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"disqusTitle": "Stanford Study: Double Mastectomies Don't Increase Breast Cancer Survival Rate",
"title": "Stanford Study: Double Mastectomies Don't Increase Breast Cancer Survival Rate",
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"content": "\u003cfigure id=\"attachment_21138\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/78022737-e1409697092845.jpg\">\u003cimg class=\"size-large wp-image-21138\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/78022737-640x591.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"591\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">About one-third of women under 40 diagnosed with breast cancer in California choose double mastectomy. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2014/09/02/345200586/double-mastectomies-dont-increase-cancer-survival-rates\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>More women are choosing to have bilateral mastectomies when they are diagnosed with early-stage breast cancer, even though there's little evidence that removing both breasts improves their survival compared with more conservative treatments.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Doctors worry that women choose double mastectomy out of the mistaken belief that it eliminates their future risk of cancer.\u003c/aside>\n\u003cp>The biggest study yet on the question has found no survival benefit with bilateral mastectomy compared to breast-conserving surgery with radiation.\u003c/p>\n\u003cp>The\u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1900512\" target=\"_blank\"> study\u003c/a>, published Tuesday in JAMA, the Journal of the American Medical Association, looked at the records of all women in California who were diagnosed with early-stage breast cancer from 1998 to 2011 — 189,734 women, all told.\u003c!--more-->\u003c/p>\n\u003cp>Women who had breast-conserving surgery had an 83.2 percent survival rate at 10 years, compared with 81.2 percent for those who had a double mastectomy. \"What it means is that women should be aware that if they choose double mastectomy, the chances are that it won't cause them to live any longer than if they had chosen something else,\" said Stanford professor \u003ca href=\"https://med.stanford.edu/profiles/Allison_Kurian\" target=\"_blank\">Allison Kurian\u003c/a>, lead author of the study.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Women who had a single mastectomy fared worse, with a 79.9 percent survival rate, enough to be statistically significant.\u003c/p>\n\u003cp>\"We think that poorer survival in this group may be due to other factors that we weren't able to account for,\" says \u003ca href=\"http://www.cpic.org/our-research/our-scientists/scarlett-gomez.aspx\" target=\"_blank\">Scarlett Lin Gomez\u003c/a>, a research scientist at the Cancer Prevention Institute of California and the senior author of the study.\u003c/p>\n\u003cp>The women who had single mastectomies tended to be minority, especially Filipina or Hispanic, to be lower income and to be uninsured.\u003c/p>\n\u003cp>One factor affecting these women could be lack of access to medical care, Gomez says. For instance, a woman who has breast-conserving surgery typically has radiation treatment every day for six weeks to kill remaining cancer cells. Lower-income women may have a hard time doing that, Gomez says. \"The only option available to them may be unilateral mastectomy.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"DalZoBNmFtR3nFMelD44GIHbItrKXxbe\"]\u003c/p>\n\u003cp>And if women having single mastectomies tended to be poorer and minority, women who chose bilateral mastectomies tended to be younger, white and better off.\u003c/p>\n\u003cp>Overall, the double mastectomy rate had increased from 2 percent to 12 percent between 1998 and 2011. But for women under 40, the double mastectomy rate had increased to 33 percent, even though most of them had stage zero or stage one cancer, a very early, very treatable form.\u003c/p>\n\u003cp>Those women also were more likely to be treated at an academic medical center, which, along with their youth and low-risk cancer, should make it more likely that they would survive. So why are they not doing any better than women who have lumpectomies and radiation?\u003c/p>\n\u003cp>\"I don't think we know,\" Gomez told NPR. \"This is complete conjecture at this point. A bilateral mastectomy is major surgery, and just like any major surgery there are complications, side effects. So any advantage that comes from lowering your risk of cancer in the [healthy] breast could be offset by the fact that you're having major surgery.\"\u003c/p>\n\u003cp>Doing a randomized trial that directly compares the various treatments could help figure that out, but Gomez and others say it would be pretty much impossible to recruit lots of women in a trial that wouldn't give them a choice of treatments.\u003c/p>\n\u003cp>\"Given the vast size of our data set, I think these findings may be as good as it's going to get in terms of giving us clues,\" Gomez says.\u003c/p>\n\u003cp>Doctors have been increasingly concerned that women are choosing bilateral mastectomy in the mistaken belief that it eliminates their future risk of cancer.\u003c/p>\n\u003cp>Double mastectomies made headlines in 2013, when actress Angelina Jolie had a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/14/why-angelina-jolies-medical-choice-is-likely-not-yours/\" target=\"_blank\">prophylactic double mastectomy \u003c/a>after being diagnosed with a BRCA gene mutation that vastly increases cancer risk. (Her case was different from this study which exclusively focused on women with breast cancer. Jolie did not have breast cancer, but was at extremely high risk of the disease.)\u003c/p>\n\u003cp>Yet only 5 percent of cancers are caused by BRCA mutations. Most of the women who are choosing double mastectomies haven't been diagnosed with a BRCA mutation.\u003c/p>\n\u003cp>\"Bilateral mastectomy surgery maximally reduces the risk of a breast cancer patient developing a completely new breast cancer, but it does not affect the potentially life-threatening risk of the known first cancer damaging other organs in the body through metatastic spread,\" Dr. Lisa Newman, director of the University of Michigan Breast Care Center, told NPR via email. She wrote an\u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1900491\" target=\"_blank\"> editorial\u003c/a> in Tuesday's JAMA on the issue.\u003c/p>\n\u003cp>And since tiny bits of breast tissue can remain in the chest after surgery, a woman who has had a double mastectomy can still get breast cancer again.\u003c/p>\n\u003cp>Still, both Gomez and Stanford's Kurian stressed that the study should not be seen as a treatment recommendation.\u003c/p>\n\u003cp>Gomez hopes that these new numbers will shift the focus to better understanding women's decision-making process, and to educating physicians on better communications.\u003c/p>\n\u003cp>Doctors can't presume to dictate which choice will give a woman the best quality of life, Newman says. But doctors do have to counsel patients to have realistic expectations about their treatment choices.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We are trying to understand he factors that might be motivating this trend, since there is no definitive survival advantage that has been demonstrated,\" Newman adds.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21138\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/78022737-e1409697092845.jpg\">\u003cimg class=\"size-large wp-image-21138\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/78022737-640x591.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"591\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">About one-third of women under 40 diagnosed with breast cancer in California choose double mastectomy. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2014/09/02/345200586/double-mastectomies-dont-increase-cancer-survival-rates\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>More women are choosing to have bilateral mastectomies when they are diagnosed with early-stage breast cancer, even though there's little evidence that removing both breasts improves their survival compared with more conservative treatments.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Doctors worry that women choose double mastectomy out of the mistaken belief that it eliminates their future risk of cancer.\u003c/aside>\n\u003cp>The biggest study yet on the question has found no survival benefit with bilateral mastectomy compared to breast-conserving surgery with radiation.\u003c/p>\n\u003cp>The\u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1900512\" target=\"_blank\"> study\u003c/a>, published Tuesday in JAMA, the Journal of the American Medical Association, looked at the records of all women in California who were diagnosed with early-stage breast cancer from 1998 to 2011 — 189,734 women, all told.\u003c!--more-->\u003c/p>\n\u003cp>Women who had breast-conserving surgery had an 83.2 percent survival rate at 10 years, compared with 81.2 percent for those who had a double mastectomy. \"What it means is that women should be aware that if they choose double mastectomy, the chances are that it won't cause them to live any longer than if they had chosen something else,\" said Stanford professor \u003ca href=\"https://med.stanford.edu/profiles/Allison_Kurian\" target=\"_blank\">Allison Kurian\u003c/a>, lead author of the study.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Women who had a single mastectomy fared worse, with a 79.9 percent survival rate, enough to be statistically significant.\u003c/p>\n\u003cp>\"We think that poorer survival in this group may be due to other factors that we weren't able to account for,\" says \u003ca href=\"http://www.cpic.org/our-research/our-scientists/scarlett-gomez.aspx\" target=\"_blank\">Scarlett Lin Gomez\u003c/a>, a research scientist at the Cancer Prevention Institute of California and the senior author of the study.\u003c/p>\n\u003cp>The women who had single mastectomies tended to be minority, especially Filipina or Hispanic, to be lower income and to be uninsured.\u003c/p>\n\u003cp>One factor affecting these women could be lack of access to medical care, Gomez says. For instance, a woman who has breast-conserving surgery typically has radiation treatment every day for six weeks to kill remaining cancer cells. Lower-income women may have a hard time doing that, Gomez says. \"The only option available to them may be unilateral mastectomy.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>And if women having single mastectomies tended to be poorer and minority, women who chose bilateral mastectomies tended to be younger, white and better off.\u003c/p>\n\u003cp>Overall, the double mastectomy rate had increased from 2 percent to 12 percent between 1998 and 2011. But for women under 40, the double mastectomy rate had increased to 33 percent, even though most of them had stage zero or stage one cancer, a very early, very treatable form.\u003c/p>\n\u003cp>Those women also were more likely to be treated at an academic medical center, which, along with their youth and low-risk cancer, should make it more likely that they would survive. So why are they not doing any better than women who have lumpectomies and radiation?\u003c/p>\n\u003cp>\"I don't think we know,\" Gomez told NPR. \"This is complete conjecture at this point. A bilateral mastectomy is major surgery, and just like any major surgery there are complications, side effects. So any advantage that comes from lowering your risk of cancer in the [healthy] breast could be offset by the fact that you're having major surgery.\"\u003c/p>\n\u003cp>Doing a randomized trial that directly compares the various treatments could help figure that out, but Gomez and others say it would be pretty much impossible to recruit lots of women in a trial that wouldn't give them a choice of treatments.\u003c/p>\n\u003cp>\"Given the vast size of our data set, I think these findings may be as good as it's going to get in terms of giving us clues,\" Gomez says.\u003c/p>\n\u003cp>Doctors have been increasingly concerned that women are choosing bilateral mastectomy in the mistaken belief that it eliminates their future risk of cancer.\u003c/p>\n\u003cp>Double mastectomies made headlines in 2013, when actress Angelina Jolie had a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/14/why-angelina-jolies-medical-choice-is-likely-not-yours/\" target=\"_blank\">prophylactic double mastectomy \u003c/a>after being diagnosed with a BRCA gene mutation that vastly increases cancer risk. (Her case was different from this study which exclusively focused on women with breast cancer. Jolie did not have breast cancer, but was at extremely high risk of the disease.)\u003c/p>\n\u003cp>Yet only 5 percent of cancers are caused by BRCA mutations. Most of the women who are choosing double mastectomies haven't been diagnosed with a BRCA mutation.\u003c/p>\n\u003cp>\"Bilateral mastectomy surgery maximally reduces the risk of a breast cancer patient developing a completely new breast cancer, but it does not affect the potentially life-threatening risk of the known first cancer damaging other organs in the body through metatastic spread,\" Dr. Lisa Newman, director of the University of Michigan Breast Care Center, told NPR via email. She wrote an\u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1900491\" target=\"_blank\"> editorial\u003c/a> in Tuesday's JAMA on the issue.\u003c/p>\n\u003cp>And since tiny bits of breast tissue can remain in the chest after surgery, a woman who has had a double mastectomy can still get breast cancer again.\u003c/p>\n\u003cp>Still, both Gomez and Stanford's Kurian stressed that the study should not be seen as a treatment recommendation.\u003c/p>\n\u003cp>Gomez hopes that these new numbers will shift the focus to better understanding women's decision-making process, and to educating physicians on better communications.\u003c/p>\n\u003cp>Doctors can't presume to dictate which choice will give a woman the best quality of life, Newman says. But doctors do have to counsel patients to have realistic expectations about their treatment choices.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We are trying to understand he factors that might be motivating this trend, since there is no definitive survival advantage that has been demonstrated,\" Newman adds.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Sleep Apps, Myths and More: Strategies for a Good Night's Rest",
"title": "Sleep Apps, Myths and More: Strategies for a Good Night's Rest",
