window.__IS_SSR__=true
window.__INITIAL_STATE__={
"attachmentsReducer": {
"audio_0": {
"type": "attachments",
"id": "audio_0",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background0.jpg"
}
}
},
"audio_1": {
"type": "attachments",
"id": "audio_1",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background1.jpg"
}
}
},
"audio_2": {
"type": "attachments",
"id": "audio_2",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background2.jpg"
}
}
},
"audio_3": {
"type": "attachments",
"id": "audio_3",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background3.jpg"
}
}
},
"audio_4": {
"type": "attachments",
"id": "audio_4",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background4.jpg"
}
}
},
"placeholder": {
"type": "attachments",
"id": "placeholder",
"imgSizes": {
"thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"medium": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"medium_large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-768x512.jpg",
"width": 768,
"height": 512,
"mimeType": "image/jpeg"
},
"large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"1536x1536": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-lrg": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-med": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"fd-sm": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"post-thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"twentyfourteen-full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1038x576.jpg",
"width": 1038,
"height": 576,
"mimeType": "image/jpeg"
},
"xxsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"xsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"small": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"xlarge": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1920x1280.jpg",
"width": 1920,
"height": 1280,
"mimeType": "image/jpeg"
},
"guest-author-32": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 32,
"height": 32,
"mimeType": "image/jpeg"
},
"guest-author-50": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 50,
"height": 50,
"mimeType": "image/jpeg"
},
"guest-author-64": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 64,
"height": 64,
"mimeType": "image/jpeg"
},
"guest-author-96": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 96,
"height": 96,
"mimeType": "image/jpeg"
},
"guest-author-128": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 128,
"height": 128,
"mimeType": "image/jpeg"
},
"detail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 160,
"height": 160,
"mimeType": "image/jpeg"
},
"kqedFullSize": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1.jpg",
"width": 2000,
"height": 1333
}
}
},
"stateofhealth_29232": {
"type": "attachments",
"id": "stateofhealth_29232",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "29232",
"found": true
},
"parent": 29198,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-400x267.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 267
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-960x641.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 641
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-e1432336118626.jpg",
"width": 1919,
"height": 1281
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-1440x961.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 961
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-800x534.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 534
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-1180x788.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 788
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/er-asthma-8-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1432336070,
"modified": 1432336110,
"caption": "Daniel Lee, 5, gets his airway checked during his appointment at the Childrens Hospital of Orange County Breathmobile. Lee’s asthma symptoms prohibit him from playing soccer ",
"description": null,
"title": "er-asthma-8",
"credit": "Heidi de Marco/KHN",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_27308": {
"type": "attachments",
"id": "stateofhealth_27308",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "27308",
"found": true
},
"parent": 27292,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-400x276.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 276
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-960x662.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 662
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-e1431629128325.jpg",
"width": 1920,
"height": 1324
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-1440x993.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 993
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-800x552.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 552
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-1180x814.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 814
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/462294288-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1431629119,
"modified": 1437323370,
"caption": null,
"description": "Measles, vaccine, MMR",
"title": "Large Outbreak Of Measles Reported In California",
"credit": "Justin Sullivan/Getty Images",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_27563": {
"type": "attachments",
"id": "stateofhealth_27563",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "27563",
"found": true
},
"parent": 27529,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-400x303.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 303
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-960x728.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 728
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2.jpg",
"width": 1501,
"height": 1138
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-1440x1092.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 1092
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-800x607.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 607
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-1180x895.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 895
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/05/RS15188_IMG_3119-2-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1431717783,
"modified": 1452207251,
"caption": "Gov. Jerry Brown releases his revised state budget on May 14, 2015, in Sacramento.",
"description": "Gov. Jerry Brown releases his revised state budget on May 14, 2015 in Sacramento.",
"title": "RS15188_IMG_3119-2",
"credit": "John Myers/KQED",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_24882": {
"type": "attachments",
"id": "stateofhealth_24882",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "24882",
"found": true
},
"parent": 24879,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-400x257.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 257
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-320x205.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 205
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows.jpg",
"width": 1920,
"height": 1232
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-1440x924.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 924
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-800x513.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 513
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-1180x757.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 757
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-768x493.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 493
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/04/cows-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1428348419,
"modified": 1428348613,
"caption": "A recent study shows 10 percent of human breast milk purchased online is contaminated with traces of cow’s milk. (Justin Sullivan/Getty Images",
"description": "A recent study shows 10 percent of human breast milk purchased online is contaminated with traces of cow’s milk. (Justin Sullivan/Getty Images)",
"title": "A recent study shows 10 percent of human breast milk purchased online is contaminated with traces of cow’s milk.",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_23978": {
"type": "attachments",
"id": "stateofhealth_23978",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "23978",
"found": true
},
"parent": 23977,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-400x267.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 267
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-320x213.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 213
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978.jpg",
"width": 1920,
"height": 1280
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-1440x960.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 960
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-800x533.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 533
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-1180x787.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 787
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-768x512.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 512
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1424720707,
"modified": 1424720741,
"caption": "(Getty Images)",
"description": "dishwasher",
"title": "iStock_000037223338_Medium",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_5990": {
"type": "attachments",
"id": "stateofhealth_5990",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "5990",
"found": true
},
"parent": 5986,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-e1411754682989-400x257.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 257
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-e1411754682989-320x206.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 206
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-e1411754682989-641x372.jpg",
"width": 641,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-e1411754682989.jpg",
"width": 641,
"height": 412
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-e1411754682989-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-e1411754682989-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-e1411754682989-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-e1411754682989-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-e1411754682989-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1337710398,
"modified": 1337710398,
"caption": "(Jeff J. Mitchell: Getty Images)",
"description": "GLASGOW, UNITED KINGDOM - SEPTEMBER 03: A young boy receives a immunization jab at a health centre in Glasgow September 3, 2007 in Glasgow, Scotland. Medical experts still believe the MMR jab is safe and that the vaccine does not cause autism. (Photo by Jeff J Mitchell/Getty Images)",
"title": "(Jeff J. Mitchell: Getty Images)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_23745": {
"type": "attachments",
"id": "stateofhealth_23745",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "23745",
"found": true
},
"parent": 23738,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-400x274.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 274
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-320x219.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 219
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512.jpg",
"width": 1800,
"height": 1231
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-1440x985.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 985
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-800x547.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 547
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-1180x807.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 807
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-768x525.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 525
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/RS11999_491404051-e1425505301512-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1422667704,
"modified": 1422667704,
"caption": null,
"description": "MIAMI, FL - MAY 16: Shakeithia Roberts holds her son, Jermaine Roberts , as pediatrician Amanda Porro M.D. administers a measles vaccination during a visit to the Miami Children's Hospital on May 16, 2014 in Miami, Florida. The Centers for Disease Control and Prevention recently announced that cases of measles in the first four months of this year are the most any year since 1996, as they warned clinicians, parents and others to watch for the potentially deadly virus. (Photo by Joe Raedle/Getty Images)",
"title": "Vaccinations Encouraged After LargestMeasles Outbreak Since 1996 Reported",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_23688": {
"type": "attachments",
"id": "stateofhealth_23688",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "23688",
"found": true
},
"parent": 23685,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-400x319.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 319
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-320x255.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 255
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416.jpg",
"width": 1440,
"height": 1147
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-1440x1147.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 1147
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-800x637.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 637
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-1180x940.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 940
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-768x612.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 612
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1422510339,
"modified": 1422510404,
"caption": "Sarah Boone, a behavior analyst with the social services agency EMQ FamiliesFirst, evaluates Ernesto Santiago, 6, of San Jose for autism therapy services. (Barbara Feder Ostrov/Kaiser Health News)",
"description": "Sarah Boone, a behavior analyst with the social services agency EMQ FamiliesFirst, evaluates Ernesto Santiago, 6, of San Jose for autism therapy services. (Photo by Barbara Feder Ostrov)",
"title": "Medi-Cal-Kids-1 copy",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_23671": {
"type": "attachments",
"id": "stateofhealth_23671",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "23671",
"found": true
},
"parent": 23634,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-400x359.png",
"width": 400,
"mimeType": "image/png",
"height": 359
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-320x288.png",
"width": 320,
"mimeType": "image/png",
"height": 288
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-632x372.png",
"width": 632,
"mimeType": "image/png",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM.png",
"width": 632,
"height": 568
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-96x96.png",
"width": 96,
"mimeType": "image/png",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-64x64.png",
"width": 64,
"mimeType": "image/png",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-75x75.png",
"width": 75,
"mimeType": "image/png",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-32x32.png",
"width": 32,
"mimeType": "image/png",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-128x128.png",
"width": 128,
"mimeType": "image/png",
"height": 128
}
},
"publishDate": 1422407436,
"modified": 1422407449,
"caption": "The author's wife, Pippa, and their daughter, Caitlin, who was born at home, in 1982. (Courtesy: Nick Allen)",
"description": "The author's wife, Pippa, and their daughter, Caitlin, who was born at home, in 1982. (Courtesy: Nick Allen)",
"title": "Screen Shot 2015-01-27 at 5.09.55 PM",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_23318": {
"type": "attachments",
"id": "stateofhealth_23318",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "23318",
"found": true
},
"parent": 23312,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-400x262.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 262
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-320x210.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 210
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531.jpg",
"width": 1439,
"height": 944
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-800x525.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 525
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-1180x774.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 774
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-768x504.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 504
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1420486906,
"modified": 1420486938,
"caption": "(Getty Images)",
"description": "children soccer",
"title": "foul",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_22400": {
"type": "attachments",
"id": "stateofhealth_22400",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "22400",
"found": true
},
"parent": 22395,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-400x296.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 296
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-320x237.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 237
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876.jpg",
"width": 1439,
"height": 1065
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-800x592.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 592
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-1180x873.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 873
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-768x568.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 568
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1415297074,
"modified": 1415297074,
"caption": "(Getty Images)",
"description": null,
"title": "iStock_000011627266_LargeCROP",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
}
},
"audioPlayerReducer": {
"postId": "stream_live",
"isPaused": true,
"isPlaying": false,
"pfsActive": false,
"pledgeModalIsOpen": true,
"playerDrawerIsOpen": false,
"liveAudioPlayStartedAt": 0,
"liveAudioPlayContext": ""
},
"authorsReducer": {
"byline_stateofhealth_29198": {
"type": "authors",
"id": "byline_stateofhealth_29198",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_29198",
"name": "\u003cstrong>Barbara Feder Ostrov\u003cbr />Kaiser Health News\u003c/strong>",
"isLoading": false
},
"byline_stateofhealth_28132": {
"type": "authors",
"id": "byline_stateofhealth_28132",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_28132",
"name": "Michelle Dutro",
"isLoading": false
},
"byline_stateofhealth_27529": {
"type": "authors",
"id": "byline_stateofhealth_27529",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_27529",
"name": "David Gorn, California Healthline",
"isLoading": false
},
"skalantari": {
"type": "authors",
"id": "46",
"meta": {
"index": "authors_1716337520",
"id": "46",
"found": true
},
"name": "Shuka Kalantari",
"firstName": "Shuka",
"lastName": "Kalantari",
"slug": "skalantari",
"email": "skalantari@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": "KQED Contributor",
"bio": "Shuka Kalantari is a Bay Area journalist reporting on health, food, culture and immigrant communities in California and internationally. She's reported for Public Radio International’s The World, BBC World News Service’s Outlook, Philosophy Talk, Vice Magazine. Shuka is also a frequent contributor to KQED Public Media. You can follow her \u003ca href=\"https://twitter.com/skalantari\">@skalantari\u003c/a> on Twitter and \u003ca href=\"https://instagram.com/skalantari/\">Instagram\u003c/a>.",
"avatar": "https://secure.gravatar.com/avatar/51d9608640bde16ba09124272a0c0f355429db1ebc29f1853b8d87aab1ae1753?s=600&d=blank&r=g",
"twitter": null,
"bluesky": null,
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "news",
"roles": [
"subscriber"
]
},
{
"site": "bayareabites",
"roles": [
"subscriber"
]
},
{
"site": "stateofhealth",
"roles": [
"subscriber"
]
}
],
"headData": {
"title": "Shuka Kalantari | KQED",
"description": "KQED Contributor",
"ogImgSrc": "https://secure.gravatar.com/avatar/51d9608640bde16ba09124272a0c0f355429db1ebc29f1853b8d87aab1ae1753?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/51d9608640bde16ba09124272a0c0f355429db1ebc29f1853b8d87aab1ae1753?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/skalantari"
},
"lizagross": {
"type": "authors",
"id": "6322",
"meta": {
"index": "authors_1716337520",
"id": "6322",
"found": true
},
"name": "Liza Gross",
"firstName": "Liza",
"lastName": "Gross",
"slug": "lizagross",
"email": "lizagross@gmail.com",
"display_author_email": false,
"staff_mastheads": [],
"title": null,
"bio": "Liza Gross, an award-winning independent journalist and senior editor at the biomedical journal PLOS Biology, writes mostly about conservation and public and environmental health. She was a 2013 recipient of the NYU Reporting Award, a 2013 Dennis Hunt Health Journalism fellow and a 2015 USC Data Journalism fellow.\r\n\r\nRead her \u003ca href=\"http://science.kqed.org/quest/author/lizagross/\">previous contributions\u003c/a> to \u003ca href=\"science.kqed.org/quest/\">QUEST\u003c/a>, a project dedicated to exploring the Science of Sustainability.",
"avatar": "https://secure.gravatar.com/avatar/1f7d36efc78088d63466cef5f10c4c7a?s=600&d=blank&r=g",
"twitter": null,
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "stateofhealth",
"roles": [
"author"
]
},
{
"site": "science",
"roles": [
"author"
]
},
{
"site": "quest",
"roles": [
"subscriber"
]
}
],
"headData": {
"title": "Liza Gross | KQED",
"description": null,
"ogImgSrc": "https://secure.gravatar.com/avatar/1f7d36efc78088d63466cef5f10c4c7a?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/1f7d36efc78088d63466cef5f10c4c7a?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/lizagross"
},
"state-of-health": {
"type": "authors",
"id": "8344",
"meta": {
"index": "authors_1716337520",
"id": "8344",
"found": true
},
"name": "State of Health",
"firstName": "State of Health",
"lastName": null,
"slug": "state-of-health",
"email": "stateofhealth@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": null,
"bio": null,
"avatar": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g",
"twitter": null,
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "arts",
"roles": [
"author"
]
},
{
"site": "stateofhealth",
"roles": [
"editor"
]
}
],
"headData": {
"title": "State of Health | KQED",
"description": null,
"ogImgSrc": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/state-of-health"
}
},
"pagesReducer": {
"stateofhealth_tag_childrens-health": {
"type": "terms",
"id": "stateofhealth_96",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "96",
"score": 9.559087
},
"featImg": null,
"name": "Children's Health",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Children's Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 96,
"slug": "childrens-health",
"isLoading": false,
"title": "Children's Health",
"pageMeta": {
"site": "stateofhealth",
"WpPageTemplate": "page-topic-editorial",
"currentPage": 5
},
"blocks": [
{
"blockName": "kqed/post-list",
"attrs": {
"layout": "cardArticle2",
"query": "posts/stateofhealth?tag=childrens-health",
"seeMore": false,
"paginated": true,
"page": 5
}
},
{
"blockName": "kqed/ad"
}
]
}
},
"pfsSessionReducer": {},
"postsReducer": {
"stream_live": {
"type": "live",
"id": "stream_live",
"audioUrl": "https://hls.kqed.org/hls/kqed_app/playlist.m3u8",
"title": "Live Stream",
"excerpt": "Live Stream information currently unavailable.",
"link": "/radio",
"featImg": "",
"label": {
"name": "KQED Live",
"link": "/"
}
},
"stream_kqedNewscast": {
"type": "posts",
"id": "stream_kqedNewscast",
"audioUrl": "https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1",
"title": "KQED Newscast",
"featImg": "",
"label": {
"name": "88.5 FM",
"link": "/"
}
},
"stateofhealth_29198": {
"type": "posts",
"id": "stateofhealth_29198",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "29198",
"score": null,
"sort": [
1432481401000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1432481401,
"format": "standard",
"disqusTitle": "Despite Efforts, ER Visits Spike in California Kids with Asthma",
"title": "Despite Efforts, ER Visits Spike in California Kids with Asthma",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Children in California increasingly are flocking to emergency rooms for treatment of asthma, despite millions of dollars spent on programs to control the disease.\u003c/p>\n\u003cp>Statewide, the rates of ER visits for asthma symptoms rose by about 18 percent for California children ages 5 to 17 and by 6 percent for children under 5 between 2005 and 2012, according to a Kaiser Health News analysis of the \u003ca href=\"http://www.ehib.org/page.jsp?page_key=124\" target=\"_blank\">latest available rates by county\u003c/a>.\u003c/p>\n\u003cp>In some parts of the state, especially the Central Valley, the increases were far higher. The rate of emergency room visits for children 5 and older more than doubled in rural Madera County and nearly doubled In Merced. In Sacramento County, they rose by 48 percent and in Los Angeles, the largest county in the nation, by 17 percent.\u003c/p>\n\u003cp>All told, more than 72,000 California children under 18 visited the ER for asthma in 2012.\u003c/p>\n\u003cp>\"There's clearly more work to be done if this many kids are going to the emergency department,\" said Anne Kelsey Lamb, director of the Regional Asthma Management and Prevention program of the Oakland-based Public Health Institute. \"We know a lot about what works. We absolutely should be able to reduce the rates we're seeing.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>At the national level, asthma-related emergency room visit rates have declined in recent years, according to federal health data through 2010, the latest available.\u003c/p>\n\u003cp>Although ER visits declined in some counties, including Alameda, San Mateo and Marin, the overall rise in California has frustrated public health experts who have spent millions of dollars and countless hours to improve and expand asthma prevention programs around the state. The state and federal governments alone spend $1.54 million annually on such projects in California, including grants to schools to improve indoor air quality and training community health workers.\u003c/p>\n\u003cp>The good news is fewer kids are actually being admitted into hospitals. Overnight-or-longer stays are \u003ca href=\"http://www.kidsdata.org/topic/239/asthma-hospitalizations/trend#fmt=2298&loc=2&tf=1,73&ch=790&pdist=7\" target=\"_blank\">declining statewide\u003c/a> and nationally. That's due largely to better medicines and more aggressive treatment in the ER, asthma specialists say.\u003c/p>\n\u003cp>The reasons for the increase in ER visits are complex, experts say. They include parents not properly administering medications, poverty and inadequate insurance coverage, persistently high levels of indoor and outdoor pollution in some regions and the limited reach of programs that seek to manage symptoms or prevent them.\u003c/p>\n\u003cfigure id=\"attachment_29220\" class=\"wp-caption alignright\" style=\"max-width: 770px\">\u003cimg class=\"wp-image-29220 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/05/county-asthma-rates_0-to-4_final_052215_770.jpg\" alt=\"Source: Kaiser Health News\" width=\"770\" height=\"737\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_0-to-4_final_052215_770.jpg 770w, https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_0-to-4_final_052215_770-400x383.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_0-to-4_final_052215_770-32x32.jpg 32w\" sizes=\"(max-width: 770px) 100vw, 770px\">\u003cfigcaption class=\"wp-caption-text\">Source: Kaiser Health News\u003c/figcaption>\u003c/figure>\n\u003cp>The rising rates don’t seem to reflect an actual increase in the respiratory disease – about 15 percent of California children have been diagnosed with asthma, a number that has remained \u003ca href=\"http://www.kidsdata.org/topic/238/asthma/trend#fmt=97&loc=2&tf=4,77\" target=\"_blank\">fairly steady\u003c/a> since 2001.\u003c/p>\n\u003cfigure id=\"attachment_29221\" class=\"wp-caption alignright\" style=\"max-width: 770px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/05/county-asthma-rates_5-to-17_final_052215_770.jpg\" target=\"_blank\">\u003cimg class=\"wp-image-29221 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/05/county-asthma-rates_5-to-17_final_052215_770.jpg\" alt=\"county-asthma-rates_5-to-17_final_052215_770\" width=\"770\" height=\"737\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_5-to-17_final_052215_770.jpg 770w, https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_5-to-17_final_052215_770-400x383.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_5-to-17_final_052215_770-32x32.jpg 32w\" sizes=\"(max-width: 770px) 100vw, 770px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Source: Kaiser Health News\u003c/figcaption>\u003c/figure>\n\u003cp>The rates of ER visits vary widely by county, from a high of 300 visits per 10,000 children under age 5 (Madera County) to a low of 32 (Sutter County) in 2012. Younger children visit the ER at higher rates because they are more likely to have undiagnosed asthma and because their lung function is more difficult to measure, complicating the task of finding the right combination of medicines, Kelsey Lamb said.\u003c/p>\n\u003cp>Some families seek treatment in the ER for symptoms that easily could be dealt with in a clinic because they can’t get a timely doctor's appointment or don't have a regular doctor – especially those without health insurance. Sometimes, a bad cold and flu season can aggravate asthma that is usually well-controlled.