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This was a practice that started from scratch, and I just trusted the fact that it would increase and everything would be fine\u003cstrong>,”\u003c/strong> Mahon, now 68, says. “My first month of work here I made $200. That was it.\"\u003c/p>\n\u003cp>Over time, the private practice grew to include any patient regardless of ability to pay, says Mahon. Some patients were not insured. Many had Medi-Cal, the state's health insurance program for lower income residents, which – until Mahon’s office gained rural health clinic status in the 90s – provided reimbursements that were “pretty meager.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Early on we actually did trades at the practice,” says Mahon, with a chuckle. “We would trade a visit for a salmon or pottery or some other commodity, which, in the end, felt good from both sides.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/220845410\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>For more than 35 years, Mahon examined patients day in, day out at his small clinic, next to Mendocino Coast District Hospital, the only hospital for miles. He handled everything from regular check ups to broken bones to very sick kids who might need a spinal taps or IV treatment. He got to know families closely. Going anywhere in town almost certainly involved bumping into a former patient.\u003c/p>\n\u003cp>\"It really is the personal aspects of practice here,\" says Mahon. \"The connection with the parents, the connection with the kids and then how that connection spilled over into the larger community.\"\u003c/p>\n\u003cp>Sometimes, he was roused out of bed in the middle of the night to attend to a newborn after a complicated delivery or speak with a distressed parent with an urgent question. Then those kids grew up – and many had kids of their own and brought them to see Mahon.\u003c/p>\n\u003cp>“I frequently tell people that I had a dream practice,” he says. “I took care of at least two generations of children. I wouldn’t trade a minute of it.”\u003c/p>\n\u003cp>Now Mahon is mostly retired. He only works at the hospital on call a few days a month. Families in most of the Mendocino Coast region no longer have access to a pediatrician who lives there permanently. The doctors that Mahon joined in the 70s have long since retired, and other pediatricians have come and gone.\u003c/p>\n\u003cfigure id=\"attachment_68048\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16489_vscocam-photo-1.jpeg\">\u003cimg class=\"wp-image-68048 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-400x320.jpeg\" alt=\"RS16489_vscocam-photo-1\" width=\"400\" height=\"320\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-400x320.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-800x640.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-1440x1152.jpeg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-1180x944.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-960x768.jpeg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Mendocino Coast District Hospital in Fort Bragg has pediatricians on call for emergencies only. Dr. Mahon still works there a few days a month, but no longer sees patients on a day-to-day basis. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Until recently, a nurse practitioner and physician assistant at the clinic handled most cases. But, with no pediatrician in the office, if a patient showed up very sick or with a complicated case, the clinic’s staff sent them to the hospital's emergency department, which has on call access to a pediatrician.\u003c/p>\n\u003cp>“This community deserves better,” says Mahon. “For me it’s rather sad. For all these years there have been resident pediatricians and now for the first time in 40 years, there is none.”\u003c/p>\n\u003cp>Mendocino Coast Clinics, which absorbed Dr. Mahon’s practice a few years ago, contracted an outside agency to bring in a temporary pediatrician for three months. He started last week.\u003c/p>\n\u003cp>“This is a stop gap measure,” says Paula Cohen, executive director at Mendocino Coast Clinics. “We would love to find someone who wants to move to this community and make it their home.”\u003c/p>\n\u003cp>Their search to find someone permanent has a few leads. Cohen says she interviewed an out-of-state doctor last weekend, and her staff is reviewing resumes. However, it’s hard for tiny Fort Bragg –- population 7,300 -- to compete with metropolitan areas when recruiting physicians.\u003c/p>\n\u003cp>Cohen says physicians might prefer the amenities – cultural activities, department stores, even supermarkets -- of bigger cities. A physician who is married might need to look in areas that offer career opportunities for their spouses – who if they work in financial services or tech, say, might not want to move to Fort Bragg.\u003c/p>\n\u003cp>The practice of medicine has also changed since Mahon came to the coast. Today, new physicians might not want to practice by themselves and independently treat the wide range of diseases and behavioral disorders in babies and children that Mahon did.\u003c/p>\n\u003cp>Most new physicians are educated in metropolitan areas, with a large suite of specialists available, says Janet Coffman, associate professor at the Institute for Health Policy Studies at UC San Francisco.\u003c/p>\n\u003cp>“If you are in a rural area and the only pediatrician,\" says Coffman, \"people are expecting you to do a wider scope of practice. New physicians might not be prepared for that kind of medicine.\"\u003c/p>\n\u003cp>Another big challenge is that most new doctors are looking for higher salaries that help them repay their debt from medical school. Graduates of public medical schools owed a median debt of $170,000, while private medical school graduates owed a median debt of $200,000, according to 2014 \u003ca href=\"https://www.aamc.org/download/152968/data/debtfactcard.pdf\" target=\"_blank\">figures\u003c/a> from the Association of American Medical Colleges (AAMC). Rural areas serving a majority of Medi-Cal patients, such as Fort Bragg, might not offer competitive salaries.\u003c/p>\n\u003cp>Coffman said that the state could help rural communities recruit new physicians by expanding programs that help doctors repay their debt if they practice in a medically underserved area. One such program, the \u003ca href=\"http://www.oshpd.ca.gov/hpef/stlrp.html\" target=\"_blank\">Steven M. Thompson Physician Corps Loan Repayment\u003c/a> offers up to $105,000 in financial assistance. Medical schools could also expand programs that train physicians for the daily challenges of practicing in a rural setting.\u003c/p>\n\u003cp>The issue is pressing in Mendocino County and other nearby Northern California counties, where more than half of all doctors practicing are 56 or older and nearing retirement age, according to a 2009 report by the \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/F/PDF%20FewerAndMoreSpecializedMDSupplyInCA.pdf\" target=\"_blank\">California HealthCare Foundation\u003c/a>. Statewide, the physician workforce is one of the oldest in the nation, with only New Mexico having a greater proportion of active physicians over 60, based on AAMC \u003ca href=\"https://www.aamc.org/download/362168/data/2013statephysicianworkforcedatabook.pdf\" target=\"_blank\">data\u003c/a>.\u003c/p>\n\u003cp>Meanwhile, families in Fort Bragg are dealing with the lack of a regular pediatrician they trust.\u003c/p>\n\u003cp>Cassandra and Milo Young now drive their three children 60 winding miles inland to a pediatric practice in Ukiah. The road is so twisty that the kids sometimes get sick on the way. The trips usually take an entire day and represent additional costs in gas and time off work.\u003c/p>\n\u003cp>“It’s definitely a downfall to the area,\" says Cassandra Young. She moved to the coast after working as a creative director at a large advertising firm in New York City.\u003c/p>\n\u003cp>\"We made certain concessions to give this lifestyle to our children. We gave up the big career and department stores. But giving up good quality pediatric care doesn’t feel like something we should have to give up,\" Young says.\u003c/p>\n\u003cp>She says she likes the pediatric practice in Ukiah well enough, but misses Dr. Mahon.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>He’s just wonderful, the kind of doctor we all wish our kids could have,” Young says. “It would be amazing to get another Dr. Mahon to move out here, and be our country doctor.”\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story is part of our series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>. Send story ideas to fjhabvala@kqed.org.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Dr. Bill Mahon cared for two generations of patients. Rural areas across California have trouble recruiting new doctors.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Bill Mahon was a young pediatrician in the early 1970s when he fell in love with the rugged coast and majestic redwoods of Mendocino County. Like other people who have moved to Mendocino from around the country, settling here for him was a personal choice that prioritized lifestyle over money.\u003c/p>\n\u003cp>The prospect of practicing medicine in a small community also called to him. In 1977 he left his well-paying job at Kaiser Sacramento to join a practice with two other pediatricians in Fort Bragg.\u003c/p>\n\u003cp>Still, the move was a risk.\u003c/p>\n\u003caside class=\"pullquote alignright\">“For me it’s rather sad. For all these years there have been resident pediatricians. Now for the first time in 40 years, there is none.”\u003ccite>Dr. Bill Mahon\u003c/cite>\u003c/aside>\n\u003cp>“There were no guarantees coming to the coast. This was a practice that started from scratch, and I just trusted the fact that it would increase and everything would be fine\u003cstrong>,”\u003c/strong> Mahon, now 68, says. “My first month of work here I made $200. That was it.\"\u003c/p>\n\u003cp>Over time, the private practice grew to include any patient regardless of ability to pay, says Mahon. Some patients were not insured. Many had Medi-Cal, the state's health insurance program for lower income residents, which – until Mahon’s office gained rural health clinic status in the 90s – provided reimbursements that were “pretty meager.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Early on we actually did trades at the practice,” says Mahon, with a chuckle. “We would trade a visit for a salmon or pottery or some other commodity, which, in the end, felt good from both sides.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/220845410&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/220845410'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>For more than 35 years, Mahon examined patients day in, day out at his small clinic, next to Mendocino Coast District Hospital, the only hospital for miles. He handled everything from regular check ups to broken bones to very sick kids who might need a spinal taps or IV treatment. He got to know families closely. Going anywhere in town almost certainly involved bumping into a former patient.\u003c/p>\n\u003cp>\"It really is the personal aspects of practice here,\" says Mahon. \"The connection with the parents, the connection with the kids and then how that connection spilled over into the larger community.\"\u003c/p>\n\u003cp>Sometimes, he was roused out of bed in the middle of the night to attend to a newborn after a complicated delivery or speak with a distressed parent with an urgent question. Then those kids grew up – and many had kids of their own and brought them to see Mahon.\u003c/p>\n\u003cp>“I frequently tell people that I had a dream practice,” he says. “I took care of at least two generations of children. I wouldn’t trade a minute of it.”\u003c/p>\n\u003cp>Now Mahon is mostly retired. He only works at the hospital on call a few days a month. Families in most of the Mendocino Coast region no longer have access to a pediatrician who lives there permanently. The doctors that Mahon joined in the 70s have long since retired, and other pediatricians have come and gone.\u003c/p>\n\u003cfigure id=\"attachment_68048\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16489_vscocam-photo-1.jpeg\">\u003cimg class=\"wp-image-68048 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-400x320.jpeg\" alt=\"RS16489_vscocam-photo-1\" width=\"400\" height=\"320\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-400x320.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-800x640.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-1440x1152.jpeg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-1180x944.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-960x768.jpeg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Mendocino Coast District Hospital in Fort Bragg has pediatricians on call for emergencies only. Dr. Mahon still works there a few days a month, but no longer sees patients on a day-to-day basis. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Until recently, a nurse practitioner and physician assistant at the clinic handled most cases. But, with no pediatrician in the office, if a patient showed up very sick or with a complicated case, the clinic’s staff sent them to the hospital's emergency department, which has on call access to a pediatrician.\u003c/p>\n\u003cp>“This community deserves better,” says Mahon. “For me it’s rather sad. For all these years there have been resident pediatricians and now for the first time in 40 years, there is none.”\u003c/p>\n\u003cp>Mendocino Coast Clinics, which absorbed Dr. Mahon’s practice a few years ago, contracted an outside agency to bring in a temporary pediatrician for three months. He started last week.\u003c/p>\n\u003cp>“This is a stop gap measure,” says Paula Cohen, executive director at Mendocino Coast Clinics. “We would love to find someone who wants to move to this community and make it their home.”\u003c/p>\n\u003cp>Their search to find someone permanent has a few leads. Cohen says she interviewed an out-of-state doctor last weekend, and her staff is reviewing resumes. However, it’s hard for tiny Fort Bragg –- population 7,300 -- to compete with metropolitan areas when recruiting physicians.\u003c/p>\n\u003cp>Cohen says physicians might prefer the amenities – cultural activities, department stores, even supermarkets -- of bigger cities. A physician who is married might need to look in areas that offer career opportunities for their spouses – who if they work in financial services or tech, say, might not want to move to Fort Bragg.\u003c/p>\n\u003cp>The practice of medicine has also changed since Mahon came to the coast. Today, new physicians might not want to practice by themselves and independently treat the wide range of diseases and behavioral disorders in babies and children that Mahon did.\u003c/p>\n\u003cp>Most new physicians are educated in metropolitan areas, with a large suite of specialists available, says Janet Coffman, associate professor at the Institute for Health Policy Studies at UC San Francisco.\u003c/p>\n\u003cp>“If you are in a rural area and the only pediatrician,\" says Coffman, \"people are expecting you to do a wider scope of practice. New physicians might not be prepared for that kind of medicine.\"\u003c/p>\n\u003cp>Another big challenge is that most new doctors are looking for higher salaries that help them repay their debt from medical school. Graduates of public medical schools owed a median debt of $170,000, while private medical school graduates owed a median debt of $200,000, according to 2014 \u003ca href=\"https://www.aamc.org/download/152968/data/debtfactcard.pdf\" target=\"_blank\">figures\u003c/a> from the Association of American Medical Colleges (AAMC). Rural areas serving a majority of Medi-Cal patients, such as Fort Bragg, might not offer competitive salaries.\u003c/p>\n\u003cp>Coffman said that the state could help rural communities recruit new physicians by expanding programs that help doctors repay their debt if they practice in a medically underserved area. One such program, the \u003ca href=\"http://www.oshpd.ca.gov/hpef/stlrp.html\" target=\"_blank\">Steven M. Thompson Physician Corps Loan Repayment\u003c/a> offers up to $105,000 in financial assistance. Medical schools could also expand programs that train physicians for the daily challenges of practicing in a rural setting.\u003c/p>\n\u003cp>The issue is pressing in Mendocino County and other nearby Northern California counties, where more than half of all doctors practicing are 56 or older and nearing retirement age, according to a 2009 report by the \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/F/PDF%20FewerAndMoreSpecializedMDSupplyInCA.pdf\" target=\"_blank\">California HealthCare Foundation\u003c/a>. Statewide, the physician workforce is one of the oldest in the nation, with only New Mexico having a greater proportion of active physicians over 60, based on AAMC \u003ca href=\"https://www.aamc.org/download/362168/data/2013statephysicianworkforcedatabook.pdf\" target=\"_blank\">data\u003c/a>.\u003c/p>\n\u003cp>Meanwhile, families in Fort Bragg are dealing with the lack of a regular pediatrician they trust.\u003c/p>\n\u003cp>Cassandra and Milo Young now drive their three children 60 winding miles inland to a pediatric practice in Ukiah. The road is so twisty that the kids sometimes get sick on the way. The trips usually take an entire day and represent additional costs in gas and time off work.\u003c/p>\n\u003cp>“It’s definitely a downfall to the area,\" says Cassandra Young. She moved to the coast after working as a creative director at a large advertising firm in New York City.\u003c/p>\n\u003cp>\"We made certain concessions to give this lifestyle to our children. We gave up the big career and department stores. But giving up good quality pediatric care doesn’t feel like something we should have to give up,\" Young says.\u003c/p>\n\u003cp>She says she likes the pediatric practice in Ukiah well enough, but misses Dr. Mahon.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>He’s just wonderful, the kind of doctor we all wish our kids could have,” Young says. “It would be amazing to get another Dr. Mahon to move out here, and be our country doctor.”\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of our series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>. Send story ideas to fjhabvala@kqed.org.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Veteran UCSF Scientist Looks Back on Key Discovery That Helped Save Preemies' Lives",
