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"content": "\u003cfigure id=\"attachment_14863\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/126221153-e1378752078714.jpg\">\u003cimg class=\"size-large wp-image-14863\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/126221153-640x480.jpg\" alt=\"Experts say no amount of alcohol is known to be safe during pregnancy. (Getty Images)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Experts say no amount of alcohol is known to be safe during pregnancy. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Angela Hart\u003c/strong>\u003c/p>\n\u003cp>Children who grow up in foster care or are adopted from orphanages are more at risk for fetal alcohol syndrome because there is a higher probability that their mothers consumed alcohol during pregnancy. An \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/09/04/peds.2013-0066.abstract\" target=\"_blank\">international study\u003c/a> published Monday strongly recommends that infants and adolescents in these child welfare settings be tested for the disorder.\u003c/p>\n\u003cp>\"It is imperative that screening be implemented in these at-risk populations,\" reported the authors of the study, \"Prevalence of Fetal Alcohol Spectrum Disorders in Child Care Setting.\" The researchers conducted a meta-analysis, where they pooled data from past studies.\u003c/p>\n\u003cp>Fetal alcohol syndrome can cause a \u003ca href=\"http://www.mayoclinic.com/health/fetal-alcohol-syndrome/DS00184\" target=\"_blank\">cascade of problems\u003c/a>, including physical deformities, developmental delay, learning disorders and behavior problems.\u003c/p>\n\u003cp>Svetlana Popova of the University of Toronto said she and three other researchers collected international data from peer-reviewed journals, government reports and books. They found that 6 percent of children who live in foster homes or similar care settings have fetal alcohol syndrome. This rate is approximately nine to 60 times higher than that in the general population internationally and up to 30 times higher than the prevalence of the disorder in the general population in the U.S., which is between 0.2 and 0.7 percent, Popova said in an interview.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Our research team has been studying the disorder for years,\" Popova said. \"We hope the results of this study will attract attention to the needs of children in care affected by prenatal alcohol exposure.\"\u003c/p>\n\u003cp>Though fetal alcohol syndrome is preventable, it is difficult to diagnose because health care providers must understand how often and how much alcohol the mother drank during pregnancy, and at which stages, according to experts who study the disorder. Even more challenging is that alcohol affects children differently — problems range from facial deformities to brain damage that can manifest itself in cognitive impairments, difficulty learning, and inability to cope in social settings.\u003c/p>\n\u003cp>Tom Donaldson, president of the National Organization on Fetal Alcohol Syndrome, said screening for the disorder would have huge benefits both to the person who has it and to society.\u003c/p>\n\u003cp>\"Screening would be very important in many systems of care because when you screen, you can then diagnose, and then you can develop a care plan and get somebody on a path of reaching their full potential,\" Donaldson said.\u003c/p>\n\u003cp>But he cautioned that information needed to identify the disorder is often hard to come by.\u003c/p>\n\u003cp>\"You need the alcohol usage history from the mother,\" he said. And when so many affected children \"are in foster care or adoptive care — they're not with their biological parents — that can sometimes can be hard to obtain,\" he said.\u003c/p>\n\u003cp>Monday was also International Fetal Alcohol Syndrome Awareness Day, established in 1999 in an attempt to draw international attention to the importance of abstaining from drinking alcohol during pregnancy, said experts in the field.\u003c/p>\n\u003cp>The awareness day \"is an important reminder that prenatal alcohol exposure is the leading preventable cause of birth defects and developmental disorders in the United States,\" said the National Institutes of Health in \u003ca href=\"http://www.nih.gov/news/health/sep2013/niaaa-06.htm\" target=\"_blank\">a release\u003c/a>. \"Almost 40 years have passed since we recognized that drinking during pregnancy can result in a wide range of disabilities for children, of which Fetal Alcohol Syndrome is the most severe.\"\u003c/p>\n\u003cp>Sarah Mattson, an expert in fetal alcohol syndrome at San Diego State University, said the disorder has remained a severe public health problem since its initial identification in 1973.\u003c/p>\n\u003cp>\"Mixed messages in the media and a general lack of information about the disorder in the general population are at least part of the reason that it is so prevalent,\" Mattson said.\u003c/p>\n\u003cp>Advocates say the leading recommendation of the study in the journal \"Pediatrics\" — early detection, especially in foster care settings -- can lead to wider public awareness and improved health for those affected.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Screening can lead to better coordination between agencies, for example, between schools, between health care agencies and in the actual foster homes,\" said Mike Odeh, of Children Now, an advocacy group. \"We know by definition, children in the welfare system are by definition more vulnerable, so it's no surprise that there is higher prevalence of the disorder in those areas. We need to focus on early identification, but also look at how our systems are set up to coordinate their care.\"\u003c/p>\n\n",
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"excerpt": "Children who grow up in foster care or are adopted from orphanages are more at risk for fetal alcohol syndrome because there is a higher probability that their mothers consumed alcohol during pregnancy. An international study published Monday strongly recommends that infants and adolescents in these child welfare settings be tested for the disorder.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14863\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/126221153-e1378752078714.jpg\">\u003cimg class=\"size-large wp-image-14863\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/126221153-640x480.jpg\" alt=\"Experts say no amount of alcohol is known to be safe during pregnancy. (Getty Images)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Experts say no amount of alcohol is known to be safe during pregnancy. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Angela Hart\u003c/strong>\u003c/p>\n\u003cp>Children who grow up in foster care or are adopted from orphanages are more at risk for fetal alcohol syndrome because there is a higher probability that their mothers consumed alcohol during pregnancy. An \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/09/04/peds.2013-0066.abstract\" target=\"_blank\">international study\u003c/a> published Monday strongly recommends that infants and adolescents in these child welfare settings be tested for the disorder.\u003c/p>\n\u003cp>\"It is imperative that screening be implemented in these at-risk populations,\" reported the authors of the study, \"Prevalence of Fetal Alcohol Spectrum Disorders in Child Care Setting.\" The researchers conducted a meta-analysis, where they pooled data from past studies.\u003c/p>\n\u003cp>Fetal alcohol syndrome can cause a \u003ca href=\"http://www.mayoclinic.com/health/fetal-alcohol-syndrome/DS00184\" target=\"_blank\">cascade of problems\u003c/a>, including physical deformities, developmental delay, learning disorders and behavior problems.\u003c/p>\n\u003cp>Svetlana Popova of the University of Toronto said she and three other researchers collected international data from peer-reviewed journals, government reports and books. They found that 6 percent of children who live in foster homes or similar care settings have fetal alcohol syndrome. This rate is approximately nine to 60 times higher than that in the general population internationally and up to 30 times higher than the prevalence of the disorder in the general population in the U.S., which is between 0.2 and 0.7 percent, Popova said in an interview.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Our research team has been studying the disorder for years,\" Popova said. \"We hope the results of this study will attract attention to the needs of children in care affected by prenatal alcohol exposure.\"\u003c/p>\n\u003cp>Though fetal alcohol syndrome is preventable, it is difficult to diagnose because health care providers must understand how often and how much alcohol the mother drank during pregnancy, and at which stages, according to experts who study the disorder. Even more challenging is that alcohol affects children differently — problems range from facial deformities to brain damage that can manifest itself in cognitive impairments, difficulty learning, and inability to cope in social settings.\u003c/p>\n\u003cp>Tom Donaldson, president of the National Organization on Fetal Alcohol Syndrome, said screening for the disorder would have huge benefits both to the person who has it and to society.\u003c/p>\n\u003cp>\"Screening would be very important in many systems of care because when you screen, you can then diagnose, and then you can develop a care plan and get somebody on a path of reaching their full potential,\" Donaldson said.\u003c/p>\n\u003cp>But he cautioned that information needed to identify the disorder is often hard to come by.\u003c/p>\n\u003cp>\"You need the alcohol usage history from the mother,\" he said. And when so many affected children \"are in foster care or adoptive care — they're not with their biological parents — that can sometimes can be hard to obtain,\" he said.\u003c/p>\n\u003cp>Monday was also International Fetal Alcohol Syndrome Awareness Day, established in 1999 in an attempt to draw international attention to the importance of abstaining from drinking alcohol during pregnancy, said experts in the field.\u003c/p>\n\u003cp>The awareness day \"is an important reminder that prenatal alcohol exposure is the leading preventable cause of birth defects and developmental disorders in the United States,\" said the National Institutes of Health in \u003ca href=\"http://www.nih.gov/news/health/sep2013/niaaa-06.htm\" target=\"_blank\">a release\u003c/a>. \"Almost 40 years have passed since we recognized that drinking during pregnancy can result in a wide range of disabilities for children, of which Fetal Alcohol Syndrome is the most severe.\"\u003c/p>\n\u003cp>Sarah Mattson, an expert in fetal alcohol syndrome at San Diego State University, said the disorder has remained a severe public health problem since its initial identification in 1973.\u003c/p>\n\u003cp>\"Mixed messages in the media and a general lack of information about the disorder in the general population are at least part of the reason that it is so prevalent,\" Mattson said.\u003c/p>\n\u003cp>Advocates say the leading recommendation of the study in the journal \"Pediatrics\" — early detection, especially in foster care settings -- can lead to wider public awareness and improved health for those affected.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Screening can lead to better coordination between agencies, for example, between schools, between health care agencies and in the actual foster homes,\" said Mike Odeh, of Children Now, an advocacy group. \"We know by definition, children in the welfare system are by definition more vulnerable, so it's no surprise that there is higher prevalence of the disorder in those areas. We need to focus on early identification, but also look at how our systems are set up to coordinate their care.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "More California Parents Opting Out of Vaccines; Look Up Your School Online",
"title": "More California Parents Opting Out of Vaccines; Look Up Your School Online",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cem>\u003cstrong>Editor's note: the story below is from 2013. To see more recent data, please see \u003ca title=\"Vaccine Opt-Out Rate Doubled in 7 Years\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine\" target=\"_blank\">this story published in early September, 2014.\u003c/a>\u003c/strong> \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Olivia Hubert-Allen and Lisa Aliferis\u003c/strong>\u003c/p>\n\u003cp>Despite the overwhelming medical evidence that childhood vaccinations are exceptionally effective at preventing disease, a growing number of parents are opting out of having their children vaccinated. While state law requires that children be fully vaccinated to enter kindergarten, California parents can get around this requirement simply by filing a personal belief exemption, or PBE, a signed statement saying that vaccines are counter to their beliefs.\u003c/p>\n\u003cp>PBE rates vary across the state, including by county (Marin has the highest \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">personal belief exemption rate\u003c/a> in the Bay Area at 7.8 percent), and also by individual school. The California Department of Public Health \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20California%20Kindergarten%20Data.pdf\" target=\"_blank\">compiles vaccination rates\u003c/a> and PBE rates statewide. Below, we've made it easy for you to look up your own child's school and see what the PBE rate is. You can also look at the data by county, city or school district. (PBE data for some schools was not provided.)\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. Ideally, that number should be zero, as it is at many schools statewide. Look up your child's school in the search box:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.kqed.org/news/health/vaccinations/pmerates.jsp\" width=\"640\" height=\"485\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c!--more-->James Watt, chief of the communicable disease control division with the California Department of Public Health, called high personal belief rates \"a concern,\" especially \"because in some schools you really do have situations where you fall below a herd immunity threshold, and disease transmission is even more possible.\"\u003c/p>\n\u003cp>\"Herd immunity\" means that there's such a high vaccination rate that those who cannot be vaccinated, such as newborn infants or people with compromised immune systems, are protected.\u003c/p>\n\u003cp style=\"text-align: center\">[\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">Five Things You Should Know About Vaccines\u003c/a>]\u003c/p>\n\u003cp>Schools are ripe places for disease transmission if kids aren't vaccinated. Kids don't have good \"cough etiquette,\" Watt noted, plus \"kids in schools have a lot of contact with each other.\" He stressed that the best thing parents can do is have their own children vaccinated. \"The vast majority of children who are vaccinated are protected.\"\u003c/p>\n\u003cp>A more worrisome issue, he said, is for children who cannot be vaccinated for a medical reason. In that case, parents may want to weigh a school's PBE rate and consider what that means for their own child.\u003c/p>\n\u003cp>\"It's one piece of information that parents can use as they think about schools and their own children and what their risks may be,\" Watt said. \"Different children have different needs.\"\u003c/p>\n\u003cp>In January, a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">new state law goes into effect\u003c/a> requiring parents who want to opt out of vaccines to talk with a health care provider first about the pros and cons of both vaccines and communicable illnesses. Washington state passed a similar law in 2011, and their opt-out rate has since dropped by almost 40 percent.\u003c/p>\n\u003cp>\u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">On a countywide basis\u003c/a>, the highest PBE rates are found in a collection of Northern California counties. Alpine, Calaveras, Del Norte, Humboldt, Mariposa, Siskiyou and Tuolomne counties all have PBE rates between 10.5 and 12.5 percent. Trinity County's rate is 15.93 and Nevada County's rate is 22.44, but both these counties have only a few hundred students in school, so it would take just a few children with PBEs to create the high percentage rate.\u003c/p>\n\u003cp>By contrast, San Francisco County's PBE rate is 1.33 percent, and Los Angeles County's rate is 1.88 percent.\u003c/p>\n\u003cp>\u003cstrong>Our methodology\u003c/strong>\u003c/p>\n\u003cp>The state conducts a \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">kindergarten assessment\u003c/a> of vaccination rates each fall. The data shown above are from the 2012-2013 school year and reflect a survey of more than 500,000 children at 8,220 public and private kindergartens in California. The assessment is done at the school level and reported to local health departments and to the state.\u003c/p>\n\u003cp>The state then compiles \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20California%20Kindergarten%20Data.pdf\" target=\"_blank\">a report of the immunization status\u003c/a> of all kindergarteners, a table with 26 columns of information. More than 90 percent of kindergarteners in the state start school fully immunized. But some children have \"conditional\" status, meaning they are lacking some vaccines but parents intend to get them. Officials told us they do not want to deny entrance to school because the child is not fully up-to-date, but is expected to be soon. Some parents are opposed to vaccines, so they have a \"personal belief exemption\" on file.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To make it easier for readers to look up the PBE rate at their own school, we simplified the state's table. We did not alter the data in any individual column. Instead, we selected six of the 26 columns that we thought readers would find most interesting. In addition, we made the data sortable by county, city, school district and PBE rate. The state publishes a PDF of its data, which is not sortable. We asked the state for its Excel spreadsheet so that we could post this sortable version.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003cstrong>Editor's note: the story below is from 2013. To see more recent data, please see \u003ca title=\"Vaccine Opt-Out Rate Doubled in 7 Years\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine\" target=\"_blank\">this story published in early September, 2014.\u003c/a>\u003c/strong> \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Olivia Hubert-Allen and Lisa Aliferis\u003c/strong>\u003c/p>\n\u003cp>Despite the overwhelming medical evidence that childhood vaccinations are exceptionally effective at preventing disease, a growing number of parents are opting out of having their children vaccinated. While state law requires that children be fully vaccinated to enter kindergarten, California parents can get around this requirement simply by filing a personal belief exemption, or PBE, a signed statement saying that vaccines are counter to their beliefs.\u003c/p>\n\u003cp>PBE rates vary across the state, including by county (Marin has the highest \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">personal belief exemption rate\u003c/a> in the Bay Area at 7.8 percent), and also by individual school. The California Department of Public Health \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20California%20Kindergarten%20Data.pdf\" target=\"_blank\">compiles vaccination rates\u003c/a> and PBE rates statewide. Below, we've made it easy for you to look up your own child's school and see what the PBE rate is. You can also look at the data by county, city or school district. (PBE data for some schools was not provided.)\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. Ideally, that number should be zero, as it is at many schools statewide. Look up your child's school in the search box:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.kqed.org/news/health/vaccinations/pmerates.jsp\" width=\"640\" height=\"485\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c!--more-->James Watt, chief of the communicable disease control division with the California Department of Public Health, called high personal belief rates \"a concern,\" especially \"because in some schools you really do have situations where you fall below a herd immunity threshold, and disease transmission is even more possible.\"\u003c/p>\n\u003cp>\"Herd immunity\" means that there's such a high vaccination rate that those who cannot be vaccinated, such as newborn infants or people with compromised immune systems, are protected.\u003c/p>\n\u003cp style=\"text-align: center\">[\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">Five Things You Should Know About Vaccines\u003c/a>]\u003c/p>\n\u003cp>Schools are ripe places for disease transmission if kids aren't vaccinated. Kids don't have good \"cough etiquette,\" Watt noted, plus \"kids in schools have a lot of contact with each other.\" He stressed that the best thing parents can do is have their own children vaccinated. \"The vast majority of children who are vaccinated are protected.\"\u003c/p>\n\u003cp>A more worrisome issue, he said, is for children who cannot be vaccinated for a medical reason. In that case, parents may want to weigh a school's PBE rate and consider what that means for their own child.\u003c/p>\n\u003cp>\"It's one piece of information that parents can use as they think about schools and their own children and what their risks may be,\" Watt said. \"Different children have different needs.\"\u003c/p>\n\u003cp>In January, a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">new state law goes into effect\u003c/a> requiring parents who want to opt out of vaccines to talk with a health care provider first about the pros and cons of both vaccines and communicable illnesses. Washington state passed a similar law in 2011, and their opt-out rate has since dropped by almost 40 percent.\u003c/p>\n\u003cp>\u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">On a countywide basis\u003c/a>, the highest PBE rates are found in a collection of Northern California counties. Alpine, Calaveras, Del Norte, Humboldt, Mariposa, Siskiyou and Tuolomne counties all have PBE rates between 10.5 and 12.5 percent. Trinity County's rate is 15.93 and Nevada County's rate is 22.44, but both these counties have only a few hundred students in school, so it would take just a few children with PBEs to create the high percentage rate.\u003c/p>\n\u003cp>By contrast, San Francisco County's PBE rate is 1.33 percent, and Los Angeles County's rate is 1.88 percent.\u003c/p>\n\u003cp>\u003cstrong>Our methodology\u003c/strong>\u003c/p>\n\u003cp>The state conducts a \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">kindergarten assessment\u003c/a> of vaccination rates each fall. The data shown above are from the 2012-2013 school year and reflect a survey of more than 500,000 children at 8,220 public and private kindergartens in California. The assessment is done at the school level and reported to local health departments and to the state.\u003c/p>\n\u003cp>The state then compiles \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20California%20Kindergarten%20Data.pdf\" target=\"_blank\">a report of the immunization status\u003c/a> of all kindergarteners, a table with 26 columns of information. More than 90 percent of kindergarteners in the state start school fully immunized. But some children have \"conditional\" status, meaning they are lacking some vaccines but parents intend to get them. Officials told us they do not want to deny entrance to school because the child is not fully up-to-date, but is expected to be soon. Some parents are opposed to vaccines, so they have a \"personal belief exemption\" on file.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To make it easier for readers to look up the PBE rate at their own school, we simplified the state's table. We did not alter the data in any individual column. Instead, we selected six of the 26 columns that we thought readers would find most interesting. In addition, we made the data sortable by county, city, school district and PBE rate. The state publishes a PDF of its data, which is not sortable. We asked the state for its Excel spreadsheet so that we could post this sortable version.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Short School Lunch Periods Leave Kids Hungry",
