window.__IS_SSR__=true
window.__INITIAL_STATE__={
"attachmentsReducer": {
"audio_0": {
"type": "attachments",
"id": "audio_0",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background0.jpg"
}
}
},
"audio_1": {
"type": "attachments",
"id": "audio_1",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background1.jpg"
}
}
},
"audio_2": {
"type": "attachments",
"id": "audio_2",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background2.jpg"
}
}
},
"audio_3": {
"type": "attachments",
"id": "audio_3",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background3.jpg"
}
}
},
"audio_4": {
"type": "attachments",
"id": "audio_4",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background4.jpg"
}
}
},
"placeholder": {
"type": "attachments",
"id": "placeholder",
"imgSizes": {
"thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"medium": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"medium_large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-768x512.jpg",
"width": 768,
"height": 512,
"mimeType": "image/jpeg"
},
"large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"1536x1536": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-lrg": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-med": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"fd-sm": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"post-thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"twentyfourteen-full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1038x576.jpg",
"width": 1038,
"height": 576,
"mimeType": "image/jpeg"
},
"xxsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"xsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"small": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"xlarge": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1920x1280.jpg",
"width": 1920,
"height": 1280,
"mimeType": "image/jpeg"
},
"guest-author-32": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 32,
"height": 32,
"mimeType": "image/jpeg"
},
"guest-author-50": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 50,
"height": 50,
"mimeType": "image/jpeg"
},
"guest-author-64": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 64,
"height": 64,
"mimeType": "image/jpeg"
},
"guest-author-96": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 96,
"height": 96,
"mimeType": "image/jpeg"
},
"guest-author-128": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 128,
"height": 128,
"mimeType": "image/jpeg"
},
"detail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 160,
"height": 160,
"mimeType": "image/jpeg"
},
"kqedFullSize": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1.jpg",
"width": 2000,
"height": 1333
}
}
},
"stateofhealth_17600": {
"type": "attachments",
"id": "stateofhealth_17600",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "17600",
"found": true
},
"parent": 17595,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/104228158-e1392067906728-400x266.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 266
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/104228158-e1392067906728-320x213.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 213
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/104228158-e1392067906728-640x372.jpg",
"width": 640,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/104228158-e1392067906728.jpg",
"width": 640,
"height": 426
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/104228158-e1392067906728-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/104228158-e1392067906728-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/104228158-e1392067906728-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/104228158-e1392067906728-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/104228158-e1392067906728-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1392067856,
"modified": 1392067856,
"caption": "A vial containing the acellular pertussis vaccine. (Robyn Beck/AFP/Getty Images)",
"description": "vaccine, pertussis, whooping cough",
"title": "104228158",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_17588": {
"type": "attachments",
"id": "stateofhealth_17588",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "17588",
"found": true
},
"parent": 17582,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988-400x188.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 188
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988-320x151.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 151
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988.jpg",
"width": 640,
"height": 301
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1392058065,
"modified": 1392058065,
"caption": "The NuvaRing birth control product is a flexible ring which releases hormones. A woman replaces it herself once a month. (Sandy Huffaker/Getty Images)",
"description": "NuvaRing, birth control",
"title": "NuvaRing_Getty",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_17571": {
"type": "attachments",
"id": "stateofhealth_17571",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "17571",
"found": true
},
"parent": 17542,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8589_031-e1391802798747-400x266.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 266
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8589_031-e1391802798747-320x213.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 213
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8589_031-e1391802798747-640x372.jpg",
"width": 640,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8589_031-e1391802798747.jpg",
"width": 640,
"height": 426
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8589_031-e1391802798747-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8589_031-e1391802798747-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8589_031-e1391802798747-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8589_031-e1391802798747-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8589_031-e1391802798747-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1391802744,
"modified": 1391802744,
"caption": "(Kathryn Hunts/KQED)",
"description": "flu shot, flu",
"title": "RS8589_031",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_17516": {
"type": "attachments",
"id": "stateofhealth_17516",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "17516",
"found": true
},
"parent": 17505,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-e1391666743370-400x267.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 267
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-e1391666743370-320x214.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 214
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-e1391666743370-640x372.jpg",
"width": 640,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-e1391666743370.jpg",
"width": 640,
"height": 427
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-e1391666743370-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-e1391666743370-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-e1391666743370-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-e1391666743370-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-e1391666743370-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1391666721,
"modified": 1391666721,
"caption": "(David McNew/Getty Images)",
"description": "marijuana",
"title": "RS4903_marajuanasales-scr",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_17429": {
"type": "attachments",
"id": "stateofhealth_17429",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "17429",
"found": true
},
"parent": 17425,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-400x269.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 269
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-320x216.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 216
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-640x372.jpg",
"width": 640,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg",
"width": 640,
"height": 431
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1391462946,
"modified": 1391462946,
"caption": "Philip Seymour Hoffman arrives for the Los Angeles premiere of 'The Hunger Games: Catching Fire' in Los Angeles, California, last November. Robyn Beck/AFP/Getty Images)",
"description": "Philip Seymour Hoffman",
"title": "RS8528_450461661-hpf",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_17415": {
"type": "attachments",
"id": "stateofhealth_17415",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "17415",
"found": true
},
"parent": 17413,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/RS8481_photo-hpf-400x300.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 300
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/RS8481_photo-hpf-320x240.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 240
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/RS8481_photo-hpf-640x372.jpg",
"width": 640,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/RS8481_photo-hpf.jpg",
"width": 640,
"height": 480
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/RS8481_photo-hpf-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/RS8481_photo-hpf-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/RS8481_photo-hpf-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/RS8481_photo-hpf-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/RS8481_photo-hpf-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1391216492,
"modified": 1391216492,
"caption": "KQED News social media editor Olivia Hubert-Allen gets her flu shot. (Lisa Pickoff-White/KQED)",
"description": "flu shot",
"title": "RS8481_photo-hpf",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_17374": {
"type": "attachments",
"id": "stateofhealth_17374",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "17374",
"found": true
},
"parent": 17372,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-e1391022065147-400x310.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 310
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-e1391022065147-320x248.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 248
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-e1391022065147-640x372.jpg",
"width": 640,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-e1391022065147.jpg",
"width": 640,
"height": 496
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-e1391022065147-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-e1391022065147-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-e1391022065147-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-e1391022065147-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-e1391022065147-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1391022054,
"modified": 1391022054,
"caption": "(Go Interactive Wellness/Flickr)",
"description": "yoga",
"title": "5007648675_38ed2375e6_b",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_17308": {
"type": "attachments",
"id": "stateofhealth_17308",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "17308",
"found": true
},
"parent": 17303,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/460403869-2-e1390505120856-400x323.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 323
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/460403869-2-e1390505120856-320x259.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 259
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/460403869-2-e1390505120856-640x372.jpg",