"title": "Veteran UCSF Scientist Looks Back on Key Discovery That Helped Save Preemies' Lives",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>In 1953, Dr. John Clements realized something fundamental about the way the lung functions — an insight that would ultimately save the lives of millions of premature babies.\u003c/p>\n\u003cp>The story begins in 1950, when the U.S. Army sent Clements, a newly graduated physician, to the medical division of what was then called the Army Chemical Center in Edgewood, Md. Clements was interested in doing research in biochemistry. His commanding officer was of a different mind.\u003c/p>\n\u003cp>\" 'We don't need any biochemists,' \" Clements recalls the officer saying. \" 'You're going to be a physiologist.' And I became a physiologist because the Army said so.\"\u003c/p>\n\u003cp>At the time, the Army was worried about the Soviet Union using chemical weapons.\u003c/p>\n\u003cp>\"My assignment was to find out how nerve gases worked on the lungs,\" says Clements. So he set out to learn all he could about human lungs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lungs are made up of thin, pliable sacs called alveoli. You can think of them as tiny, somewhat permeable balloons. Oxygen enters the bloodstream though the outer membranes of these sacs.\u003c/p>\n\u003cp>When the sacs inflate, there's more surface area for oxygen to cross into the blood.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/alveoli-5174afd0613caa985beba806758415caeaccc0ef.jpg\">\u003cimg class=\"aligncenter wp-image-56247 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/alveoli-5174afd0613caa985beba806758415caeaccc0ef-e1438625823518.jpg\" alt=\"The tiny sacs in the lungs, called alveoli, move oxygen into the blood and carbon dioxide out.\" width=\"1920\" height=\"1440\">\u003c/a>\u003c/p>\n\u003cp>But how much surface area is there in the normal lung? This wasn't an easy question to answer. Researchers who had looked at lung tissue through the microscope said the surface area was huge — maybe the size of a football field if you spread it all out.\u003c/p>\n\u003cp>But physiologists who estimated the energy that's used to inflate the sacs came up with a much, much smaller area.\u003c/p>\n\u003cp>\"That huge discrepancy between two supposedly correct methods bothered me,\" Clements says.\u003c/p>\n\u003cp>In 1953, he suggested \u003ca href=\"http://www.fasebj.org/content/18/13/1624e.full\">an explanation\u003c/a> for the discrepancy. Maybe there was a substance in the lung that made the alveoli easier to inflate and keep inflated. A few years later, Clements and others found it — a slippery substance known as a surfactant that reduces surface tension in the alveolar membranes. Soon scientists showed that a lack of surfactant is involved in human lung disease.\u003c/p>\n\u003cp>\"At that point the research, to use the trite term, exploded,\" Clements says.\u003c/p>\n\u003cp>Clements was doing basic research, not trying to cure a disease. But his work did contribute to a cure. In 1959, a researcher named \u003ca href=\"http://www.nlm.nih.gov/changingthefaceofmedicine/physicians/biography_17.html\">Dr. Mary Ellen Avery,\u003c/a> who was then at Harvard Medical School, showed that the lungs of premature babies can't make that surfactant. In those days, many children born at less than 37 weeks' gestation would die from something called \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/001563.htm\">respiratory distress syndrome\u003c/a>, or RDS.\u003c/p>\n\u003cp>The FDA has since approved \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm294984.htm\">five synthetic surfactants\u003c/a> to prevent respiratory distress syndrome in premature babies. Surfaxin, approved in 2012, is the latest to hit the market. (The first, \u003ca href=\"https://www.pharmamedtechbi.com/publications/the-pink-sheet/52/032/burroughs-wellcomes-exosurf-is-approved\">Exosurf, \u003c/a>is no longer sold.)\u003c/p>\n\u003cp>\"It took 40 years — from the initial discovery in the early '50s to the first approval of the FDA in the 1990s,\" says Dr. Sam Hawgood, a neonatologist who once worked in Clements' lab and is now chancellor at the University of California, San Francisco.\u003c/p>\n\u003cp>\"All of us would like to compress that timeline,\" Hawgood says. \"But if you think that we had no idea that this substance even existed or was needed in the '50s, to an actual drug four decades later — it's pretty remarkable.\"\u003c/p>\n\u003cp>What's also remarkable is John Clements himself. Today he has a lab at UCSF. At 92, he still heads in every day and is proud of what his work has meant for treating premature infants with respiratory distress syndrome.\u003c/p>\n\u003cp>\"When we began this work back in the 1950s, the mortality from RDS was above 90 percent,\" he says. \"Today, that mortality is 5 percent or less.\"\u003c/p>\n\u003cp>I asked Clements why he still works — surely he's achieved enough to rest on his laurels. He says there's always the chance that a new day will bring a new scientific insight.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The thrill of that is the best thing there is. At my age, I'd put it even higher than sex,\" says Clements with a laugh. Then his tone is more serious. \"It's a big, big thrill when you think you've made a discovery — found an idea — that no one else has had,\" he says. \"That's as good as it gets.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+A+Scientist%27s+Slick+Discovery+Helped+Save+Preemies%27+Lives&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In 1953, Dr. John Clements realized something fundamental about the way the lung functions — an insight that would ultimately save the lives of millions of premature babies.\u003c/p>\n\u003cp>The story begins in 1950, when the U.S. Army sent Clements, a newly graduated physician, to the medical division of what was then called the Army Chemical Center in Edgewood, Md. Clements was interested in doing research in biochemistry. His commanding officer was of a different mind.\u003c/p>\n\u003cp>\" 'We don't need any biochemists,' \" Clements recalls the officer saying. \" 'You're going to be a physiologist.' And I became a physiologist because the Army said so.\"\u003c/p>\n\u003cp>At the time, the Army was worried about the Soviet Union using chemical weapons.\u003c/p>\n\u003cp>\"My assignment was to find out how nerve gases worked on the lungs,\" says Clements. So he set out to learn all he could about human lungs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lungs are made up of thin, pliable sacs called alveoli. You can think of them as tiny, somewhat permeable balloons. Oxygen enters the bloodstream though the outer membranes of these sacs.\u003c/p>\n\u003cp>When the sacs inflate, there's more surface area for oxygen to cross into the blood.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/alveoli-5174afd0613caa985beba806758415caeaccc0ef.jpg\">\u003cimg class=\"aligncenter wp-image-56247 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/alveoli-5174afd0613caa985beba806758415caeaccc0ef-e1438625823518.jpg\" alt=\"The tiny sacs in the lungs, called alveoli, move oxygen into the blood and carbon dioxide out.\" width=\"1920\" height=\"1440\">\u003c/a>\u003c/p>\n\u003cp>But how much surface area is there in the normal lung? This wasn't an easy question to answer. Researchers who had looked at lung tissue through the microscope said the surface area was huge — maybe the size of a football field if you spread it all out.\u003c/p>\n\u003cp>But physiologists who estimated the energy that's used to inflate the sacs came up with a much, much smaller area.\u003c/p>\n\u003cp>\"That huge discrepancy between two supposedly correct methods bothered me,\" Clements says.\u003c/p>\n\u003cp>In 1953, he suggested \u003ca href=\"http://www.fasebj.org/content/18/13/1624e.full\">an explanation\u003c/a> for the discrepancy. Maybe there was a substance in the lung that made the alveoli easier to inflate and keep inflated. A few years later, Clements and others found it — a slippery substance known as a surfactant that reduces surface tension in the alveolar membranes. Soon scientists showed that a lack of surfactant is involved in human lung disease.\u003c/p>\n\u003cp>\"At that point the research, to use the trite term, exploded,\" Clements says.\u003c/p>\n\u003cp>Clements was doing basic research, not trying to cure a disease. But his work did contribute to a cure. In 1959, a researcher named \u003ca href=\"http://www.nlm.nih.gov/changingthefaceofmedicine/physicians/biography_17.html\">Dr. Mary Ellen Avery,\u003c/a> who was then at Harvard Medical School, showed that the lungs of premature babies can't make that surfactant. In those days, many children born at less than 37 weeks' gestation would die from something called \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/001563.htm\">respiratory distress syndrome\u003c/a>, or RDS.\u003c/p>\n\u003cp>The FDA has since approved \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm294984.htm\">five synthetic surfactants\u003c/a> to prevent respiratory distress syndrome in premature babies. Surfaxin, approved in 2012, is the latest to hit the market. (The first, \u003ca href=\"https://www.pharmamedtechbi.com/publications/the-pink-sheet/52/032/burroughs-wellcomes-exosurf-is-approved\">Exosurf, \u003c/a>is no longer sold.)\u003c/p>\n\u003cp>\"It took 40 years — from the initial discovery in the early '50s to the first approval of the FDA in the 1990s,\" says Dr. Sam Hawgood, a neonatologist who once worked in Clements' lab and is now chancellor at the University of California, San Francisco.\u003c/p>\n\u003cp>\"All of us would like to compress that timeline,\" Hawgood says. \"But if you think that we had no idea that this substance even existed or was needed in the '50s, to an actual drug four decades later — it's pretty remarkable.\"\u003c/p>\n\u003cp>What's also remarkable is John Clements himself. Today he has a lab at UCSF. At 92, he still heads in every day and is proud of what his work has meant for treating premature infants with respiratory distress syndrome.\u003c/p>\n\u003cp>\"When we began this work back in the 1950s, the mortality from RDS was above 90 percent,\" he says. \"Today, that mortality is 5 percent or less.\"\u003c/p>\n\u003cp>I asked Clements why he still works — surely he's achieved enough to rest on his laurels. He says there's always the chance that a new day will bring a new scientific insight.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The thrill of that is the best thing there is. At my age, I'd put it even higher than sex,\" says Clements with a laugh. Then his tone is more serious. \"It's a big, big thrill when you think you've made a discovery — found an idea — that no one else has had,\" he says. \"That's as good as it gets.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+A+Scientist%27s+Slick+Discovery+Helped+Save+Preemies%27+Lives&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The question of declining children's vaccination rates -- and how to improve them -- exploded into the public consciousness early this year when a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" target=\"_blank\">measles outbreak\u003c/a>, linked to Disneyland, spread across California and to other states.\u003c/p>\n\u003cp>Since then, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">SB 277\u003c/a>, a bill to abolish the state's vaccine \"personal belief exemption,\" moved through the legislature amid heated and vocal opposition. It was \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/29/bill-ending-vaccine-exemptions-passes-california-senate-moves-to-governors-desk/\" target=\"_blank\">signed by the governor\u003c/a> last month. Under the law, all school children must be vaccinated against 10 different diseases. Only those who cannot be vaccinated for medical reasons are exempt.\u003c/p>\n\u003cp>A Perspective published in the journal \u003ca href=\"http://pediatrics.aappublications.org\" target=\"_blank\">Pediatrics\u003c/a> offers a thoughtful breather on the rancorous debate we've seen in California. In the essay, \u003ca href=\"http://holly.witteman.ca/index.php/about/\" target=\"_blank\">Holly Witteman\u003c/a>, an assistant professor of medicine at Laval University in Quebec, writes in favor of applying a \"shared decision making\" approach with vaccine hesitant parents. This means engaging them with a combination of information and helping people clarify their values.\u003c/p>\n\u003cp>\"What I like about approaches like shared decision making,\" Witteman told me in an email, \"is that they center the conversation around what matters to patients.\"\u003c/p>\n\u003cp>\"We should at least be talking about these kinds of approaches when we talk about concerns about immunization rates, rather than throwing up our hands as though there is nothing that can be done to help parents overcome vaccine hesitancy.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Witteman is not a physician and when friends ask about vaccines, she advises them to talk to their doctor, but she's also an expert in medical decision-making. In the essay she describes conversations with friends and family members where she explains why she has chosen to vaccinate her own children. She talks about the facts around vaccines -- both risks and benefits -- but she also goes beyond facts to her own values:\u003c/p>\n\u003cblockquote>\u003cp>I explain how I am willing to accept the very small risks of vaccines because I could never live with myself if my children were injured or killed by a vaccine-preventable disease or if they passed along a virus to someone more vulnerable and I had done nothing to prevent such events.