lead.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Joanna Lin, \u003ca title=\"http://californiawatch.org/dailyreport/health-officials-warn-lead-eye-cosmetic-17600\" href=\"http://californiawatch.org/dailyreport/health-officials-warn-lead-eye-cosmetic-17600\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_8196\" class=\"wp-caption alignleft\" style=\"max-width: 255px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/girl-child-kohl-cosmetic.jpg\">\u003cimg class=\"size-full wp-image-8196\" title=\"A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/girl-child-kohl-cosmetic.jpg\" alt=\"A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\" width=\"255\" height=\"192\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\u003c/figcaption>\u003c/figure>\n\u003cp>After a Massachusetts doctor found high levels of lead in an infant's blood last year, hospital staff found no hazards in common sources of the toxic metal – paint at the family's home, residue from workplace exposure, kitchenware and diet. Instead, they identified an unusual culprit: makeup.\u003c/p>\n\u003cp>For months, three to four times a week, the family had applied a Nigerian cosmetic and folk remedy called \"tiro\" to the boy's eyelids. The amount of lead in the boy's blood -- 13 micrograms per deciliter -- was more than double the \u003ca href=\"http://www.usatoday.com/news/health/story/2012-05-16/cdc-blood-lead-level-standard/55005258/1\" target=\"_blank\">level of concern\u003c/a> set by the Centers for Disease Control and Prevention. A test revealed the cosmetic was 82.6 percent lead.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6130a3.htm?s_cid=mm6130a3_w\" target=\"_blank\">findings\u003c/a>, published earlier this month by the CDC, raise concerns about a product that certain immigrant populations often use but that health care providers rarely question as a source of lead exposure. The case is the first to the CDC's knowledge of an infant being poisoned by a cosmetic like tiro, said Jay Dempsey, the agency's health communications specialist.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Cosmetics are a little-known source of possible lead exposure\u003c/aside>\n\u003cp>\"We're recommending (that) health care providers and workers should ask about eye medications and cosmetics when seeking a source of exposure to lead in children that have been diagnosed with elevated lead levels – particularly if they're from an immigrant population,\" Dempsey said.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lead can build up in the body and damage the nervous system and brain, kidneys and other major organs. There is no known safe level of lead, which can cause learning and behavior problems, seizures and death. Children are especially vulnerable because they absorb the toxin more easily, are still developing and often put their hands or objects that can be contaminated with lead in their mouths.\u003c/p>\n\u003cp>Born in the United States to Nigerian parents, the Massachusetts boy received tiro from a grandparent who had purchased the black powder from a street vendor in Kwara State, Nigeria. \u003ca href=\"http://www.fda.gov/Cosmetics/ProductandIngredientSafety/ProductInformation/ucm137250.htm\" target=\"_blank\">Similar products\u003c/a> are used in other parts of Africa, Asia and the Middle East, and are known in different languages as \"kohl,\" \"surma,\" \"kajal,\" \"tozali\" and \"kwalli.\"\u003c/p>\n\u003cp>In Nigeria, tiro is generally used on infants and by women for both cosmetic and medicinal purposes, Dr. Abdulsalami Nasidi, project director of the Nigeria Centre for Disease Control, said in an email. The product is used to cleanse eyes, beautify eyelids and improve eyesight.\u003c/p>\n\u003cp>In the United States, the Food and Drug Administration and various state and local health departments have published warnings about such products, most often identified as kohl or surma. Still, cosmetics are a little-known source of possible lead exposure, said Lisa Archer, campaign director of the Campaign for Safe Cosmetics, which has conducted tests that found \u003ca href=\"http://safecosmetics.org/article.php?id=223\" target=\"_blank\">lead in lipsticks\u003c/a>.\u003c/p>\n\u003cp>\"People just don't know -- they don't know that cosmetics could be dangerous,\" she said. \"They think that somebody's watching the aisle in the store, and in reality, that's just not the case.\"\u003c/p>\n\u003cp>It's unknown how widespread the use of tiro and similar products is in California.\u003cstrong> \u003c/strong>The California Department of Public Health estimates that cosmetics are involved in less than 5 percent of childhood lead poisoning cases in the state, according to a statement provided to California Watch by Dr. Rick Kreutzer, chief of the California Department of Public Health's environmental and occupational disease control division.\u003c/p>\n\u003cp>Some eyeliners and shadows use the word \"kohl\" to describe their black coloring but do not actually contain kohl; the FDA advises consumers to avoid products that do not list approved color additives in their ingredients.\u003c/p>\n\u003cp>Real kohl is illegal in the United States. But unlike the Consumer Product Safety Commission, which can issue mandatory recalls of lead-tainted toys and jewelry, the FDA does not have recall authority over cosmetics.\u003c/p>\n\u003cp>California's \u003ca href=\"http://www.cdph.ca.gov/programs/cosmetics/Pages/default.aspx\" target=\"_blank\">Safe Cosmetics Program\u003c/a> requires commercial vendors of cosmetics to report products that contain any amount of certain chemicals, including lead, that are known to cause cancer, or reproductive or developmental harm. But even if a vendor reports that a cosmetic contains harmful ingredients, the state cannot ban the product's sale, Kreutzer said.\u003c/p>\n\u003cp>The program has not received any reports of eye cosmetics containing lead, Kreutzer said. And among cases of childhood lead poisoning in California involving surma, which date back to 1993, none stemmed from commercial cosmetics. Surma and products like it are often brought into the country by individuals.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Massachusetts case is \"an example of the bigger problem where cosmetics are virtually unregulated in this country,\" Archer said. Still, she said, \"even if we had the best laws in the world, it might be challenging to keep this stuff out of people's homes.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Children's Well-Being Low in California",
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"content": "\u003cp>\u003cstrong>New report shows California ranks 41st in the nation\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7588\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_JasonHickey_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-7588\" title=\"(JasonHickey: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_JasonHickey_Flickr-300x300.jpg\" alt=\"(JasonHickey: Flickr)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(JasonHickey: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Together with the Annie E. Casey Foundation, the Oakland-based nonprofit Children Now released their \u003ca title=\"http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid=%7B68E8B294-EDCD-444D-85E4-D1C1576830FF%7D\" href=\"http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid=%7B68E8B294-EDCD-444D-85E4-D1C1576830FF%7D\" target=\"_blank\">2012 report on children's well-being\u003c/a>. The report looks across four broad categories: economic well-being; education; health; and family and community. California children had one bright spot -- health -- where the state ranked in the middle, at 23rd. But in the other three categories, the state ranked near the bottom in each, earning a combined score of 41st in the country.\u003c/p>\n\u003cp>In an \u003ca title=\"http://www.kqed.org/news/story/2012/07/25/103526/report_says_californias_less_kidfriendly_than_most?category=health\" href=\"http://www.kqed.org/news/story/2012/07/25/103526/report_says_californias_less_kidfriendly_than_most?category=health\" target=\"_blank\">interview\u003c/a> with KQED's Joshua Johnson, \u003ca title=\"http://www.childrennow.org/index.php/meet/lempert_biography\" href=\"http://www.childrennow.org/index.php/meet/lempert_biography\" target=\"_blank\">Ted Lempert\u003c/a>, president of Children Now, expressed deep concern. \"Our kids are not faring well and it's a real tragedy that we're in the bottom 10 among the 50 states in just about every indicator other than health. Kids are really bearing the brunt of the economic downturn we've been in.\"\u003c/p>\n\u003cp>No kidding. According to the report, more than one-third (36 percent) of California children live in families where no parent has a full-time, year-round job. More than one in five children in the state (22 percent) are living in poverty.