"width": 640,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/460403869-2-e1390505120856.jpg",
"width": 640,
"height": 517
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/460403869-2-e1390505120856-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/460403869-2-e1390505120856-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/460403869-2-e1390505120856-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/460403869-2-e1390505120856-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/460403869-2-e1390505120856-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1390505110,
"modified": 1390505110,
"caption": "(Getty Images)",
"description": "Soda, bottles of soda, cola",
"title": "460403869-2",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_17245": {
"type": "attachments",
"id": "stateofhealth_17245",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "17245",
"found": true
},
"parent": 17184,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/4054275272_489ecb436b_b-e1389983385660-400x300.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 300
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/4054275272_489ecb436b_b-e1389983385660-320x240.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 240
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/4054275272_489ecb436b_b-e1389983385660-640x372.jpg",
"width": 640,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/4054275272_489ecb436b_b-e1389983385660.jpg",
"width": 640,
"height": 480
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/4054275272_489ecb436b_b-e1389983385660-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/4054275272_489ecb436b_b-e1389983385660-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/4054275272_489ecb436b_b-e1389983385660-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/4054275272_489ecb436b_b-e1389983385660-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/4054275272_489ecb436b_b-e1389983385660-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1389983373,
"modified": 1389983373,
"caption": "Children should always use a booster seat until they are big enough to fit in a seat belt properly. (Joshua & Amber/Flickr)",
"description": "child in booster seat; car seat",
"title": "4054275272_489ecb436b_b",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_17229": {
"type": "attachments",
"id": "stateofhealth_17229",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "17229",
"found": true
},
"parent": 17223,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5938064111_04af369bb9_b-e1389847386366-400x266.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 266
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5938064111_04af369bb9_b-e1389847386366-320x213.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 213
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5938064111_04af369bb9_b-e1389847386366-640x372.jpg",
"width": 640,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5938064111_04af369bb9_b-e1389847386366.jpg",
"width": 640,
"height": 425
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5938064111_04af369bb9_b-e1389847386366-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5938064111_04af369bb9_b-e1389847386366-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5938064111_04af369bb9_b-e1389847386366-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5938064111_04af369bb9_b-e1389847386366-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/5938064111_04af369bb9_b-e1389847386366-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1389847364,
"modified": 1389847364,
"caption": "(Shingo/Flickr)",
"description": null,
"title": "5938064111_04af369bb9_b",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_17153": {
"type": "attachments",
"id": "stateofhealth_17153",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "17153",
"found": true
},
"parent": 17149,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/79071736-e1389637911232-400x266.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 266
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/79071736-e1389637911232-320x213.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 213
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/79071736-e1389637911232-640x372.jpg",
"width": 640,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/79071736-e1389637911232.jpg",
"width": 640,
"height": 425
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/79071736-e1389637911232-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/79071736-e1389637911232-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/79071736-e1389637911232-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/79071736-e1389637911232-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/01/79071736-e1389637911232-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1389637899,
"modified": 1389637899,
"caption": "(Getty Images)",
"description": "exercise, people exercising",
"title": "79071736",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
}
},
"audioPlayerReducer": {
"postId": "stream_live",
"isPaused": true,
"isPlaying": false,
"pfsActive": false,
"pledgeModalIsOpen": true,
"playerDrawerIsOpen": false,
"liveAudioPlayStartedAt": 0,
"liveAudioPlayContext": ""
},
"authorsReducer": {
"lisaaliferis": {
"type": "authors",
"id": "240",
"meta": {
"index": "authors_1716337520",
"id": "240",
"found": true
},
"name": "Lisa Aliferis",
"firstName": "Lisa",
"lastName": "Aliferis",
"slug": "lisaaliferis",
"email": "laliferis@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": "KQED Contributor",
"bio": "Lisa Aliferis is the founding editor of KQED's \u003cem>State of Health\u003c/em> blog. Since 2011, she's been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including\u003cem> Dateline NBC\u003c/em> and San Francisco's CBS affiliate, KPIX-TV. She also wrote up a \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\">handy guide to the Affordable Care Act\u003c/a>, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for \"Best Topical Reporting\" from the Online News Association. You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>",
"avatar": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g",
"twitter": "laliferis",
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "news",
"roles": [
"subscriber"
]
},
{
"site": "futureofyou",
"roles": [
"subscriber"
]
},
{
"site": "stateofhealth",
"roles": [
"subscriber"
]
},
{
"site": "science",
"roles": [
"subscriber"
]
},
{
"site": "food",
"roles": []
}
],
"headData": {
"title": "Lisa Aliferis | KQED",
"description": "KQED Contributor",
"ogImgSrc": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g"
},
"isLoading": false,
"link": "/author/lisaaliferis"
},
"adembosky": {
"type": "authors",
"id": "3205",
"meta": {
"index": "authors_1716337520",
"id": "3205",
"found": true
},
"name": "April Dembosky",
"firstName": "April",
"lastName": "Dembosky",
"slug": "adembosky",
"email": "adembosky@kqed.org",
"display_author_email": false,
"staff_mastheads": [
"news",
"science"
],
"title": "KQED Health Correspondent",
"bio": "April Dembosky is the health correspondent for KQED News and a regular contributor to NPR. She specializes in covering altered states of mind, from postpartum depression to methamphetamine-induced psychosis to the insanity defense. Her investigative series on insurance companies sidestepping mental health laws won multiple awards, including first place in beat reporting from the national Association of Health Care Journalists. She is the recipient of numerous other prizes and fellowships, including a national Edward R. Murrow award for investigative reporting, a Society of Professional Journalists award for long-form storytelling, and a Carter Center Fellowship for Mental Health Journalism.\r\n\r\nDembosky reported and produced \u003cem>Soundtrack of Silence\u003c/em>, an audio documentary about music and memory that is currently being made into a feature film by Paramount Pictures.\r\n\r\nBefore joining KQED in 2013, Dembosky covered technology and Silicon Valley for \u003cem>The Financial Times of London,\u003c/em> and contributed business and arts stories to \u003cem>Marketplace \u003c/em>and \u003cem>The New York Times.\u003c/em> She got her undergraduate degree in philosophy from Smith College and her master's in journalism from the University of California, Berkeley. She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.",
"avatar": "https://secure.gravatar.com/avatar/d6593cd737b732102fe0b6250b5351c2d3bc9b2987566514aa3c9a106494d684?s=600&d=blank&r=g",
"twitter": "adembosky",
"bluesky": null,
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "arts",
"roles": [
"author"
]
},
{
"site": "news",
"roles": [
"editor"
]
},
{
"site": "futureofyou",
"roles": [
"author"
]
},
{
"site": "stateofhealth",
"roles": [
"editor"
]
},
{
"site": "science",
"roles": [
"editor"
]
},
{
"site": "forum",
"roles": [
"editor"
]
}
],
"headData": {
"title": "April Dembosky | KQED",
"description": "KQED Health Correspondent",
"ogImgSrc": "https://secure.gravatar.com/avatar/d6593cd737b732102fe0b6250b5351c2d3bc9b2987566514aa3c9a106494d684?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/d6593cd737b732102fe0b6250b5351c2d3bc9b2987566514aa3c9a106494d684?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/adembosky"
},
"state-of-health": {
"type": "authors",
"id": "8344",
"meta": {
"index": "authors_1716337520",
"id": "8344",
"found": true
},
"name": "State of Health",
"firstName": "State of Health",
"lastName": null,
"slug": "state-of-health",
"email": "stateofhealth@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": null,
"bio": null,
"avatar": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g",
"twitter": null,
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "arts",
"roles": [
"author"
]
},
{
"site": "stateofhealth",
"roles": [
"editor"
]
}
],
"headData": {
"title": "State of Health | KQED",
"description": null,
"ogImgSrc": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/state-of-health"
}
},
"pagesReducer": {
"stateofhealth_tag_science": {
"type": "terms",
"id": "stateofhealth_461",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "461",
"score": 6.8510566
},
"featImg": null,
"name": "Science",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Science Archives | KQED Arts",
"ogDescription": null
},
"ttid": 462,
"slug": "science",
"isLoading": false,
"title": "Science",
"pageMeta": {
"site": "stateofhealth",
"WpPageTemplate": "page-topic-editorial",
"currentPage": 14
},
"blocks": [
{
"blockName": "kqed/post-list",
"attrs": {
"layout": "cardArticle2",
"query": "posts/stateofhealth?tag=science",
"seeMore": false,
"paginated": true,
"page": 14
}
},
{
"blockName": "kqed/ad"
}
]
}
},
"pfsSessionReducer": {},
"postsReducer": {
"stream_live": {
"type": "live",
"id": "stream_live",
"audioUrl": "https://hls.kqed.org/hls/kqed_app/playlist.m3u8",
"title": "Live Stream",
"excerpt": "Live Stream information currently unavailable.",
"link": "/radio",
"featImg": "",
"label": {
"name": "KQED Live",
"link": "/"
}
},
"stream_kqedNewscast": {
"type": "posts",
"id": "stream_kqedNewscast",
"audioUrl": "https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1",
"title": "KQED Newscast",
"featImg": "",
"label": {
"name": "88.5 FM",
"link": "/"
}
},
"stateofhealth_17595": {
"type": "posts",
"id": "stateofhealth_17595",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17595",
"score": null,
"sort": [
1392068211000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1392068211,