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"content": "\u003cfigure id=\"attachment_21045\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/6664088073_9555939e33_z.jpg\">\u003cimg class=\"size-full wp-image-21045\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/6664088073_9555939e33_z.jpg\" alt=\"(Flood G./Flickr)\" width=\"640\" height=\"640\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-320x320.jpg 320w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-75x75.jpg 75w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Flood G./Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Kathy Shield\u003c/strong>\u003c/p>\n\u003cp>If you go to Apple's App Store and search “sleep,” you’ll net over 2,000 results. Many of these apps play soothing white noise for a set period of time to help you fall asleep; others are simply alarm clocks. But many track your sleep, providing you with data about your nightly sleep quality, your average sleep time and more.\u003c/p>\n\u003cp>I must admit, I use Sleep Cycle to track my sleep, and my mom uses FitBit. So when sleep experts answered questions on \u003ca href=\"http://www.kqed.org/a/forum/R201408261000\" target=\"_blank\">KQED's \u003cem>Forum\u003c/em>\u003c/a> Wednesday, I was more than happy to listen in.\u003c/p>\n\u003cp>Stanford’s famous sleep scientist, Professor William Dement, joined the panel and described one discovery of his original research that apparently led to the technology to track sleep: “During rapid eye movement (REM) sleep, the body is completely paralyzed except the eyes and the diaphragm.”\u003c!--more-->\u003c/p>\n\u003cp>So what sleep trackers measure is this: movement. Since different movement patterns correlate with different types of sleep, the sensors in our smartphones can provide data on our sleep depth. They use what scientists know about sleep patterns to turn motion into nightly graphs like these:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Most nights, my sleep patterns resemble a \"normal\" pattern, like this one:\u003c/p>\n\u003cfigure id=\"attachment_21041\" class=\"wp-caption aligncenter\" style=\"max-width: 505px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/Cropped-1.jpg\">\u003cimg class=\"size-full wp-image-21041\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/Cropped-1.jpg\" alt=\"will insert caption here. \" width=\"505\" height=\"481\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-1.jpg 505w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-1-400x381.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-1-320x305.jpg 320w\" sizes=\"(max-width: 505px) 100vw, 505px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">My sleep pattern from a random night in July.\u003c/figcaption>\u003c/figure>\n\u003cp>But events like the South Napa Earthquake that happened early Sunday morning can interrupt even the deepest sleep. The quake hit at 3:20 a.m. Check out the spike between 3 and 4 a.m. here:\u003c/p>\n\u003cfigure id=\"attachment_21042\" class=\"wp-caption aligncenter\" style=\"max-width: 505px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/Cropped-2.jpg\">\u003cimg class=\"size-full wp-image-21042\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/Cropped-2.jpg\" alt=\"another caption here?\" width=\"505\" height=\"481\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-2.jpg 505w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-2-400x381.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-2-320x305.jpg 320w\" sizes=\"(max-width: 505px) 100vw, 505px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">My sleep pattern the night of the earthquake.\u003c/figcaption>\u003c/figure>\n\u003cp>(By the way, note my \"sleep quality\" in the first slide, versus the night of the earthquake. It went from 84 percent to 39 percent.)\u003c/p>\n\u003cp>The data these apps give us are certainly useful, but they aren't anywhere near the level of accuracy that researchers can get in the lab, the guests on \u003cem>Forum\u003c/em> said.\u003c/p>\n\u003cp>That's because labs can track brain waves and give much more accurate depictions of your sleep. Still, apps give good insight, allowing us to understand natural sleep rhythms and start correcting poor sleep patterns, as UC Berkeley neuroscience Professor Matthew Walker explained. But he also warned that we need to keep some distance, lest “we start to become the Woody Allen neurotics of the sleep world.” Becoming neurotic about your sleep is likely to make it even harder for you to get a good night's sleep.\u003c/p>\n\u003cp>Sleep apps such as Sleep Cycle aren’t the only technology we use that impacts our sleep. Experts, including Walker, often warn us to avoid technology in the hour before bedtime. Use of technology can make it harder for you to fall asleep. Here's why:\u003c/p>\n\u003cul>\n\u003cli>The light emitted by computers and other devices alters your biological rhythms, telling your body to wake up when your body should be getting ready to sleep.\u003c/li>\n\u003cli>Using technology is stimulating, and it increases cognitive activity that your body naturally lessens in the hour preceding bedtime.\u003c/li>\n\u003c/ul>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/164895231&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>New Sleep Medications Safer \u003c/strong>\u003c/p>\n\u003cp>Previous iterations of sleeping pills -– barbiturates –- were dangerous, and that history is weighing on current patients. Dr. Rafael Pelayo, also a specialist at Stanford in sleep science, says the newest sleeping pills are rarely detrimental to your long-term health. But the fear of the medication worsens sleep quality. “People are desperate to sleep,” he said. But when they worry about the effects of their medication, they become hypervigilant. This vigilance wakes the brain and counteracts the effects of the medicine. So perhaps the confusion isn’t so much myth as self-fulfilling prophecy.\u003c/p>\n\u003cp>During the hour on \u003cem>Forum\u003c/em>, the guests swatted away myths about sleep. See which ones you believe are true:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Myth: Needing to urinate at night is just part of getting older.\u003c/strong> Needing to pee at night may be a sign of sleep apnea, which essentially means that you're fighting for air while you sleep. Because of the increased force needed to pull air into the lungs, it means increased force pushing on the bladder -- which makes you want to go to the bathroom. A major sign of sleep apnea is snoring. If you snore and feel like you never get enough sleep, you may want to check with your doctor.\u003c/li>\n\u003cli>\u003cstrong>Myth: More sugar makes for worse sleep.\u003c/strong> “That’s pretty much bogus,\" Pelayo said. \"It’s not the diet. It’s the lifestyle.”\u003c/li>\n\u003cli>\u003cstrong>Myth: Women going through menopause must suffer poor sleep.\u003c/strong> Yes, insomnia can be caused by hormonal fluctuations, but can be solved. If menopausal changes are causing insomnia the guests recommended seeing a doctor or sleep specialist.\u003c/li>\n\u003cli>\u003cstrong>Myth: A nightcap can help you get to sleep.\u003c/strong> “That’s a remarkably bad idea,\" Walker said, and added that you're just sedating yourself. Besides, drinking alcohol at bedtime often helps you fall asleep, but worsens sleep quality.\u003c/li>\n\u003cli>\u003cstrong>Myth: Snoring isn’t anything to worry about.\u003c/strong> Snoring, especially in children, is indicative of sleep apnea and nighttime breathing problems. Once again, this is something the doctors recommend be checked.\u003c/li>\n\u003c/ul>\n\u003cp>Regardless of your sleep habits, the most important thing is to wake up well rested. “You don’t leave restaurants feeling hungry,\" Pelayo said. \"You should not wake up in the morning feeling tired.”\u003c/p>\n\u003cp>Sleep deprivation isn’t something to be proud of, and all three scientists caution that it can be dangerous. Drowsiness while driving can cause accidents, and sleep disorders can lead to impulsive behaviors, up to and including attempting suicide.\u003c/p>\n\u003cp>Sleep deprivation, Walker says, is worn as a badge of honor, and that creates a public health crisis in need of a fundamental shift in understanding.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In that spirit, I’m off to take a nap.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21045\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/6664088073_9555939e33_z.jpg\">\u003cimg class=\"size-full wp-image-21045\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/6664088073_9555939e33_z.jpg\" alt=\"(Flood G./Flickr)\" width=\"640\" height=\"640\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-320x320.jpg 320w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/6664088073_9555939e33_z-75x75.jpg 75w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Flood G./Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Kathy Shield\u003c/strong>\u003c/p>\n\u003cp>If you go to Apple's App Store and search “sleep,” you’ll net over 2,000 results. Many of these apps play soothing white noise for a set period of time to help you fall asleep; others are simply alarm clocks. But many track your sleep, providing you with data about your nightly sleep quality, your average sleep time and more.\u003c/p>\n\u003cp>I must admit, I use Sleep Cycle to track my sleep, and my mom uses FitBit. So when sleep experts answered questions on \u003ca href=\"http://www.kqed.org/a/forum/R201408261000\" target=\"_blank\">KQED's \u003cem>Forum\u003c/em>\u003c/a> Wednesday, I was more than happy to listen in.\u003c/p>\n\u003cp>Stanford’s famous sleep scientist, Professor William Dement, joined the panel and described one discovery of his original research that apparently led to the technology to track sleep: “During rapid eye movement (REM) sleep, the body is completely paralyzed except the eyes and the diaphragm.”\u003c!--more-->\u003c/p>\n\u003cp>So what sleep trackers measure is this: movement. Since different movement patterns correlate with different types of sleep, the sensors in our smartphones can provide data on our sleep depth. They use what scientists know about sleep patterns to turn motion into nightly graphs like these:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Most nights, my sleep patterns resemble a \"normal\" pattern, like this one:\u003c/p>\n\u003cfigure id=\"attachment_21041\" class=\"wp-caption aligncenter\" style=\"max-width: 505px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/Cropped-1.jpg\">\u003cimg class=\"size-full wp-image-21041\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/Cropped-1.jpg\" alt=\"will insert caption here. \" width=\"505\" height=\"481\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-1.jpg 505w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-1-400x381.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-1-320x305.jpg 320w\" sizes=\"(max-width: 505px) 100vw, 505px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">My sleep pattern from a random night in July.\u003c/figcaption>\u003c/figure>\n\u003cp>But events like the South Napa Earthquake that happened early Sunday morning can interrupt even the deepest sleep. The quake hit at 3:20 a.m. Check out the spike between 3 and 4 a.m. here:\u003c/p>\n\u003cfigure id=\"attachment_21042\" class=\"wp-caption aligncenter\" style=\"max-width: 505px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/Cropped-2.jpg\">\u003cimg class=\"size-full wp-image-21042\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/Cropped-2.jpg\" alt=\"another caption here?\" width=\"505\" height=\"481\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-2.jpg 505w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-2-400x381.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/Cropped-2-320x305.jpg 320w\" sizes=\"(max-width: 505px) 100vw, 505px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">My sleep pattern the night of the earthquake.\u003c/figcaption>\u003c/figure>\n\u003cp>(By the way, note my \"sleep quality\" in the first slide, versus the night of the earthquake. It went from 84 percent to 39 percent.)\u003c/p>\n\u003cp>The data these apps give us are certainly useful, but they aren't anywhere near the level of accuracy that researchers can get in the lab, the guests on \u003cem>Forum\u003c/em> said.\u003c/p>\n\u003cp>That's because labs can track brain waves and give much more accurate depictions of your sleep. Still, apps give good insight, allowing us to understand natural sleep rhythms and start correcting poor sleep patterns, as UC Berkeley neuroscience Professor Matthew Walker explained. But he also warned that we need to keep some distance, lest “we start to become the Woody Allen neurotics of the sleep world.” Becoming neurotic about your sleep is likely to make it even harder for you to get a good night's sleep.\u003c/p>\n\u003cp>Sleep apps such as Sleep Cycle aren’t the only technology we use that impacts our sleep. Experts, including Walker, often warn us to avoid technology in the hour before bedtime. Use of technology can make it harder for you to fall asleep. Here's why:\u003c/p>\n\u003cul>\n\u003cli>The light emitted by computers and other devices alters your biological rhythms, telling your body to wake up when your body should be getting ready to sleep.\u003c/li>\n\u003cli>Using technology is stimulating, and it increases cognitive activity that your body naturally lessens in the hour preceding bedtime.\u003c/li>\n\u003c/ul>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/164895231&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>New Sleep Medications Safer \u003c/strong>\u003c/p>\n\u003cp>Previous iterations of sleeping pills -– barbiturates –- were dangerous, and that history is weighing on current patients. Dr. Rafael Pelayo, also a specialist at Stanford in sleep science, says the newest sleeping pills are rarely detrimental to your long-term health. But the fear of the medication worsens sleep quality. “People are desperate to sleep,” he said. But when they worry about the effects of their medication, they become hypervigilant. This vigilance wakes the brain and counteracts the effects of the medicine. So perhaps the confusion isn’t so much myth as self-fulfilling prophecy.\u003c/p>\n\u003cp>During the hour on \u003cem>Forum\u003c/em>, the guests swatted away myths about sleep. See which ones you believe are true:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Myth: Needing to urinate at night is just part of getting older.\u003c/strong> Needing to pee at night may be a sign of sleep apnea, which essentially means that you're fighting for air while you sleep. Because of the increased force needed to pull air into the lungs, it means increased force pushing on the bladder -- which makes you want to go to the bathroom. A major sign of sleep apnea is snoring. If you snore and feel like you never get enough sleep, you may want to check with your doctor.\u003c/li>\n\u003cli>\u003cstrong>Myth: More sugar makes for worse sleep.\u003c/strong> “That’s pretty much bogus,\" Pelayo said. \"It’s not the diet. It’s the lifestyle.”\u003c/li>\n\u003cli>\u003cstrong>Myth: Women going through menopause must suffer poor sleep.\u003c/strong> Yes, insomnia can be caused by hormonal fluctuations, but can be solved. If menopausal changes are causing insomnia the guests recommended seeing a doctor or sleep specialist.\u003c/li>\n\u003cli>\u003cstrong>Myth: A nightcap can help you get to sleep.\u003c/strong> “That’s a remarkably bad idea,\" Walker said, and added that you're just sedating yourself. Besides, drinking alcohol at bedtime often helps you fall asleep, but worsens sleep quality.\u003c/li>\n\u003cli>\u003cstrong>Myth: Snoring isn’t anything to worry about.\u003c/strong> Snoring, especially in children, is indicative of sleep apnea and nighttime breathing problems. Once again, this is something the doctors recommend be checked.\u003c/li>\n\u003c/ul>\n\u003cp>Regardless of your sleep habits, the most important thing is to wake up well rested. “You don’t leave restaurants feeling hungry,\" Pelayo said. \"You should not wake up in the morning feeling tired.”\u003c/p>\n\u003cp>Sleep deprivation isn’t something to be proud of, and all three scientists caution that it can be dangerous. Drowsiness while driving can cause accidents, and sleep disorders can lead to impulsive behaviors, up to and including attempting suicide.\u003c/p>\n\u003cp>Sleep deprivation, Walker says, is worn as a badge of honor, and that creates a public health crisis in need of a fundamental shift in understanding.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In that spirit, I’m off to take a nap.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Earthquake Safety: Stand In A Doorway?",