"title": "Short School Lunch Periods Leave Kids Hungry",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_12625\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/oakfood05_NoahBerger_CIR-e1377794012760.jpg\">\u003cimg class=\"size-full wp-image-12625\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/oakfood05_NoahBerger_CIR-e1377794012760.jpg\" alt=\"Lunchtime at Oakland High School The Oakland Unified School District switched to a closed-campus lunch last fall, and the school now offers free lunches to every student. (Noah Berger/Center for Investigative Reporting)\" width=\"640\" height=\"365\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/05/oakfood05_NoahBerger_CIR-e1377794012760.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/oakfood05_NoahBerger_CIR-e1377794012760-400x228.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/oakfood05_NoahBerger_CIR-e1377794012760-320x183.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Students eat lunch in the Oakland High School cafeteria. To get lunch, students in one line enter their ID numbers – used by staff to track free and reduced-price meals – and then receive tickets to exchange for meals in other lines. One student said he typically waits 20 to 25 minutes for food. (Noah Berger/Center for Investigative Reporting)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By\u003c/strong>\u003ca href=\"http://cironline.org/person/joanna-lin\" target=\"_blank\"> Joanna Lin\u003c/a>, \u003ca href=\"http://cironline.org/reports/fast-food-students-struggle-healthy-options-short-lunch-periods-5139\" target=\"_blank\">The Center for Investigative Reporting\u003c/a>\u003c/p>\n\u003cp>The green beans are portioned and displayed in orderly rows. The lasagnas are steaming up their plastic covers. The workers stand ready, their hair netted and aprons tied. The bell rings, and a stream of nearly 1,000 students floods in to Francisco Bravo Medical Magnet High School's cafeteria, barely slowing as they load cardboard trays with apple juice, chicken wings and sliced cucumbers.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Hungry students are more prone to headaches, stomachaches and behavior problems and less able to concentrate in class, educators say.\u003c/aside>\n\u003cp>Because lunch is free for all students at Bravo, in the Boyle Heights neighborhood of Los Angeles, no one pauses to pay. Still, during the lunch rush this day in May, food service worker Rodelinda Gomez stops a few.\u003c/p>\n\u003cp>“Hey! Hey!” Gomez hollers to students with no greens on their trays. “Come on and get your vegetables. You have to get them!”\u003c/p>\n\u003cp>For schools to receive federal reimbursement for lunches, they must serve -- not just offer -- each student at least a half-cup of fruit or vegetables. Lunches also must include servings of at least two other foods, such as a protein and a grain.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The requirement, adopted in the last school year, is part of an effort to serve students healthier foods. And eating those foods takes time – more time than many students have.\u003c/p>\n\u003cp>“A student can eat a cup of applesauce in no time – you can practically drink that. But chewing through an apple takes a lot longer,” said Diane Pratt-Heavner, spokeswoman for the School Nutrition Association, a national advocacy organization. “If we want our students to eat more salads, fruits and vegetables, we need to give them more time to consume them.”\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>20 minutes minimum for lunch, a recommendation often not followed\u003c/strong>\u003c/p>\n\u003cp>National school and health organizations and some states -- including California -- recommend that students have at least 20 minutes to eat lunch after it is served. But “that’s not happening in all schools,” Pratt-Heavner said.\u003c/p>\n\u003cp>Nationwide, the average lunch period was 31 minutes in the 2009-10 school year, according to the U.S. Department of Agriculture’s most recent data available. Students waited in line an average of five minutes and as long as 30 minutes to get lunch, food service managers reported.\u003c/p>\n\u003cp>The Los Angeles Unified School District has touted the 20-minute standard since 1990. Yet a district analysis last year showed that seven out of 10 high schools and nearly half of elementary schools missed the mark.\u003c/p>\n\u003cp>“What we find is, with the kids that don’t have the time, they don’t eat anything,” said David Binkle, the district’s director of food services.\u003c/p>\n\u003cp>Uneaten meals mean hungry students who are more prone to headaches, stomachaches and behavior problems and less able to concentrate in class, educators say. They also increase food waste.\u003c/p>\n\u003cp>Last year, L.A. Unified’s school board reaffirmed its policy to provide all students enough time to eat. As students return to campus this month, many will see more lunch lines, points of sales or staff to serve them; others will have longer lunch periods, Binkle said.\u003c/p>\n\u003cp>By the end of the school year, Binkle hopes to have cut in half the number of schools failing to offer at least 20 minutes to eat lunch.\u003c/p>\n\u003cp>Advocates say L.A. Unified is the only district they know of that’s trying to provide students a minimum time to eat.\u003c/p>\n\u003cp>“I don’t think (it) is on our radar for any of the other districts. Not that it’s not needed – it’s just so difficult,” said Nicola Edwards, a nutrition policy advocate at California Food Policy Advocates.\u003c/p>\n\u003cp>Across California, schools face a number of challenges in carving out enough time to eat.\u003c/p>\n\u003cp>Aging facilities can mean cramped cafeterias and long lines. And tight bell schedules that prioritize instructional minutes leave lunchtime with “the short end of the stick,” said Joanne Tucker, food services marketing coordinator for the San Diego Unified School District.\u003c/p>\n\u003cp>\u003cstrong>Innovative approaches to give kids more time for lunch\u003c/strong>\u003c/p>\n\u003cp>Still, there are ways schools are trying to allow students more time to eat.\u003c/p>\n\u003cp>When lines get too long, the San Jose Unified School District deploys extra staff to help serve lunch, said John Sixt, the district’s director of student nutrition.\u003c/p>\n\u003cp>The San Francisco Unified School District is piloting vending machines that sell full meals, allowing students to skip the cafeteria, said Zetta Reicker, the district’s assistant director for student nutrition services.\u003c/p>\n\u003cp>San Diego Unified used grant money to roll out mobile food carts at its high schools, creating more places to get food on campus. At San Diego High School, where 2,700 students attend five smaller thematic schools, there are 22 service locations.\u003c/p>\n\u003cp>But even with multiple service locations, students say waits still can be too long.\u003c/p>\n\u003cp>Randy Saelee, now a senior at Oakland High School, said he decides what to eat based on which of the school’s seven service areas has the shortest line. The Friday before school let out for summer, a horde of students blocked his view of his chosen cafeteria window.\u003c/p>\n\u003cp>“I guess tacos?” he said with a shrug.\u003c/p>\n\u003cp>Even with this approach, Saelee said he typically waits 20 to 25 minutes because people cut in line.\u003c/p>\n\u003cp>At Oakland High, students in one line punch in their ID numbers, so that staff can track free and reduced-price meals, and then receive tickets they’ll exchange for lunches in other lines.\u003c/p>\n\u003cp>“There’s never enough time,” said Yvette Santos, who graduated in June. “You have to get in a line to get a ticket, then get into another line to get the food. Then your food’s cold when you get it.”\u003c/p>\n\u003cp>Schools short on time often serve grab-and-go meals and preportioned foods. Both options can be found at Bravo in Los Angeles, which has a 30-minute lunch period and serves 1,000 lunches per day.\u003c/p>\n\u003cp>As many as 200 students ate grab-and-go lunches when they took standardized tests this spring and could not leave their classrooms, said Bob Milner, the school’s cafe manager. The meals are also a popular choice for students who have tutoring or club meetings during lunch.\u003c/p>\n\u003cp>Some advocates say quick, portable meals are a step in the wrong direction.\u003c/p>\n\u003cp>“It’s really not what we want to teach children to do – to grab their food and eat it in the car or eat it on the run,” said Zenobia Barlow, executive director of the Center for Ecoliteracy, which has advocated for school food reform. “To get a healthy meal and sit down and just eat it like a human being – (it) seems like we really need to take a look at that and try our best to preserve some quality in that experience.”\u003c/p>\n\u003cp>To Sharelette Rodgers, a food services manager for Oakland Unified, time is not a problem. “The kids would just rather go to the fast-food places,” she said.\u003c/p>\n\u003cp>Or they would rather not eat at all. “Sometimes, I don’t eat because I don’t like it,” Cedric Bonsol, now a junior at Bravo, said of school lunches.\u003c/p>\n\u003cp>In school after school, the primary complaint students have about lunch is not the time but the food itself. Binkle, of L.A. Unified, said the issues are related. He likened the school cafeteria to a restaurant trying to serve 2,000 meals in 20 minutes.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“If you had 40 minutes, then we’d only have to prepare half and serve half at a time,” he said. “You get much higher-quality food, you get much fresher food, because it’s being cooked more to order than … scrambled eggs on the buffet that have been sitting there for six hours. The longer you stretch it out, the more personalized the service and the quality of food is improved.”\u003c/p>\n\n",
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"excerpt": "National school and health organizations and some states – including California – recommend that students have at least 20 minutes to eat lunch after they’re served. But “that’s not happening in all schools,” Pratt-Heavner said.\r\n\r\nNationwide, the average lunch period was 31 minutes in the 2009-10 school year, according to the U.S. Department of Agriculture’s most recent data available. Students waited in line an average of five minutes and as long as 30 minutes to get lunch, food service managers reported.\r\n\r\n“What we find is, with the kids that don’t have the time, they don’t eat anything,” said David Binkle, the district’s director of food services.",
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"description": "National school and health organizations and some states – including California – recommend that students have at least 20 minutes to eat lunch after they’re served. But “that’s not happening in all schools,” Pratt-Heavner said.\r\n\r\nNationwide, the average lunch period was 31 minutes in the 2009-10 school year, according to the U.S. Department of Agriculture’s most recent data available. Students waited in line an average of five minutes and as long as 30 minutes to get lunch, food service managers reported.\r\n\r\n“What we find is, with the kids that don’t have the time, they don’t eat anything,” said David Binkle, the district’s director of food services.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_12625\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/oakfood05_NoahBerger_CIR-e1377794012760.jpg\">\u003cimg class=\"size-full wp-image-12625\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/oakfood05_NoahBerger_CIR-e1377794012760.jpg\" alt=\"Lunchtime at Oakland High School The Oakland Unified School District switched to a closed-campus lunch last fall, and the school now offers free lunches to every student. (Noah Berger/Center for Investigative Reporting)\" width=\"640\" height=\"365\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/05/oakfood05_NoahBerger_CIR-e1377794012760.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/oakfood05_NoahBerger_CIR-e1377794012760-400x228.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/oakfood05_NoahBerger_CIR-e1377794012760-320x183.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Students eat lunch in the Oakland High School cafeteria. To get lunch, students in one line enter their ID numbers – used by staff to track free and reduced-price meals – and then receive tickets to exchange for meals in other lines. One student said he typically waits 20 to 25 minutes for food. (Noah Berger/Center for Investigative Reporting)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By\u003c/strong>\u003ca href=\"http://cironline.org/person/joanna-lin\" target=\"_blank\"> Joanna Lin\u003c/a>, \u003ca href=\"http://cironline.org/reports/fast-food-students-struggle-healthy-options-short-lunch-periods-5139\" target=\"_blank\">The Center for Investigative Reporting\u003c/a>\u003c/p>\n\u003cp>The green beans are portioned and displayed in orderly rows. The lasagnas are steaming up their plastic covers. The workers stand ready, their hair netted and aprons tied. The bell rings, and a stream of nearly 1,000 students floods in to Francisco Bravo Medical Magnet High School's cafeteria, barely slowing as they load cardboard trays with apple juice, chicken wings and sliced cucumbers.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Hungry students are more prone to headaches, stomachaches and behavior problems and less able to concentrate in class, educators say.\u003c/aside>\n\u003cp>Because lunch is free for all students at Bravo, in the Boyle Heights neighborhood of Los Angeles, no one pauses to pay. Still, during the lunch rush this day in May, food service worker Rodelinda Gomez stops a few.\u003c/p>\n\u003cp>“Hey! Hey!” Gomez hollers to students with no greens on their trays. “Come on and get your vegetables. You have to get them!”\u003c/p>\n\u003cp>For schools to receive federal reimbursement for lunches, they must serve -- not just offer -- each student at least a half-cup of fruit or vegetables. Lunches also must include servings of at least two other foods, such as a protein and a grain.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The requirement, adopted in the last school year, is part of an effort to serve students healthier foods. And eating those foods takes time – more time than many students have.\u003c/p>\n\u003cp>“A student can eat a cup of applesauce in no time – you can practically drink that. But chewing through an apple takes a lot longer,” said Diane Pratt-Heavner, spokeswoman for the School Nutrition Association, a national advocacy organization. “If we want our students to eat more salads, fruits and vegetables, we need to give them more time to consume them.”\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>20 minutes minimum for lunch, a recommendation often not followed\u003c/strong>\u003c/p>\n\u003cp>National school and health organizations and some states -- including California -- recommend that students have at least 20 minutes to eat lunch after it is served. But “that’s not happening in all schools,” Pratt-Heavner said.\u003c/p>\n\u003cp>Nationwide, the average lunch period was 31 minutes in the 2009-10 school year, according to the U.S. Department of Agriculture’s most recent data available. Students waited in line an average of five minutes and as long as 30 minutes to get lunch, food service managers reported.\u003c/p>\n\u003cp>The Los Angeles Unified School District has touted the 20-minute standard since 1990. Yet a district analysis last year showed that seven out of 10 high schools and nearly half of elementary schools missed the mark.\u003c/p>\n\u003cp>“What we find is, with the kids that don’t have the time, they don’t eat anything,” said David Binkle, the district’s director of food services.\u003c/p>\n\u003cp>Uneaten meals mean hungry students who are more prone to headaches, stomachaches and behavior problems and less able to concentrate in class, educators say. They also increase food waste.\u003c/p>\n\u003cp>Last year, L.A. Unified’s school board reaffirmed its policy to provide all students enough time to eat. As students return to campus this month, many will see more lunch lines, points of sales or staff to serve them; others will have longer lunch periods, Binkle said.\u003c/p>\n\u003cp>By the end of the school year, Binkle hopes to have cut in half the number of schools failing to offer at least 20 minutes to eat lunch.\u003c/p>\n\u003cp>Advocates say L.A. Unified is the only district they know of that’s trying to provide students a minimum time to eat.\u003c/p>\n\u003cp>“I don’t think (it) is on our radar for any of the other districts. Not that it’s not needed – it’s just so difficult,” said Nicola Edwards, a nutrition policy advocate at California Food Policy Advocates.\u003c/p>\n\u003cp>Across California, schools face a number of challenges in carving out enough time to eat.\u003c/p>\n\u003cp>Aging facilities can mean cramped cafeterias and long lines. And tight bell schedules that prioritize instructional minutes leave lunchtime with “the short end of the stick,” said Joanne Tucker, food services marketing coordinator for the San Diego Unified School District.\u003c/p>\n\u003cp>\u003cstrong>Innovative approaches to give kids more time for lunch\u003c/strong>\u003c/p>\n\u003cp>Still, there are ways schools are trying to allow students more time to eat.\u003c/p>\n\u003cp>When lines get too long, the San Jose Unified School District deploys extra staff to help serve lunch, said John Sixt, the district’s director of student nutrition.\u003c/p>\n\u003cp>The San Francisco Unified School District is piloting vending machines that sell full meals, allowing students to skip the cafeteria, said Zetta Reicker, the district’s assistant director for student nutrition services.\u003c/p>\n\u003cp>San Diego Unified used grant money to roll out mobile food carts at its high schools, creating more places to get food on campus. At San Diego High School, where 2,700 students attend five smaller thematic schools, there are 22 service locations.\u003c/p>\n\u003cp>But even with multiple service locations, students say waits still can be too long.\u003c/p>\n\u003cp>Randy Saelee, now a senior at Oakland High School, said he decides what to eat based on which of the school’s seven service areas has the shortest line. The Friday before school let out for summer, a horde of students blocked his view of his chosen cafeteria window.\u003c/p>\n\u003cp>“I guess tacos?” he said with a shrug.\u003c/p>\n\u003cp>Even with this approach, Saelee said he typically waits 20 to 25 minutes because people cut in line.\u003c/p>\n\u003cp>At Oakland High, students in one line punch in their ID numbers, so that staff can track free and reduced-price meals, and then receive tickets they’ll exchange for lunches in other lines.\u003c/p>\n\u003cp>“There’s never enough time,” said Yvette Santos, who graduated in June. “You have to get in a line to get a ticket, then get into another line to get the food. Then your food’s cold when you get it.”\u003c/p>\n\u003cp>Schools short on time often serve grab-and-go meals and preportioned foods. Both options can be found at Bravo in Los Angeles, which has a 30-minute lunch period and serves 1,000 lunches per day.\u003c/p>\n\u003cp>As many as 200 students ate grab-and-go lunches when they took standardized tests this spring and could not leave their classrooms, said Bob Milner, the school’s cafe manager. The meals are also a popular choice for students who have tutoring or club meetings during lunch.\u003c/p>\n\u003cp>Some advocates say quick, portable meals are a step in the wrong direction.\u003c/p>\n\u003cp>“It’s really not what we want to teach children to do – to grab their food and eat it in the car or eat it on the run,” said Zenobia Barlow, executive director of the Center for Ecoliteracy, which has advocated for school food reform. “To get a healthy meal and sit down and just eat it like a human being – (it) seems like we really need to take a look at that and try our best to preserve some quality in that experience.”\u003c/p>\n\u003cp>To Sharelette Rodgers, a food services manager for Oakland Unified, time is not a problem. “The kids would just rather go to the fast-food places,” she said.\u003c/p>\n\u003cp>Or they would rather not eat at all. “Sometimes, I don’t eat because I don’t like it,” Cedric Bonsol, now a junior at Bravo, said of school lunches.\u003c/p>\n\u003cp>In school after school, the primary complaint students have about lunch is not the time but the food itself. Binkle, of L.A. Unified, said the issues are related. He likened the school cafeteria to a restaurant trying to serve 2,000 meals in 20 minutes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“If you had 40 minutes, then we’d only have to prepare half and serve half at a time,” he said. “You get much higher-quality food, you get much fresher food, because it’s being cooked more to order than … scrambled eggs on the buffet that have been sitting there for six hours. The longer you stretch it out, the more personalized the service and the quality of food is improved.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "San Francisco's BabyCenter Reaches Young Mothers in the Developing World",