\u003c/p>\n\u003cp>Affected children often live in homes with dust, mold or pets, which trigger asthma symptoms. They may need two inhalers – one for school and one for home – but insurance sometimes only pays for one.\u003c/p>\n\u003cp>In the Central Valley, persistent poverty and outdoor air pollution levels combine to produce the highest rates of ER visits for childhood asthma in the state.\u003c/p>\n\u003cp>While particulate matter and ozone air pollution levels \u003ca href=\"http://www.kidsdata.org/topic/525/environment-airquality-ozone/trend#fmt=1086&loc=2,357,364,362,356,354&tf=4,64%20(\" target=\"_blank\">are declining somewhat\u003c/a> in the region, they still can be high enough to trigger asthma attacks, said John Capitman, a California State University-nono public health professor and executive director of the Central Valley Health Policy Institute. In \u003ca href=\"http://www.latimes.com/local/lanow/la-me-clean-air-lungs-children-20150304-story.html#page=1\" target=\"_blank\">Los Angeles\u003c/a>, the same holds true, although particulates are slightly \u003ca href=\"http://www.kidsdata.org/topic/524/environment-airquality/trend#fmt=1087&loc=357,364,362&tf=4,64\" target=\"_blank\">lower than in parts of in the Central Valley\u003c/a>\u003cu>. \u003c/u>\u003c/p>\n\u003cp>Across California, local and regional asthma programs aim to educate families and doctors to help keep kids out of the hospital. In counties including Orange and Los Angeles, medically equipped vans called “Breathmobiles” provide comprehensive care in community settings and ensure children don’t end up repeatedly in the ER.\u003c/p>\n\u003cp>It worked for Daniel Lee, 5, of Buena Park, who was still experiencing severe asthma symptoms after five trips to the ER last year. It turned out the doctors at the hospital had mixed his medications incorrectly -- a common mistake when kids are treated in emergency rooms rather than by asthma-trained pediatricians, said Dr. Olga Guijon, associate medical director of the Breathmobile for Children’s Hospital of Orange County.\u003c/p>\n\u003cfigure id=\"attachment_29214\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/05/er-asthma-10-e1432333735519.jpg\" target=\"_blank\">\u003cimg class=\"wp-image-29214 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/05/er-asthma-10-400x267.jpg\" alt=\"The Childrens Hospital of Orange County Breathmobile is a mobile asthma clinic dedicated to serving low-income communities in the area. \" width=\"400\" height=\"267\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Childrens Hospital of Orange County Breathmobile is a mobile asthma clinic dedicated to serving low-income communities in the area. \u003ccite>(Photo by Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“All he wants to do is play soccer,” said his mother Young Lee, during a recent visit to the Breathmobile in Anaheim. “But every time he’s running around on the field, he says: ‘I feel weird’. So he has to stop.”\u003c/p>\n\u003cp>\u003cspan style=\"line-height: 1.5\">Daniel has improved drastically after being treated at the Breathmobile and having his medication adjusted, his mother said.\u003c/span>\u003cbr>\nThough often effective, these programs are expensive and can't serve enough children to make a real difference statewide, Capitman said. And health outreach workers have found it difficult to get reimbursed by insurers, including Medi-Cal, for proven strategies including home visits to minimize risks, Capitman said.\u003c/p>\n\u003cp>Dr. Amy Harrison, a pediatric pulmonologist at Children's Hospital Orange County, suggested that the recession had driven some families to her hospital's ER, because they had lost their insurance or had high-deductible insurance that led them to forego prescriptions and regular doctor visits.\u003c/p>\n\u003cp>Because the data don’t extend beyond 2012, it remains unclear how expanded coverage offered since last year under the Affordable Care Act and California's Medicaid program will \u003ca href=\"http://www.vox.com/2015/5/4/8547375/obamacare-emergency-room\" target=\"_blank\">affect emergency room visits\u003c/a>. But experts like Capitman hope to see more funding for programs that manage or prevent asthma symptoms through the Affordable Care Act's \u003ca href=\"http://www.hhs.gov/open/prevention/index.html\" target=\"_blank\">Prevention and Public Health Fund\u003c/a>.\u003c/p>\n\u003cp>Asthma care for kids has improved markedly in recent years, in part because of the wider use of steroid inhalers. Influential asthma management \u003ca href=\"http://www.nhlbi.nih.gov/health-pro/guidelines/current/asthma-guidelines\" target=\"_blank\">guidelines\u003c/a> released in 2007 also have helped.\u003c/p>\n\u003cp>But some families simply don't know how to manage their child's condition at home, or know when to seek medical care before an ER visit becomes necessary, \u003cspan class=\"Apple-style-span\">said Dr. Rami Keisari, medical director of the Pediatric Asthma Disease Management Program at the county-run Santa Clara Valley Medical Center in San Jose\u003cb>.\u003c/b>\u003c/span>\u003c/p>\n\u003cp>\"One of the biggest challenges we have is getting parents to use the medications every day,\" Keisari said. \"We have a really hard time convincing parents that this is a chronic condition.\"\u003c/p>\n\u003cp>Some of the few large counties with declining ER visits have invested heavily in targeting kids who are at risk. Alameda County children who have been treated in ERs are referred to the county's free Asthma Start program, which offers free home visits during which health workers identify asthma triggers, offer education and provide equipment such as spacers and nebulizers – even vacuum cleaners, said program director Brenda Yamashita of the Alameda County Department of Public Health.\u003c/p>\n\u003cp>Parents learn to freeze stuffed animals to kill asthma-triggering dust mites, track their children's symptoms on a calendar, and clean surfaces without bleach, which can aggravate symptoms. Alameda Alliance for Health, the county's public, nonprofit health insurance plan, reimburses Yamashita's program for home visits.\u003c/p>\n\u003cp>For parents in substandard rental housing, staffers call on the county's Healthy Homes department to press landlords to get rid of vermin, fix leaks and address other code violations.\u003c/p>\n\u003cp>In Santa Clara County, Keisari's staff keeps tabs on kids for as long as three years. Every month, a public health nurse calls parents and asks about their children's symptoms and medications.\u003c/p>\n\u003cp>The county's overall child ER visit rates are low compared to other counties. Even so, the number of children the program serves is limited compared to the need. And while the county's asthma ER visit rates declined by 21 percent for children under 5, they rose 12 percent for children aged 5 to 17.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"We're doing better with all these programs, but is it adequate? No. Every time a kid winds up in the ER with bad exacerbation of asthma, it's a failure,\" said Stanford University child health policy researcher Dr. Paul Wise.\u003c/p>\n\n",
"disqusIdentifier": "29198 http://ww2.kqed.org/stateofhealth/?p=29198",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2015/05/24/despite-efforts-er-visits-spike-in-california-kids-with-asthma/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1472,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 32
},
"modified": 1432922646,
"excerpt": "Statewide, asthma visits to the ER went up 18 percent, and more than doubled in parts of the Central Valley.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Statewide, asthma visits to the ER went up 18 percent, and more than doubled in parts of the Central Valley.",
"title": "Despite Efforts, ER Visits Spike in California Kids with Asthma | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Despite Efforts, ER Visits Spike in California Kids with Asthma",
"datePublished": "2015-05-24T08:30:01-07:00",
"dateModified": "2015-05-29T11:04:06-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "despite-efforts-er-visits-spike-in-california-kids-with-asthma",
"status": "publish",
"nprByline": "\u003cstrong>Barbara Feder Ostrov\u003cbr />Kaiser Health News\u003c/strong>",
"path": "/stateofhealth/29198/despite-efforts-er-visits-spike-in-california-kids-with-asthma",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Children in California increasingly are flocking to emergency rooms for treatment of asthma, despite millions of dollars spent on programs to control the disease.\u003c/p>\n\u003cp>Statewide, the rates of ER visits for asthma symptoms rose by about 18 percent for California children ages 5 to 17 and by 6 percent for children under 5 between 2005 and 2012, according to a Kaiser Health News analysis of the \u003ca href=\"http://www.ehib.org/page.jsp?page_key=124\" target=\"_blank\">latest available rates by county\u003c/a>.\u003c/p>\n\u003cp>In some parts of the state, especially the Central Valley, the increases were far higher. The rate of emergency room visits for children 5 and older more than doubled in rural Madera County and nearly doubled In Merced. In Sacramento County, they rose by 48 percent and in Los Angeles, the largest county in the nation, by 17 percent.\u003c/p>\n\u003cp>All told, more than 72,000 California children under 18 visited the ER for asthma in 2012.\u003c/p>\n\u003cp>\"There's clearly more work to be done if this many kids are going to the emergency department,\" said Anne Kelsey Lamb, director of the Regional Asthma Management and Prevention program of the Oakland-based Public Health Institute. \"We know a lot about what works. We absolutely should be able to reduce the rates we're seeing.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At the national level, asthma-related emergency room visit rates have declined in recent years, according to federal health data through 2010, the latest available.\u003c/p>\n\u003cp>Although ER visits declined in some counties, including Alameda, San Mateo and Marin, the overall rise in California has frustrated public health experts who have spent millions of dollars and countless hours to improve and expand asthma prevention programs around the state. The state and federal governments alone spend $1.54 million annually on such projects in California, including grants to schools to improve indoor air quality and training community health workers.\u003c/p>\n\u003cp>The good news is fewer kids are actually being admitted into hospitals. Overnight-or-longer stays are \u003ca href=\"http://www.kidsdata.org/topic/239/asthma-hospitalizations/trend#fmt=2298&loc=2&tf=1,73&ch=790&pdist=7\" target=\"_blank\">declining statewide\u003c/a> and nationally. That's due largely to better medicines and more aggressive treatment in the ER, asthma specialists say.\u003c/p>\n\u003cp>The reasons for the increase in ER visits are complex, experts say. They include parents not properly administering medications, poverty and inadequate insurance coverage, persistently high levels of indoor and outdoor pollution in some regions and the limited reach of programs that seek to manage symptoms or prevent them.\u003c/p>\n\u003cfigure id=\"attachment_29220\" class=\"wp-caption alignright\" style=\"max-width: 770px\">\u003cimg class=\"wp-image-29220 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/05/county-asthma-rates_0-to-4_final_052215_770.jpg\" alt=\"Source: Kaiser Health News\" width=\"770\" height=\"737\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_0-to-4_final_052215_770.jpg 770w, https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_0-to-4_final_052215_770-400x383.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_0-to-4_final_052215_770-32x32.jpg 32w\" sizes=\"(max-width: 770px) 100vw, 770px\">\u003cfigcaption class=\"wp-caption-text\">Source: Kaiser Health News\u003c/figcaption>\u003c/figure>\n\u003cp>The rising rates don’t seem to reflect an actual increase in the respiratory disease – about 15 percent of California children have been diagnosed with asthma, a number that has remained \u003ca href=\"http://www.kidsdata.org/topic/238/asthma/trend#fmt=97&loc=2&tf=4,77\" target=\"_blank\">fairly steady\u003c/a> since 2001.\u003c/p>\n\u003cfigure id=\"attachment_29221\" class=\"wp-caption alignright\" style=\"max-width: 770px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/05/county-asthma-rates_5-to-17_final_052215_770.jpg\" target=\"_blank\">\u003cimg class=\"wp-image-29221 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/05/county-asthma-rates_5-to-17_final_052215_770.jpg\" alt=\"county-asthma-rates_5-to-17_final_052215_770\" width=\"770\" height=\"737\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_5-to-17_final_052215_770.jpg 770w, https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_5-to-17_final_052215_770-400x383.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/05/county-asthma-rates_5-to-17_final_052215_770-32x32.jpg 32w\" sizes=\"(max-width: 770px) 100vw, 770px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Source: Kaiser Health News\u003c/figcaption>\u003c/figure>\n\u003cp>The rates of ER visits vary widely by county, from a high of 300 visits per 10,000 children under age 5 (Madera County) to a low of 32 (Sutter County) in 2012. Younger children visit the ER at higher rates because they are more likely to have undiagnosed asthma and because their lung function is more difficult to measure, complicating the task of finding the right combination of medicines, Kelsey Lamb said.\u003c/p>\n\u003cp>Some families seek treatment in the ER for symptoms that easily could be dealt with in a clinic because they can’t get a timely doctor's appointment or don't have a regular doctor – especially those without health insurance. Sometimes, a bad cold and flu season can aggravate asthma that is usually well-controlled.\u003c/p>\n\u003cp>Affected children often live in homes with dust, mold or pets, which trigger asthma symptoms. They may need two inhalers – one for school and one for home – but insurance sometimes only pays for one.\u003c/p>\n\u003cp>In the Central Valley, persistent poverty and outdoor air pollution levels combine to produce the highest rates of ER visits for childhood asthma in the state.\u003c/p>\n\u003cp>While particulate matter and ozone air pollution levels \u003ca href=\"http://www.kidsdata.org/topic/525/environment-airquality-ozone/trend#fmt=1086&loc=2,357,364,362,356,354&tf=4,64%20(\" target=\"_blank\">are declining somewhat\u003c/a> in the region, they still can be high enough to trigger asthma attacks, said John Capitman, a California State University-nono public health professor and executive director of the Central Valley Health Policy Institute. In \u003ca href=\"http://www.latimes.com/local/lanow/la-me-clean-air-lungs-children-20150304-story.html#page=1\" target=\"_blank\">Los Angeles\u003c/a>, the same holds true, although particulates are slightly \u003ca href=\"http://www.kidsdata.org/topic/524/environment-airquality/trend#fmt=1087&loc=357,364,362&tf=4,64\" target=\"_blank\">lower than in parts of in the Central Valley\u003c/a>\u003cu>. \u003c/u>\u003c/p>\n\u003cp>Across California, local and regional asthma programs aim to educate families and doctors to help keep kids out of the hospital. In counties including Orange and Los Angeles, medically equipped vans called “Breathmobiles” provide comprehensive care in community settings and ensure children don’t end up repeatedly in the ER.\u003c/p>\n\u003cp>It worked for Daniel Lee, 5, of Buena Park, who was still experiencing severe asthma symptoms after five trips to the ER last year. It turned out the doctors at the hospital had mixed his medications incorrectly -- a common mistake when kids are treated in emergency rooms rather than by asthma-trained pediatricians, said Dr. Olga Guijon, associate medical director of the Breathmobile for Children’s Hospital of Orange County.\u003c/p>\n\u003cfigure id=\"attachment_29214\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/05/er-asthma-10-e1432333735519.jpg\" target=\"_blank\">\u003cimg class=\"wp-image-29214 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/05/er-asthma-10-400x267.jpg\" alt=\"The Childrens Hospital of Orange County Breathmobile is a mobile asthma clinic dedicated to serving low-income communities in the area. \" width=\"400\" height=\"267\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Childrens Hospital of Orange County Breathmobile is a mobile asthma clinic dedicated to serving low-income communities in the area. \u003ccite>(Photo by Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“All he wants to do is play soccer,” said his mother Young Lee, during a recent visit to the Breathmobile in Anaheim. “But every time he’s running around on the field, he says: ‘I feel weird’. So he has to stop.”\u003c/p>\n\u003cp>\u003cspan style=\"line-height: 1.5\">Daniel has improved drastically after being treated at the Breathmobile and having his medication adjusted, his mother said.\u003c/span>\u003cbr>\nThough often effective, these programs are expensive and can't serve enough children to make a real difference statewide, Capitman said. And health outreach workers have found it difficult to get reimbursed by insurers, including Medi-Cal, for proven strategies including home visits to minimize risks, Capitman said.\u003c/p>\n\u003cp>Dr. Amy Harrison, a pediatric pulmonologist at Children's Hospital Orange County, suggested that the recession had driven some families to her hospital's ER, because they had lost their insurance or had high-deductible insurance that led them to forego prescriptions and regular doctor visits.\u003c/p>\n\u003cp>Because the data don’t extend beyond 2012, it remains unclear how expanded coverage offered since last year under the Affordable Care Act and California's Medicaid program will \u003ca href=\"http://www.vox.com/2015/5/4/8547375/obamacare-emergency-room\" target=\"_blank\">affect emergency room visits\u003c/a>. But experts like Capitman hope to see more funding for programs that manage or prevent asthma symptoms through the Affordable Care Act's \u003ca href=\"http://www.hhs.gov/open/prevention/index.html\" target=\"_blank\">Prevention and Public Health Fund\u003c/a>.\u003c/p>\n\u003cp>Asthma care for kids has improved markedly in recent years, in part because of the wider use of steroid inhalers. Influential asthma management \u003ca href=\"http://www.nhlbi.nih.gov/health-pro/guidelines/current/asthma-guidelines\" target=\"_blank\">guidelines\u003c/a> released in 2007 also have helped.\u003c/p>\n\u003cp>But some families simply don't know how to manage their child's condition at home, or know when to seek medical care before an ER visit becomes necessary, \u003cspan class=\"Apple-style-span\">said Dr. Rami Keisari, medical director of the Pediatric Asthma Disease Management Program at the county-run Santa Clara Valley Medical Center in San Jose\u003cb>.\u003c/b>\u003c/span>\u003c/p>\n\u003cp>\"One of the biggest challenges we have is getting parents to use the medications every day,\" Keisari said. \"We have a really hard time convincing parents that this is a chronic condition.\"\u003c/p>\n\u003cp>Some of the few large counties with declining ER visits have invested heavily in targeting kids who are at risk. Alameda County children who have been treated in ERs are referred to the county's free Asthma Start program, which offers free home visits during which health workers identify asthma triggers, offer education and provide equipment such as spacers and nebulizers – even vacuum cleaners, said program director Brenda Yamashita of the Alameda County Department of Public Health.\u003c/p>\n\u003cp>Parents learn to freeze stuffed animals to kill asthma-triggering dust mites, track their children's symptoms on a calendar, and clean surfaces without bleach, which can aggravate symptoms. Alameda Alliance for Health, the county's public, nonprofit health insurance plan, reimburses Yamashita's program for home visits.\u003c/p>\n\u003cp>For parents in substandard rental housing, staffers call on the county's Healthy Homes department to press landlords to get rid of vermin, fix leaks and address other code violations.\u003c/p>\n\u003cp>In Santa Clara County, Keisari's staff keeps tabs on kids for as long as three years. Every month, a public health nurse calls parents and asks about their children's symptoms and medications.\u003c/p>\n\u003cp>The county's overall child ER visit rates are low compared to other counties. Even so, the number of children the program serves is limited compared to the need. And while the county's asthma ER visit rates declined by 21 percent for children under 5, they rose 12 percent for children aged 5 to 17.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We're doing better with all these programs, but is it adequate? No. Every time a kid winds up in the ER with bad exacerbation of asthma, it's a failure,\" said Stanford University child health policy researcher Dr. Paul Wise.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/29198/despite-efforts-er-visits-spike-in-california-kids-with-asthma",
"authors": [
"byline_stateofhealth_29198"
],
"categories": [
"stateofhealth_11",
"stateofhealth_13"
],
"tags": [
"stateofhealth_23",
"stateofhealth_96"
],
"featImg": "stateofhealth_29232",
"label": "stateofhealth"
},
"stateofhealth_28132": {
"type": "posts",
"id": "stateofhealth_28132",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "28132",
"score": null,
"sort": [
1431971210000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1431971210,
"format": "standard",
"disqusTitle": "Next Up for Vaccines: Required for California's Child Care Workers?",
"title": "Next Up for Vaccines: Required for California's Child Care Workers?",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>While a move to abolish the vaccine \"personal belief exemption\" has \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/14/california-senate-approves-bill-that-would-end-vaccine-opt-out/\" target=\"_blank\">dominated headlines\u003c/a> in the last weeks across California, two other vaccine-related bills are making their way through the Legislature a bit more quietly. One would require preschool and child care workers to have certain vaccinations; another seeks to improve vaccination rates for 2-year-olds.\u003c/p>\n\u003cp>If\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billHistoryClient.xhtml\" target=\"_blank\"> SB792\u003c/a> becomes law, California will be the first state in the country to require that all preschool and child care workers be immunized against measles, pertussis and the flu.\u003c/p>\n\u003cp>Sen. Tony Mendoza (D-Montebello) says that most people are startled to find out such a mandate is not already in place. \"Most people … say 'We don't do that now?' \" he said. \"So this is something that's needed.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"3ZiLNP2OfJLo4njF7AQF09RIwVdEuYT2\"]Mendoza says that the bill is designed to protect children who cannot be vaccinated or fully vaccinated because of their age or medical condition. Ensuring that adults in close contact with the children are vaccinated will help protect these children.\u003c/p>\n\u003cp>As the bill currently reads, violations would be a criminal offense. Mendoza says lawmakers are working to change that.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Kat DeBurgh is the executive director of the Health Officers Association of California, which sponsored SB792. She said the bill is about disease control.\u003c/p>\n\u003cp>“We certainly aren’t out to arrest people who aren’t vaccinated,” DeBurgh said. “We wanted to make this just like any other violation of code that an inspector would look for. If you don’t remediate, then there is a fine to the day care center.”\u003c/p>\n\u003cp>Child care workers who cannot show proof of vaccination would be given 90 days to comply -- or employers would be required to fire them. If the employer failed to fire an unvaccinated worker, the company would face a fine of $25-$50 per day. The fines would begin after 90 days.\u003c/p>\n\u003cp>Mendoza compared the requirement to tuberculosis tests, which are already required for child care workers.\u003c/p>\n\u003cp>“If you don't come back with proof that you took the [tuberculosis] test and show that you’re negative, you can't come back to work,” he said. “It’s the same.”\u003c/p>\n\u003cp>If the bill becomes law, it would affect more than 300,000 child care workers in more than 40,000 child care centers across the state, according to Community Care Licensing Division of the California Department of Social Services (CDSS).\u003c/p>\n\u003cp>While philosophical and religious exemptions to immunization have been discussed when amending other vaccination bills, Mendoza said, lawmakers drafting SB792 are only allowing for medical exemption.\u003c/p>\n\u003cp>“I haven’t seen any religion against [vaccination,]” Mendoza said. ”If people want to read into their religion in a certain way to make it seem like they're against this as a religious right, I'm not sure how they do that.”\u003c/p>\n\u003cp>Another bill, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1117\" target=\"_blank\">AB1117,\u003c/a> aims to promote vaccination of 2-year-olds who are insured under Medi-Cal managed care plans. In 2013, 39,000 2-year-olds lacked one or more recommended immunizations.\u003c/p>\n\u003cp>The bill proposes a five-year demonstration project to be reviewed under a contract with the University of California and other researchers. AB1117 is currently on hold in the Assembly suspense file.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>SB792 was scheduled to be heard by the Senate Appropriations Committee Monday, but since there are few costs associated with the bill, it is likely to bypass Appropriations and head to the Senate floor.\u003c/p>\n\n",
"disqusIdentifier": "28132 http://ww2.kqed.org/stateofhealth/?p=28132",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2015/05/18/next-up-for-vaccines-required-for-californias-child-care-workers/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 592,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 18
},
"modified": 1431994781,
"excerpt": "California bill would require that child care workers are vaccinated against measles, pertussis and flu. ",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "California bill would require that child care workers are vaccinated against measles, pertussis and flu. ",
"title": "Next Up for Vaccines: Required for California's Child Care Workers? | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Next Up for Vaccines: Required for California's Child Care Workers?",
"datePublished": "2015-05-18T10:46:50-07:00",
"dateModified": "2015-05-18T17:19:41-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "next-up-for-vaccines-required-for-californias-child-care-workers",
"status": "publish",
"nprByline": "Michelle Dutro",
"path": "/stateofhealth/28132/next-up-for-vaccines-required-for-californias-child-care-workers",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>While a move to abolish the vaccine \"personal belief exemption\" has \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/14/california-senate-approves-bill-that-would-end-vaccine-opt-out/\" target=\"_blank\">dominated headlines\u003c/a> in the last weeks across California, two other vaccine-related bills are making their way through the Legislature a bit more quietly. One would require preschool and child care workers to have certain vaccinations; another seeks to improve vaccination rates for 2-year-olds.\u003c/p>\n\u003cp>If\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billHistoryClient.xhtml\" target=\"_blank\"> SB792\u003c/a> becomes law, California will be the first state in the country to require that all preschool and child care workers be immunized against measles, pertussis and the flu.\u003c/p>\n\u003cp>Sen. Tony Mendoza (D-Montebello) says that most people are startled to find out such a mandate is not already in place. \"Most people … say 'We don't do that now?' \" he said. \"So this is something that's needed.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Mendoza says that the bill is designed to protect children who cannot be vaccinated or fully vaccinated because of their age or medical condition. Ensuring that adults in close contact with the children are vaccinated will help protect these children.\u003c/p>\n\u003cp>As the bill currently reads, violations would be a criminal offense. Mendoza says lawmakers are working to change that.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kat DeBurgh is the executive director of the Health Officers Association of California, which sponsored SB792. She said the bill is about disease control.\u003c/p>\n\u003cp>“We certainly aren’t out to arrest people who aren’t vaccinated,” DeBurgh said. “We wanted to make this just like any other violation of code that an inspector would look for. If you don’t remediate, then there is a fine to the day care center.”\u003c/p>\n\u003cp>Child care workers who cannot show proof of vaccination would be given 90 days to comply -- or employers would be required to fire them. If the employer failed to fire an unvaccinated worker, the company would face a fine of $25-$50 per day. The fines would begin after 90 days.\u003c/p>\n\u003cp>Mendoza compared the requirement to tuberculosis tests, which are already required for child care workers.\u003c/p>\n\u003cp>“If you don't come back with proof that you took the [tuberculosis] test and show that you’re negative, you can't come back to work,” he said. “It’s the same.”\u003c/p>\n\u003cp>If the bill becomes law, it would affect more than 300,000 child care workers in more than 40,000 child care centers across the state, according to Community Care Licensing Division of the California Department of Social Services (CDSS).\u003c/p>\n\u003cp>While philosophical and religious exemptions to immunization have been discussed when amending other vaccination bills, Mendoza said, lawmakers drafting SB792 are only allowing for medical exemption.\u003c/p>\n\u003cp>“I haven’t seen any religion against [vaccination,]” Mendoza said. ”If people want to read into their religion in a certain way to make it seem like they're against this as a religious right, I'm not sure how they do that.”\u003c/p>\n\u003cp>Another bill, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1117\" target=\"_blank\">AB1117,\u003c/a> aims to promote vaccination of 2-year-olds who are insured under Medi-Cal managed care plans. In 2013, 39,000 2-year-olds lacked one or more recommended immunizations.\u003c/p>\n\u003cp>The bill proposes a five-year demonstration project to be reviewed under a contract with the University of California and other researchers. AB1117 is currently on hold in the Assembly suspense file.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>SB792 was scheduled to be heard by the Senate Appropriations Committee Monday, but since there are few costs associated with the bill, it is likely to bypass Appropriations and head to the Senate floor.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/28132/next-up-for-vaccines-required-for-californias-child-care-workers",