"format": "aside",
"disqusTitle": "Whooping Cough Vaccine: Does Its Effectiveness Wear Off Faster?",
"title": "Whooping Cough Vaccine: Does Its Effectiveness Wear Off Faster?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17600\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/104228158-e1392067906728.jpg\">\u003cimg class=\"size-large wp-image-17600\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/104228158-640x425.jpg\" alt=\"A vial containing the acellular pertussis vaccine. (Robyn Beck/AFP/Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A vial containing the acellular pertussis vaccine. (Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new rise in whooping cough cases in California is raising questions among doctors about whether there are problems with the current vaccine. California \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Pertussis%20report%202-4-2014.pdf\" target=\"_blank\">public health data \u003c/a>show a spike in whooping cough cases in 2013 compared to the year before, and last week officials confirmed the first death from the disease since the major outbreak of 2010: an infant in Riverside.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The attempt at making vaccines safer has created a potential lapse in protection.\" \u003c/aside>\n\u003cp>Whooping cough, or pertussis as it is referred to in medical circles, is cyclical in nature and tends to peak every three to five years. But doctors are now finding evidence that the new vaccine may start to wear off on a similar timeline, despite medical recommendations that allow for a span of eight years between booster shots.\u003c/p>\n\u003cp>[contextly_sidebar id=\"75e2b90f971831849adca0e1633a4908\"]\u003c/p>\n\u003cp>“The efficacy of the new vaccine is really good, it works. It’s just that it wanes, and it wanes more quickly,” said Dr. Michael Witte, a pediatrician in Pt. Reyes, north of San Francisco.\u003c/p>\n\u003cp>The new acellular whooping cough vaccine was introduced in the 1990s. It has fewer side effects than the earlier whole-cell vaccine that had been in use since the 1940s. By 2001, the old vaccine was completely phased out. So while many adolescent kids have received boosters of the new vaccine, they would have gotten shots when they were babies that included the old vaccine.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Kids who are now between 11 and 15 years old -- the main group that is getting sick -- are the first generation to have received only the new vaccine. That is leading doctors treating them to conclude that immunity from the acellular vaccine starts to wear off after three years.\u003c/p>\n\u003cp>[contextly_sidebar id=\"0518368a6e2e7d73af4dc8bfccc32f06\"]\u003c/p>\n\u003cp>“Pertussis vaccines have never been that strong,” said Paul Katz, a pediatrician at Kaiser Permanente in San Rafael. “But the attempt at making vaccines safer has created a potential lapse in protection in older people.”\u003c/p>\n\u003cp>Dr. Katz’s \u003ca href=\"http://www.marinmedicalsociety.org/magazine/articles/?articleid=608\" target=\"_blank\">recent research\u003c/a> in Marin County shows that kids who have received had only the new vaccine are five times more likely to get whooping cough.\u003c/p>\n\u003cp>The current medical recommendation is for kids to get four whooping cough shots in the first two years of life, then a booster before kindergarten and another in middle school. That’s a span of up to eight years. Now doctors are talking about whether the recommendations need to be updated to account for the three year dip in the vaccine’s effectiveness.\u003c/p>\n\u003cp>“This phenomenon of waning immunity is just coming to the surface,” said Dr. James Watt, the chief of communicable disease control for the California Department of Public Health. He says the review of current recommendations has reached the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>“Folks at the national level are looking at information about the effectiveness of giving additional doses, whether there are issues with any local reactions associated with additional doses, things like that,” he said.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>Dr. Katz and Dr. Witte agree that the root of both the 2010 and 2013 whooping cough outbreaks in Marin was a cluster of kids who had never been vaccinated. Marin has the highest rate of the disease of any county in California, according to \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Pertussis%20report%202-4-2014.pdf\" target=\"_blank\">public health data\u003c/a>. Doctors believe those numbers are directly related to the county's comparatively high rate of parents who \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">declined to vaccinate\u003c/a> their children.\u003c/p>\n\u003cp>“We had a lot of unvaccinated children that acted as the kindling to start an outbreak,” said Dr. Katz. “Those children were able to infect all the other children who were vaccinated but were too early for a booster – they became the rest of the wood to start the fire.”\u003c/p>\n\u003cp>A \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">new state law\u003c/a> that went into effect in January now requires families who refuse vaccines to talk to a health care provider about the risks and benefits of vaccines.\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/134124755&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n",
"disqusIdentifier": "17595 http://blogs.kqed.org/stateofhealth/?p=17595",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/02/10/whooping-cough-vaccine-does-its-effectiveness-wear-off-faster/",
"stats": {
"hasVideo": false,
"hasChartOrMap": true,
"hasAudio": true,
"hasPolis": false,
"wordCount": 681,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [
"https://w.soundcloud.com/player/"
],
"paragraphCount": 19
},
"modified": 1392310917,
"excerpt": "A new rise in whooping cough cases in California is raising questions among doctors about whether there are problems with the current vaccine. California public health data show a spike in whooping cough cases in 2013 compared to the year before, and last week officials confirmed the first death from the disease since the major outbreak of 2010: an infant in Riverside.\r\n\r\nWhooping cough, or pertussis as it is referred to in medical circles, is cyclical in nature and tends to peak every three to five years. But doctors are now finding evidence that the new vaccine may start to wear off on a similar timeline, despite medical recommendations that allow for a span of eight years between booster shots.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "A new rise in whooping cough cases in California is raising questions among doctors about whether there are problems with the current vaccine. California public health data show a spike in whooping cough cases in 2013 compared to the year before, and last week officials confirmed the first death from the disease since the major outbreak of 2010: an infant in Riverside.\r\n\r\nWhooping cough, or pertussis as it is referred to in medical circles, is cyclical in nature and tends to peak every three to five years. But doctors are now finding evidence that the new vaccine may start to wear off on a similar timeline, despite medical recommendations that allow for a span of eight years between booster shots.",
"title": "Whooping Cough Vaccine: Does Its Effectiveness Wear Off Faster? | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Whooping Cough Vaccine: Does Its Effectiveness Wear Off Faster?",
"datePublished": "2014-02-10T13:36:51-08:00",
"dateModified": "2014-02-13T09:01:57-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "whooping-cough-vaccine-does-its-effectiveness-wear-off-faster",
"status": "publish",
"path": "/stateofhealth/17595/whooping-cough-vaccine-does-its-effectiveness-wear-off-faster",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17600\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/104228158-e1392067906728.jpg\">\u003cimg class=\"size-large wp-image-17600\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/104228158-640x425.jpg\" alt=\"A vial containing the acellular pertussis vaccine. (Robyn Beck/AFP/Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A vial containing the acellular pertussis vaccine. (Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new rise in whooping cough cases in California is raising questions among doctors about whether there are problems with the current vaccine. California \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Pertussis%20report%202-4-2014.pdf\" target=\"_blank\">public health data \u003c/a>show a spike in whooping cough cases in 2013 compared to the year before, and last week officials confirmed the first death from the disease since the major outbreak of 2010: an infant in Riverside.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The attempt at making vaccines safer has created a potential lapse in protection.\" \u003c/aside>\n\u003cp>Whooping cough, or pertussis as it is referred to in medical circles, is cyclical in nature and tends to peak every three to five years. But doctors are now finding evidence that the new vaccine may start to wear off on a similar timeline, despite medical recommendations that allow for a span of eight years between booster shots.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“The efficacy of the new vaccine is really good, it works. It’s just that it wanes, and it wanes more quickly,” said Dr. Michael Witte, a pediatrician in Pt. Reyes, north of San Francisco.\u003c/p>\n\u003cp>The new acellular whooping cough vaccine was introduced in the 1990s. It has fewer side effects than the earlier whole-cell vaccine that had been in use since the 1940s. By 2001, the old vaccine was completely phased out. So while many adolescent kids have received boosters of the new vaccine, they would have gotten shots when they were babies that included the old vaccine.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kids who are now between 11 and 15 years old -- the main group that is getting sick -- are the first generation to have received only the new vaccine. That is leading doctors treating them to conclude that immunity from the acellular vaccine starts to wear off after three years.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“Pertussis vaccines have never been that strong,” said Paul Katz, a pediatrician at Kaiser Permanente in San Rafael. “But the attempt at making vaccines safer has created a potential lapse in protection in older people.”\u003c/p>\n\u003cp>Dr. Katz’s \u003ca href=\"http://www.marinmedicalsociety.org/magazine/articles/?articleid=608\" target=\"_blank\">recent research\u003c/a> in Marin County shows that kids who have received had only the new vaccine are five times more likely to get whooping cough.\u003c/p>\n\u003cp>The current medical recommendation is for kids to get four whooping cough shots in the first two years of life, then a booster before kindergarten and another in middle school. That’s a span of up to eight years. Now doctors are talking about whether the recommendations need to be updated to account for the three year dip in the vaccine’s effectiveness.