"title": "Earthquake Safety: Stand In A Doorway?",
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"content": "\u003cfigure id=\"attachment_21034\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/454076420.jpg\">\u003cimg class=\"size-large wp-image-21034\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/454076420-640x476.jpg\" alt=\"Police officers in Napa prop up a fallen door in front of a damaged building following Sunday's earthquake there. (Justin Sullivan/Getty Images)\" width=\"640\" height=\"476\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Police officers in Napa prop up a fallen door in front of a damaged building following Sunday's earthquake there. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>I don't like earthquakes, yet I live in quake country. It's a paradox.\u003c/p>\n\u003cp>To mitigate my worry, I err on the side of preparedness. But this post is not to lecture you about creating an earthquake kit (\u003ca href=\"http://ww2.kqed.org/news/2014/08/24/how-to-prepare-for-an-earthquake/\" target=\"_blank\">although it's not hard to do\u003c/a>). It's to let you know what to do the moment the shaking starts.\u003c/p>\n\u003cp>And it's to tell you what not to do.\u003c/p>\n\u003cp>Folks, when the shaking starts, do not head to the nearest doorway. I cannot stress this enough: Do not stand in a doorway.\u003c!--more-->\u003c/p>\n\u003cp>I always thought the doorway was safe, too -- until I heard years ago that this is a myth. The idea of the safety of the doorway goes back to the 19th century. Back then in California, lots of homes were built of adobe. The only wood in the house was the wood-framed door. In a major quake, the adobe crumbled. The only thing left standing? The wood framing of the door.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If you are presently living in a 19th century adobe home, you may stand in your doorway.\u003c/p>\n\u003cp>Otherwise, here's what you do:\u003c/p>\n\u003cp>\u003cstrong>1. Drop, cover and hold on.\u003c/strong>\u003c/p>\n\u003cp>In an earthquake, things fall over, move around and generally fling off shelves. These moving or falling objects can hurt you. Standing in a doorway does not protect you. In addition to stuff flying around, the door will swing back and forth, perhaps violently. The door may strike you, or your fingers may be pinched badly, if you have them jammed in the frame to brace yourself. The door could also fall down, as you see in the photo above.\u003c/p>\n\u003cp>Instead, if you are dropped, covered and holding on, those things flying around are less likely to hurt you. You drop to your knees, so the quake can't knock you down. You cover under a sturdy table or other piece of furniture to protect yourself from falling objects. You hold on, so your protection moves with you.\u003c/p>\n\u003cp style=\"text-align: center\">[\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/30/how-will-your-hospital-fare-in-the-next-earthquake/\" target=\"_blank\">How Will Your Hospital Fare in the Next Earthquake?\u003c/a>]\u003c/p>\n\u003cp>\u003cstrong>2. If you're inside, stay inside.\u003c/strong>\u003c/p>\n\u003cp>This is a hard one. But you don't want to go outside in the middle of the shaking -- because even more stuff is likely falling over outside, like bricks, power lines, all kinds of stuff that can really hurt you.\u003c/p>\n\u003cp>\u003cstrong>3. If you're in bed, stay in bed\u003c/strong> (unless you have a heavy light fixture or other heavy object over your bed). Protect yourself with your pillow.\u003c/p>\n\u003cp>\u003cstrong>4. If you're outside, try to move to the open.\u003c/strong> Move away from buildings and power lines.\u003c/p>\n\u003cp>\u003cstrong>5. If you're in your car, stop as quickly and safely as you can and stay in your vehicle.\u003c/strong> Do not stop under or on bridges, overpasses or trees.\u003c/p>\n\u003cp>There's much more I could say. But I'll leave it with this: Look around in your home and at work. Think where you could duck, cover and hold on.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>I compiled this post from my own earthquake obsessions, verified by information from \u003ca href=\"http://www.ready.gov/earthquakes\" target=\"_blank\">ready.gov \u003c/a>(brought to you by FEMA). If you visit\u003ca href=\"http://www.ready.gov/earthquakes\" target=\"_blank\"> the site\u003c/a>, scroll down to the helpful tabs that say \"before, during, after\" to learn more about being, well, ready. California's Department of Conservation also has a \u003ca href=\"http://www.consrv.ca.gov/index/earthquakes/Pages/qh_earthquakes_what.aspx\" target=\"_blank\">good fact sheet\u003c/a> on being prepared. The United States Geological Survey has a fun read about \u003ca href=\"http://earthquake.usgs.gov/learn/topics/megaqk_facts_fantasy.php\" target=\"_blank\">earthquake facts and earthquake fantasy.\u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21034\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/454076420.jpg\">\u003cimg class=\"size-large wp-image-21034\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/454076420-640x476.jpg\" alt=\"Police officers in Napa prop up a fallen door in front of a damaged building following Sunday's earthquake there. (Justin Sullivan/Getty Images)\" width=\"640\" height=\"476\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Police officers in Napa prop up a fallen door in front of a damaged building following Sunday's earthquake there. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>I don't like earthquakes, yet I live in quake country. It's a paradox.\u003c/p>\n\u003cp>To mitigate my worry, I err on the side of preparedness. But this post is not to lecture you about creating an earthquake kit (\u003ca href=\"http://ww2.kqed.org/news/2014/08/24/how-to-prepare-for-an-earthquake/\" target=\"_blank\">although it's not hard to do\u003c/a>). It's to let you know what to do the moment the shaking starts.\u003c/p>\n\u003cp>And it's to tell you what not to do.\u003c/p>\n\u003cp>Folks, when the shaking starts, do not head to the nearest doorway. I cannot stress this enough: Do not stand in a doorway.\u003c!--more-->\u003c/p>\n\u003cp>I always thought the doorway was safe, too -- until I heard years ago that this is a myth. The idea of the safety of the doorway goes back to the 19th century. Back then in California, lots of homes were built of adobe. The only wood in the house was the wood-framed door. In a major quake, the adobe crumbled. The only thing left standing? The wood framing of the door.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If you are presently living in a 19th century adobe home, you may stand in your doorway.\u003c/p>\n\u003cp>Otherwise, here's what you do:\u003c/p>\n\u003cp>\u003cstrong>1. Drop, cover and hold on.\u003c/strong>\u003c/p>\n\u003cp>In an earthquake, things fall over, move around and generally fling off shelves. These moving or falling objects can hurt you. Standing in a doorway does not protect you. In addition to stuff flying around, the door will swing back and forth, perhaps violently. The door may strike you, or your fingers may be pinched badly, if you have them jammed in the frame to brace yourself. The door could also fall down, as you see in the photo above.\u003c/p>\n\u003cp>Instead, if you are dropped, covered and holding on, those things flying around are less likely to hurt you. You drop to your knees, so the quake can't knock you down. You cover under a sturdy table or other piece of furniture to protect yourself from falling objects. You hold on, so your protection moves with you.\u003c/p>\n\u003cp style=\"text-align: center\">[\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/30/how-will-your-hospital-fare-in-the-next-earthquake/\" target=\"_blank\">How Will Your Hospital Fare in the Next Earthquake?\u003c/a>]\u003c/p>\n\u003cp>\u003cstrong>2. If you're inside, stay inside.\u003c/strong>\u003c/p>\n\u003cp>This is a hard one. But you don't want to go outside in the middle of the shaking -- because even more stuff is likely falling over outside, like bricks, power lines, all kinds of stuff that can really hurt you.\u003c/p>\n\u003cp>\u003cstrong>3. If you're in bed, stay in bed\u003c/strong> (unless you have a heavy light fixture or other heavy object over your bed). Protect yourself with your pillow.\u003c/p>\n\u003cp>\u003cstrong>4. If you're outside, try to move to the open.\u003c/strong> Move away from buildings and power lines.\u003c/p>\n\u003cp>\u003cstrong>5. If you're in your car, stop as quickly and safely as you can and stay in your vehicle.\u003c/strong> Do not stop under or on bridges, overpasses or trees.\u003c/p>\n\u003cp>There's much more I could say. But I'll leave it with this: Look around in your home and at work. Think where you could duck, cover and hold on.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>I compiled this post from my own earthquake obsessions, verified by information from \u003ca href=\"http://www.ready.gov/earthquakes\" target=\"_blank\">ready.gov \u003c/a>(brought to you by FEMA). If you visit\u003ca href=\"http://www.ready.gov/earthquakes\" target=\"_blank\"> the site\u003c/a>, scroll down to the helpful tabs that say \"before, during, after\" to learn more about being, well, ready. California's Department of Conservation also has a \u003ca href=\"http://www.consrv.ca.gov/index/earthquakes/Pages/qh_earthquakes_what.aspx\" target=\"_blank\">good fact sheet\u003c/a> on being prepared. The United States Geological Survey has a fun read about \u003ca href=\"http://earthquake.usgs.gov/learn/topics/megaqk_facts_fantasy.php\" target=\"_blank\">earthquake facts and earthquake fantasy.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_20919\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-e1408556674718.jpg\">\u003cimg class=\"size-large wp-image-20919\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-640x426.jpg\" alt=\"Ebola virus magnified 108,000 times. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ebola virus magnified 108,000 times. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\"> patient admitted to a Kaiser hospital\u003c/a> in South Sacramento has tested negative for the Ebola virus, said Dr. Ron Chapman, director of the California Department of Public Health (CDPH) in a brief press conference Thursday evening.\u003c/p>\n\u003cp>Chapman said the results came in from the Centers for Disease Control and Prevention earlier in the day. Chapman, Kaiser officials and Sacramento County health officials refused to answer other questions about the patient, citing privacy laws.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\">Earlier this week\u003c/a>, CDPH called the patient \"low risk\" and said the testing was occurring out of an \"abundance of caution.\" Chapman said CDPH and Kaiser made the determination that the patient was low risk by \u003ca href=\"http://www.cdc.gov/vhf/ebola/hcp/case-definition.html\" target=\"_blank\">following established CDC assessment tools\u003c/a>, available to any health care worker.\u003c/p>\n\u003cp>Chapman stressed that Ebola is \"a very difficult infection to spread.\" It does not spread through air, food or water. The virus can only be spread through direct physical contact with an infected person's bodily fluid, including blood and sweat.\u003c/p>\n\u003cp>There are no reported cases of Ebola in California. In West Africa, \u003ca href=\"http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html\" target=\"_blank\">the disease has killed 1,350 people\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20919\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-e1408556674718.jpg\">\u003cimg class=\"size-large wp-image-20919\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-640x426.jpg\" alt=\"Ebola virus magnified 108,000 times. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ebola virus magnified 108,000 times. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\"> patient admitted to a Kaiser hospital\u003c/a> in South Sacramento has tested negative for the Ebola virus, said Dr. Ron Chapman, director of the California Department of Public Health (CDPH) in a brief press conference Thursday evening.\u003c/p>\n\u003cp>Chapman said the results came in from the Centers for Disease Control and Prevention earlier in the day. Chapman, Kaiser officials and Sacramento County health officials refused to answer other questions about the patient, citing privacy laws.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\">Earlier this week\u003c/a>, CDPH called the patient \"low risk\" and said the testing was occurring out of an \"abundance of caution.\" Chapman said CDPH and Kaiser made the determination that the patient was low risk by \u003ca href=\"http://www.cdc.gov/vhf/ebola/hcp/case-definition.html\" target=\"_blank\">following established CDC assessment tools\u003c/a>, available to any health care worker.\u003c/p>\n\u003cp>Chapman stressed that Ebola is \"a very difficult infection to spread.\" It does not spread through air, food or water. The virus can only be spread through direct physical contact with an infected person's bodily fluid, including blood and sweat.\u003c/p>\n\u003cp>There are no reported cases of Ebola in California. In West Africa, \u003ca href=\"http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html\" target=\"_blank\">the disease has killed 1,350 people\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "In Face of Ebola, California-Trained Doctor Treats Patients in Liberia",