\u003c/p>\u003c/blockquote>\n\u003cp>She points to early research trials which suggest that providing shared decision-making tools helps to\u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/16287399\" target=\"_blank\"> increase vaccination rates\u003c/a>. She cites an anecdote from her own experience -- a friend who pointed to the \"respectful factual calm\" reassurance from Witteman that contributed to the family starting vaccines for their child.\u003c/p>\n\u003cp>\"It's such a crazy polarized topic everywhere,\" the friend commented to Witteman on Facebook (and Witteman shares in the Perspective with permission), \"that it's really hard to have a conversation about it without feeling attacked. Thank you.\"\u003c/p>\n\u003cp>This is what I have seen as I have covered the debate around SB 277. Those who fear vaccines were called stupid, anti-scientific or selfish -- which is unlikely to help improve vaccination rates, Witteman suggests. \"It may feel good to rant and rave, but people rarely change their minds because someone called them stupid and wrong.\"\u003c/p>\n\u003cp>Now it remains to be seen if requiring vaccines to attend school for all but those with a medical exemption will improve vaccination rates. Witteman says she's not opposed to the law, but in an email said she \"wonder(s) if it might backfire by increasing polarization, entrenching views, and driving parents who are vaccine hesitant further toward vaccine refusal.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now a former Assemblyman has filed paperwork with the Office of the Attorney General for \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/07/02/california-vaccine-debate-not-quite-over-tim-donnelly-files-referendum-to-overturn-new-law/\" target=\"_blank\">a referendum to overturn SB 277\u003c/a>. Backers of the law's repeal have until late September to gather 365,880 signatures to qualify for the Nov. 2016 ballot. If they are successful, the law will be put on hold until after the election.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The question of declining children's vaccination rates -- and how to improve them -- exploded into the public consciousness early this year when a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" target=\"_blank\">measles outbreak\u003c/a>, linked to Disneyland, spread across California and to other states.\u003c/p>\n\u003cp>Since then, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">SB 277\u003c/a>, a bill to abolish the state's vaccine \"personal belief exemption,\" moved through the legislature amid heated and vocal opposition. It was \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/29/bill-ending-vaccine-exemptions-passes-california-senate-moves-to-governors-desk/\" target=\"_blank\">signed by the governor\u003c/a> last month. Under the law, all school children must be vaccinated against 10 different diseases. Only those who cannot be vaccinated for medical reasons are exempt.\u003c/p>\n\u003cp>A Perspective published in the journal \u003ca href=\"http://pediatrics.aappublications.org\" target=\"_blank\">Pediatrics\u003c/a> offers a thoughtful breather on the rancorous debate we've seen in California. In the essay, \u003ca href=\"http://holly.witteman.ca/index.php/about/\" target=\"_blank\">Holly Witteman\u003c/a>, an assistant professor of medicine at Laval University in Quebec, writes in favor of applying a \"shared decision making\" approach with vaccine hesitant parents. This means engaging them with a combination of information and helping people clarify their values.\u003c/p>\n\u003cp>\"What I like about approaches like shared decision making,\" Witteman told me in an email, \"is that they center the conversation around what matters to patients.\"\u003c/p>\n\u003cp>\"We should at least be talking about these kinds of approaches when we talk about concerns about immunization rates, rather than throwing up our hands as though there is nothing that can be done to help parents overcome vaccine hesitancy.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Witteman is not a physician and when friends ask about vaccines, she advises them to talk to their doctor, but she's also an expert in medical decision-making. In the essay she describes conversations with friends and family members where she explains why she has chosen to vaccinate her own children. She talks about the facts around vaccines -- both risks and benefits -- but she also goes beyond facts to her own values:\u003c/p>\n\u003cblockquote>\u003cp>I explain how I am willing to accept the very small risks of vaccines because I could never live with myself if my children were injured or killed by a vaccine-preventable disease or if they passed along a virus to someone more vulnerable and I had done nothing to prevent such events.\u003c/p>\u003c/blockquote>\n\u003cp>She points to early research trials which suggest that providing shared decision-making tools helps to\u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/16287399\" target=\"_blank\"> increase vaccination rates\u003c/a>. She cites an anecdote from her own experience -- a friend who pointed to the \"respectful factual calm\" reassurance from Witteman that contributed to the family starting vaccines for their child.\u003c/p>\n\u003cp>\"It's such a crazy polarized topic everywhere,\" the friend commented to Witteman on Facebook (and Witteman shares in the Perspective with permission), \"that it's really hard to have a conversation about it without feeling attacked. Thank you.\"\u003c/p>\n\u003cp>This is what I have seen as I have covered the debate around SB 277. Those who fear vaccines were called stupid, anti-scientific or selfish -- which is unlikely to help improve vaccination rates, Witteman suggests. \"It may feel good to rant and rave, but people rarely change their minds because someone called them stupid and wrong.\"\u003c/p>\n\u003cp>Now it remains to be seen if requiring vaccines to attend school for all but those with a medical exemption will improve vaccination rates. Witteman says she's not opposed to the law, but in an email said she \"wonder(s) if it might backfire by increasing polarization, entrenching views, and driving parents who are vaccine hesitant further toward vaccine refusal.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now a former Assemblyman has filed paperwork with the Office of the Attorney General for \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/07/02/california-vaccine-debate-not-quite-over-tim-donnelly-files-referendum-to-overturn-new-law/\" target=\"_blank\">a referendum to overturn SB 277\u003c/a>. Backers of the law's repeal have until late September to gather 365,880 signatures to qualify for the Nov. 2016 ballot. If they are successful, the law will be put on hold until after the election.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Consumer Reports,\u003c/em> the granddaddy of advice-givers on what to buy, won't recommend laundry pods containing liquid detergent anymore. The risks to small kids are just too high, the magazine says.\u003c/p>\n\u003cp>In its latest tests, eight different single-use packets were rated very good at cleaning. That wasn't a strong enough showing to put any of them among the top three laundry detergents, which got the magazine's recommended check mark.\u003c/p>\n\u003cp>But the real problem is safety. Despite some changes in packaging and a heightened awareness of the risks to kids, the number of health incidents involving the pods continues to climb.\u003c/p>\n\u003cp>Through June, 6,046 incidents involving pods and kids younger than 6 \u003ca href=\"http://www.aapcc.org/alerts/laundry-detergent-packets/\" target=\"_blank\">have been reported\u003c/a> to the American Association of Poison Control Centers. The exposures, as the AAPCC calls them, include ingestion, inhalation and contact with eyes and skin. Health problems after exposure include wheezing, gasping, extreme sleepiness, vomiting and corneal abrasions.\u003c/p>\n\u003cp>If the incidents continue to be reported at the current pace, they'll exceed the 11,714 that were registered by the poison control centers in 2014.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a statement, Procter & Gamble, maker of Tide pods, said:\u003c/p>\n\u003cblockquote>\u003cp>\"We take every incident of accidental exposure seriously and believe these accidents are preventable. Less than 1% of the calls to Poison Control centers were related to laundry pacs, and the vast majority of these calls to Poison Control centers resulted in minor or no medical treatment. Today, we are seeing encouraging signs that the rate of accidents relative to the number of P&G laundry pacs sold is declining at a rate of 28 percent.\"\u003c/p>\u003c/blockquote>\n\u003cp>Still, \u003ca href=\"http://www.consumerreports.org/cro/magazine/2015/07/the-problem-with-laundry-detergent-pods/index.htm\" target=\"_blank\">the article\u003c/a> in the September issue of Consumer Reports, notes a \"continued danger\" so is not including pods in its list of recommended products. \"And we strongly urge households where children younger than 6 are ever present to skip them altogether.\" The magazine says its \"new position doesn't apply to laundry (or dishwasher) pods that contain powder, because injuries associated with them are less frequent and less severe.\"\u003c/p>\n\u003cp>The poison control centers say households with children take precautions with the pods. \"Our official stance from a poison prevention and education standpoint is that single-use laundry packets should be kept up, away and out of sight of children,\" Krista Osterthaler, national director of outreach for AAPCC, tells Shots. The poison control centers would also like to see packaging improvements to make the products more child-resistant and additional labeling to tell consumers about the dangers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We would also support efforts in reformulation to make them less toxic,\" she says. \"We just don't know what that looks like.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=%27Consumer+Reports%27+Says+Laundry+Pods+Are+Too+Risky+To+Recommend+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Consumer Reports,\u003c/em> the granddaddy of advice-givers on what to buy, won't recommend laundry pods containing liquid detergent anymore. The risks to small kids are just too high, the magazine says.\u003c/p>\n\u003cp>In its latest tests, eight different single-use packets were rated very good at cleaning. That wasn't a strong enough showing to put any of them among the top three laundry detergents, which got the magazine's recommended check mark.\u003c/p>\n\u003cp>But the real problem is safety. Despite some changes in packaging and a heightened awareness of the risks to kids, the number of health incidents involving the pods continues to climb.\u003c/p>\n\u003cp>Through June, 6,046 incidents involving pods and kids younger than 6 \u003ca href=\"http://www.aapcc.org/alerts/laundry-detergent-packets/\" target=\"_blank\">have been reported\u003c/a> to the American Association of Poison Control Centers. The exposures, as the AAPCC calls them, include ingestion, inhalation and contact with eyes and skin. Health problems after exposure include wheezing, gasping, extreme sleepiness, vomiting and corneal abrasions.\u003c/p>\n\u003cp>If the incidents continue to be reported at the current pace, they'll exceed the 11,714 that were registered by the poison control centers in 2014.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a statement, Procter & Gamble, maker of Tide pods, said:\u003c/p>\n\u003cblockquote>\u003cp>\"We take every incident of accidental exposure seriously and believe these accidents are preventable. Less than 1% of the calls to Poison Control centers were related to laundry pacs, and the vast majority of these calls to Poison Control centers resulted in minor or no medical treatment. Today, we are seeing encouraging signs that the rate of accidents relative to the number of P&G laundry pacs sold is declining at a rate of 28 percent.\"\u003c/p>\u003c/blockquote>\n\u003cp>Still, \u003ca href=\"http://www.consumerreports.org/cro/magazine/2015/07/the-problem-with-laundry-detergent-pods/index.htm\" target=\"_blank\">the article\u003c/a> in the September issue of Consumer Reports, notes a \"continued danger\" so is not including pods in its list of recommended products. \"And we strongly urge households where children younger than 6 are ever present to skip them altogether.\" The magazine says its \"new position doesn't apply to laundry (or dishwasher) pods that contain powder, because injuries associated with them are less frequent and less severe.\"\u003c/p>\n\u003cp>The poison control centers say households with children take precautions with the pods. \"Our official stance from a poison prevention and education standpoint is that single-use laundry packets should be kept up, away and out of sight of children,\" Krista Osterthaler, national director of outreach for AAPCC, tells Shots. The poison control centers would also like to see packaging improvements to make the products more child-resistant and additional labeling to tell consumers about the dangers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We would also support efforts in reformulation to make them less toxic,\" she says. \"We just don't know what that looks like.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=%27Consumer+Reports%27+Says+Laundry+Pods+Are+Too+Risky+To+Recommend+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "After Measles Outbreaks, Parents Shift Their Thinking On Vaccines",
"title": "After Measles Outbreaks, Parents Shift Their Thinking On Vaccines",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Nothing like a good measles outbreak to get people thinking more kindly about vaccines.\u003c/p>\n\u003cp>One third of parents say they think vaccines have more benefit than they did a year ago, according to a poll conducted in May.\u003c/p>\n\u003cfigure id=\"attachment_44720\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/vaccine-benefit_enl-25fbea0844d16be2d08246f0d63d746b56d09f9d.png\">\u003cimg class=\"size-thumbnail wp-image-44720\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/vaccine-benefit_enl-25fbea0844d16be2d08246f0d63d746b56d09f9d-400x250.png\" alt=\"Source: C.S. Mott Children's Hospital National Poll on Children's Health, 2015\" width=\"400\" height=\"250\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/07/vaccine-benefit_enl-25fbea0844d16be2d08246f0d63d746b56d09f9d-400x250.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/07/vaccine-benefit_enl-25fbea0844d16be2d08246f0d63d746b56d09f9d.png 600w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Source: C.S. Mott Children's Hospital National Poll on Children's Health, 2015 \u003ccite>(NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That's compared to the 5 percent of parents who said they now think vaccines have fewer benefits and 61 percent who think the benefits are the same.\u003c/p>\n\u003cp>Vaccine safety also got a boost, with 25 percent of parents saying they believe vaccines are safer than they thought they were a year ago, compared to 7 percent of parents who think they're less safe. Sixty-eight percent didn't change their minds.\u003c/p>\n\u003cp>The numbers came from a \u003ca href=\"http://www.mottnpch.org/reports-surveys/safer-more-benefits-parents%E2%80%99-vaccines-views-shifting\" target=\"_blank\">poll\u003c/a> of 1,416 parents around the country conducted by the C.S. Mott Children's Hospital.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So far this year \u003ca href=\"http://www.cdc.gov/measles/cases-outbreaks.html\" target=\"_blank\">178 people\u003c/a> have come down with measles, and many became infected after visiting \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/04/16/disneyland-measles-outbreak-to-be-declared-over/\" target=\"_blank\">Disneyland\u003c/a>, according to the federal Centers for Disease Control and Prevention. Most of those people were not vaccinated.