"title": "San Francisco's BabyCenter Reaches Young Mothers in the Developing World",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_14591\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/Screen-Shot-2013-08-27-at-4.43.09-PM.png\">\u003cimg class=\"size-full wp-image-14591\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/Screen-Shot-2013-08-27-at-4.43.09-PM.png\" alt=\"This woman in Bangladesh receives educational text messages about baby care. (Scene from MAMA Global video)\" width=\"640\" height=\"454\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/08/Screen-Shot-2013-08-27-at-4.43.09-PM.png 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/08/Screen-Shot-2013-08-27-at-4.43.09-PM-400x284.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/08/Screen-Shot-2013-08-27-at-4.43.09-PM-320x227.png 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">This woman in Bangladesh receives educational text messages about baby care. (Scene from MAMA Global video)\u003c/figcaption>\u003c/figure>\n\u003cp>Here in the U.S. pregnant women focus, sometimes obsessively, on diet, nutrition and prenatal vitamins -- and debate about use of epidurals or C-section rates. But in the developing world, getting just the most basic information to pregnant women and new mothers has been a monumental task, and that lack of information contributes to high mortality rates.\u003c/p>\n\u003cp>Every day about 800 women in the developing world die during pregnancy or childbirth and more than 3 million newborns die of preventable illnesses every year, Kristen Gagnaire told me recently. She was in San Francisco spreading the word about MAMA, the Mobile Alliance for Maternal Action. Gagnaire is MAMA's global director and a firm believer in the power of education to make a difference. She's working to get information out to help save lives via a surprisingly simple platform: the mobile phone.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The fetus develops in the same way in a mother, whether she's in Zambia or she's in California or she's in the UK.”\u003c/aside>\n\u003cp>MAMA is a global public-private partnership launched two years ago by former Secretary of State Hillary Clinton. USAID, Johnson & Johnson and the U.N. Foundation are all involved. And so is San Francisco's BabyCenter (a division of Johnson & Johnson) where we met, along with Colleen Hancock, BabyCenter's global chief operating officer. On its website BabyCenter says one its main areas is to provide \"expert advice\" about pregnancy, childbirth, babies, toddlers and more. It is a trusted source for women in the U.S. and other western countries.\u003c!--more-->\u003c/p>\n\u003cp>The idea was to adapt the BabyCenter model for cultures in the developing world and send out text messages to give women \"critical health information about how to take care of themselves, how to give care to their babies and when and how to seek help\" from trained health care providers, Gagnaire said.\u003c/p>\n\u003cp>\"The fetus develops in the same way in a mother, whether she's in Zambia or she's in California or she's in the UK,\" added Hancock. According to \u003ca href=\"http://mobilemamaalliance.org/mobile-messages\" target=\"_blank\">MAMA's website\u003c/a>, the messages are developed around evidence-based key health behaviors and interventions that can improve health outcomes.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Gagnaire said that across the developing world about 1 billion women have access to mobile phones -- either their own or phones they share. Deploying text messages can have a \"major impact,\" Gagnaire said, which they are in the process of measuring. They also provide the messages by voicemail for people who may not be able to read.\u003c/p>\n\u003cp>Bangladesh was one of the first countries to participate in the program, called Aponjon locally. In this \u003ca href=\"http://vimeo.com/65835895\" target=\"_blank\">short video\u003c/a>, a mother describes how much she has learned.\u003c/p>\n\u003cp>[youtube //player.vimeo.com/video/65835895]\u003c/p>\n\u003cp>In the video, the young mother said she signed up for the service when she had her second child. She said there's so much she hadn't known with her first child, including the fact that breast milk was all the food her baby would need for the first six months.\u003c/p>\n\u003cp>The program also pays attention to local culture. In Bangladesh, when a woman marries, she and her husband usually live with his mother. The mother-in-law is a powerful figure in the family unit, so there is a set of messages just for mothers-in-law. Gagnaire told the story of a new mother whose mother-in-law said that breast-feeding was not sufficient for the baby. Often women are told to feed their babies honey. \"(The mother) showed her mother-in-law the message that talked about exclusive breast-feeding,\" Gagnaire said, \"and then the mother-in-law said, 'OK, you can keep breast-feeding.'\"\u003c/p>\n\u003cp>One text message focuses on care of the newborn baby's umbilical cord. Here's a sample text message: \"A cord infection can make your baby very ill. Sponge the cord with clean water and leave it uncovered to dry. It needs nothing else.\" It turns out that many mothers mistakenly believe they should put oil on the cord but that can lead to infection. Gagnaire said many newborn deaths are the result of these kinds of easily avoided infections.\u003c/p>\n\u003cp>\"If we can prevent those either because a mother understands that she shouldn't put oil\" on the umbilical cord or another message tells her the signs of infection and how critical immediate care is, \"then those infections can be eliminated rather quickly. If they go uncared for, the baby will die,\" Gagnaire said.\u003c/p>\n\u003cp>But the most powerful text message, she said, is the one that tells new mothers to make eye contact with their babies. BabyCenter's Hancock pointed out that \"in many cultures people don't make eye contact for a variety of reasons, not the least of which is that [the baby] might die.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>More than 100,000 women have signed up for the program in Bangladesh -- and another 200,000 people in 35 countries from Afghanistan to Zambia are enrolled through local partner programs. Growth has been \"exponential,\" Gagnaire said, and they ultimately hope to reach 20 million women.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14591\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/Screen-Shot-2013-08-27-at-4.43.09-PM.png\">\u003cimg class=\"size-full wp-image-14591\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/Screen-Shot-2013-08-27-at-4.43.09-PM.png\" alt=\"This woman in Bangladesh receives educational text messages about baby care. (Scene from MAMA Global video)\" width=\"640\" height=\"454\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/08/Screen-Shot-2013-08-27-at-4.43.09-PM.png 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/08/Screen-Shot-2013-08-27-at-4.43.09-PM-400x284.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/08/Screen-Shot-2013-08-27-at-4.43.09-PM-320x227.png 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">This woman in Bangladesh receives educational text messages about baby care. (Scene from MAMA Global video)\u003c/figcaption>\u003c/figure>\n\u003cp>Here in the U.S. pregnant women focus, sometimes obsessively, on diet, nutrition and prenatal vitamins -- and debate about use of epidurals or C-section rates. But in the developing world, getting just the most basic information to pregnant women and new mothers has been a monumental task, and that lack of information contributes to high mortality rates.\u003c/p>\n\u003cp>Every day about 800 women in the developing world die during pregnancy or childbirth and more than 3 million newborns die of preventable illnesses every year, Kristen Gagnaire told me recently. She was in San Francisco spreading the word about MAMA, the Mobile Alliance for Maternal Action. Gagnaire is MAMA's global director and a firm believer in the power of education to make a difference. She's working to get information out to help save lives via a surprisingly simple platform: the mobile phone.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The fetus develops in the same way in a mother, whether she's in Zambia or she's in California or she's in the UK.”\u003c/aside>\n\u003cp>MAMA is a global public-private partnership launched two years ago by former Secretary of State Hillary Clinton. USAID, Johnson & Johnson and the U.N. Foundation are all involved. And so is San Francisco's BabyCenter (a division of Johnson & Johnson) where we met, along with Colleen Hancock, BabyCenter's global chief operating officer. On its website BabyCenter says one its main areas is to provide \"expert advice\" about pregnancy, childbirth, babies, toddlers and more. It is a trusted source for women in the U.S. and other western countries.\u003c!--more-->\u003c/p>\n\u003cp>The idea was to adapt the BabyCenter model for cultures in the developing world and send out text messages to give women \"critical health information about how to take care of themselves, how to give care to their babies and when and how to seek help\" from trained health care providers, Gagnaire said.\u003c/p>\n\u003cp>\"The fetus develops in the same way in a mother, whether she's in Zambia or she's in California or she's in the UK,\" added Hancock. According to \u003ca href=\"http://mobilemamaalliance.org/mobile-messages\" target=\"_blank\">MAMA's website\u003c/a>, the messages are developed around evidence-based key health behaviors and interventions that can improve health outcomes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Gagnaire said that across the developing world about 1 billion women have access to mobile phones -- either their own or phones they share. Deploying text messages can have a \"major impact,\" Gagnaire said, which they are in the process of measuring. They also provide the messages by voicemail for people who may not be able to read.\u003c/p>\n\u003cp>Bangladesh was one of the first countries to participate in the program, called Aponjon locally. In this \u003ca href=\"http://vimeo.com/65835895\" target=\"_blank\">short video\u003c/a>, a mother describes how much she has learned.\u003c/p>\n\u003cp>\u003c/p>\u003cp>null\u003c/p>\u003cp>\u003c/p>\n\u003cp>In the video, the young mother said she signed up for the service when she had her second child. She said there's so much she hadn't known with her first child, including the fact that breast milk was all the food her baby would need for the first six months.\u003c/p>\n\u003cp>The program also pays attention to local culture. In Bangladesh, when a woman marries, she and her husband usually live with his mother. The mother-in-law is a powerful figure in the family unit, so there is a set of messages just for mothers-in-law. Gagnaire told the story of a new mother whose mother-in-law said that breast-feeding was not sufficient for the baby. Often women are told to feed their babies honey. \"(The mother) showed her mother-in-law the message that talked about exclusive breast-feeding,\" Gagnaire said, \"and then the mother-in-law said, 'OK, you can keep breast-feeding.'\"\u003c/p>\n\u003cp>One text message focuses on care of the newborn baby's umbilical cord. Here's a sample text message: \"A cord infection can make your baby very ill. Sponge the cord with clean water and leave it uncovered to dry. It needs nothing else.\" It turns out that many mothers mistakenly believe they should put oil on the cord but that can lead to infection. Gagnaire said many newborn deaths are the result of these kinds of easily avoided infections.\u003c/p>\n\u003cp>\"If we can prevent those either because a mother understands that she shouldn't put oil\" on the umbilical cord or another message tells her the signs of infection and how critical immediate care is, \"then those infections can be eliminated rather quickly. If they go uncared for, the baby will die,\" Gagnaire said.\u003c/p>\n\u003cp>But the most powerful text message, she said, is the one that tells new mothers to make eye contact with their babies. BabyCenter's Hancock pointed out that \"in many cultures people don't make eye contact for a variety of reasons, not the least of which is that [the baby] might die.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>More than 100,000 women have signed up for the program in Bangladesh -- and another 200,000 people in 35 countries from Afghanistan to Zambia are enrolled through local partner programs. Growth has been \"exponential,\" Gagnaire said, and they ultimately hope to reach 20 million women.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "In California, School Anti-Bullying Efforts Falling Short",
"title": "In California, School Anti-Bullying Efforts Falling Short",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_14548\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-14548 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/139712709-640x433.jpg\" alt=\"The California state auditor faulted both local entities and the state's oversight (Photo: Getty Images)\" width=\"640\" height=\"433\">\u003cfigcaption class=\"wp-caption-text\">A new report from the California state auditor faulted both local entities and the state's oversight in anti-bullying programs. (Photo: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"http://www.edsource.org/today/author/jane-adams#.UhzwOBaBERk\" target=\"_blank\">\u003cstrong>By Jane Meredith Adams\u003c/strong>\u003c/a>, \u003ca href=\"http://www.edsource.org/today/2013/audit-says-school-bullying-prevention-efforts-falling-short/37495#.UhzhJhaBERk\" target=\"_blank\">EdSource Today\u003c/a>\u003c/p>\n\u003cp>Just as kids are heading back to classrooms, a new \u003ca href=\"http://www.auditor.ca.gov/pdfs/reports/2012-108.pdf\" target=\"_blank\">state audit\u003c/a> has found that most schools do not track whether their anti-bullying programs have made campuses any safer and that schools are inconsistent in how they record and resolve bullying incidents.\u003c/p>\n\u003cp>The California Department of Education has been insufficient in both oversight and guidance, the audit said. It further noted that the department went four years without noticing that it was not monitoring schools to ensure they were addressing student complaints, as required by law. At the same time, funding has been cut for statewide surveys on student safety, making it more difficult to determine students’ experiences with bullying.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“The audit shows that passing laws isn’t enough. We need to implement them and ensure accountability at the district, county and statewide levels.”\u003c/aside>\n\u003cp>On the plus side, the audit did find that the vast majority of California schools have anti-bullying programs in place and have provided staff training in how to prevent bullying, discrimination, harassment and intimidation.\u003c/p>\n\u003cp>Still, one advocate said the audit confirms that much remains to be done to reduce the high levels of bullying in California schools.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The audit shows that passing laws isn’t enough –- we need to implement them and ensure accountability at the district, county and statewide levels,” said Jesse Melgar, with Equality California, a San Francisco-based advocacy group. “Now, California schools and the Department of Education have an opportunity to use the audit’s findings to review, update and enhance their policies to better protect our youth and ensure student success.”\u003c!--more-->\u003c/p>\n\u003cp>The California Department of Education disputed many of the audit’s finding, saying officials are committed to addressing bullying and keeping students safe.\u003c/p>\n\u003cp>“Although not mentioned in this report, California has made significant progress in addressing negative school behavior despite the impacts of ongoing budget cuts and staff reductions,” Chief Deputy Superintendent of Public Instruction Richard Zeiger said in a statement. “Nevertheless, CDE acknowledges the auditor’s concerns and will continue our work to build and reinforce a positive school climate throughout the state.”\u003c/p>\n\u003ch4>Bullying at school\u003c/h4>\n\u003cp>Some 28 percent of seventh graders in California \u003ca href=\"http://www.auditor.ca.gov/pdfs/reports/2012-108.pdf\" target=\"_blank\">reported \u003c/a>being harassed at school, and 22 percent of ninth-grade students reported that other students had spread rumors or lies about them online at least once over the previous 12-month period. The data come from the 2009-11 California Healthy Kids Survey. The report noted the link between bullying and several high-profile student suicides, including the 2010 suicide of 13-year-old Seth Walsh of Tehachapi, a victim of anti-gay bullying.\u003c/p>\n\u003cp>“He was only one of many young people who decided it was easier to commit suicide than to go to school the next day,” said Karyl Ketchum, co-chair of the School Compliance Task Force of the \u003ca href=\"http://ocequality.com/\" target=\"_blank\">Orange County Equality Coalition\u003c/a>, which monitors schools in Orange County for compliance with anti-bullying and discrimination laws.\u003c/p>\n\u003cp>“The local educational agencies are not following through with their requirements under the law and no one cares,” she said.\u003c/p>\n\u003cp>Auditors surveyed every school district, county office of education and charter school in the state –- nearly 2,000 in total. Of the nearly 1,400 entities that responded, 80 percent said they had adopted anti-bullying programs and policies. Some 55 percent said they did not formally evaluate the effectiveness of the programs.\u003c/p>\n\u003cp>In addition to the statewide survey, the auditors visited six schools in Los Angeles, Fresno and Sacramento. Those site visits raised concerns about whether schools were receiving sufficient guidance on how to document and resolve complaints. At the schools, auditors found that staff did not always document complaints, follow reporting requirements or record follow-ups on incidents.\u003c/p>\n\u003cp>Experts said that collecting accurate data was essential to ending what President Barack Obama \u003ca href=\"http://www.whitehouse.gov/blog/2012/04/20/ending-bullying-our-schools-communities\" target=\"_blank\">called\u003c/a> “the pain, agony, and loss caused by bullying in our schools and communities.”\u003c/p>\n\u003cp>“Most schools in the U.S. have no systematic ways of tracking reports, and in most situations, do not even follow their own policies or guidelines,” said Dorothy Espelage, co-chair of an American Educational Research Association task force on bullying that issued a \u003ca href=\"http://www.aera.net/newsroom/news/preventionofbullyingresearchreportandrecomm/tabid/14865/default.aspx\" target=\"_blank\">2013 report on the prevention of bullying in schools. \u003c/a>“As bullying legislation is often ‘unfunded’ mandates, there are no research monies to even track compliance of school districts.”\u003c/p>\n\u003ch4>State department criticized\u003c/h4>\n\u003cp>The audit was critical of the Department of Education, beginning with the department’s failure to detect that its Office of Equal Opportunity was not collecting data on bullying for several years. The department ultimately updated its internal program to collect the data on bullying in 2012, four school years after the state \u003ca href=\"http://www.leginfo.ca.gov/cgi-bin/displaycode?section=edc&group=00001-01000&file=234-234.5\" target=\"_blank\">Safe Place to Learn Act \u003c/a>mandated that the department provide oversight, the report noted.\u003c/p>\n\u003cp>The department was also chastised for failing to meet the 60-day legal requirement to resolve appeals in some cases, with 11 of the 18 appeals reviewed by the auditors running between one and 305 days late.\u003c/p>\n\u003cp>Also criticized was the department’s \u003ca href=\"http://www.californiahealthykids.org/index\" target=\"_blank\">website \u003c/a>of bullying resources for schools, with auditors determining that the site was cluttered with 10-year-old research, a dead link, and little information on current issues such as online bullying or bullying related to being perceived as gay or lesbian. In its survey, the audit found that more than half of the school districts, charter schools and county offices of education were unaware that the department even had resources to assist them in complying with laws to protect students from harassment and discrimination.\u003c/p>\n\u003cp>Zeiger, the state official, disputed that audit’s contention that the department was not a leader in protecting students.\u003c/p>\n\u003cp>“Protecting student safety and guarding against discrimination are top priorities at the California Department of Education,” he said, “and the department has been a leader in the prevention of bullying and assisting schools, parents and students in safety issues.”\u003c/p>\n\u003ch4>Conflict of interest in complaint process faulted\u003c/h4>\n\u003cp>The audit noted that schools are encouraged to use their own staff to resolve bullying complaints quickly, but that resolving complaints internally could lead to conflicts of interest. The audit cited two incidents in Sacramento City Unified School District where the administrator who was assigned to resolve a complaint of bullying, harassment, intimidation or discrimination was the same person named in the complaint for allegedly failing to take appropriate action to address the student incident. The audit did not provide details about the specific complaints.\u003c/p>\n\u003cp>Sacramento City will take immediate action to strengthen its anti-bullying efforts, said district spokesman Gabe Ross. He added that the district was the first in the area to implement a comprehensive anti-bullying policy and now has a full-time, grant-funded anti-bullying specialist at the district level.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Our schools are certainly safer for kids than they were before we began this work two years ago,” Ross said.\u003c/p>\n\n",