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"content": "\u003cfigure id=\"attachment_20959\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/453874026-e1408646792307.jpg\">\u003cimg class=\"size-large wp-image-20959\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/453874026-640x424.jpg\" alt=\"Shops remain closed in Monrovia's West Point slum as part of quarantine measures to contain the spread of Ebola. (ZOOM DOSSO/AFP/Getty Images) \" width=\"640\" height=\"424\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Shops remain closed in Monrovia's West Point slum as part of quarantine measures to contain the spread of Ebola in Liberia. A doctor trained in California traveled last week to staff a Monrovia hospital. (ZOOM DOSSO/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>While Californians worry about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\">a single possible case of Ebola\u003c/a>, considered low risk, the hot spot for this outbreak remains in West Africa where \u003ca href=\"http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html\" target=\"_blank\">1,350 people have died\u003c/a>, and another 2,400 people are sick with the illness. But what happens to people who get sick with something that is not Ebola?\u003c/p>\n\u003cp>Dr. James Appel was trained in the Inland Empire, at the Loma Linda University School of Medicine. He's been working for Adventist Health International at hospitals in Chad for the last decade. Last week, Dr. Appel flew to Liberia to keep the doors open at \u003ca href=\"http://www.adventistdirectory.org/viewEntity.aspx?EntityID=13526\" target=\"_blank\">Cooper Adventist\u003c/a>, a small hospital in the capital, Monrovia, focusing on remaining available to patients with anything but Ebola. He \u003ca href=\"http://www.californiareport.org/archive/R201408210850/b\" target=\"_blank\">talked Thursday morning\u003c/a> with The California Report's Rachael Myrow.\u003c/p>\n\u003cp>Appel described Liberia as \"shutting down\" around him. \"There's a curfew that's been initiated. Many businesses are not open; all the schools are closed, government offices are closed,\" Appel told Myrow. \"So for example our hospital is not getting paid by the insurance companies, because insurance companies are closed. The whole economy is coming to a standstill.\"\u003c!--more-->\u003c/p>\n\u003cp>Appel said that people are starting to think there will be food shortages. There's a \"profound impact not just for those few patients effected by Ebola, but for the whole country,\" Appel said.\u003c/p>\n\u003cp>Many public hospitals in West Africa are closing their doors or refusing new patients, Myrow noted, and asked Appel why the General Conference of 7th Day Adventists wanted to keep Cooper Adventist open.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Cooper has a history of not wanting to shut down during crisis situations,\" Appel said, adding that it stayed open during the Liberia's civil war. \"Staff feels that they have a mission, and that is to provide care to the Liberian people when no one else will.\"\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/164131162&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\"While Ebola is dramatically killing people in a way that catches the imagination,\" Appel said, still more people are dying from malaria or complications from emergency c-sections. \"With all hospitals shut down because of the Ebola crisis, the death toll would soon far surpass anything that Ebola could do, just due to other normally treatable diseases,\" Appel noted.\u003c/p>\n\u003cp>The hospital is old and run down, he said, a very small, three story structure on a \"tiny parcel of land in the heart of the city.\"\u003c/p>\n\u003cp>Cooper Adventists cannot treat Ebola patients because they do not have the isolation facilities necessary. Appel said they refer any suspected Ebola patients to a bigger hospital. \"Anyone suspicious at all, we send them where they can get better care and where we will not be putting our other patients at risk,\"Appel said, adding there is only one lab in the country that can run tests for Ebola. All blood samples go there.\u003c/p>\n\u003cp>Appel acknowledged his own fears in treating patients during the ongoing crisis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I can't say I’m not afraid,\" he said. \"In all my medical training, there's only one thing that's ever scared me and that's Ebola -- because it is so lethal and happens so quickly and there's no known treatment.\" But he quickly added that Ebola is not as contagious as people might think. The virus is not airborne. Transmission requires \"direct physical contract with (a patient's) bodily fluids. If normal universal precautions are taken and you're very careful about screening patients and keeping yourself protected with gowns and gloves and masks, there's actually a low likelihood of you getting it.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20959\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/453874026-e1408646792307.jpg\">\u003cimg class=\"size-large wp-image-20959\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/453874026-640x424.jpg\" alt=\"Shops remain closed in Monrovia's West Point slum as part of quarantine measures to contain the spread of Ebola. (ZOOM DOSSO/AFP/Getty Images) \" width=\"640\" height=\"424\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Shops remain closed in Monrovia's West Point slum as part of quarantine measures to contain the spread of Ebola in Liberia. A doctor trained in California traveled last week to staff a Monrovia hospital. (ZOOM DOSSO/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>While Californians worry about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\">a single possible case of Ebola\u003c/a>, considered low risk, the hot spot for this outbreak remains in West Africa where \u003ca href=\"http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html\" target=\"_blank\">1,350 people have died\u003c/a>, and another 2,400 people are sick with the illness. But what happens to people who get sick with something that is not Ebola?\u003c/p>\n\u003cp>Dr. James Appel was trained in the Inland Empire, at the Loma Linda University School of Medicine. He's been working for Adventist Health International at hospitals in Chad for the last decade. Last week, Dr. Appel flew to Liberia to keep the doors open at \u003ca href=\"http://www.adventistdirectory.org/viewEntity.aspx?EntityID=13526\" target=\"_blank\">Cooper Adventist\u003c/a>, a small hospital in the capital, Monrovia, focusing on remaining available to patients with anything but Ebola. He \u003ca href=\"http://www.californiareport.org/archive/R201408210850/b\" target=\"_blank\">talked Thursday morning\u003c/a> with The California Report's Rachael Myrow.\u003c/p>\n\u003cp>Appel described Liberia as \"shutting down\" around him. \"There's a curfew that's been initiated. Many businesses are not open; all the schools are closed, government offices are closed,\" Appel told Myrow. \"So for example our hospital is not getting paid by the insurance companies, because insurance companies are closed. The whole economy is coming to a standstill.\"\u003c!--more-->\u003c/p>\n\u003cp>Appel said that people are starting to think there will be food shortages. There's a \"profound impact not just for those few patients effected by Ebola, but for the whole country,\" Appel said.\u003c/p>\n\u003cp>Many public hospitals in West Africa are closing their doors or refusing new patients, Myrow noted, and asked Appel why the General Conference of 7th Day Adventists wanted to keep Cooper Adventist open.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Cooper has a history of not wanting to shut down during crisis situations,\" Appel said, adding that it stayed open during the Liberia's civil war. \"Staff feels that they have a mission, and that is to provide care to the Liberian people when no one else will.\"\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/164131162&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\"While Ebola is dramatically killing people in a way that catches the imagination,\" Appel said, still more people are dying from malaria or complications from emergency c-sections. \"With all hospitals shut down because of the Ebola crisis, the death toll would soon far surpass anything that Ebola could do, just due to other normally treatable diseases,\" Appel noted.\u003c/p>\n\u003cp>The hospital is old and run down, he said, a very small, three story structure on a \"tiny parcel of land in the heart of the city.\"\u003c/p>\n\u003cp>Cooper Adventists cannot treat Ebola patients because they do not have the isolation facilities necessary. Appel said they refer any suspected Ebola patients to a bigger hospital. \"Anyone suspicious at all, we send them where they can get better care and where we will not be putting our other patients at risk,\"Appel said, adding there is only one lab in the country that can run tests for Ebola. All blood samples go there.\u003c/p>\n\u003cp>Appel acknowledged his own fears in treating patients during the ongoing crisis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I can't say I’m not afraid,\" he said. \"In all my medical training, there's only one thing that's ever scared me and that's Ebola -- because it is so lethal and happens so quickly and there's no known treatment.\" But he quickly added that Ebola is not as contagious as people might think. The virus is not airborne. Transmission requires \"direct physical contract with (a patient's) bodily fluids. If normal universal precautions are taken and you're very careful about screening patients and keeping yourself protected with gowns and gloves and masks, there's actually a low likelihood of you getting it.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_20919\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774.jpg\">\u003cimg class=\"size-large wp-image-20919\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-640x426.jpg\" alt=\"Ebola virus magnified 108,000 times. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ebola virus magnified 108,000 times. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lisa Aliferis and April Dembosky\u003c/strong>\u003c/p>\n\u003cp>Don't panic, folks. Really.\u003c/p>\n\u003cp>A patient who \u003cem>may\u003c/em> have been exposed to the Ebola virus is being tested at Kaiser's South Sacramento Hospital.\u003c/p>\n\u003cp>The other key information here is that California Department of Public Health officials call the unidentified patient \u003ca href=\"http://www.cdph.ca.gov/Pages/NR14-073.aspx\" target=\"_blank\">\"low risk,\"\u003c/a> \u003cspan class=\"Apple-style-span\">\u003cspan style=\"color: #000000\">according to criteria established by the CDC that considers travel history, exposure to infection, and clinical features. \u003c/span>\u003c/span>\u003c/p>\n\u003cp>In a call with reporters Wednesday afternoon, CDPH deputy Dr. Gil Chavez said the state has received no reports of any high risk patients. CDPH said the patient is being tested out of an \"abundance of caution.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://share.kaiserpermanente.org/article/kaiser-permanente-comments-on-patient-being-tested-for-ebola-virus/\" target=\"_blank\">In a statement\u003c/a>, Dr. Stephen Parodi, director of hospital operations for Kaiser Northern California, said the unidentified patient is being kept in a specially equipped negative pressure room, and staff working with the patient are using \"personal protective equipment.\"\u003c!--more-->\u003c/p>\n\u003cp>Samples from the patient are on their way to the Centers for Disease Control and Prevention for testing, and the results will take several days. No other information about the patient was readily available, including whether the person had recently traveled to any of the West African countries where an Ebola outbreak is ongoing.\u003c/p>\n\u003cp>The CDPH said there are no confirmed cases of Ebola in California. \u003ca href=\"http://www.abqjournal.com/447619/abqnewsseeker/health-department-cdc-testing-new-mexico-woman-for-ebola.html\" target=\"_blank\">One woman in New Mexico\u003c/a> who recently returned from Sierra Leone, one of the countries with an Ebola outbreak, is also in quarantine, awaiting results of testing for Ebola. Two patients who were flown in from West Africa are being treated in Atlanta.\u003c/p>\n\u003cp>While Ebola is very deadly, it is difficult to transmit. The virus is passed only through direct contact with bodily fluids, and a person is only infectious once they become very ill.\u003c/p>\n\u003cp>\"Those characteristics of the disease make it very unlikely that it would be something that would spread across the world,” said San Francisco public health officer Tomas Aragon. “We're not going to have a pandemic with Ebola.\"\u003c/p>\n\u003cp>He says any suspected cases that turn up in California will be quickly contained under American infectious disease protocols.\u003c/p>\n\u003cp>“It's not rocket science. It's not high tech,” Aragon said. “But it has to be very disciplined. In the U.S., people are very well trained, and they have the resources to be able to do this kind of work.”\u003c/p>\n\u003cp>Unlike the West African countries hard hit by Ebola, isolation units are widely available in hospitals throughout the state. Any patients would be cared for by specially trained health care workers. And the public has a greater trust of public health officials, so warnings to family members or any other people that may have come in contact with an infected person are much more likely to be heeded.\u003c/p>\n\u003cp>Chavez says the Sacramento case is an example of how quickly the system can identify and isolate potential infections.\u003c/p>\n\u003cp>“We knew it was a matter of time before we had a patient in California. California is a place with much international exposure and travel,” he said. “The case in Sacramento county really exemplifies how well our system is working.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>This post has been updated with details from a press conference with the California Department of Public Health and an interview with the San Francisco Department of Public Health.\u003c/em>\u003c/strong>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20919\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774.jpg\">\u003cimg class=\"size-large wp-image-20919\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-640x426.jpg\" alt=\"Ebola virus magnified 108,000 times. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ebola virus magnified 108,000 times. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lisa Aliferis and April Dembosky\u003c/strong>\u003c/p>\n\u003cp>Don't panic, folks. Really.\u003c/p>\n\u003cp>A patient who \u003cem>may\u003c/em> have been exposed to the Ebola virus is being tested at Kaiser's South Sacramento Hospital.\u003c/p>\n\u003cp>The other key information here is that California Department of Public Health officials call the unidentified patient \u003ca href=\"http://www.cdph.ca.gov/Pages/NR14-073.aspx\" target=\"_blank\">\"low risk,\"\u003c/a> \u003cspan class=\"Apple-style-span\">\u003cspan style=\"color: #000000\">according to criteria established by the CDC that considers travel history, exposure to infection, and clinical features. \u003c/span>\u003c/span>\u003c/p>\n\u003cp>In a call with reporters Wednesday afternoon, CDPH deputy Dr. Gil Chavez said the state has received no reports of any high risk patients. CDPH said the patient is being tested out of an \"abundance of caution.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://share.kaiserpermanente.org/article/kaiser-permanente-comments-on-patient-being-tested-for-ebola-virus/\" target=\"_blank\">In a statement\u003c/a>, Dr. Stephen Parodi, director of hospital operations for Kaiser Northern California, said the unidentified patient is being kept in a specially equipped negative pressure room, and staff working with the patient are using \"personal protective equipment.\"\u003c!--more-->\u003c/p>\n\u003cp>Samples from the patient are on their way to the Centers for Disease Control and Prevention for testing, and the results will take several days. No other information about the patient was readily available, including whether the person had recently traveled to any of the West African countries where an Ebola outbreak is ongoing.\u003c/p>\n\u003cp>The CDPH said there are no confirmed cases of Ebola in California. \u003ca href=\"http://www.abqjournal.com/447619/abqnewsseeker/health-department-cdc-testing-new-mexico-woman-for-ebola.html\" target=\"_blank\">One woman in New Mexico\u003c/a> who recently returned from Sierra Leone, one of the countries with an Ebola outbreak, is also in quarantine, awaiting results of testing for Ebola. Two patients who were flown in from West Africa are being treated in Atlanta.\u003c/p>\n\u003cp>While Ebola is very deadly, it is difficult to transmit. The virus is passed only through direct contact with bodily fluids, and a person is only infectious once they become very ill.\u003c/p>\n\u003cp>\"Those characteristics of the disease make it very unlikely that it would be something that would spread across the world,” said San Francisco public health officer Tomas Aragon. “We're not going to have a pandemic with Ebola.\"\u003c/p>\n\u003cp>He says any suspected cases that turn up in California will be quickly contained under American infectious disease protocols.\u003c/p>\n\u003cp>“It's not rocket science. It's not high tech,” Aragon said. “But it has to be very disciplined. In the U.S., people are very well trained, and they have the resources to be able to do this kind of work.”\u003c/p>\n\u003cp>Unlike the West African countries hard hit by Ebola, isolation units are widely available in hospitals throughout the state. Any patients would be cared for by specially trained health care workers. And the public has a greater trust of public health officials, so warnings to family members or any other people that may have come in contact with an infected person are much more likely to be heeded.\u003c/p>\n\u003cp>Chavez says the Sacramento case is an example of how quickly the system can identify and isolate potential infections.\u003c/p>\n\u003cp>“We knew it was a matter of time before we had a patient in California. California is a place with much international exposure and travel,” he said. “The case in Sacramento county really exemplifies how well our system is working.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>This post has been updated with details from a press conference with the California Department of Public Health and an interview with the San Francisco Department of Public Health.\u003c/em>\u003c/strong>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "San Francisco Supervisors Put Soda Tax on Ballot",