"authors": [
"byline_stateofhealth_28132"
],
"categories": [
"stateofhealth_11",
"stateofhealth_13"
],
"tags": [
"stateofhealth_96",
"stateofhealth_725"
],
"featImg": "stateofhealth_27308",
"label": "stateofhealth"
},
"stateofhealth_27529": {
"type": "posts",
"id": "stateofhealth_27529",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "27529",
"score": null,
"sort": [
1431717834000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1431717834,
"format": "standard",
"disqusTitle": "Governor Plans to Put Federal Children's Health Money into General Fund",
"title": "Governor Plans to Put Federal Children's Health Money into General Fund",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Gov. Jerry Brown's \u003ca href=\"http://gov.ca.gov/news.php?id=18958\" target=\"_blank\">May budget revision\u003c/a> released on Thursday included about $381 million in health care revenue that wasn't in the previous January budget proposal. Health care advocates wondered which programs might be funded by the new federal money, but the governor has proposed absorbing it into the general fund.\u003c/p>\n\u003cp>The estimated $381 million comes from the federal Children's Health Insurance Program (CHIP).\u003c/p>\n\u003cp>The state budget proposal calls this money \"$381 million in savings.\"\u003c/p>\n\u003cp>\"They're not demonstrating where they're spending that money, especially for children's health care. And that's where it's supposed to be spent,\" said Kathryn Dresslar with The Children's Partnership.\u003c/p>\n\u003cp>\"That's a lot of money. We would like to see the administration make some kind of effort to address the serious questions of access for children, particularly dental access,\" Dresslar said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That's being done, state officials said.\u003c/p>\n\u003cp>\"It is in the health budget,\" said Diana Dooley, Secretary of California HHS. \"In broad terms, the Medicaid budget is $95 billion this year, and it's a big expenditure. We have increases and reductions based on a variety of issues, and the funding is not specific to the source. So if we have savings in one place, we have spending in another.\"\u003c/p>\n\u003cp>Dooley said there may still be some shuffling of funding as the Legislature takes up the debate next week.\u003c/p>\n\u003cp>\"We will be having conversations with the Legislature about … modifications, about places we would rather spend money,\" Dooley said. \"But we will live within the means.\"\u003c/p>\n\u003cp>Advocates say the budget picture looks a lot brighter than 2011, when the governor and Legislature came up with a series of cuts to health care programs, including a 10 percent Medi-Cal provider rate reduction.\u003c/p>\n\u003cp>At the least, they say, the federal money for children's health that has been added into the May revision should go to children's health programs.\u003c/p>\n\u003cp>Lobbying efforts for new funding have included:\u003c/p>\n\u003cul>\n\u003cli>Restoration of the 2011 Medi-Cal provider rate reduction\u003c/li>\n\u003cli>A hike in provider rates for the top 10 dental procedures, to bring them in line with the national average\u003c/li>\n\u003cli>Strengthening the early learning and child care system in California\u003c/li>\n\u003cli>Providing health care to undocumented immigrants\u003c/li>\n\u003c/ul>\n\u003cp>The governor indicated he would veto legislation to extend full-scope health benefits to the undocumented, if \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB4\" target=\"_blank\">SB 4\u003c/a> by Sen. Ricardo Lara (D-Bell Gardens) was passed by the Legislature and appeared on his desk.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This is the governor's May revise, there's still time,\" Dresslar said. \"The Legislature ultimately decides where the money goes. We'll make our pitch.\"\u003c/p>\n\n",
"disqusIdentifier": "27529 http://ww2.kqed.org/stateofhealth/?p=27529",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2015/05/15/governor-plans-to-put-federal-childrens-health-money-into-general-fund/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 440,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 16
},
"modified": 1431718004,
"excerpt": "The estimated $381 million is from the federal Children's Health Insurance Program.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The estimated $381 million is from the federal Children's Health Insurance Program.",
"title": "Governor Plans to Put Federal Children's Health Money into General Fund | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Governor Plans to Put Federal Children's Health Money into General Fund",
"datePublished": "2015-05-15T12:23:54-07:00",
"dateModified": "2015-05-15T12:26:44-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "governor-plans-to-put-federal-childrens-health-money-into-general-fund",
"status": "publish",
"nprByline": "David Gorn, California Healthline",
"path": "/stateofhealth/27529/governor-plans-to-put-federal-childrens-health-money-into-general-fund",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Jerry Brown's \u003ca href=\"http://gov.ca.gov/news.php?id=18958\" target=\"_blank\">May budget revision\u003c/a> released on Thursday included about $381 million in health care revenue that wasn't in the previous January budget proposal. Health care advocates wondered which programs might be funded by the new federal money, but the governor has proposed absorbing it into the general fund.\u003c/p>\n\u003cp>The estimated $381 million comes from the federal Children's Health Insurance Program (CHIP).\u003c/p>\n\u003cp>The state budget proposal calls this money \"$381 million in savings.\"\u003c/p>\n\u003cp>\"They're not demonstrating where they're spending that money, especially for children's health care. And that's where it's supposed to be spent,\" said Kathryn Dresslar with The Children's Partnership.\u003c/p>\n\u003cp>\"That's a lot of money. We would like to see the administration make some kind of effort to address the serious questions of access for children, particularly dental access,\" Dresslar said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That's being done, state officials said.\u003c/p>\n\u003cp>\"It is in the health budget,\" said Diana Dooley, Secretary of California HHS. \"In broad terms, the Medicaid budget is $95 billion this year, and it's a big expenditure. We have increases and reductions based on a variety of issues, and the funding is not specific to the source. So if we have savings in one place, we have spending in another.\"\u003c/p>\n\u003cp>Dooley said there may still be some shuffling of funding as the Legislature takes up the debate next week.\u003c/p>\n\u003cp>\"We will be having conversations with the Legislature about … modifications, about places we would rather spend money,\" Dooley said. \"But we will live within the means.\"\u003c/p>\n\u003cp>Advocates say the budget picture looks a lot brighter than 2011, when the governor and Legislature came up with a series of cuts to health care programs, including a 10 percent Medi-Cal provider rate reduction.\u003c/p>\n\u003cp>At the least, they say, the federal money for children's health that has been added into the May revision should go to children's health programs.\u003c/p>\n\u003cp>Lobbying efforts for new funding have included:\u003c/p>\n\u003cul>\n\u003cli>Restoration of the 2011 Medi-Cal provider rate reduction\u003c/li>\n\u003cli>A hike in provider rates for the top 10 dental procedures, to bring them in line with the national average\u003c/li>\n\u003cli>Strengthening the early learning and child care system in California\u003c/li>\n\u003cli>Providing health care to undocumented immigrants\u003c/li>\n\u003c/ul>\n\u003cp>The governor indicated he would veto legislation to extend full-scope health benefits to the undocumented, if \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB4\" target=\"_blank\">SB 4\u003c/a> by Sen. Ricardo Lara (D-Bell Gardens) was passed by the Legislature and appeared on his desk.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This is the governor's May revise, there's still time,\" Dresslar said. \"The Legislature ultimately decides where the money goes. We'll make our pitch.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/27529/governor-plans-to-put-federal-childrens-health-money-into-general-fund",
"authors": [
"byline_stateofhealth_27529"
],
"categories": [
"stateofhealth_14"
],
"tags": [
"stateofhealth_96"
],
"featImg": "stateofhealth_27563",
"label": "stateofhealth"
},
"stateofhealth_24879": {
"type": "posts",
"id": "stateofhealth_24879",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "24879",
"score": null,
"sort": [
1428348890000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1428348890,
"format": "aside",
"disqusTitle": "Cow’s Milk Found in Breast Milk Sold Online",
"title": "Cow’s Milk Found in Breast Milk Sold Online",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_24882\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/04/cows.jpg\">\u003cimg class=\"size-large wp-image-24882\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/04/cows-640x411.jpg\" alt=\"A recent study shows 10 percent of human breast milk purchased online is contaminated with traces of cow’s milk.\" width=\"640\" height=\"411\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A new study shows 10 percent of human breast milk purchased online is contaminated with cow’s milk. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Most doctors agree that 'breast is best.' Breastfed babies have \u003ca href=\"http://www.womenshealth.gov/breastfeeding/breastfeeding-benefits.html\" target=\"_blank\">lower rates of respiratory infections\u003c/a>, ear infections, asthma, digestive problems, childhood obesity, asthma and Sudden Infant Death Syndrome (SIDS). The public health message is being heard: in 2011 almost \u003ca href=\"http://www.cdc.gov/breastfeeding/pdf/2014breastfeedingreportcard.pdf\" target=\"_blank\">80 percent of newborn U.S. infants\u003c/a> were initially breastfed.\u003c/p>\n\u003cp>But sometimes mothers can’t breastfeed. They may not have sufficient milk production, or maybe their child is allergic to the ingredients in infant formula, so they seek an alternative: buying breast milk on the Internet.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“For an infant who is allergic to cow’s milk or failing to thrive because of formula, this is a huge public health problem.”\u003c/aside>\n\u003cp>The \u003ca href=\"http://www.fda.gov/ScienceResearch/SpecialTopics/PediatricTherapeuticsResearch/ucm235203.htm\" target=\"_blank\">FDA doesn’t approve\u003c/a>. Breast milk purchased online isn’t always properly screened for infectious diseases, and it has a chance of being contaminated -- with things like cow’s milk.\u003c/p>\n\u003cp>\u003ca href=\"http://pediatrics.aappublications.org/content/early/2015/03/31/peds.2014-3554.full.pdf+html\" target=\"_blank\">A study\u003c/a> published Monday in the journal \u003cem>Pediatrics\u003c/em> reveals 10 percent of breast milk purchased online is contaminated with cow’s milk. A team at The Research Institute at Nationwide Children’s Hospital in Ohio anonymously purchased 102 samples of milk advertised as breast milk online. They found 10 percent of bovine DNA in 10 of the samples.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The study says one out four people searching for human milk online do so because their baby has a preexisting medical condition, like an intolerance to infant formula.\u003c/p>\n\u003cp>“For an infant who is allergic to cow’s milk or failing to thrive because of formula, this is a huge public health problem,” says Pauline Sakamoto, the Executive Director of \u003ca href=\"http://www.mothersmilk.org/\" target=\"_blank\">Mother’s Milk Bank,\u003c/a> a San Jose non-profit that provides donated milk to families in need.\u003c/p>\n\u003cp>Sakamoto says there are no regulatory bodies checking the safety of online human breast milk transactions. In a previous study, the same researchers at the Nationwide Children’s Hospital found 74 percent of \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/10/16/peds.2013-1687.abstract\" target=\"_blank\">breast milk purchased online contains bacteria\u003c/a>, making it unsuitable for human consumption.\u003c/p>\n\u003cp>Sakamoto says Mother’s Milk Bank only takes donated milk because selling one's own breast milk promotes unsafe practices. She says they charge $3.75 per ounce because that's how much it costs to pasteurize the donated milk while keeping its nutritional value, test the milk for contaminants and screen both mother and child. Sakamoto says those precationary steps usually aren't taken with breast milk purchased online.\u003c/p>\n\u003cp>“The other problem with buying milk is justice. It’s unequal access to ill or unhealthy infants. Nonprofit milk banks in the U.S. distribute milk to infants that are preterm or have a medical necessity for donor milk. When you have online selling of milk, that in some ways may deplete the volume of milk available for those who are critically in need.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">“I think these studies show that if moms are paid for their breast milk, these are the kind of problems we will see.”\u003c/aside>\n\u003cp>Mother’s Milk Bank is one of 16 milk banks in the U.S. that is approved by the U.S. Food and Drug Administration. These milk banks, plus two in Canada, received at total of 3.7 million ounces of donated milk in 2014.\u003c/p>\n\u003cp>But it's not enough to supply the growing demand for breast milk in North American. Brazil has over 200 milk banks, Sakamoto says, because their human milk banking system is funded by the Brazilian government. That's contributed to a drastic \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1766344/\" target=\"_blank\">drop in the country's infant mortality rates\u003c/a>. Sakamoto says U.S. milk banks don’t get government or insurance funding.\u003c/p>\n\u003cp>“It’s shameful that insurance companies still won’t cover donor milk for moms for even two weeks after she has a baby. For the moms out there looking to buy milk for their babies, why can’t they get donor milk through their insurance companies if they have medical reasons? They should be able to it. Their children should get milk until their gastrointestinal tracts are mature enough to take formula. It’s a good fix, and it's cheaper in the long run for the health insurance industry.”\u003c/p>\n\u003cp>Sakamoto says the key to curbing the sale of contaminated human breast milk online is to provide desperate mothers with more milk banks, and ask more lactating mothers to donate milk. She says we also need to take money out of the equation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I think these studies show that if moms are paid for their breast milk, these are the kind of problems we will see.”\u003c/p>\n\n",
"disqusIdentifier": "24879 http://blogs.kqed.org/stateofhealth/?p=24879",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2015/04/06/cows-milk-found-in-human-breast-milk-bought-online/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 818,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 17
},
"modified": 1429039894,
"excerpt": "A new study shows 10 percent of breast milk purchased online is contaminated cow’s milk.\r\n",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "A new study shows 10 percent of breast milk purchased online is contaminated cow’s milk.\r\n",
"title": "Cow’s Milk Found in Breast Milk Sold Online | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Cow’s Milk Found in Breast Milk Sold Online",
"datePublished": "2015-04-06T12:34:50-07:00",
"dateModified": "2015-04-14T12:31:34-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "cows-milk-found-in-human-breast-milk-bought-online",
"status": "publish",
"path": "/stateofhealth/24879/cows-milk-found-in-human-breast-milk-bought-online",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24882\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/04/cows.jpg\">\u003cimg class=\"size-large wp-image-24882\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/04/cows-640x411.jpg\" alt=\"A recent study shows 10 percent of human breast milk purchased online is contaminated with traces of cow’s milk.\" width=\"640\" height=\"411\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A new study shows 10 percent of human breast milk purchased online is contaminated with cow’s milk. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Most doctors agree that 'breast is best.' Breastfed babies have \u003ca href=\"http://www.womenshealth.gov/breastfeeding/breastfeeding-benefits.html\" target=\"_blank\">lower rates of respiratory infections\u003c/a>, ear infections, asthma, digestive problems, childhood obesity, asthma and Sudden Infant Death Syndrome (SIDS). The public health message is being heard: in 2011 almost \u003ca href=\"http://www.cdc.gov/breastfeeding/pdf/2014breastfeedingreportcard.pdf\" target=\"_blank\">80 percent of newborn U.S. infants\u003c/a> were initially breastfed.\u003c/p>\n\u003cp>But sometimes mothers can’t breastfeed. They may not have sufficient milk production, or maybe their child is allergic to the ingredients in infant formula, so they seek an alternative: buying breast milk on the Internet.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“For an infant who is allergic to cow’s milk or failing to thrive because of formula, this is a huge public health problem.”\u003c/aside>\n\u003cp>The \u003ca href=\"http://www.fda.gov/ScienceResearch/SpecialTopics/PediatricTherapeuticsResearch/ucm235203.htm\" target=\"_blank\">FDA doesn’t approve\u003c/a>. Breast milk purchased online isn’t always properly screened for infectious diseases, and it has a chance of being contaminated -- with things like cow’s milk.\u003c/p>\n\u003cp>\u003ca href=\"http://pediatrics.aappublications.org/content/early/2015/03/31/peds.2014-3554.full.pdf+html\" target=\"_blank\">A study\u003c/a> published Monday in the journal \u003cem>Pediatrics\u003c/em> reveals 10 percent of breast milk purchased online is contaminated with cow’s milk. A team at The Research Institute at Nationwide Children’s Hospital in Ohio anonymously purchased 102 samples of milk advertised as breast milk online. They found 10 percent of bovine DNA in 10 of the samples.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The study says one out four people searching for human milk online do so because their baby has a preexisting medical condition, like an intolerance to infant formula.\u003c/p>\n\u003cp>“For an infant who is allergic to cow’s milk or failing to thrive because of formula, this is a huge public health problem,” says Pauline Sakamoto, the Executive Director of \u003ca href=\"http://www.mothersmilk.org/\" target=\"_blank\">Mother’s Milk Bank,\u003c/a> a San Jose non-profit that provides donated milk to families in need.\u003c/p>\n\u003cp>Sakamoto says there are no regulatory bodies checking the safety of online human breast milk transactions. In a previous study, the same researchers at the Nationwide Children’s Hospital found 74 percent of \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/10/16/peds.2013-1687.abstract\" target=\"_blank\">breast milk purchased online contains bacteria\u003c/a>, making it unsuitable for human consumption.\u003c/p>\n\u003cp>Sakamoto says Mother’s Milk Bank only takes donated milk because selling one's own breast milk promotes unsafe practices. She says they charge $3.75 per ounce because that's how much it costs to pasteurize the donated milk while keeping its nutritional value, test the milk for contaminants and screen both mother and child. Sakamoto says those precationary steps usually aren't taken with breast milk purchased online.\u003c/p>\n\u003cp>“The other problem with buying milk is justice. It’s unequal access to ill or unhealthy infants. Nonprofit milk banks in the U.S. distribute milk to infants that are preterm or have a medical necessity for donor milk. When you have online selling of milk, that in some ways may deplete the volume of milk available for those who are critically in need.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">“I think these studies show that if moms are paid for their breast milk, these are the kind of problems we will see.”\u003c/aside>\n\u003cp>Mother’s Milk Bank is one of 16 milk banks in the U.S. that is approved by the U.S. Food and Drug Administration. These milk banks, plus two in Canada, received at total of 3.7 million ounces of donated milk in 2014.\u003c/p>\n\u003cp>But it's not enough to supply the growing demand for breast milk in North American. Brazil has over 200 milk banks, Sakamoto says, because their human milk banking system is funded by the Brazilian government. That's contributed to a drastic \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1766344/\" target=\"_blank\">drop in the country's infant mortality rates\u003c/a>. Sakamoto says U.S. milk banks don’t get government or insurance funding.\u003c/p>\n\u003cp>“It’s shameful that insurance companies still won’t cover donor milk for moms for even two weeks after she has a baby. For the moms out there looking to buy milk for their babies, why can’t they get donor milk through their insurance companies if they have medical reasons? They should be able to it. Their children should get milk until their gastrointestinal tracts are mature enough to take formula. It’s a good fix, and it's cheaper in the long run for the health insurance industry.”\u003c/p>\n\u003cp>Sakamoto says the key to curbing the sale of contaminated human breast milk online is to provide desperate mothers with more milk banks, and ask more lactating mothers to donate milk. She says we also need to take money out of the equation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I think these studies show that if moms are paid for their breast milk, these are the kind of problems we will see.”\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/24879/cows-milk-found-in-human-breast-milk-bought-online",
"authors": [
"46"
],
"categories": [
"stateofhealth_11",
"stateofhealth_13"
],
"tags": [
"stateofhealth_96"
],
"featImg": "stateofhealth_24882",
"label": "stateofhealth"
},
"stateofhealth_24029": {
"type": "posts",
"id": "stateofhealth_24029",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "24029",
"score": null,
"sort": [
1424909644000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1424909644,
"format": "aside",
"disqusTitle": "California Lawmakers Scrutinize Psychotropic Drug Prescriptions to Foster Kids",
"title": "California Lawmakers Scrutinize Psychotropic Drug Prescriptions to Foster Kids",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>In California, 63,000 children and teenagers are in foster care in private homes or group homes run by the state.\u003c/p>\n\u003cp>A quarter of them were prescribed potent psychotropic drugs.\u003c/p>\n\u003cp>That sobering statistic was unearthed in a \u003ca title=\"http://webspecial.mercurynews.com/druggedkids/\" href=\"http://webspecial.mercurynews.com/druggedkids/\" target=\"_blank\">Bay Area News Group investigation\u003c/a> last year, which analyzed a decade of state statistics. The drugs include \u003cspan class=\"Apple-style-span\">Lithium and Depakote as well as anti-psychotics such as Haldol, Risperdal and Abilify.\u003c/span>\u003c!--more-->\u003c/p>\n\u003cp>Former foster kids and public health officials addressed the issue in a hearing Tuesday. They told senators who oversee state agencies responsible for foster youth that the problem is most acute in group homes where half the youth are prescribed one or more psychotropic drugs.\u003c/p>\n\u003cp>“I remember lining up with more than half of the girls I was in group home settings with, to receive our meds” said Iris Hoffman, 18, “then proceed to class, sleep through our first classes, dozing off. This is more than half of us!”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Hoffman testified that most of the girls wanted to get off the drugs, but were afraid to try.\u003c/p>\n\u003cp>“There are all kinds of punishments that you have to be fearful of,\" she said, \"if you are to refuse medication that is prescribed to you by a psychiatrist that only meets with you for an hour a month.”\u003c/p>\n\u003cp>Sen. Mike McGuire (D-San Rafael) chairs the Senate Oversight Committee for Human Services.\u003c/p>\n\u003cp>“All too often, wonder drugs have become the first response in this state,\" he said. “We all know we must do better.”\u003c/p>\n\u003cp>Over the last 10 years, McGuire said, Medi-Cal, the state's health insurance program for people who are low income, has spent $226 million on psychotropic medication. More than 70 percent of that money was spent on foster children.\u003c/p>\n\u003cp>McGuire pressed state agency representatives at the hearing on whether they agreed that prescription rates were far too high.\u003c/p>\n\u003cp>“There’s very deep concern about the volume,” responded Will Lightbourne, head of the Department of Social Services, the agency which oversees foster care.\u003c/p>\n\u003cp>Lightbourne said an overhaul of California’s foster care system already underway reflects that concern. The state seeks to expand alternative therapies for kids, restrict the use of psychotropic drugs -- especially prescribing drugs to control kids’ behavior -- and reduce the number of children sent to group homes and shorten their stays. “All that says, yes, we want to bring those numbers down,” Lightbourne said.\u003c/p>\n\u003cp>But he cautioned that it would be take years to achieve the reforms.\u003c/p>\n\u003cp>State lawmakers at the hearing planned to move forward with reforms of their own.\u003c/p>\n\u003cp>Sen. Jim Beall (D-San Jose), the chair of the Senate Committee on Mental Health, said he would introduce two bills to protect foster children.\u003c/p>\n\u003cp>One bill would require public health nurses to oversee foster kids’ medication; another would establish treatment protocols and oversight in group homes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Beall also co-sponsored a bill with Sen. Holly Mitchell (D-Los Angeles) to require state agencies to collect and share data on how many kids are taking psychotropic drugs, at what dose and for how long.\u003c/p>\n\n",
"disqusIdentifier": "24029 http://blogs.kqed.org/stateofhealth/?p=24029",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2015/02/25/california-lawmakers-scrutinize-psychotropic-drug-prescriptions-to-foster-kids/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 531,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 20
},
"modified": 1424915385,
"excerpt": null,
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "In California, 63,000 children and teenagers are in foster care in private homes or group homes run by the state. A quarter of them were prescribed potent psychotropic drugs. That sobering statistic was unearthed in a Bay Area News Group investigation last year, which analyzed a decade of state statistics. The drugs include Lithium and Depakote as well",
"title": "California Lawmakers Scrutinize Psychotropic Drug Prescriptions to Foster Kids | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "California Lawmakers Scrutinize Psychotropic Drug Prescriptions to Foster Kids",
"datePublished": "2015-02-25T16:14:04-08:00",
"dateModified": "2015-02-25T17:49:45-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "california-lawmakers-scrutinize-psychotropic-drug-prescriptions-to-foster-kids",
"status": "publish",