\u003c/p>\n\u003cp>At the other end from these low numbers was the one seeming bright spot for California children: health. Overall, California ranked 23rd, but that comparatively higher ranking is in part due to the state's lower percentage of low-birthweight babies -- less than 7 percent, making California #11 among the 50 states. California's \u003ca title=\"http://www.ccfc.ca.gov/\" href=\"http://www.ccfc.ca.gov/\" target=\"_blank\">First Five\u003c/a> program targets both prenatal care, infant health and child development up to 5 years of age. \"The health stats show that if you\u003c!--more--> have a long-time sustained focus that you can do better,\" Lempert said. \"We've had a real focus on pre-natal care and infant care in this state and that's showing in terms of relatively better stats. But as a lifetime Californian, I'm not jumping around saying, 'Yay, we're #11.' I'd like to be high in all the rankings.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And if money spent on infant health nets better outcomes, money \u003cem>not\u003c/em> spent in other areas takes a toll. For example, education. A whopping 75 percent of 4th graders are not proficient in reading, according to the report. California's children rank near the bottom -- 43rd in the country in the education category. \"These national comparisons are important,\" Lempert told Joshua Johnson. \"California is in the bottom half when it comes to educational funding. We are higher up in lots of other areas, corrections and law enforcement and others. So these budget cuts do take a toll, and we need to get serious about not just giving lip service to education but making sure it truly is the top priority in terms of funding,\" he said. \"The fact that we rank 42nd in high school graduation, that's a bigger hit to our economy than the downturn in recent years. For us to have that many kids not getting a high school degree puts us in severe jeopardy going forward.\"\u003c/p>\n\u003cp>So which states scored high? Coming in 1st, 2nd and 3rd overall were New Hampshire, Massachusetts and Vermont. While these states are significantly smaller and less diverse than California, Lempert insists California could learn much from them. \"When you look at how our state prioritizes kids, there's a lot that our leaders in Sacramento could be doing, and that we could be doing locally, to really make kids the priority. Yes, we have challenges that other states don't, but that's no excuse for some of these measures where we really have not been prioritizing our children.\"\u003c/p>\n\u003cp>You can dive into the full report \u003ca title=\"http://www.aecf.org/KnowledgeCenter/~/media/Pubs/Initiatives/KIDS%20COUNT/123/2012KIDSCOUNTDataBook/KIDSCOUNT2012DataBookFullReport.pdf\" href=\"http://www.aecf.org/KnowledgeCenter/~/media/Pubs/Initiatives/KIDS%20COUNT/123/2012KIDSCOUNTDataBook/KIDSCOUNT2012DataBookFullReport.pdf\" target=\"_blank\">here\u003c/a> [PDF] or below is a recap of the overall rankings, plus the state rankings in each of the four categories.\u003c/p>\n\u003cfigure id=\"attachment_7586\" class=\"wp-caption aligncenter\" style=\"max-width: 518px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png\">\u003cimg class=\"size-full wp-image-7586\" title=\"(Kids Count Data Book: Annie E. Casey Foundation)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png\" alt=\"(Kids Count Data Book: Annie E. Casey Foundation)\" width=\"518\" height=\"710\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png 518w, https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM-400x548.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM-320x439.png 320w\" sizes=\"(max-width: 518px) 100vw, 518px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kids Count Data Book: Annie E. Casey Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"excerpt": "Together with the Annie E. Casey Foundation, the Oakland-based nonprofit Children Now released their 2012 report on children's well-being. The report looks across four broad categories: economic well-being; education; health; and family and community. California children had one bright spot -- health -- where the state ranked in the middle, at 23rd. But in the other three categories, the state ranked near the bottom for children's well-being.\r\n\r\nIn an interview with KQED's Joshua Johnson, Ted Lempert, president of Children Now, expressed deep concern. \"Our kids are not faring well and it's a real tragedy that we're in the bottom 10 among the 50 states in just about every indicator other than health. Kids are really bearing the brunt of the economic downturn we've been in.\"",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>New report shows California ranks 41st in the nation\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7588\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_JasonHickey_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-7588\" title=\"(JasonHickey: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_JasonHickey_Flickr-300x300.jpg\" alt=\"(JasonHickey: Flickr)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(JasonHickey: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Together with the Annie E. Casey Foundation, the Oakland-based nonprofit Children Now released their \u003ca title=\"http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid=%7B68E8B294-EDCD-444D-85E4-D1C1576830FF%7D\" href=\"http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid=%7B68E8B294-EDCD-444D-85E4-D1C1576830FF%7D\" target=\"_blank\">2012 report on children's well-being\u003c/a>. The report looks across four broad categories: economic well-being; education; health; and family and community. California children had one bright spot -- health -- where the state ranked in the middle, at 23rd. But in the other three categories, the state ranked near the bottom in each, earning a combined score of 41st in the country.\u003c/p>\n\u003cp>In an \u003ca title=\"http://www.kqed.org/news/story/2012/07/25/103526/report_says_californias_less_kidfriendly_than_most?category=health\" href=\"http://www.kqed.org/news/story/2012/07/25/103526/report_says_californias_less_kidfriendly_than_most?category=health\" target=\"_blank\">interview\u003c/a> with KQED's Joshua Johnson, \u003ca title=\"http://www.childrennow.org/index.php/meet/lempert_biography\" href=\"http://www.childrennow.org/index.php/meet/lempert_biography\" target=\"_blank\">Ted Lempert\u003c/a>, president of Children Now, expressed deep concern. \"Our kids are not faring well and it's a real tragedy that we're in the bottom 10 among the 50 states in just about every indicator other than health. Kids are really bearing the brunt of the economic downturn we've been in.\"\u003c/p>\n\u003cp>No kidding. According to the report, more than one-third (36 percent) of California children live in families where no parent has a full-time, year-round job. More than one in five children in the state (22 percent) are living in poverty.\u003c/p>\n\u003cp>At the other end from these low numbers was the one seeming bright spot for California children: health. Overall, California ranked 23rd, but that comparatively higher ranking is in part due to the state's lower percentage of low-birthweight babies -- less than 7 percent, making California #11 among the 50 states. California's \u003ca title=\"http://www.ccfc.ca.gov/\" href=\"http://www.ccfc.ca.gov/\" target=\"_blank\">First Five\u003c/a> program targets both prenatal care, infant health and child development up to 5 years of age. \"The health stats show that if you\u003c!--more--> have a long-time sustained focus that you can do better,\" Lempert said. \"We've had a real focus on pre-natal care and infant care in this state and that's showing in terms of relatively better stats. But as a lifetime Californian, I'm not jumping around saying, 'Yay, we're #11.' I'd like to be high in all the rankings.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And if money spent on infant health nets better outcomes, money \u003cem>not\u003c/em> spent in other areas takes a toll. For example, education. A whopping 75 percent of 4th graders are not proficient in reading, according to the report. California's children rank near the bottom -- 43rd in the country in the education category. \"These national comparisons are important,\" Lempert told Joshua Johnson. \"California is in the bottom half when it comes to educational funding. We are higher up in lots of other areas, corrections and law enforcement and others. So these budget cuts do take a toll, and we need to get serious about not just giving lip service to education but making sure it truly is the top priority in terms of funding,\" he said. \"The fact that we rank 42nd in high school graduation, that's a bigger hit to our economy than the downturn in recent years. For us to have that many kids not getting a high school degree puts us in severe jeopardy going forward.