\u003c/p>\n\u003cp>“This phenomenon of waning immunity is just coming to the surface,” said Dr. James Watt, the chief of communicable disease control for the California Department of Public Health. He says the review of current recommendations has reached the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>“Folks at the national level are looking at information about the effectiveness of giving additional doses, whether there are issues with any local reactions associated with additional doses, things like that,” he said.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>Dr. Katz and Dr. Witte agree that the root of both the 2010 and 2013 whooping cough outbreaks in Marin was a cluster of kids who had never been vaccinated. Marin has the highest rate of the disease of any county in California, according to \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/discond/Documents/Pertussis%20report%202-4-2014.pdf\" target=\"_blank\">public health data\u003c/a>. Doctors believe those numbers are directly related to the county's comparatively high rate of parents who \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2012-2013%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">declined to vaccinate\u003c/a> their children.\u003c/p>\n\u003cp>“We had a lot of unvaccinated children that acted as the kindling to start an outbreak,” said Dr. Katz. “Those children were able to infect all the other children who were vaccinated but were too early for a booster – they became the rest of the wood to start the fire.”\u003c/p>\n\u003cp>A \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">new state law\u003c/a> that went into effect in January now requires families who refuse vaccines to talk to a health care provider about the risks and benefits of vaccines.\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/134124755&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17595/whooping-cough-vaccine-does-its-effectiveness-wear-off-faster",
"authors": [
"3205"
],
"categories": [
"stateofhealth_11",
"stateofhealth_12"
],
"tags": [
"stateofhealth_715",
"stateofhealth_461",
"stateofhealth_31",
"stateofhealth_152"
],
"featImg": "stateofhealth_17600",
"label": "stateofhealth"
},
"stateofhealth_17582": {
"type": "posts",
"id": "stateofhealth_17582",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17582",
"score": null,
"sort": [
1392058580000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1392058580,
"format": "aside",
"disqusTitle": "Yes, Birth Control Can Raise Risk of Blood Clots; So Does Pregnancy",
"title": "Yes, Birth Control Can Raise Risk of Blood Clots; So Does Pregnancy",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17588\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988.jpg\">\u003cimg class=\"size-large wp-image-17588\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/NuvaRing_Getty-640x301.jpg\" alt=\"The NuvaRing birth control product is a flexible ring which releases hormones. A woman replaces it herself once a month. (Sandy Huffaker/Getty Images)\" width=\"640\" height=\"301\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The NuvaRing birth control product is a flexible ring which releases hormones. A woman replaces it herself once a month. (Sandy Huffaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Merck, the drug company that makes the NuvaRing birth control product, announced last week it \u003ca href=\"http://healthland.time.com/2014/02/07/nuvaring-settlement-100-million-dollars/\" target=\"_blank\">will pay $100 million\u003c/a> to settle thousands of claims from women who believe they were harmed by using the product.\u003c/p>\n\u003cp>As\u003ca href=\"http://www.npr.org/blogs/health/2014/02/09/273145327/nuvaring-contraceptive-settlement-leaves-women-weighing-risks\" target=\"_blank\"> NPR\u003c/a> reported Monday, NuvaRing is the most recent hormone-based kind of birth control to \"become the focus of scrutiny.\" All hormone-based contraceptives, including the pill, put a woman at increased risk of blood clots, stroke and heart attack. Women need to weigh the risks of pregnancy with the risks of hormonal contraception, experts advise. But the key thing to remember is that the risks remain rare.\u003c/p>\n\u003cp>Dr. Michael Policar is an associate professor of obstetrics and gynecology at U.C. San Francisco. \"If you take a rare event, make it a little more common, it is still a rare event,\" he told NPR -- but still believes that studies are needed that compare NuvaRing head-to-head with other forms of contraception.\u003c!--more-->\u003c/p>\n\u003cp>NPR does a great service explaining absolute vs. relative risk. From \u003ca href=\"http://www.npr.org/blogs/health/2014/02/09/273145327/nuvaring-contraceptive-settlement-leaves-women-weighing-risks\" target=\"_blank\">their analysis\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The nonprofit sex education website Besider.org lays out \u003ca href=\"http://bedsider.org/features/168\" target=\"_blank\">absolute risks of blood clots\u003c/a>: For young women who are \u003cem>not\u003c/em> pregnant and \u003cem>not\u003c/em> using a birth control method with estrogen, the risk of forming a blood clot is about 1 in 5,000 per year; when using birth control methods with estrogen, that risk may be as high as 1 in 1,000 per year.\u003c/p>\n\u003cp>Women need to compare that to the risk of pregnancy, too, says Bill Albert, chief program officer for the National Campaign to Prevent Teen and Unplanned Pregnancy, which runs Bedsider. The risk of forming a blood clot while pregnant shoots up to about \u003ca href=\"http://bedsider.org/features/168\">1 in 340\u003c/a>, Albert says.\u003c/p>\n\u003cp>Given the various complications of an unplanned pregnancy, Albert says, \"skipping birth control altogether for fear of blood clots isn't the way to protect oneself.\"\u003c/p>\u003c/blockquote>\n\u003cp>Some advocates have been pushing for more disclosure of NuvaRing's risks -- but believe the product does not have to be pulled from the market. \"Even when there's scientific uncertainty … that information can be presented in a way that women can deal with,\" Amy Allina, with the \u003ca href=\"http://nwhn.org/pill-hearings-1970-0\" target=\"_blank\">National Women's Health Network\u003c/a>, told NPR. She continued:\u003c/p>\n\u003cblockquote>\u003cp>Merck's proposed settlement is \"generally a good development if it means that women are able to get the resources they need,\" Allina says. But clearer explanations of risk are needed for women who may be looking at NuvaRing in the future.\u003c/p>\n\u003cp>A spokeswoman for Merck says the company \"does conduct routine and ongoing monitoring\" of the product and that \"we also update the labeling for our products on a regular basis and where appropriate to reflect reported adverse events, regardless of whether causality has been established.\"\u003c/p>\n\u003cp>Women have lots of choices when it comes to birth control, Policar says. A range of methods — some without any hormones — are available. Second, blood clots \"happen almost entirely in women who are predisposed\" because of their weight, age, family and personal history, or smoking habit.\u003c/p>\n\u003cp>Finally, if a woman is happy with the method she has and is using it effectively — and is in the low-risk category — she should know the risk of blood clots with the NuvaRing is still less than with pregnancy.\u003c/p>\n\u003cp>Then, Policar says, he would \"leave the choice up to her.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003cspan>[contextly_auto_sidebar id=\"CdiAKIyQ0fITXe5b3wjOCvkdq8GTzKT8\"]\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
"disqusIdentifier": "17582 http://blogs.kqed.org/stateofhealth/?p=17582",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/02/10/yes-birth-control-like-nuvaring-can-raise-risks-of-blood-clots-so-does-pregnancy/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 599,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 16
},
"modified": 1392074300,
"excerpt": "Dr. Michael Policar is an associate professor of obstetrics and gynecology at U.C. San Francisco. \"If you take a rare event, make it a little more common, it is still a rare event,\" he told NPR -- but still believes that studies are needed that compare NuvaRing head-to-head with other forms of contraception.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Dr. Michael Policar is an associate professor of obstetrics and gynecology at U.C. San Francisco. "If you take a rare event, make it a little more common, it is still a rare event," he told NPR -- but still believes that studies are needed that compare NuvaRing head-to-head with other forms of contraception.",
"title": "Yes, Birth Control Can Raise Risk of Blood Clots; So Does Pregnancy | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Yes, Birth Control Can Raise Risk of Blood Clots; So Does Pregnancy",
"datePublished": "2014-02-10T10:56:20-08:00",
"dateModified": "2014-02-10T15:18:20-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "yes-birth-control-like-nuvaring-can-raise-risks-of-blood-clots-so-does-pregnancy",
"status": "publish",
"path": "/stateofhealth/17582/yes-birth-control-like-nuvaring-can-raise-risks-of-blood-clots-so-does-pregnancy",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17588\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988.jpg\">\u003cimg class=\"size-large wp-image-17588\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/NuvaRing_Getty-640x301.jpg\" alt=\"The NuvaRing birth control product is a flexible ring which releases hormones. A woman replaces it herself once a month. (Sandy Huffaker/Getty Images)\" width=\"640\" height=\"301\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The NuvaRing birth control product is a flexible ring which releases hormones. A woman replaces it herself once a month. (Sandy Huffaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Merck, the drug company that makes the NuvaRing birth control product, announced last week it \u003ca href=\"http://healthland.time.com/2014/02/07/nuvaring-settlement-100-million-dollars/\" target=\"_blank\">will pay $100 million\u003c/a> to settle thousands of claims from women who believe they were harmed by using the product.\u003c/p>\n\u003cp>As\u003ca href=\"http://www.npr.org/blogs/health/2014/02/09/273145327/nuvaring-contraceptive-settlement-leaves-women-weighing-risks\" target=\"_blank\"> NPR\u003c/a> reported Monday, NuvaRing is the most recent hormone-based kind of birth control to \"become the focus of scrutiny.\" All hormone-based contraceptives, including the pill, put a woman at increased risk of blood clots, stroke and heart attack. Women need to weigh the risks of pregnancy with the risks of hormonal contraception, experts advise. But the key thing to remember is that the risks remain rare.\u003c/p>\n\u003cp>Dr. Michael Policar is an associate professor of obstetrics and gynecology at U.C. San Francisco. \"If you take a rare event, make it a little more common, it is still a rare event,\" he told NPR -- but still believes that studies are needed that compare NuvaRing head-to-head with other forms of contraception.\u003c!--more-->\u003c/p>\n\u003cp>NPR does a great service explaining absolute vs. relative risk. From \u003ca href=\"http://www.npr.org/blogs/health/2014/02/09/273145327/nuvaring-contraceptive-settlement-leaves-women-weighing-risks\" target=\"_blank\">their analysis\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The nonprofit sex education website Besider.org lays out \u003ca href=\"http://bedsider.org/features/168\" target=\"_blank\">absolute risks of blood clots\u003c/a>: For young women who are \u003cem>not\u003c/em> pregnant and \u003cem>not\u003c/em> using a birth control method with estrogen, the risk of forming a blood clot is about 1 in 5,000 per year; when using birth control methods with estrogen, that risk may be as high as 1 in 1,000 per year.