"path": "/stateofhealth/24029/california-lawmakers-scrutinize-psychotropic-drug-prescriptions-to-foster-kids",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In California, 63,000 children and teenagers are in foster care in private homes or group homes run by the state.\u003c/p>\n\u003cp>A quarter of them were prescribed potent psychotropic drugs.\u003c/p>\n\u003cp>That sobering statistic was unearthed in a \u003ca title=\"http://webspecial.mercurynews.com/druggedkids/\" href=\"http://webspecial.mercurynews.com/druggedkids/\" target=\"_blank\">Bay Area News Group investigation\u003c/a> last year, which analyzed a decade of state statistics. The drugs include \u003cspan class=\"Apple-style-span\">Lithium and Depakote as well as anti-psychotics such as Haldol, Risperdal and Abilify.\u003c/span>\u003c!--more-->\u003c/p>\n\u003cp>Former foster kids and public health officials addressed the issue in a hearing Tuesday. They told senators who oversee state agencies responsible for foster youth that the problem is most acute in group homes where half the youth are prescribed one or more psychotropic drugs.\u003c/p>\n\u003cp>“I remember lining up with more than half of the girls I was in group home settings with, to receive our meds” said Iris Hoffman, 18, “then proceed to class, sleep through our first classes, dozing off. This is more than half of us!”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hoffman testified that most of the girls wanted to get off the drugs, but were afraid to try.\u003c/p>\n\u003cp>“There are all kinds of punishments that you have to be fearful of,\" she said, \"if you are to refuse medication that is prescribed to you by a psychiatrist that only meets with you for an hour a month.”\u003c/p>\n\u003cp>Sen. Mike McGuire (D-San Rafael) chairs the Senate Oversight Committee for Human Services.\u003c/p>\n\u003cp>“All too often, wonder drugs have become the first response in this state,\" he said. “We all know we must do better.”\u003c/p>\n\u003cp>Over the last 10 years, McGuire said, Medi-Cal, the state's health insurance program for people who are low income, has spent $226 million on psychotropic medication. More than 70 percent of that money was spent on foster children.\u003c/p>\n\u003cp>McGuire pressed state agency representatives at the hearing on whether they agreed that prescription rates were far too high.\u003c/p>\n\u003cp>“There’s very deep concern about the volume,” responded Will Lightbourne, head of the Department of Social Services, the agency which oversees foster care.\u003c/p>\n\u003cp>Lightbourne said an overhaul of California’s foster care system already underway reflects that concern. The state seeks to expand alternative therapies for kids, restrict the use of psychotropic drugs -- especially prescribing drugs to control kids’ behavior -- and reduce the number of children sent to group homes and shorten their stays. “All that says, yes, we want to bring those numbers down,” Lightbourne said.\u003c/p>\n\u003cp>But he cautioned that it would be take years to achieve the reforms.\u003c/p>\n\u003cp>State lawmakers at the hearing planned to move forward with reforms of their own.\u003c/p>\n\u003cp>Sen. Jim Beall (D-San Jose), the chair of the Senate Committee on Mental Health, said he would introduce two bills to protect foster children.\u003c/p>\n\u003cp>One bill would require public health nurses to oversee foster kids’ medication; another would establish treatment protocols and oversight in group homes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Beall also co-sponsored a bill with Sen. Holly Mitchell (D-Los Angeles) to require state agencies to collect and share data on how many kids are taking psychotropic drugs, at what dose and for how long.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/24029/california-lawmakers-scrutinize-psychotropic-drug-prescriptions-to-foster-kids",
"authors": [
"8588"
],
"categories": [
"stateofhealth_11",
"stateofhealth_166",
"stateofhealth_14"
],
"tags": [
"stateofhealth_96"
],
"label": "stateofhealth"
},
"stateofhealth_23977": {
"type": "posts",
"id": "stateofhealth_23977",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "23977",
"score": null,
"sort": [
1424720800000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1424720800,
"format": "aside",
"disqusTitle": "Is Your Dishwasher Increasing Your Child's Allergy Risk?",
"title": "Is Your Dishwasher Increasing Your Child's Allergy Risk?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_23978\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978.jpg\">\u003cimg class=\"size-large wp-image-23978\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000037223338_Medium-640x427.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rob Stein,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2015/02/23/387553285/kids-allergies-and-a-possible-downside-to-squeaky-clean-dishes\" href=\"http://www.npr.org/blogs/health/2015/02/23/387553285/kids-allergies-and-a-possible-downside-to-squeaky-clean-dishes\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Could using a dishwashing machine increase the chances your child will develop allergies? That's what some provocative new research suggests — but don't rip out your machine just yet.\u003c/p>\n\u003cp>The \u003ca href=\"http://pediatrics.aappublications.org/content/early/2015/02/17/peds.2014-2968.full.pdf+html\" target=\"_blank\">study\u003c/a> involved 1,029 Swedish children (ages 7 or 8) and found that those whose parents said they mostly wash the family's dishes by hand were significantly less likely to develop eczema, and somewhat less likely to develop allergic asthma and hay fever.\u003c/p>\n\u003cp>\"I think it is very interesting that with a very common lifestyle factor like dishwashing, we could see effects on allergy development,\" says \u003ca href=\"http://www.gu.se/english/about_the_university/staff/?languageId=100001&userId=xhesbi&userName=Bill+Hesselmar\" target=\"_blank\">Dr. Bill Hesselmar\u003c/a> of Sweden's University of Gothenburg, who led the study.\u003c!--more-->\u003c/p>\n\u003cp>The findings are the latest to support the \"hygiene hypothesis,\" a still-evolving proposition that's been gaining momentum in recent years. The hypothesis basically suggests that people in developed countries are growing up way too clean because of a variety of trends, including the use of hand sanitizers and detergents, and spending too little time around animals.\u003c/p>\n\u003cdiv id=\"res387854830\" class=\"bucketwrap internallink insettwocolumn inset2col \">\u003c/div>\n\u003cp>As a result, children don't tend to be exposed to as many bacteria and other microorganisms, and maybe that deprives their immune system of the chance to be trained to recognize microbial friend from foe.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That may make the immune system more likely to misfire and overreact in a way that leads to allergies, eczema and asthma, Hesselmar says.\u003c/p>\n\u003cp>He and his colleagues have been trying to figure out some of the simple day-to-day ways we might be too clean. A \u003ca href=\"http://www.npr.org/blogs/health/2013/05/06/180817114/parents-saliva-on-pacifiers-could-ward-off-babys-allergies\" target=\"_blank\">previous study\u003c/a> examined how parents cleaned off their children's pacifiers. In their latest research, the researchers took a look at how people wash their dishes.\u003c/p>\n\u003cp>\"The hypothesis was that these different dishwashing methods ... are not equally good in reducing bacteria from eating utensils and so on,\" Hesselmar says. \"So we thought that perhaps hand dishwashing was less effective, so that you are exposed to more bacteria\" in a way that's helpful.\u003c/p>\n\u003cp>In a study released Monday in the online version of the journal \u003cem>Pediatrics\u003c/em>, the researchers report what they found: In families who said they mostly wash dishes by hand, significantly fewer children had eczema, and somewhat fewer had either asthma or hay fever, compared to kids from families who let machines wash their dishes.\u003c/p>\n\u003cp>Other researchers say the new study may be onto something, though it's still too soon to tell.\u003c/p>\n\u003cdiv id=\"res387852160\" class=\"bucketwrap internallink insettwocolumn inset2col \">\u003c/div>\n\u003cp>\"I think it's very intriguing and lends one more 'X' on the column for the hygiene hypothesis,\" says \u003ca href=\"http://www.gundersenhealth.org/physicians/Todd-Mahr\" target=\"_blank\">Dr. Todd Mahr\u003c/a>\u003ca href=\"http://www.gundersenhealth.org/physicians/Todd-Mahr\">,\u003c/a> an allergist at the Gundersen Health System in La Crosse, Wis., and a member of the American Academy of Pediatrics.\u003c/p>\n\u003cp>Still, there are other possible explanations, Hesselmar and Mahr both caution. Though the researchers took economic status into account in the study, it could be that people who don't have dishwashers are alike in some other way that reduces their tendency to get allergies.\u003c/p>\n\u003cp>Interestingly, for example, certain other lifestyle characteristics — eating fermented foods regularly, and tending to buy some foods straight from the farm — seemed to strengthen the \"protective\" effect in families without dishwashers.\u003c/p>\n\u003cp>The doctors say they're not ready to recommend that parents stop using the machines.\u003c/p>\n\u003cp>\"If you're looking at, 'We have only a certain amount of money, and we're looking at buying a dishwasher or spending it on something else,' this might give you an argument to say: 'Well, maybe spend it on something else,' \" Mahr says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But, he adds, \"I'm not convinced it's going to make that big a difference.\"\u003c/p>\n\n",
"disqusIdentifier": "23977 http://blogs.kqed.org/stateofhealth/?p=23977",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2015/02/23/is-your-dishwasher-increasing-your-childs-allergy-risk/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 611,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 19
},
"modified": 1424902829,
"excerpt": "Study finds kids who wash dishes by hand less likely to develop certain allergies. But there's more to the story.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Study finds kids who wash dishes by hand less likely to develop certain allergies. But there's more to the story.",
"title": "Is Your Dishwasher Increasing Your Child's Allergy Risk? | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Is Your Dishwasher Increasing Your Child's Allergy Risk?",
"datePublished": "2015-02-23T11:46:40-08:00",
"dateModified": "2015-02-25T14:20:29-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "is-your-dishwasher-increasing-your-childs-allergy-risk",
"status": "publish",
"path": "/stateofhealth/23977/is-your-dishwasher-increasing-your-childs-allergy-risk",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23978\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000037223338_Medium-e1424720733978.jpg\">\u003cimg class=\"size-large wp-image-23978\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/02/iStock_000037223338_Medium-640x427.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rob Stein,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2015/02/23/387553285/kids-allergies-and-a-possible-downside-to-squeaky-clean-dishes\" href=\"http://www.npr.org/blogs/health/2015/02/23/387553285/kids-allergies-and-a-possible-downside-to-squeaky-clean-dishes\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Could using a dishwashing machine increase the chances your child will develop allergies? That's what some provocative new research suggests — but don't rip out your machine just yet.\u003c/p>\n\u003cp>The \u003ca href=\"http://pediatrics.aappublications.org/content/early/2015/02/17/peds.2014-2968.full.pdf+html\" target=\"_blank\">study\u003c/a> involved 1,029 Swedish children (ages 7 or 8) and found that those whose parents said they mostly wash the family's dishes by hand were significantly less likely to develop eczema, and somewhat less likely to develop allergic asthma and hay fever.\u003c/p>\n\u003cp>\"I think it is very interesting that with a very common lifestyle factor like dishwashing, we could see effects on allergy development,\" says \u003ca href=\"http://www.gu.se/english/about_the_university/staff/?languageId=100001&userId=xhesbi&userName=Bill+Hesselmar\" target=\"_blank\">Dr. Bill Hesselmar\u003c/a> of Sweden's University of Gothenburg, who led the study.\u003c!--more-->\u003c/p>\n\u003cp>The findings are the latest to support the \"hygiene hypothesis,\" a still-evolving proposition that's been gaining momentum in recent years. The hypothesis basically suggests that people in developed countries are growing up way too clean because of a variety of trends, including the use of hand sanitizers and detergents, and spending too little time around animals.\u003c/p>\n\u003cdiv id=\"res387854830\" class=\"bucketwrap internallink insettwocolumn inset2col \">\u003c/div>\n\u003cp>As a result, children don't tend to be exposed to as many bacteria and other microorganisms, and maybe that deprives their immune system of the chance to be trained to recognize microbial friend from foe.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That may make the immune system more likely to misfire and overreact in a way that leads to allergies, eczema and asthma, Hesselmar says.\u003c/p>\n\u003cp>He and his colleagues have been trying to figure out some of the simple day-to-day ways we might be too clean. A \u003ca href=\"http://www.npr.org/blogs/health/2013/05/06/180817114/parents-saliva-on-pacifiers-could-ward-off-babys-allergies\" target=\"_blank\">previous study\u003c/a> examined how parents cleaned off their children's pacifiers. In their latest research, the researchers took a look at how people wash their dishes.\u003c/p>\n\u003cp>\"The hypothesis was that these different dishwashing methods ... are not equally good in reducing bacteria from eating utensils and so on,\" Hesselmar says. \"So we thought that perhaps hand dishwashing was less effective, so that you are exposed to more bacteria\" in a way that's helpful.\u003c/p>\n\u003cp>In a study released Monday in the online version of the journal \u003cem>Pediatrics\u003c/em>, the researchers report what they found: In families who said they mostly wash dishes by hand, significantly fewer children had eczema, and somewhat fewer had either asthma or hay fever, compared to kids from families who let machines wash their dishes.\u003c/p>\n\u003cp>Other researchers say the new study may be onto something, though it's still too soon to tell.\u003c/p>\n\u003cdiv id=\"res387852160\" class=\"bucketwrap internallink insettwocolumn inset2col \">\u003c/div>\n\u003cp>\"I think it's very intriguing and lends one more 'X' on the column for the hygiene hypothesis,\" says \u003ca href=\"http://www.gundersenhealth.org/physicians/Todd-Mahr\" target=\"_blank\">Dr. Todd Mahr\u003c/a>\u003ca href=\"http://www.gundersenhealth.org/physicians/Todd-Mahr\">,\u003c/a> an allergist at the Gundersen Health System in La Crosse, Wis., and a member of the American Academy of Pediatrics.\u003c/p>\n\u003cp>Still, there are other possible explanations, Hesselmar and Mahr both caution. Though the researchers took economic status into account in the study, it could be that people who don't have dishwashers are alike in some other way that reduces their tendency to get allergies.\u003c/p>\n\u003cp>Interestingly, for example, certain other lifestyle characteristics — eating fermented foods regularly, and tending to buy some foods straight from the farm — seemed to strengthen the \"protective\" effect in families without dishwashers.\u003c/p>\n\u003cp>The doctors say they're not ready to recommend that parents stop using the machines.\u003c/p>\n\u003cp>\"If you're looking at, 'We have only a certain amount of money, and we're looking at buying a dishwasher or spending it on something else,' this might give you an argument to say: 'Well, maybe spend it on something else,' \" Mahr says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But, he adds, \"I'm not convinced it's going to make that big a difference.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/23977/is-your-dishwasher-increasing-your-childs-allergy-risk",
"authors": [
"8344"
],
"categories": [
"stateofhealth_12"
],
"tags": [
"stateofhealth_96",
"stateofhealth_461"
],
"featImg": "stateofhealth_23978",
"label": "stateofhealth"
},
"stateofhealth_23735": {
"type": "posts",
"id": "stateofhealth_23735",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "23735",
"score": null,
"sort": [
1422668743000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1422668743,
"format": "aside",
"disqusTitle": "Vaccine Opt-Out Rate Drops -- First Time Since 1998; Look Up Your Calif. School",
"title": "Vaccine Opt-Out Rate Drops -- First Time Since 1998; Look Up Your Calif. School",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>By Olivia Allen-Price and Lisa Aliferis\u003c/strong>\u003c/p>\n\u003cp>Under California law, all kindergarteners must be vaccinated against a range of communicable diseases before they can start school. But California also permits parents to opt-out of vaccines on behalf of their children. The opt-out rate \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" target=\"_blank\">doubled over a seven year\u003c/a> period ending last school year. But now, for the first time since 1998, the opt-out rate has declined, from 3.15 percent statewide to 2.5 percent.\u003c/p>\n\u003cp>A\u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\"> new state law\u003c/a> appears to be the driver. Under \u003ca title=\"http://www.aroundthecapitol.com/billtrack/text.html?bvid=20110AB210996AMD\" href=\"http://www.aroundthecapitol.com/billtrack/text.html?bvid=20110AB210996AMD\" target=\"_blank\">AB 2109\u003c/a>, parents who wish to opt out of vaccines must file a personal belief exemption or PBE, a signed statement that vaccines are against their personal belief.\u003c/p>\n\u003cp>\u003ca href=\"#lookup\">\u003cimg class=\"alignright size-full wp-image-23583\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/lookup.jpg\" alt=\"lookup\" width=\"300\" height=\"151\">\u003c/a>This school year, for the first time, parents must first meet with a health provider who explains the risks and benefits of both vaccines and vaccine-preventable diseases. Until the current school year, parents simply had to sign the statement without any consultation.\u003c/p>\n\u003cp>State senator Richard Pan (D-Sacramento) sponsored the bill and is pretty happy about the decline. He believes that requiring the meeting with a health care provider clears up confusion some parents have about vaccines.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"By requiring them to talk to a physician or other health provider,\" Pan said, \"they can get more information and when they get that information, they feel more comfortable about getting their children vaccinated.\"\u003c/p>\n\u003cp>\"In addition, the law likely catches people who might have been too busy to get to the doctor. \"In the past you could just sign before you could go to school,\" said Dr. Dean Blumberg of the UC Davis medical center who is involved in vaccine research. \"Now since you have to talk to your health provider to sign the form, you may as well -- since you're talking to the doctor -- get them vaccinated.\"\u003c/p>\n\u003cp>\u003cstrong>PBE Rates Changed Over Time\u003c/strong>\u003c/p>\n\u003cp>Blumberg provided State of Health with data from a \u003ca title=\"https://cdc.confex.com/cdc/nic2010/webprogram/Paper22752.html\" href=\"https://cdc.confex.com/cdc/nic2010/webprogram/Paper22752.html\" target=\"_blank\">Centers for Disease Control vaccine conference\u003c/a> showing historical rates of personal belief exemptions in California. Rates had been comparatively low, especially after the 1989-1991 measles epidemic when there were 17,000 cases of measles and 70 people died in California.\u003c/p>\n\u003cp>Vaccine rates need to be 90 percent -- or higher -- depending on the disease to create what's known as \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">herd immunity\u003c/a>. That means that enough people are vaccinated to protect those who cannot be vaccinated for medical reasons or whose immune system is compromised. This includes \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" target=\"_blank\">people being treated for cancer\u003c/a> or HIV patients and more. When vaccine rates are high, a disease introduced into a community cannot take hold.\u003c/p>\n\u003cp>Health officials would not be as concerned about the average PBE rate statewide -- but the rate \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">hides clusters where PBE rates are significantly higher\u003c/a>. In the Bay Area there are geographic clusters of vaccine refusals above 10 percent.\u003c/p>\n\u003cp>Right now, California health officials are working to contain a measles outbreak that has reached 91 cases this month.\u003c/p>\n\u003cp>After nearly a decade of low PBE rates in the 1990s, they started to increase in 1998. That was the same year a study was published that claimed a link between the measles, mumps, rubella vaccine and autism. The study was \u003ca title=\"http://www2.aap.org/immunization/families/mmr.html\" href=\"http://www2.aap.org/immunization/families/mmr.html\" target=\"_blank\">later debunked and retracted\u003c/a>.\u003c/p>\n\u003cp>But the damage was done. PBE rates have climbed steadily ever since, until now.\u003c/p>\n\u003cp>The California Department of Public Health \u003ca title=\"California Department of Public Health Immunization page\" href=\"http://www.cdph.ca.gov/programs/immunize/pages/immunizationlevels.aspx\" target=\"_blank\">collects vaccination rates\u003c/a> and PBE rates at every kindergarten in the state with more than 10 students — both public and private schools. Further below, we’ve made it easy for you to look up your own school.\u003c/p>\n\u003cp>Entering kindergarten children are required to be vaccinated against:\u003c/p>\n\u003cul>\n\u003cli>Polio\u003c/li>\n\u003cli>Diphtheria, Tetanus, and Pertussis (DTaP)\u003c/li>\n\u003cli>Measles, Mumps, and Rubella (MMR)\u003c/li>\n\u003cli>Hepatitis B\u003c/li>\n\u003cli>Varicella (Chickenpox)\u003c/li>\n\u003c/ul>\n\u003cp>For years, Marin County has had the highest PBE rate in the Bay Area. In the 2013-2014 school year, the county's PBE rate was 7.57 percent. This school year, it declined to 6.45 percent.\u003c/p>\n\u003cp>Four other Bay Area counties have lower PBE rates than Marin -- and their opt-out rates also declined from last year, as follows:\u003c/p>\n\u003cul>\n\u003cli>Santa Clara: 1.72 percent in 2013-2014 to 1.57 percent this year\u003c/li>\n\u003cli>Alameda: 1.78 percent to 1.54 percent\u003c/li>\n\u003cli>San Mateo: 2.26 percent to 1.85 percent\u003c/li>\n\u003cli>Contra Costa: 2.32 percent to 1.90 percent\u003c/li>\n\u003c/ul>\n\u003cp>But San Francisco County saw a slight increase in its PBE rate from 1.64 percent last year to 1.80 percent this year.\u003c/p>\n\u003cp>\u003cstrong>Find Any School in California\u003c/strong>\u003c/p>\n\u003cp>You can look up the personal belief exemption rate at your own school below. So you can see the trend, \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" target=\"_blank\">we include data\u003c/a> from the 2007-2008 school year through the 2014-2015 school year, the most recent year for which data are available. This tool includes data from every kindergarten in the state, public or private, with 10 or more students.\u003c/p>\n\u003cp>The column to the far right — “PBE” — shows the percentage of children at a kindergarten with a personal belief exemption on file. The higher the number, the more children are not receiving vaccines.\u003c/p>\n\u003cp>\u003cstrong>Enter your child’s school in the search box at right:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"http://projects1.kqed.org/vaccines/pbe2014-6.html\" width=\"100%\" height=\"1300px\" id=\"lookup\">\u003c/iframe>\u003c/p>\n\u003cstyle>\t \t \n.single-post #content {width: 100%; }\t \t \n.single-post #sidebar {display: none;}\t \t \n\u003c/style>\n\n",
"disqusIdentifier": "23735 http://blogs.kqed.org/stateofhealth/?p=23735",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2015/01/30/vaccine-opt-out-rate-drops-first-time-since-1998-look-up-your-calif-school/",
"stats": {
"hasVideo": false,
"hasChartOrMap": true,
"hasAudio": false,
"hasPolis": false,
"wordCount": 876,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [
"http://projects1.kqed.org/vaccines/pbe2014-6.html"
],
"paragraphCount": 26
},
"modified": 1422925757,
"excerpt": "A new state law appears to be driving higher vaccination rates.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "A new state law appears to be driving higher vaccination rates.",
"title": "Vaccine Opt-Out Rate Drops -- First Time Since 1998; Look Up Your Calif. School | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Vaccine Opt-Out Rate Drops -- First Time Since 1998; Look Up Your Calif. School",
"datePublished": "2015-01-30T17:45:43-08:00",
"dateModified": "2015-02-02T17:09:17-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "vaccine-opt-out-rate-drops-first-time-since-1998-look-up-your-calif-school",
"status": "publish",
"path": "/stateofhealth/23735/vaccine-opt-out-rate-drops-first-time-since-1998-look-up-your-calif-school",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Olivia Allen-Price and Lisa Aliferis\u003c/strong>\u003c/p>\n\u003cp>Under California law, all kindergarteners must be vaccinated against a range of communicable diseases before they can start school. But California also permits parents to opt-out of vaccines on behalf of their children. The opt-out rate \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" target=\"_blank\">doubled over a seven year\u003c/a> period ending last school year. But now, for the first time since 1998, the opt-out rate has declined, from 3.15 percent statewide to 2.5 percent.\u003c/p>\n\u003cp>A\u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\"> new state law\u003c/a> appears to be the driver. Under \u003ca title=\"http://www.aroundthecapitol.com/billtrack/text.html?bvid=20110AB210996AMD\" href=\"http://www.aroundthecapitol.com/billtrack/text.html?bvid=20110AB210996AMD\" target=\"_blank\">AB 2109\u003c/a>, parents who wish to opt out of vaccines must file a personal belief exemption or PBE, a signed statement that vaccines are against their personal belief.\u003c/p>\n\u003cp>\u003ca href=\"#lookup\">\u003cimg class=\"alignright size-full wp-image-23583\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/lookup.jpg\" alt=\"lookup\" width=\"300\" height=\"151\">\u003c/a>This school year, for the first time, parents must first meet with a health provider who explains the risks and benefits of both vaccines and vaccine-preventable diseases. Until the current school year, parents simply had to sign the statement without any consultation.\u003c/p>\n\u003cp>State senator Richard Pan (D-Sacramento) sponsored the bill and is pretty happy about the decline. He believes that requiring the meeting with a health care provider clears up confusion some parents have about vaccines.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"By requiring them to talk to a physician or other health provider,\" Pan said, \"they can get more information and when they get that information, they feel more comfortable about getting their children vaccinated.\"\u003c/p>\n\u003cp>\"In addition, the law likely catches people who might have been too busy to get to the doctor. \"In the past you could just sign before you could go to school,\" said Dr. Dean Blumberg of the UC Davis medical center who is involved in vaccine research. \"Now since you have to talk to your health provider to sign the form, you may as well -- since you're talking to the doctor -- get them vaccinated.\"\u003c/p>\n\u003cp>\u003cstrong>PBE Rates Changed Over Time\u003c/strong>\u003c/p>\n\u003cp>Blumberg provided State of Health with data from a \u003ca title=\"https://cdc.confex.com/cdc/nic2010/webprogram/Paper22752.html\" href=\"https://cdc.confex.com/cdc/nic2010/webprogram/Paper22752.html\" target=\"_blank\">Centers for Disease Control vaccine conference\u003c/a> showing historical rates of personal belief exemptions in California. Rates had been comparatively low, especially after the 1989-1991 measles epidemic when there were 17,000 cases of measles and 70 people died in California.\u003c/p>\n\u003cp>Vaccine rates need to be 90 percent -- or higher -- depending on the disease to create what's known as \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">herd immunity\u003c/a>. That means that enough people are vaccinated to protect those who cannot be vaccinated for medical reasons or whose immune system is compromised. This includes \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" target=\"_blank\">people being treated for cancer\u003c/a> or HIV patients and more. When vaccine rates are high, a disease introduced into a community cannot take hold.\u003c/p>\n\u003cp>Health officials would not be as concerned about the average PBE rate statewide -- but the rate \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">hides clusters where PBE rates are significantly higher\u003c/a>. In the Bay Area there are geographic clusters of vaccine refusals above 10 percent.\u003c/p>\n\u003cp>Right now, California health officials are working to contain a measles outbreak that has reached 91 cases this month.\u003c/p>\n\u003cp>After nearly a decade of low PBE rates in the 1990s, they started to increase in 1998. That was the same year a study was published that claimed a link between the measles, mumps, rubella vaccine and autism. The study was \u003ca title=\"http://www2.aap.org/immunization/families/mmr.html\" href=\"http://www2.aap.org/immunization/families/mmr.html\" target=\"_blank\">later debunked and retracted\u003c/a>.\u003c/p>\n\u003cp>But the damage was done. PBE rates have climbed steadily ever since, until now.\u003c/p>\n\u003cp>The California Department of Public Health \u003ca title=\"California Department of Public Health Immunization page\" href=\"http://www.cdph.ca.gov/programs/immunize/pages/immunizationlevels.aspx\" target=\"_blank\">collects vaccination rates\u003c/a> and PBE rates at every kindergarten in the state with more than 10 students — both public and private schools. Further below, we’ve made it easy for you to look up your own school.\u003c/p>\n\u003cp>Entering kindergarten children are required to be vaccinated against:\u003c/p>\n\u003cul>\n\u003cli>Polio\u003c/li>\n\u003cli>Diphtheria, Tetanus, and Pertussis (DTaP)\u003c/li>\n\u003cli>Measles, Mumps, and Rubella (MMR)\u003c/li>\n\u003cli>Hepatitis B\u003c/li>\n\u003cli>Varicella (Chickenpox)\u003c/li>\n\u003c/ul>\n\u003cp>For years, Marin County has had the highest PBE rate in the Bay Area. In the 2013-2014 school year, the county's PBE rate was 7.57 percent. This school year, it declined to 6.45 percent.\u003c/p>\n\u003cp>Four other Bay Area counties have lower PBE rates than Marin -- and their opt-out rates also declined from last year, as follows:\u003c/p>\n\u003cul>\n\u003cli>Santa Clara: 1.72 percent in 2013-2014 to 1.57 percent this year\u003c/li>\n\u003cli>Alameda: 1.78 percent to 1.54 percent\u003c/li>\n\u003cli>San Mateo: 2.26 percent to 1.85 percent\u003c/li>\n\u003cli>Contra Costa: 2.32 percent to 1.90 percent\u003c/li>\n\u003c/ul>\n\u003cp>But San Francisco County saw a slight increase in its PBE rate from 1.64 percent last year to 1.80 percent this year.\u003c/p>\n\u003cp>\u003cstrong>Find Any School in California\u003c/strong>\u003c/p>\n\u003cp>You can look up the personal belief exemption rate at your own school below. So you can see the trend, \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" target=\"_blank\">we include data\u003c/a> from the 2007-2008 school year through the 2014-2015 school year, the most recent year for which data are available. This tool includes data from every kindergarten in the state, public or private, with 10 or more students.\u003c/p>\n\u003cp>The column to the far right — “PBE” — shows the percentage of children at a kindergarten with a personal belief exemption on file. The higher the number, the more children are not receiving vaccines.\u003c/p>\n\u003cp>\u003cstrong>Enter your child’s school in the search box at right:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"http://projects1.kqed.org/vaccines/pbe2014-6.html\" width=\"100%\" height=\"1300px\" id=\"lookup\">\u003c/iframe>\u003c/p>\n\u003cstyle>\t \t \n.single-post #content {width: 100%; }\t \t \n.single-post #sidebar {display: none;}\t \t \n\u003c/style>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/23735/vaccine-opt-out-rate-drops-first-time-since-1998-look-up-your-calif-school",