\"\u003c/p>\n\u003cp>So which states scored high? Coming in 1st, 2nd and 3rd overall were New Hampshire, Massachusetts and Vermont. While these states are significantly smaller and less diverse than California, Lempert insists California could learn much from them. \"When you look at how our state prioritizes kids, there's a lot that our leaders in Sacramento could be doing, and that we could be doing locally, to really make kids the priority. Yes, we have challenges that other states don't, but that's no excuse for some of these measures where we really have not been prioritizing our children.\"\u003c/p>\n\u003cp>You can dive into the full report \u003ca title=\"http://www.aecf.org/KnowledgeCenter/~/media/Pubs/Initiatives/KIDS%20COUNT/123/2012KIDSCOUNTDataBook/KIDSCOUNT2012DataBookFullReport.pdf\" href=\"http://www.aecf.org/KnowledgeCenter/~/media/Pubs/Initiatives/KIDS%20COUNT/123/2012KIDSCOUNTDataBook/KIDSCOUNT2012DataBookFullReport.pdf\" target=\"_blank\">here\u003c/a> [PDF] or below is a recap of the overall rankings, plus the state rankings in each of the four categories.\u003c/p>\n\u003cfigure id=\"attachment_7586\" class=\"wp-caption aligncenter\" style=\"max-width: 518px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png\">\u003cimg class=\"size-full wp-image-7586\" title=\"(Kids Count Data Book: Annie E. Casey Foundation)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png\" alt=\"(Kids Count Data Book: Annie E. Casey Foundation)\" width=\"518\" height=\"710\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM.png 518w, https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM-400x548.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/07/Screen-Shot-2012-07-24-at-11.04.04-PM-320x439.png 320w\" sizes=\"(max-width: 518px) 100vw, 518px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kids Count Data Book: Annie E. Casey Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Children's Advocates Divided on Healthy Families Transition",
"title": "Children's Advocates Divided on Healthy Families Transition",
"headTitle": "State of Health | KQED News",
"content": "\u003cdiv>\n\u003cp>\u003cstrong>By Emily Bazar,\u003c/strong> \u003ca title=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" href=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7190\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012.jpg\">\u003cimg class=\"size-medium wp-image-7190\" title=\"(David Mason: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012-300x199.jpg\" alt=\"(David Mason: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David Mason: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> program into Medi-Cal next year, dozens of groups joined in opposition.\u003c/p>\n\u003cp>They ranged from the \u003ca title=\"http://www.cmanet.org/\" href=\"http://www.cmanet.org/\" target=\"_blank\">California Medical Association\u003c/a>, a professional organization that represents the state’s doctors, to the \u003ca title=\"http://www.cpca.org/\" href=\"http://www.cpca.org/\" target=\"_blank\">California Primary Care Association\u003c/a>, which represents community clinics.\u003c/p>\n\u003cp>Mostly, they were groups that focus on children and families, such as C\u003ca title=\"http://www.childrennow.org/index.php/\" href=\"http://www.childrennow.org/index.php/\" target=\"_blank\">hildren Now\u003c/a> and \u003ca title=\"http://www.unitedwaysca.org/\" href=\"http://www.unitedwaysca.org/\" target=\"_blank\">United Ways of California\u003c/a>.\u003c/p>\n\u003cp>They warned that the transition could disrupt care for thousands of children and ultimately lead to a lack of access to care, particularly in parts of California where doctors – especially those who accept Medi-Cal – are scarce.\u003c/p>\n\u003cp>But it turns out that opposition to the proposal was not unanimous, even among nonprofits that advocate for children and families.\u003c!--more-->\u003c/p>\n\u003cp>“We were supportive of what happened,” said Vanessa Cajina, a \u003ca title=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" href=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" target=\"_blank\">Western Center on Law & Poverty\u003c/a> lobbyist who focuses on health-related budget items.\u003c/p>\n\u003cp>First, a little background. Medi-Cal is a public health insurance program for the lowest-income Californians. Healthy Families covers children in families with incomes too high to qualify for Medi-Cal, up to 250 percent of the poverty level.\u003c/p>\n\u003cp>Under the transition plan that the Legislature agreed to, 415,000 Healthy Families children will move to Medi-Cal on Jan. 1, 2013, with the remainder making the move later in the year. (Check out this \u003ca title=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" href=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" target=\"_blank\">fact sheet \u003c/a>from the Legislature for more details on the transition.)\u003c/p>\n\u003cp>Cajina said her group supports the transition, in part, because Medi-Cal covers a broader array of medical services for children than Healthy Families, a point echoed by Lynn Kersey, executive director of \u003ca title=\"http://www.mchaccess.org/index.php\" href=\"http://www.mchaccess.org/index.php\" target=\"_blank\">Maternal and Child Health Access\u003c/a>.\u003c/p>\n\u003cp>Kersey pointed to a benefit under Medi-Cal called \u003ca title=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" href=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a>, which she said mandates that “any service a child needs that is medically necessary must be provided. If a plan doesn’t have that in its package, there are outside services that have to be included.”\u003c/p>\n\u003cp>As a result, she said, treatment options for certain medical issues, such as mental health and orthodontia, are better under Medi-Cal than Healthy Families.\u003c/p>\n\u003cp>Norman Williams, spokesman for the state Department of Health Care Services, which administers Medi-Cal, provided another example.\u003c/p>\n\u003cp>“Chiropractic treatments are limited under Healthy Families to a certain number,” he said. “Under Medi-Cal, children can go beyond the limit if there is a medical necessity identified.”\u003c/p>\n\u003cp>Cajina and Kersey also said that families will save money with the transition to Medi-Cal. Healthy Families children pay premiums on a sliding scale and children with Medi-Cal do not.\u003c/p>\n\u003cp>“For children in Medi-Cal under 150 percent of the federal poverty level, there won’t be any cost sharing or monthly premiums, which they had in Healthy Families,” Cajina said.\u003c/p>\n\u003cp>Cajina and Kersey noted other issues that bolster their support for the transition, such as increased efficiencies and more due process rights for participants. Both also agreed that access to care under Medi-Cal will be a continuing concern.\u003c/p>\n\u003cp>But “if everybody is in the same program, we’re all fighting for the same improvements,” Kersey said.\u003c/p>\n\u003cp>Mike Odeh, senior health policy associate for Children Now, said he agrees with the points that Cajina and Kersey make, but worries more about access to care.\u003c/p>\n\u003cp>“If kids don’t have access to care, then who cares if they’re paying a premium or not? … We’re concerned not just about the kids in Healthy Families who will move to Medi-Cal and their access to care. We’re also concerned about the kids who are already in Medi-Cal,” he said.\u003c/p>\n\u003cp>Odeh pointed out that under the transition, the rates that plans received to provide coverage under Healthy Families will drop to Medi-Cal levels, which may result in providers dropping out of the program.\u003c/p>\n\u003cp>“What happens when you add almost 900,000 more kids to a system that is in some ways fractured?” he asked. “We want to make sure we don’t do that and can strengthen the Medi-Cal program before we do this transition.”\u003c/p>\n\u003c/div>\n\u003cp> \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the Healthy Families program into Medi-Cal next year, dozens of groups joined in opposition.\r\n\r\nThey ranged from the California Medical Association, a professional organization that represents the state’s doctors, to the California Primary Care Association, which represents community clinics.\r\n\r\nMostly, they were groups that focus on children and families, such as Children Now and United Ways of California.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cdiv>\n\u003cp>\u003cstrong>By Emily Bazar,\u003c/strong> \u003ca title=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" href=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7190\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012.jpg\">\u003cimg class=\"size-medium wp-image-7190\" title=\"(David Mason: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012-300x199.jpg\" alt=\"(David Mason: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David Mason: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> program into Medi-Cal next year, dozens of groups joined in opposition.