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"content": "\u003cfigure id=\"attachment_20311\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/177844339.jpg\">\u003cimg class=\"size-large wp-image-20311\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/177844339-640x495.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"495\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images) \u003ccite>(Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The San Francisco Board of Supervisors approved a November ballot measure to tax soda and sugary drinks Tuesday afternoon, but not with the unanimous vote they were looking for.\u003c/p>\n\u003cp>If passed by a two-thirds majority of San Francisco voters, the new legislation will tax soda and other sugar-sweetened beverages at two cents per ounce and direct the revenue to the city's public health and recreation and parks departments and the school district.\u003c/p>\n\u003cp>The board voted 6-4 this afternoon to place the initiative by supervisors Scott Wiener and Eric Mar before voters, with supervisors Jane Kim, Katy Tang, Norman Yee and London Breed voting against it.\u003c!--more-->\u003c/p>\n\u003cp>Supervisor John Avalos, who has publicly supported the measure, was absent for today's meeting.\u003c/p>\n\u003cp>At a rally prior to the meeting, Mar said he thinks the tax will be an effective deterrent to selling sugary drinks, and that city economists have estimated it could reduce consumption 30 to 40 percent.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It is a common sense measure that can put San Francisco on the map as the first city to fight for the health of our youth,\" Mar said.\u003c/p>\n\u003cp>Those health impacts, Mar argued, are huge. He said that of children today, one-third of them will develop type 2 diabetes, and for minorities that number is even higher, with as many as one-half likely to develop type 2 diabetes.\u003c/p>\n\u003cp>The disproportionate effect on minorities is one reason that Supervisor Malia Cohen called the measure \"crucial\" during the meeting.\u003c/p>\n\u003cp>\"Bullets are not the only thing that are killing African American males,\" Cohen said. \"You also have sugary beverages.\"\u003c/p>\n\u003cp>But Kim said today that she objected to the measure because of the disproportionate effect the tax will have on those same communities.\u003c/p>\n\u003cp>Calling it a regressive flat tax, Kim said that it \"unfairly burdens low-income communities\" similar to other sin taxes such as high taxes on cigarettes.\u003c/p>\n\u003cp>While agreeing with the policy goals of attempting to curb unhealthy habits, Kim suggested alternatives such as education, subsidizing healthier foods, policies to put healthier foods in corner liquor stores, and restricting sales with licenses like liquor licenses.\u003c/p>\n\u003cp>Mar sternly objected to Kim's objections, saying, \"Maybe you weren't listening.\"\u003c/p>\n\u003cp>\"It's very clear education isn't enough\" to improve health, he said.\u003c/p>\n\u003cp>Cohen called it \"disingenuous\" to argue that the tax was regressive because the diseases caused by a high sugar diet so disproportionately affect low-income communities that the deterrent is most crucial there.\u003c/p>\n\u003cp>\"These diseases we are looking to solve are also regressive,\" she said.\u003c/p>\n\u003cp>Wiener said the comparison to a cigarette tax was apt, and that tobacco taxes are something he strongly supported. He said that he was disheartened that a recent statewide ballot measure to tax cigarettes failed but heartened that it received 73 percent support in San Francisco.\u003c/p>\n\u003cp>\"Tax policy is a critical part,\" he said. \"The cigarette tax is a great model.\"\u003c/p>\n\u003cp>Opponents who have formed a \"Stop Unfair Beverage Taxes\" coalition said today that singling out sugary drinks for taxation is unfair as sugar-sweetened beverage consumption is down while rates of diabetes and obesity have continued to rise.\u003c/p>\n\u003cp>But Campos and Mar argued that sugary beverages are a big part of the problem because it was easier to consume large quantities of sugar in a drink and metabolize larger quantities of sugar.\u003c/p>\n\u003cp>The Hispanic Chambers of Commerce of San Francisco also released a statement objecting to the initiative -- arguing that the new tax and increased prices will impact many already struggling businesses.\u003c/p>\n\u003cp>Supervisor David Campos, who ultimately voted yes today, echoed the comments that the measure would level a regressive tax on low-income communities.\u003c/p>\n\u003cp>\"I do believe in something like this I'm going to err on the side of giving voters a choice,\" he said, but said that he thought there was \"something Big Brother about this.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He and Kim said that the citywide conversation about it leading to the November election will at least improve education about the health effects of sugary drinks.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20311\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/177844339.jpg\">\u003cimg class=\"size-large wp-image-20311\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/177844339-640x495.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"495\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images) \u003ccite>(Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The San Francisco Board of Supervisors approved a November ballot measure to tax soda and sugary drinks Tuesday afternoon, but not with the unanimous vote they were looking for.\u003c/p>\n\u003cp>If passed by a two-thirds majority of San Francisco voters, the new legislation will tax soda and other sugar-sweetened beverages at two cents per ounce and direct the revenue to the city's public health and recreation and parks departments and the school district.\u003c/p>\n\u003cp>The board voted 6-4 this afternoon to place the initiative by supervisors Scott Wiener and Eric Mar before voters, with supervisors Jane Kim, Katy Tang, Norman Yee and London Breed voting against it.\u003c!--more-->\u003c/p>\n\u003cp>Supervisor John Avalos, who has publicly supported the measure, was absent for today's meeting.\u003c/p>\n\u003cp>At a rally prior to the meeting, Mar said he thinks the tax will be an effective deterrent to selling sugary drinks, and that city economists have estimated it could reduce consumption 30 to 40 percent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It is a common sense measure that can put San Francisco on the map as the first city to fight for the health of our youth,\" Mar said.\u003c/p>\n\u003cp>Those health impacts, Mar argued, are huge. He said that of children today, one-third of them will develop type 2 diabetes, and for minorities that number is even higher, with as many as one-half likely to develop type 2 diabetes.\u003c/p>\n\u003cp>The disproportionate effect on minorities is one reason that Supervisor Malia Cohen called the measure \"crucial\" during the meeting.\u003c/p>\n\u003cp>\"Bullets are not the only thing that are killing African American males,\" Cohen said. \"You also have sugary beverages.\"\u003c/p>\n\u003cp>But Kim said today that she objected to the measure because of the disproportionate effect the tax will have on those same communities.\u003c/p>\n\u003cp>Calling it a regressive flat tax, Kim said that it \"unfairly burdens low-income communities\" similar to other sin taxes such as high taxes on cigarettes.\u003c/p>\n\u003cp>While agreeing with the policy goals of attempting to curb unhealthy habits, Kim suggested alternatives such as education, subsidizing healthier foods, policies to put healthier foods in corner liquor stores, and restricting sales with licenses like liquor licenses.\u003c/p>\n\u003cp>Mar sternly objected to Kim's objections, saying, \"Maybe you weren't listening.\"\u003c/p>\n\u003cp>\"It's very clear education isn't enough\" to improve health, he said.\u003c/p>\n\u003cp>Cohen called it \"disingenuous\" to argue that the tax was regressive because the diseases caused by a high sugar diet so disproportionately affect low-income communities that the deterrent is most crucial there.\u003c/p>\n\u003cp>\"These diseases we are looking to solve are also regressive,\" she said.\u003c/p>\n\u003cp>Wiener said the comparison to a cigarette tax was apt, and that tobacco taxes are something he strongly supported. He said that he was disheartened that a recent statewide ballot measure to tax cigarettes failed but heartened that it received 73 percent support in San Francisco.\u003c/p>\n\u003cp>\"Tax policy is a critical part,\" he said. \"The cigarette tax is a great model.\"\u003c/p>\n\u003cp>Opponents who have formed a \"Stop Unfair Beverage Taxes\" coalition said today that singling out sugary drinks for taxation is unfair as sugar-sweetened beverage consumption is down while rates of diabetes and obesity have continued to rise.\u003c/p>\n\u003cp>But Campos and Mar argued that sugary beverages are a big part of the problem because it was easier to consume large quantities of sugar in a drink and metabolize larger quantities of sugar.\u003c/p>\n\u003cp>The Hispanic Chambers of Commerce of San Francisco also released a statement objecting to the initiative -- arguing that the new tax and increased prices will impact many already struggling businesses.\u003c/p>\n\u003cp>Supervisor David Campos, who ultimately voted yes today, echoed the comments that the measure would level a regressive tax on low-income communities.\u003c/p>\n\u003cp>\"I do believe in something like this I'm going to err on the side of giving voters a choice,\" he said, but said that he thought there was \"something Big Brother about this.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He and Kim said that the citywide conversation about it leading to the November election will at least improve education about the health effects of sugary drinks.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_18390\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/187045612.jpg\">\u003cimg class=\"size-large wp-image-18390\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/187045612-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong>\u003ca href=\"http://www.californiahealthline.org/capitol-desk/2014/7/many-steps-to-go-before-authorizing-autism-therapy-as-benefit-state-says\" target=\"_blank\"> California Healthline\u003c/a>\u003c/p>\n\u003cp>State officials on Friday said they have not determined whether or not to offer applied behavior analysis (ABA therapy) as a Medi-Cal benefit to children with autism.\u003c/p>\n\u003cp>Federal officials \u003ca style=\"color: #6d1618\" href=\"http://ww2.kqed.org/stateofhealth/2014/07/08/feds-say-autism-aba-therapy-now-covered-as-childrens-medicaid-benefit/\" target=\"_blank\">earlier this month issued guidance\u003c/a> on the subject, saying it is covered for Medicaid beneficiaries under age 21 as part of the \u003ca href=\"http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Early-and-Periodic-Screening-Diagnostic-and-Treatment.html\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a> program.\u003c/p>\n\u003cp>\"Under the Medicaid state plan, services to address [autism spectrum disorder] may be covered under several different … benefit categories,\" the CMS guidance said. For children, it said, \"states must cover services that could otherwise be covered at state option under these categories consistent with the provisions … for Early and Periodic Screening, Diagnostic and Treatment services (EPSDT).\u003c!--more-->\u003c/p>\n\u003cp>According to René Mollow, deputy director of benefits and eligibility at the Department of Health Care Services, there are many steps before determination of coverage can be made.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We are not changing course on this issue,\" Mollow said in an email. \"Now that we have federal guidance, we are beginning the process of planning and implementing policy based upon that federal guidance and state statutory requirements. It is a complex process involving the department and control agencies, stakeholders, Legislature, administration and federal government.\"\u003c/p>\n\u003cp>Mollow said the steps DHCS still needs to take to determine the state's course in regard to ABA therapy are laid out in law.\u003c/p>\n\u003cp>\"Specifically, the law states that DHCS will implement Behavioral Health Treatment (BHT) to the extent that it is required by the federal government to be covered by Medi-Cal for individuals under 21 years of age,\" Mollow said.\u003c/p>\n\u003cp>\"DHCS will implement BHT services only if: 1) it receives federal approval to obtain federal financial participation; 2) it seeks an appropriation of state funding required for the fiscal year; 3) statutory authority for the benefit is provided; and 4) it consults with stakeholders.\"\u003c/p>\n\u003cp>She said the department will solicit input from stakeholders at least 30 days prior to submitting a state plan amendment or waiver to CMS.\u003c/p>\n\u003cp>Mollow said she didn't know how long that process might take.\u003c/p>\n\u003cp>\"It is too early in our process to predict a timeline,\" she said. \"There are numerous contingencies ... All of them can have an impact on how we form and implement policy for these services.