"authors": [
"8344"
],
"categories": [
"stateofhealth_11",
"stateofhealth_12"
],
"tags": [
"stateofhealth_96",
"stateofhealth_461",
"stateofhealth_725"
],
"featImg": "stateofhealth_5990",
"label": "stateofhealth"
},
"stateofhealth_23738": {
"type": "posts",
"id": "stateofhealth_23738",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "23738",
"score": null,
"sort": [
1422668569000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1422668569,
"format": "aside",
"disqusTitle": "Look Up the Vaccine Opt-Out Rate at Your Child's School",
"title": "Look Up the Vaccine Opt-Out Rate at Your Child's School",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>By Olivia Allen-Price and Lisa Aliferis\u003c/strong>\u003c/p>\n\u003cp>When parents sign a personal belief exemption (PBE) in California, it allows them to legally send their child to school without being vaccinated.\u003c/p>\n\u003cp>Find the percentage of kindergarteners who are unvaccinated at your child's school below. We've included data from the last eight school years. This tool includes reports from every kindergarten in the state, public or private, with 10 or more students. \u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Enter your child’s school in the search box at the far right:\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ciframe src=\"http://projects1.kqed.org/vaccines/pbe2014-6.html\" width=\"100%\" height=\"1300px\">\u003c/iframe>\u003c/p>\n\u003cstyle>\t \t \n.single-post #content {width: 100%; }\t \t \n.single-post #sidebar {display: none;}\t \t \n\u003c/style>\n\u003cp>Learn more about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" target=\"_blank\">our methodology.\u003c/a> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"7p8mtINjF09t60dXF6vueZsxohXkoyws\"]\u003c/p>\n\n",
"disqusIdentifier": "23738 http://blogs.kqed.org/stateofhealth/?p=23738",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2015/01/30/look-up-the-vaccine-opt-out-rate-at-your-childs-school/",
"stats": {
"hasVideo": false,
"hasChartOrMap": true,
"hasAudio": false,
"hasPolis": false,
"wordCount": 106,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [
"http://projects1.kqed.org/vaccines/pbe2014-6.html"
],
"paragraphCount": 10
},
"modified": 1422669651,
"excerpt": "Find the percentage of unvaccinated kindergarteners at every California elementary school. ",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Find the percentage of unvaccinated kindergarteners at every California elementary school. ",
"title": "Look Up the Vaccine Opt-Out Rate at Your Child's School | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Look Up the Vaccine Opt-Out Rate at Your Child's School",
"datePublished": "2015-01-30T17:42:49-08:00",
"dateModified": "2015-01-30T18:00:51-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "look-up-the-vaccine-opt-out-rate-at-your-childs-school",
"status": "publish",
"path": "/stateofhealth/23738/look-up-the-vaccine-opt-out-rate-at-your-childs-school",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Olivia Allen-Price and Lisa Aliferis\u003c/strong>\u003c/p>\n\u003cp>When parents sign a personal belief exemption (PBE) in California, it allows them to legally send their child to school without being vaccinated.\u003c/p>\n\u003cp>Find the percentage of kindergarteners who are unvaccinated at your child's school below. We've included data from the last eight school years. This tool includes reports from every kindergarten in the state, public or private, with 10 or more students. \u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Enter your child’s school in the search box at the far right:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"http://projects1.kqed.org/vaccines/pbe2014-6.html\" width=\"100%\" height=\"1300px\">\u003c/iframe>\u003c/p>\n\u003cstyle>\t \t \n.single-post #content {width: 100%; }\t \t \n.single-post #sidebar {display: none;}\t \t \n\u003c/style>\n\u003cp>Learn more about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" target=\"_blank\">our methodology.\u003c/a> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"7p8mtINjF09t60dXF6vueZsxohXkoyws\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/23738/look-up-the-vaccine-opt-out-rate-at-your-childs-school",
"authors": [
"8344"
],
"categories": [
"stateofhealth_11",
"stateofhealth_12"
],
"tags": [
"stateofhealth_96",
"stateofhealth_31"
],
"featImg": "stateofhealth_23745",
"label": "stateofhealth"
},
"stateofhealth_23685": {
"type": "posts",
"id": "stateofhealth_23685",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "23685",
"score": null,
"sort": [
1422519250000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1422519250,
"format": "aside",
"disqusTitle": "Half of California's Children Now Covered by Medi-Cal",
"title": "Half of California's Children Now Covered by Medi-Cal",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_23688\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416.jpg\">\u003cimg class=\"size-large wp-image-23688\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-640x510.jpg\" alt=\"Sarah Boone, a behavior analyst with the social services agency EMQ FamiliesFirst, evaluates Ernesto Santiago, 6, of San Jose for autism therapy services. (Barbara Feder Ostrov/Kaiser Health News)\" width=\"640\" height=\"510\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sarah Boone, a behavior analyst with the social services agency EMQ FamiliesFirst, evaluates Ernesto Santiago, 6, of San Jose for autism therapy services. (Barbara Feder Ostrov/Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Barbara Feder Ostrov, \u003ca title=\"http://kaiserhealthnews.org\" href=\"http://kaiserhealthnews.org\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>California's Medi-Cal program has grown to cover nearly half of the state’s children, causing policymakers and child advocates to question the ability of the taxpayer-funded program to adequately serve so many poor kids.\u003c/p>\n\u003cp>In the past two years alone, the program has added nearly 1 million young people up to age 20, including those newly eligible for Medi-Cal coverage under the Affordable Care Act. The increase brings the total number of young people on Medi-Cal to 5.2 million, more than ever before.\u003c/p>\n\u003cp>Medi-Cal is California’s version of Medicaid and the largest program of its kind in the nation.\u003c/p>\n\u003cp>Many pediatricians and specialists already refuse to accept new Medi-Cal patients, at least in part because the program offers among the lowest payment rates in the country. New rate cuts took effect this January. Health care advocates say adding more children to the mix will only worsen the likelihood of timely treatment.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Evidence is emerging that the public insurance program is falling short in some key respects. According to an ongoing study led by Ninez Ponce at UCLA and funded by the California Healthcare Foundation, children on Medi-Cal were five times more likely than kids on private plans to have visited the emergency department for asthma care because they couldn’t see their own doctor.\u003c/p>\n\u003cp>And according to a state \u003ca title=\"http://www.dhcs.ca.gov/services/Documents/MMCD/MMCD_Dashboard_August2014.pdf\" href=\"http://www.dhcs.ca.gov/services/Documents/MMCD/MMCD_Dashboard_August2014.pdf\" target=\"_blank\">report\u003c/a> based on 2013 data, more than two-thirds of California's Medicaid managed care plans performed below the national average for Medicaid plans in ensuring that children had required immunizations by age 2.\u003c/p>\n\u003cp>Advocates and some policymakers say the state has downplayed problems with children's care and not provided adequate data to help evaluate and improve services. They say officials have traditionally paid more attention to Medi-Cal's more costly adult population.\u003c/p>\n\u003cp>\"When you have half of all of California's children in Medi-Cal, it's essential that the state keeps its promises to children that they can get access to the care that they need. This is our future,\" said state Sen. Richard Pan, D-Sacramento, a pediatrician who has been pushing the agency to provide better data on children's care.\u003c/p>\n\u003cp>State officials say they are working to improve access to care for children but do not see widespread problems or a need to raise reimbursement rates.\u003c/p>\n\u003cp>\"At this time, we feel the rates are sufficient,\" said Anastasia Dodson, associate director of policy at the California Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>Over the past two years, Medi-Cal absorbed about 750,000 children when California eliminated its Healthy Families child health insurance program, which was aimed at working families with higher incomes than the Medi-Cal population. An additional 232,000 children joined with the expansion of Medi-Cal under the Affordable Care Act, according to a spokesman for the health care services department.\u003c/p>\n\u003cp>Nearly all of these children are enrolled in managed care plans, which pay a fixed monthly rate per patient in an effort to save money and streamline care. Most families pay small monthly premiums for each child depending on income.\u003c/p>\n\u003cp>The transition from Healthy Families, which generally \u003ca title=\"http://www.californiahealthline.org/insight/2013/as-healthy-families-shift-goes-so-goes-rural-expansion-of-medical-managed-care\" href=\"http://www.californiahealthline.org/insight/2013/as-healthy-families-shift-goes-so-goes-rural-expansion-of-medical-managed-care\" target=\"_blank\">paid higher rates to doctors,\u003c/a> saved about $39 million in the 2013-2014 budget year, said Dodson, less than the agency's initial estimate of $52 million. (Overall, the Medi-Cal budget is projected to be $95.4 billion in 2015-2016.)\u003c/p>\n\u003cp>\u003cstrong>Some See Long Waits for Care\u003c/strong>\u003c/p>\n\u003cp>The transition went smoothly for many families, but had its share of serious challenges.\u003c/p>\n\u003cp>Some children lost access to critical services, such as autism behavioral therapies, that had been previously covered by Healthy Families. The autism services were eventually restored, but advocates faulted the Department of Health Care Services for being slow to react, and families are still dealing with the fallout of trying to regain services for their children.\u003c/p>\n\u003cp>Glaiza Santiago of San Jose lost autism therapy for her 6-year-old son, Ernesto, for about a year after her children were transferred from Healthy Families to Medi-Cal. Only after filing complaints with her managed care plan, Santa Clara Family Health Plan, and the Department of Health Care Services was she able to get Ernesto reevaluated so that his therapy could resume.\u003c/p>\n\u003cp>\"It's just been a battle to get him therapy and the other things that he needs,\" said Santiago, who has two other young children and is studying to become a medical assistant. \"I felt so helpless…I never realized it would be that hard. I never had problems before.\"\u003c/p>\n\u003cp>Other families have experienced long waits for care, particularly dental services.\u003c/p>\n\u003cp>Diana Vega, an elementary school teacher in San Pablo, has mixed feelings about her three children's experience with Medi-Cal managed care. She appreciates that her premiums to participate in the program have declined by about 25 percent since switching from Healthy Families; her kids also were able to keep their pediatrician.\u003c/p>\n\u003cp>Like Santiago, she had trouble restoring therapy services for her son, diagnosed with autism and Prader-Willi syndrome, a genetic condition that weakens muscles. But she also was taken aback by how much more difficult it was to get eyeglasses and dental care.\u003c/p>\n\u003cp>After waiting nearly eight months for an appointment with a dentist who would accept her children's Denti-Cal insurance, Vega said, the dentist said the insurance would not pay for him to fill a small cavity in her daughter's mouth because it wasn't yet \"visible to the eye.\" So Vega purchased a separate dental insurance policy for her children and abandoned Denti-Cal.\u003c/p>\n\u003cp>Medi-Cal's dental services have drawn particular criticism, including\u003ca title=\"https://www.auditor.ca.gov/reports/summary/2013-125\" href=\"https://www.auditor.ca.gov/reports/summary/2013-125\" target=\"_blank\"> a state audit\u003c/a> released in December that found that dental services had been provided to less than half of the program's children, mostly because so few dentists were willing to accept the low reimbursement rates.\u003c/p>\n\u003cp>Dodson of the health care services department said that families can call a telephone service center (800-322-6384) when they are having problems finding a dentist or a timely appointment with any provider, and the state is working to recruit new dentists willing to accept new Denti-Cal patients.\u003c/p>\n\u003cp>Dodson said her agency regularly monitors the networks of Medi-Cal managed care plans to ensure there are enough doctors to care for patients and that she has not heard of widespread problems for children who need specialty care. Efforts are underway statewide to increase the number of doctors willing to accept Medi-Cal patients, particularly in Riverside and San Bernardino counties, where the Inland Empire Health Plan is \u003ca title=\"https://ww2.iehp.org/en/providers/join-our-provider-team/network-expansion-fund/~/media/Provider%20Services/Become%20and%20IEHP%20Provider/How%20do%20I%20Join%20the%20IEHP%20Provider%20Team/Network%20Expansion%20Fund/Provider%20Network%20Expansion%20Program%20Description.pdf\" href=\"https://ww2.iehp.org/en/providers/join-our-provider-team/network-expansion-fund/~/media/Provider%20Services/Become%20and%20IEHP%20Provider/How%20do%20I%20Join%20the%20IEHP%20Provider%20Team/Network%20Expansion%20Fund/Provider%20Network%20Expansion%20Program%20Description.pdf\" target=\"_blank\">offering physicians bonuses\u003c/a> of up to $100,000 to treat its members.\u003c/p>\n\u003cp>The agency also is working with a new committee of experts, the Medi-Cal Children’s Health Advisory Panel, to develop better pediatric data that will help identify any gaps in care, she said.\u003c/p>\n\u003cp>At the panel's first meeting in January, Sen. Pan, who pushed legislation to create the panel – \u003ca title=\"http://www.californiahealthline.org/capitol-desk/2014/7/health-agency-opposes-bill-to-create-childrens-medical-advisory-panel\" href=\"http://www.californiahealthline.org/capitol-desk/2014/7/health-agency-opposes-bill-to-create-childrens-medical-advisory-panel\" target=\"_blank\">against the Department of Health Care Services' wishes\u003c/a> – cast the stakes for the committee's work in stark terms:\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"When you're covering half of California's children, it's hardly 'those kids' anymore,” he said. “It's all our kids.'\"\u003c/p>\n\n",
"disqusIdentifier": "23685 http://blogs.kqed.org/stateofhealth/?p=23685",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2015/01/29/half-of-californias-children-now-covered-by-medi-cal/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1253,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 31
},
"modified": 1422602140,
"excerpt": "Advocates and policymakers alike question whether the program can adequately serve so many poor children.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Advocates and policymakers alike question whether the program can adequately serve so many poor children.",
"title": "Half of California's Children Now Covered by Medi-Cal | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Half of California's Children Now Covered by Medi-Cal",
"datePublished": "2015-01-29T00:14:10-08:00",
"dateModified": "2015-01-29T23:15:40-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "half-of-californias-children-now-covered-by-medi-cal",
"status": "publish",
"path": "/stateofhealth/23685/half-of-californias-children-now-covered-by-medi-cal",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23688\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-e1422510410416.jpg\">\u003cimg class=\"size-large wp-image-23688\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Medi-Cal-Kids-1-copy-640x510.jpg\" alt=\"Sarah Boone, a behavior analyst with the social services agency EMQ FamiliesFirst, evaluates Ernesto Santiago, 6, of San Jose for autism therapy services. (Barbara Feder Ostrov/Kaiser Health News)\" width=\"640\" height=\"510\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sarah Boone, a behavior analyst with the social services agency EMQ FamiliesFirst, evaluates Ernesto Santiago, 6, of San Jose for autism therapy services. (Barbara Feder Ostrov/Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Barbara Feder Ostrov, \u003ca title=\"http://kaiserhealthnews.org\" href=\"http://kaiserhealthnews.org\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>California's Medi-Cal program has grown to cover nearly half of the state’s children, causing policymakers and child advocates to question the ability of the taxpayer-funded program to adequately serve so many poor kids.\u003c/p>\n\u003cp>In the past two years alone, the program has added nearly 1 million young people up to age 20, including those newly eligible for Medi-Cal coverage under the Affordable Care Act. The increase brings the total number of young people on Medi-Cal to 5.2 million, more than ever before.\u003c/p>\n\u003cp>Medi-Cal is California’s version of Medicaid and the largest program of its kind in the nation.\u003c/p>\n\u003cp>Many pediatricians and specialists already refuse to accept new Medi-Cal patients, at least in part because the program offers among the lowest payment rates in the country. New rate cuts took effect this January. Health care advocates say adding more children to the mix will only worsen the likelihood of timely treatment.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Evidence is emerging that the public insurance program is falling short in some key respects. According to an ongoing study led by Ninez Ponce at UCLA and funded by the California Healthcare Foundation, children on Medi-Cal were five times more likely than kids on private plans to have visited the emergency department for asthma care because they couldn’t see their own doctor.\u003c/p>\n\u003cp>And according to a state \u003ca title=\"http://www.dhcs.ca.gov/services/Documents/MMCD/MMCD_Dashboard_August2014.pdf\" href=\"http://www.dhcs.ca.gov/services/Documents/MMCD/MMCD_Dashboard_August2014.pdf\" target=\"_blank\">report\u003c/a> based on 2013 data, more than two-thirds of California's Medicaid managed care plans performed below the national average for Medicaid plans in ensuring that children had required immunizations by age 2.\u003c/p>\n\u003cp>Advocates and some policymakers say the state has downplayed problems with children's care and not provided adequate data to help evaluate and improve services. They say officials have traditionally paid more attention to Medi-Cal's more costly adult population.\u003c/p>\n\u003cp>\"When you have half of all of California's children in Medi-Cal, it's essential that the state keeps its promises to children that they can get access to the care that they need. This is our future,\" said state Sen. Richard Pan, D-Sacramento, a pediatrician who has been pushing the agency to provide better data on children's care.\u003c/p>\n\u003cp>State officials say they are working to improve access to care for children but do not see widespread problems or a need to raise reimbursement rates.\u003c/p>\n\u003cp>\"At this time, we feel the rates are sufficient,\" said Anastasia Dodson, associate director of policy at the California Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>Over the past two years, Medi-Cal absorbed about 750,000 children when California eliminated its Healthy Families child health insurance program, which was aimed at working families with higher incomes than the Medi-Cal population. An additional 232,000 children joined with the expansion of Medi-Cal under the Affordable Care Act, according to a spokesman for the health care services department.\u003c/p>\n\u003cp>Nearly all of these children are enrolled in managed care plans, which pay a fixed monthly rate per patient in an effort to save money and streamline care. Most families pay small monthly premiums for each child depending on income.\u003c/p>\n\u003cp>The transition from Healthy Families, which generally \u003ca title=\"http://www.californiahealthline.org/insight/2013/as-healthy-families-shift-goes-so-goes-rural-expansion-of-medical-managed-care\" href=\"http://www.californiahealthline.org/insight/2013/as-healthy-families-shift-goes-so-goes-rural-expansion-of-medical-managed-care\" target=\"_blank\">paid higher rates to doctors,\u003c/a> saved about $39 million in the 2013-2014 budget year, said Dodson, less than the agency's initial estimate of $52 million. (Overall, the Medi-Cal budget is projected to be $95.4 billion in 2015-2016.)\u003c/p>\n\u003cp>\u003cstrong>Some See Long Waits for Care\u003c/strong>\u003c/p>\n\u003cp>The transition went smoothly for many families, but had its share of serious challenges.\u003c/p>\n\u003cp>Some children lost access to critical services, such as autism behavioral therapies, that had been previously covered by Healthy Families. The autism services were eventually restored, but advocates faulted the Department of Health Care Services for being slow to react, and families are still dealing with the fallout of trying to regain services for their children.\u003c/p>\n\u003cp>Glaiza Santiago of San Jose lost autism therapy for her 6-year-old son, Ernesto, for about a year after her children were transferred from Healthy Families to Medi-Cal. Only after filing complaints with her managed care plan, Santa Clara Family Health Plan, and the Department of Health Care Services was she able to get Ernesto reevaluated so that his therapy could resume.\u003c/p>\n\u003cp>\"It's just been a battle to get him therapy and the other things that he needs,\" said Santiago, who has two other young children and is studying to become a medical assistant. \"I felt so helpless…I never realized it would be that hard. I never had problems before.\"\u003c/p>\n\u003cp>Other families have experienced long waits for care, particularly dental services.\u003c/p>\n\u003cp>Diana Vega, an elementary school teacher in San Pablo, has mixed feelings about her three children's experience with Medi-Cal managed care. She appreciates that her premiums to participate in the program have declined by about 25 percent since switching from Healthy Families; her kids also were able to keep their pediatrician.\u003c/p>\n\u003cp>Like Santiago, she had trouble restoring therapy services for her son, diagnosed with autism and Prader-Willi syndrome, a genetic condition that weakens muscles. But she also was taken aback by how much more difficult it was to get eyeglasses and dental care.\u003c/p>\n\u003cp>After waiting nearly eight months for an appointment with a dentist who would accept her children's Denti-Cal insurance, Vega said, the dentist said the insurance would not pay for him to fill a small cavity in her daughter's mouth because it wasn't yet \"visible to the eye.\" So Vega purchased a separate dental insurance policy for her children and abandoned Denti-Cal.\u003c/p>\n\u003cp>Medi-Cal's dental services have drawn particular criticism, including\u003ca title=\"https://www.auditor.ca.gov/reports/summary/2013-125\" href=\"https://www.auditor.ca.gov/reports/summary/2013-125\" target=\"_blank\"> a state audit\u003c/a> released in December that found that dental services had been provided to less than half of the program's children, mostly because so few dentists were willing to accept the low reimbursement rates.\u003c/p>\n\u003cp>Dodson of the health care services department said that families can call a telephone service center (800-322-6384) when they are having problems finding a dentist or a timely appointment with any provider, and the state is working to recruit new dentists willing to accept new Denti-Cal patients.\u003c/p>\n\u003cp>Dodson said her agency regularly monitors the networks of Medi-Cal managed care plans to ensure there are enough doctors to care for patients and that she has not heard of widespread problems for children who need specialty care. Efforts are underway statewide to increase the number of doctors willing to accept Medi-Cal patients, particularly in Riverside and San Bernardino counties, where the Inland Empire Health Plan is \u003ca title=\"https://ww2.iehp.org/en/providers/join-our-provider-team/network-expansion-fund/~/media/Provider%20Services/Become%20and%20IEHP%20Provider/How%20do%20I%20Join%20the%20IEHP%20Provider%20Team/Network%20Expansion%20Fund/Provider%20Network%20Expansion%20Program%20Description.pdf\" href=\"https://ww2.iehp.org/en/providers/join-our-provider-team/network-expansion-fund/~/media/Provider%20Services/Become%20and%20IEHP%20Provider/How%20do%20I%20Join%20the%20IEHP%20Provider%20Team/Network%20Expansion%20Fund/Provider%20Network%20Expansion%20Program%20Description.pdf\" target=\"_blank\">offering physicians bonuses\u003c/a> of up to $100,000 to treat its members.\u003c/p>\n\u003cp>The agency also is working with a new committee of experts, the Medi-Cal Children’s Health Advisory Panel, to develop better pediatric data that will help identify any gaps in care, she said.\u003c/p>\n\u003cp>At the panel's first meeting in January, Sen. Pan, who pushed legislation to create the panel – \u003ca title=\"http://www.californiahealthline.org/capitol-desk/2014/7/health-agency-opposes-bill-to-create-childrens-medical-advisory-panel\" href=\"http://www.californiahealthline.org/capitol-desk/2014/7/health-agency-opposes-bill-to-create-childrens-medical-advisory-panel\" target=\"_blank\">against the Department of Health Care Services' wishes\u003c/a> – cast the stakes for the committee's work in stark terms:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"When you're covering half of California's children, it's hardly 'those kids' anymore,” he said. “It's all our kids.'\"\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/23685/half-of-californias-children-now-covered-by-medi-cal",
"authors": [
"8344"
],
"categories": [
"stateofhealth_15"
],
"tags": [
"stateofhealth_96",
"stateofhealth_99"
],
"featImg": "stateofhealth_23688",
"label": "stateofhealth"
},
"stateofhealth_23634": {
"type": "posts",
"id": "stateofhealth_23634",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "23634",
"score": null,
"sort": [
1422466049000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1422466049,
"format": "aside",
"disqusTitle": "Call the Midwife: A Home Birth Story",