\u003c/p>\n\u003cfigure id=\"attachment_44721\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/vaccine-safety_enl-aa35d7bee0cf76bb8312170ecc74194b411f2a26.png\">\u003cimg class=\"size-thumbnail wp-image-44721\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/vaccine-safety_enl-aa35d7bee0cf76bb8312170ecc74194b411f2a26-400x250.png\" alt=\"Source: C.S. Mott Children's Hospital National Poll on Children's Health, 2015\" width=\"400\" height=\"250\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/07/vaccine-safety_enl-aa35d7bee0cf76bb8312170ecc74194b411f2a26-400x250.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/07/vaccine-safety_enl-aa35d7bee0cf76bb8312170ecc74194b411f2a26.png 600w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Source: C.S. Mott Children's Hospital National Poll on Children's Health, 2015 \u003ccite>(NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even though the Disney outbreak got wide attention, 2014 was actually worse for measles, with 23 outbreaks including 383 cases among unvaccinated Amish communities in Ohio. In both 2014 and this year, measles is thought to have been brought to the U.S. by unvaccinated travelers.\u003c/p>\n\u003cp>Polls typically find that people's opinions change very little in the course of a year, according to Matthew Davis, a pediatrician who directs the C.S. Mott poll. \"These numbers are incredibly high, and suggest that parents are hearing about the outbreaks and responding.\"\u003c/p>\n\u003cp>Doctors should know that parents' opinions can change relatively quickly, Davis says, though in his medical practice, he still sees parents with a wide range of beliefs about vaccine safety.\u003c/p>\n\u003cp>\"It's important for the medical community to realize that parents care deeply about their children's well being,\" Davis told Shots. \"And that is reflected in a wide range of opinions about vaccination.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In May, a statewide poll in California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/03/two-thirds-of-californians-support-barring-unvaccinated-children-from-public-school/\" target=\"_blank\">found that\u003c/a> 67 percent of adults and 65 percent of public school parents think unvaccinated students should not be allowed in public school.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+Measles+Outbreaks%2C+Parents+Shift+Their+Thinking+On+Vaccines&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nothing like a good measles outbreak to get people thinking more kindly about vaccines.\u003c/p>\n\u003cp>One third of parents say they think vaccines have more benefit than they did a year ago, according to a poll conducted in May.\u003c/p>\n\u003cfigure id=\"attachment_44720\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/vaccine-benefit_enl-25fbea0844d16be2d08246f0d63d746b56d09f9d.png\">\u003cimg class=\"size-thumbnail wp-image-44720\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/vaccine-benefit_enl-25fbea0844d16be2d08246f0d63d746b56d09f9d-400x250.png\" alt=\"Source: C.S. Mott Children's Hospital National Poll on Children's Health, 2015\" width=\"400\" height=\"250\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/07/vaccine-benefit_enl-25fbea0844d16be2d08246f0d63d746b56d09f9d-400x250.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/07/vaccine-benefit_enl-25fbea0844d16be2d08246f0d63d746b56d09f9d.png 600w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Source: C.S. Mott Children's Hospital National Poll on Children's Health, 2015 \u003ccite>(NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That's compared to the 5 percent of parents who said they now think vaccines have fewer benefits and 61 percent who think the benefits are the same.\u003c/p>\n\u003cp>Vaccine safety also got a boost, with 25 percent of parents saying they believe vaccines are safer than they thought they were a year ago, compared to 7 percent of parents who think they're less safe. Sixty-eight percent didn't change their minds.\u003c/p>\n\u003cp>The numbers came from a \u003ca href=\"http://www.mottnpch.org/reports-surveys/safer-more-benefits-parents%E2%80%99-vaccines-views-shifting\" target=\"_blank\">poll\u003c/a> of 1,416 parents around the country conducted by the C.S. Mott Children's Hospital.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So far this year \u003ca href=\"http://www.cdc.gov/measles/cases-outbreaks.html\" target=\"_blank\">178 people\u003c/a> have come down with measles, and many became infected after visiting \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/04/16/disneyland-measles-outbreak-to-be-declared-over/\" target=\"_blank\">Disneyland\u003c/a>, according to the federal Centers for Disease Control and Prevention. Most of those people were not vaccinated.\u003c/p>\n\u003cfigure id=\"attachment_44721\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/vaccine-safety_enl-aa35d7bee0cf76bb8312170ecc74194b411f2a26.png\">\u003cimg class=\"size-thumbnail wp-image-44721\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/vaccine-safety_enl-aa35d7bee0cf76bb8312170ecc74194b411f2a26-400x250.png\" alt=\"Source: C.S. Mott Children's Hospital National Poll on Children's Health, 2015\" width=\"400\" height=\"250\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/07/vaccine-safety_enl-aa35d7bee0cf76bb8312170ecc74194b411f2a26-400x250.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/07/vaccine-safety_enl-aa35d7bee0cf76bb8312170ecc74194b411f2a26.png 600w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Source: C.S. Mott Children's Hospital National Poll on Children's Health, 2015 \u003ccite>(NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even though the Disney outbreak got wide attention, 2014 was actually worse for measles, with 23 outbreaks including 383 cases among unvaccinated Amish communities in Ohio. In both 2014 and this year, measles is thought to have been brought to the U.S. by unvaccinated travelers.\u003c/p>\n\u003cp>Polls typically find that people's opinions change very little in the course of a year, according to Matthew Davis, a pediatrician who directs the C.S. Mott poll. \"These numbers are incredibly high, and suggest that parents are hearing about the outbreaks and responding.\"\u003c/p>\n\u003cp>Doctors should know that parents' opinions can change relatively quickly, Davis says, though in his medical practice, he still sees parents with a wide range of beliefs about vaccine safety.\u003c/p>\n\u003cp>\"It's important for the medical community to realize that parents care deeply about their children's well being,\" Davis told Shots. \"And that is reflected in a wide range of opinions about vaccination.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In May, a statewide poll in California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/03/two-thirds-of-californians-support-barring-unvaccinated-children-from-public-school/\" target=\"_blank\">found that\u003c/a> 67 percent of adults and 65 percent of public school parents think unvaccinated students should not be allowed in public school.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+Measles+Outbreaks%2C+Parents+Shift+Their+Thinking+On+Vaccines&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Hollywood's version of science often asks us to believe that dinosaurs can be cloned from ancient DNA (they can't), or that the next ice age could develop in just a few days (it couldn't).\u003c/p>\n\u003cp>But \u003ca href=\"http://movies.disney.com/inside-out/\" target=\"_blank\">Pixar's film\u003c/a> \u003cem>Inside Out\u003c/em> is an animated fantasy that remains remarkably true to what scientists have learned about the mind, emotion and memory.\u003c/p>\n\u003cp>The film is about an 11-year-old girl named Riley who moves from her happy home in Minnesota to the West Coast, where she has no friends and pizza is made with broccoli. Much of the film is spent inside Riley's mind, which features a control center manned by five personified emotions: Joy, Sadness, Fear, Anger and Disgust.\u003c/p>\n\u003cp>\"I think they really nailed it,\" says \u003ca href=\"http://psychology.berkeley.edu/people/dacher-keltner\" target=\"_blank\">Dacher Keltner\u003c/a>, a professor of psychology at UC Berkeley who worked as a consultant to the filmmakers.\u003c/p>\n\u003cp>The movie does a really good job of portraying what it's like to be 11, Keltner says. \"It zeroes in on one of the most poignant times in an individual's life, which is the transition to the preteen and early teen years, where kids — and, I think, in particular girls — start to really powerfully feel the loss of childhood,\" he says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As the filmmakers were working, they would fire off emails to Keltner and to \u003ca href=\"http://www.paulekman.com/paul-ekman/\" target=\"_blank\">Paul Ekman\u003c/a>, a pioneer in the study of emotions. The process helped create a movie that's true to the underlying science when it shows things like how emotions tend to color Riley's perception of the world.\u003c/p>\n\u003cp>\"When you are in a fearful state, everything is imbued with threat and uncertainty and peril,\" Keltner says. And when Riley is sad, he says, even her happy memories take on a bluish hue.\u003c/p>\n\u003cp>The filmmakers get a lot of other scientific details right. Inside Riley's head, you see memories get locked in during sleep, experiences transformed into abstractions, and guards protecting the subconscious.\u003c/p>\n\u003cp>There \u003cem>are\u003c/em> a few departures from the scientific norm. Long-term memories are portrayed as immutable snow globes, though scientists know these memories actually tend to change over time. And Riley gets five basic emotions instead of the six often described in textbooks. (\u003ca href=\"/www.npr.org/2015/06/09/413273007/its-all-in-your-head-director-pete-docter-gets-emotional-in-inside-out?live=1\" target=\"_blank\">\"Surprise,\" apparently, didn't make the cut\u003c/a>.)\u003c/p>\n\u003cp>Also disgust is present in a pretty mild form — the reaction a child has to eating broccoli. The film plays down a more powerful version of disgust, \"like if you suddenly eat a piece of food and it has a worm in it, or it's rotting, Keltner says.\u003c/p>\n\u003cp>One of the film's high points, though, is its depiction of sadness, Keltner says. In many books and movies for kids, he says, sadness is dismissed as a negative emotion with no important role.\u003c/p>\n\u003cp>In \u003cem>Inside Out, \u003c/em>star-shaped Joy gets more screen time. But when the emotions are in danger of getting lost in the endless corridors of long-term memory, it is Sadness, downcast and shaped like a blue teardrop, who emerges as an unlikely heroine.\u003c/p>\n\u003cp>For kids, Keltner says, that makes \"a nice statement about how important sadness is to our understanding of who we are.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Science+Of+Sadness+And+Joy%3A+%27Inside+Out%27+Gets+Childhood+Emotions+Right&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hollywood's version of science often asks us to believe that dinosaurs can be cloned from ancient DNA (they can't), or that the next ice age could develop in just a few days (it couldn't).\u003c/p>\n\u003cp>But \u003ca href=\"http://movies.disney.com/inside-out/\" target=\"_blank\">Pixar's film\u003c/a> \u003cem>Inside Out\u003c/em> is an animated fantasy that remains remarkably true to what scientists have learned about the mind, emotion and memory.\u003c/p>\n\u003cp>The film is about an 11-year-old girl named Riley who moves from her happy home in Minnesota to the West Coast, where she has no friends and pizza is made with broccoli. Much of the film is spent inside Riley's mind, which features a control center manned by five personified emotions: Joy, Sadness, Fear, Anger and Disgust.\u003c/p>\n\u003cp>\"I think they really nailed it,\" says \u003ca href=\"http://psychology.berkeley.edu/people/dacher-keltner\" target=\"_blank\">Dacher Keltner\u003c/a>, a professor of psychology at UC Berkeley who worked as a consultant to the filmmakers.\u003c/p>\n\u003cp>The movie does a really good job of portraying what it's like to be 11, Keltner says. \"It zeroes in on one of the most poignant times in an individual's life, which is the transition to the preteen and early teen years, where kids — and, I think, in particular girls — start to really powerfully feel the loss of childhood,\" he says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As the filmmakers were working, they would fire off emails to Keltner and to \u003ca href=\"http://www.paulekman.com/paul-ekman/\" target=\"_blank\">Paul Ekman\u003c/a>, a pioneer in the study of emotions. The process helped create a movie that's true to the underlying science when it shows things like how emotions tend to color Riley's perception of the world.\u003c/p>\n\u003cp>\"When you are in a fearful state, everything is imbued with threat and uncertainty and peril,\" Keltner says. And when Riley is sad, he says, even her happy memories take on a bluish hue.\u003c/p>\n\u003cp>The filmmakers get a lot of other scientific details right. Inside Riley's head, you see memories get locked in during sleep, experiences transformed into abstractions, and guards protecting the subconscious.\u003c/p>\n\u003cp>There \u003cem>are\u003c/em> a few departures from the scientific norm. Long-term memories are portrayed as immutable snow globes, though scientists know these memories actually tend to change over time. And Riley gets five basic emotions instead of the six often described in textbooks. (\u003ca href=\"/www.npr.org/2015/06/09/413273007/its-all-in-your-head-director-pete-docter-gets-emotional-in-inside-out?live=1\" target=\"_blank\">\"Surprise,\" apparently, didn't make the cut\u003c/a>.)\u003c/p>\n\u003cp>Also disgust is present in a pretty mild form — the reaction a child has to eating broccoli. The film plays down a more powerful version of disgust, \"like if you suddenly eat a piece of food and it has a worm in it, or it's rotting, Keltner says.\u003c/p>\n\u003cp>One of the film's high points, though, is its depiction of sadness, Keltner says. In many books and movies for kids, he says, sadness is dismissed as a negative emotion with no important role.\u003c/p>\n\u003cp>In \u003cem>Inside Out, \u003c/em>star-shaped Joy gets more screen time. But when the emotions are in danger of getting lost in the endless corridors of long-term memory, it is Sadness, downcast and shaped like a blue teardrop, who emerges as an unlikely heroine.\u003c/p>\n\u003cp>For kids, Keltner says, that makes \"a nice statement about how important sadness is to our understanding of who we are.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Science+Of+Sadness+And+Joy%3A+%27Inside+Out%27+Gets+Childhood+Emotions+Right&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>SACRAMENTO, Calif. (AP) — A budget deal between Gov. Jerry Brown and legislative leaders would make California the first in the nation to offer state-subsidized health care to children who are in the country illegally.\u003c/p>\n\u003cp>The\u003ca href=\"http://ww2.kqed.org/news/2015/06/16/california-budget-deal-struck-governor-jerry-brown-concedes-little/\" target=\"_blank\"> $167.6 billion agreement announced Tuesday\u003c/a> is expected to win easy approval from the Senate and Assembly before the fiscal year begins July 1, and its immigrant health care provisions were touted by its backers as a necessity in the face of federal inaction.\u003c/p>\n\u003cp>\"While Washington dithers because they can't get things done, we need immigration reform,\" said Senate President Pro Tem Kevin de Leon (D-Los Angeles). \"The reality is many of these children, and they are children, require some kind of health care and they receive it in the emergency room.\"\u003c/p>\n\u003cp>The cost to taxpayers would be $40 million in the new fiscal year and grow to $132 million a year once fully implemented to cover an estimated 170,00 children under age 19, numbers that had Republicans objecting and warning that it won't help immigrants get access to doctors because of the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/state-auditor-slams-medi-cal-program-over-inadequate-doctor-networks-and-more/\" target=\"_blank\">shortage of providers\u003c/a> who accept Medi-Cal, the state's health program for the poor.