\u003c/p>\n\u003cp>They ranged from the \u003ca title=\"http://www.cmanet.org/\" href=\"http://www.cmanet.org/\" target=\"_blank\">California Medical Association\u003c/a>, a professional organization that represents the state’s doctors, to the \u003ca title=\"http://www.cpca.org/\" href=\"http://www.cpca.org/\" target=\"_blank\">California Primary Care Association\u003c/a>, which represents community clinics.\u003c/p>\n\u003cp>Mostly, they were groups that focus on children and families, such as C\u003ca title=\"http://www.childrennow.org/index.php/\" href=\"http://www.childrennow.org/index.php/\" target=\"_blank\">hildren Now\u003c/a> and \u003ca title=\"http://www.unitedwaysca.org/\" href=\"http://www.unitedwaysca.org/\" target=\"_blank\">United Ways of California\u003c/a>.\u003c/p>\n\u003cp>They warned that the transition could disrupt care for thousands of children and ultimately lead to a lack of access to care, particularly in parts of California where doctors – especially those who accept Medi-Cal – are scarce.\u003c/p>\n\u003cp>But it turns out that opposition to the proposal was not unanimous, even among nonprofits that advocate for children and families.\u003c!--more-->\u003c/p>\n\u003cp>“We were supportive of what happened,” said Vanessa Cajina, a \u003ca title=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" href=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" target=\"_blank\">Western Center on Law & Poverty\u003c/a> lobbyist who focuses on health-related budget items.\u003c/p>\n\u003cp>First, a little background. Medi-Cal is a public health insurance program for the lowest-income Californians. Healthy Families covers children in families with incomes too high to qualify for Medi-Cal, up to 250 percent of the poverty level.\u003c/p>\n\u003cp>Under the transition plan that the Legislature agreed to, 415,000 Healthy Families children will move to Medi-Cal on Jan. 1, 2013, with the remainder making the move later in the year. (Check out this \u003ca title=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" href=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" target=\"_blank\">fact sheet \u003c/a>from the Legislature for more details on the transition.)\u003c/p>\n\u003cp>Cajina said her group supports the transition, in part, because Medi-Cal covers a broader array of medical services for children than Healthy Families, a point echoed by Lynn Kersey, executive director of \u003ca title=\"http://www.mchaccess.org/index.php\" href=\"http://www.mchaccess.org/index.php\" target=\"_blank\">Maternal and Child Health Access\u003c/a>.\u003c/p>\n\u003cp>Kersey pointed to a benefit under Medi-Cal called \u003ca title=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" href=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a>, which she said mandates that “any service a child needs that is medically necessary must be provided. If a plan doesn’t have that in its package, there are outside services that have to be included.”\u003c/p>\n\u003cp>As a result, she said, treatment options for certain medical issues, such as mental health and orthodontia, are better under Medi-Cal than Healthy Families.\u003c/p>\n\u003cp>Norman Williams, spokesman for the state Department of Health Care Services, which administers Medi-Cal, provided another example.\u003c/p>\n\u003cp>“Chiropractic treatments are limited under Healthy Families to a certain number,” he said. “Under Medi-Cal, children can go beyond the limit if there is a medical necessity identified.”\u003c/p>\n\u003cp>Cajina and Kersey also said that families will save money with the transition to Medi-Cal. Healthy Families children pay premiums on a sliding scale and children with Medi-Cal do not.\u003c/p>\n\u003cp>“For children in Medi-Cal under 150 percent of the federal poverty level, there won’t be any cost sharing or monthly premiums, which they had in Healthy Families,” Cajina said.\u003c/p>\n\u003cp>Cajina and Kersey noted other issues that bolster their support for the transition, such as increased efficiencies and more due process rights for participants. Both also agreed that access to care under Medi-Cal will be a continuing concern.\u003c/p>\n\u003cp>But “if everybody is in the same program, we’re all fighting for the same improvements,” Kersey said.\u003c/p>\n\u003cp>Mike Odeh, senior health policy associate for Children Now, said he agrees with the points that Cajina and Kersey make, but worries more about access to care.\u003c/p>\n\u003cp>“If kids don’t have access to care, then who cares if they’re paying a premium or not? … We’re concerned not just about the kids in Healthy Families who will move to Medi-Cal and their access to care. We’re also concerned about the kids who are already in Medi-Cal,” he said.\u003c/p>\n\u003cp>Odeh pointed out that under the transition, the rates that plans received to provide coverage under Healthy Families will drop to Medi-Cal levels, which may result in providers dropping out of the program.\u003c/p>\n\u003cp>“What happens when you add almost 900,000 more kids to a system that is in some ways fractured?” he asked. “We want to make sure we don’t do that and can strengthen the Medi-Cal program before we do this transition.”\u003c/p>\n\u003c/div>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Sometimes When School Is Out, So Is The Food",
"title": "Sometimes When School Is Out, So Is The Food",
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"content": "\u003cfigure id=\"attachment_6792\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Chico-truck-summer.jpg\">\u003cimg class=\"size-medium wp-image-6792\" title=\"Kids line up for a free summer meal through a Chico Unified School District program. (Photo: Patrice Chamberlain)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Chico-truck-summer-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kids line up for a free summer meal through a Chico Unified School District program. (Photo: Patrice Chamberlain)\u003c/figcaption>\u003c/figure>\n\u003cp>To understand some of the powerful hunger issues in our state, go no further than the \u003ca href=\"http://www.ymcasv.org/\" target=\"_blank\">Silicon Valley YMCA\u003c/a>.\u003c/p>\n\u003cp>The Y runs summer youth programs in Gilroy. Vice president of programming and community development Mary Hoshiko Haughey says last summer they had a boy in the middle school group who wasn't eating his lunch.\u003c/p>\n\u003cp>\"This was the first day of the program, and our staff asked 'Why aren’t you eating?' 'What would you like?'\" Haughey recalled. \"And he said, 'I can’t eat because I need to make sure my brother and sister are eating. Do they have food in their program too? Otherwise I have to save it for them.' And finally we put him on the phone with them at another site and they said 'yes, we’re eating,' so he finally did too.\"\u003c/p>\n\u003cp>Haughey paused. \"It’s an example of the adult issues that our young children are taking on. He wasn’t going to eat unless he knew his siblings would.”\u003c/p>\n\u003cp>It's also an example of the importance of the summer meal programs that are offered throughout the state. Some school-based programs directly continue the work of the \u003ca href=\"http://www.fns.usda.gov/cnd/lunch/\" target=\"_blank\">School Lunch Program \u003c/a>and \u003ca href=\"http://www.summerfood.usda.gov/\" target=\"_blank\">Summer Food Service Program\u003c/a> that serves free and reduced meals to low income students throughout the year. Others are sponsored by food banks or summer youth program sites.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Silicon Valley Y is part of the \u003ca href=\"https://mail.kqed.org/owa/redir.aspx?C=e9194a1c2ef84a68a48b4d71dea8b2ce&URL=http%3a%2f%2fccrwf.org%2fsummer-meal-coalition%2f\" target=\"_blank\">California Summer Meal Coalition\u003c/a>, which is working to increase awareness of the USDA summer nutrition programs offered through the California Department of Education.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Part of the problem, says Patrice Chamberlain who works with the coalition, is that there are not enough sites serving the meals. Last year the state COULD have received $36 million more in federal reimbursements had more sites signed onto the program.\u003c/p>\n\u003cp>School budget cuts, she says, are making things worse. \"More school districts have been faced with a dwindling budget where they’ve had to cut summer school programs and there has been a decline in participation in summer meal programs,\" Chamberlain says.\u003c/p>\n\u003caside class=\"pullquote alignleft\">He said, \"I can’t eat because I need to make sure my brother and sister are eating. Do they have food in their program too? Otherwise I have to save it for them.