\u003c/p>\n\u003cp>Women need to compare that to the risk of pregnancy, too, says Bill Albert, chief program officer for the National Campaign to Prevent Teen and Unplanned Pregnancy, which runs Bedsider. The risk of forming a blood clot while pregnant shoots up to about \u003ca href=\"http://bedsider.org/features/168\">1 in 340\u003c/a>, Albert says.\u003c/p>\n\u003cp>Given the various complications of an unplanned pregnancy, Albert says, \"skipping birth control altogether for fear of blood clots isn't the way to protect oneself.\"\u003c/p>\u003c/blockquote>\n\u003cp>Some advocates have been pushing for more disclosure of NuvaRing's risks -- but believe the product does not have to be pulled from the market. \"Even when there's scientific uncertainty … that information can be presented in a way that women can deal with,\" Amy Allina, with the \u003ca href=\"http://nwhn.org/pill-hearings-1970-0\" target=\"_blank\">National Women's Health Network\u003c/a>, told NPR. She continued:\u003c/p>\n\u003cblockquote>\u003cp>Merck's proposed settlement is \"generally a good development if it means that women are able to get the resources they need,\" Allina says. But clearer explanations of risk are needed for women who may be looking at NuvaRing in the future.\u003c/p>\n\u003cp>A spokeswoman for Merck says the company \"does conduct routine and ongoing monitoring\" of the product and that \"we also update the labeling for our products on a regular basis and where appropriate to reflect reported adverse events, regardless of whether causality has been established.\"\u003c/p>\n\u003cp>Women have lots of choices when it comes to birth control, Policar says. A range of methods — some without any hormones — are available. Second, blood clots \"happen almost entirely in women who are predisposed\" because of their weight, age, family and personal history, or smoking habit.\u003c/p>\n\u003cp>Finally, if a woman is happy with the method she has and is using it effectively — and is in the low-risk category — she should know the risk of blood clots with the NuvaRing is still less than with pregnancy.\u003c/p>\n\u003cp>Then, Policar says, he would \"leave the choice up to her.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003cspan>[contextly_auto_sidebar id=\"CdiAKIyQ0fITXe5b3wjOCvkdq8GTzKT8\"]\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17582/yes-birth-control-like-nuvaring-can-raise-risks-of-blood-clots-so-does-pregnancy",
"authors": [
"240"
],
"categories": [
"stateofhealth_12"
],
"tags": [
"stateofhealth_625",
"stateofhealth_461"
],
"featImg": "stateofhealth_17588",
"label": "stateofhealth"
},
"stateofhealth_17542": {
"type": "posts",
"id": "stateofhealth_17542",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17542",
"score": null,
"sort": [
1391774108000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1391774108,
"format": "aside",
"disqusTitle": "5 Things You Should Know About This Year's Flu",
"title": "5 Things You Should Know About This Year's Flu",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17571\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8589_031-e1391802798747.jpg\">\u003cimg class=\"size-large wp-image-17571\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8589_031-640x425.jpg\" alt=\"(Kathryn Hunts/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kathryn Hunts/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>\u003cstrong>Update February 21, 2014:\u003c/strong> The California Department of Public Health says 278 people have died of flu so far this year, and an additional 29 deaths are under investigation. While cases have been declining for a few weeks, state health officials still recommend people get vaccinated, if they haven't already.\u003c/em>\u003c/p>\n\u003cp>State health officials have released the latest numbers on flu deaths -- 202 people have died so far this year and that's up from 147 last week. That's the bad news, but for the first time since early January, health officials are also saying that cases appear to be declining. At least for now. Flu season generally runs three months and is \"notoriously unpredictable,\" said Dr. James Watt, with the California Department of Public Heatlh and recommended that everyone got vaccinated.\u003c/p>\n\u003cp>Here at State of Health, we've noticed that a lot of the same questions come up again and again. With that in mind, we've compiled some answers.\u003c/p>\n\u003cp>\u003cstrong>1. Is the flu shot really the best way I can avoid getting the flu? \u003c/strong>In a word, yes. The Centers for Disease Control (CDC) \u003ca href=\"http://www.cdc.gov/flu/protect/keyfacts.htm\" target=\"_blank\">says\u003c/a> \"the single best way to protect against the flu is to get vaccinated each year.\" And you need to get it annually. While everyone over age 6 months should have it, CDC says, it's especially important for people in high risk groups including:\u003c/p>\n\u003cul>\n\u003cli>People with certain underlying medical conditions including asthma, diabetes, chronic lung disease and obesity\u003c/li>\n\u003cli>Children under age 5 and adults over age 65\u003c/li>\n\u003cli>Pregnant women -- yes, pregnant women, the vaccine is safe and effective for you, CDC says.\u003c!--more-->\u003c/li>\n\u003c/ul>\n\u003cp>Getting the flu shot is not a guarantee that you will not get the flu. \u003ca href=\"http://www.cdc.gov/flu/about/qa/vaccineeffect.htm\" target=\"_blank\">No vaccine is perfect\u003c/a>, but even if you get sick, you are likely to have a more mild course of illness if you have had the vaccine. If you haven't gotten vaccinated yet, you can find a flu shot location near you by \u003ca href=\"http://flushot.healthmap.org\" target=\"_blank\">entering your zip code on this map\u003c/a> run by the federal government.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>(As an aside, I became a fan of the flu shot after I got the flu many years ago. It came on suddenly one afternoon -- but I had Bruce Springsteen tickets that night and was determined to go. I felt worse and worse all afternoon. When I got to the Coliseum, I believe I heard the first couple songs and then fell asleep. I proceeded to sleep and fight fever for the next two days, then spent another several days recovering. It was awful.)\u003c/p>\n\u003cp>\u003cstrong>2. Why is the H1N1 strain such a big deal? \u003c/strong>The H1N1 strain surfaced in April, 2009. The first reported cases were in Mexico, and the strain went on to cause a \"pandemic\" (i.e., a global epidemic). Scientists raced to create a vaccine, but it took months. In California alone, over a roughly 16 month period, more than 600 people died. What was unusual about this strain is that the death rate in adults under 65 was higher than adults over 65. Usually influenza hits the elderly harder. Epidemiologists theorize that a similar strain may have been circulating decades ago, so older adults have some immunity to H1N1. But those under 65, not so much.\u003c/p>\n\u003cp>\u003cstrong>3. Why does California only track flu deaths in people under 65? \u003c/strong>Taking a step back, state officials say they believe California is the only state that tracks all flu deaths in adults. The CDC samples the country and then estimates deaths for people of all ages, but does not require reporting of all flu deaths from any state. California only started tracking flu deaths on a case-by-case basis in the 2011-2012 flu season. The legislature had passed a mandatory reporting requirement in the wake of the H1N1 pandemic noted above. The state says the goal of reporting is to track the severity of the flu season. Because flu is so common in the elderly, the state says, tracking deaths in that group would not be as good an indicator of severity. And besides, it's not required by law.\u003c/p>\n\u003cp>\u003cstrong>4. Can the flu shot give me the flu? \u003c/strong>In a word, no. The vaccine is created from killed viruses. While the shot cannot give you the flu, it can have minor side effects including soreness or swelling at the site of the injection, low fever or aches. Many children like the nasal spray vaccine. Here the viruses are weakened and cannot cause severe flu symptoms. But it still can cause minor side effects including runny nose, wheezing, aches and fever. CDC says that if these side effects happen, they usually start soon after vaccination and don't last long.\u003c/p>\n\u003cp>\u003cstrong>5. If the flu season is peaking, then I don't need to worry about the flu until next year, right? \u003c/strong>Um, no. This question comes up frequently in the weekly media call about flu with state health officials. They're pretty clear that flu is unpredictable, that you can only know the season has ended after it has ended, and that even if we're past a peak now, there could be another round -- something they referred to as the \"double bump.\" Health officials continue to encourage everyone over age 6 months to get vaccinated. While it can take two weeks for antibodies to kick in after you get the vaccine, you will be protected after that.\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>KQED Newsroom's Thuy Vu discussed this year's flu season with Dr. Erica Pan, Alameda County of Public Health, and me Friday night on the program.\u003c/p>\n\u003cdiv class=\"single-video\">[youtube http://www.youtube.com/watch?v=ZU0TXuNb9Ys&start=53&end=670&autoplay=0&w=640&h=360]\u003c/div>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"H6LrfRby61J9O4WQO6Vd4VPLltEkkXeX\"]\u003c/p>\n\n",
"disqusIdentifier": "17542 http://blogs.kqed.org/stateofhealth/?p=17542",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/02/07/5-things-you-should-know-about-this-years-h1n1-flu-influenza/",
"stats": {
"hasVideo": true,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 967,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 15
},
"modified": 1393014223,
"excerpt": "State health officials have released the latest numbers on flu deaths -- 202 people have died so far this year and that's up from 147 last week. That's the bad news, but for the first time since early January, health officials are also saying that cases appear to be declining. At least for now. Flu season generally runs three months and is \"notoriously unpredictable,\" said Dr. James Watt, with the California Department of Public Heatlh and recommended that everyone got vaccinated.\r\n\r\nHere at State of Health, we've noticed that a lot of the same questions come up again and again. With that in mind, we've compiled some answers.\r\n1. Is the flu shot really the best way I can avoid getting the flu?",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "State health officials have released the latest numbers on flu deaths -- 202 people have died so far this year and that's up from 147 last week. That's the bad news, but for the first time since early January, health officials are also saying that cases appear to be declining. At least for now. Flu season generally runs three months and is "notoriously unpredictable," said Dr. James Watt, with the California Department of Public Heatlh and recommended that everyone got vaccinated.\r\n\r\nHere at State of Health, we've noticed that a lot of the same questions come up again and again. With that in mind, we've compiled some answers.\r\n1. Is the flu shot really the best way I can avoid getting the flu?",