\"\u003c/p>\n\u003cp>The CMS guidance issued July 7 says:\u003c/p>\n\u003cp>\"States are required to arrange for and cover for individuals eligible for the EPSDT benefit any Medicaid coverable service … that is determined to be medically necessary to correct or ameliorate any physical or behavioral conditions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The EPSDT benefit is more robust than the Medicaid benefit package required for adults and is designed to assure that children receive early detection and preventive care, in addition to medically necessary treatment services, so that health problems are averted or diagnosed and treated as early as possible. All children, including children with [autism spectrum disorder], must receive EPSDT screenings designed to identify health and developmental issues, including ASD, as early as possible.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18390\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/187045612.jpg\">\u003cimg class=\"size-large wp-image-18390\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/187045612-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong>\u003ca href=\"http://www.californiahealthline.org/capitol-desk/2014/7/many-steps-to-go-before-authorizing-autism-therapy-as-benefit-state-says\" target=\"_blank\"> California Healthline\u003c/a>\u003c/p>\n\u003cp>State officials on Friday said they have not determined whether or not to offer applied behavior analysis (ABA therapy) as a Medi-Cal benefit to children with autism.\u003c/p>\n\u003cp>Federal officials \u003ca style=\"color: #6d1618\" href=\"http://ww2.kqed.org/stateofhealth/2014/07/08/feds-say-autism-aba-therapy-now-covered-as-childrens-medicaid-benefit/\" target=\"_blank\">earlier this month issued guidance\u003c/a> on the subject, saying it is covered for Medicaid beneficiaries under age 21 as part of the \u003ca href=\"http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Early-and-Periodic-Screening-Diagnostic-and-Treatment.html\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a> program.\u003c/p>\n\u003cp>\"Under the Medicaid state plan, services to address [autism spectrum disorder] may be covered under several different … benefit categories,\" the CMS guidance said. For children, it said, \"states must cover services that could otherwise be covered at state option under these categories consistent with the provisions … for Early and Periodic Screening, Diagnostic and Treatment services (EPSDT).\u003c!--more-->\u003c/p>\n\u003cp>According to René Mollow, deputy director of benefits and eligibility at the Department of Health Care Services, there are many steps before determination of coverage can be made.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We are not changing course on this issue,\" Mollow said in an email. \"Now that we have federal guidance, we are beginning the process of planning and implementing policy based upon that federal guidance and state statutory requirements. It is a complex process involving the department and control agencies, stakeholders, Legislature, administration and federal government.\"\u003c/p>\n\u003cp>Mollow said the steps DHCS still needs to take to determine the state's course in regard to ABA therapy are laid out in law.\u003c/p>\n\u003cp>\"Specifically, the law states that DHCS will implement Behavioral Health Treatment (BHT) to the extent that it is required by the federal government to be covered by Medi-Cal for individuals under 21 years of age,\" Mollow said.\u003c/p>\n\u003cp>\"DHCS will implement BHT services only if: 1) it receives federal approval to obtain federal financial participation; 2) it seeks an appropriation of state funding required for the fiscal year; 3) statutory authority for the benefit is provided; and 4) it consults with stakeholders.\"\u003c/p>\n\u003cp>She said the department will solicit input from stakeholders at least 30 days prior to submitting a state plan amendment or waiver to CMS.\u003c/p>\n\u003cp>Mollow said she didn't know how long that process might take.\u003c/p>\n\u003cp>\"It is too early in our process to predict a timeline,\" she said. \"There are numerous contingencies ... All of them can have an impact on how we form and implement policy for these services.\"\u003c/p>\n\u003cp>The CMS guidance issued July 7 says:\u003c/p>\n\u003cp>\"States are required to arrange for and cover for individuals eligible for the EPSDT benefit any Medicaid coverable service … that is determined to be medically necessary to correct or ameliorate any physical or behavioral conditions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The EPSDT benefit is more robust than the Medicaid benefit package required for adults and is designed to assure that children receive early detection and preventive care, in addition to medically necessary treatment services, so that health problems are averted or diagnosed and treated as early as possible. All children, including children with [autism spectrum disorder], must receive EPSDT screenings designed to identify health and developmental issues, including ASD, as early as possible.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Sonoma County Has Highest Whooping Cough Rate in Statewide Epidemic",
"title": "Sonoma County Has Highest Whooping Cough Rate in Statewide Epidemic",
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"content": "\u003cfigure id=\"attachment_20212\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/ethansparrow/4957499682/in/photolist-8y5tWs-8iYQHE-7T23S8-mhYq6b-e8s4T4-ejD8mX-bmq17n-5Xdf3C-dmfcNe-fngGKR-8y6kE5-ay3keW-bDwxda-frnE1E-eRVdxu-iGj2s3-4PaZm3-ejD8n8-9mbH2q-fr8ms2-6ijRSy-bMNTGn-9sVBc2-byNCUs-e96wUn-9XuUWF-cufQ97-hYXu5g-aqrdSm-cD8TMf-8ucatF-eg4g1e-6KNycu-bWMYNR-94zxe7-enWety-cLhR67-eZDpUb-dNg7wp-ebjL8c-itAX6Q-dNGjyE-ebqoZA-m3j1fV-nKV4E6-6HsnSH-hP5Hfv-7Gjpkm-awim1M-af5Whz\">\u003cimg class=\"wp-image-20212 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/4957499682_c983513f8a_bcrop-640x388.jpg\" alt=\"Napa has the second highest rate of the disease. (Esparrow1/Flickr)\" width=\"640\" height=\"388\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Napa has the second highest rate of the disease. (Esparrow1/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lynne Shallcross\u003c/strong>\u003c/p>\n\u003cp>It’s been a little over a month since California \u003ca href=\"http://ww2.kqed.org/news/2014/06/13/whooping-cough-reaches-epidemic-level-in-california/\" target=\"_blank\">declared a whooping cough epidemic\u003c/a>, and according to the most recent data from the state, three neighboring Bay Area counties have the highest rates of the disease statewide: Sonoma, Napa and Marin.\u003c/p>\n\u003cp>Sonoma County's rate of whooping cough, also known as pertussis, is almost 120 cases per 100,000 people. Napa County's rate is 90 per 100,000, and Marin's rate is 65 per 100,000.\u003c/p>\n\u003cp>Sonoma County's interim health officer, Karen Holbrook, says the number of cases reported each week has peaked and is now declining.\u003c/p>\n\u003cp>“It’s not what the state is experiencing as a whole, but we are coming down,” Holbrook says. “Will that hold indefinitely remains to be seen.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Holbrook says California is seeing a whooping cough epidemic partly because the disease is cyclical, with cases spiking every three to five years.\u003c!--more-->\u003c/p>\n\u003cp>Additionally, Holbrook says, the immunity from the current vaccine, introduced in the 1990s, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/03/todays-whooping-cough-vaccine-may-be-safer-but-less-effective-than-the-old-one/\" target=\"_blank\">fades more quickly\u003c/a> than the previous version. The current vaccine has fewer side effects.\u003c/p>\n\u003cp>Holbrook says she also thinks clinicians in her county are doing a good job of recognizing and diagnosing cases. “I can’t prove that relative to the other counties, but I honestly feel that that’s contributing to our (higher) rate,” she said.\u003c/p>\n\u003cp>Marin County Public Health Officer Matthew Willis says not all communities will have the same incidence of pertussis because of different factors and vulnerabilities, both known and unknown. Of the known factors, Willis echoes Holbrook’s points — and adds one more: vaccination rates.\u003c/p>\n\u003cp>“In Marin, it’s likely that pertussis was able to establish more of a foothold because of lower vaccination rates,” Willis says. \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">Marin’s rate of personal belief exemptions\u003c/a>, which allow parents to opt out of vaccines for their children, is among the highest in the state, according to statewide data.\u003c/p>\n\u003cp>One thing is clear, he says: Vaccination is the most effective way to prevent pertussis. The vaccine does not provide lifetime immunity and boosters are needed.\u003c/p>\n\u003cp>Of those who should be vaccinated, babies and pregnant women are of particular importance, says Jennifer Henn, an epidemiologist with Napa County's Public Health Division. “Infants, especially infants under six months of age, are especially vulnerable to severe disease and even death if they become infected with the pertussis bacteria.”\u003c/p>\n\u003cp>Infants generally cannot get their first pertussis vaccine until they are eight weeks, but in light of the epidemic, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/06/27/whooping-cough-epidemic-continues-1100-new-cases-in-last-two-weeks/\" target=\"_blank\">state health officers said \u003c/a>babies can be vaccinated as young as six weeks. Pregnant mothers should be vaccinated in the third trimester of every pregnancy in order for their children to receive antibodies in the womb. People who are around infants, such as other members of the household or caregivers, should also be vaccinated.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/159002693&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Ng1M7L5S1Gy1LBl1ZTFiYhPZNt6CsCYd\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20212\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/ethansparrow/4957499682/in/photolist-8y5tWs-8iYQHE-7T23S8-mhYq6b-e8s4T4-ejD8mX-bmq17n-5Xdf3C-dmfcNe-fngGKR-8y6kE5-ay3keW-bDwxda-frnE1E-eRVdxu-iGj2s3-4PaZm3-ejD8n8-9mbH2q-fr8ms2-6ijRSy-bMNTGn-9sVBc2-byNCUs-e96wUn-9XuUWF-cufQ97-hYXu5g-aqrdSm-cD8TMf-8ucatF-eg4g1e-6KNycu-bWMYNR-94zxe7-enWety-cLhR67-eZDpUb-dNg7wp-ebjL8c-itAX6Q-dNGjyE-ebqoZA-m3j1fV-nKV4E6-6HsnSH-hP5Hfv-7Gjpkm-awim1M-af5Whz\">\u003cimg class=\"wp-image-20212 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/4957499682_c983513f8a_bcrop-640x388.jpg\" alt=\"Napa has the second highest rate of the disease. (Esparrow1/Flickr)\" width=\"640\" height=\"388\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Napa has the second highest rate of the disease. (Esparrow1/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lynne Shallcross\u003c/strong>\u003c/p>\n\u003cp>It’s been a little over a month since California \u003ca href=\"http://ww2.kqed.org/news/2014/06/13/whooping-cough-reaches-epidemic-level-in-california/\" target=\"_blank\">declared a whooping cough epidemic\u003c/a>, and according to the most recent data from the state, three neighboring Bay Area counties have the highest rates of the disease statewide: Sonoma, Napa and Marin.\u003c/p>\n\u003cp>Sonoma County's rate of whooping cough, also known as pertussis, is almost 120 cases per 100,000 people. Napa County's rate is 90 per 100,000, and Marin's rate is 65 per 100,000.\u003c/p>\n\u003cp>Sonoma County's interim health officer, Karen Holbrook, says the number of cases reported each week has peaked and is now declining.\u003c/p>\n\u003cp>“It’s not what the state is experiencing as a whole, but we are coming down,” Holbrook says. “Will that hold indefinitely remains to be seen.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Holbrook says California is seeing a whooping cough epidemic partly because the disease is cyclical, with cases spiking every three to five years.\u003c!--more-->\u003c/p>\n\u003cp>Additionally, Holbrook says, the immunity from the current vaccine, introduced in the 1990s, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/03/todays-whooping-cough-vaccine-may-be-safer-but-less-effective-than-the-old-one/\" target=\"_blank\">fades more quickly\u003c/a> than the previous version. The current vaccine has fewer side effects.\u003c/p>\n\u003cp>Holbrook says she also thinks clinicians in her county are doing a good job of recognizing and diagnosing cases. “I can’t prove that relative to the other counties, but I honestly feel that that’s contributing to our (higher) rate,” she said.\u003c/p>\n\u003cp>Marin County Public Health Officer Matthew Willis says not all communities will have the same incidence of pertussis because of different factors and vulnerabilities, both known and unknown. Of the known factors, Willis echoes Holbrook’s points — and adds one more: vaccination rates.\u003c/p>\n\u003cp>“In Marin, it’s likely that pertussis was able to establish more of a foothold because of lower vaccination rates,” Willis says. \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">Marin’s rate of personal belief exemptions\u003c/a>, which allow parents to opt out of vaccines for their children, is among the highest in the state, according to statewide data.\u003c/p>\n\u003cp>One thing is clear, he says: Vaccination is the most effective way to prevent pertussis. The vaccine does not provide lifetime immunity and boosters are needed.\u003c/p>\n\u003cp>Of those who should be vaccinated, babies and pregnant women are of particular importance, says Jennifer Henn, an epidemiologist with Napa County's Public Health Division. “Infants, especially infants under six months of age, are especially vulnerable to severe disease and even death if they become infected with the pertussis bacteria.”\u003c/p>\n\u003cp>Infants generally cannot get their first pertussis vaccine until they are eight weeks, but in light of the epidemic, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/06/27/whooping-cough-epidemic-continues-1100-new-cases-in-last-two-weeks/\" target=\"_blank\">state health officers said \u003c/a>babies can be vaccinated as young as six weeks. Pregnant mothers should be vaccinated in the third trimester of every pregnancy in order for their children to receive antibodies in the womb. People who are around infants, such as other members of the household or caregivers, should also be vaccinated.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/159002693&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Ng1M7L5S1Gy1LBl1ZTFiYhPZNt6CsCYd\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_20188\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/479941429.jpg\">\u003cimg class=\"size-large wp-image-20188\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/479941429-640x461.jpg\" alt=\"Life at the office can look really appealing sometimes. (Getty Images)\" width=\"640\" height=\"461\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Life at the office can look really appealing sometimes. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>I love it when my job intersects with the rest of my life.\u003c/p>\n\u003cp>\u003ca href=\"http://www.npr.org/blogs/health/2014/07/15/330191097/when-work-becomes-a-haven-from-stress-at-home\" target=\"_blank\">NPR is reporting Tuesday\u003c/a> about a fascinating survey that found that women who work full time \"reported significantly better physical and mental health than moms who part time.