\u003c/p>\n\u003cp>Anti-immigration advocates said it was yet another move from Brown — like a bill providing \u003ca href=\"http://ww2.kqed.org/news/2014/12/31/californias-undocumented-immigrants-get-ready-for-the-dmv\" target=\"_blank\">driver's licenses\u003c/a> that took effect this year — that is \"extremely generous\" toward people who enter the country illegally.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Gov. Brown continues to sign laws that incentivize more illegal immigration,\" said Joe Guzzardi, spokesman for Californians for Population Stabilization. \"I can't really see what reason there would be not to come to California. I can get a job, I can get tuition, I can now get medical care for my children.\"\u003c/p>\n\u003cp>But the California Immigrant Policy Center called the move a \"ray of hope\" for many in the state.\u003c/p>\n\u003cp>\"California will take a key first step toward recognizing that health care truly is a human right,\" the group's Executive Director Reshma Shamasunder said in a statement.\u003c/p>\n\u003cp>The budget deal also sends billions of dollars more to public schools and universities, adds spaces for state-funded child care and preschool, and creates the state's first income tax credit for the working poor.\u003c/p>\n\u003cp>Brown also announced he is calling two special sessions to address how California pays for roads, highways and other infrastructure and Medi-Cal. There is a $5.7 billion annual backlog in road repairs, the administration said.\u003c/p>\n\u003cp>But Republicans warned that the special sessions could result in new taxes on gasoline, cigarettes and health care. \"Given the $14 billion of unanticipated tax revenues the state has just received, it is difficult to understand why their starting point is to impose billions of dollars in additional taxes on hard-working Californians,\" said Senate Minority Leader Bob Huff, R-Diamond Bar.\u003c/p>\n\u003cp>Legislative Democrats had sought to restore spending on a host of social welfare programs that were cut during the recession, and they pushed to expand support for the neediest in California as the state enjoys a surplus. Their proposed budget added $749 million in new spending.\u003c/p>\n\u003cp>Under the compromise announced Tuesday, Brown agreed to keep some of those programs such as boosting the number of state-subsidized child care slots, giving in-home support workers a raise, and expanding health coverage to children regardless of their legal status.\u003c/p>\n\u003cp>The governor said he was able to fund those programs without adding to state spending by finding savings in a variety of other programs, including fixing an accounting error in health spending.\u003c/p>\n\u003cp>Still, advocates who had pressured the Democratic governor to expand programs were disappointed. Brown rejected proposals to allow child care workers to unionize, kept a cap on welfare payments meant to discourage low-income women from having additional children, and rejected Medi-Cal payment increases to doctors and dentists.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This budget doesn't do anything to stop punishing poor children,\" said Mike Herald, legislative advocate with the Western Center on Law and Poverty.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>SACRAMENTO, Calif. (AP) — A budget deal between Gov. Jerry Brown and legislative leaders would make California the first in the nation to offer state-subsidized health care to children who are in the country illegally.\u003c/p>\n\u003cp>The\u003ca href=\"http://ww2.kqed.org/news/2015/06/16/california-budget-deal-struck-governor-jerry-brown-concedes-little/\" target=\"_blank\"> $167.6 billion agreement announced Tuesday\u003c/a> is expected to win easy approval from the Senate and Assembly before the fiscal year begins July 1, and its immigrant health care provisions were touted by its backers as a necessity in the face of federal inaction.\u003c/p>\n\u003cp>\"While Washington dithers because they can't get things done, we need immigration reform,\" said Senate President Pro Tem Kevin de Leon (D-Los Angeles). \"The reality is many of these children, and they are children, require some kind of health care and they receive it in the emergency room.\"\u003c/p>\n\u003cp>The cost to taxpayers would be $40 million in the new fiscal year and grow to $132 million a year once fully implemented to cover an estimated 170,00 children under age 19, numbers that had Republicans objecting and warning that it won't help immigrants get access to doctors because of the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/state-auditor-slams-medi-cal-program-over-inadequate-doctor-networks-and-more/\" target=\"_blank\">shortage of providers\u003c/a> who accept Medi-Cal, the state's health program for the poor.\u003c/p>\n\u003cp>Anti-immigration advocates said it was yet another move from Brown — like a bill providing \u003ca href=\"http://ww2.kqed.org/news/2014/12/31/californias-undocumented-immigrants-get-ready-for-the-dmv\" target=\"_blank\">driver's licenses\u003c/a> that took effect this year — that is \"extremely generous\" toward people who enter the country illegally.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Gov. Brown continues to sign laws that incentivize more illegal immigration,\" said Joe Guzzardi, spokesman for Californians for Population Stabilization. \"I can't really see what reason there would be not to come to California. I can get a job, I can get tuition, I can now get medical care for my children.\"\u003c/p>\n\u003cp>But the California Immigrant Policy Center called the move a \"ray of hope\" for many in the state.\u003c/p>\n\u003cp>\"California will take a key first step toward recognizing that health care truly is a human right,\" the group's Executive Director Reshma Shamasunder said in a statement.\u003c/p>\n\u003cp>The budget deal also sends billions of dollars more to public schools and universities, adds spaces for state-funded child care and preschool, and creates the state's first income tax credit for the working poor.\u003c/p>\n\u003cp>Brown also announced he is calling two special sessions to address how California pays for roads, highways and other infrastructure and Medi-Cal. There is a $5.7 billion annual backlog in road repairs, the administration said.\u003c/p>\n\u003cp>But Republicans warned that the special sessions could result in new taxes on gasoline, cigarettes and health care. \"Given the $14 billion of unanticipated tax revenues the state has just received, it is difficult to understand why their starting point is to impose billions of dollars in additional taxes on hard-working Californians,\" said Senate Minority Leader Bob Huff, R-Diamond Bar.\u003c/p>\n\u003cp>Legislative Democrats had sought to restore spending on a host of social welfare programs that were cut during the recession, and they pushed to expand support for the neediest in California as the state enjoys a surplus. Their proposed budget added $749 million in new spending.\u003c/p>\n\u003cp>Under the compromise announced Tuesday, Brown agreed to keep some of those programs such as boosting the number of state-subsidized child care slots, giving in-home support workers a raise, and expanding health coverage to children regardless of their legal status.\u003c/p>\n\u003cp>The governor said he was able to fund those programs without adding to state spending by finding savings in a variety of other programs, including fixing an accounting error in health spending.\u003c/p>\n\u003cp>Still, advocates who had pressured the Democratic governor to expand programs were disappointed. Brown rejected proposals to allow child care workers to unionize, kept a cap on welfare payments meant to discourage low-income women from having additional children, and rejected Medi-Cal payment increases to doctors and dentists.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This budget doesn't do anything to stop punishing poor children,\" said Mike Herald, legislative advocate with the Western Center on Law and Poverty.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>High school freshman Jenna Culotta, 14, has a cowboy hat, a horse named Scarlett and a talent for rodeo barrel racing. That means she rides Scarlett like a race car driver around a three-barrel loop.\u003c/p>\n\u003cp>What Jenna would like, \u003cem>please\u003c/em> (the \u003ca class=\"\" href=\"http://www.nhsra.com/local/uploads/content/files/2014%20NHSRA%20Rulebook.pdf\" target=\"_blank\">rule book\u003c/a> says rodeo riders must strive to be well-mannered) is physical education credit for the hours of practice that have made her a barrel race contender.\u003c/p>\n\u003cp>California ranks third in the nation in the number of high school rodeo riders, trailing Texas and Idaho, although the number is small -– just 595 California high school students are registered with the National High School Rodeo Association.\u003c/p>\n\u003cp>“It’s a dying sport,” said Christie Baute. She's the mother of two rodeo contestants in the Los Angeles County town of Agua Dulce, near Santa Clarita. “And those of us who are involved are passionate about it.”\u003c/p>\n\u003cp>But the idea of P.E. credit for the sport is anathema to physical education teachers. Barrel racing, goat tying and bull riding aren’t interscholastic sports, they say,\u003cdel>\u003c/del> and rodeo competitors aren’t coached by school coaches or supervised by school supervisors.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“How in the world can you consider having something that is totally out of a school district’s ability to oversee get credit?” said Keith Johannes, with the \u003ca class=\"\" href=\"http://www.cahperd.org/\" target=\"_blank\">California Association for Health, Physical Education, Recreation and Dance\u003c/a>, a membership organization for P.E. teachers.\u003c/p>\n\u003cp>“That physical education matters so little that they would not even care to see what’s going on,” Johannes said. “It is the ultimate put-down for physical education.”\u003c/p>\n\u003cp>\u003cb>Bill Under Consideration in Sacramento\u003c/b>\u003c/p>\n\u003cp>Now the riders’ quest for physical education credit, and the privileges such credit would bring, has captured the attention of state Sen. Jean Fuller (R-Bakersfield).\u003c/p>\n\u003cp>Fuller, who said she grew up in the small Kern County town of Shafter where her No. 1 hobby was a horse, is the author of \u003ca class=\"\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB138\" target=\"_blank\">Senate Bill 138\u003c/a>, which would clarify to local school boards that they are free to award high school physical education credit to rodeo competitors, if they would like to do so.\u003c/p>\n\u003cp>Rodeo competitors say the bill would give them the cherished perquisites enjoyed by other high school athletes who receive physical education credit for their sports: the right to opt out of the state graduation requirement of two years of P.E. instruction; time in their school schedules (because they’re not enrolled in P.E.) to take other requirements or study halls; and, most important, an “allowed absence” when they leave school early to travel to faraway rodeos.\u003c/p>\n\u003cp>The bill passed the Senate and is scheduled for a July 1 hearing in the Assembly Education Committee.\u003c/p>\n\u003cp>At a committee hearing this spring, Fuller said a group of high school rodeo competitors approached her in Bishop last year and asked her to bring the bill forward. Their intelligence, fitness and ambition to reach the top of the high school rodeo world impressed her, she said. In the gallery of the hearing room sat about a dozen high school rodeo competitors, in cowboy hats and Western yoke-style shirts.\u003c/p>\n\u003cp>“I ask you today to look in their eyes to see if we, as adults, should limit them in any way,” Fuller said.\u003c/p>\n\u003cp>At the hearing, Cindy Lederer, a 35-year veteran teacher of physical education and a representative of the California Association for Health, Physical Education, Recreation and Dance, voiced the group’s “extreme opposition” to the bill.\u003c/p>\n\u003cp>“California was the first state to mandate physical education minutes at all levels,” Lederer said. “However, those minutes are disappearing, due to the House and Senate who are constantly creating exemptions and passing bills like this one.”\u003c/p>\n\u003cp>Technically, school boards already have \u003ca class=\"\" href=\"http://www.cde.ca.gov/pd/ca/pe/physeducfaqs.asp#PE\" target=\"_blank\">the right to grant physical education credit\u003c/a> to rodeo competitors or, for that matter, to any activity the boards deem worthy.\u003c/p>\n\u003cp>In the Stanislaus County city of Oakdale -- its official slogan is “Cowboy Capital of the World\" -- Oakdale High School has recognized rodeo as a sport for 20 years, said Leandra Spence, adviser to the Oakdale High School rodeo club, at the hearing.\u003c/p>\n\u003cp>But Fuller said school boards would feel more comfortable if rodeo were listed in the regulations along with two other specifically identified activities that can earn physical education credit: Junior Reserve Officer Training Corps and marching band.\u003c/p>\n\u003cp>Stephanie Nabors raised three high school rodeo competitors in Mariposa, and one of them is now a member of the Fresno State University rodeo team. “I would like them to be treated like any other athlete,” she said. When her daughters missed school on Fridays for a rodeo, they had to take time during the rodeo to complete a written assignment about physical education to pick up the credit.\u003c/p>\n\u003cp>“These kids are working their butts off,” Nabors said. “It’s 110 degrees. They shouldn’t have to sit down and write a two-page essay because they’re not in a one-hour P.E. class.”\u003c/p>\n\u003cp>“I think it would help,” Culotta, the 14-year-old rodeo rider, said of receiving P.E. credit for her rodeo practices and competitions. She said she would use the time for homework, which would be useful in the fall when she is a freshman at Saugus High School in Santa Clarita.\u003c/p>\n\u003cp>Yet even if the bill becomes law, the decision to grant physical education credit will remain up to the local school board. Jeff Hallman, athletic director of Saugus High School, said he’d never heard of P.E. credit for rodeo riders.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Our district has guidelines about who is able to get out of physical education,” Hallman said. “Unless you’re a world-class athlete going to the Olympics kind of person, you’re probably not going to get out of P.E.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>High school freshman Jenna Culotta, 14, has a cowboy hat, a horse named Scarlett and a talent for rodeo barrel racing. That means she rides Scarlett like a race car driver around a three-barrel loop.\u003c/p>\n\u003cp>What Jenna would like, \u003cem>please\u003c/em> (the \u003ca class=\"\" href=\"http://www.nhsra.com/local/uploads/content/files/2014%20NHSRA%20Rulebook.pdf\" target=\"_blank\">rule book\u003c/a> says rodeo riders must strive to be well-mannered) is physical education credit for the hours of practice that have made her a barrel race contender.\u003c/p>\n\u003cp>California ranks third in the nation in the number of high school rodeo riders, trailing Texas and Idaho, although the number is small -– just 595 California high school students are registered with the National High School Rodeo Association.\u003c/p>\n\u003cp>“It’s a dying sport,” said Christie Baute. She's the mother of two rodeo contestants in the Los Angeles County town of Agua Dulce, near Santa Clarita. “And those of us who are involved are passionate about it.”\u003c/p>\n\u003cp>But the idea of P.E. credit for the sport is anathema to physical education teachers. Barrel racing, goat tying and bull riding aren’t interscholastic sports, they say,\u003cdel>\u003c/del> and rodeo competitors aren’t coached by school coaches or supervised by school supervisors.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“How in the world can you consider having something that is totally out of a school district’s ability to oversee get credit?” said Keith Johannes, with the \u003ca class=\"\" href=\"http://www.cahperd.org/\" target=\"_blank\">California Association for Health, Physical Education, Recreation and Dance\u003c/a>, a membership organization for P.E. teachers.