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"excerpt": "Just as kids are heading back to classrooms, a new state audit has found that most schools do not track whether their anti-bullying programs have made campuses any safer and that schools are inconsistent in how they record and resolve bullying incidents.\r\n\r\nThe California Department of Education has been insufficient in both oversight and guidance, the audit said. It further noted that the department went four years without noticing that it was not monitoring schools to ensure they were addressing student complaints, as required by law. At the same time, funding has been cut for statewide surveys on student safety, making it more difficult to determine students’ experiences with bullying.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14548\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-14548 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/139712709-640x433.jpg\" alt=\"The California state auditor faulted both local entities and the state's oversight (Photo: Getty Images)\" width=\"640\" height=\"433\">\u003cfigcaption class=\"wp-caption-text\">A new report from the California state auditor faulted both local entities and the state's oversight in anti-bullying programs. (Photo: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"http://www.edsource.org/today/author/jane-adams#.UhzwOBaBERk\" target=\"_blank\">\u003cstrong>By Jane Meredith Adams\u003c/strong>\u003c/a>, \u003ca href=\"http://www.edsource.org/today/2013/audit-says-school-bullying-prevention-efforts-falling-short/37495#.UhzhJhaBERk\" target=\"_blank\">EdSource Today\u003c/a>\u003c/p>\n\u003cp>Just as kids are heading back to classrooms, a new \u003ca href=\"http://www.auditor.ca.gov/pdfs/reports/2012-108.pdf\" target=\"_blank\">state audit\u003c/a> has found that most schools do not track whether their anti-bullying programs have made campuses any safer and that schools are inconsistent in how they record and resolve bullying incidents.\u003c/p>\n\u003cp>The California Department of Education has been insufficient in both oversight and guidance, the audit said. It further noted that the department went four years without noticing that it was not monitoring schools to ensure they were addressing student complaints, as required by law. At the same time, funding has been cut for statewide surveys on student safety, making it more difficult to determine students’ experiences with bullying.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“The audit shows that passing laws isn’t enough. We need to implement them and ensure accountability at the district, county and statewide levels.”\u003c/aside>\n\u003cp>On the plus side, the audit did find that the vast majority of California schools have anti-bullying programs in place and have provided staff training in how to prevent bullying, discrimination, harassment and intimidation.\u003c/p>\n\u003cp>Still, one advocate said the audit confirms that much remains to be done to reduce the high levels of bullying in California schools.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The audit shows that passing laws isn’t enough –- we need to implement them and ensure accountability at the district, county and statewide levels,” said Jesse Melgar, with Equality California, a San Francisco-based advocacy group. “Now, California schools and the Department of Education have an opportunity to use the audit’s findings to review, update and enhance their policies to better protect our youth and ensure student success.”\u003c!--more-->\u003c/p>\n\u003cp>The California Department of Education disputed many of the audit’s finding, saying officials are committed to addressing bullying and keeping students safe.\u003c/p>\n\u003cp>“Although not mentioned in this report, California has made significant progress in addressing negative school behavior despite the impacts of ongoing budget cuts and staff reductions,” Chief Deputy Superintendent of Public Instruction Richard Zeiger said in a statement. “Nevertheless, CDE acknowledges the auditor’s concerns and will continue our work to build and reinforce a positive school climate throughout the state.”\u003c/p>\n\u003ch4>Bullying at school\u003c/h4>\n\u003cp>Some 28 percent of seventh graders in California \u003ca href=\"http://www.auditor.ca.gov/pdfs/reports/2012-108.pdf\" target=\"_blank\">reported \u003c/a>being harassed at school, and 22 percent of ninth-grade students reported that other students had spread rumors or lies about them online at least once over the previous 12-month period. The data come from the 2009-11 California Healthy Kids Survey. The report noted the link between bullying and several high-profile student suicides, including the 2010 suicide of 13-year-old Seth Walsh of Tehachapi, a victim of anti-gay bullying.\u003c/p>\n\u003cp>“He was only one of many young people who decided it was easier to commit suicide than to go to school the next day,” said Karyl Ketchum, co-chair of the School Compliance Task Force of the \u003ca href=\"http://ocequality.com/\" target=\"_blank\">Orange County Equality Coalition\u003c/a>, which monitors schools in Orange County for compliance with anti-bullying and discrimination laws.\u003c/p>\n\u003cp>“The local educational agencies are not following through with their requirements under the law and no one cares,” she said.\u003c/p>\n\u003cp>Auditors surveyed every school district, county office of education and charter school in the state –- nearly 2,000 in total. Of the nearly 1,400 entities that responded, 80 percent said they had adopted anti-bullying programs and policies. Some 55 percent said they did not formally evaluate the effectiveness of the programs.\u003c/p>\n\u003cp>In addition to the statewide survey, the auditors visited six schools in Los Angeles, Fresno and Sacramento. Those site visits raised concerns about whether schools were receiving sufficient guidance on how to document and resolve complaints. At the schools, auditors found that staff did not always document complaints, follow reporting requirements or record follow-ups on incidents.\u003c/p>\n\u003cp>Experts said that collecting accurate data was essential to ending what President Barack Obama \u003ca href=\"http://www.whitehouse.gov/blog/2012/04/20/ending-bullying-our-schools-communities\" target=\"_blank\">called\u003c/a> “the pain, agony, and loss caused by bullying in our schools and communities.”\u003c/p>\n\u003cp>“Most schools in the U.S. have no systematic ways of tracking reports, and in most situations, do not even follow their own policies or guidelines,” said Dorothy Espelage, co-chair of an American Educational Research Association task force on bullying that issued a \u003ca href=\"http://www.aera.net/newsroom/news/preventionofbullyingresearchreportandrecomm/tabid/14865/default.aspx\" target=\"_blank\">2013 report on the prevention of bullying in schools. \u003c/a>“As bullying legislation is often ‘unfunded’ mandates, there are no research monies to even track compliance of school districts.”\u003c/p>\n\u003ch4>State department criticized\u003c/h4>\n\u003cp>The audit was critical of the Department of Education, beginning with the department’s failure to detect that its Office of Equal Opportunity was not collecting data on bullying for several years. The department ultimately updated its internal program to collect the data on bullying in 2012, four school years after the state \u003ca href=\"http://www.leginfo.ca.gov/cgi-bin/displaycode?section=edc&group=00001-01000&file=234-234.5\" target=\"_blank\">Safe Place to Learn Act \u003c/a>mandated that the department provide oversight, the report noted.\u003c/p>\n\u003cp>The department was also chastised for failing to meet the 60-day legal requirement to resolve appeals in some cases, with 11 of the 18 appeals reviewed by the auditors running between one and 305 days late.\u003c/p>\n\u003cp>Also criticized was the department’s \u003ca href=\"http://www.californiahealthykids.org/index\" target=\"_blank\">website \u003c/a>of bullying resources for schools, with auditors determining that the site was cluttered with 10-year-old research, a dead link, and little information on current issues such as online bullying or bullying related to being perceived as gay or lesbian. In its survey, the audit found that more than half of the school districts, charter schools and county offices of education were unaware that the department even had resources to assist them in complying with laws to protect students from harassment and discrimination.\u003c/p>\n\u003cp>Zeiger, the state official, disputed that audit’s contention that the department was not a leader in protecting students.\u003c/p>\n\u003cp>“Protecting student safety and guarding against discrimination are top priorities at the California Department of Education,” he said, “and the department has been a leader in the prevention of bullying and assisting schools, parents and students in safety issues.”\u003c/p>\n\u003ch4>Conflict of interest in complaint process faulted\u003c/h4>\n\u003cp>The audit noted that schools are encouraged to use their own staff to resolve bullying complaints quickly, but that resolving complaints internally could lead to conflicts of interest. The audit cited two incidents in Sacramento City Unified School District where the administrator who was assigned to resolve a complaint of bullying, harassment, intimidation or discrimination was the same person named in the complaint for allegedly failing to take appropriate action to address the student incident. The audit did not provide details about the specific complaints.\u003c/p>\n\u003cp>Sacramento City will take immediate action to strengthen its anti-bullying efforts, said district spokesman Gabe Ross. He added that the district was the first in the area to implement a comprehensive anti-bullying policy and now has a full-time, grant-funded anti-bullying specialist at the district level.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Kids' Dental Plans Cost Extra in Obamacare Marketplace",
"title": "Kids' Dental Plans Cost Extra in Obamacare Marketplace",
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"content": "\u003cfigure id=\"attachment_14224\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-14224\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/3525527232_b1e234c35a_b-copy1-640x439.jpg\" alt=\"(emrank/Flickr)\" width=\"640\" height=\"439\">\u003cfigcaption class=\"wp-caption-text\">(emrank/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Small, KPCC\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>UPDATE 5:00PM\u003c/strong>\u003c/p>\n\u003cp>After listening to comments from interested parties ranging from insurance executives to children's health advocates, the board of Covered California voted to hold off making changes to the types of children's dental coverage they will sell starting Oct. 1 in the new marketplace.\u003c/p>\n\u003cp>\u003cstrong>ORIGINAL POST:\u003c/strong>\u003c/p>\n\u003cp>The board of California's new health care exchange meets Thursday in Sacramento. On the agenda is what kind of children's dental coverage to offer under the Affordable Care Act. Covered California is required to sell pediatric dentistry plans, but the exchange has made those plans an optional extra.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Check out KQED's Obamacare Guide for Californians.\u003c/a>\u003c/aside>\n\u003cp>While pediatric dental care is an \u003ca href=\"https://www.healthcare.gov/glossary/essential-health-benefits/\" target=\"_blank\">Essential Health Benefit\u003c/a> under the Affordable Care Act, there's a big exception.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The law allows state-run health care exchanges to sell medical insurance without pediatric dental care as long as they also sell stand-alone plans. The federal law made that exception because nearly all people who have dental insurance today have stand-alone plans. This way they’ll be able to keep their same dentists, even after federal reforms take effect.\u003c/p>\n\u003cp>But Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/07/02/covered-california-to-sell-childrens-dental-plans-separately/\" target=\"_blank\">went a step further\u003c/a> and chose to only offer stand-alone dental plans for children \u003cem>and\u003c/em> make the purchase optional.\u003c!--more-->\u003c/p>\n\u003cp>That decision drew the ire of consumer advocates who say parents will have to pay more for their children’s dental care. There are concerns parents may opt out entirely.\u003c/p>\n\u003cdiv>“Hopefully it won’t be a big black eye,” said Betsy Imholz with Consumers Union.\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cdiv>While they will discuss the issue today, the board of the exchange has told advocates it’s probably too late to reverse the decision for this year.\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cp>“Basically what the exchange did was to tell qualified health plan bidders on the medical side that they could not include pediatric dental,\" Imholz said. \"Some wanted to. Some were ready to. Some weren’t, but as it stands now the only bids they’ve got don’t have the dental as a part of it.”\u003c/p>\n\u003cp>Imholz and other advocates say offering children’s dental care only as a stand-alone policy will push up the cost for as many as 250,000 children who are expected to get insurance next year through the exchange.\u003c/p>\n\u003cp>Imholz says families will have to pay from $10 to $30 extra a month for dental care for each of their kids. “If you’re really watching your budget,\" she notes, \"and just barely making rent and food, health insurance could be tough to pay for.”\u003c/p>\n\u003cp>Families that purchase stand-alone dental care will also have to pay a separate deductible from their medical deductible, and fulfill a separate out-of-pocket maximum.\u003c/p>\n\u003cp>But Covered California spokesman Dana Howard says its approach could actually benefit consumers.\u003c/p>\n\u003cp>“It depends on how you look at it,\" he said. \"You can slice it and dice it in whole different ways depending on each individual’s particular scenario.”\u003c/p>\n\u003cp>Howard says a stand-alone dental plan enables parents to hit a $1,000 out-of-pocket maximum sooner than if the coverage was included in a comprehensive health plan, where that maximum is more than $12,000 for a family.\u003c/p>\n\u003cp>“You could easily reach your maximum out-of-pocket maximum of a thousand dollars or so for your dental coverage, and then you’re done!”\u003c/p>\n\u003cp>\u003cstrong>Pediatric dental care need is great\u003c/strong>\u003c/p>\n\u003cp>An estimated 1.1 million children in California lack dental insurance and often go untreated until their problems are so severe they require hospitalization.\u003c/p>\n\u003cp>“An infection in the mouth can affect the entire body,” explains Dr. Elizabeth Johnson, who treats hundreds of children a year at the WellSpace Health dental clinic in Sacramento. “We see children with infection, decay and abscesses in almost every tooth by the age three, from neglect.”\u003c/p>\n\u003cp>The California Society of Pediatric Dentistry reports that tooth decay is the most prevalent childhood disease. More children miss school because of dental pain than any other reason.\u003c/p>\n\u003cp>WellSpace's Clinic administrator Tanya Burgos says it’s often schools that get parents to make an appointment because the child is in so much pain they cannot sit in their chairs.\u003c/p>\n\u003cp>But Burgos says the issue is not one of parent neglect, it's more a matter of money.\u003c/p>\n\u003cp>“When you ask parents 'Why haven’t the kids been to the dentist?' they say they don’t have the insurance,\" Burgos says. \"They’re either between jobs or waiting for coverage to kick in or they just couldn’t afford it.”\u003c/p>\n\u003cp>Nearly all the clinic’s patients are on a state subsidized health program called Denti-Cal. WellSpace Health enrolls eligible children who come to the clinic for care. Those that don’t qualify pay a sliding-scale fee based on income.\u003c/p>\n\u003cp>Burgos thinks including pediatric dental care in all insurance plans would “definitely make it more accessible for families to get care for their kids and make sure that they are seen in a timely manner.”\u003c/p>\n\u003cp>Dr. Sharine Thenard, a pediatric dentist in Alameda, said she’s not so worried about the exchange’s choice to offer stand-alone plans.\u003c/p>\n\u003cp>To her -- and to many child health care advocates -- the bigger problem is that parents who purchase insurance through the exchange can opt-out of dental insurance for their kids.\u003c/p>\n\u003cp>“If you don’t mandate the families to buy it,\" she says, \"then it’s the first thing that gets chopped off their list. Because they think it’s just a disposable kind of thing. They think, ‘I’m just going to save a few bucks and I’m not going to get the dental portion of it.’”\u003c/p>\n\u003cp>The board of California Covered could address that problem by making pediatric dental coverage mandatory next year or in the future.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201308080850a.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201308080850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "The board of California's new health care exchange meets Thursday in Sacramento. On the agenda is what kind of children's dental coverage to offer under the Affordable Care Act. Covered California is required to sell pediatric dentistry plans, but the exchange has made those plans an optional extra.\r\n\r\nWhile pediatric dental care is an Essential Health Benefit under the Affordable Care Act, there's a big exception.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14224\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-14224\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/3525527232_b1e234c35a_b-copy1-640x439.jpg\" alt=\"(emrank/Flickr)\" width=\"640\" height=\"439\">\u003cfigcaption class=\"wp-caption-text\">(emrank/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Small, KPCC\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>UPDATE 5:00PM\u003c/strong>\u003c/p>\n\u003cp>After listening to comments from interested parties ranging from insurance executives to children's health advocates, the board of Covered California voted to hold off making changes to the types of children's dental coverage they will sell starting Oct. 1 in the new marketplace.