\" They heard from more than 2,500 mothers in the\u003ca href=\"http://hsb.sagepub.com/content/53/4/396.abstract\" target=\"_blank\"> 2012 survey\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignleft\">In addition, people appear to be more stressed at home than they are at work.\u003c/aside>\n\u003cp>Oh, and mothers who worked part time said they enjoyed better health than their counterparts who didn't work at all.\u003c/p>\n\u003cp>Really? As the mother of two children who worked part time for several years before taking this job, I was all-in on this story. Could I really be enjoying peak health while working full time and -- yes -- still raising those kids. (Disclosure that my husband does help: Thanks, dear!)\u003c!--more-->\u003c/p>\n\u003cp>NPR pointed out that one explanation could be self-selection.\u003ca href=\"http://www.npr.org/blogs/health/2014/07/15/330191097/when-work-becomes-a-haven-from-stress-at-home\" target=\"_blank\"> From the story\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Mothers who were in better health to begin with may have chosen to work regularly. Researchers Adrianne Frech and Sarah Damaske, who conducted the 2012 study, also found that moms who worked steadily had other advantages. They were more likely to have grown up with two married parents, more likely to have completed high school and more likely to be in a stable relationship before the birth of their first child.\u003c/p>\u003c/blockquote>\n\u003cp>Those last three items are true for me.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a separate study of 122 working folks, both men and women, Damaske had volunteers collect saliva samples during the day. Researchers then measured the levels of cortisol, a stress hormone.\u003c/p>\n\u003cp>The levels were fine during the day -- and spiked when the people got home.\u003c/p>\n\u003cp>Low-income people and those without children were especially likely to report lower levels of the stress hormone when they were at work.\u003c/p>\n\u003cp>Damaske has new research that sheds light on another factor that might be in play:\u003c/p>\n\u003cblockquote>\u003cp>It's a factor that sociologists such as [UC Berkeley's] \u003ca href=\"http://sociology.berkeley.edu/professor-emeritus/arlie-r-hochschild\" target=\"_blank\">Arlie Hochschild\u003c/a> and psychiatrists such as Sigmund Freud have examined in the past. Hochschild, for one, found that many people find work to be less stressful than their home lives. Work was, in fact, a haven. Freud once said work and love were two wellsprings of emotional satisfaction in life.\u003c/p>\u003c/blockquote>\n\u003cp>Damaske also pointed out that work can be less stressful \"because we are emotionally entangled at home in a way that we aren't at work.\"\u003c/p>\n\u003cp>Um, yes. I admit to being more emotionally entangled at home than I am at work.\u003c/p>\n\u003cp>More from NPR:\u003c/p>\n\u003cblockquote>\u003cp>Damaske said the study offered a different window into why women who work steady jobs might experience better physical and mental health than those who work part time, or not at all. It is still possible that women who are healthier to begin with are more likely to hold steady jobs, but Damaske said it might also be the case that work had positive effects on women's health.\u003c/p>\u003c/blockquote>\n\u003cp>Last week NPR published the results of\u003ca href=\"http://www.npr.org/blogs/health/2014/07/07/323351759/for-many-americans-stress-takes-a-toll-on-health-and-family\" target=\"_blank\"> its nationwide poll\u003c/a> on stress -- and reported that \"juggling busy family schedules\" ranked right up there as a top source of stress for many people -- other sources were the death of a loved one and health problems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>So why are tough jobs and difficult bosses such a common topic of conversation? Damaske told NPR that it could be because it's more socially acceptable to complain about work than to discuss health problems or troubles at home.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20188\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/479941429.jpg\">\u003cimg class=\"size-large wp-image-20188\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/479941429-640x461.jpg\" alt=\"Life at the office can look really appealing sometimes. (Getty Images)\" width=\"640\" height=\"461\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Life at the office can look really appealing sometimes. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>I love it when my job intersects with the rest of my life.\u003c/p>\n\u003cp>\u003ca href=\"http://www.npr.org/blogs/health/2014/07/15/330191097/when-work-becomes-a-haven-from-stress-at-home\" target=\"_blank\">NPR is reporting Tuesday\u003c/a> about a fascinating survey that found that women who work full time \"reported significantly better physical and mental health than moms who part time.\" They heard from more than 2,500 mothers in the\u003ca href=\"http://hsb.sagepub.com/content/53/4/396.abstract\" target=\"_blank\"> 2012 survey\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignleft\">In addition, people appear to be more stressed at home than they are at work.\u003c/aside>\n\u003cp>Oh, and mothers who worked part time said they enjoyed better health than their counterparts who didn't work at all.\u003c/p>\n\u003cp>Really? As the mother of two children who worked part time for several years before taking this job, I was all-in on this story. Could I really be enjoying peak health while working full time and -- yes -- still raising those kids. (Disclosure that my husband does help: Thanks, dear!)\u003c!--more-->\u003c/p>\n\u003cp>NPR pointed out that one explanation could be self-selection.\u003ca href=\"http://www.npr.org/blogs/health/2014/07/15/330191097/when-work-becomes-a-haven-from-stress-at-home\" target=\"_blank\"> From the story\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Mothers who were in better health to begin with may have chosen to work regularly. Researchers Adrianne Frech and Sarah Damaske, who conducted the 2012 study, also found that moms who worked steadily had other advantages. They were more likely to have grown up with two married parents, more likely to have completed high school and more likely to be in a stable relationship before the birth of their first child.\u003c/p>\u003c/blockquote>\n\u003cp>Those last three items are true for me.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a separate study of 122 working folks, both men and women, Damaske had volunteers collect saliva samples during the day. Researchers then measured the levels of cortisol, a stress hormone.\u003c/p>\n\u003cp>The levels were fine during the day -- and spiked when the people got home.\u003c/p>\n\u003cp>Low-income people and those without children were especially likely to report lower levels of the stress hormone when they were at work.\u003c/p>\n\u003cp>Damaske has new research that sheds light on another factor that might be in play:\u003c/p>\n\u003cblockquote>\u003cp>It's a factor that sociologists such as [UC Berkeley's] \u003ca href=\"http://sociology.berkeley.edu/professor-emeritus/arlie-r-hochschild\" target=\"_blank\">Arlie Hochschild\u003c/a> and psychiatrists such as Sigmund Freud have examined in the past. Hochschild, for one, found that many people find work to be less stressful than their home lives. Work was, in fact, a haven. Freud once said work and love were two wellsprings of emotional satisfaction in life.\u003c/p>\u003c/blockquote>\n\u003cp>Damaske also pointed out that work can be less stressful \"because we are emotionally entangled at home in a way that we aren't at work.\"\u003c/p>\n\u003cp>Um, yes. I admit to being more emotionally entangled at home than I am at work.\u003c/p>\n\u003cp>More from NPR:\u003c/p>\n\u003cblockquote>\u003cp>Damaske said the study offered a different window into why women who work steady jobs might experience better physical and mental health than those who work part time, or not at all. It is still possible that women who are healthier to begin with are more likely to hold steady jobs, but Damaske said it might also be the case that work had positive effects on women's health.\u003c/p>\u003c/blockquote>\n\u003cp>Last week NPR published the results of\u003ca href=\"http://www.npr.org/blogs/health/2014/07/07/323351759/for-many-americans-stress-takes-a-toll-on-health-and-family\" target=\"_blank\"> its nationwide poll\u003c/a> on stress -- and reported that \"juggling busy family schedules\" ranked right up there as a top source of stress for many people -- other sources were the death of a loved one and health problems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>So why are tough jobs and difficult bosses such a common topic of conversation? Damaske told NPR that it could be because it's more socially acceptable to complain about work than to discuss health problems or troubles at home.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Like Other Animals, We Need Stress -- in Moderation",
"title": "Like Other Animals, We Need Stress -- in Moderation",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_20121\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/480197193crop.jpg\">\u003cimg class=\"size-large wp-image-20121\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/480197193crop-640x428.jpg\" alt=\"A stress system gone awry can quite literally make people sick. (Getty Images)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A stress system gone awry can quite literally make people sick. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Richard Harris,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2014/07/09/325216030/like-all-animals-we-need-stress-just-not-too-much\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Ask somebody about stress, and you're likely to hear an outpouring about all the bad things that cause it — and the bad things that result. But if you ask a biologist, you'll hear that stress can be good.\u003c/p>\n\u003cp>In fact, it's essential.\u003c/p>\n\u003caside class=\"pullquote alignleft\">But people who responded to NPR's poll talked mostly about the downside of stress.\u003c/aside>\n\u003cp>For example, the adrenal glands of all animals have evolved to pump out \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3079864/\" target=\"_blank\">stress hormones\u003c/a> in unexpected situations — the hormones spur action and increase fuel to the brain, helping the animal react to danger appropriately. Those hormones also flow to memory centers in the brain, to help the critter remember those notable moments and places.\u003c/p>\n\u003cp>\"If it turns out to be dangerous and if the animal actually turns out to survive danger, then it will be aware of this as a potentially dangerous place,\" explains Bruce McEwen, head of the neuroendocrinology laboratory at The Rockefeller University. \"In that sense, stress is good.\"\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>People also experience this good kind of stress. It's your body's reaction as you get pumped up to speak in public, for example, or compete in an athletic event.\u003c/p>\n\u003cp>\"We do something that takes a little bit of a risk and has a good outcome, we feel exhilarated — that's good stress,\" McEwen says.\u003c/p>\n\u003cp>Of course, that's not what most people were thinking of when pollsters called them earlier this year. \u003ca href=\"http://www.npr.org/blogs/health/2014/07/07/327322187/stressed-out-americans-tell-us-about-stress-in-their-lives\" target=\"_blank\">NPR conducted a poll\u003c/a> that focused on stress in America, with the Robert Wood Johnson Foundation and the Harvard School of Public Health.\u003c/p>\n\u003cp>Those responding talked mostly about the downside of stress — the sort that comes from tension at work or family friction. The biological mechanisms that help us in the short run, it turns out, aren't so useful when the stress grinds on for weeks or months.\u003c/p>\n\u003cp>McEwen, who wrote The End of Stress As We Know It, says often people find ways to tolerate that stress. But it can also be overwhelming, \"and then, we have something that's been called toxic stress,\" he says.\u003c/p>\n\u003cp>The stress system gone awry can literally make you sick.\u003c/p>\n\u003cp>\"When stress is sustained or repeating or extreme, then all [the usual systems] get disrupted,\" says Huda Akil, co-director of the Molecular and Behavioral Neuroscience Institute at the University of Michigan. \"And eventually, you do it long enough and it starts impacting other systems ... immune responses; it can affect the heart; it affects brain cells. It depends how long we're talking about.\"\u003c/p>\n\u003cp>In our poll, many Americans responding said that to cope with excessive stress they end up eating more or sleeping more. Yet others said they end up sleeping less and eating less. Sometimes these reactions can help reduce stress, research shows — but other times not.\u003c/p>\n\u003cp>David Linden, a professor of neuroscience at Johns Hopkins University School of Medicine and author of The Compass of Pleasure, has been thinking about the source of all this stress.\u003c/p>\n\u003cp>\"I think a lot of people imagine that our modern lifestyle — with constantly chirping cellphones and email and all these demands — has led to more stress,\" Linden says. \"And the truth is, it really doesn't seem to be that way.\"\u003c/p>\n\u003cp>Think how stressful it must have been for our forebears, who lived in constant worry that their children would die of infectious diseases (still a \u003ca href=\"http://www.npr.org/blogs/health/2014/03/30/262730420/ending-polio-paves-the-way-for-india-to-stop-a-childhood-killer\" target=\"_blank\">constant threat\u003c/a> in some parts of the world).\u003c/p>\n\u003cp>\"It's not like stress is mounting up in our modern age — it's just [that] the flavor of it is changing,\" Linden says.\u003c/p>\n\u003cp>And that flavor isn't changing as much as you might think. Our poll finds that over the past year, the major causes of stress in Americans are still those age-old troubles: illness, disease and the death of a loved one.\u003c/p>\n\u003cp>Now, 14 percent of the people we polled said they didn't feel stressed at all. But that doesn't mean a few people have found a secret Eden right here on Earth.\u003c/p>\n\u003cp>Huda Akil says some people are simply more tolerant of stress than others. She sees this clearly in \u003ca href=\"http://www.experts.umich.edu/pubDetail.asp?n=Huda+Akil&u_id=2801&oe_id=1&o_id=44&id=84890908540\" target=\"_blank\">her animal studies\u003c/a>.\u003c/p>\n\u003cp>\"Some animals like risky situations, actually go seek them, and other animals cower away from them,\" Akil says. \"And it's clearly genetic. We can breed for it. And it shows up very, very early in life. And it is in humans what we define often as temperament.\"\u003c/p>\n\u003cp>That temperament is shaped by both biology and our experiences as young children. It can have a lifelong impact on how we perceive stress and cope with it. The good news is this mix of psychology and biochemistry is malleable.\u003c/p>\n\u003cp>\"A lot of stress can be very disruptive,\" Akil says. \"But a little bit of stress is kind of like working your muscles, your emotional muscles. And you build them up and you learn how to cope. So this is not something that's irretrievably wired to be bad or good. It can be retuned and fine-tuned, and it's never too late.