"title": "Call the Midwife: A Home Birth Story",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_23671\" class=\"wp-caption aligncenter\" style=\"max-width: 632px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM.png\">\u003cimg class=\"size-full wp-image-23671\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM.png\" alt=\"The author's wife, Pippa, and their daughter, Caitlin, who was born at home, in 1982. (Courtesy: Nick Allen)\" width=\"632\" height=\"568\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM.png 632w, https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-400x359.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-320x288.png 320w\" sizes=\"(max-width: 632px) 100vw, 632px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The author's wife, Pippa, and their daughter, Caitlin, who was born at home, in 1982. (Courtesy: Nick Allen)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Stephen Talbot\u003c/strong>\u003c/p>\n\u003cp>My wife, Pippa, gave birth like a giraffe, standing up.\u003c/p>\n\u003cp>I was astonished. This wasn’t quite the nativity scene I’d imagined. Then again, I should not have been too shocked. Pippa grew up in South Africa, she’s very keen on giraffes, and she likes doing things unconventionally.\u003c/p>\n\u003cp>I should also mention that this was happening at home, in our bedroom, in the middle of the night, and that no one else was around. Except for our two-year-old son asleep in another room.\u003c/p>\n\u003cp>Not to worry. Women have been giving birth in their homes, in their own fashion, for centuries, right? Well, actually, not so much these days, at least not in this country. A mere \u003ca title=\"http://www.cdc.gov/nchs/data/databriefs/db144.htm\" href=\"http://www.cdc.gov/nchs/data/databriefs/db144.htm\" target=\"_blank\">1.36 percent of births in the United States\u003c/a> in 2012 took place outside a hospital.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But this was 1982; we lived in a more freewheeling San Francisco, and home births with midwives were not so rare. In fact, our son Dashiell had been born in the very same bedroom, in then funky Bernal Heights, ushered into the world by his mother and a full cast of attendants. Led by a very experienced (if unlicensed) midwife, the birth team included her assistant, her back-up doctor complete with a traveling medical kit and oxygen tank, and three other doctors, all women, who happened to be relatives or close friends. I even had a bit role as a labor coach. There was little need for this full entourage, but it was reassuring.\u003c/p>\n\u003cp>Dash was three weeks past his due date — these days two weeks is the usual maximum before labor is induced. But Pippa had been intent on a home delivery and at the last possible moment, after a spicy dinner and some strong tea, she went into labor. With the midwife’s expert help, all went well. In just under three hours, from start to finish, our son slid into the world in that small room full of people.\u003c/p>\n\u003cp>This time, however, the room was empty, except for Pippa, me and our rapidly approaching second child. My only reassuring thought was that I’d been through this before, and I hadn’t passed out.\u003c/p>\n\u003cp>Frankly, I would have opted for a hospital delivery, but I wasn’t the one having the baby.\u003c/p>\n\u003cp>Pippa had been born at home in Johannesburg, and in those days, especially for a privileged family, the doctor came to you. Even though Pippa was a social worker in a San Francisco medical clinic, she still preferred to avoid hospitals unless absolutely necessary. For a pregnant American, this attitude was considered rebellious, even ill-advised. And the U.S. medical establishment still discourages home birth.\u003c/p>\n\u003cp>But the British national health service \u003ca title=\"http://www.nytimes.com/2014/12/04/world/british-regulator-urges-home-births-over-hospitals-for-uncomplicated-pregnancies.html\" href=\"http://www.nytimes.com/2014/12/04/world/british-regulator-urges-home-births-over-hospitals-for-uncomplicated-pregnancies.html\" target=\"_blank\">now agrees\u003c/a> with Pippa, declaring late last year that it’s safer in the UK for healthy women with uncomplicated pregnancies to give birth at home or in a birthing clinic than in a hospital. Naturally, “\u003ca title=\"http://www.kqed.org/tv/programs/archive/index.jsp?pgmid=20957\" href=\"http://www.kqed.org/tv/programs/archive/index.jsp?pgmid=20957\" target=\"_blank\">Call the Midwife\u003c/a>” on KQED is one of Pippa’s favorite British import shows.\u003c/p>\n\u003cp>For this second pregnancy, Pippa had chosen a team of licensed midwives affiliated with a local San Francisco hospital.\u003c/p>\n\u003cp>When her first labor cramps woke her around midnight, she promptly called the midwife on duty. They timed the contractions over the phone. The midwife advised her to take a warm bath to slow down the labor and give her a call later.\u003c/p>\n\u003cp>Pippa drew the bath and I started vacuuming. It’s a habit I picked up from my mother. She vacuumed with great vigor before any major event at home. It’s the one household chore I’ve never minded. It's something about operating machinery and making myself useful. Very appealing.\u003c/p>\n\u003cp>But before I could finish the carpeting in our living room, Pippa emerged — starkers — from the bath, saying, “Bloody hell, this baby won’t wait.” Wrapping herself in a robe, grabbing the phone, she notified the midwife, “This is it, ready or not.”\u003c/p>\n\u003cp>I was not feeling quite so ready myself. The midwife was now on her way, but she lived in Marin County, north of the Golden Gate Bridge. She wouldn't be here anytime soon. I encouraged Pippa to relax. But as the contractions came stronger and faster, relaxation was not much of an option. With mounting anxiety, I called the nearest doctor I could think of, our friend Kathy, who lived in our neighborhood. She’s a gerontologist, but at that moment I was not particularly picky.\u003c/p>\n\u003cp>Pippa began pacing, insisting that our child’s arrival was imminent. I implored her to hold back. She informed me this was no longer possible. A brief “I Love Lucy” scene ensued in which I kept yelling, “Not yet!” and Pippa kept moaning, “Yes, now.” Then she pressed her hands against the wall and pushed and I saw the undeniable validity of her argument. Our child’s head was emerging.\u003c/p>\n\u003cp>In a flash, she was born. I had just enough sense to reach over and let her slide out into my hands. It was a basket catch, Willie Mays-style. She was slippery, and she was blue. Wrong color, I thought. I stuck my finger in her little mouth, she gagged, coughed, and instantly turned a proper pink. I was euphoric with relief.\u003c/p>\n\u003cp>The doorbell rang. I handed our gurgling baby to her joyous, exhausted mother, and raced downstairs to admit a breathless Kathy. Upstairs, she quickly ascertained that everyone was alive and breathing and apparently healthy. She started to ask how this happened, but I interrupted to ask, “Aren’t we supposed to cut the umbilical cord?”\u003c/p>\n\u003cp>Scissors were promptly sterilized in boiling water; the deed was done.\u003c/p>\n\u003cp>The next hour or so passed in a daze, but we were all smiling now, temporarily delirious, as this newborn child, Caitlin, began to nurse. By dawn the house was full of relatives and friends, including the midwife who, apologizing for her late arrival, made certain all was well. It had been chaotic, but successful. A delivery in less than an hour. Mother and daughter doing fine.\u003c/p>\n\u003cp>When he awoke, our son Dash walked out of his room, saw all the people, yawned, and wondered aloud, “What’s happening?”\u003c/p>\n\u003cp>“You have a baby sister,” I said, “born right here at home.” And he wandered into our bedroom to see for himself.\u003c/p>\n\u003cp>Caitlin was not the only baby born at home in San Francisco that year. But over time, Pippa and I noticed that home births were going out of fashion. Our own son and his wife chose to have their first baby last year in a hospital in Santa Monica, where they were very happy with the way things went. Deliveries at home or in birthing clinics aren’t for everyone.\u003c/p>\n\u003cp>But now, 30 years after the home birth of my daughter, and after much debate over the soaring frequency of hospital C-sections, I wonder if this \u003ca title=\"http://www.nice.org.uk/guidance/CG190\" href=\"http://www.nice.org.uk/guidance/CG190\" target=\"_blank\">new endorsement by British medical authorities\u003c/a> of non-hospital births will lead to a resurgence in midwifery, even in the U.S.\u003c/p>\n\u003cp>My advice to prospective parents? Hospital or not, just in case, be prepared to handle that delivery yourselves.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Stephen Talbot was a staff reporter and producer at KQED from 1980-89. He has written and produced over 40 documentaries for public television, including the PBS series FRONTLINE and his music show, SOUND TRACKS. He’s a proud new grandfather.\u003c/em>\u003c/p>\n\n",
"disqusIdentifier": "23634 http://blogs.kqed.org/stateofhealth/?p=23634",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2015/01/28/call-the-midwife-a-home-birth-story/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1304,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 29
},
"modified": 1422669655,
"excerpt": "My wife, Pippa, gave birth like a giraffe, standing up. I should also mention that this was happening at home.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "My wife, Pippa, gave birth like a giraffe, standing up. I should also mention that this was happening at home.",
"title": "Call the Midwife: A Home Birth Story | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Call the Midwife: A Home Birth Story",
"datePublished": "2015-01-28T09:27:29-08:00",
"dateModified": "2015-01-30T18:00:55-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "call-the-midwife-a-home-birth-story",
"status": "publish",
"path": "/stateofhealth/23634/call-the-midwife-a-home-birth-story",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23671\" class=\"wp-caption aligncenter\" style=\"max-width: 632px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM.png\">\u003cimg class=\"size-full wp-image-23671\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM.png\" alt=\"The author's wife, Pippa, and their daughter, Caitlin, who was born at home, in 1982. (Courtesy: Nick Allen)\" width=\"632\" height=\"568\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM.png 632w, https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-400x359.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/01/Screen-Shot-2015-01-27-at-5.09.55-PM-320x288.png 320w\" sizes=\"(max-width: 632px) 100vw, 632px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The author's wife, Pippa, and their daughter, Caitlin, who was born at home, in 1982. (Courtesy: Nick Allen)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Stephen Talbot\u003c/strong>\u003c/p>\n\u003cp>My wife, Pippa, gave birth like a giraffe, standing up.\u003c/p>\n\u003cp>I was astonished. This wasn’t quite the nativity scene I’d imagined. Then again, I should not have been too shocked. Pippa grew up in South Africa, she’s very keen on giraffes, and she likes doing things unconventionally.\u003c/p>\n\u003cp>I should also mention that this was happening at home, in our bedroom, in the middle of the night, and that no one else was around. Except for our two-year-old son asleep in another room.\u003c/p>\n\u003cp>Not to worry. Women have been giving birth in their homes, in their own fashion, for centuries, right? Well, actually, not so much these days, at least not in this country. A mere \u003ca title=\"http://www.cdc.gov/nchs/data/databriefs/db144.htm\" href=\"http://www.cdc.gov/nchs/data/databriefs/db144.htm\" target=\"_blank\">1.36 percent of births in the United States\u003c/a> in 2012 took place outside a hospital.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But this was 1982; we lived in a more freewheeling San Francisco, and home births with midwives were not so rare. In fact, our son Dashiell had been born in the very same bedroom, in then funky Bernal Heights, ushered into the world by his mother and a full cast of attendants. Led by a very experienced (if unlicensed) midwife, the birth team included her assistant, her back-up doctor complete with a traveling medical kit and oxygen tank, and three other doctors, all women, who happened to be relatives or close friends. I even had a bit role as a labor coach. There was little need for this full entourage, but it was reassuring.\u003c/p>\n\u003cp>Dash was three weeks past his due date — these days two weeks is the usual maximum before labor is induced. But Pippa had been intent on a home delivery and at the last possible moment, after a spicy dinner and some strong tea, she went into labor. With the midwife’s expert help, all went well. In just under three hours, from start to finish, our son slid into the world in that small room full of people.\u003c/p>\n\u003cp>This time, however, the room was empty, except for Pippa, me and our rapidly approaching second child. My only reassuring thought was that I’d been through this before, and I hadn’t passed out.\u003c/p>\n\u003cp>Frankly, I would have opted for a hospital delivery, but I wasn’t the one having the baby.\u003c/p>\n\u003cp>Pippa had been born at home in Johannesburg, and in those days, especially for a privileged family, the doctor came to you. Even though Pippa was a social worker in a San Francisco medical clinic, she still preferred to avoid hospitals unless absolutely necessary. For a pregnant American, this attitude was considered rebellious, even ill-advised. And the U.S. medical establishment still discourages home birth.\u003c/p>\n\u003cp>But the British national health service \u003ca title=\"http://www.nytimes.com/2014/12/04/world/british-regulator-urges-home-births-over-hospitals-for-uncomplicated-pregnancies.html\" href=\"http://www.nytimes.com/2014/12/04/world/british-regulator-urges-home-births-over-hospitals-for-uncomplicated-pregnancies.html\" target=\"_blank\">now agrees\u003c/a> with Pippa, declaring late last year that it’s safer in the UK for healthy women with uncomplicated pregnancies to give birth at home or in a birthing clinic than in a hospital. Naturally, “\u003ca title=\"http://www.kqed.org/tv/programs/archive/index.jsp?pgmid=20957\" href=\"http://www.kqed.org/tv/programs/archive/index.jsp?pgmid=20957\" target=\"_blank\">Call the Midwife\u003c/a>” on KQED is one of Pippa’s favorite British import shows.\u003c/p>\n\u003cp>For this second pregnancy, Pippa had chosen a team of licensed midwives affiliated with a local San Francisco hospital.\u003c/p>\n\u003cp>When her first labor cramps woke her around midnight, she promptly called the midwife on duty. They timed the contractions over the phone. The midwife advised her to take a warm bath to slow down the labor and give her a call later.\u003c/p>\n\u003cp>Pippa drew the bath and I started vacuuming. It’s a habit I picked up from my mother. She vacuumed with great vigor before any major event at home. It’s the one household chore I’ve never minded. It's something about operating machinery and making myself useful. Very appealing.\u003c/p>\n\u003cp>But before I could finish the carpeting in our living room, Pippa emerged — starkers — from the bath, saying, “Bloody hell, this baby won’t wait.” Wrapping herself in a robe, grabbing the phone, she notified the midwife, “This is it, ready or not.”\u003c/p>\n\u003cp>I was not feeling quite so ready myself. The midwife was now on her way, but she lived in Marin County, north of the Golden Gate Bridge. She wouldn't be here anytime soon. I encouraged Pippa to relax. But as the contractions came stronger and faster, relaxation was not much of an option. With mounting anxiety, I called the nearest doctor I could think of, our friend Kathy, who lived in our neighborhood. She’s a gerontologist, but at that moment I was not particularly picky.\u003c/p>\n\u003cp>Pippa began pacing, insisting that our child’s arrival was imminent. I implored her to hold back. She informed me this was no longer possible. A brief “I Love Lucy” scene ensued in which I kept yelling, “Not yet!” and Pippa kept moaning, “Yes, now.” Then she pressed her hands against the wall and pushed and I saw the undeniable validity of her argument. Our child’s head was emerging.\u003c/p>\n\u003cp>In a flash, she was born. I had just enough sense to reach over and let her slide out into my hands. It was a basket catch, Willie Mays-style. She was slippery, and she was blue. Wrong color, I thought. I stuck my finger in her little mouth, she gagged, coughed, and instantly turned a proper pink. I was euphoric with relief.\u003c/p>\n\u003cp>The doorbell rang. I handed our gurgling baby to her joyous, exhausted mother, and raced downstairs to admit a breathless Kathy. Upstairs, she quickly ascertained that everyone was alive and breathing and apparently healthy. She started to ask how this happened, but I interrupted to ask, “Aren’t we supposed to cut the umbilical cord?”\u003c/p>\n\u003cp>Scissors were promptly sterilized in boiling water; the deed was done.\u003c/p>\n\u003cp>The next hour or so passed in a daze, but we were all smiling now, temporarily delirious, as this newborn child, Caitlin, began to nurse. By dawn the house was full of relatives and friends, including the midwife who, apologizing for her late arrival, made certain all was well. It had been chaotic, but successful. A delivery in less than an hour. Mother and daughter doing fine.\u003c/p>\n\u003cp>When he awoke, our son Dash walked out of his room, saw all the people, yawned, and wondered aloud, “What’s happening?”\u003c/p>\n\u003cp>“You have a baby sister,” I said, “born right here at home.” And he wandered into our bedroom to see for himself.\u003c/p>\n\u003cp>Caitlin was not the only baby born at home in San Francisco that year. But over time, Pippa and I noticed that home births were going out of fashion. Our own son and his wife chose to have their first baby last year in a hospital in Santa Monica, where they were very happy with the way things went. Deliveries at home or in birthing clinics aren’t for everyone.\u003c/p>\n\u003cp>But now, 30 years after the home birth of my daughter, and after much debate over the soaring frequency of hospital C-sections, I wonder if this \u003ca title=\"http://www.nice.org.uk/guidance/CG190\" href=\"http://www.nice.org.uk/guidance/CG190\" target=\"_blank\">new endorsement by British medical authorities\u003c/a> of non-hospital births will lead to a resurgence in midwifery, even in the U.S.\u003c/p>\n\u003cp>My advice to prospective parents? Hospital or not, just in case, be prepared to handle that delivery yourselves.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Stephen Talbot was a staff reporter and producer at KQED from 1980-89. He has written and produced over 40 documentaries for public television, including the PBS series FRONTLINE and his music show, SOUND TRACKS. He’s a proud new grandfather.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/23634/call-the-midwife-a-home-birth-story",
"authors": [
"8344"
],
"categories": [
"stateofhealth_11",
"stateofhealth_12"
],
"tags": [
"stateofhealth_96",
"stateofhealth_349",
"stateofhealth_397"
],
"featImg": "stateofhealth_23671",
"label": "stateofhealth"
},
"stateofhealth_23312": {
"type": "posts",
"id": "stateofhealth_23312",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "23312",
"score": null,
"sort": [
1420487051000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1420487051,
"format": "aside",
"disqusTitle": "Children Need Rest After A Concussion, But How Much?",
"title": "Children Need Rest After A Concussion, But How Much?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_23318\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531.jpg\">\u003cimg class=\"size-large wp-image-23318\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000015443371_Large-640x419.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"419\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Every parent must balance the thrill of watching a child excel at a favorite sport with the fear that competition brings the risk of serious injury. That fear gripped my sister last year, when my nephew, then 10-years-old, played back-to-back soccer games against two rough teams.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Strict rest seemed to provide no additional benefit and even had some unintended consequences.\u003c/aside>\n\u003cp>After a solid blow sent him tumbling to the ground in the first game, he took several hard hits in the second, including a nasty elbow to the back of the head as he tried to get up. Feeling dizzy, he raised his hand to leave the game, a first for him. He sat out the remainder of the game and felt lousy the rest the day.\u003c/p>\n\u003cp>Thankfully, my nephew quickly recovered without more serious symptoms. But each year \u003ca title=\"http://www.cdc.gov/concussion/sports/facts.html\" href=\"http://www.cdc.gov/concussion/sports/facts.html\" target=\"_blank\">over 173,000 children 19 and under\u003c/a> suffer sports-related traumatic brain injuries, including concussions.\u003c/p>\n\u003cp>\u003ca title=\"http://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Concussions.aspx\" href=\"http://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Concussions.aspx\" target=\"_blank\">Treating a concussion\u003c/a> calls for resting body and mind until acute symptoms such as headache, dizziness and concentration troubles fade, and then allowing a gradual return to normal activities. Some children must avoid all activity -- including computer time and even reading.\u003c!--more-->\u003c/p>\n\u003cp>While this approach is widely embraced, evidence evaluating the effect of rest \u003ca title=\"http://bjsm.bmj.com/content/47/5/250.long\" href=\"http://bjsm.bmj.com/content/47/5/250.long\" target=\"_blank\">is limited\u003c/a>. Right now, no one can really say how much rest and what type of rest is optimal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Researchers at the Medical College of Wisconsin sought to bridge that data gap in \u003ca title=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" href=\"//pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" target=\"_blank\">a randomized trial\u003c/a> of young concussion patients published in the journal Pediatrics on Monday.\u003c/p>\n\u003cp>The study followed 88 children between the ages of 11 and 22 for 10 days after they were discharged from the emergency room with prescriptions for either “strict” or “usual” rest. Those in the strict rest group were told to avoid school, work and physical activity for five days, followed by a gradual return to activity. The usual care group received whatever instructions their doctors deemed appropriate. Based on a survey of doctors at the hospital, the authors assumed this \"usual\" care was one to two days’ rest with a gradual return to activity once symptoms disappeared.\u003c/p>\n\u003cp>The majority of children in both groups improved within the study period, in keeping with evidence that \u003ca title=\"http://www.nrl.com/portals/nrl/RadEditor/Documents/ConcussioninSport.pdf\" href=\"http://www.nrl.com/portals/nrl/RadEditor/Documents/ConcussioninSport.pdf\" target=\"_blank\">most concussions resolve\u003c/a> within a week to 10 days. But to the authors’ surprise, strict rest seemed to provide no additional benefit and even had some unintended consequences. Children on strict rest complained of more symptoms, primarily headaches, than those given so-called usual care.\u003c/p>\n\u003cp>Children confined for five days also reported more emotional symptoms, such as irritability, nervousness and sadness, says Danny Thomas, an assistant professor of pediatrics at the Medical College of Wisconsin who led the study. Thomas thinks the extra time at home might have given kids a chance to fixate on their symptoms.\u003c/p>\n\u003cp>“It’s like having a cavity that bothers you most at nighttime when you’re trying to sleep and have no distractions,” he says.\u003c/p>\n\u003cp>There’s no question that some rest is critical, and preventing kids from getting injured again is even more important for recovery, Thomas says. “But locking kids in their room and taking away their iPad is probably not going to make them better faster.”\u003c/p>\n\u003cp>Still, the study is small and, for some researchers, raises additional questions.\u003c/p>\n\u003cp>Robert Cantu, director of Sports Medicine at Emerson Hospital in Concord, Massachusetts, isn’t convinced that the study shows that strict rest offers no additional benefit. One problem, Cantu says, is that “usual care” could be very similar to strict rest.\u003c/p>\n\u003cp>When symptoms clear, doctors typically send a child back to school, Cantu says. But if a child still has significant symptoms after a few days’ rest, it’s typical to call for more rest. “You’d need to see more details about how activity differed in these two groups to say there truly wasn’t a difference,” Cantu says. And because about 80 percent of cases get better on their own, he says, you’d need much higher numbers to detect a statistical difference between the two strategies.\u003c/p>\n\u003cp>Though larger study groups are always better, a bigger concern is the age difference among the participants, says David Hovda, director of the Brain Injury Research Center at the University of California, Los Angeles.\u003c/p>\n\u003cp>“The human brain doesn’t reach maturity in terms of chemistry and metabolism until well after 20 years of age,” Hovda says. Since all of the children were in different phases of brain development, it’s hard to compare even those children who were in the same rest groups. He’d like to see a follow-up study in a smaller age group, say, high school football players or 16- and 17-year-olds.\u003c/p>\n\u003cp>Still, Hovda is intrigued by the main finding that forcing children to rest beyond a few days appears to offer no benefit. It’s likely that restricting all activity stresses them out so much that it complicates recovery, he says. Whatever the explanation, he would like to see much more research in this area.\u003c/p>\n\u003cp>In\u003ca title=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" href=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" target=\"_blank\"> a commentary\u003c/a> that accompanies the study, William Meehan and Richard Bachur, doctors at Boston Children’s Hospital, said that optimal rest periods will likely vary based on multiple factors, including the child’s age and gender as well as the severity of symptoms. Based on existing evidence, they conclude, a recommendation of reasonable rest for the first few days after a concussion, followed by a gradual resumption of cognitive activities and exercise – provided it carries no risk of additional head trauma -- seems prudent.\u003c/p>\n\u003cp>There may be no absolute rule for when to let your child resume regular activities following a concussion, but no one disputes that \u003ca title=\"http://www.momsteam.com/team-of-experts/no-return-to-play-in-same-game-after-suffering-concussion-for-youth-athletes-says-dr\" href=\"http://www.momsteam.com/team-of-experts/no-return-to-play-in-same-game-after-suffering-concussion-for-youth-athletes-says-dr\" target=\"_blank\">returning to play in the same game\u003c/a> risks a far more severe brain injury. My nephew didn’t like sitting out the rest of a competitive game. But he and his coaches made a good call. This year, he played every game – including the last game of the fall season, when \u003ca title=\"http://www.wcsc.org/node/890\" href=\"http://www.wcsc.org/node/890\" target=\"_blank\">his team finished \u003c/a>first in their division.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003ca title=\"http://blogs.kqed.org/science/author/lizagross/\" href=\"http://blogs.kqed.org/science/author/lizagross/\" target=\"_blank\">Liza Gross\u003c/a> is a freelance science writer and senior editor at the biomedical journal PLOS Biology. \u003c/em>\u003c/p>\n\n",
"disqusIdentifier": "23312 http://blogs.kqed.org/stateofhealth/?p=23312",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2015/01/05/children-need-rest-after-a-concussion-but-how-much/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1065,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 22
},
"modified": 1445377538,
"excerpt": "Having a child with a concussion be completely inactive for several days may actually slow down their recovery.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Having a child with a concussion be completely inactive for several days may actually slow down their recovery.",
"title": "Children Need Rest After A Concussion, But How Much? | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Children Need Rest After A Concussion, But How Much?",
"datePublished": "2015-01-05T11:44:11-08:00",
"dateModified": "2015-10-20T14:45:38-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "children-need-rest-after-a-concussion-but-how-much",
"status": "publish",