\u003c/p>\n\u003cp>“That physical education matters so little that they would not even care to see what’s going on,” Johannes said. “It is the ultimate put-down for physical education.”\u003c/p>\n\u003cp>\u003cb>Bill Under Consideration in Sacramento\u003c/b>\u003c/p>\n\u003cp>Now the riders’ quest for physical education credit, and the privileges such credit would bring, has captured the attention of state Sen. Jean Fuller (R-Bakersfield).\u003c/p>\n\u003cp>Fuller, who said she grew up in the small Kern County town of Shafter where her No. 1 hobby was a horse, is the author of \u003ca class=\"\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB138\" target=\"_blank\">Senate Bill 138\u003c/a>, which would clarify to local school boards that they are free to award high school physical education credit to rodeo competitors, if they would like to do so.\u003c/p>\n\u003cp>Rodeo competitors say the bill would give them the cherished perquisites enjoyed by other high school athletes who receive physical education credit for their sports: the right to opt out of the state graduation requirement of two years of P.E. instruction; time in their school schedules (because they’re not enrolled in P.E.) to take other requirements or study halls; and, most important, an “allowed absence” when they leave school early to travel to faraway rodeos.\u003c/p>\n\u003cp>The bill passed the Senate and is scheduled for a July 1 hearing in the Assembly Education Committee.\u003c/p>\n\u003cp>At a committee hearing this spring, Fuller said a group of high school rodeo competitors approached her in Bishop last year and asked her to bring the bill forward. Their intelligence, fitness and ambition to reach the top of the high school rodeo world impressed her, she said. In the gallery of the hearing room sat about a dozen high school rodeo competitors, in cowboy hats and Western yoke-style shirts.\u003c/p>\n\u003cp>“I ask you today to look in their eyes to see if we, as adults, should limit them in any way,” Fuller said.\u003c/p>\n\u003cp>At the hearing, Cindy Lederer, a 35-year veteran teacher of physical education and a representative of the California Association for Health, Physical Education, Recreation and Dance, voiced the group’s “extreme opposition” to the bill.\u003c/p>\n\u003cp>“California was the first state to mandate physical education minutes at all levels,” Lederer said. “However, those minutes are disappearing, due to the House and Senate who are constantly creating exemptions and passing bills like this one.”\u003c/p>\n\u003cp>Technically, school boards already have \u003ca class=\"\" href=\"http://www.cde.ca.gov/pd/ca/pe/physeducfaqs.asp#PE\" target=\"_blank\">the right to grant physical education credit\u003c/a> to rodeo competitors or, for that matter, to any activity the boards deem worthy.\u003c/p>\n\u003cp>In the Stanislaus County city of Oakdale -- its official slogan is “Cowboy Capital of the World\" -- Oakdale High School has recognized rodeo as a sport for 20 years, said Leandra Spence, adviser to the Oakdale High School rodeo club, at the hearing.\u003c/p>\n\u003cp>But Fuller said school boards would feel more comfortable if rodeo were listed in the regulations along with two other specifically identified activities that can earn physical education credit: Junior Reserve Officer Training Corps and marching band.\u003c/p>\n\u003cp>Stephanie Nabors raised three high school rodeo competitors in Mariposa, and one of them is now a member of the Fresno State University rodeo team. “I would like them to be treated like any other athlete,” she said. When her daughters missed school on Fridays for a rodeo, they had to take time during the rodeo to complete a written assignment about physical education to pick up the credit.\u003c/p>\n\u003cp>“These kids are working their butts off,” Nabors said. “It’s 110 degrees. They shouldn’t have to sit down and write a two-page essay because they’re not in a one-hour P.E. class.”\u003c/p>\n\u003cp>“I think it would help,” Culotta, the 14-year-old rodeo rider, said of receiving P.E. credit for her rodeo practices and competitions. She said she would use the time for homework, which would be useful in the fall when she is a freshman at Saugus High School in Santa Clarita.\u003c/p>\n\u003cp>Yet even if the bill becomes law, the decision to grant physical education credit will remain up to the local school board. Jeff Hallman, athletic director of Saugus High School, said he’d never heard of P.E. credit for rodeo riders.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Our district has guidelines about who is able to get out of physical education,” Hallman said. “Unless you’re a world-class athlete going to the Olympics kind of person, you’re probably not going to get out of P.E.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Two-Thirds of Californians Support Barring Unvaccinated Children from Public School",
"title": "Two-Thirds of Californians Support Barring Unvaccinated Children from Public School",
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"content": "\u003cp>Just over two-thirds of California adults -- and nearly as many parents of public school students -- say unvaccinated children should not be allowed to attend public schools, according to a \u003ca href=\"http://www.ppic.org/main/publication.asp?i=1153\" target=\"_blank\">new statewide survey\u003c/a> from the Public Policy Institute of California.\u003c/p>\n\u003cp>The survey comes as \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0251-0300/sb_277_bill_20150219_introduced.html\" target=\"_blank\">a bill \u003c/a>to end California's personal belief exemption for vaccines has been \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/14/california-senate-approves-bill-that-would-end-vaccine-opt-out/\" target=\"_blank\">passed by the Senate \u003c/a>and will be taken up by the Assembly this summer. Each hearing of the bill so far has brought hundreds of opponents to the Capitol.\u003c/p>\n\u003cp>Under the bill, SB277, children would be required to be vaccinated in order to attend school. Only those who could not be vaccinated for medical reasons would be exempt.\u003c/p>\n\u003cp>The PPIC survey asked about three dozen questions on a range of issues. Just two were about vaccines, and neither asked specifically if people supported overturning the vaccine exemption. Here is the first question:\u003c/p>\n\u003cdiv class=\"page\" title=\"Page 27\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cblockquote>\u003cp>Should children who have not been vaccinated from diseases like measles, mumps, and rubella be allowed to attend public schools, or not?\u003c/p>\u003c/blockquote>\n\u003cp>Sixty-seven percent of adults and 65 percent of public school parents said that unvaccinated students should not be allowed in public school. But under SB277, unvaccinated students would not be allowed in either public or private schools. Mark Baldassare, PPIC president and CEO, acknowledged that the question was \"not precisely the issue on the legislative agenda.\"\u003c/p>\n\u003cp>What's interesting about the question is that the PPIC singled out measles, mumps and rubella -- and support for required vaccination was still very strong. The measles vaccine has caused significant concern after a 1998 study claimed a link between the vaccine and autism. That \u003ca href=\"http://www.cnn.com/2011/HEALTH/01/05/autism.vaccines/\" target=\"_blank\">study has since been discredited.\u003c/a>\u003c/p>\n\u003cp>The second question was about vaccine safety:\u003c/p>\n\u003cdiv class=\"page\" title=\"Page 28\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cblockquote>\u003cp>In general, how safe are vaccines given to children for diseases like measles, mumps, and rubella—very safe, somewhat safe, not very safe, or not safe at all?\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>Eighty-seven percent of adults and 88 percent of public school parents said vaccines were either \"very safe\" or \"somewhat safe.\" More than half of respondents were in the \"very safe\" category. Seven percent of adults said vaccines were \"not very safe\" and three percent said they were \"not safe at all.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Baldassare said that the results were consistent across all the state's regions, as well as political and demographic groups, although Latinos were much less likely than whites to say that vaccines are very safe (49 percent vs. 65 percent).\u003c/p>\n\u003cp>\"Generally speaking, we found that it was the college graduates and those with some college who were more likely to say that vaccines are very safe,\" Baldassare said, \"compared to those with high school degrees or less.\"\u003c/p>\n\u003cp>State Sen. Richard Pan (D-Sacramento) is one of the authors of SB277. He was enthusiastic about the findings, noting that \"(t)he poll shows overwhelming majorities of California parents support SB277, understand that vaccines are safe and believe the personal belief exemption is putting our kids and communities at risk of preventable diseases.\"\u003c/p>\n\u003cp>The telephone survey of 1,706 California adults was conducted during the week of May 17-27. It was funded by the James Irvine Foundation.\u003c/p>\n\u003cp>The poll also included some questions about the legalization of marijuana. PPIC says a \"record high\" percentage of Californians -- 54 percent -- support legalizing marijuana; 44 percent oppose it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The results of the PPIC poll are in line with a \u003ca href=\"http://www.cbsnews.com/news/cbs-news-poll-on-vaccines-and-the-measles-outbreak/\" target=\"_blank\">national poll \u003c/a>conducted by CBS News in February, which found that 66 percent of Americans think parents should be required to vaccinate their children, and 64 percent say unvaccinated children should not be permitted to attend public school.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Just over two-thirds of California adults -- and nearly as many parents of public school students -- say unvaccinated children should not be allowed to attend public schools, according to a \u003ca href=\"http://www.ppic.org/main/publication.asp?i=1153\" target=\"_blank\">new statewide survey\u003c/a> from the Public Policy Institute of California.\u003c/p>\n\u003cp>The survey comes as \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0251-0300/sb_277_bill_20150219_introduced.html\" target=\"_blank\">a bill \u003c/a>to end California's personal belief exemption for vaccines has been \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/14/california-senate-approves-bill-that-would-end-vaccine-opt-out/\" target=\"_blank\">passed by the Senate \u003c/a>and will be taken up by the Assembly this summer. Each hearing of the bill so far has brought hundreds of opponents to the Capitol.\u003c/p>\n\u003cp>Under the bill, SB277, children would be required to be vaccinated in order to attend school. Only those who could not be vaccinated for medical reasons would be exempt.\u003c/p>\n\u003cp>The PPIC survey asked about three dozen questions on a range of issues. Just two were about vaccines, and neither asked specifically if people supported overturning the vaccine exemption. Here is the first question:\u003c/p>\n\u003cdiv class=\"page\" title=\"Page 27\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cblockquote>\u003cp>Should children who have not been vaccinated from diseases like measles, mumps, and rubella be allowed to attend public schools, or not?\u003c/p>\u003c/blockquote>\n\u003cp>Sixty-seven percent of adults and 65 percent of public school parents said that unvaccinated students should not be allowed in public school. But under SB277, unvaccinated students would not be allowed in either public or private schools. Mark Baldassare, PPIC president and CEO, acknowledged that the question was \"not precisely the issue on the legislative agenda.\"\u003c/p>\n\u003cp>What's interesting about the question is that the PPIC singled out measles, mumps and rubella -- and support for required vaccination was still very strong. The measles vaccine has caused significant concern after a 1998 study claimed a link between the vaccine and autism. That \u003ca href=\"http://www.cnn.com/2011/HEALTH/01/05/autism.vaccines/\" target=\"_blank\">study has since been discredited.\u003c/a>\u003c/p>\n\u003cp>The second question was about vaccine safety:\u003c/p>\n\u003cdiv class=\"page\" title=\"Page 28\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cblockquote>\u003cp>In general, how safe are vaccines given to children for diseases like measles, mumps, and rubella—very safe, somewhat safe, not very safe, or not safe at all?\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>Eighty-seven percent of adults and 88 percent of public school parents said vaccines were either \"very safe\" or \"somewhat safe.\" More than half of respondents were in the \"very safe\" category. Seven percent of adults said vaccines were \"not very safe\" and three percent said they were \"not safe at all.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Baldassare said that the results were consistent across all the state's regions, as well as political and demographic groups, although Latinos were much less likely than whites to say that vaccines are very safe (49 percent vs. 65 percent).\u003c/p>\n\u003cp>\"Generally speaking, we found that it was the college graduates and those with some college who were more likely to say that vaccines are very safe,\" Baldassare said, \"compared to those with high school degrees or less.\"\u003c/p>\n\u003cp>State Sen. Richard Pan (D-Sacramento) is one of the authors of SB277. He was enthusiastic about the findings, noting that \"(t)he poll shows overwhelming majorities of California parents support SB277, understand that vaccines are safe and believe the personal belief exemption is putting our kids and communities at risk of preventable diseases.\"\u003c/p>\n\u003cp>The telephone survey of 1,706 California adults was conducted during the week of May 17-27. It was funded by the James Irvine Foundation.\u003c/p>\n\u003cp>The poll also included some questions about the legalization of marijuana. PPIC says a \"record high\" percentage of Californians -- 54 percent -- support legalizing marijuana; 44 percent oppose it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The results of the PPIC poll are in line with a \u003ca href=\"http://www.cbsnews.com/news/cbs-news-poll-on-vaccines-and-the-measles-outbreak/\" target=\"_blank\">national poll \u003c/a>conducted by CBS News in February, which found that 66 percent of Americans think parents should be required to vaccinate their children, and 64 percent say unvaccinated children should not be permitted to attend public school.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>When a Murietta Valley Unified School District elementary student bit into a cupcake made with peanut butter in April, she quickly struggled to breathe. A school health aide grabbed a pre-loaded syringe of adrenaline from the supply cabinet, injected the girl and contained the girls' allergic reaction to peanuts until she got to the emergency room. This is exactly as a \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB1266\" target=\"_blank\">new California law\u003c/a> intended –- but not, in fact, how the law is playing out in many districts.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The law indemnified everybody except the doctor.\"\u003cbr>\n\u003ccite> Dr. Brett Curtis, consultant with Oakland Unified School District\u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Six months after the Jan. 1 law required schools to stock these pre-loaded syringes – known as \u003ca class=\"\" href=\"http://www.nlm.nih.gov/medlineplus/druginfo/meds/a603002.html\" target=\"_blank\">epinephrine automatic injectors\u003c/a> and considered the \u003ca class=\"\" href=\"https://escholarship.org/uc/item/64f526r6#page-1\" target=\"_blank\">first line treatment\u003c/a> for potentially life-threatening allergic reactions – many districts have been unable to obtain what Riverside County's Murietta Unified has: a doctor’s prescription for the devices.