\u003c/p>\n\u003cp>\u003cstrong>ORIGINAL POST:\u003c/strong>\u003c/p>\n\u003cp>The board of California's new health care exchange meets Thursday in Sacramento. On the agenda is what kind of children's dental coverage to offer under the Affordable Care Act. Covered California is required to sell pediatric dentistry plans, but the exchange has made those plans an optional extra.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Check out KQED's Obamacare Guide for Californians.\u003c/a>\u003c/aside>\n\u003cp>While pediatric dental care is an \u003ca href=\"https://www.healthcare.gov/glossary/essential-health-benefits/\" target=\"_blank\">Essential Health Benefit\u003c/a> under the Affordable Care Act, there's a big exception.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The law allows state-run health care exchanges to sell medical insurance without pediatric dental care as long as they also sell stand-alone plans. The federal law made that exception because nearly all people who have dental insurance today have stand-alone plans. This way they’ll be able to keep their same dentists, even after federal reforms take effect.\u003c/p>\n\u003cp>But Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/07/02/covered-california-to-sell-childrens-dental-plans-separately/\" target=\"_blank\">went a step further\u003c/a> and chose to only offer stand-alone dental plans for children \u003cem>and\u003c/em> make the purchase optional.\u003c!--more-->\u003c/p>\n\u003cp>That decision drew the ire of consumer advocates who say parents will have to pay more for their children’s dental care. There are concerns parents may opt out entirely.\u003c/p>\n\u003cdiv>“Hopefully it won’t be a big black eye,” said Betsy Imholz with Consumers Union.\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cdiv>While they will discuss the issue today, the board of the exchange has told advocates it’s probably too late to reverse the decision for this year.\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cp>“Basically what the exchange did was to tell qualified health plan bidders on the medical side that they could not include pediatric dental,\" Imholz said. \"Some wanted to. Some were ready to. Some weren’t, but as it stands now the only bids they’ve got don’t have the dental as a part of it.”\u003c/p>\n\u003cp>Imholz and other advocates say offering children’s dental care only as a stand-alone policy will push up the cost for as many as 250,000 children who are expected to get insurance next year through the exchange.\u003c/p>\n\u003cp>Imholz says families will have to pay from $10 to $30 extra a month for dental care for each of their kids. “If you’re really watching your budget,\" she notes, \"and just barely making rent and food, health insurance could be tough to pay for.”\u003c/p>\n\u003cp>Families that purchase stand-alone dental care will also have to pay a separate deductible from their medical deductible, and fulfill a separate out-of-pocket maximum.\u003c/p>\n\u003cp>But Covered California spokesman Dana Howard says its approach could actually benefit consumers.\u003c/p>\n\u003cp>“It depends on how you look at it,\" he said. \"You can slice it and dice it in whole different ways depending on each individual’s particular scenario.”\u003c/p>\n\u003cp>Howard says a stand-alone dental plan enables parents to hit a $1,000 out-of-pocket maximum sooner than if the coverage was included in a comprehensive health plan, where that maximum is more than $12,000 for a family.\u003c/p>\n\u003cp>“You could easily reach your maximum out-of-pocket maximum of a thousand dollars or so for your dental coverage, and then you’re done!”\u003c/p>\n\u003cp>\u003cstrong>Pediatric dental care need is great\u003c/strong>\u003c/p>\n\u003cp>An estimated 1.1 million children in California lack dental insurance and often go untreated until their problems are so severe they require hospitalization.\u003c/p>\n\u003cp>“An infection in the mouth can affect the entire body,” explains Dr. Elizabeth Johnson, who treats hundreds of children a year at the WellSpace Health dental clinic in Sacramento. “We see children with infection, decay and abscesses in almost every tooth by the age three, from neglect.”\u003c/p>\n\u003cp>The California Society of Pediatric Dentistry reports that tooth decay is the most prevalent childhood disease. More children miss school because of dental pain than any other reason.\u003c/p>\n\u003cp>WellSpace's Clinic administrator Tanya Burgos says it’s often schools that get parents to make an appointment because the child is in so much pain they cannot sit in their chairs.\u003c/p>\n\u003cp>But Burgos says the issue is not one of parent neglect, it's more a matter of money.\u003c/p>\n\u003cp>“When you ask parents 'Why haven’t the kids been to the dentist?' they say they don’t have the insurance,\" Burgos says. \"They’re either between jobs or waiting for coverage to kick in or they just couldn’t afford it.”\u003c/p>\n\u003cp>Nearly all the clinic’s patients are on a state subsidized health program called Denti-Cal. WellSpace Health enrolls eligible children who come to the clinic for care. Those that don’t qualify pay a sliding-scale fee based on income.\u003c/p>\n\u003cp>Burgos thinks including pediatric dental care in all insurance plans would “definitely make it more accessible for families to get care for their kids and make sure that they are seen in a timely manner.”\u003c/p>\n\u003cp>Dr. Sharine Thenard, a pediatric dentist in Alameda, said she’s not so worried about the exchange’s choice to offer stand-alone plans.\u003c/p>\n\u003cp>To her -- and to many child health care advocates -- the bigger problem is that parents who purchase insurance through the exchange can opt-out of dental insurance for their kids.\u003c/p>\n\u003cp>“If you don’t mandate the families to buy it,\" she says, \"then it’s the first thing that gets chopped off their list. Because they think it’s just a disposable kind of thing. They think, ‘I’m just going to save a few bucks and I’m not going to get the dental portion of it.’”\u003c/p>\n\u003cp>The board of California Covered could address that problem by making pediatric dental coverage mandatory next year or in the future.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201308080850a.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201308080850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Yes, Even Pre-Schoolers at Risk of Obesity from Sugary Drinks",
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"content": "\u003cfigure id=\"attachment_14140\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://www.flickr.com/photos/30974104@N00/1430326746/in/photolist-3boNiY-8pAmUN-5LJ7Ea-6sgAAa-57h9rt-y6Axn-bmg4i8\">\u003cimg class=\"size-large wp-image-14140 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/koolaid-620x496.jpg\" alt=\"The pre-schoolers weren’t necessarily drinking soda. Kool-Aid also is a sugar-sweetened beverage. (Dimmerswitch/Flickr)\" width=\"620\" height=\"496\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The pre-schoolers weren’t necessarily drinking soda. Kool-Aid also is a sugar-sweetened beverage. (Dimmerswitch/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Adults have been studied; \u003ca href=\"http://www.pediatricsdigest.mobi/content/117/3/673.full\" target=\"_blank\">teens\u003c/a> have been studied; other \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1203034\" target=\"_blank\">school-age children \u003c/a>have been studied. And the evidence shows pretty conclusively that sugar-sweetened beverages are linked to increased risk of obesity.\u003c/p>\n\u003cp>But one group has not been studied so much: pre-school aged kids. In a \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/07/31/peds.2013-0570d.abstract\" target=\"_blank\">major new study\u003c/a> released today in the journal Pediatrics, researchers found that, yes, sugar-sweetened beverages also put such very young children at greater risk for obesity.\u003c/p>\n\u003caside class=\"pullquote alignright\">About one in 10 children drank one or more servings of sugar-sweetened beverages daily.\u003c/aside>\n\u003cp>Specifically, researchers followed 9,600 children (in other words, a really big sample) from birth to age 5. It's this kind of \"longitudinal\" approach that gives this study a great deal of research power. \"We were more interested in looking at children over a period of time,\" said lead author Mark DeBoer, in the department of pediatrics at the University of Virginia. He says they wanted to see whether those children who drank sugary drinks were more likely to gain an unhealthy amount of weight over those who didn't.\u003c!--more-->\u003c/p>\n\u003cp>At ages 2, 4, and 5, parents of the children were interviewed in their home and asked about consumption of sugar-sweetened beverages -- defined as \"soda pop (for example, Coke, Pepsi or Mountain Dew), sports drinks (for example, Gatorade) or fruit drinks that are not 100% fruit juice (for example, Kool-Aid, Sunny Delight, Hi-C, Fruitopia, or Fruitworks.\"\u003c/p>\n\u003cp>About one in ten of these 9,600 children drank one or more servings of sugar-sweetened beverages daily. Those children \"were more likely to gain weight between 2 and 4 years of age than those who didn't,\" says DeBoer. \"They were more likely to become obese over that time frame.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Not surprisingly, as time went on, the worse it got. By the time the kids hit age 5, \"those who consistently drank sugar-sweetened beverages were the heaviest group,\" DeBoer said.\u003c/p>\n\u003cp>While the researchers adjusted for variables including socioeconomic status, race, television viewing habits and more, they still found a \"clear linear relationship\" between the amount of sugary drinks consumed and the \"\u003ca href=\"http://www.noo.org.uk/uploads/doc/vid_11601_A_simple_guide_to_classifying_BMI_in_children.pdf\" target=\"_blank\">BMI z score\u003c/a>,\" a special body mass index to assess weight in children.\u003c/p>\n\u003cp>In addition, children who regularly drink sugar-sweetened beverages consumer 17 to 20 percent more calories. \"We also found it notable,\" the authors write, \"that children drinking > SSB serving daily were more likely than infrequent/nondrinkers to watch >2 hours of television daily.\"\u003c/p>\n\u003cp>The authors advise parents to give children only calorie-free drinks and milk to drink to help avoid excess weight gain. In an \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/07/31/peds.2013-1799.extract\" target=\"_blank\">accompanying editorial\u003c/a>, researchers from UC San Francisco and UC Berkeley call for policy changes to cut down on sugar-sweetened beverages in young children.'\u003c/p>\n\u003cp>They note that more than 80 percent of U.S. school districts have policies prohibiting or limiting students' access to these drinks, there are few similar policies for pre-schools or childcare facilities. California, however, is a leader in this regard. In 2010, the California legislature passed \u003ca href=\"http://www.leginfo.ca.gov/pub/09-10/bill/asm/ab_2051-2100/ab_2084_bill_20100930_chaptered.html\" target=\"_blank\">AB 2084\u003c/a> which requires child care facilities to make water available during the day and prohibits serving drinks with added sugar.\u003c/p>\n\u003cp>These are some of the most \"stringent regulations\" for child care facilities right now, UCSF's Anisha Patel noted, putting the issue on the national agenda. \"Hopefully it will spread across the country,\" she added.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Patel and co-author Lorrene Ritchie also make a case for adding limits on sugar-sweetened beverages in the U.S. \u003ca href=\"http://www.choosemyplate.gov/dietary-guidelines.html\" target=\"_blank\">dietary guidelines\u003c/a>. \"Provide concrete messages (i.e., limit your child's sugar drinks to no more than once a week) to help families\" clearly understand the message, they say. They also believe the federal guidelines should \"promote water as the first beverage of choice for thirst.\"\u003c/p>\n\n",
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"excerpt": "Adults have been studied; teens have been studied; other school-age children have been studied. And the evidence shows pretty conclusively that sugar-sweetened beverages are linked to increased risk of obesity.\r\n\r\nBut one group has not been studied so much: pre-school aged kids. In a major new study released today in the journal Pediatrics, researchers found that, yes, sugar-sweetened beverages also put such very young children at greater risk for obesity.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14140\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://www.flickr.com/photos/30974104@N00/1430326746/in/photolist-3boNiY-8pAmUN-5LJ7Ea-6sgAAa-57h9rt-y6Axn-bmg4i8\">\u003cimg class=\"size-large wp-image-14140 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/koolaid-620x496.jpg\" alt=\"The pre-schoolers weren’t necessarily drinking soda. Kool-Aid also is a sugar-sweetened beverage. (Dimmerswitch/Flickr)\" width=\"620\" height=\"496\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The pre-schoolers weren’t necessarily drinking soda. Kool-Aid also is a sugar-sweetened beverage. (Dimmerswitch/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Adults have been studied; \u003ca href=\"http://www.pediatricsdigest.mobi/content/117/3/673.full\" target=\"_blank\">teens\u003c/a> have been studied; other \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1203034\" target=\"_blank\">school-age children \u003c/a>have been studied. And the evidence shows pretty conclusively that sugar-sweetened beverages are linked to increased risk of obesity.\u003c/p>\n\u003cp>But one group has not been studied so much: pre-school aged kids. In a \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/07/31/peds.2013-0570d.abstract\" target=\"_blank\">major new study\u003c/a> released today in the journal Pediatrics, researchers found that, yes, sugar-sweetened beverages also put such very young children at greater risk for obesity.\u003c/p>\n\u003caside class=\"pullquote alignright\">About one in 10 children drank one or more servings of sugar-sweetened beverages daily.\u003c/aside>\n\u003cp>Specifically, researchers followed 9,600 children (in other words, a really big sample) from birth to age 5. It's this kind of \"longitudinal\" approach that gives this study a great deal of research power. \"We were more interested in looking at children over a period of time,\" said lead author Mark DeBoer, in the department of pediatrics at the University of Virginia. He says they wanted to see whether those children who drank sugary drinks were more likely to gain an unhealthy amount of weight over those who didn't.\u003c!--more-->\u003c/p>\n\u003cp>At ages 2, 4, and 5, parents of the children were interviewed in their home and asked about consumption of sugar-sweetened beverages -- defined as \"soda pop (for example, Coke, Pepsi or Mountain Dew), sports drinks (for example, Gatorade) or fruit drinks that are not 100% fruit juice (for example, Kool-Aid, Sunny Delight, Hi-C, Fruitopia, or Fruitworks.\"\u003c/p>\n\u003cp>About one in ten of these 9,600 children drank one or more servings of sugar-sweetened beverages daily. Those children \"were more likely to gain weight between 2 and 4 years of age than those who didn't,\" says DeBoer. \"They were more likely to become obese over that time frame.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Not surprisingly, as time went on, the worse it got. By the time the kids hit age 5, \"those who consistently drank sugar-sweetened beverages were the heaviest group,\" DeBoer said.\u003c/p>\n\u003cp>While the researchers adjusted for variables including socioeconomic status, race, television viewing habits and more, they still found a \"clear linear relationship\" between the amount of sugary drinks consumed and the \"\u003ca href=\"http://www.noo.org.uk/uploads/doc/vid_11601_A_simple_guide_to_classifying_BMI_in_children.pdf\" target=\"_blank\">BMI z score\u003c/a>,\" a special body mass index to assess weight in children.\u003c/p>\n\u003cp>In addition, children who regularly drink sugar-sweetened beverages consumer 17 to 20 percent more calories. \"We also found it notable,\" the authors write, \"that children drinking > SSB serving daily were more likely than infrequent/nondrinkers to watch >2 hours of television daily.\"\u003c/p>\n\u003cp>The authors advise parents to give children only calorie-free drinks and milk to drink to help avoid excess weight gain. In an \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/07/31/peds.2013-1799.extract\" target=\"_blank\">accompanying editorial\u003c/a>, researchers from UC San Francisco and UC Berkeley call for policy changes to cut down on sugar-sweetened beverages in young children.'\u003c/p>\n\u003cp>They note that more than 80 percent of U.S. school districts have policies prohibiting or limiting students' access to these drinks, there are few similar policies for pre-schools or childcare facilities. California, however, is a leader in this regard. In 2010, the California legislature passed \u003ca href=\"http://www.leginfo.ca.gov/pub/09-10/bill/asm/ab_2051-2100/ab_2084_bill_20100930_chaptered.html\" target=\"_blank\">AB 2084\u003c/a> which requires child care facilities to make water available during the day and prohibits serving drinks with added sugar.\u003c/p>\n\u003cp>These are some of the most \"stringent regulations\" for child care facilities right now, UCSF's Anisha Patel noted, putting the issue on the national agenda. \"Hopefully it will spread across the country,\" she added.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Patel and co-author Lorrene Ritchie also make a case for adding limits on sugar-sweetened beverages in the U.S. \u003ca href=\"http://www.choosemyplate.gov/dietary-guidelines.html\" target=\"_blank\">dietary guidelines\u003c/a>. \"Provide concrete messages (i.e., limit your child's sugar drinks to no more than once a week) to help families\" clearly understand the message, they say. They also believe the federal guidelines should \"promote water as the first beverage of choice for thirst.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_13782\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\" wp-image-13782 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/07/164022347-620x413.jpg\" alt=\"It's easy to imagine how this baby could be hurt if the TV toppled over. (Getty Images)\" width=\"640\" height=\"413\">\u003cfigcaption class=\"wp-caption-text\">It's easy to imagine how this baby could be hurt if the TV toppled over. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As a parent I fret about what TV may be doing to my kids' minds. Now a study out Monday warns that TVs pose a risk to children's physical health, too.\u003c/p>\n\u003cp>Specifically, the problem is falling televisions. If you're wondering how it is that TVs fall over, researchers say it's because kids climb on them. Over a 20-year period, researchers say, nearly 200,000 children in the U.S. went to the emergency room because of an injury sustained from a falling TV. More than 200 children have died from these injuries during that time.\u003c/p>\n\u003cp>The study was published in the journal\u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/07/17/peds.2013-1086.abstract\" target=\"_blank\"> Pediatrics\u003c/a>.\u003c/p>\n\u003cp>From the Associated Press:\u003c/p>\n\u003cblockquote>\u003cp>Doctors and safety experts say better awareness is needed about the dangers — especially the risks of putting heavier, older model TV sets on top of dressers and other furniture young children may try to climb on.\u003c/p>\n\u003cp>Most injuries are in kids under 5; head and neck injuries including concussions are the most common.\u003c/p>\n\u003cp>\"This is a problem that is increasing at an alarming rate,\" said lead author Dr. Gary Smith, a pediatric emergency specialist and president of the Child Injury Prevention Alliance in Columbus, Ohio.\u003c/p>\n\u003cp>Smith said it is unclear from the data what type of TV sets are involved in the accidents or whether older, heavier models are the most common culprit.\u003c!--more-->\u003c/p>\n\u003cp>In 2011, 12,300 children nationwide got ER treatment for TV-related injuries, compared with 5,455 in 1990. The injury rate nearly doubled, from 0.85 injuries per 10,000 children aged 17 and younger in 1990 to 1.66 per 10,000 in 2011, the study found.\u003c/p>\n\u003cp>The researchers examined national ER data on non-fatal television-related injuries to kids from 1990-2011. In many cases, the set had been placed on a dresser and the child used open drawers as stairs to climb up and reach the TV, toppling it.\u003c/p>\n\u003cp>Over those two decades, 215 children died from these injuries, government data show, and news reports indicate that since January 2012, at least six young children have been killed nationwide by falling TVs.\u003c/p>\n\u003cp> \u003c/p>\u003c/blockquote>\n\u003cp>Over at NPR's Shots blog, reporters wondered if flat screen TVs, being more sleek and lighter than the boxes of old, might be safer.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a word, no. From \u003ca href=\"http://www.npr.org/blogs/health/2013/07/22/204512828/tvs-pose-a-danger-to-kids-but-not-the-way-you-might-think\" target=\"_blank\">Shots:\u003c/a>\u003c/p>\n\u003cblockquote>\u003cp>\"There is a myth that as flat screens were introduced in the marketplace, we would see a decrease in the number of TV-tip over related injuries to young children,\" Smith said. \"This study shows the opposite is true.\" ...\u003c/p>\n\u003cp>Smith thinks that one reason is that as flat screens entered the home, the older tube TVs were moved to bureaus, bookshelves and other pieces of furniture where they pose a risk to active, inquisitive youngsters.\u003c/p>\n\u003cp>Another problem could be that flat screens tend to carry their weight to the front of the screen, making it more likely the TV will tip forward, the study says.\u003c/p>\n\u003cp>\"Any TV that goes in the home needs to be attached to a wall,\" Smith says, \"regardless of whether it is a flat-screen or a CRT.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Other kinds of furniture pose tip-over risks too. The American Academy of Pediatrics has details on \u003ca href=\"http://www.aap.org/en-us/about-the-aap/aap-press-room/news-features-and-safety-tips/Documents/Protecting_Kids_Furniture_TV_Tip-Overs.pdf\" target=\"_blank\">how to secure furniture\u003c/a> [PDF] and protect kids. (Bonus: taking these steps will protect you from furniture/TV tipovers in an earthquake, too.)\u003c/p>\n\n",