"path": "/stateofhealth/23312/children-need-rest-after-a-concussion-but-how-much",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23318\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531.jpg\">\u003cimg class=\"size-large wp-image-23318\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000015443371_Large-640x419.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"419\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Every parent must balance the thrill of watching a child excel at a favorite sport with the fear that competition brings the risk of serious injury. That fear gripped my sister last year, when my nephew, then 10-years-old, played back-to-back soccer games against two rough teams.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Strict rest seemed to provide no additional benefit and even had some unintended consequences.\u003c/aside>\n\u003cp>After a solid blow sent him tumbling to the ground in the first game, he took several hard hits in the second, including a nasty elbow to the back of the head as he tried to get up. Feeling dizzy, he raised his hand to leave the game, a first for him. He sat out the remainder of the game and felt lousy the rest the day.\u003c/p>\n\u003cp>Thankfully, my nephew quickly recovered without more serious symptoms. But each year \u003ca title=\"http://www.cdc.gov/concussion/sports/facts.html\" href=\"http://www.cdc.gov/concussion/sports/facts.html\" target=\"_blank\">over 173,000 children 19 and under\u003c/a> suffer sports-related traumatic brain injuries, including concussions.\u003c/p>\n\u003cp>\u003ca title=\"http://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Concussions.aspx\" href=\"http://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Concussions.aspx\" target=\"_blank\">Treating a concussion\u003c/a> calls for resting body and mind until acute symptoms such as headache, dizziness and concentration troubles fade, and then allowing a gradual return to normal activities. Some children must avoid all activity -- including computer time and even reading.\u003c!--more-->\u003c/p>\n\u003cp>While this approach is widely embraced, evidence evaluating the effect of rest \u003ca title=\"http://bjsm.bmj.com/content/47/5/250.long\" href=\"http://bjsm.bmj.com/content/47/5/250.long\" target=\"_blank\">is limited\u003c/a>. Right now, no one can really say how much rest and what type of rest is optimal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Researchers at the Medical College of Wisconsin sought to bridge that data gap in \u003ca title=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" href=\"//pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" target=\"_blank\">a randomized trial\u003c/a> of young concussion patients published in the journal Pediatrics on Monday.\u003c/p>\n\u003cp>The study followed 88 children between the ages of 11 and 22 for 10 days after they were discharged from the emergency room with prescriptions for either “strict” or “usual” rest. Those in the strict rest group were told to avoid school, work and physical activity for five days, followed by a gradual return to activity. The usual care group received whatever instructions their doctors deemed appropriate. Based on a survey of doctors at the hospital, the authors assumed this \"usual\" care was one to two days’ rest with a gradual return to activity once symptoms disappeared.\u003c/p>\n\u003cp>The majority of children in both groups improved within the study period, in keeping with evidence that \u003ca title=\"http://www.nrl.com/portals/nrl/RadEditor/Documents/ConcussioninSport.pdf\" href=\"http://www.nrl.com/portals/nrl/RadEditor/Documents/ConcussioninSport.pdf\" target=\"_blank\">most concussions resolve\u003c/a> within a week to 10 days. But to the authors’ surprise, strict rest seemed to provide no additional benefit and even had some unintended consequences. Children on strict rest complained of more symptoms, primarily headaches, than those given so-called usual care.\u003c/p>\n\u003cp>Children confined for five days also reported more emotional symptoms, such as irritability, nervousness and sadness, says Danny Thomas, an assistant professor of pediatrics at the Medical College of Wisconsin who led the study. Thomas thinks the extra time at home might have given kids a chance to fixate on their symptoms.\u003c/p>\n\u003cp>“It’s like having a cavity that bothers you most at nighttime when you’re trying to sleep and have no distractions,” he says.\u003c/p>\n\u003cp>There’s no question that some rest is critical, and preventing kids from getting injured again is even more important for recovery, Thomas says. “But locking kids in their room and taking away their iPad is probably not going to make them better faster.”\u003c/p>\n\u003cp>Still, the study is small and, for some researchers, raises additional questions.\u003c/p>\n\u003cp>Robert Cantu, director of Sports Medicine at Emerson Hospital in Concord, Massachusetts, isn’t convinced that the study shows that strict rest offers no additional benefit. One problem, Cantu says, is that “usual care” could be very similar to strict rest.\u003c/p>\n\u003cp>When symptoms clear, doctors typically send a child back to school, Cantu says. But if a child still has significant symptoms after a few days’ rest, it’s typical to call for more rest. “You’d need to see more details about how activity differed in these two groups to say there truly wasn’t a difference,” Cantu says. And because about 80 percent of cases get better on their own, he says, you’d need much higher numbers to detect a statistical difference between the two strategies.\u003c/p>\n\u003cp>Though larger study groups are always better, a bigger concern is the age difference among the participants, says David Hovda, director of the Brain Injury Research Center at the University of California, Los Angeles.\u003c/p>\n\u003cp>“The human brain doesn’t reach maturity in terms of chemistry and metabolism until well after 20 years of age,” Hovda says. Since all of the children were in different phases of brain development, it’s hard to compare even those children who were in the same rest groups. He’d like to see a follow-up study in a smaller age group, say, high school football players or 16- and 17-year-olds.\u003c/p>\n\u003cp>Still, Hovda is intrigued by the main finding that forcing children to rest beyond a few days appears to offer no benefit. It’s likely that restricting all activity stresses them out so much that it complicates recovery, he says. Whatever the explanation, he would like to see much more research in this area.\u003c/p>\n\u003cp>In\u003ca title=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" href=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" target=\"_blank\"> a commentary\u003c/a> that accompanies the study, William Meehan and Richard Bachur, doctors at Boston Children’s Hospital, said that optimal rest periods will likely vary based on multiple factors, including the child’s age and gender as well as the severity of symptoms. Based on existing evidence, they conclude, a recommendation of reasonable rest for the first few days after a concussion, followed by a gradual resumption of cognitive activities and exercise – provided it carries no risk of additional head trauma -- seems prudent.\u003c/p>\n\u003cp>There may be no absolute rule for when to let your child resume regular activities following a concussion, but no one disputes that \u003ca title=\"http://www.momsteam.com/team-of-experts/no-return-to-play-in-same-game-after-suffering-concussion-for-youth-athletes-says-dr\" href=\"http://www.momsteam.com/team-of-experts/no-return-to-play-in-same-game-after-suffering-concussion-for-youth-athletes-says-dr\" target=\"_blank\">returning to play in the same game\u003c/a> risks a far more severe brain injury. My nephew didn’t like sitting out the rest of a competitive game. But he and his coaches made a good call. This year, he played every game – including the last game of the fall season, when \u003ca title=\"http://www.wcsc.org/node/890\" href=\"http://www.wcsc.org/node/890\" target=\"_blank\">his team finished \u003c/a>first in their division.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca title=\"http://blogs.kqed.org/science/author/lizagross/\" href=\"http://blogs.kqed.org/science/author/lizagross/\" target=\"_blank\">Liza Gross\u003c/a> is a freelance science writer and senior editor at the biomedical journal PLOS Biology. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/23312/children-need-rest-after-a-concussion-but-how-much",
"authors": [
"6322"
],
"categories": [
"stateofhealth_12"
],
"tags": [
"stateofhealth_96"
],
"featImg": "stateofhealth_23318",
"label": "stateofhealth"
},
"stateofhealth_22395": {
"type": "posts",
"id": "stateofhealth_22395",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "22395",
"score": null,
"sort": [
1415297233000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1415297233,
"format": "aside",
"disqusTitle": "Study Shows Childhood Trauma a ‘Hidden Crisis’ Across California",
"title": "Study Shows Childhood Trauma a ‘Hidden Crisis’ Across California",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_22400\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876.jpg\">\u003cimg class=\"size-large wp-image-22400\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-640x473.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"473\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Sara Hossaini\u003c/strong>\u003c/p>\n\u003cp>A first-of-its kind report released Wednesday suggests Californians are facing a hidden public health crisis that stems from childhood trauma.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"People sometimes assume this is a low-income issue. This is everybody's burden.\" \u003c/aside>\n\u003cp>Researchers from the San Francisco-based Center for Youth Wellness and Public Health Institute in Oakland aim to shed light on how early adverse experiences, such as abuse, neglect, and household dysfunction -- including divorce and parental incarceration -- might impact a child's health for a lifetime.\u003c/p>\n\u003cp>Dr. Nadine Burke Harris is a pediatrician and founder of the Center for Youth Wellness. She says\u003ca title=\"https://chronicleofsocialchange.org/xpanel/wp-content/uploads/2014/11/Embrgoed_CYW_HiddenCrisis_Report_1014.pdf\" href=\"https://chronicleofsocialchange.org/xpanel/wp-content/uploads/2014/11/Embrgoed_CYW_HiddenCrisis_Report_1014.pdf\" target=\"_blank\"> the study \u003c/a>looked at data from more than 27,000 surveys conducted by the\u003ca title=\"http://www.cdph.ca.gov/data/surveys/Pages/BRFSS.aspx\" href=\"http://www.cdph.ca.gov/data/surveys/Pages/BRFSS.aspx\" target=\"_blank\"> California Behavioral Risk Factor Surveillance System\u003c/a> over four years between 2008 and 2013. \u003c!--more-->\u003c/p>\n\u003cp>She says the results surprised even her. For starters, so-called \u003ca title=\"http://www.cdc.gov/violenceprevention/acestudy/\" href=\"http://www.cdc.gov/violenceprevention/acestudy/\" target=\"_blank\">adverse childhood experiences, or ACEs\u003c/a>, are common across race, income, education and geography. Nearly 62 percent of Californians reported at least one traumatic childhood event, and one in six had experienced four or more. People in the northern rural counties of Humboldt and Butte reported the most ACEs. The lowest numbers came from Santa Clara and San Mateo counties, where just over half of respondents reported such experiences.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"People sometimes assume this is a low-income issue,\" says Burke Harris, \"This is everybody's burden, every taxpayer.\"\u003c/p>\n\u003cp>In part, she says this is because traumatic childhood experiences can make a child's natural response to stress go haywire and cause lasting damage. This is known as childhood toxic stress, a concept Burke Harris says has just begun to gain traction over the past five years.\u003c/p>\n\u003cp>\"Toxic stress affects the entire developmental trajectory of the child,\" Burke Harris says, \"the changes to your DNA, the changes to your hormonal systems, as well as the changes to your immune system and neuro-development.\"\u003c/p>\n\u003cp>High doses of such adversity increase risk of chronic diseases, heart disease, asthma, even Alzheimer's disease. People with four or more ACEs are poorer, less likely to get a college degree and are nearly 40 percent more likely to be unemployed later in life.\u003c/p>\n\u003cp>The term \"ACEs\" was first coined in the late 1990s after Vincent Felitti of Kaiser in conjunction with a Centers for Disease Control researchers \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/9635069?dopt=Abstract\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/9635069?dopt=Abstract\" target=\"_blank\">published the original ACEs study\u003c/a>. But that study was in Kaiser members who were overwhelmingly caucasian and most had a college education. The \"Hidden Crisis\" report is the first to use sample size more representative of the demographics of California, Marta Induni, research director at the Public Health Institute, told the \u003ca title=\"https://chronicleofsocialchange.org/news/new-study-childhood-trauma-a-california-public-health-crisis/8521\" href=\"https://chronicleofsocialchange.org/news/new-study-childhood-trauma-a-california-public-health-crisis/8521\" target=\"_blank\">Chronicle of Social Change\u003c/a>.\u003c/p>\n\u003cp>Burke Harris is hopeful that momentum around early interventions will save lives and money. She's calling for ACE training for physicians, in-home screenings, and what she calls the gold standard: two-generational services that includes both parents and children, like that utilized by University of California San Francisco's Infant Parent Program and Child Trauma Research Program.\u003c/p>\n\u003cp>\"Where a child has a high ACE score, often times you have a parent with high ACE score and that often predisposes for the conditions the child is in,\" says Burke Harris, With two-generational services, \"we're seeing improved school functioning, and a reduction in chronic disease outcomes, like asthma hospitalizations, et cetera.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Burke Harris says more research is needed on the impact of other types of negative childhood experiences that the original surveys did not consider, including bullying, racism and community violence.\u003c/p>\n\n",
"disqusIdentifier": "22395 http://blogs.kqed.org/stateofhealth/?p=22395",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/11/06/study-shows-childhood-trauma-a-hidden-crisis-across-california/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 586,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 15
},
"modified": 1415641786,
"excerpt": "Nearly 62 percent of Californians reported at least one traumatic childhood event. ",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Nearly 62 percent of Californians reported at least one traumatic childhood event. ",
"title": "Study Shows Childhood Trauma a ‘Hidden Crisis’ Across California | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Study Shows Childhood Trauma a ‘Hidden Crisis’ Across California",
"datePublished": "2014-11-06T10:07:13-08:00",
"dateModified": "2014-11-10T09:49:46-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "study-shows-childhood-trauma-a-hidden-crisis-across-california",
"status": "publish",
"path": "/stateofhealth/22395/study-shows-childhood-trauma-a-hidden-crisis-across-california",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22400\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-e1415297090876.jpg\">\u003cimg class=\"size-large wp-image-22400\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000011627266_LargeCROP-640x473.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"473\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Sara Hossaini\u003c/strong>\u003c/p>\n\u003cp>A first-of-its kind report released Wednesday suggests Californians are facing a hidden public health crisis that stems from childhood trauma.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"People sometimes assume this is a low-income issue. This is everybody's burden.\" \u003c/aside>\n\u003cp>Researchers from the San Francisco-based Center for Youth Wellness and Public Health Institute in Oakland aim to shed light on how early adverse experiences, such as abuse, neglect, and household dysfunction -- including divorce and parental incarceration -- might impact a child's health for a lifetime.\u003c/p>\n\u003cp>Dr. Nadine Burke Harris is a pediatrician and founder of the Center for Youth Wellness. She says\u003ca title=\"https://chronicleofsocialchange.org/xpanel/wp-content/uploads/2014/11/Embrgoed_CYW_HiddenCrisis_Report_1014.pdf\" href=\"https://chronicleofsocialchange.org/xpanel/wp-content/uploads/2014/11/Embrgoed_CYW_HiddenCrisis_Report_1014.pdf\" target=\"_blank\"> the study \u003c/a>looked at data from more than 27,000 surveys conducted by the\u003ca title=\"http://www.cdph.ca.gov/data/surveys/Pages/BRFSS.aspx\" href=\"http://www.cdph.ca.gov/data/surveys/Pages/BRFSS.aspx\" target=\"_blank\"> California Behavioral Risk Factor Surveillance System\u003c/a> over four years between 2008 and 2013. \u003c!--more-->\u003c/p>\n\u003cp>She says the results surprised even her. For starters, so-called \u003ca title=\"http://www.cdc.gov/violenceprevention/acestudy/\" href=\"http://www.cdc.gov/violenceprevention/acestudy/\" target=\"_blank\">adverse childhood experiences, or ACEs\u003c/a>, are common across race, income, education and geography. Nearly 62 percent of Californians reported at least one traumatic childhood event, and one in six had experienced four or more. People in the northern rural counties of Humboldt and Butte reported the most ACEs. The lowest numbers came from Santa Clara and San Mateo counties, where just over half of respondents reported such experiences.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"People sometimes assume this is a low-income issue,\" says Burke Harris, \"This is everybody's burden, every taxpayer.\"\u003c/p>\n\u003cp>In part, she says this is because traumatic childhood experiences can make a child's natural response to stress go haywire and cause lasting damage. This is known as childhood toxic stress, a concept Burke Harris says has just begun to gain traction over the past five years.\u003c/p>\n\u003cp>\"Toxic stress affects the entire developmental trajectory of the child,\" Burke Harris says, \"the changes to your DNA, the changes to your hormonal systems, as well as the changes to your immune system and neuro-development.\"\u003c/p>\n\u003cp>High doses of such adversity increase risk of chronic diseases, heart disease, asthma, even Alzheimer's disease. People with four or more ACEs are poorer, less likely to get a college degree and are nearly 40 percent more likely to be unemployed later in life.\u003c/p>\n\u003cp>The term \"ACEs\" was first coined in the late 1990s after Vincent Felitti of Kaiser in conjunction with a Centers for Disease Control researchers \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/9635069?dopt=Abstract\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/9635069?dopt=Abstract\" target=\"_blank\">published the original ACEs study\u003c/a>. But that study was in Kaiser members who were overwhelmingly caucasian and most had a college education. The \"Hidden Crisis\" report is the first to use sample size more representative of the demographics of California, Marta Induni, research director at the Public Health Institute, told the \u003ca title=\"https://chronicleofsocialchange.org/news/new-study-childhood-trauma-a-california-public-health-crisis/8521\" href=\"https://chronicleofsocialchange.org/news/new-study-childhood-trauma-a-california-public-health-crisis/8521\" target=\"_blank\">Chronicle of Social Change\u003c/a>.\u003c/p>\n\u003cp>Burke Harris is hopeful that momentum around early interventions will save lives and money. She's calling for ACE training for physicians, in-home screenings, and what she calls the gold standard: two-generational services that includes both parents and children, like that utilized by University of California San Francisco's Infant Parent Program and Child Trauma Research Program.\u003c/p>\n\u003cp>\"Where a child has a high ACE score, often times you have a parent with high ACE score and that often predisposes for the conditions the child is in,\" says Burke Harris, With two-generational services, \"we're seeing improved school functioning, and a reduction in chronic disease outcomes, like asthma hospitalizations, et cetera.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Burke Harris says more research is needed on the impact of other types of negative childhood experiences that the original surveys did not consider, including bullying, racism and community violence.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/22395/study-shows-childhood-trauma-a-hidden-crisis-across-california",
"authors": [
"8344"
],
"categories": [
"stateofhealth_11"
],
"tags": [
"stateofhealth_96"
],
"featImg": "stateofhealth_22400",
"label": "stateofhealth"
}
},
"podcastsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"podcasts": {}
},
"radioProgramsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"radioPrograms": {}
},
"radioSearchSegmentsReducer": {},
"programsReducer": {
"all-things-considered": {
"id": "all-things-considered",
"title": "All Things Considered",
"info": "Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.",
"airtime": "MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/all-things-considered/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/all-things-considered"
},
"american-suburb-podcast": {
"id": "american-suburb-podcast",
"title": "American Suburb: The Podcast",
"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg",
"officialWebsiteLink": "/news/series/american-suburb-podcast",
"meta": {
"site": "news",
"source": "kqed",
"order": 19
},
"link": "/news/series/american-suburb-podcast/",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/RBrW",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328",
"tuneIn": "https://tunein.com/radio/American-Suburb-p1086805/",
"rss": "https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"
}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Bay Curious",
"officialWebsiteLink": "/news/series/baycurious",
"meta": {
"site": "news",
"source": "kqed",
"order": 3
},
"link": "/podcasts/baycurious",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/bay-curious/id1172473406",
"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
"rss": "https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast",
"amazon": "https://music.amazon.com/podcasts/9a90d476-aa04-455d-9a4c-0871ed6216d4/bay-curious",
"stitcher": "https://www.stitcher.com/podcast/kqed/bay-curious",
"spotify": "https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"
}
},
"bbc-world-service": {
"id": "bbc-world-service",
"title": "BBC World Service",
"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
"site": "news",
"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report",
"officialWebsiteLink": "/californiareport",
"meta": {
"site": "news",
"source": "kqed",
"order": 8
},
"link": "/californiareport",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-the-california-report/id79681292",
"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
"npr": "https://www.npr.org/podcasts/432285393/the-california-report",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-the-california-report-podcast-8838",
"rss": "https://ww2.kqed.org/news/tag/tcram/feed/podcast"
}
},
"californiareportmagazine": {
"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Magazine-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report Magazine",
"officialWebsiteLink": "/californiareportmagazine",
"meta": {
"site": "news",
"source": "kqed",
"order": 10
},
"link": "/californiareportmagazine",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-california-report-magazine/id1314750545",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
"npr": "https://www.npr.org/podcasts/564733126/the-california-report-magazine",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-california-report-magazine",
"rss": "https://ww2.kqed.org/news/tag/tcrmag/feed/podcast"
}
},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
"tagline": "Your irreverent guide to the trends redefining our world",
"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/02/CAT_2_Tile-scaled.jpg",
"imageAlt": "KQED Close All Tabs",
"officialWebsiteLink": "/podcasts/closealltabs",
"meta": {
"site": "news",
"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/close-all-tabs/id214663465",
"rss": "https://feeds.megaphone.fm/KQINC6993880386",
"amazon": "https://music.amazon.com/podcasts/92d9d4ac-67a3-4eed-b10a-fb45d45b1ef2/close-all-tabs",
"spotify": "https://open.spotify.com/show/6LAJFHnGK1pYXYzv6SIol6?si=deb0cae19813417c"
}
},
"code-switch-life-kit": {
"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 />",
"airtime": "SUN 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/code-switch-life-kit",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
"spotify": "https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV",
"rss": "https://feeds.npr.org/510312/podcast.xml"
}
},
"commonwealth-club": {
"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
"tuneIn": "https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"
}
},
"forum": {
"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",
"officialWebsiteLink": "/forum",
"meta": {
"site": "news",
"source": "kqed",
"order": 9
},
"link": "/forum",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
"npr": "https://www.npr.org/podcasts/432307980/forum",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast",
"rss": "https://feeds.megaphone.fm/KQINC9557381633"
}
},
"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"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.",
"airtime": "MON-FRI 7pm-8pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/fresh-air/",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/fresh-air",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Fresh-Air-p17/",
"rss": "https://feeds.npr.org/381444908/podcast.xml"
}
},
"here-and-now": {
"id": "here-and-now",
"title": "Here & Now",
"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.",
"airtime": "MON-THU 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://www.wbur.org/hereandnow",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/here-and-now",
"subsdcribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661",
"tuneIn": "https://tunein.com/radio/Here--Now-p211/",
"rss": "https://feeds.npr.org/510051/podcast.xml"
}
},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/hidden-brain/id1028908750?mt=2",
"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"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": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
"tuneIn": "https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/",
"rss": "https://feeds.npr.org/510313/podcast.xml"
}
},
"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",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
"site": "news",
"source": "kqed",
"order": 15
},
"link": "/podcasts/hyphenacion",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/hyphenaci%C3%B3n/id1191591838",
"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
"youtube": "https://www.youtube.com/c/kqedarts",
"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
"site": "news",
"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
"subscribe": {
"npr": "https://www.npr.org/podcasts/790253322/the-political-mind-of-jerry-brown",
"apple": "https://itunes.apple.com/us/podcast/id1492194549",
"rss": "https://ww2.kqed.org/news/series/jerrybrown/feed/podcast/",
"tuneIn": "http://tun.in/pjGcK",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-political-mind-of-jerry-brown",
"spotify": "https://open.spotify.com/show/54C1dmuyFyKMFttY6X2j6r?si=K8SgRCoISNK6ZbjpXrX5-w",
"amazon": "https://music.amazon.com/podcasts/44420f75-3b0e-4301-ab3b-16da6b09e543/the-political-mind-of-jerry-brown"
}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Latino-USA-p621/",
"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/APM-Marketplace-p88/",
"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
"site": "news",
"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"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/",
"meta": {
"site": "news",
"source": "npr"
},
"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",
"npr": "https://rpb3r.app.goo.gl/onourwatch",
"spotify": "https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x",
"tuneIn": "https://tunein.com/radio/On-Our-Watch-p1436229/",
"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": {
"site": "news",
"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": {
"site": "news",
"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": {
"site": "radio",
"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"
}
},
"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": {
"site": "news",
"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",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/political-breakdown/id1327641087",
"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
"stitcher": "https://www.stitcher.com/podcast/kqed/political-breakdown",
"spotify": "https://open.spotify.com/show/07RVyIjIdk2WDuVehvBMoN",
"rss": "https://ww2.kqed.org/news/tag/political-breakdown/feed/podcast"
}
},
"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
"meta": {
"site": "news",
"source": "Possible"
},
"link": "/radio/program/possible",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/possible/id1677184070",
"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
}
},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pri.org/programs/the-world",
"meta": {
"site": "news",
"source": "PRI"
},
"link": "/radio/program/pri-the-world",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pris-the-world-latest-edition/id278196007?mt=2",
"tuneIn": "https://tunein.com/podcasts/News--Politics-Podcasts/PRIs-The-World-p24/",
"rss": "http://feeds.feedburner.com/pri/theworld"
}
},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
"airtime": "SUN 12am-1am, SAT 2pm-3pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/radiolab1400.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/radiolab/",
"meta": {
"site": "science",
"source": "WNYC"
},
"link": "/radio/program/radiolab",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/radiolab/id152249110?mt=2",
"tuneIn": "https://tunein.com/radio/RadioLab-p68032/",
"rss": "https://feeds.wnyc.org/radiolab"
}
},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png",
"officialWebsiteLink": "https://www.revealnews.org/episodes/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/reveal",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/reveal/id886009669",