\"\u003c/aside>\n\u003cp>\u003ca href=\"http://cfpa.net/sowa-2011\" target=\"_blank\">A recent report \u003c/a>by \u003ca href=\"http://cfpa.net/\" target=\"_blank\">California Food Policy Advocates\u003c/a> tracked the number of children in federally funded summer nutrition programs and found the number of California students served in July 2011 declined six percent from June 2010, nearly 30 percent compared to July 2008 and over 50 percent from July 2002. They tied it directly to cuts in school summer programming.\u003c/p>\n\u003cp>Chamberlain says that's why the coalition is \u003ca href=\"//ccrwf.org/summer-meal-coalition/webinars/webinars-how-to-start-or-expand-a-summer-meal-program/\" target=\"_blank\">working to get the meal programs in other locations\u003c/a>. Last year, for example, the city of Oakland worked with the Alameda County Community Food Bank to serve summer meals at libraries in low-income neighborhoods.\u003c/p>\n\u003cp>State Superintendent Tom Torlakson has been\u003ca href=\"http://ccrwf.org/wp-content/uploads/2012/05/Letter-from-SSPI-TorlaksonCBOs.pdf\" target=\"_blank\"> working to spread the word\u003c/a> about the need for summer meal locations. The awareness campaign may be paying off. This summer, the California Department of Education has indicated that there is a 60 percent increase in the number of summer meal sponsors.\u003c/p>\n\u003cp>Chamberlain says part of the reason to prioritize this issue is the summer connection to childhood obesity. A \u003ca href=\"http://www.summerlearning.org/resource/resmgr/Healthy_Summers_/NSLA_Healthy_Summers_for_Kid.pdf\" target=\"_blank\">new report\u003c/a> from the \u003ca href=\"http://www.summerlearning.org\" target=\"_blank\">National Summer Learning Association\u003c/a> found that kids gain weight two to three times faster during the summer than during the school year.\u003c/p>\n\u003cp>\"Without the structure of the school year, and the additional barriers that impact many low-income neighborhoods, access to healthy food is really limited,\" Chamberlain says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.cde.ca.gov/ds/sh/sn/summersites12.asp\" target=\"_blank\">This map\u003c/a> has a comprehensive list of summer meal sites in California.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6792\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Chico-truck-summer.jpg\">\u003cimg class=\"size-medium wp-image-6792\" title=\"Kids line up for a free summer meal through a Chico Unified School District program. (Photo: Patrice Chamberlain)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Chico-truck-summer-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kids line up for a free summer meal through a Chico Unified School District program. (Photo: Patrice Chamberlain)\u003c/figcaption>\u003c/figure>\n\u003cp>To understand some of the powerful hunger issues in our state, go no further than the \u003ca href=\"http://www.ymcasv.org/\" target=\"_blank\">Silicon Valley YMCA\u003c/a>.\u003c/p>\n\u003cp>The Y runs summer youth programs in Gilroy. Vice president of programming and community development Mary Hoshiko Haughey says last summer they had a boy in the middle school group who wasn't eating his lunch.\u003c/p>\n\u003cp>\"This was the first day of the program, and our staff asked 'Why aren’t you eating?' 'What would you like?'\" Haughey recalled. \"And he said, 'I can’t eat because I need to make sure my brother and sister are eating. Do they have food in their program too? Otherwise I have to save it for them.' And finally we put him on the phone with them at another site and they said 'yes, we’re eating,' so he finally did too.\"\u003c/p>\n\u003cp>Haughey paused. \"It’s an example of the adult issues that our young children are taking on. He wasn’t going to eat unless he knew his siblings would.”\u003c/p>\n\u003cp>It's also an example of the importance of the summer meal programs that are offered throughout the state. Some school-based programs directly continue the work of the \u003ca href=\"http://www.fns.usda.gov/cnd/lunch/\" target=\"_blank\">School Lunch Program \u003c/a>and \u003ca href=\"http://www.summerfood.usda.gov/\" target=\"_blank\">Summer Food Service Program\u003c/a> that serves free and reduced meals to low income students throughout the year. Others are sponsored by food banks or summer youth program sites.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Silicon Valley Y is part of the \u003ca href=\"https://mail.kqed.org/owa/redir.aspx?C=e9194a1c2ef84a68a48b4d71dea8b2ce&URL=http%3a%2f%2fccrwf.org%2fsummer-meal-coalition%2f\" target=\"_blank\">California Summer Meal Coalition\u003c/a>, which is working to increase awareness of the USDA summer nutrition programs offered through the California Department of Education.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Part of the problem, says Patrice Chamberlain who works with the coalition, is that there are not enough sites serving the meals. Last year the state COULD have received $36 million more in federal reimbursements had more sites signed onto the program.\u003c/p>\n\u003cp>School budget cuts, she says, are making things worse. \"More school districts have been faced with a dwindling budget where they’ve had to cut summer school programs and there has been a decline in participation in summer meal programs,\" Chamberlain says.\u003c/p>\n\u003caside class=\"pullquote alignleft\">He said, \"I can’t eat because I need to make sure my brother and sister are eating. Do they have food in their program too? Otherwise I have to save it for them.\"\u003c/aside>\n\u003cp>\u003ca href=\"http://cfpa.net/sowa-2011\" target=\"_blank\">A recent report \u003c/a>by \u003ca href=\"http://cfpa.net/\" target=\"_blank\">California Food Policy Advocates\u003c/a> tracked the number of children in federally funded summer nutrition programs and found the number of California students served in July 2011 declined six percent from June 2010, nearly 30 percent compared to July 2008 and over 50 percent from July 2002. They tied it directly to cuts in school summer programming.\u003c/p>\n\u003cp>Chamberlain says that's why the coalition is \u003ca href=\"//ccrwf.org/summer-meal-coalition/webinars/webinars-how-to-start-or-expand-a-summer-meal-program/\" target=\"_blank\">working to get the meal programs in other locations\u003c/a>. Last year, for example, the city of Oakland worked with the Alameda County Community Food Bank to serve summer meals at libraries in low-income neighborhoods.\u003c/p>\n\u003cp>State Superintendent Tom Torlakson has been\u003ca href=\"http://ccrwf.org/wp-content/uploads/2012/05/Letter-from-SSPI-TorlaksonCBOs.pdf\" target=\"_blank\"> working to spread the word\u003c/a> about the need for summer meal locations. The awareness campaign may be paying off. This summer, the California Department of Education has indicated that there is a 60 percent increase in the number of summer meal sponsors.\u003c/p>\n\u003cp>Chamberlain says part of the reason to prioritize this issue is the summer connection to childhood obesity. A \u003ca href=\"http://www.summerlearning.org/resource/resmgr/Healthy_Summers_/NSLA_Healthy_Summers_for_Kid.pdf\" target=\"_blank\">new report\u003c/a> from the \u003ca href=\"http://www.summerlearning.org\" target=\"_blank\">National Summer Learning Association\u003c/a> found that kids gain weight two to three times faster during the summer than during the school year.\u003c/p>\n\u003cp>\"Without the structure of the school year, and the additional barriers that impact many low-income neighborhoods, access to healthy food is really limited,\" Chamberlain says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.cde.ca.gov/ds/sh/sn/summersites12.asp\" target=\"_blank\">This map\u003c/a> has a comprehensive list of summer meal sites in California.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Coaching Program Makes Exercise Fun For Kids",