\u003c/p>\n\u003cp>Up and down the state, doctors have declined to write prescriptions for epinephrine auto-injectors for districts, citing liability concerns and derailing the promise of the law. A February survey of 408 school nurses by the California School Nurses Organization found that 57 percent had been unable to obtain epinephrine auto-injectors for their district, calling the inability to find a doctor to write a prescription a major obstacle.\u003c/p>\n\u003cp>Many districts have turned to city and county public health doctors as the logical prescription writers, only to be rebuffed. “They are being asked to sign these orders, but are being told by their county counsel and their risk managers that the liability risks are real,” said Kat DeBurgh, executive director of the Health Officers Association of California, a Sacramento-based membership group for city and county public health doctors.\u003c/p>\n\u003cp>The impasse has prompted the author of the law, state Sen. Robert Huff, R-Diamond Bar, to introduce follow-up legislation designed to protect physicians from prosecution if they write these prescriptions. The bill, \u003ca class=\"\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB738\" target=\"_blank\">Senate Bill 738\u003c/a>, passed the Senate this month and is in the Assembly.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Brett Curtis, a consulting physician for the Oakland Unified School District, is all for it. “The standard is to prescribe on the basis of a good faith exam,” he said. But the law asks doctors to write a prescription naming the school district as the patient, with the injectors to be used to treat a student or adult as needed – which means “a patient I’ve never seen,” Curtis said.\u003c/p>\n\u003cp>“The law indemnified everybody except the doctor,” he said.\u003c/p>\n\u003cp>His medical liability insurance company agreed. In order to write a prescription to bring Oakland Unified into compliance with the new law, Curtis took out additional liability insurance. Now he writes prescriptions for stock epinephrine auto-injectors for all 86 schools in Oakland.\u003c/p>\n\u003cp>About\u003ca href=\"http://pediatrics.aappublications.org/content/early/2011/06/16/peds.2011-0204.abstract\" target=\"_blank\"> 8 percent of children nationwide \u003c/a>have food allergies, and of those, nearly 40 percent have had a severe reaction known as \u003ca href=\"http://edsource.org/wp-admin/post.php?post=80214&action=edit\" target=\"_blank\">anaphylaxis\u003c/a>, where blood pressure drops and airways constrict. Other symptoms include hives, a swollen tongue and vomiting.\u003c/p>\n\u003cp>Severe food allergies have become an issue in schools across the state and the nation as the percentage of children who are allergic to nuts, milk, wheat and other substances has \u003ca class=\"\" href=\"http://www.cdc.gov/media/pressrel/2008/r081022.htm\" target=\"_blank\">increased\u003c/a>, according to the Centers for Disease Control, for reasons researchers \u003ca class=\"\" href=\"https://ncchildrenshospital.org/enews/foodallergyqa\" target=\"_blank\">can’t definitively explain.\u003c/a>\u003c/p>\n\u003cp>Some schools have introduced nut-free zones in school cafeterias and ingredient inspections for classroom birthday treats. But enforcement can be difficult.\u003c/p>\n\u003cp>For instance, just days before the Murietta Valley student took a bite of the peanut butter-filled cupcake, Cathy Owens, a school nurse, sent a memo to teachers stating that parents must give advance permission for their child to eat food brought in for school events. But at the classroom cupcake party, that notification never happened, Owens said.\u003c/p>\n\u003cp>The result is a lot of anxiety for parents and for school nurses like Martha Wallis, who said she has given at least four emergency epinephrine injections in the past five years in the unified districts of Moreno Valley and Lake Elsinore. A local physician was willing to write a prescription for stock epinephrine even before the law required schools to have it, she said.\u003c/p>\n\u003cp>While many students with severe allergies carry their own epinephrine auto-injectors or keep one at the school office, others don’t. And 20 percent of severe allergic reactions at school happen to children who have never been diagnosed with a severe allergy, said Dr. Marc Lerner, medical officer for the Orange County Department of Education.\u003c/p>\n\u003cp>As a school district employee, Lerner says he is covered by the district’s risk insurance. So he’s written prescriptions for epinephrine auto-injectors for 600 schools in 28 districts in Orange County, using the website \u003ca class=\"\" href=\"https://www.epipen4schools.com/\" target=\"_blank\">EpiPen4Schools.com\u003c/a>, which offers free and reduced price epinephrine auto-injectors to schools across the country.\u003c/p>\n\u003cp>Lerner is one of a group of doctors who have stepped up to write prescriptions for districts.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>At a hearing of the state Senate Judiciary Committee earlier this month, school nurse Melissa Locketz urged passage of the new legislation to dispatch physicians’ liability worries. She read five statements from fellow school nurses, including this one: “It does not seem fair that some schools are lucky to have relationships with physicians, while others can’t comply because no one will sign.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When a Murietta Valley Unified School District elementary student bit into a cupcake made with peanut butter in April, she quickly struggled to breathe. A school health aide grabbed a pre-loaded syringe of adrenaline from the supply cabinet, injected the girl and contained the girls' allergic reaction to peanuts until she got to the emergency room. This is exactly as a \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB1266\" target=\"_blank\">new California law\u003c/a> intended –- but not, in fact, how the law is playing out in many districts.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The law indemnified everybody except the doctor.\"\u003cbr>\n\u003ccite> Dr. Brett Curtis, consultant with Oakland Unified School District\u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Six months after the Jan. 1 law required schools to stock these pre-loaded syringes – known as \u003ca class=\"\" href=\"http://www.nlm.nih.gov/medlineplus/druginfo/meds/a603002.html\" target=\"_blank\">epinephrine automatic injectors\u003c/a> and considered the \u003ca class=\"\" href=\"https://escholarship.org/uc/item/64f526r6#page-1\" target=\"_blank\">first line treatment\u003c/a> for potentially life-threatening allergic reactions – many districts have been unable to obtain what Riverside County's Murietta Unified has: a doctor’s prescription for the devices.\u003c/p>\n\u003cp>Up and down the state, doctors have declined to write prescriptions for epinephrine auto-injectors for districts, citing liability concerns and derailing the promise of the law. A February survey of 408 school nurses by the California School Nurses Organization found that 57 percent had been unable to obtain epinephrine auto-injectors for their district, calling the inability to find a doctor to write a prescription a major obstacle.\u003c/p>\n\u003cp>Many districts have turned to city and county public health doctors as the logical prescription writers, only to be rebuffed. “They are being asked to sign these orders, but are being told by their county counsel and their risk managers that the liability risks are real,” said Kat DeBurgh, executive director of the Health Officers Association of California, a Sacramento-based membership group for city and county public health doctors.\u003c/p>\n\u003cp>The impasse has prompted the author of the law, state Sen. Robert Huff, R-Diamond Bar, to introduce follow-up legislation designed to protect physicians from prosecution if they write these prescriptions. The bill, \u003ca class=\"\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB738\" target=\"_blank\">Senate Bill 738\u003c/a>, passed the Senate this month and is in the Assembly.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Brett Curtis, a consulting physician for the Oakland Unified School District, is all for it. “The standard is to prescribe on the basis of a good faith exam,” he said. But the law asks doctors to write a prescription naming the school district as the patient, with the injectors to be used to treat a student or adult as needed – which means “a patient I’ve never seen,” Curtis said.\u003c/p>\n\u003cp>“The law indemnified everybody except the doctor,” he said.\u003c/p>\n\u003cp>His medical liability insurance company agreed. In order to write a prescription to bring Oakland Unified into compliance with the new law, Curtis took out additional liability insurance. Now he writes prescriptions for stock epinephrine auto-injectors for all 86 schools in Oakland.\u003c/p>\n\u003cp>About\u003ca href=\"http://pediatrics.aappublications.org/content/early/2011/06/16/peds.2011-0204.abstract\" target=\"_blank\"> 8 percent of children nationwide \u003c/a>have food allergies, and of those, nearly 40 percent have had a severe reaction known as \u003ca href=\"http://edsource.org/wp-admin/post.php?post=80214&action=edit\" target=\"_blank\">anaphylaxis\u003c/a>, where blood pressure drops and airways constrict. Other symptoms include hives, a swollen tongue and vomiting.\u003c/p>\n\u003cp>Severe food allergies have become an issue in schools across the state and the nation as the percentage of children who are allergic to nuts, milk, wheat and other substances has \u003ca class=\"\" href=\"http://www.cdc.gov/media/pressrel/2008/r081022.htm\" target=\"_blank\">increased\u003c/a>, according to the Centers for Disease Control, for reasons researchers \u003ca class=\"\" href=\"https://ncchildrenshospital.org/enews/foodallergyqa\" target=\"_blank\">can’t definitively explain.\u003c/a>\u003c/p>\n\u003cp>Some schools have introduced nut-free zones in school cafeterias and ingredient inspections for classroom birthday treats. But enforcement can be difficult.\u003c/p>\n\u003cp>For instance, just days before the Murietta Valley student took a bite of the peanut butter-filled cupcake, Cathy Owens, a school nurse, sent a memo to teachers stating that parents must give advance permission for their child to eat food brought in for school events. But at the classroom cupcake party, that notification never happened, Owens said.\u003c/p>\n\u003cp>The result is a lot of anxiety for parents and for school nurses like Martha Wallis, who said she has given at least four emergency epinephrine injections in the past five years in the unified districts of Moreno Valley and Lake Elsinore. A local physician was willing to write a prescription for stock epinephrine even before the law required schools to have it, she said.\u003c/p>\n\u003cp>While many students with severe allergies carry their own epinephrine auto-injectors or keep one at the school office, others don’t. And 20 percent of severe allergic reactions at school happen to children who have never been diagnosed with a severe allergy, said Dr. Marc Lerner, medical officer for the Orange County Department of Education.\u003c/p>\n\u003cp>As a school district employee, Lerner says he is covered by the district’s risk insurance. So he’s written prescriptions for epinephrine auto-injectors for 600 schools in 28 districts in Orange County, using the website \u003ca class=\"\" href=\"https://www.epipen4schools.com/\" target=\"_blank\">EpiPen4Schools.com\u003c/a>, which offers free and reduced price epinephrine auto-injectors to schools across the country.\u003c/p>\n\u003cp>Lerner is one of a group of doctors who have stepped up to write prescriptions for districts.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>At a hearing of the state Senate Judiciary Committee earlier this month, school nurse Melissa Locketz urged passage of the new legislation to dispatch physicians’ liability worries. She read five statements from fellow school nurses, including this one: “It does not seem fair that some schools are lucky to have relationships with physicians, while others can’t comply because no one will sign.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>In what it's calling an effort to \u003ca href=\"http://city-managers-office.cityofdavis.org/housing-and-human-services/kids-meals-beverage-choice-ordinance-information\" target=\"_blank\">encourage healthier options\u003c/a> for children, Davis will require all restaurants in the city to offer milk or water as the first choice for all children's meals.\u003c/p>\n\u003cp>\u003ca href=\"http://city-council.cityofdavis.org/Media/Default/Documents/PDF/CityCouncil/CouncilMeetings/Agendas/20150526/07-Kids-Meal-Beverages.pdf\" target=\"_blank\">An ordinance was passed by the City Council unanimously\u003c/a> on Tuesday night, the Sacramento Bee reports. Parents can still order soda for their children, but they must specifically request it.\u003c/p>\n\u003cp>More from the \u003ca href=\"http://www.sacbee.com/food-drink/article22438713.html\" target=\"_blank\">Bee\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The rule will go into effect on September 1, giving restaurants enough time to notify staff and implement healthy beverage options if they don’t already do so, said Julie Gallelo, executive director of First 5 Yolo, a non-profit organization that pushed for the ordinance starting last fall.\u003c/p>\n\u003cp>The ordinance will affect about 18 restaurants in the city, including both fast food establishments – Taco Bell, Carl’s Jr. and Round Table Pizza – and some local bistros and pubs.\u003c/p>\u003c/blockquote>\n\u003cp>The new ordinance applies to \"a restaurant that sells a children's meal that includes a beverage.\" The default beverage must now be milk or water.\u003c/p>\n\u003cp>Harold Goldstein, executive director of the California Center for Public Health Advocacy -- a longtime foe of sugary drinks -- called the City Council's action \"a bold move.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Parents will now have to ask for soda specifically if they want to serve their children liquid candy instead of a healthy beverage,\" he said in a statement. \"Studies have shown that parents will stick with the healthier option.\"\u003c/p>\n\u003cp>A spokeswoman for CalBev, the trade association for soda and other non-alcoholic beverages companies in California, said the group had no comment on the new ordinance.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Center for Science in the Public Interest, a national advocacy group, \u003ca href=\"http://cspinet.org/new/201505271.html\" target=\"_blank\">also praised the move\u003c/a> and said that many large restaurant chains have already taken soda off kids' menus. These companies include: McDonald's, Burger King, Wendy's, Dairy Queen, Panera, Subway and Chipotle.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In what it's calling an effort to \u003ca href=\"http://city-managers-office.cityofdavis.org/housing-and-human-services/kids-meals-beverage-choice-ordinance-information\" target=\"_blank\">encourage healthier options\u003c/a> for children, Davis will require all restaurants in the city to offer milk or water as the first choice for all children's meals.\u003c/p>\n\u003cp>\u003ca href=\"http://city-council.cityofdavis.org/Media/Default/Documents/PDF/CityCouncil/CouncilMeetings/Agendas/20150526/07-Kids-Meal-Beverages.pdf\" target=\"_blank\">An ordinance was passed by the City Council unanimously\u003c/a> on Tuesday night, the Sacramento Bee reports. Parents can still order soda for their children, but they must specifically request it.\u003c/p>\n\u003cp>More from the \u003ca href=\"http://www.sacbee.com/food-drink/article22438713.html\" target=\"_blank\">Bee\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The rule will go into effect on September 1, giving restaurants enough time to notify staff and implement healthy beverage options if they don’t already do so, said Julie Gallelo, executive director of First 5 Yolo, a non-profit organization that pushed for the ordinance starting last fall.