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"excerpt": "As a parent I fret about what TV may be doing to my kids' minds. Now a study out Monday warns that TVs pose a risk to children's physical health, too.\r\n\r\nSpecifically, the problem is falling televisions. If you're wondering how it is that TVs fall over, researchers say it's because kids climb on them. Over a 20-year period, researchers say, nearly 200,000 children in the U.S. went to the emergency room because of an injury sustained from a falling TV. More than 200 children have died from these injuries during that time.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_13782\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\" wp-image-13782 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/07/164022347-620x413.jpg\" alt=\"It's easy to imagine how this baby could be hurt if the TV toppled over. (Getty Images)\" width=\"640\" height=\"413\">\u003cfigcaption class=\"wp-caption-text\">It's easy to imagine how this baby could be hurt if the TV toppled over. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As a parent I fret about what TV may be doing to my kids' minds. Now a study out Monday warns that TVs pose a risk to children's physical health, too.\u003c/p>\n\u003cp>Specifically, the problem is falling televisions. If you're wondering how it is that TVs fall over, researchers say it's because kids climb on them. Over a 20-year period, researchers say, nearly 200,000 children in the U.S. went to the emergency room because of an injury sustained from a falling TV. More than 200 children have died from these injuries during that time.\u003c/p>\n\u003cp>The study was published in the journal\u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/07/17/peds.2013-1086.abstract\" target=\"_blank\"> Pediatrics\u003c/a>.\u003c/p>\n\u003cp>From the Associated Press:\u003c/p>\n\u003cblockquote>\u003cp>Doctors and safety experts say better awareness is needed about the dangers — especially the risks of putting heavier, older model TV sets on top of dressers and other furniture young children may try to climb on.\u003c/p>\n\u003cp>Most injuries are in kids under 5; head and neck injuries including concussions are the most common.\u003c/p>\n\u003cp>\"This is a problem that is increasing at an alarming rate,\" said lead author Dr. Gary Smith, a pediatric emergency specialist and president of the Child Injury Prevention Alliance in Columbus, Ohio.\u003c/p>\n\u003cp>Smith said it is unclear from the data what type of TV sets are involved in the accidents or whether older, heavier models are the most common culprit.\u003c!--more-->\u003c/p>\n\u003cp>In 2011, 12,300 children nationwide got ER treatment for TV-related injuries, compared with 5,455 in 1990. The injury rate nearly doubled, from 0.85 injuries per 10,000 children aged 17 and younger in 1990 to 1.66 per 10,000 in 2011, the study found.\u003c/p>\n\u003cp>The researchers examined national ER data on non-fatal television-related injuries to kids from 1990-2011. In many cases, the set had been placed on a dresser and the child used open drawers as stairs to climb up and reach the TV, toppling it.\u003c/p>\n\u003cp>Over those two decades, 215 children died from these injuries, government data show, and news reports indicate that since January 2012, at least six young children have been killed nationwide by falling TVs.\u003c/p>\n\u003cp> \u003c/p>\u003c/blockquote>\n\u003cp>Over at NPR's Shots blog, reporters wondered if flat screen TVs, being more sleek and lighter than the boxes of old, might be safer.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a word, no. From \u003ca href=\"http://www.npr.org/blogs/health/2013/07/22/204512828/tvs-pose-a-danger-to-kids-but-not-the-way-you-might-think\" target=\"_blank\">Shots:\u003c/a>\u003c/p>\n\u003cblockquote>\u003cp>\"There is a myth that as flat screens were introduced in the marketplace, we would see a decrease in the number of TV-tip over related injuries to young children,\" Smith said. \"This study shows the opposite is true.\" ...\u003c/p>\n\u003cp>Smith thinks that one reason is that as flat screens entered the home, the older tube TVs were moved to bureaus, bookshelves and other pieces of furniture where they pose a risk to active, inquisitive youngsters.\u003c/p>\n\u003cp>Another problem could be that flat screens tend to carry their weight to the front of the screen, making it more likely the TV will tip forward, the study says.\u003c/p>\n\u003cp>\"Any TV that goes in the home needs to be attached to a wall,\" Smith says, \"regardless of whether it is a flat-screen or a CRT.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Other kinds of furniture pose tip-over risks too. The American Academy of Pediatrics has details on \u003ca href=\"http://www.aap.org/en-us/about-the-aap/aap-press-room/news-features-and-safety-tips/Documents/Protecting_Kids_Furniture_TV_Tip-Overs.pdf\" target=\"_blank\">how to secure furniture\u003c/a> [PDF] and protect kids. (Bonus: taking these steps will protect you from furniture/TV tipovers in an earthquake, too.)\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cimg class=\"alignright size-medium wp-image-10715\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/CT-scan-13-of-Clubs_Flickr-300x225.jpg\" alt=\"CT scan 13 of Clubs_Flickr\" width=\"300\" height=\"225\">Mary Kathryn Lynch stood next to her young son in a Lake Tahoe emergency room. The Oakland resident had rushed her 9-year-old to the hospital after a ski accident left him groggy, curled up in the fetal position, and speaking incoherently.\u003c/p>\n\u003cp>Nurses and hospital staff told Lynch that her son needed a CT scan of his head right away, she recalled.\u003c/p>\n\u003cp>While Lynch and her husband were both worried the accident may have caused brain damage, her husband was also weighing risks of the scan's radiation.\u003c/p>\n\u003cp>CT -- or computerized tomography -- combines a series of x-rays for a sophisticated image. In this case, doctors could use the scan to quickly detect internal bleeding or other injuries.\u003c/p>\n\u003cp>It is a powerful tool that has saved lives by discovering small problems before they’ve had the chance to get worse, says Andrew Phelps, a pediatric radiologist at UCSF. But the useful pictures come at a cost: CT scans expose patients to radiation levels that are higher than other types of imaging, like traditional x-rays or MRIs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And exposure to high levels of radiation has been linked to cancer.\u003c!--more-->\u003c/p>\n\u003cp>Despite the potential dangers, fewer than half of the parents who bring their children into emergency rooms are aware of the cancer risks from CT scans, according to a \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/07/02/peds.2013-0378.abstract\">study\u003c/a> published today in the journal Pediatrics.\u003c/p>\n\u003cp>“Clearly there is a gap in the truth about the radiation risks and parental understanding,” said Phelps, who was not involved with the study.\u003c/p>\n\u003cp>Although the potential risk to any individual is small, multiple exposures or high doses of radiation may increase the risk of cancer later in life. What’s more, the developing bodies of children may be even more sensitive to radiation than adults.\u003c/p>\n\u003cp>In the study researchers surveyed parents arriving in Canadian emergency rooms with kids who had suffered head injuries. The researchers found that roughly 90 percent of parents were “very willing/willing” to have a CT scan done on their child.\u003c/p>\n\u003cp>The use of CT scans in diagnosing kids has grown dramatically in the past decades. One previous \u003ca href=\"http://archpedi.jamanetwork.com/article.aspx?articleid=1696279\">study\u003c/a> of U.S. health centers found that the number of scans in kids younger than age 5 had doubled from 1995 to 2005. During the same period, the number of scans tripled for children ages 5-14. Other research of CT scans in emergency rooms, has \u003ca href=\"http://radiology.rsna.org/content/early/2011/03/15/radiol.11101939.full\">found\u003c/a> that the increase was even higher: CT scans in kids increased fivefold from 1995 to 2008, growing from 0.33 to 1.65 million.\u003c/p>\n\u003cp>Since 2007, studies suggest that the use of CT in children has declined. At pediatric hospitals, more doctors are prescribing ultrasounds or MRIs, which are less risky, said Phelps.\u003c/p>\n\u003cp>“But about half of all pediatric imaging occurs in non-pediatric imaging centers,” he said, adding that children who get tests at places that cater to adults may not always be getting “kid-sized” doses.\u003c/p>\n\u003cp>Many physicians credit much of the decrease in the number of CT scans in recent years to the \u003ca href=\"http://www.pedrad.org/associations/5364/ig/\">Image Gently\u003c/a> campaign by the Alliance for Radiation Safety in Pediatric Imaging. The campaign advocates for doing tests only when they are medically necessary and then to use the smallest amount of radiation possible.\u003c/p>\n\u003cp>“The purpose is to educate the pediatricians and the general practitioners before you order a test,” said Bernice Law, a pediatric radiologist at California Pacific Medical Center.\u003c/p>\n\u003cp>The campaign encourages parents to be proactive and ask physicians if a test is medically necessary.\u003c/p>\n\u003cp>In the Canadian study, researchers found that a clear discussion of risks and benefits makes a difference to parents. After these conversations, the number of parents willing to approve a CT scan in their child dropped from 90 to almost 70 percent. In addition, more than 90 percent of all the parents -- including those who still wanted the scan -- wanted to know the risks before the tests were done.\u003c/p>\n\u003cp>Back in the emergency room at Lake Tahoe, Lynch didn’t know a lot about the risks of a CT scan but she did know that something was wrong with her son. “You can see that your kid is in distress,” she said. “Here’s an immediate problem versus a potential future problem.”\u003c/p>\n\u003cp>She and her husband asked the hospital staff about alternatives and ways to minimize the amount of radiation from the CT scan. But she says she felt pressure by some staff to do the test right away. “I will say that we really had to pull that information out of them,” Lynch says.\u003c/p>\n\u003cp>When a more senior doctor arrived in the emergency room, he explained the risks and benefits of the procedure with Lynch and her husband. “The doctor there was fabulous because he gave us a lot of information, and it felt like we were making a very informed decision,” said Lynch.\u003c/p>\n\u003cp>As Lynch was signing the paperwork to consent to the CT scan, her groggy son suddenly began to perk up. He started to uncurl his body and speak normally. In the end, he didn’t get a CT scan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But, like many parents in the Canadian study, Lynch said that she appreciated a doctor walking her through all the risks and benefits of the test.\u003c/p>\n\n",
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"excerpt": "Mary Kathryn Lynch stood next to her young son in a Lake Tahoe emergency room. The Oakland resident had rushed her 9-year-old to the hospital after a ski accident left him groggy, curled up in the fetal position, and speaking incoherently.\r\n\r\nNurses and hospital staff told Lynch that her son needed a CT scan of his head right away, she recalled.\r\n\r\nWhile Lynch and her husband were both worried the accident may have caused brain damage, her husband was also weighing risks of the scan's radiation.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cimg class=\"alignright size-medium wp-image-10715\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/CT-scan-13-of-Clubs_Flickr-300x225.jpg\" alt=\"CT scan 13 of Clubs_Flickr\" width=\"300\" height=\"225\">Mary Kathryn Lynch stood next to her young son in a Lake Tahoe emergency room. The Oakland resident had rushed her 9-year-old to the hospital after a ski accident left him groggy, curled up in the fetal position, and speaking incoherently.\u003c/p>\n\u003cp>Nurses and hospital staff told Lynch that her son needed a CT scan of his head right away, she recalled.\u003c/p>\n\u003cp>While Lynch and her husband were both worried the accident may have caused brain damage, her husband was also weighing risks of the scan's radiation.\u003c/p>\n\u003cp>CT -- or computerized tomography -- combines a series of x-rays for a sophisticated image. In this case, doctors could use the scan to quickly detect internal bleeding or other injuries.\u003c/p>\n\u003cp>It is a powerful tool that has saved lives by discovering small problems before they’ve had the chance to get worse, says Andrew Phelps, a pediatric radiologist at UCSF. But the useful pictures come at a cost: CT scans expose patients to radiation levels that are higher than other types of imaging, like traditional x-rays or MRIs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And exposure to high levels of radiation has been linked to cancer.\u003c!--more-->\u003c/p>\n\u003cp>Despite the potential dangers, fewer than half of the parents who bring their children into emergency rooms are aware of the cancer risks from CT scans, according to a \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/07/02/peds.2013-0378.abstract\">study\u003c/a> published today in the journal Pediatrics.\u003c/p>\n\u003cp>“Clearly there is a gap in the truth about the radiation risks and parental understanding,” said Phelps, who was not involved with the study.\u003c/p>\n\u003cp>Although the potential risk to any individual is small, multiple exposures or high doses of radiation may increase the risk of cancer later in life. What’s more, the developing bodies of children may be even more sensitive to radiation than adults.\u003c/p>\n\u003cp>In the study researchers surveyed parents arriving in Canadian emergency rooms with kids who had suffered head injuries. The researchers found that roughly 90 percent of parents were “very willing/willing” to have a CT scan done on their child.\u003c/p>\n\u003cp>The use of CT scans in diagnosing kids has grown dramatically in the past decades. One previous \u003ca href=\"http://archpedi.jamanetwork.com/article.aspx?articleid=1696279\">study\u003c/a> of U.S. health centers found that the number of scans in kids younger than age 5 had doubled from 1995 to 2005. During the same period, the number of scans tripled for children ages 5-14. Other research of CT scans in emergency rooms, has \u003ca href=\"http://radiology.rsna.org/content/early/2011/03/15/radiol.11101939.full\">found\u003c/a> that the increase was even higher: CT scans in kids increased fivefold from 1995 to 2008, growing from 0.33 to 1.65 million.\u003c/p>\n\u003cp>Since 2007, studies suggest that the use of CT in children has declined. At pediatric hospitals, more doctors are prescribing ultrasounds or MRIs, which are less risky, said Phelps.\u003c/p>\n\u003cp>“But about half of all pediatric imaging occurs in non-pediatric imaging centers,” he said, adding that children who get tests at places that cater to adults may not always be getting “kid-sized” doses.\u003c/p>\n\u003cp>Many physicians credit much of the decrease in the number of CT scans in recent years to the \u003ca href=\"http://www.pedrad.org/associations/5364/ig/\">Image Gently\u003c/a> campaign by the Alliance for Radiation Safety in Pediatric Imaging. The campaign advocates for doing tests only when they are medically necessary and then to use the smallest amount of radiation possible.\u003c/p>\n\u003cp>“The purpose is to educate the pediatricians and the general practitioners before you order a test,” said Bernice Law, a pediatric radiologist at California Pacific Medical Center.\u003c/p>\n\u003cp>The campaign encourages parents to be proactive and ask physicians if a test is medically necessary.\u003c/p>\n\u003cp>In the Canadian study, researchers found that a clear discussion of risks and benefits makes a difference to parents. After these conversations, the number of parents willing to approve a CT scan in their child dropped from 90 to almost 70 percent. In addition, more than 90 percent of all the parents -- including those who still wanted the scan -- wanted to know the risks before the tests were done.\u003c/p>\n\u003cp>Back in the emergency room at Lake Tahoe, Lynch didn’t know a lot about the risks of a CT scan but she did know that something was wrong with her son. “You can see that your kid is in distress,” she said. “Here’s an immediate problem versus a potential future problem.”\u003c/p>\n\u003cp>She and her husband asked the hospital staff about alternatives and ways to minimize the amount of radiation from the CT scan. But she says she felt pressure by some staff to do the test right away. “I will say that we really had to pull that information out of them,” Lynch says.\u003c/p>\n\u003cp>When a more senior doctor arrived in the emergency room, he explained the risks and benefits of the procedure with Lynch and her husband. “The doctor there was fabulous because he gave us a lot of information, and it felt like we were making a very informed decision,” said Lynch.\u003c/p>\n\u003cp>As Lynch was signing the paperwork to consent to the CT scan, her groggy son suddenly began to perk up. He started to uncurl his body and speak normally. In the end, he didn’t get a CT scan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But, like many parents in the Canadian study, Lynch said that she appreciated a doctor walking her through all the risks and benefits of the test.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>By Julie Small, KPCC\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_13431\" class=\"wp-caption alignleft\" style=\"max-width: 325px\">\u003ca href=\"http://www.flickr.com/photos/24977164@N03/4090241252/in/photolist-7erydU-8snYkR-7wGUfB-Duw8B-eDU12-4nqQCR-KjSGE-cbhE6C-7AeUA6-deYige-9dteRR-91Lfe4-8CSiJ-6WTzRd-dGxySf-4X76by-yjTbY-RvcMK-JjAU4-8sFwLU-4ZK1ua-EMUk9-EMTpH-2y7MHG-6rbcea-5Ux2YS-dxadUN-D4scu-5xULVf-Dp9VF-2Hs98-5DduYg-4iK9x-tNqCw-3rM6T-66yF-Jjvq5-4VVi3o-77uE6C-coTiwW-cMWdFN-6GxQ3L-bz3Hi6-96kmUG-96gD6v-bbZ9Px-2WWVkP-4uTtBU-e3jzmG-e3jzuY-e3jzyS\">\u003cimg class=\"size-full wp-image-13431\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/07/4090241252_07b0b61609_z-1.jpg\" alt=\"(sj_sanders/Flickr)\" width=\"325\" height=\"279\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/07/4090241252_07b0b61609_z-1.jpg 325w, https://ww2.kqed.org/app/uploads/sites/27/2013/07/4090241252_07b0b61609_z-1-320x275.jpg 320w\" sizes=\"(max-width: 325px) 100vw, 325px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(sj_sanders/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The state's health insurance marketplace, Covered California, authorized a set of benefits months ago that included dental care for children, but now the marketplace is telling insurance companies to strip out the dental coverage. People would then have to pay extra for a dental plan for their children.\u003c/p>\n\u003cp>California's insurance commissioner Dave Jones warns the move could reduce children's access to dental care and urged Covered California to include the benefit in plans that will be sold when the marketplace formally opens October 1. The change will also drive up costs for consumers, he says.\u003c/p>\n\u003cp>\u003ca href=\"https://www.facebook.com/photo.php?fbid=517407004992284&set=a.517406901658961.1073741828.296960763703577&type=3&permPage=1\" target=\"_blank\">In a June 27th letter\u003c/a> to the board that runs Covered California, Jones says he talked with insurers that originally submitted bids to sell their products on the state’s marketplace and argues dental care is essential. “A child’s overall health and well-being requires access to dental care to ensure oral health,\" he wrote.\u003c/p>\n\u003cp>Covered California is the state's new health insurance exchange set up as part of the federal health law. It will open Oct. 1 and will be a place where individuals can shop for health insurance which will go into effect Jan. 1. Covered California's \u003ca href=\"http://www.coveredca.com/coverage_basics.html\" target=\"_blank\">website\u003c/a> still shows pediatric dental services as a covered benefit under its health insurance plans. The Affordable Care Act does not require that health plans include dental coverage for children.