\"\u003c/p>\n\u003cp>Stress is, at root, a mechanism for adapting to changing circumstances. So when a challenging situation inevitably appears, the trick is to get the stress reaction to work to your advantage.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"nsxXRDWxbTc1tHTIy1oRJaUmANvLBH9i\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20121\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/480197193crop.jpg\">\u003cimg class=\"size-large wp-image-20121\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/480197193crop-640x428.jpg\" alt=\"A stress system gone awry can quite literally make people sick. (Getty Images)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A stress system gone awry can quite literally make people sick. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Richard Harris,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2014/07/09/325216030/like-all-animals-we-need-stress-just-not-too-much\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Ask somebody about stress, and you're likely to hear an outpouring about all the bad things that cause it — and the bad things that result. But if you ask a biologist, you'll hear that stress can be good.\u003c/p>\n\u003cp>In fact, it's essential.\u003c/p>\n\u003caside class=\"pullquote alignleft\">But people who responded to NPR's poll talked mostly about the downside of stress.\u003c/aside>\n\u003cp>For example, the adrenal glands of all animals have evolved to pump out \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3079864/\" target=\"_blank\">stress hormones\u003c/a> in unexpected situations — the hormones spur action and increase fuel to the brain, helping the animal react to danger appropriately. Those hormones also flow to memory centers in the brain, to help the critter remember those notable moments and places.\u003c/p>\n\u003cp>\"If it turns out to be dangerous and if the animal actually turns out to survive danger, then it will be aware of this as a potentially dangerous place,\" explains Bruce McEwen, head of the neuroendocrinology laboratory at The Rockefeller University. \"In that sense, stress is good.\"\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>People also experience this good kind of stress. It's your body's reaction as you get pumped up to speak in public, for example, or compete in an athletic event.\u003c/p>\n\u003cp>\"We do something that takes a little bit of a risk and has a good outcome, we feel exhilarated — that's good stress,\" McEwen says.\u003c/p>\n\u003cp>Of course, that's not what most people were thinking of when pollsters called them earlier this year. \u003ca href=\"http://www.npr.org/blogs/health/2014/07/07/327322187/stressed-out-americans-tell-us-about-stress-in-their-lives\" target=\"_blank\">NPR conducted a poll\u003c/a> that focused on stress in America, with the Robert Wood Johnson Foundation and the Harvard School of Public Health.\u003c/p>\n\u003cp>Those responding talked mostly about the downside of stress — the sort that comes from tension at work or family friction. The biological mechanisms that help us in the short run, it turns out, aren't so useful when the stress grinds on for weeks or months.\u003c/p>\n\u003cp>McEwen, who wrote The End of Stress As We Know It, says often people find ways to tolerate that stress. But it can also be overwhelming, \"and then, we have something that's been called toxic stress,\" he says.\u003c/p>\n\u003cp>The stress system gone awry can literally make you sick.\u003c/p>\n\u003cp>\"When stress is sustained or repeating or extreme, then all [the usual systems] get disrupted,\" says Huda Akil, co-director of the Molecular and Behavioral Neuroscience Institute at the University of Michigan. \"And eventually, you do it long enough and it starts impacting other systems ... immune responses; it can affect the heart; it affects brain cells. It depends how long we're talking about.\"\u003c/p>\n\u003cp>In our poll, many Americans responding said that to cope with excessive stress they end up eating more or sleeping more. Yet others said they end up sleeping less and eating less. Sometimes these reactions can help reduce stress, research shows — but other times not.\u003c/p>\n\u003cp>David Linden, a professor of neuroscience at Johns Hopkins University School of Medicine and author of The Compass of Pleasure, has been thinking about the source of all this stress.\u003c/p>\n\u003cp>\"I think a lot of people imagine that our modern lifestyle — with constantly chirping cellphones and email and all these demands — has led to more stress,\" Linden says. \"And the truth is, it really doesn't seem to be that way.\"\u003c/p>\n\u003cp>Think how stressful it must have been for our forebears, who lived in constant worry that their children would die of infectious diseases (still a \u003ca href=\"http://www.npr.org/blogs/health/2014/03/30/262730420/ending-polio-paves-the-way-for-india-to-stop-a-childhood-killer\" target=\"_blank\">constant threat\u003c/a> in some parts of the world).\u003c/p>\n\u003cp>\"It's not like stress is mounting up in our modern age — it's just [that] the flavor of it is changing,\" Linden says.\u003c/p>\n\u003cp>And that flavor isn't changing as much as you might think. Our poll finds that over the past year, the major causes of stress in Americans are still those age-old troubles: illness, disease and the death of a loved one.\u003c/p>\n\u003cp>Now, 14 percent of the people we polled said they didn't feel stressed at all. But that doesn't mean a few people have found a secret Eden right here on Earth.\u003c/p>\n\u003cp>Huda Akil says some people are simply more tolerant of stress than others. She sees this clearly in \u003ca href=\"http://www.experts.umich.edu/pubDetail.asp?n=Huda+Akil&u_id=2801&oe_id=1&o_id=44&id=84890908540\" target=\"_blank\">her animal studies\u003c/a>.\u003c/p>\n\u003cp>\"Some animals like risky situations, actually go seek them, and other animals cower away from them,\" Akil says. \"And it's clearly genetic. We can breed for it. And it shows up very, very early in life. And it is in humans what we define often as temperament.\"\u003c/p>\n\u003cp>That temperament is shaped by both biology and our experiences as young children. It can have a lifelong impact on how we perceive stress and cope with it. The good news is this mix of psychology and biochemistry is malleable.\u003c/p>\n\u003cp>\"A lot of stress can be very disruptive,\" Akil says. \"But a little bit of stress is kind of like working your muscles, your emotional muscles. And you build them up and you learn how to cope. So this is not something that's irretrievably wired to be bad or good. It can be retuned and fine-tuned, and it's never too late.\"\u003c/p>\n\u003cp>Stress is, at root, a mechanism for adapting to changing circumstances. So when a challenging situation inevitably appears, the trick is to get the stress reaction to work to your advantage.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"nsxXRDWxbTc1tHTIy1oRJaUmANvLBH9i\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Feds Say Autism Therapy Now Covered As Children's Medicaid Benefit",
"title": "Feds Say Autism Therapy Now Covered As Children's Medicaid Benefit",
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"content": "\u003cfigure id=\"attachment_17935\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/186380264-e1393616709383.jpg\">\u003cimg class=\"size-large wp-image-17935\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/186380264-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong> \u003ca href=\"http://www.californiahealthline.org/capitol-desk/2014/7/cms-guidance-says-autism-therapy-covered-as-medicaid-benefit-for-kids\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>CMS officials \u003ca style=\"color: #6d1618\" href=\"http://www.medicaid.gov/Federal-Policy-Guidance/Downloads/CIB-07-07-14.pdf\" target=\"_blank\">released federal guidance\u003c/a> for states on Medicaid coverage of autism therapy on Monday, and that guidance indicates it is covered for beneficiaries under age 21.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"ABA therapy must be covered (by Medi-Cal). It's very, very clear.\" \u003c/aside>\n\u003cp>\"It's a good day. It's such a good day,\" said Julie Kornack, senior public policy analyst at the Center for Autism and Related Disorders, an advocacy group based in Tarzana. \"Whenever you get a decision that we've been seeking for years, that is a good day.\"\u003c/p>\n\u003cp>Applied behavior analysis treatment, known as ABA therapy, now is a benefit for those under age 21 under the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) provision of Medicaid -- and therefore it also must be covered under Medi-Cal, California's version of Medicaid, according to Kristin Jacobson, president of Autism Deserves Equal Coverage, an advocacy group based in Burlingame.\u003c!--more-->\u003c/p>\n\u003cp>\"ABA therapy must be covered under EPSDT. It's very, very clear,\" Jacobson said. \"Any coverable benefit must be provided under the age of 21. If it's coverable in any way, then you have to provide it.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On top of that, CMS' new guidance says state officials don't need to file a State Plan Amendment to start coverage of autism therapy. \"It doesn't have to be in your state plan, it says it right there,\" Jacobson said.\u003c/p>\n\u003cp>State officials were a little more careful.\u003c/p>\n\u003cp>According to Norman Williams, deputy director of public affairs for the Department of Health Care Services, the health policy experts at DHCS need a bit more time to fully review the guidance.\u003c/p>\n\u003cp>Kornack acknowledged that \"lawyers are still dissecting the guidance and [that] there's some leeway here about how states will implement this.\"\u003c/p>\n\u003cp>\"But whether they implement is no longer a question,\" she said.\u003c/p>\n\u003cp>State officials previously have said they were awaiting federal guidance on the question of ABA therapy coverage -- and Kornack, for one, can't wait to hear the official word from the state.\u003c/p>\n\u003cp>\"I don't think we could ask for better clarification than what we just got,\" she said. \"There's some latitude for states in terms of how to augment the waiver, there will be complexities. But there's no latitude about whether they provide services. The question about whether they provide it is done.\"\u003c/p>\n\u003cp>Jacobson said now it's just a matter of the time of implementation till Medi-Cal children can access ABA therapy services.\u003c/p>\n\u003cp>\"When I look at as clarification of existing requirements, I don't know how much you could delay it,\" she said. \"They have to make it available and accessible, and make families aware that it's available and accessible. I'd say, if families already have medical necessity established, they should try to pursue coverage right away.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"BWwh2OirqqsTtzUNMv2viXsdoF50551A\"]\u003c/p>\n\n",
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"excerpt": "While Calif. officials are still reviewing the guidance, advocates say the federal decision is clear.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17935\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/186380264-e1393616709383.jpg\">\u003cimg class=\"size-large wp-image-17935\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/186380264-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong> \u003ca href=\"http://www.californiahealthline.org/capitol-desk/2014/7/cms-guidance-says-autism-therapy-covered-as-medicaid-benefit-for-kids\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>CMS officials \u003ca style=\"color: #6d1618\" href=\"http://www.medicaid.gov/Federal-Policy-Guidance/Downloads/CIB-07-07-14.pdf\" target=\"_blank\">released federal guidance\u003c/a> for states on Medicaid coverage of autism therapy on Monday, and that guidance indicates it is covered for beneficiaries under age 21.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"ABA therapy must be covered (by Medi-Cal). It's very, very clear.\" \u003c/aside>\n\u003cp>\"It's a good day. It's such a good day,\" said Julie Kornack, senior public policy analyst at the Center for Autism and Related Disorders, an advocacy group based in Tarzana. \"Whenever you get a decision that we've been seeking for years, that is a good day.\"\u003c/p>\n\u003cp>Applied behavior analysis treatment, known as ABA therapy, now is a benefit for those under age 21 under the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) provision of Medicaid -- and therefore it also must be covered under Medi-Cal, California's version of Medicaid, according to Kristin Jacobson, president of Autism Deserves Equal Coverage, an advocacy group based in Burlingame.\u003c!--more-->\u003c/p>\n\u003cp>\"ABA therapy must be covered under EPSDT. It's very, very clear,\" Jacobson said. \"Any coverable benefit must be provided under the age of 21. If it's coverable in any way, then you have to provide it.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On top of that, CMS' new guidance says state officials don't need to file a State Plan Amendment to start coverage of autism therapy. \"It doesn't have to be in your state plan, it says it right there,\" Jacobson said.\u003c/p>\n\u003cp>State officials were a little more careful.\u003c/p>\n\u003cp>According to Norman Williams, deputy director of public affairs for the Department of Health Care Services, the health policy experts at DHCS need a bit more time to fully review the guidance.\u003c/p>\n\u003cp>Kornack acknowledged that \"lawyers are still dissecting the guidance and [that] there's some leeway here about how states will implement this.\"\u003c/p>\n\u003cp>\"But whether they implement is no longer a question,\" she said.\u003c/p>\n\u003cp>State officials previously have said they were awaiting federal guidance on the question of ABA therapy coverage -- and Kornack, for one, can't wait to hear the official word from the state.\u003c/p>\n\u003cp>\"I don't think we could ask for better clarification than what we just got,\" she said. \"There's some latitude for states in terms of how to augment the waiver, there will be complexities. But there's no latitude about whether they provide services. The question about whether they provide it is done.\"\u003c/p>\n\u003cp>Jacobson said now it's just a matter of the time of implementation till Medi-Cal children can access ABA therapy services.\u003c/p>\n\u003cp>\"When I look at as clarification of existing requirements, I don't know how much you could delay it,\" she said. \"They have to make it available and accessible, and make families aware that it's available and accessible. I'd say, if families already have medical necessity established, they should try to pursue coverage right away.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"BWwh2OirqqsTtzUNMv2viXsdoF50551A\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
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"airtime": "SUN 7:30pm-8pm",
"meta": {
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},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
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},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
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"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
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"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
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