"tuneIn": "https://tunein.com/radio/Reveal-p679597/",
"rss": "http://feeds.revealradio.org/revealpodcast"
}
},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Rightnowish-Podcast-Tile-500x500-1.jpg",
"imageAlt": "KQED Rightnowish with Pendarvis Harshaw",
"officialWebsiteLink": "/podcasts/rightnowish",
"meta": {
"site": "arts",
"source": "kqed",
"order": 16
},
"link": "/podcasts/rightnowish",
"subscribe": {
"npr": "https://www.npr.org/podcasts/721590300/rightnowish",
"rss": "https://ww2.kqed.org/arts/programs/rightnowish/feed/podcast",
"apple": "https://podcasts.apple.com/us/podcast/rightnowish/id1482187648",
"stitcher": "https://www.stitcher.com/podcast/kqed/rightnowish",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMxMjU5MTY3NDc4",
"spotify": "https://open.spotify.com/show/7kEJuafTzTVan7B78ttz1I"
}
},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
"airtime": "FRI 11am-1pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Science-Friday-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/science-friday",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/science-friday",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=73329284&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Science-Friday-p394/",
"rss": "http://feeds.wnyc.org/science-friday"
}
},
"snap-judgment": {
"id": "snap-judgment",
"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
"airtime": "SAT 1pm-2pm, 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/05/Snap-Judgment-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Snap Judgment",
"officialWebsiteLink": "https://snapjudgment.org",
"meta": {
"site": "arts",
"source": "kqed",
"order": 4
},
"link": "https://snapjudgment.org",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/snap-judgment/id283657561",
"npr": "https://www.npr.org/podcasts/449018144/snap-judgment",
"stitcher": "https://www.pandora.com/podcast/snap-judgment/PC:241?source=stitcher-sunset",
"spotify": "https://open.spotify.com/show/3Cct7ZWmxHNAtLgBTqjC5v",
"rss": "https://snap.feed.snapjudgment.org/"
}
},
"soldout": {
"id": "soldout",
"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
"info": "Sold Out: Rethinking Housing in America",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Sold-Out-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Sold Out: Rethinking Housing in America",
"officialWebsiteLink": "/podcasts/soldout",
"meta": {
"site": "news",
"source": "kqed",
"order": 13
},
"link": "/podcasts/soldout",
"subscribe": {
"npr": "https://www.npr.org/podcasts/911586047/s-o-l-d-o-u-t-a-new-future-for-housing",
"apple": "https://podcasts.apple.com/us/podcast/introducing-sold-out-rethinking-housing-in-america/id1531354937",
"rss": "https://feeds.megaphone.fm/soldout",
"spotify": "https://open.spotify.com/show/38dTBSk2ISFoPiyYNoKn1X",
"stitcher": "https://www.stitcher.com/podcast/kqed/sold-out-rethinking-housing-in-america",
"tunein": "https://tunein.com/radio/SOLD-OUT-Rethinking-Housing-in-America-p1365871/"
}
},
"spooked": {
"id": "spooked",
"title": "Spooked",
"tagline": "True-life supernatural stories",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/10/Spooked-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Spooked",
"officialWebsiteLink": "https://spookedpodcast.org/",
"meta": {
"site": "news",
"source": "kqed",
"order": 7
},
"link": "https://spookedpodcast.org/",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/spooked/id1279361017",
"npr": "https://www.npr.org/podcasts/549547848/snap-judgment-presents-spooked",
"spotify": "https://open.spotify.com/show/76571Rfl3m7PLJQZKQIGCT",
"rss": "https://feeds.simplecast.com/TBotaapn"
}
},
"tech-nation": {
"id": "tech-nation",
"title": "Tech Nation Radio Podcast",
"info": "Tech Nation is a weekly public radio program, hosted by Dr. Moira Gunn. Founded in 1993, it has grown from a simple interview show to a multi-faceted production, featuring conversations with noted technology and science leaders, and a weekly science and technology-related commentary.",
"airtime": "FRI 10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Tech-Nation-Radio-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://technation.podomatic.com/",
"meta": {
"site": "science",
"source": "Tech Nation Media"
},
"link": "/radio/program/tech-nation",
"subscribe": {
"rss": "https://technation.podomatic.com/rss2.xml"
}
},
"ted-radio-hour": {
"id": "ted-radio-hour",
"title": "TED Radio Hour",
"info": "The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.",
"airtime": "SUN 3pm-4pm, SAT 10pm-11pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/tedRadioHour.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/ted-radio-hour/?showDate=2018-06-22",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/ted-radio-hour",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/8vsS",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=523121474&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/TED-Radio-Hour-p418021/",
"rss": "https://feeds.npr.org/510298/podcast.xml"
}
},
"thebay": {
"id": "thebay",
"title": "The Bay",
"tagline": "Local news to keep you rooted",
"info": "Host Devin Katayama walks you through the biggest story of the day with reporters and newsmakers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Bay-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Bay",
"officialWebsiteLink": "/podcasts/thebay",
"meta": {
"site": "radio",
"source": "kqed",
"order": 2
},
"link": "/podcasts/thebay",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-bay/id1350043452",
"amazon": "https://music.amazon.com/podcasts/d800ea4c-7a2c-42f2-b861-edaf78a5db0b/the-bay",
"npr": "https://www.npr.org/podcasts/586725995/the-bay",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-bay",
"spotify": "https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ",
"rss": "https://feeds.megaphone.fm/KQINC8259786327"
}
},
"thelatest": {
"id": "thelatest",
"title": "The Latest",
"tagline": "Trusted local news in real time",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/05/The-Latest-2025-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Latest",
"officialWebsiteLink": "/thelatest",
"meta": {
"site": "news",
"source": "kqed",
"order": 6
},
"link": "/thelatest",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-latest-from-kqed/id1197721799",
"npr": "https://www.npr.org/podcasts/1257949365/the-latest-from-k-q-e-d",
"spotify": "https://open.spotify.com/show/5KIIXMgM9GTi5AepwOYvIZ?si=bd3053fec7244dba",
"rss": "https://feeds.megaphone.fm/KQINC9137121918"
}
},
"theleap": {
"id": "theleap",
"title": "The Leap",
"tagline": "What if you closed your eyes, and jumped?",
"info": "Stories about people making dramatic, risky changes, told by award-winning public radio reporter Judy Campbell.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Leap-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Leap",
"officialWebsiteLink": "/podcasts/theleap",
"meta": {
"site": "news",
"source": "kqed",
"order": 17
},
"link": "/podcasts/theleap",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-leap/id1046668171",
"npr": "https://www.npr.org/podcasts/447248267/the-leap",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-leap",
"spotify": "https://open.spotify.com/show/3sSlVHHzU0ytLwuGs1SD1U",
"rss": "https://ww2.kqed.org/news/programs/the-leap/feed/podcast"
}
},
"the-moth-radio-hour": {
"id": "the-moth-radio-hour",
"title": "The Moth Radio Hour",
"info": "Since its launch in 1997, The Moth has presented thousands of true stories, told live and without notes, to standing-room-only crowds worldwide. Moth storytellers stand alone, under a spotlight, with only a microphone and a roomful of strangers. The storyteller and the audience embark on a high-wire act of shared experience which is both terrifying and exhilarating. Since 2008, The Moth podcast has featured many of our favorite stories told live on Moth stages around the country. For information on all of our programs and live events, visit themoth.org.",
"airtime": "SAT 8pm-9pm and SUN 11am-12pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/theMoth.jpg",
"officialWebsiteLink": "https://themoth.org/",
"meta": {
"site": "arts",
"source": "prx"
},
"link": "/radio/program/the-moth-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/the-moth-podcast/id275699983?mt=2",
"tuneIn": "https://tunein.com/radio/The-Moth-p273888/",
"rss": "http://feeds.themoth.org/themothpodcast"
}
},
"the-new-yorker-radio-hour": {
"id": "the-new-yorker-radio-hour",
"title": "The New Yorker Radio Hour",
"info": "The New Yorker Radio Hour is a weekly program presented by the magazine's editor, David Remnick, and produced by WNYC Studios and The New Yorker. Each episode features a diverse mix of interviews, profiles, storytelling, and an occasional burst of humor inspired by the magazine, and shaped by its writers, artists, and editors. This isn't a radio version of a magazine, but something all its own, reflecting the rich possibilities of audio storytelling and conversation. Theme music for the show was composed and performed by Merrill Garbus of tUnE-YArDs.",
"airtime": "SAT 10am-11am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-New-Yorker-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/tnyradiohour",
"meta": {
"site": "arts",
"source": "WNYC"
},
"link": "/radio/program/the-new-yorker-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/id1050430296",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/New-Yorker-Radio-Hour-p803804/",
"rss": "https://feeds.feedburner.com/newyorkerradiohour"
}
},
"the-sam-sanders-show": {
"id": "the-sam-sanders-show",
"title": "The Sam Sanders Show",
"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
"airtime": "FRI 12-1pm AND SAT 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/11/The-Sam-Sanders-Show-Podcast-Tile-400x400-1.jpg",
"officialWebsiteLink": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"meta": {
"site": "arts",
"source": "KCRW"
},
"link": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"subscribe": {
"rss": "https://feed.cdnstream1.com/zjb/feed/download/ac/28/59/ac28594c-e1d0-4231-8728-61865cdc80e8.xml"
}
},
"the-splendid-table": {
"id": "the-splendid-table",
"title": "The Splendid Table",
"info": "\u003cem>The Splendid Table\u003c/em> hosts our nation's conversations about cooking, sustainability and food culture.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Splendid-Table-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.splendidtable.org/",
"airtime": "SUN 10-11 pm",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/the-splendid-table"
},
"this-american-life": {
"id": "this-american-life",
"title": "This American Life",
"info": "This American Life is a weekly public radio show, heard by 2.2 million people on more than 500 stations. Another 2.5 million people download the weekly podcast. It is hosted by Ira Glass, produced in collaboration with Chicago Public Media, delivered to stations by PRX The Public Radio Exchange, and has won all of the major broadcasting awards.",
"airtime": "SAT 12pm-1pm, 7pm-8pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/thisAmericanLife.png",
"officialWebsiteLink": "https://www.thisamericanlife.org/",
"meta": {
"site": "news",
"source": "wbez"
},
"link": "/radio/program/this-american-life",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201671138&at=11l79Y&ct=nprdirectory",
"rss": "https://www.thisamericanlife.org/podcast/rss.xml"
}
},
"tinydeskradio": {
"id": "tinydeskradio",
"title": "Tiny Desk Radio",
"info": "We're bringing the best of Tiny Desk to the airwaves, only on public radio.",
"airtime": "SUN 8pm and SAT 9pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/04/300x300-For-Member-Station-Logo-Tiny-Desk-Radio-@2x.png",
"officialWebsiteLink": "https://www.npr.org/series/g-s1-52030/tiny-desk-radio",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/tinydeskradio",
"subscribe": {
"rss": "https://feeds.npr.org/g-s1-52030/rss.xml"
}
},
"wait-wait-dont-tell-me": {
"id": "wait-wait-dont-tell-me",
"title": "Wait Wait... Don't Tell Me!",
"info": "Peter Sagal and Bill Kurtis host the weekly NPR News quiz show alongside some of the best and brightest news and entertainment personalities.",
"airtime": "SUN 10am-11am, SAT 11am-12pm, SAT 6pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Wait-Wait-Podcast-Tile-300x300-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/wait-wait-dont-tell-me/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/wait-wait-dont-tell-me",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/Xogv",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=121493804&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Wait-Wait-Dont-Tell-Me-p46/",
"rss": "https://feeds.npr.org/344098539/podcast.xml"
}
},
"weekend-edition-saturday": {
"id": "weekend-edition-saturday",
"title": "Weekend Edition Saturday",
"info": "Weekend Edition Saturday wraps up the week's news and offers a mix of analysis and features on a wide range of topics, including arts, sports, entertainment, and human interest stories. The two-hour program is hosted by NPR's Peabody Award-winning Scott Simon.",
"airtime": "SAT 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-saturday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-saturday"
},
"weekend-edition-sunday": {
"id": "weekend-edition-sunday",
"title": "Weekend Edition Sunday",
"info": "Weekend Edition Sunday features interviews with newsmakers, artists, scientists, politicians, musicians, writers, theologians and historians. The program has covered news events from Nelson Mandela's 1990 release from a South African prison to the capture of Saddam Hussein.",
"airtime": "SUN 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-sunday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-sunday"
}
},
"racesReducer": {},
"racesGenElectionReducer": {},
"racesGenElection2026Reducer": {},
"racesGenElection2026PresidentialReducer": {},
"radioSchedulesReducer": {},
"listsReducer": {
"posts/stateofhealth?tag=childrens-health": {
"isFetching": false,
"latestQuery": {
"from": 48,
"size": 12
},
"vitalsOnly": false,
"totalRequested": 12,
"isLoading": false,
"isLoadingMore": true,
"total": {
"value": 130,
"relation": "eq"
},
"items": [
"stateofhealth_29198",
"stateofhealth_28132",
"stateofhealth_27529",
"stateofhealth_24879",
"stateofhealth_24029",
"stateofhealth_23977",
"stateofhealth_23735",
"stateofhealth_23738",
"stateofhealth_23685",
"stateofhealth_23634",
"stateofhealth_23312",
"stateofhealth_22395"
],
"complete": true
}
},
"recallGuideReducer": {
"intros": {},
"policy": {},
"candidates": {}
},
"savedArticleReducer": {
"articles": [],
"status": {}
},
"newslettersReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"newsletters": {},
"isSubscribing": false,
"isUnsubscribing": false,
"subscribedNewsletters": {}
},
"termsReducer": {
"about": {
"name": "About",
"type": "terms",
"id": "about",
"slug": "about",
"link": "/about",
"taxonomy": "site"
},
"arts": {
"name": "Arts & Culture",
"grouping": [
"arts",
"pop",
"trulyca"
],
"description": "KQED Arts provides daily in-depth coverage of the Bay Area's music, art, film, performing arts, literature and arts news, as well as cultural commentary and criticism.",
"type": "terms",
"id": "arts",
"slug": "arts",
"link": "/arts",
"taxonomy": "site"
},
"artschool": {
"name": "Art School",
"parent": "arts",
"type": "terms",
"id": "artschool",
"slug": "artschool",
"link": "/artschool",
"taxonomy": "site"
},
"bayareabites": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "bayareabites",
"slug": "bayareabites",
"link": "/food",
"taxonomy": "site"
},
"bayareahiphop": {
"name": "Bay Area Hiphop",
"type": "terms",
"id": "bayareahiphop",
"slug": "bayareahiphop",
"link": "/bayareahiphop",
"taxonomy": "site"
},
"campaign21": {
"name": "Campaign 21",
"type": "terms",
"id": "campaign21",
"slug": "campaign21",
"link": "/campaign21",
"taxonomy": "site"
},
"careers": {
"name": "Careers",
"type": "terms",
"id": "careers",
"slug": "careers",
"link": "/careers",
"taxonomy": "site"
},
"checkplease": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "checkplease",
"slug": "checkplease",
"link": "/food",
"taxonomy": "site"
},
"education": {
"name": "Education",
"grouping": [
"education"
],
"type": "terms",
"id": "education",
"slug": "education",
"link": "/education",
"taxonomy": "site"
},
"elections": {
"name": "Elections",
"type": "terms",
"id": "elections",
"slug": "elections",
"link": "/elections",
"taxonomy": "site"
},
"events": {
"name": "Events",
"type": "terms",
"id": "events",
"slug": "events",
"link": "/events",
"taxonomy": "site"
},
"event": {
"name": "Event",
"alias": "events",
"type": "terms",
"id": "event",
"slug": "event",
"link": "/event",
"taxonomy": "site"
},
"filmschoolshorts": {
"name": "Film School Shorts",
"type": "terms",
"id": "filmschoolshorts",
"slug": "filmschoolshorts",
"link": "/filmschoolshorts",
"taxonomy": "site"
},
"food": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"type": "terms",
"id": "food",
"slug": "food",
"link": "/food",
"taxonomy": "site"
},
"forum": {
"name": "Forum",
"relatedContentQuery": "posts/forum?",
"parent": "news",
"type": "terms",
"id": "forum",
"slug": "forum",
"link": "/forum",
"taxonomy": "site"
},
"futureofyou": {
"name": "Future of You",
"grouping": [
"science",
"futureofyou"
],
"parent": "science",
"type": "terms",
"id": "futureofyou",
"slug": "futureofyou",
"link": "/futureofyou",
"taxonomy": "site"
},
"jpepinheart": {
"name": "KQED food",
"relatedContentQuery": "posts/food,bayareabites,checkplease",
"parent": "food",
"type": "terms",
"id": "jpepinheart",
"slug": "jpepinheart",
"link": "/food",
"taxonomy": "site"
},
"liveblog": {
"name": "Live Blog",
"type": "terms",
"id": "liveblog",
"slug": "liveblog",
"link": "/liveblog",
"taxonomy": "site"
},
"livetv": {
"name": "Live TV",
"parent": "tv",
"type": "terms",
"id": "livetv",
"slug": "livetv",
"link": "/livetv",
"taxonomy": "site"
},
"lowdown": {
"name": "The Lowdown",
"relatedContentQuery": "posts/lowdown?",
"parent": "news",
"type": "terms",
"id": "lowdown",
"slug": "lowdown",
"link": "/lowdown",
"taxonomy": "site"
},
"mindshift": {
"name": "Mindshift",
"parent": "news",
"description": "MindShift explores the future of education by highlighting the innovative – and sometimes counterintuitive – ways educators and parents are helping all children succeed.",
"type": "terms",
"id": "mindshift",
"slug": "mindshift",
"link": "/mindshift",
"taxonomy": "site"
},
"news": {
"name": "News",
"grouping": [
"news",
"forum"
],
"type": "terms",
"id": "news",
"slug": "news",
"link": "/news",
"taxonomy": "site"
},
"newsletters": {
"name": "newsletters",
"type": "terms",
"id": "newsletters",
"slug": "newsletters",
"link": "/newsletters",
"taxonomy": "site"
},
"perspectives": {
"name": "Perspectives",
"parent": "radio",
"type": "terms",
"id": "perspectives",
"slug": "perspectives",
"link": "/perspectives",
"taxonomy": "site"
},
"podcasts": {
"name": "Podcasts",
"type": "terms",
"id": "podcasts",
"slug": "podcasts",
"link": "/podcasts",
"taxonomy": "site"
},
"pop": {
"name": "Pop",
"parent": "arts",
"type": "terms",
"id": "pop",
"slug": "pop",
"link": "/pop",
"taxonomy": "site"
},
"pressroom": {
"name": "Pressroom",
"type": "terms",
"id": "pressroom",
"slug": "pressroom",
"link": "/pressroom",
"taxonomy": "site"
},
"quest": {
"name": "Quest",
"parent": "science",
"type": "terms",
"id": "quest",
"slug": "quest",
"link": "/quest",
"taxonomy": "site"
},
"radio": {
"name": "Radio",
"grouping": [
"forum",
"perspectives"
],
"description": "Listen to KQED Public Radio – home of Forum and The California Report – on 88.5 FM in San Francisco, 89.3 FM in Sacramento, 88.3 FM in Santa Rosa and 88.1 FM in Martinez.",
"type": "terms",
"id": "radio",
"slug": "radio",
"link": "/radio",
"taxonomy": "site"
},
"root": {
"name": "KQED",
"image": "https://ww2.kqed.org/app/uploads/2020/02/KQED-OG-Image@1x.png",
"imageWidth": 1200,
"imageHeight": 630,
"headData": {
"title": "KQED | News, Radio, Podcasts, TV | Public Media for Northern California",
"description": "KQED provides public radio, television, and independent reporting on issues that matter to the Bay Area. We’re the NPR and PBS member station for Northern California."
},
"type": "terms",
"id": "root",
"slug": "root",
"link": "/root",
"taxonomy": "site"
},
"science": {
"name": "Science",
"grouping": [
"science",
"futureofyou"
],
"description": "KQED Science brings you award-winning science and environment coverage from the Bay Area and beyond.",
"type": "terms",
"id": "science",
"slug": "science",
"link": "/science",
"taxonomy": "site"
},
"stateofhealth": {
"name": "State of Health",
"parent": "science",
"type": "terms",
"id": "stateofhealth",
"slug": "stateofhealth",
"link": "/stateofhealth",
"taxonomy": "site"
},
"support": {
"name": "Support",
"type": "terms",
"id": "support",
"slug": "support",
"link": "/support",
"taxonomy": "site"
},
"thedolist": {
"name": "The Do List",
"parent": "arts",
"type": "terms",
"id": "thedolist",
"slug": "thedolist",
"link": "/thedolist",
"taxonomy": "site"
},
"trulyca": {
"name": "Truly CA",
"grouping": [
"arts",
"pop",
"trulyca"
],
"parent": "arts",
"type": "terms",
"id": "trulyca",
"slug": "trulyca",
"link": "/trulyca",
"taxonomy": "site"
},
"tv": {
"name": "TV",
"type": "terms",
"id": "tv",
"slug": "tv",
"link": "/tv",
"taxonomy": "site"
},
"voterguide": {
"name": "Voter Guide",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "voterguide",
"slug": "voterguide",
"link": "/voterguide",
"taxonomy": "site"
},
"guiaelectoral": {
"name": "Guia Electoral",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "guiaelectoral",
"slug": "guiaelectoral",
"link": "/guiaelectoral",
"taxonomy": "site"
},
"stateofhealth_tag_childrens-health": {
"isLoading": true
},
"stateofhealth_96": {
"type": "terms",
"id": "stateofhealth_96",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "96",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Children's Health",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Children's Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 96,
"slug": "childrens-health",
"isLoading": false,
"link": "/stateofhealth/tag/childrens-health"
},
"stateofhealth_11": {
"type": "terms",
"id": "stateofhealth_11",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "11",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Community Health",
"description": "\r\n\r\nFrom rural California to urban neighborhoods, where you live affects your health",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "From rural California to urban neighborhoods, where you live affects your health",
"title": "Community Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 11,
"slug": "place-matters",
"isLoading": false,
"link": "/stateofhealth/category/place-matters"
},
"stateofhealth_13": {
"type": "terms",
"id": "stateofhealth_13",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "13",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Tests & Treatments",
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"title": "Tests & Treatments Archives | KQED Arts",
"ogDescription": null
},
"ttid": 13,
"slug": "tests-treatments",
"isLoading": false,
"link": "/stateofhealth/category/tests-treatments"
},
"stateofhealth_23": {
"type": "terms",
"id": "stateofhealth_23",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "23",
"found": true
},
"relationships": {},
"featImg": null,
"name": "asthma",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "asthma Archives | KQED Arts",
"ogDescription": null
},
"ttid": 23,
"slug": "asthma",
"isLoading": false,
"link": "/stateofhealth/tag/asthma"
},
"stateofhealth_725": {
"type": "terms",
"id": "stateofhealth_725",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "725",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Vaccine",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Vaccine Archives | KQED Arts",
"ogDescription": null
},
"ttid": 727,
"slug": "vaccine",
"isLoading": false,
"link": "/stateofhealth/tag/vaccine"
},
"stateofhealth_14": {
"type": "terms",
"id": "stateofhealth_14",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "14",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Policy",
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"title": "Policy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 14,
"slug": "policy",
"isLoading": false,
"link": "/stateofhealth/category/policy"
},
"stateofhealth_166": {
"type": "terms",
"id": "stateofhealth_166",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "166",
"found": true
},
"relationships": {},
"featImg": null,
"name": "KQED blogs",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "KQED blogs Archives | KQED Arts",
"ogDescription": null
},
"ttid": 166,
"slug": "kqed-blogs",
"isLoading": false,
"link": "/stateofhealth/category/kqed-blogs"
},
"stateofhealth_12": {
"type": "terms",
"id": "stateofhealth_12",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "12",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Living Healthy",
"description": "Health is about much more than medicine. We show you what's new to help you attain and maintain a healthy life",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Health is about much more than medicine. We show you what's new to help you attain and maintain a healthy life",
"title": "Living Healthy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 12,
"slug": "living-healthy",
"isLoading": false,
"link": "/stateofhealth/category/living-healthy"
},
"stateofhealth_461": {
"type": "terms",
"id": "stateofhealth_461",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "461",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Science",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Science Archives | KQED Arts",
"ogDescription": null
},
"ttid": 462,
"slug": "science",
"isLoading": false,
"link": "/stateofhealth/tag/science"
},
"stateofhealth_31": {
"type": "terms",
"id": "stateofhealth_31",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "31",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Vaccines",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Vaccines Archives | KQED Arts",
"ogDescription": null
},
"ttid": 31,
"slug": "vaccines",
"isLoading": false,
"link": "/stateofhealth/tag/vaccines"
},
"stateofhealth_15": {
"type": "terms",
"id": "stateofhealth_15",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "15",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Obamacare",
"description": "The Affordable Care Act celebrates its seventh birthday this year. California has embraced the law, but will it survive a new Congress and President? \r\n",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "The Affordable Care Act celebrates its seventh birthday this year. California has embraced the law, but will it survive a new Congress and President?",
"title": "Obamacare Archives | KQED Arts",
"ogDescription": null
},
"ttid": 15,
"slug": "reform",
"isLoading": false,
"link": "/stateofhealth/category/reform"
},
"stateofhealth_99": {
"type": "terms",
"id": "stateofhealth_99",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "99",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Medi-Cal",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Medi-Cal Archives | KQED Arts",
"ogDescription": null
},
"ttid": 99,
"slug": "medi-cal",
"isLoading": false,
"link": "/stateofhealth/tag/medi-cal"
},
"stateofhealth_349": {
"type": "terms",
"id": "stateofhealth_349",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "349",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Pregnancy",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Pregnancy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 350,
"slug": "pregnancy",
"isLoading": false,
"link": "/stateofhealth/tag/pregnancy"
},
"stateofhealth_397": {
"type": "terms",
"id": "stateofhealth_397",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "397",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Women's Health",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Women's Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 398,
"slug": "womens-health",
"isLoading": false,
"link": "/stateofhealth/tag/womens-health"
}
},
"userPermissionsReducer": {
"wpLoggedIn": false
},
"eventsReducer": {},
"fssReducer": {},
"tvDailyScheduleReducer": {},
"tvWeeklyScheduleReducer": {},
"tvPrimetimeScheduleReducer": {},
"tvMonthlyScheduleReducer": {},
"userAccountReducer": {
"user": {
"email": null,
"emailStatus": "EMAIL_UNVALIDATED",
"loggedStatus": "LOGGED_OUT",
"loggingChecked": false,
"articles": [],
"firstName": null,
"lastName": null,
"phoneNumber": null,
"fetchingMembership": false,
"membershipError": false,
"memberships": [
{
"id": null,
"startDate": null,
"firstName": null,
"lastName": null,
"familyNumber": null,
"memberNumber": null,
"memberSince": null,
"expirationDate": null,
"pfsEligible": false,
"isSustaining": false,
"membershipLevel": "Prospect",
"membershipStatus": "Non Member",
"lastGiftDate": null,
"renewalDate": null,
"lastDonationAmount": null
}
]
},
"authModal": {
"isOpen": false,
"view": "LANDING_VIEW"
},
"error": null
},
"youthMediaReducer": {},
"checkPleaseReducer": {
"filterData": {
"region": {
"key": "Restaurant Region",
"filters": [
"Any Region"
]
},
"cuisine": {
"key": "Restaurant Cuisine",
"filters": [
"Any Cuisine"
]
}
},
"restaurantDataById": {},
"restaurantIdsSorted": [],
"error": null
},
"userAgentReducer": {
"userAgent": "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)",
"isBot": true
},
"requestOutcomesReducer": {
"notFound": []
},
"navPromosReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": true,
"promos": {
"news": {
"name": "2026 Voter Guide",
"link": "/voterguide",
"imageURL": "https://cdn.kqed.org/wp-content/uploads/2026/10/Nav-News-Nov2026ElectionCoverage@2x-7bd4aad4.png",
"description": "Get informed in minutes with our Voter Guide for California’s November 3 election."
},
"podcasts-radio": {},
"video-tv": {},
"events": {},
"support": {}
}
}
}