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dana Howard, a spokesman for Covered California, argues its move is about consumer flexibility.\u003c/p>\n\u003cp>“I understand what he’s concerned about, but Covered California likewise is concerned about good dental coverage,\" Howard said. The change \"is simply to provide more options for the families to have a stand-alone plan, so they can have a broader choice of the networks or the plans that they would wish to have cover their children.\"\u003c/p>\n\u003cp>Howard says they were able to make the change and still offer plans that are affordable. Covered California will offer nine different plans for children ranging in price from $8to $35 a month.\u003c/p>\n\u003cp>“You have to look at the reason why people don’t buy dental insurance for their children, and we believe we’ve answered that problem.” Howard said.\u003c/p>\n\u003cp>But at least one major insurer who bid to sell plans on the state’s marketplace told the commissioner it had planned to offer children’s dental for $6 a month as part of a larger package, but will now charge $26 a month for the separate product.\u003c/p>\n\u003cp>Covered California’s board is expected to sign contracts for health insurance plans this week, in effect locking in the decision to separate children’s dental care.\u003c/p>\n\u003cp>The six companies \u003ca href=\"http://coveredca.com/news/PDFs/CC_Childrens_dental_plan_rates.pdf\" target=\"_blank\">selling children’s dental plans\u003c/a> on Covered California are Anthem Dental, Blue Shield of California, Delta Dental of California, Health Net Dental, LIBERTY Dental Plan and Premier Access Dental.\u003c/p>\n\u003cp>\u003cstrong>Learn more about the federal health law: \u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Explained: A Guide For Californians \u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Julie Small, KPCC\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_13431\" class=\"wp-caption alignleft\" style=\"max-width: 325px\">\u003ca href=\"http://www.flickr.com/photos/24977164@N03/4090241252/in/photolist-7erydU-8snYkR-7wGUfB-Duw8B-eDU12-4nqQCR-KjSGE-cbhE6C-7AeUA6-deYige-9dteRR-91Lfe4-8CSiJ-6WTzRd-dGxySf-4X76by-yjTbY-RvcMK-JjAU4-8sFwLU-4ZK1ua-EMUk9-EMTpH-2y7MHG-6rbcea-5Ux2YS-dxadUN-D4scu-5xULVf-Dp9VF-2Hs98-5DduYg-4iK9x-tNqCw-3rM6T-66yF-Jjvq5-4VVi3o-77uE6C-coTiwW-cMWdFN-6GxQ3L-bz3Hi6-96kmUG-96gD6v-bbZ9Px-2WWVkP-4uTtBU-e3jzmG-e3jzuY-e3jzyS\">\u003cimg class=\"size-full wp-image-13431\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/07/4090241252_07b0b61609_z-1.jpg\" alt=\"(sj_sanders/Flickr)\" width=\"325\" height=\"279\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/07/4090241252_07b0b61609_z-1.jpg 325w, https://ww2.kqed.org/app/uploads/sites/27/2013/07/4090241252_07b0b61609_z-1-320x275.jpg 320w\" sizes=\"(max-width: 325px) 100vw, 325px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(sj_sanders/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The state's health insurance marketplace, Covered California, authorized a set of benefits months ago that included dental care for children, but now the marketplace is telling insurance companies to strip out the dental coverage. People would then have to pay extra for a dental plan for their children.\u003c/p>\n\u003cp>California's insurance commissioner Dave Jones warns the move could reduce children's access to dental care and urged Covered California to include the benefit in plans that will be sold when the marketplace formally opens October 1. The change will also drive up costs for consumers, he says.\u003c/p>\n\u003cp>\u003ca href=\"https://www.facebook.com/photo.php?fbid=517407004992284&set=a.517406901658961.1073741828.296960763703577&type=3&permPage=1\" target=\"_blank\">In a June 27th letter\u003c/a> to the board that runs Covered California, Jones says he talked with insurers that originally submitted bids to sell their products on the state’s marketplace and argues dental care is essential. “A child’s overall health and well-being requires access to dental care to ensure oral health,\" he wrote.\u003c/p>\n\u003cp>Covered California is the state's new health insurance exchange set up as part of the federal health law. It will open Oct. 1 and will be a place where individuals can shop for health insurance which will go into effect Jan. 1. Covered California's \u003ca href=\"http://www.coveredca.com/coverage_basics.html\" target=\"_blank\">website\u003c/a> still shows pediatric dental services as a covered benefit under its health insurance plans. The Affordable Care Act does not require that health plans include dental coverage for children.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dana Howard, a spokesman for Covered California, argues its move is about consumer flexibility.\u003c/p>\n\u003cp>“I understand what he’s concerned about, but Covered California likewise is concerned about good dental coverage,\" Howard said. The change \"is simply to provide more options for the families to have a stand-alone plan, so they can have a broader choice of the networks or the plans that they would wish to have cover their children.\"\u003c/p>\n\u003cp>Howard says they were able to make the change and still offer plans that are affordable. Covered California will offer nine different plans for children ranging in price from $8to $35 a month.\u003c/p>\n\u003cp>“You have to look at the reason why people don’t buy dental insurance for their children, and we believe we’ve answered that problem.” Howard said.\u003c/p>\n\u003cp>But at least one major insurer who bid to sell plans on the state’s marketplace told the commissioner it had planned to offer children’s dental for $6 a month as part of a larger package, but will now charge $26 a month for the separate product.\u003c/p>\n\u003cp>Covered California’s board is expected to sign contracts for health insurance plans this week, in effect locking in the decision to separate children’s dental care.\u003c/p>\n\u003cp>The six companies \u003ca href=\"http://coveredca.com/news/PDFs/CC_Childrens_dental_plan_rates.pdf\" target=\"_blank\">selling children’s dental plans\u003c/a> on Covered California are Anthem Dental, Blue Shield of California, Delta Dental of California, Health Net Dental, LIBERTY Dental Plan and Premier Access Dental.\u003c/p>\n\u003cp>\u003cstrong>Learn more about the federal health law: \u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Explained: A Guide For Californians \u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Can Air Pollution Cause Asthma in Kids? How About Autism?",
"title": "Can Air Pollution Cause Asthma in Kids? How About Autism?",
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"content": "\u003cfigure id=\"attachment_12294\" class=\"wp-caption aligncenter\" style=\"max-width: 491px\">\u003cimg class=\"size-full wp-image-12294\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/AutoPollution_GettyImages.jpg\" alt=\"(Getty Images/Thinkstock)\" width=\"491\" height=\"349\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/04/AutoPollution_GettyImages.jpg 491w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/AutoPollution_GettyImages-400x284.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/AutoPollution_GettyImages-320x227.jpg 320w\" sizes=\"(max-width: 491px) 100vw, 491px\">\u003cfigcaption class=\"wp-caption-text\">(Getty Images/Thinkstock)\u003c/figcaption>\u003c/figure>\n\u003cp>We all know air pollution is not great for your health, but two new studies this week stressed just how bad it can be for children, infants and the developing fetus. Exposure to air pollution at a young age, these studies showed, can lead to an array of long-lasting health problems, including asthma and autism.\u003c/p>\n\u003cp>It's not just that polluted air can, say, trigger asthma attacks. Now, researchers are finding that exposure to air pollution may actually cause some diseases.\u003c/p>\n\u003cp>“We’re discovering some of the long-term effects of this air pollution: things like lung development in kids,” said Georges Benjamin, executive director of the American Public Health Association.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Communities should be informed of what they’re breathing.” -- Paul Cort, Earthjustice \u003c/aside>\n\u003cp>A \u003ca href=\"http://europepmc.org/abstract/MED/23750510/reload=0;jsessionid=1gzFXIEMY9Op4KHZiWa1.6\">study\u003c/a> led by UCSF found that African American and Latino infants living in communities with high automobile exhaust are more likely to develop childhood asthma than those living with less pollution. This is significant because minority communities are more likely to live near congested roadways.\u003c/p>\n\u003cp>In California, African Americans and multi-racial people have some of the highest rates of asthma, according to the \u003ca href=\"http://www.cdc.gov/asthma/stateprofiles/Asthma_in_CA.pdf\">CDC\u003c/a>. But rigorous scientific studies that examine just how the lungs of minority children develop when swamped with car exhaust have been rare.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In this new study, researchers followed more than 4,000 African American and Latino children in the Bay Area and other cities in the United States and Puerto Rico. It’s one of the largest studies of its kind.\u003c/p>\n\u003cp>They found that exposure to higher levels of nitrogen dioxide -- a pollutant found in automobile exhaust -- put healthy infants at a greater risk of developing asthma later in life.\u003c/p>\n\u003cp>This was despite the fact that the average amount of nitrogen dioxide infants were exposed to was almost 3 times lower than the limit set by the Environmental Protection Agency.\u003c/p>\n\u003cp>“We found an association even though all of these children were exposed to what the EPA would consider to be an acceptable level of air pollution,” said Katherine Nishimura, a UCSF researcher and lead author on the study.\u003c/p>\n\u003cp>Nishimura tracked pollution exposure for infants within their first years of life. This is a time when children’s lungs and immune system are developing, she said.\u003c/p>\n\u003cp>Even though factors other than pollution may also increase the risk of developing asthma -- like obesity, stress, and a family history -- the team’s results raise questions about whether the national standards for nitrogen dioxide are strong enough.\u003c/p>\n\u003cp>The problem hits home in California. This year, California cities dominated the top ten most air polluted cities in the nation, according to the American Lung Association's \u003ca href=\"http://www.stateoftheair.org/2013/city-rankings/most-polluted-cities.html\">State of the Air\u003c/a> report.\u003c/p>\n\u003cp>“The state has this golden reputation of being so far out in front in everything,” said Paul Cort, attorney at Earthjustice, a San Francisco-based environmental advocacy group that has pushed for tighter air pollution standards. “And yet we still have two of the most polluted air basins in the country.”\u003c/p>\n\u003cp>\u003cstrong>Stronger evidence that pollutants increase risk of autism\u003c/strong>\u003c/p>\n\u003cp>Other research out this week links air pollution to autism. Those findings suggest that public health officials might want to look at strengthening regulations for more than just nitrogen dioxide.\u003c/p>\n\u003cp>Diesel particulates and metals like lead, manganese, and mercury that are found in polluted air have been shown to disrupt brain development in babies in the womb.\u003c/p>\n\u003cp>Scientists from Harvard's School of Public Health \u003ca href=\"http://ehp.niehs.nih.gov/wp-content/uploads/121/6/ehp.1206187.pdf\">found\u003c/a> that pregnant women who were exposed to high levels of air pollution were up to two times more likely to have a child with autism when compared to pregnant women who lived in low pollution areas.\u003c/p>\n\u003cp>In the study, air pollution came from a variety of sources including automobiles, power plants, factories, incinerators and businesses. And greater levels of diesel, mercury, lead, manganese, methylene chloride, and a combination of metals found in the air were linked to higher rates of autism.\u003c/p>\n\u003cp>“New studies should begin the process of measuring metals and other pollutants in the blood of pregnant women or newborn children to provide stronger evidence that specific pollutants increase risk of autism,” Marc Weisskopf, a public health professor at Harvard and an author of the study said in a \u003ca href=\"http://www.hsph.harvard.edu/news/press-releases/exposure-to-high-pollution-levels-during-pregnancy-may-increase-risk-of-having-child-with-autism/\">press release\u003c/a>. “A better understanding of this can help to develop interventions to reduce pregnant women’s exposure.”\u003c/p>\n\u003cp>The researchers looked at more than 22,000 women who had children with and without autism. This was the first large national study to examine the effects of air pollution on pregnancy and autism, the authors said.\u003c/p>\n\u003cp>“Clearly the underserved communities are very affected,” said Benjamin. “Many times these [factories and] plants are put into communities where the land is fundamentally cheap.”\u003c/p>\n\u003cp>But air pollution has rarely been monitored in these communities, hindering advocates’ abilities to fully grasp and tackle the issue, said Cort. “These communities should be informed of what they’re breathing,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Advocates hope that the flood of research on the effects of air pollution on children will bolster a case for tighter air pollution and car emission standards in the future.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_12294\" class=\"wp-caption aligncenter\" style=\"max-width: 491px\">\u003cimg class=\"size-full wp-image-12294\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/AutoPollution_GettyImages.jpg\" alt=\"(Getty Images/Thinkstock)\" width=\"491\" height=\"349\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/04/AutoPollution_GettyImages.jpg 491w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/AutoPollution_GettyImages-400x284.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/AutoPollution_GettyImages-320x227.jpg 320w\" sizes=\"(max-width: 491px) 100vw, 491px\">\u003cfigcaption class=\"wp-caption-text\">(Getty Images/Thinkstock)\u003c/figcaption>\u003c/figure>\n\u003cp>We all know air pollution is not great for your health, but two new studies this week stressed just how bad it can be for children, infants and the developing fetus. Exposure to air pollution at a young age, these studies showed, can lead to an array of long-lasting health problems, including asthma and autism.\u003c/p>\n\u003cp>It's not just that polluted air can, say, trigger asthma attacks. Now, researchers are finding that exposure to air pollution may actually cause some diseases.\u003c/p>\n\u003cp>“We’re discovering some of the long-term effects of this air pollution: things like lung development in kids,” said Georges Benjamin, executive director of the American Public Health Association.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Communities should be informed of what they’re breathing.” -- Paul Cort, Earthjustice \u003c/aside>\n\u003cp>A \u003ca href=\"http://europepmc.org/abstract/MED/23750510/reload=0;jsessionid=1gzFXIEMY9Op4KHZiWa1.6\">study\u003c/a> led by UCSF found that African American and Latino infants living in communities with high automobile exhaust are more likely to develop childhood asthma than those living with less pollution. This is significant because minority communities are more likely to live near congested roadways.\u003c/p>\n\u003cp>In California, African Americans and multi-racial people have some of the highest rates of asthma, according to the \u003ca href=\"http://www.cdc.gov/asthma/stateprofiles/Asthma_in_CA.pdf\">CDC\u003c/a>. But rigorous scientific studies that examine just how the lungs of minority children develop when swamped with car exhaust have been rare.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In this new study, researchers followed more than 4,000 African American and Latino children in the Bay Area and other cities in the United States and Puerto Rico. It’s one of the largest studies of its kind.\u003c/p>\n\u003cp>They found that exposure to higher levels of nitrogen dioxide -- a pollutant found in automobile exhaust -- put healthy infants at a greater risk of developing asthma later in life.\u003c/p>\n\u003cp>This was despite the fact that the average amount of nitrogen dioxide infants were exposed to was almost 3 times lower than the limit set by the Environmental Protection Agency.\u003c/p>\n\u003cp>“We found an association even though all of these children were exposed to what the EPA would consider to be an acceptable level of air pollution,” said Katherine Nishimura, a UCSF researcher and lead author on the study.\u003c/p>\n\u003cp>Nishimura tracked pollution exposure for infants within their first years of life. This is a time when children’s lungs and immune system are developing, she said.\u003c/p>\n\u003cp>Even though factors other than pollution may also increase the risk of developing asthma -- like obesity, stress, and a family history -- the team’s results raise questions about whether the national standards for nitrogen dioxide are strong enough.\u003c/p>\n\u003cp>The problem hits home in California. This year, California cities dominated the top ten most air polluted cities in the nation, according to the American Lung Association's \u003ca href=\"http://www.stateoftheair.org/2013/city-rankings/most-polluted-cities.html\">State of the Air\u003c/a> report.\u003c/p>\n\u003cp>“The state has this golden reputation of being so far out in front in everything,” said Paul Cort, attorney at Earthjustice, a San Francisco-based environmental advocacy group that has pushed for tighter air pollution standards. “And yet we still have two of the most polluted air basins in the country.”\u003c/p>\n\u003cp>\u003cstrong>Stronger evidence that pollutants increase risk of autism\u003c/strong>\u003c/p>\n\u003cp>Other research out this week links air pollution to autism. Those findings suggest that public health officials might want to look at strengthening regulations for more than just nitrogen dioxide.\u003c/p>\n\u003cp>Diesel particulates and metals like lead, manganese, and mercury that are found in polluted air have been shown to disrupt brain development in babies in the womb.\u003c/p>\n\u003cp>Scientists from Harvard's School of Public Health \u003ca href=\"http://ehp.niehs.nih.gov/wp-content/uploads/121/6/ehp.1206187.pdf\">found\u003c/a> that pregnant women who were exposed to high levels of air pollution were up to two times more likely to have a child with autism when compared to pregnant women who lived in low pollution areas.\u003c/p>\n\u003cp>In the study, air pollution came from a variety of sources including automobiles, power plants, factories, incinerators and businesses. And greater levels of diesel, mercury, lead, manganese, methylene chloride, and a combination of metals found in the air were linked to higher rates of autism.\u003c/p>\n\u003cp>“New studies should begin the process of measuring metals and other pollutants in the blood of pregnant women or newborn children to provide stronger evidence that specific pollutants increase risk of autism,” Marc Weisskopf, a public health professor at Harvard and an author of the study said in a \u003ca href=\"http://www.hsph.harvard.edu/news/press-releases/exposure-to-high-pollution-levels-during-pregnancy-may-increase-risk-of-having-child-with-autism/\">press release\u003c/a>. “A better understanding of this can help to develop interventions to reduce pregnant women’s exposure.”\u003c/p>\n\u003cp>The researchers looked at more than 22,000 women who had children with and without autism. This was the first large national study to examine the effects of air pollution on pregnancy and autism, the authors said.\u003c/p>\n\u003cp>“Clearly the underserved communities are very affected,” said Benjamin. “Many times these [factories and] plants are put into communities where the land is fundamentally cheap.”\u003c/p>\n\u003cp>But air pollution has rarely been monitored in these communities, hindering advocates’ abilities to fully grasp and tackle the issue, said Cort. “These communities should be informed of what they’re breathing,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Advocates hope that the flood of research on the effects of air pollution on children will bolster a case for tighter air pollution and car emission standards in the future.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>Dental disease at the intersection of school performance and health for thousands of California children\u003c/strong>\u003c/p>\n\u003cp>\u003cem>By Jane Meredith Adams\u003c/em>, \u003ca href=\"http://www.edsource.org/today/2013/schools-struggle-to-provide-dental-health-safety-net/29167#.UVy3xb_JDHh\" target=\"_blank\">EdSource Today\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11944\" class=\"wp-caption alignleft\" style=\"max-width: 224px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/03/schools-struggle-to-provide-dental-health-safety-net/kids_alamedacopublichealthdept/\" rel=\"attachment wp-att-11944\">\u003cimg class=\"size-full wp-image-11944\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept.jpg\" alt=\"Students learn how to care for their teeth and receive preventive care at a dental clinic at James Madison Middle School in Oakland. (Photo/Alameda County Public Health Department)\" width=\"224\" height=\"224\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept.jpg 224w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept-75x75.jpg 75w\" sizes=\"(max-width: 224px) 100vw, 224px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Students learn how to care for their teeth and receive preventive care at a dental clinic at James Madison Middle School in Oakland. (Photo/Alameda County Public Health Department)\u003c/figcaption>\u003c/figure>\n\u003cp>As California educators grapple with boosting student achievement across economic lines, the teeth of poor children are holding them back.