\u003c/p>\n\u003cp>The ordinance will affect about 18 restaurants in the city, including both fast food establishments – Taco Bell, Carl’s Jr. and Round Table Pizza – and some local bistros and pubs.\u003c/p>\u003c/blockquote>\n\u003cp>The new ordinance applies to \"a restaurant that sells a children's meal that includes a beverage.\" The default beverage must now be milk or water.\u003c/p>\n\u003cp>Harold Goldstein, executive director of the California Center for Public Health Advocacy -- a longtime foe of sugary drinks -- called the City Council's action \"a bold move.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Parents will now have to ask for soda specifically if they want to serve their children liquid candy instead of a healthy beverage,\" he said in a statement. \"Studies have shown that parents will stick with the healthier option.\"\u003c/p>\n\u003cp>A spokeswoman for CalBev, the trade association for soda and other non-alcoholic beverages companies in California, said the group had no comment on the new ordinance.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Center for Science in the Public Interest, a national advocacy group, \u003ca href=\"http://cspinet.org/new/201505271.html\" target=\"_blank\">also praised the move\u003c/a> and said that many large restaurant chains have already taken soda off kids' menus. These companies include: McDonald's, Burger King, Wendy's, Dairy Queen, Panera, Subway and Chipotle.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A couple extra minutes attached to the umbilical cord at birth may translate into a small boost in neurodevelopment several years later, a study suggests.\u003c/p>\n\u003cp>Children whose cords were cut more than three minutes after birth had slightly higher social skills and fine motor skills than those whose cords were cut within 10 seconds. The results showed no differences in IQ.\u003c/p>\n\u003cp>\"There is growing evidence from a number of studies that all infants, those born at term and those born early, benefit from receiving extra blood from the placenta at birth,\" said \u003ca href=\"http://www.sussex.ac.uk/profiles/197709\" target=\"_blank\">Dr. Heike Rabe\u003c/a>, a neonatologist at Brighton & Sussex Medical School in England. Rabe's editorial accompanied the \u003ca href=\"http://dx.doi.org/10.1001/jamapediatrics.2015.0358\" target=\"_blank\">study\u003c/a> published Tuesday in the journal \u003cem>JAMA Pediatrics\u003c/em>.\u003c/p>\n\u003cp>Delaying the clamping of the cord allows more blood to transfer from the placenta to the infant, sometimes increasing the infant's blood volume by up to a third. The iron in the blood increases infants' iron storage, and iron is essential for healthy brain development.\u003c/p>\n\u003cp>\"The extra blood at birth helps the baby to cope better with the transition from life in the womb, where everything is provided for them by the placenta and the mother, to the outside world,\" Rabe said. \"Their lungs get more blood so that the exchange of oxygen into the blood can take place smoothly.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Past studies have shown \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25831651\" target=\"_blank\">higher levels of iron\u003c/a> and \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23843134\" target=\"_blank\">other positive effects\u003c/a> later in infancy among babies whose cords were clamped after several minutes, but few studies have looked at results past infancy.\u003c/p>\n\u003cp>In this study, researchers randomly assigned half of 263 healthy Swedish full-term newborns to have their cords clamped more than three minutes after birth. The other half were clamped less than 10 seconds after birth.\u003c/p>\n\u003cp>Four years later, the children underwent a series of assessments for IQ, motor skills, social skills, problem-solving, communication skills and behavior. Those with delayed cord clamping showed modestly higher scores in social skills and fine motor skills. When separated by sex, only the boys showed statistically significant improvement.\u003c/p>\n\u003cp>\"We don't know exactly why, but speculate that girls receive extra protection through higher estrogen levels whilst being in the womb,\" Rabe said. \"The results in term infants are consistent with those of follow-up in preterm infants.\"\u003c/p>\n\u003cp>Delayed cord clamping has garnered more attention in the past few years for its potential benefits to the newborn. Until recently, clinicians believed early clamping reduced the risk of hemorrhaging in the mother, but \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25404605\" target=\"_blank\">research hasn't borne\u003c/a> that out.\u003c/p>\n\u003cp>Much of the research has focused on \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25984654\" target=\"_blank\">preterm infants,\u003c/a> who appear to \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/24901269\" target=\"_blank\">benefit most\u003c/a> from delayed cord clamping, Rabe said. Preemies who had delayed cord clamping tend to have better blood pressure in the days immediately after birth, need fewer drugs to support blood pressure, need fewer blood transfusions, have less bleeding into the brain and have a lower risk of \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/001148.htm\" target=\"_blank\">necrotizing enterocolitis\u003c/a>, a life-threatening bowel injury, she said.\u003c/p>\n\u003cp>This study is among the few looking at healthy, full-term infants in a country high in resources, as opposed to developing countries where iron deficiency may be more likely.\u003c/p>\n\u003cp>The American Congress of Obstetricians and Gynecologists has \u003ca href=\"http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Timing-of-Umbilical-Cord-Clamping-After-Birth\" target=\"_blank\">not yet endorsed the practice\u003c/a>, citing \u003ca href=\"http://www.acog.org/About-ACOG/News-Room/News-Releases/2012/Time-to-Clamp-the-Cord\">insufficient\u003c/a> evidence for full-term infants. The World Health Organization \u003ca href=\"http://www.who.int/elena/titles/full_recommendations/cord_clamping/en/\" target=\"_blank\">recommends delayed cord clamping\u003c/a> of not less than one minute.\u003c/p>\n\u003cp>It is unclear if the practice could harm infants' health. Some studies have found a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23843134\" target=\"_blank\">higher risk of jaundice\u003c/a>, a build-up of bilirubin in the blood from the breakdown of red blood cells. Jaundice is treated with blue light therapy and \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25831651\" target=\"_blank\">rarely has serious complications\u003c/a>.\u003c/p>\n\u003cp>Another potential risk is a condition called polycythemia, a very high red blood cell count, said \u003ca href=\"http://www.chop.edu/doctors/lorch-scott-a#.VWR3YtJVhBc\">Dr. Scott Lorch\u003c/a>, an associate professor of pediatrics at the University of Pennsylvania Perelman School of Medicine.\u003c/p>\n\u003cp>\"Polycythemia can have medical consequences for the infant, including blood clots, respiratory distress and even strokes in the worst case scenario,\" Lorch said. Some studies have found \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/17307809\" target=\"_blank\">higher levels of red blood cells\u003c/a> in babies with delayed cord clamping, but there were no complications.\u003c/p>\n\u003cp>Lorch also pointed out that this study involved a mostly homogenous population in a country outside the U.S.\u003c/p>\n\u003cp>\"We should see whether similar effects are seen in higher-risk populations, such as the low socioeconomic population, racial and ethnic minorities and those at higher risk for neurodevelopmental delay,\" Lorch said.\u003c/p>\n\u003cp>So far, studies on delayed cord clamping have excluded infants born in distress, such as those with breathing difficulties or other problems. But Rabe said these infants may actually benefit most from the practice.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>These babies often need more blood volume to help with blood pressure, breathing and circulation problems, Rabe said. \"Also, the placental blood is rich with stem cells, which could help to repair any brain damage the baby might have suffered during a difficult birth,\" she added. \"Milking of the cord would be the easiest way to get the extra blood into the baby quickly in an emergency situation.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Delayed+Umbilical+Cord+Clamping+May+Benefit+Children+Years+Later&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A couple extra minutes attached to the umbilical cord at birth may translate into a small boost in neurodevelopment several years later, a study suggests.\u003c/p>\n\u003cp>Children whose cords were cut more than three minutes after birth had slightly higher social skills and fine motor skills than those whose cords were cut within 10 seconds. The results showed no differences in IQ.\u003c/p>\n\u003cp>\"There is growing evidence from a number of studies that all infants, those born at term and those born early, benefit from receiving extra blood from the placenta at birth,\" said \u003ca href=\"http://www.sussex.ac.uk/profiles/197709\" target=\"_blank\">Dr. Heike Rabe\u003c/a>, a neonatologist at Brighton & Sussex Medical School in England. Rabe's editorial accompanied the \u003ca href=\"http://dx.doi.org/10.1001/jamapediatrics.2015.0358\" target=\"_blank\">study\u003c/a> published Tuesday in the journal \u003cem>JAMA Pediatrics\u003c/em>.\u003c/p>\n\u003cp>Delaying the clamping of the cord allows more blood to transfer from the placenta to the infant, sometimes increasing the infant's blood volume by up to a third. The iron in the blood increases infants' iron storage, and iron is essential for healthy brain development.\u003c/p>\n\u003cp>\"The extra blood at birth helps the baby to cope better with the transition from life in the womb, where everything is provided for them by the placenta and the mother, to the outside world,\" Rabe said. \"Their lungs get more blood so that the exchange of oxygen into the blood can take place smoothly.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Past studies have shown \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25831651\" target=\"_blank\">higher levels of iron\u003c/a> and \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23843134\" target=\"_blank\">other positive effects\u003c/a> later in infancy among babies whose cords were clamped after several minutes, but few studies have looked at results past infancy.\u003c/p>\n\u003cp>In this study, researchers randomly assigned half of 263 healthy Swedish full-term newborns to have their cords clamped more than three minutes after birth. The other half were clamped less than 10 seconds after birth.\u003c/p>\n\u003cp>Four years later, the children underwent a series of assessments for IQ, motor skills, social skills, problem-solving, communication skills and behavior. Those with delayed cord clamping showed modestly higher scores in social skills and fine motor skills. When separated by sex, only the boys showed statistically significant improvement.\u003c/p>\n\u003cp>\"We don't know exactly why, but speculate that girls receive extra protection through higher estrogen levels whilst being in the womb,\" Rabe said. \"The results in term infants are consistent with those of follow-up in preterm infants.\"\u003c/p>\n\u003cp>Delayed cord clamping has garnered more attention in the past few years for its potential benefits to the newborn. Until recently, clinicians believed early clamping reduced the risk of hemorrhaging in the mother, but \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25404605\" target=\"_blank\">research hasn't borne\u003c/a> that out.\u003c/p>\n\u003cp>Much of the research has focused on \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25984654\" target=\"_blank\">preterm infants,\u003c/a> who appear to \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/24901269\" target=\"_blank\">benefit most\u003c/a> from delayed cord clamping, Rabe said. Preemies who had delayed cord clamping tend to have better blood pressure in the days immediately after birth, need fewer drugs to support blood pressure, need fewer blood transfusions, have less bleeding into the brain and have a lower risk of \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/001148.htm\" target=\"_blank\">necrotizing enterocolitis\u003c/a>, a life-threatening bowel injury, she said.\u003c/p>\n\u003cp>This study is among the few looking at healthy, full-term infants in a country high in resources, as opposed to developing countries where iron deficiency may be more likely.\u003c/p>\n\u003cp>The American Congress of Obstetricians and Gynecologists has \u003ca href=\"http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Timing-of-Umbilical-Cord-Clamping-After-Birth\" target=\"_blank\">not yet endorsed the practice\u003c/a>, citing \u003ca href=\"http://www.acog.org/About-ACOG/News-Room/News-Releases/2012/Time-to-Clamp-the-Cord\">insufficient\u003c/a> evidence for full-term infants. The World Health Organization \u003ca href=\"http://www.who.int/elena/titles/full_recommendations/cord_clamping/en/\" target=\"_blank\">recommends delayed cord clamping\u003c/a> of not less than one minute.\u003c/p>\n\u003cp>It is unclear if the practice could harm infants' health. Some studies have found a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23843134\" target=\"_blank\">higher risk of jaundice\u003c/a>, a build-up of bilirubin in the blood from the breakdown of red blood cells. Jaundice is treated with blue light therapy and \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25831651\" target=\"_blank\">rarely has serious complications\u003c/a>.\u003c/p>\n\u003cp>Another potential risk is a condition called polycythemia, a very high red blood cell count, said \u003ca href=\"http://www.chop.edu/doctors/lorch-scott-a#.VWR3YtJVhBc\">Dr. Scott Lorch\u003c/a>, an associate professor of pediatrics at the University of Pennsylvania Perelman School of Medicine.\u003c/p>\n\u003cp>\"Polycythemia can have medical consequences for the infant, including blood clots, respiratory distress and even strokes in the worst case scenario,\" Lorch said. Some studies have found \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/17307809\" target=\"_blank\">higher levels of red blood cells\u003c/a> in babies with delayed cord clamping, but there were no complications.\u003c/p>\n\u003cp>Lorch also pointed out that this study involved a mostly homogenous population in a country outside the U.S.\u003c/p>\n\u003cp>\"We should see whether similar effects are seen in higher-risk populations, such as the low socioeconomic population, racial and ethnic minorities and those at higher risk for neurodevelopmental delay,\" Lorch said.\u003c/p>\n\u003cp>So far, studies on delayed cord clamping have excluded infants born in distress, such as those with breathing difficulties or other problems. But Rabe said these infants may actually benefit most from the practice.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>These babies often need more blood volume to help with blood pressure, breathing and circulation problems, Rabe said. \"Also, the placental blood is rich with stem cells, which could help to repair any brain damage the baby might have suffered during a difficult birth,\" she added. \"Milking of the cord would be the easiest way to get the extra blood into the baby quickly in an emergency situation.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Delayed+Umbilical+Cord+Clamping+May+Benefit+Children+Years+Later&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"order": 1
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
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"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"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"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"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",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
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