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"content": "\u003cp>\u003cstrong>By Lyssa Mudd Rome\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_6613\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd300x300.jpg\">\u003cimg class=\"size-full wp-image-6613 \" title=\"Todd300x300\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300.jpg 300w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300-75x75.jpg 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Todd Whitehead has become a mentor figure in addition to helping kids have fun while exercising. (Photo: Coaching Corps)\u003c/figcaption>\u003c/figure>\n\u003cp>On a recent afternoon at \u003ca title=\"http://bahiainc.com/wordpress/?page_id=2\" href=\"http://bahiainc.com/wordpress/?page_id=2\" target=\"_blank\">BAHIA\u003c/a>, a bilingual after school program in Berkeley, a small group of elementary school kids ran around breathlessly. They were playing “wolves and bunnies,” a tag game that takes some of its rules from basketball. Their coach Todd Whitehead played along, occasionally giving directions and stretching his hand out for a high-five. “Todd makes basketball seem fun,” said nine-year-old Kaydie. But this is about more than having fun. It’s a way for these kids to get the exercise they need.\u003c/p>\n\u003cp>Whitehead is a post-doctoral scholar in public health at U.C. Berkeley who has been coaching at BAHIA for three years. “My main goal,” he says, “is for the kids to have fun, get healthy, and get exposed to activities that will keep them healthy as they grow up.”\u003c/p>\n\u003cp>The Center for Disease Control (CDC) recommends that children get at least \u003ca title=\"http://www.cdc.gov/physicalactivity/everyone/guidelines/children.html\" href=\"http://www.cdc.gov/physicalactivity/everyone/guidelines/children.html\" target=\"_blank\">an hour of physical activity a day\u003c/a>. But for many kids, that isn’t happening. Budget cuts in California have meant there often isn’t enough money for schools to offer PE or include sports in their after school programs. On top of that, low-income neighborhoods frequently lack parks or other safe places to play. Organized sports activities are limited.\u003c/p>\n\u003cp>\u003c!--more-->That’s where \u003ca title=\"http://www.coaching-corps.org/\" href=\"http://www.coaching-corps.org/\" target=\"_blank\">Coaching Corps\u003c/a> comes in. Whitehead volunteered to serve at BAHIA through the nonprofit program, which connects college-age coaches with kids from low-income neighborhoods. Here’s how it works: Coaching Corps chapters recruit volunteers from colleges, universities, and the community, then train them to be coaches. The organization then places coaches in existing after school programs in under-served areas. So far, around 1,600 coaches and 19,000 kids have participated.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the United States, one in three children is now considered overweight or obese. For Latinos and African-Americans that number goes up to 40 percent. Coaching Corps teamed up with the University of California San Francisco \u003ca href=\"http://www.coaching-corps.org/about-us/media-resourses/\">to test\u003c/a> whether its programs were making a difference. Using cardiorespiratory fitness tests, it found that almost half of participating kids didn’t meet recommended baseline fitness levels at the start of the program. But by the end of a year of playing sports with coaches, their fitness levels went up by 40 percent.\u003c/p>\n\u003cp>But the program is about more than just exercise. With a coach, kids not only get the physical activity they need, they also get important attention and mentorship from a caring adult. Coaches can teach kids about teamwork, persistence, and leadership. “Children need to know that they have a safe, caring, consistent adult who’s there for them,” says Sheilagh Polk, communications director for Coaching Corps. “That can make a really big impact in the life of a kid.”\u003c/p>\n\u003cp>Martha Cueva, who directs BAHIA’s educational program, says “If it weren’t for Todd we wouldn’t have a structured program this year. He brings so much energy to coaching. Coaching Corps gives these kids the opportunity to participate in organized sports that they wouldn’t otherwise have.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Whitehead recalls his high school basketball coach, whose enthusiasm for the game made a big difference in his life. “It’s nice to pass that on.”\u003c/p>\n\n",
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"excerpt": "On a recent afternoon at BAHIA, a bilingual afterschool program in Berkeley, a small group of elementary school kids ran around breathlessly. They were playing “wolves and bunnies,” a tag game that takes some of its rules from basketball. Their coach Todd Whitehead played along, occasionally giving directions and stretching his hand out for a high-five. “Todd makes basketball seem fun,” said nine-year-old Kaydie. But this is about more than having fun. It’s a way for these kids to get the exercise they need.\r\n\r\nWhitehead is a post-doctoral scholar in public health at UC Berkeley who has been coaching at BAHIA for three years. “My main goal,” he says, “is for the kids to have fun, get healthy, and get exposed to activities that will keep them healthy as they grow up.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Lyssa Mudd Rome\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_6613\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd300x300.jpg\">\u003cimg class=\"size-full wp-image-6613 \" title=\"Todd300x300\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300.jpg 300w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/Todd300x300-75x75.jpg 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Todd Whitehead has become a mentor figure in addition to helping kids have fun while exercising. (Photo: Coaching Corps)\u003c/figcaption>\u003c/figure>\n\u003cp>On a recent afternoon at \u003ca title=\"http://bahiainc.com/wordpress/?page_id=2\" href=\"http://bahiainc.com/wordpress/?page_id=2\" target=\"_blank\">BAHIA\u003c/a>, a bilingual after school program in Berkeley, a small group of elementary school kids ran around breathlessly. They were playing “wolves and bunnies,” a tag game that takes some of its rules from basketball. Their coach Todd Whitehead played along, occasionally giving directions and stretching his hand out for a high-five. “Todd makes basketball seem fun,” said nine-year-old Kaydie. But this is about more than having fun. It’s a way for these kids to get the exercise they need.\u003c/p>\n\u003cp>Whitehead is a post-doctoral scholar in public health at U.C. Berkeley who has been coaching at BAHIA for three years. “My main goal,” he says, “is for the kids to have fun, get healthy, and get exposed to activities that will keep them healthy as they grow up.”\u003c/p>\n\u003cp>The Center for Disease Control (CDC) recommends that children get at least \u003ca title=\"http://www.cdc.gov/physicalactivity/everyone/guidelines/children.html\" href=\"http://www.cdc.gov/physicalactivity/everyone/guidelines/children.html\" target=\"_blank\">an hour of physical activity a day\u003c/a>. But for many kids, that isn’t happening. Budget cuts in California have meant there often isn’t enough money for schools to offer PE or include sports in their after school programs. On top of that, low-income neighborhoods frequently lack parks or other safe places to play. Organized sports activities are limited.\u003c/p>\n\u003cp>\u003c!--more-->That’s where \u003ca title=\"http://www.coaching-corps.org/\" href=\"http://www.coaching-corps.org/\" target=\"_blank\">Coaching Corps\u003c/a> comes in. Whitehead volunteered to serve at BAHIA through the nonprofit program, which connects college-age coaches with kids from low-income neighborhoods. Here’s how it works: Coaching Corps chapters recruit volunteers from colleges, universities, and the community, then train them to be coaches. The organization then places coaches in existing after school programs in under-served areas. So far, around 1,600 coaches and 19,000 kids have participated.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the United States, one in three children is now considered overweight or obese. For Latinos and African-Americans that number goes up to 40 percent. Coaching Corps teamed up with the University of California San Francisco \u003ca href=\"http://www.coaching-corps.org/about-us/media-resourses/\">to test\u003c/a> whether its programs were making a difference. Using cardiorespiratory fitness tests, it found that almost half of participating kids didn’t meet recommended baseline fitness levels at the start of the program. But by the end of a year of playing sports with coaches, their fitness levels went up by 40 percent.\u003c/p>\n\u003cp>But the program is about more than just exercise. With a coach, kids not only get the physical activity they need, they also get important attention and mentorship from a caring adult. Coaches can teach kids about teamwork, persistence, and leadership. “Children need to know that they have a safe, caring, consistent adult who’s there for them,” says Sheilagh Polk, communications director for Coaching Corps. “That can make a really big impact in the life of a kid.”\u003c/p>\n\u003cp>Martha Cueva, who directs BAHIA’s educational program, says “If it weren’t for Todd we wouldn’t have a structured program this year. He brings so much energy to coaching. Coaching Corps gives these kids the opportunity to participate in organized sports that they wouldn’t otherwise have.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Whitehead recalls his high school basketball coach, whose enthusiasm for the game made a big difference in his life. “It’s nice to pass that on.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Candy is Bad for Kids ... Because It Might Be Laced with Lead",