"title": "5 Things You Should Know About This Year's Flu | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "5 Things You Should Know About This Year's Flu",
"datePublished": "2014-02-07T03:55:08-08:00",
"dateModified": "2014-02-21T12:23:43-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "5-things-you-should-know-about-this-years-h1n1-flu-influenza",
"status": "publish",
"path": "/stateofhealth/17542/5-things-you-should-know-about-this-years-h1n1-flu-influenza",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17571\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8589_031-e1391802798747.jpg\">\u003cimg class=\"size-large wp-image-17571\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8589_031-640x425.jpg\" alt=\"(Kathryn Hunts/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kathryn Hunts/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>\u003cstrong>Update February 21, 2014:\u003c/strong> The California Department of Public Health says 278 people have died of flu so far this year, and an additional 29 deaths are under investigation. While cases have been declining for a few weeks, state health officials still recommend people get vaccinated, if they haven't already.\u003c/em>\u003c/p>\n\u003cp>State health officials have released the latest numbers on flu deaths -- 202 people have died so far this year and that's up from 147 last week. That's the bad news, but for the first time since early January, health officials are also saying that cases appear to be declining. At least for now. Flu season generally runs three months and is \"notoriously unpredictable,\" said Dr. James Watt, with the California Department of Public Heatlh and recommended that everyone got vaccinated.\u003c/p>\n\u003cp>Here at State of Health, we've noticed that a lot of the same questions come up again and again. With that in mind, we've compiled some answers.\u003c/p>\n\u003cp>\u003cstrong>1. Is the flu shot really the best way I can avoid getting the flu? \u003c/strong>In a word, yes. The Centers for Disease Control (CDC) \u003ca href=\"http://www.cdc.gov/flu/protect/keyfacts.htm\" target=\"_blank\">says\u003c/a> \"the single best way to protect against the flu is to get vaccinated each year.\" And you need to get it annually. While everyone over age 6 months should have it, CDC says, it's especially important for people in high risk groups including:\u003c/p>\n\u003cul>\n\u003cli>People with certain underlying medical conditions including asthma, diabetes, chronic lung disease and obesity\u003c/li>\n\u003cli>Children under age 5 and adults over age 65\u003c/li>\n\u003cli>Pregnant women -- yes, pregnant women, the vaccine is safe and effective for you, CDC says.\u003c!--more-->\u003c/li>\n\u003c/ul>\n\u003cp>Getting the flu shot is not a guarantee that you will not get the flu. \u003ca href=\"http://www.cdc.gov/flu/about/qa/vaccineeffect.htm\" target=\"_blank\">No vaccine is perfect\u003c/a>, but even if you get sick, you are likely to have a more mild course of illness if you have had the vaccine. If you haven't gotten vaccinated yet, you can find a flu shot location near you by \u003ca href=\"http://flushot.healthmap.org\" target=\"_blank\">entering your zip code on this map\u003c/a> run by the federal government.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>(As an aside, I became a fan of the flu shot after I got the flu many years ago. It came on suddenly one afternoon -- but I had Bruce Springsteen tickets that night and was determined to go. I felt worse and worse all afternoon. When I got to the Coliseum, I believe I heard the first couple songs and then fell asleep. I proceeded to sleep and fight fever for the next two days, then spent another several days recovering. It was awful.)\u003c/p>\n\u003cp>\u003cstrong>2. Why is the H1N1 strain such a big deal? \u003c/strong>The H1N1 strain surfaced in April, 2009. The first reported cases were in Mexico, and the strain went on to cause a \"pandemic\" (i.e., a global epidemic). Scientists raced to create a vaccine, but it took months. In California alone, over a roughly 16 month period, more than 600 people died. What was unusual about this strain is that the death rate in adults under 65 was higher than adults over 65. Usually influenza hits the elderly harder. Epidemiologists theorize that a similar strain may have been circulating decades ago, so older adults have some immunity to H1N1. But those under 65, not so much.\u003c/p>\n\u003cp>\u003cstrong>3. Why does California only track flu deaths in people under 65? \u003c/strong>Taking a step back, state officials say they believe California is the only state that tracks all flu deaths in adults. The CDC samples the country and then estimates deaths for people of all ages, but does not require reporting of all flu deaths from any state. California only started tracking flu deaths on a case-by-case basis in the 2011-2012 flu season. The legislature had passed a mandatory reporting requirement in the wake of the H1N1 pandemic noted above. The state says the goal of reporting is to track the severity of the flu season. Because flu is so common in the elderly, the state says, tracking deaths in that group would not be as good an indicator of severity. And besides, it's not required by law.\u003c/p>\n\u003cp>\u003cstrong>4. Can the flu shot give me the flu? \u003c/strong>In a word, no. The vaccine is created from killed viruses. While the shot cannot give you the flu, it can have minor side effects including soreness or swelling at the site of the injection, low fever or aches. Many children like the nasal spray vaccine. Here the viruses are weakened and cannot cause severe flu symptoms. But it still can cause minor side effects including runny nose, wheezing, aches and fever. CDC says that if these side effects happen, they usually start soon after vaccination and don't last long.\u003c/p>\n\u003cp>\u003cstrong>5. If the flu season is peaking, then I don't need to worry about the flu until next year, right? \u003c/strong>Um, no. This question comes up frequently in the weekly media call about flu with state health officials. They're pretty clear that flu is unpredictable, that you can only know the season has ended after it has ended, and that even if we're past a peak now, there could be another round -- something they referred to as the \"double bump.\" Health officials continue to encourage everyone over age 6 months to get vaccinated. While it can take two weeks for antibodies to kick in after you get the vaccine, you will be protected after that.\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>KQED Newsroom's Thuy Vu discussed this year's flu season with Dr. Erica Pan, Alameda County of Public Health, and me Friday night on the program.\u003c/p>\n\u003cdiv class=\"single-video\">\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/ZU0TXuNb9Ys'\n title='//www.youtube.com/embed/ZU0TXuNb9Ys'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/div>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"H6LrfRby61J9O4WQO6Vd4VPLltEkkXeX\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17542/5-things-you-should-know-about-this-years-h1n1-flu-influenza",
"authors": [
"240"
],
"categories": [
"stateofhealth_12"
],
"tags": [
"stateofhealth_403",
"stateofhealth_33",
"stateofhealth_488",
"stateofhealth_461"
],
"featImg": "stateofhealth_17571",
"label": "stateofhealth"
},
"stateofhealth_17505": {
"type": "posts",
"id": "stateofhealth_17505",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17505",
"score": null,
"sort": [
1391677651000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1391677651,
"format": "aside",
"disqusTitle": "Can Marijuana Help Children with Severe Epilepsy?",
"title": "Can Marijuana Help Children with Severe Epilepsy?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17516\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-e1391666743370.jpg\">\u003cimg class=\"size-large wp-image-17516\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-640x426.jpg\" alt=\"(David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>\u003cspan>By Danielle Venton\u003c/span>\u003c/strong>\u003c/p>\n\u003cp>\u003cspan>Mark Kohr doesn't smoke pot. But open his freezer and among the tamales and organic chicken strips, you'll also find four pounds of cannabis. He plans to process the cannabis, worth about $900, into an oil for his daughter. \u003c/span>\u003c/p>\n\u003cp>\u003cspan>Camille, who is 13, has \u003c/span>\u003cspan>a severe, sometimes fatal, form of epilepsy known as \u003ca href=\"http://www.dravetfoundation.org/dravet-syndrome/what-is-dravet-syndrome\" target=\"_blank\">Dravet Syndrome\u003c/a>. Like many kids with Dravet Syndrome, conventional medications didn't seem to work. Kohr says that the cannabis her parents prepare for her does.\u003c/span>\u003c/p>\n\u003cp>\"Here we are with one of the most difficult medical things to treat -- seizures,\" Kohr says. \"And we're making the medicine at home. Isn't that the weirdest thing on earth?\"\u003c!--more-->\u003c/p>\n\u003cp>Mark and Marian Kohr are among dozens of parents in the Bay Area who go to extreme lengths because they believe a rare, hard-to-find form of medical marijuana helps their epileptic or autistic children. The Kohrs started treating Camille with cannabis three years ago. Before that, she was suffering.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Camille could be in a seizurey state for three days,\" Kohr recalled. \"Her eyes were blinking and rolling back. Her speech was degraded; she couldn't talk very well. She couldn't really walk. And then she would have grand mal seizures when her whole body would shake and convulse.\"\u003c/p>\n\u003cp>\u003cspan>Today, Camille has gone off all but two medications. She's having fewer seizures. She's thinking faster, talking more, cracking jokes, and, her mother says, able to connect with people.\u003c/span>\u003c/p>\n\u003cp>\"For instance, today we went to the vet,\" Marian Kohr said. \"She was the one who spoke to the vet. I stood behind her, and … she answered all the questions. She would never have been able to do that before.\"\u003c/p>\n\u003cp>\u003cstrong>Special strain of marijuana\u003c/strong>\u003c/p>\n\u003cp>The extract Camille takes isn't typical marijuana. Her parents grow a strain that is rich in the compound \u003ca href=\"http://pubchem.ncbi.nlm.nih.gov/summary/summary.cgi?cid=644019\" target=\"_blank\">cannabidiol\u003c/a> -- or CBD -- and low in \u003ca href=\"http://pubchem.ncbi.nlm.nih.gov/summary/summary.cgi?cid=16078\" target=\"_blank\">tetrahydrocannabinol\u003c/a>, or THC. THC is the chemical that makes users feel high. Some \u003ca href=\"http://www.gwpharm.com/Rationale%20and%20Preclinical.aspx\" target=\"_blank\">studies \u003c/a>indicate CBD can reduce seizures, minimize inflammation and prevent brain damage after an injury. Despite California being the first state to legalize medical marijuana, parents like the Kohrs still face an uphill battle when it comes to finding high-quality cannabis this is also high in CBD and low THC.