\u003c/p>\n\u003cp>Hundreds of thousands of children suffering from dental disease, some with teeth rotted to the gum line, are presenting California school districts with a widespread public health problem.\u003c/p>\n\u003cp>Increasingly, dental health advocates are looking to school districts to help solve the crisis. Innovative oral health care projects have been launched in school districts around the state that provide students with no-cost dental screening or treatment. Insurance companies are billed whenever possible.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dental disease is at “epidemic” levels among California children, \u003ca title=\"2010 US Surgeon General Report on Oral Health\" href=\"https://www.documentcloud.org/documents/616913-phr125000158.html\" target=\"_blank\">according to the U.S. Surgeon General\u003c/a>, and low-income children are disproportionately affected. They are 12 times more likely to miss school because of dental problems than children from higher-income families.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Students with toothaches were almost four times as likely to have a lower grade point average than students with healthy teeth.\u003c/aside>\n\u003cp>“The issue is huge,” said Gordon Jackson, director of the state Department of Education’s division which oversees health, counseling and other support programs provided at schools. “Tooth decay remains one of the most chronic diseases for children and adolescents. As we’re having the conversation about California’s future and student academic achievement, we have to have a conversation about oral health as well.”\u003c/p>\n\u003cp>But many districts lack the resources, or balk at being asked to provide dental care on top of a rigorous curriculum.\u003c/p>\n\u003cp>“It’s a great idea to bring universal prevention programs of all types, including dental, to schools,” said Kimberly Uyeda, director of student medical services for the Los Angeles Unified School District. “Whether there’s enough time in the day is another question.”\u003c!--more-->\u003c/p>\n\u003ch4>\u003cstrong>Lost revenue\u003c/strong>\u003c/h4>\n\u003cp>Still, schools have a vested interest in helping solve the problem.\u003c/p>\n\u003cp>Dental problems keep California students out of school an estimated 874,000 days a year, costing schools about $29.7 million in lost attendance based-funding, according to the 2007 California Health Interview Survey, conducted by researchers at UCLA.\u003c/p>\n\u003cdiv>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/03/schools-struggle-to-provide-dental-health-safety-net/dental_infographic_to-post/\" rel=\"attachment wp-att-11946\">\u003cimg class=\"alignright size-full wp-image-11946\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/Dental_infographic_to-post.jpg\" alt=\"Dental_infographic_to-post\" width=\"300\" height=\"540\">\u003c/a>Dental health also affects student performance. Students with toothaches were almost four times as likely to have a lower grade point average than students with healthy teeth, according to a \u003ca href=\"https://www.documentcloud.org/documents/609845-the-impact-of-oral-health-on-the-academic.html\" target=\"_blank\">2012 study\u003c/a> by the USC School of Dentistry.\u003c/p>\n\u003c/div>\n\u003cp>Advocates say the dental health crisis is exacerbated by the \u003ca href=\"https://www.documentcloud.org/documents/609584-tcp-fix-medical-dental-final.html\" target=\"_blank\">failure of Medi-Cal’s dental program\u003c/a>, called Denti-Cal, to adequately serve low-income children, \u003ca href=\"https://www.documentcloud.org/documents/609596-calif-dental-assoc-journal-032012-school-clinics.html\" target=\"_blank\">lack of funding\u003c/a> for a state school-based dental disease prevention program for low-income children, and the lack of money to enforce existing state laws requiring oral screenings and preventive care for school children.\u003c/p>\n\u003cp>School-based dental clinics can play a large part in the solution, given the holes in the state’s safety net. One model is to house dental care inside a school-based medical clinic. Some 61 school-based health clinics, out of about 200 in California, offer dental screening or treatment.\u003c/p>\n\u003cp>Outside of a school setting, finding a dentist who accepts Denti-Cal is a significant obstacle for low-income children. California’s reimbursement rates to Denti-Cal dentists are among the lowest in the nation, according to a \u003ca href=\"https://www.documentcloud.org/documents/609584-tcp-fix-medical-dental-final.html\" target=\"_blank\">recent report\u003c/a> by The Children’s Partnership.\u003c/p>\n\u003cp>The numbers of low-income children who need care are expected to increase when the Affordable Care Act -- including its Medi-Cal expansion -- is fully implemented. Come January 1, nearly half of California’s children will be Denti-Cal patients, according to The Children’s Partnership report.\u003c/p>\n\u003cp>The implications are clear, advocates say. “You’ve got to bring the services to the children,” said Roseann Mulligan, with the USC School of Dentistry and one of the authors of the study regarding oral health and student achievement.\u003c/p>\n\u003ch4>Reaching students\u003c/h4>\n\u003cp>A number of districts are doing just that. Some of the dental services are financially self-sustaining through billing to insurers, while others rely on grants and partnerships. The goal is for all clinics to become self-sustaining.\u003c/p>\n\u003cp>Two days a week, inside the sleek new student health center housed at \u003ca href=\"http://www.ousd.k12.ca.us/Page/9002\" target=\"_blank\">James Madison Middle School\u003c/a> in Oakland, students spend about 50 minutes during physical education class period or the “sixth period” extra time in a baby-blue dental chair. A hygienist screens students for tooth decay, cleans teeth, and applies fluoride varnish and sealants. The clinic, which doesn’t provide fillings or other restorative dentistry, accepts dental insurance and Denti-Cal, and provides free service to the uninsured. Services are funded by the Alameda County Public Health Department and The Atlantic Philanthropies.\u003c/p>\n\u003cp>Another model is a mobile dental clinic. In the San Diego Unified School District, the La Maestra Mobile Health Clinic, which includes dental services, began operating in fall 2012 to provide fillings and restorative dentistry to students at the Hoover Cluster of schools: 10 elementary schools, two middle schools, and one high school in the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/on-campus-clinics-a-safety-net-for-neighborhood-children/\" target=\"_blank\">City Heights neighborhood\u003c/a>, an area of high need.\u003c/p>\n\u003cp>“What we are trying to do is make it a positive experience,” said Dorothy Zirkle, a consultant for \u003ca href=\"http://www.pricecharities.com/\" target=\"_blank\">Price Charities\u003c/a>, a nonprofit dedicated to improving the quality of life for children in City Heights. “Our kids have a high need for multiple fillings. We need to build trust.”\u003c/p>\n\u003cp>All services are no-cost, with providers seeking reimbursement from insurers when possible. Among the organizations funding the facilities and services at the mobile dental clinic are \u003ca href=\"http://www.lamaestra.org/\" target=\"_blank\">La Maestra Community Health Centers\u003c/a>, private foundations including the City Heights Partnership for Children, and the Health Resources and Services Administration of the U.S. Department of Health and Human Services.\u003c/p>\n\u003cp>A third model is a partnership with a nearby dental college to offer expanded services for students. In the \u003ca href=\"http://emcsd.schoolwebportal.com/\" target=\"_blank\">El Monte City School District\u003c/a>, students receive comprehensive dental care at two dental clinics housed in elementary schools, as well as from a mobile dental unit.\u003c/p>\n\u003cp>Advocates say these programs and others like them are key to helping solve the dental health crisis facing California students.\u003c/p>\n\u003cp>Data that show the connection between oral health and student achievement will help persuade districts to support school-based dental care, said Maryjane Puffer, executive director of the Los Angeles Trust for Children’s Health, a nonprofit founded to serve students in LA Unified.\u003c/p>\n\u003cp>“School districts are eager to find a way to help kids stay in school and achieve,” she said.\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"http://www.kqed.org/news/story/2013/04/03/118857/californias_most_common_childhood_health_problem_dental_disease?category=bay+area\" target=\"_blank\">California's Most Common Childhood Health Problem? Dental Disease\u003c/a> (KQED Public Radio)\u003c/p>\n\n",
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"excerpt": "As California educators grapple with boosting student achievement across economic lines, the teeth of poor children are holding them back.\r\n\r\nHundreds of thousands of children suffering from dental disease, some with teeth rotted to the gum line, are presenting California school districts with a widespread public health problem.\r\n\r\nIncreasingly, dental health advocates are looking to school districts to help solve the crisis. Innovative oral health care projects have been launched in school districts around the state that provide students with no-cost dental screening or treatment. Insurance companies are billed whenever possible.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Dental disease at the intersection of school performance and health for thousands of California children\u003c/strong>\u003c/p>\n\u003cp>\u003cem>By Jane Meredith Adams\u003c/em>, \u003ca href=\"http://www.edsource.org/today/2013/schools-struggle-to-provide-dental-health-safety-net/29167#.UVy3xb_JDHh\" target=\"_blank\">EdSource Today\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11944\" class=\"wp-caption alignleft\" style=\"max-width: 224px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/03/schools-struggle-to-provide-dental-health-safety-net/kids_alamedacopublichealthdept/\" rel=\"attachment wp-att-11944\">\u003cimg class=\"size-full wp-image-11944\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept.jpg\" alt=\"Students learn how to care for their teeth and receive preventive care at a dental clinic at James Madison Middle School in Oakland. (Photo/Alameda County Public Health Department)\" width=\"224\" height=\"224\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept.jpg 224w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2013/04/kids_AlamedaCoPublicHealthDept-75x75.jpg 75w\" sizes=\"(max-width: 224px) 100vw, 224px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Students learn how to care for their teeth and receive preventive care at a dental clinic at James Madison Middle School in Oakland. (Photo/Alameda County Public Health Department)\u003c/figcaption>\u003c/figure>\n\u003cp>As California educators grapple with boosting student achievement across economic lines, the teeth of poor children are holding them back.\u003c/p>\n\u003cp>Hundreds of thousands of children suffering from dental disease, some with teeth rotted to the gum line, are presenting California school districts with a widespread public health problem.\u003c/p>\n\u003cp>Increasingly, dental health advocates are looking to school districts to help solve the crisis. Innovative oral health care projects have been launched in school districts around the state that provide students with no-cost dental screening or treatment. Insurance companies are billed whenever possible.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dental disease is at “epidemic” levels among California children, \u003ca title=\"2010 US Surgeon General Report on Oral Health\" href=\"https://www.documentcloud.org/documents/616913-phr125000158.html\" target=\"_blank\">according to the U.S. Surgeon General\u003c/a>, and low-income children are disproportionately affected. They are 12 times more likely to miss school because of dental problems than children from higher-income families.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Students with toothaches were almost four times as likely to have a lower grade point average than students with healthy teeth.\u003c/aside>\n\u003cp>“The issue is huge,” said Gordon Jackson, director of the state Department of Education’s division which oversees health, counseling and other support programs provided at schools. “Tooth decay remains one of the most chronic diseases for children and adolescents. As we’re having the conversation about California’s future and student academic achievement, we have to have a conversation about oral health as well.”\u003c/p>\n\u003cp>But many districts lack the resources, or balk at being asked to provide dental care on top of a rigorous curriculum.\u003c/p>\n\u003cp>“It’s a great idea to bring universal prevention programs of all types, including dental, to schools,” said Kimberly Uyeda, director of student medical services for the Los Angeles Unified School District. “Whether there’s enough time in the day is another question.”\u003c!--more-->\u003c/p>\n\u003ch4>\u003cstrong>Lost revenue\u003c/strong>\u003c/h4>\n\u003cp>Still, schools have a vested interest in helping solve the problem.\u003c/p>\n\u003cp>Dental problems keep California students out of school an estimated 874,000 days a year, costing schools about $29.7 million in lost attendance based-funding, according to the 2007 California Health Interview Survey, conducted by researchers at UCLA.\u003c/p>\n\u003cdiv>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/03/schools-struggle-to-provide-dental-health-safety-net/dental_infographic_to-post/\" rel=\"attachment wp-att-11946\">\u003cimg class=\"alignright size-full wp-image-11946\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/Dental_infographic_to-post.jpg\" alt=\"Dental_infographic_to-post\" width=\"300\" height=\"540\">\u003c/a>Dental health also affects student performance. Students with toothaches were almost four times as likely to have a lower grade point average than students with healthy teeth, according to a \u003ca href=\"https://www.documentcloud.org/documents/609845-the-impact-of-oral-health-on-the-academic.html\" target=\"_blank\">2012 study\u003c/a> by the USC School of Dentistry.\u003c/p>\n\u003c/div>\n\u003cp>Advocates say the dental health crisis is exacerbated by the \u003ca href=\"https://www.documentcloud.org/documents/609584-tcp-fix-medical-dental-final.html\" target=\"_blank\">failure of Medi-Cal’s dental program\u003c/a>, called Denti-Cal, to adequately serve low-income children, \u003ca href=\"https://www.documentcloud.org/documents/609596-calif-dental-assoc-journal-032012-school-clinics.html\" target=\"_blank\">lack of funding\u003c/a> for a state school-based dental disease prevention program for low-income children, and the lack of money to enforce existing state laws requiring oral screenings and preventive care for school children.\u003c/p>\n\u003cp>School-based dental clinics can play a large part in the solution, given the holes in the state’s safety net. One model is to house dental care inside a school-based medical clinic. Some 61 school-based health clinics, out of about 200 in California, offer dental screening or treatment.\u003c/p>\n\u003cp>Outside of a school setting, finding a dentist who accepts Denti-Cal is a significant obstacle for low-income children. California’s reimbursement rates to Denti-Cal dentists are among the lowest in the nation, according to a \u003ca href=\"https://www.documentcloud.org/documents/609584-tcp-fix-medical-dental-final.html\" target=\"_blank\">recent report\u003c/a> by The Children’s Partnership.\u003c/p>\n\u003cp>The numbers of low-income children who need care are expected to increase when the Affordable Care Act -- including its Medi-Cal expansion -- is fully implemented. Come January 1, nearly half of California’s children will be Denti-Cal patients, according to The Children’s Partnership report.\u003c/p>\n\u003cp>The implications are clear, advocates say. “You’ve got to bring the services to the children,” said Roseann Mulligan, with the USC School of Dentistry and one of the authors of the study regarding oral health and student achievement.\u003c/p>\n\u003ch4>Reaching students\u003c/h4>\n\u003cp>A number of districts are doing just that. Some of the dental services are financially self-sustaining through billing to insurers, while others rely on grants and partnerships. The goal is for all clinics to become self-sustaining.\u003c/p>\n\u003cp>Two days a week, inside the sleek new student health center housed at \u003ca href=\"http://www.ousd.k12.ca.us/Page/9002\" target=\"_blank\">James Madison Middle School\u003c/a> in Oakland, students spend about 50 minutes during physical education class period or the “sixth period” extra time in a baby-blue dental chair. A hygienist screens students for tooth decay, cleans teeth, and applies fluoride varnish and sealants. The clinic, which doesn’t provide fillings or other restorative dentistry, accepts dental insurance and Denti-Cal, and provides free service to the uninsured. Services are funded by the Alameda County Public Health Department and The Atlantic Philanthropies.\u003c/p>\n\u003cp>Another model is a mobile dental clinic. In the San Diego Unified School District, the La Maestra Mobile Health Clinic, which includes dental services, began operating in fall 2012 to provide fillings and restorative dentistry to students at the Hoover Cluster of schools: 10 elementary schools, two middle schools, and one high school in the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/on-campus-clinics-a-safety-net-for-neighborhood-children/\" target=\"_blank\">City Heights neighborhood\u003c/a>, an area of high need.\u003c/p>\n\u003cp>“What we are trying to do is make it a positive experience,” said Dorothy Zirkle, a consultant for \u003ca href=\"http://www.pricecharities.com/\" target=\"_blank\">Price Charities\u003c/a>, a nonprofit dedicated to improving the quality of life for children in City Heights. “Our kids have a high need for multiple fillings. We need to build trust.”\u003c/p>\n\u003cp>All services are no-cost, with providers seeking reimbursement from insurers when possible. Among the organizations funding the facilities and services at the mobile dental clinic are \u003ca href=\"http://www.lamaestra.org/\" target=\"_blank\">La Maestra Community Health Centers\u003c/a>, private foundations including the City Heights Partnership for Children, and the Health Resources and Services Administration of the U.S. Department of Health and Human Services.\u003c/p>\n\u003cp>A third model is a partnership with a nearby dental college to offer expanded services for students. In the \u003ca href=\"http://emcsd.schoolwebportal.com/\" target=\"_blank\">El Monte City School District\u003c/a>, students receive comprehensive dental care at two dental clinics housed in elementary schools, as well as from a mobile dental unit.\u003c/p>\n\u003cp>Advocates say these programs and others like them are key to helping solve the dental health crisis facing California students.\u003c/p>\n\u003cp>Data that show the connection between oral health and student achievement will help persuade districts to support school-based dental care, said Maryjane Puffer, executive director of the Los Angeles Trust for Children’s Health, a nonprofit founded to serve students in LA Unified.\u003c/p>\n\u003cp>“School districts are eager to find a way to help kids stay in school and achieve,” she said.\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"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.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"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?",
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"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.",
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"possible": {
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"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.",
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"pri-the-world": {
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"radiolab": {
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"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.",
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"reveal": {
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"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.",
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},
"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.",
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"order": 16
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},
"science-friday": {
"id": "science-friday",
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"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.",
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"snap-judgment": {
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