"title": "Candy is Bad for Kids ... Because It Might Be Laced with Lead",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_5876\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-17-at-2.30.27-PM.png\">\u003cimg class=\"size-medium wp-image-5876\" title='Yes, a candy named \"Toxic Waste\" was recalled. (Image: California Department of Public Health)' src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-17-at-2.30.27-PM-300x272.png\" alt=\"\" width=\"300\" height=\"272\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Yes, a candy named \"Toxic Waste\" was recalled. (Image: California Department of Public Health)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lyssa Rome\u003c/strong>\u003c/p>\n\u003cp>Just like that, the number of children at risk for lead poisoning jumped five-fold yesterday as the Centers for Disease Control announced that it cut its threshold for lead poisoning diagnosis in half. The new diagnosis will occur at five micrograms per deciliter of blood. The former threshold was 10.\u003c/p>\n\u003cp>Health advocates have worked to alert the public to the risks of lead in paint, toys and even jewelry. But lead can also be found in – of all things tempting to children – \u003cem>candy\u003c/em>. Candy with high levels of lead may not taste unusual. In fact, some kinds of lead even taste sweet.\u003c/p>\n\u003cp>Lead is a major environmental health risk. It affects almost every system in the body, including the brain and other organs, but the symptoms aren’t always obvious. For children, exposure to even minute quantities of lead can cause long-term\u003cstrong> \u003c/strong>developmental problems, including lower IQ, and the damage may not be reversible.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“It is not entirely clear where the lead in many of the products is coming from.”\u003c/aside>\n\u003cp>\u003ca title=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" href=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" target=\"_blank\">California’s Department of Public Health \u003c/a>began testing candy for lead in 2007 and has done 5,700 tests since. Over the years, it has \u003ca title=\"http://www.cdph.ca.gov/data/Documents/fdbLiCLiC07.pdf\" href=\"http://www.cdph.ca.gov/data/Documents/fdbLiCLiC07.pdf\" target=\"_blank\">issued warnings\u003c/a> [PDF] not to eat 188 different sweets.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Most of those candies are imported, mainly from four countries: Mexico, Malaysia, China and India. That’s where the candies come from, but what about the lead itself?\u003c!--more-->\u003c/p>\n\u003cp>“It is not entirely clear where the lead in many of the products is coming from,” says Patrick Kennelly, the chief of the \u003ca title=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Food%20Safety%20Program.aspx\" href=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Food%20Safety%20Program.aspx\" target=\"_blank\">California Department of Public Health’s Food Safety Section\u003c/a>. “But products containing tamarind or mined sources of salt from certain regions of the world may have a higher likelihood of having elevated levels of lead.”\u003c/p>\n\u003cp>Candies with chili powder may also have high lead levels, according to the \u003ca title=\"http://www.fda.gov/food/foodsafety/foodcontaminantsadulteration/metals/lead/ucm172050.htm#lead\" href=\"http://www.fda.gov/food/foodsafety/foodcontaminantsadulteration/metals/lead/ucm172050.htm#lead\" target=\"_blank\">Food and Drug Administration\u003c/a>. One source of lead could be contaminated dirt in the fields where the peppers are grown. If the peppers are not thoroughly washed, the lead remains. Drying and processing the spice might also introduce high concentrations of lead. Other potential sources of lead in candy include the machinery used in the manufacturing process, candy packaging, and ink on wrappers.\u003c/p>\n\u003cp>In the first four months of 2012, the Department of Public Health has issued advisories about Vagabundo brand lollipops from Mexico and nine different types of sesame candies from India and Pakistan.\u003c/p>\n\u003cp>A little over a year ago, the department recalled the \u003ca title=\"http://www.cdph.ca.gov/Pages/NR11-009.aspx\" href=\"http://www.cdph.ca.gov/Pages/NR11-009.aspx\" target=\"_blank\">Toxic Sludge brand’s Nuclear Waste Chew Bars\u003c/a>. Some of the candies had more than twice the acceptable amount of lead in them.\u003c/p>\n\u003cp>Public health officials worry about even small amounts of lead because, according to Kennelly, “There is no known safe blood lead level.” High levels of lead in the blood are especially dangerous for infants, children under the age of six, and pregnant women and their fetuses.\u003c/p>\n\u003cp>According to the DPH, in 2010, the most recent year for which data is available, nearly 2,300 California children tested positive for lead levels high enough to cause harm. With the new lead standards announced yesterday nearly 25,000 kids in California may have lead poisoning.\u003c/p>\n\u003cp>In 2005, the Orange County Register uncovered the problem of lead in Mexican candies in its investigative series \u003ca title=\"http://www2.ocregister.com/investigations/2004/lead/\" href=\"http://www2.ocregister.com/investigations/2004/lead/\" target=\"_blank\">Toxic Treats\u003c/a>. The Register profiled Javier Bonilla of La Habra. He tested positive for lead poisoning and the source was tamarind candies that came in clay pots. His mother, Gloria Bonilla, told the Register, \"If I had known, I wouldn't have given them to him.\"\u003c/p>\n\u003cp>Maria Perez of Sacramento, whose son’s blood levels were three times the CDC’s threshold at the time, told the Register, “If the candy has lead, they should make sure it doesn't come here. ... What else has to be done?\"\u003c/p>\n\u003cp>After the series ran, the state legislature \u003ca title=\"http://www.cdph.ca.gov/services/Documents/fdb%20LiC%20AB121%20Ch%20707%202005.pdf\" href=\"http://www.cdph.ca.gov/services/Documents/fdb%20LiC%20AB121%20Ch%20707%202005.pdf\" target=\"_blank\">passed a law \u003c/a>directing the DPH to regularly test candy for lead.\u003c/p>\n\u003cp>As part of its \u003ca title=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Lead%20In%20Candy%20Program.aspx\" href=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Lead%20In%20Candy%20Program.aspx\" target=\"_blank\">Lead in Candy\u003c/a> program, the DPH collects a wide range of candies from store shelves and tests them for lead. To prevent candies with high lead levels from reaching consumers, the DPH works with manufacturers on voluntary recalls and distributes health alerts to the public and local health departments. Store owners who knowingly sell candy laced with lead face fines of up to $500 per violation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As the recent recalls have shown, “the problem still exists,” says Kennelly. “But the level of lead contamination CDPH finds in candies appears to have reduced slightly over the years.”\u003c/p>\n\n",
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"excerpt": "Just like that, the number of children at risk for lead poisoning jumped five-fold yesterday as the Centers for Disease Control announced that it cut its threshold for lead poisoning diagnosis in half. The new diagnosis will occur at five micrograms per deciliter of blood. The former threshold was 10.\r\n\r\nHealth advocates have worked to alert the public to the risks of lead in paint, toys and even jewelry. But lead can also be found in – of all things tempting to children – candy. Candy with high levels of lead may not taste unusual. In fact, some kinds of lead even taste sweet.",
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"description": "Just like that, the number of children at risk for lead poisoning jumped five-fold yesterday as the Centers for Disease Control announced that it cut its threshold for lead poisoning diagnosis in half. The new diagnosis will occur at five micrograms per deciliter of blood. The former threshold was 10.\r\n\r\nHealth advocates have worked to alert the public to the risks of lead in paint, toys and even jewelry. But lead can also be found in – of all things tempting to children – candy. Candy with high levels of lead may not taste unusual. In fact, some kinds of lead even taste sweet.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5876\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-17-at-2.30.27-PM.png\">\u003cimg class=\"size-medium wp-image-5876\" title='Yes, a candy named \"Toxic Waste\" was recalled. (Image: California Department of Public Health)' src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-17-at-2.30.27-PM-300x272.png\" alt=\"\" width=\"300\" height=\"272\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Yes, a candy named \"Toxic Waste\" was recalled. (Image: California Department of Public Health)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lyssa Rome\u003c/strong>\u003c/p>\n\u003cp>Just like that, the number of children at risk for lead poisoning jumped five-fold yesterday as the Centers for Disease Control announced that it cut its threshold for lead poisoning diagnosis in half. The new diagnosis will occur at five micrograms per deciliter of blood. The former threshold was 10.