\u003c/p>\n\u003cp>Then there's the issue of trying to figure out how much to give their daughter. A prescription for medical marijuana isn't like one for antibiotics. Kohr says he was given a \"recommendation prescription\" from a doctor. But he couldn't get any information about where to buy the cannabis or a dosage.\u003c/p>\n\u003cp>The Kohrs opted to form a collective with more than a dozen other Bay Area families. They call it the \"Green Girls Collective.\"\u003c/p>\n\u003cp>\u003cspan>\"There's all these parents where we're all figuring it out,\" Kohr says, \"with our children, in our kitchens and in our homes and telling each other. It's a really unique state of affairs.\"\u003c/span>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/133411106&auto_play=false&hide_related=false&visual=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"200\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cspan>The collective allows parents to buy cannabis from commercial growers, legally under state law. Still, many parents are nervous they'll get in trouble with Child Protective Services or their children's school administration. And not all children respond as Camille has. Some parents stop giving cannabis to their kids because they haven't seen a benefit.\u003c/span>\u003c/p>\n\u003cp>Researchers are at a loss to explain how CBD works or why it works in some patients, but not others. Part of the problem is that the government classifies marijuana as a \u003ca href=\"http://www.justice.gov/dea/druginfo/ds.shtml\" target=\"_blank\">Schedule 1 drug\u003c/a> -- something with a high potential for abuse and no accepted medical use. This means it's harder for a clinical researcher to study the effects of marijuana than cocaine. And this isn't just a U.S. problem -- there are \u003ca href=\"http://www.scientificamerican.com/article/end-the-ban-on-psychoactive-drug-research/%5D\" target=\"_blank\">similar restrictions\u003c/a> on marijuana research in much of the world.\u003c/p>\n\u003cp>Dr. Joseph Sullivan says he doesn't want to get on a \"political soap box,\" but he calls these policies \"crazy.\"\u003c/p>\n\u003cp>\u003cspan>Sullivan directs the Pediatric Epilepsy Center at the U.C. San Francisco Bennioff Children's Hospital. Many of the children in the Green Girls Collective are his patients, though he doesn't give advice about dosing or where to get CBD. The current lack of research, he says, is frustrating and confusing.\u003c/span>\u003c/p>\n\u003cp>\u003cspan>\"We don't really know the actual doses of CBD that are required to get optimal seizure control,\" he says. \"In those patients of mine who have been taking their own naturally prepared tinctures some are responding to extremely low doses and others are requiring very, very high doses and still may not be responding.\"\u003c/span>\u003c/p>\n\u003cp>CBD-enriched cannabis, the kind that Mark and Marian Kohr grow, still contains some THC. As the dose of CBD gets higher, parents worry about giving their child too much THC. Some data indicate THC can hamper brain development and promote convulsions -- exactly what parents are trying to avoid.\u003c/p>\n\u003cp>\u003cstrong>New research starting \u003c/strong>\u003c/p>\n\u003cp>But now families have a new hope. UCSF is one of six centers in the U.S. \u003ca href=\"http://www.ucsf.edu/news/2014/02/111641/marijuana-derived-epilepsy-drug-clinical-trial-children-uncontrolled-seizures\" target=\"_blank\">testing\u003c/a> a pure form of CBD made by a British \u003ca href=\"http://www.gwpharm.com\" target=\"_blank\">drug company\u003c/a>. This is the first time the FDA has approved the experimental testing of a cannabis-derived drug designed for children. At the same time, the Drug Enforcement Administration still considers CBD, a Schedule 1 drug. Roberta Cilio, the UCSF neurologist who is leading the investigation, had to get a DEA license and pass an extensive background check.\u003c/p>\n\u003cp>\"I was interviewed twice and then they came to look at the premises, Cillo said. \"The cabinet we usually use for narcotics is not enough, so the drug has to be kept in a safe. And really it's a very big complication even for a very experienced investigational pharmacy as we have here at UCSF.\"\u003c/p>\n\u003cp>Since the hospital pharmacy didn't have one, a benefactor donated a safe. The pharmacists also had to go through DEA approval and training to handle the drug. To start, Sullivan and Cilio are only allowed to enroll about 25 patients. But the interest from families has been enormous and, they worry, overly optimistic.\u003c/p>\n\u003cp>\u003cspan>\"I think the frenzy has been augmented by the fact that this is looked at as a natural substance and therefore it must not have any side effects which I think we really need to be careful about,\" Sullivan said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan>What's needed, the doctors say, are larger, placebo-controlled studies. If the drug proves effective for the initial patients, the drug company hopes to begin clinical trials and push for regulation. As parents and patients lobby for marijuana legislation reform, says Sullivan, political winds seem to be shifting.\u003c/span>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>That's good news for families like the Kohrs. Buying the drug would be much easier than the painstaking process of growing plants and making extracts every few weeks in their kitchen. Pot plants take a huge amount of work and each batch of medicine takes about four hours to process.\u003c/p>\n\n",
"disqusIdentifier": "17505 http://blogs.kqed.org/stateofhealth/?p=17505",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/02/06/can-marijuana-help-children-with-severe-epilepsy/",
"stats": {
"hasVideo": false,
"hasChartOrMap": true,
"hasAudio": true,
"hasPolis": false,
"wordCount": 1166,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [
"https://w.soundcloud.com/player/"
],
"paragraphCount": 29
},
"modified": 1392074435,
"excerpt": "Mark and Marian Kohr are among dozens of parents in the Bay Area who go to extreme lengths because they believe a rare, hard-to-find form of medical marijuana helps their epileptic or autistic children. The Kohrs started treating Camille with cannabis three years ago. Before that, she was suffering.\r\n\r\n\"Camille could be in a seizurey state for three days,\" Kohr recalled. \"Her eyes were blinking and rolling back. Her speech was degraded; she couldn't talk very well. She couldn't really walk. And then she would have grand mal seizures when her whole body would shake and convulse.\" Today, Camille has gone off all but two medications. She's having fewer seizures. She's thinking faster, talking more, cracking jokes, and, her mother says, able to connect with people.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Mark and Marian Kohr are among dozens of parents in the Bay Area who go to extreme lengths because they believe a rare, hard-to-find form of medical marijuana helps their epileptic or autistic children. The Kohrs started treating Camille with cannabis three years ago. Before that, she was suffering.\r\n\r\n"Camille could be in a seizurey state for three days," Kohr recalled. "Her eyes were blinking and rolling back. Her speech was degraded; she couldn't talk very well. She couldn't really walk. And then she would have grand mal seizures when her whole body would shake and convulse." Today, Camille has gone off all but two medications. She's having fewer seizures. She's thinking faster, talking more, cracking jokes, and, her mother says, able to connect with people.",
"title": "Can Marijuana Help Children with Severe Epilepsy? | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Can Marijuana Help Children with Severe Epilepsy?",
"datePublished": "2014-02-06T01:07:31-08:00",
"dateModified": "2014-02-10T15:20:35-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "can-marijuana-help-children-with-severe-epilepsy",
"status": "publish",
"path": "/stateofhealth/17505/can-marijuana-help-children-with-severe-epilepsy",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17516\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-e1391666743370.jpg\">\u003cimg class=\"size-large wp-image-17516\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS4903_marajuanasales-scr-640x426.jpg\" alt=\"(David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>\u003cspan>By Danielle Venton\u003c/span>\u003c/strong>\u003c/p>\n\u003cp>\u003cspan>Mark Kohr doesn't smoke pot. But open his freezer and among the tamales and organic chicken strips, you'll also find four pounds of cannabis. He plans to process the cannabis, worth about $900, into an oil for his daughter. \u003c/span>\u003c/p>\n\u003cp>\u003cspan>Camille, who is 13, has \u003c/span>\u003cspan>a severe, sometimes fatal, form of epilepsy known as \u003ca href=\"http://www.dravetfoundation.org/dravet-syndrome/what-is-dravet-syndrome\" target=\"_blank\">Dravet Syndrome\u003c/a>. Like many kids with Dravet Syndrome, conventional medications didn't seem to work. Kohr says that the cannabis her parents prepare for her does.\u003c/span>\u003c/p>\n\u003cp>\"Here we are with one of the most difficult medical things to treat -- seizures,\" Kohr says. \"And we're making the medicine at home. Isn't that the weirdest thing on earth?\"\u003c!--more-->\u003c/p>\n\u003cp>Mark and Marian Kohr are among dozens of parents in the Bay Area who go to extreme lengths because they believe a rare, hard-to-find form of medical marijuana helps their epileptic or autistic children. The Kohrs started treating Camille with cannabis three years ago. Before that, she was suffering.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Camille could be in a seizurey state for three days,\" Kohr recalled. \"Her eyes were blinking and rolling back. Her speech was degraded; she couldn't talk very well. She couldn't really walk. And then she would have grand mal seizures when her whole body would shake and convulse.\"\u003c/p>\n\u003cp>\u003cspan>Today, Camille has gone off all but two medications. She's having fewer seizures. She's thinking faster, talking more, cracking jokes, and, her mother says, able to connect with people.\u003c/span>\u003c/p>\n\u003cp>\"For instance, today we went to the vet,\" Marian Kohr said. \"She was the one who spoke to the vet. I stood behind her, and … she answered all the questions. She would never have been able to do that before.\"\u003c/p>\n\u003cp>\u003cstrong>Special strain of marijuana\u003c/strong>\u003c/p>\n\u003cp>The extract Camille takes isn't typical marijuana. Her parents grow a strain that is rich in the compound \u003ca href=\"http://pubchem.ncbi.nlm.nih.gov/summary/summary.cgi?cid=644019\" target=\"_blank\">cannabidiol\u003c/a> -- or CBD -- and low in \u003ca href=\"http://pubchem.ncbi.nlm.nih.gov/summary/summary.cgi?cid=16078\" target=\"_blank\">tetrahydrocannabinol\u003c/a>, or THC. THC is the chemical that makes users feel high. Some \u003ca href=\"http://www.gwpharm.com/Rationale%20and%20Preclinical.aspx\" target=\"_blank\">studies \u003c/a>indicate CBD can reduce seizures, minimize inflammation and prevent brain damage after an injury. Despite California being the first state to legalize medical marijuana, parents like the Kohrs still face an uphill battle when it comes to finding high-quality cannabis this is also high in CBD and low THC.\u003c/p>\n\u003cp>Then there's the issue of trying to figure out how much to give their daughter. A prescription for medical marijuana isn't like one for antibiotics. Kohr says he was given a \"recommendation prescription\" from a doctor. But he couldn't get any information about where to buy the cannabis or a dosage.