\u003c/p>\n\u003cp>Health advocates have worked to alert the public to the risks of lead in paint, toys and even jewelry. But lead can also be found in – of all things tempting to children – \u003cem>candy\u003c/em>. Candy with high levels of lead may not taste unusual. In fact, some kinds of lead even taste sweet.\u003c/p>\n\u003cp>Lead is a major environmental health risk. It affects almost every system in the body, including the brain and other organs, but the symptoms aren’t always obvious. For children, exposure to even minute quantities of lead can cause long-term\u003cstrong> \u003c/strong>developmental problems, including lower IQ, and the damage may not be reversible.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“It is not entirely clear where the lead in many of the products is coming from.”\u003c/aside>\n\u003cp>\u003ca title=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" href=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" target=\"_blank\">California’s Department of Public Health \u003c/a>began testing candy for lead in 2007 and has done 5,700 tests since. Over the years, it has \u003ca title=\"http://www.cdph.ca.gov/data/Documents/fdbLiCLiC07.pdf\" href=\"http://www.cdph.ca.gov/data/Documents/fdbLiCLiC07.pdf\" target=\"_blank\">issued warnings\u003c/a> [PDF] not to eat 188 different sweets.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Most of those candies are imported, mainly from four countries: Mexico, Malaysia, China and India. That’s where the candies come from, but what about the lead itself?\u003c!--more-->\u003c/p>\n\u003cp>“It is not entirely clear where the lead in many of the products is coming from,” says Patrick Kennelly, the chief of the \u003ca title=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Food%20Safety%20Program.aspx\" href=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Food%20Safety%20Program.aspx\" target=\"_blank\">California Department of Public Health’s Food Safety Section\u003c/a>. “But products containing tamarind or mined sources of salt from certain regions of the world may have a higher likelihood of having elevated levels of lead.”\u003c/p>\n\u003cp>Candies with chili powder may also have high lead levels, according to the \u003ca title=\"http://www.fda.gov/food/foodsafety/foodcontaminantsadulteration/metals/lead/ucm172050.htm#lead\" href=\"http://www.fda.gov/food/foodsafety/foodcontaminantsadulteration/metals/lead/ucm172050.htm#lead\" target=\"_blank\">Food and Drug Administration\u003c/a>. One source of lead could be contaminated dirt in the fields where the peppers are grown. If the peppers are not thoroughly washed, the lead remains. Drying and processing the spice might also introduce high concentrations of lead. Other potential sources of lead in candy include the machinery used in the manufacturing process, candy packaging, and ink on wrappers.\u003c/p>\n\u003cp>In the first four months of 2012, the Department of Public Health has issued advisories about Vagabundo brand lollipops from Mexico and nine different types of sesame candies from India and Pakistan.\u003c/p>\n\u003cp>A little over a year ago, the department recalled the \u003ca title=\"http://www.cdph.ca.gov/Pages/NR11-009.aspx\" href=\"http://www.cdph.ca.gov/Pages/NR11-009.aspx\" target=\"_blank\">Toxic Sludge brand’s Nuclear Waste Chew Bars\u003c/a>. Some of the candies had more than twice the acceptable amount of lead in them.\u003c/p>\n\u003cp>Public health officials worry about even small amounts of lead because, according to Kennelly, “There is no known safe blood lead level.” High levels of lead in the blood are especially dangerous for infants, children under the age of six, and pregnant women and their fetuses.\u003c/p>\n\u003cp>According to the DPH, in 2010, the most recent year for which data is available, nearly 2,300 California children tested positive for lead levels high enough to cause harm. With the new lead standards announced yesterday nearly 25,000 kids in California may have lead poisoning.\u003c/p>\n\u003cp>In 2005, the Orange County Register uncovered the problem of lead in Mexican candies in its investigative series \u003ca title=\"http://www2.ocregister.com/investigations/2004/lead/\" href=\"http://www2.ocregister.com/investigations/2004/lead/\" target=\"_blank\">Toxic Treats\u003c/a>. The Register profiled Javier Bonilla of La Habra. He tested positive for lead poisoning and the source was tamarind candies that came in clay pots. His mother, Gloria Bonilla, told the Register, \"If I had known, I wouldn't have given them to him.\"\u003c/p>\n\u003cp>Maria Perez of Sacramento, whose son’s blood levels were three times the CDC’s threshold at the time, told the Register, “If the candy has lead, they should make sure it doesn't come here. ... What else has to be done?\"\u003c/p>\n\u003cp>After the series ran, the state legislature \u003ca title=\"http://www.cdph.ca.gov/services/Documents/fdb%20LiC%20AB121%20Ch%20707%202005.pdf\" href=\"http://www.cdph.ca.gov/services/Documents/fdb%20LiC%20AB121%20Ch%20707%202005.pdf\" target=\"_blank\">passed a law \u003c/a>directing the DPH to regularly test candy for lead.\u003c/p>\n\u003cp>As part of its \u003ca title=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Lead%20In%20Candy%20Program.aspx\" href=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Lead%20In%20Candy%20Program.aspx\" target=\"_blank\">Lead in Candy\u003c/a> program, the DPH collects a wide range of candies from store shelves and tests them for lead. To prevent candies with high lead levels from reaching consumers, the DPH works with manufacturers on voluntary recalls and distributes health alerts to the public and local health departments. Store owners who knowingly sell candy laced with lead face fines of up to $500 per violation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As the recent recalls have shown, “the problem still exists,” says Kennelly. “But the level of lead contamination CDPH finds in candies appears to have reduced slightly over the years.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"order": 9
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"id": "fresh-air",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
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"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
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"source": "American Public Media"
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"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"rss": "https://rss.art19.com/masters-of-scale"
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},
"mindshift": {
"id": "mindshift",
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"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>",
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"meta": {
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"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"order": 11
},
"link": "/podcasts/onourwatch",
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},
"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",
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},
"link": "/radio/program/on-the-media",
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"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
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},
"pbs-newshour": {
"id": "pbs-newshour",
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"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
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},
"link": "/radio/program/pbs-newshour",
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"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
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},
"perspectives": {
"id": "perspectives",
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"order": 14
},
"link": "/perspectives",
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"planet-money": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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},
"link": "/radio/program/planet-money",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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"rss": "https://feeds.npr.org/510289/podcast.xml"
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},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
},
"link": "/podcasts/politicalbreakdown",
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
"meta": {
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"source": "Possible"
},
"link": "/radio/program/possible",
"subscribe": {
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
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