\u003c/p>\n\u003cp>The Kohrs opted to form a collective with more than a dozen other Bay Area families. They call it the \"Green Girls Collective.\"\u003c/p>\n\u003cp>\u003cspan>\"There's all these parents where we're all figuring it out,\" Kohr says, \"with our children, in our kitchens and in our homes and telling each other. It's a really unique state of affairs.\"\u003c/span>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/133411106&auto_play=false&hide_related=false&visual=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"200\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cspan>The collective allows parents to buy cannabis from commercial growers, legally under state law. Still, many parents are nervous they'll get in trouble with Child Protective Services or their children's school administration. And not all children respond as Camille has. Some parents stop giving cannabis to their kids because they haven't seen a benefit.\u003c/span>\u003c/p>\n\u003cp>Researchers are at a loss to explain how CBD works or why it works in some patients, but not others. Part of the problem is that the government classifies marijuana as a \u003ca href=\"http://www.justice.gov/dea/druginfo/ds.shtml\" target=\"_blank\">Schedule 1 drug\u003c/a> -- something with a high potential for abuse and no accepted medical use. This means it's harder for a clinical researcher to study the effects of marijuana than cocaine. And this isn't just a U.S. problem -- there are \u003ca href=\"http://www.scientificamerican.com/article/end-the-ban-on-psychoactive-drug-research/%5D\" target=\"_blank\">similar restrictions\u003c/a> on marijuana research in much of the world.\u003c/p>\n\u003cp>Dr. Joseph Sullivan says he doesn't want to get on a \"political soap box,\" but he calls these policies \"crazy.\"\u003c/p>\n\u003cp>\u003cspan>Sullivan directs the Pediatric Epilepsy Center at the U.C. San Francisco Bennioff Children's Hospital. Many of the children in the Green Girls Collective are his patients, though he doesn't give advice about dosing or where to get CBD. The current lack of research, he says, is frustrating and confusing.\u003c/span>\u003c/p>\n\u003cp>\u003cspan>\"We don't really know the actual doses of CBD that are required to get optimal seizure control,\" he says. \"In those patients of mine who have been taking their own naturally prepared tinctures some are responding to extremely low doses and others are requiring very, very high doses and still may not be responding.\"\u003c/span>\u003c/p>\n\u003cp>CBD-enriched cannabis, the kind that Mark and Marian Kohr grow, still contains some THC. As the dose of CBD gets higher, parents worry about giving their child too much THC. Some data indicate THC can hamper brain development and promote convulsions -- exactly what parents are trying to avoid.\u003c/p>\n\u003cp>\u003cstrong>New research starting \u003c/strong>\u003c/p>\n\u003cp>But now families have a new hope. UCSF is one of six centers in the U.S. \u003ca href=\"http://www.ucsf.edu/news/2014/02/111641/marijuana-derived-epilepsy-drug-clinical-trial-children-uncontrolled-seizures\" target=\"_blank\">testing\u003c/a> a pure form of CBD made by a British \u003ca href=\"http://www.gwpharm.com\" target=\"_blank\">drug company\u003c/a>. This is the first time the FDA has approved the experimental testing of a cannabis-derived drug designed for children. At the same time, the Drug Enforcement Administration still considers CBD, a Schedule 1 drug. Roberta Cilio, the UCSF neurologist who is leading the investigation, had to get a DEA license and pass an extensive background check.\u003c/p>\n\u003cp>\"I was interviewed twice and then they came to look at the premises, Cillo said. \"The cabinet we usually use for narcotics is not enough, so the drug has to be kept in a safe. And really it's a very big complication even for a very experienced investigational pharmacy as we have here at UCSF.\"\u003c/p>\n\u003cp>Since the hospital pharmacy didn't have one, a benefactor donated a safe. The pharmacists also had to go through DEA approval and training to handle the drug. To start, Sullivan and Cilio are only allowed to enroll about 25 patients. But the interest from families has been enormous and, they worry, overly optimistic.\u003c/p>\n\u003cp>\u003cspan>\"I think the frenzy has been augmented by the fact that this is looked at as a natural substance and therefore it must not have any side effects which I think we really need to be careful about,\" Sullivan said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan>What's needed, the doctors say, are larger, placebo-controlled studies. If the drug proves effective for the initial patients, the drug company hopes to begin clinical trials and push for regulation. As parents and patients lobby for marijuana legislation reform, says Sullivan, political winds seem to be shifting.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That's good news for families like the Kohrs. Buying the drug would be much easier than the painstaking process of growing plants and making extracts every few weeks in their kitchen. Pot plants take a huge amount of work and each batch of medicine takes about four hours to process.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17505/can-marijuana-help-children-with-severe-epilepsy",
"authors": [
"8344"
],
"categories": [
"stateofhealth_13"
],
"tags": [
"stateofhealth_96",
"stateofhealth_461"
],
"featImg": "stateofhealth_17516",
"label": "stateofhealth"
},
"stateofhealth_17439": {
"type": "posts",
"id": "stateofhealth_17439",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17439",
"score": null,
"sort": [
1391477679000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1391477679,
"format": "aside",
"disqusTitle": "At-Home Test Good Alternative to Colonoscopy, Study Confirms",
"title": "At-Home Test Good Alternative to Colonoscopy, Study Confirms",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>If you're like most of my colleagues in the newsroom, you read that headline and thought, \"GREAT! What is the alternative test?!\"\u003c/p>\n\u003cp>Here's the quick background: Colorectal cancer is the third most common cancer killer in the U.S. A colonoscopy is an excellent screening tool. But more than one-third of people who are supposed to get it (that's people ages 50-75) don't.\u003c/p>\n\u003cp>Why? I think you can guess.\u003c/p>\n\u003cp>A colonoscopy is an invasive screening test that can involve missing one to two days of work, an inconvenient preparation process and then a \"colonoscope is gently eased inside the colon and sends pictures to a TV screen,\" the American Cancer Society \u003ca href=\"http://www.cancer.org/healthy/findcancerearly/examandtestdescriptions/faq-colonoscopy-and-sigmoidoscopy\" target=\"_blank\">says\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>But it turns out that there's a less invasive option. It's called FIT -- fecal immunochemical test -- and essentially, you are taking a stool sample at home, in the privacy of your own bathroom. There's no preparation and there are no dietary restrictions. FIT will detect hidden blood in the stool, a sign of colon cancer or large polyps that could become cancerous.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cancer.org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-screening-tests-used\" target=\"_blank\">American Cancer Society\u003c/a> explains how it works:\u003c/p>\n\u003cblockquote>\u003cp>… blood vessels at the surface of larger colorectal polyps or cancers are often fragile and easily damaged by the passage of feces. The damaged vessels usually release a small amount of blood into the feces, but only rarely is there enough bleeding for blood to be visible in the stool.\u003c/p>\u003c/blockquote>\n\u003cp>FIT is not new -- it's already a recommended screening test from both the \u003ca href=\"http://www.cancer.org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-screening-tests-used\" target=\"_blank\">American Cancer Society\u003c/a> and the \u003ca href=\"http://www.uspreventiveservicestaskforce.org/uspstf08/colocancer/colors.htm\" target=\"_blank\">U.S. Preventive Services Task Force\u003c/a>, but few people know about it.\u003c/p>\n\u003cp>The doctors behind \u003ca href=\"http://annals.org/article.aspx?articleid=1819122\" target=\"_blank\">a study\u003c/a> published Monday -- from UCSF and Kaiser Permanente's Division of Research -- are hoping their research will change that. The researchers conducted what's called a meta-analysis, a review of existing studies, to reach their conclusion.\u003c/p>\n\u003cp>In their review, doctors found that FIT correctly identified 80 percent of people who have cancer, and FIT correctly identified more than 94 percent of people who did not have cancer.\u003c/p>\n\u003cp>Now, you might be thinking the inverse -- that 20 percent of people with cancer were missed. But FIT is a test that's meant to be done annually, and colon cancers generally are slow-growing. \"You will be tested (again) after a year goes by,\" said Dr. Jeffrey Lee, lead author of the study who works at both Kaiser Permanente's Division of Research and UCSF. \"During year two, the chances that the FIT test will detect it is much higher.\"\u003c/p>\n\u003cp>In addition, if non-cancerous polyps are removed, then patients may well be avoiding a later cancer diagnosis.\u003c/p>\n\u003cp>Dr. Theodore Levin, another of the study's authors, heads up colorectal screening for the Permanente Medical Group. Kaiser instituted a coordinated screening approach for its members several years ago, which includes mailing FITs to its members who are not up-to-date on screening. Kaiser's screening rate is going up and the incidence of colorectal cancer is going down.\u003c/p>\n\u003cp>\"FIT represents a really easy-to-use option for colon screening,\" Levin says. \"It's a much easier sell to get people to do the FIT test\" than undergo a colonoscopy. \"There's no way around it.\"\u003c/p>\n\u003cp>The study was published in the \u003ca href=\"http://annals.org/article.aspx?articleid=1819122\" target=\"_blank\">Annals of Internal Medicine\u003c/a>.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
"disqusIdentifier": "17439 http://blogs.kqed.org/stateofhealth/?p=17439",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/02/03/at-home-test-good-alternative-to-colonoscopy-study-finds/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 558,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 17
},
"modified": 1391670646,
"excerpt": "If you're like most of my colleagues in the newsroom, you read that headline and thought, \"GREAT! What is the alternative test?!\"\r\n\r\nHere's the quick background: colorectal cancer is the third most common cancer killer in the U.S. The colonoscopy is an excellent screening tool. But more than one-third of people who are supposed to get it (that's people ages 50-75) don't.\r\n\r\nWhy? I think you can guess.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "If you're like most of my colleagues in the newsroom, you read that headline and thought, "GREAT! What is the alternative test?!"\r\n\r\nHere's the quick background: colorectal cancer is the third most common cancer killer in the U.S. The colonoscopy is an excellent screening tool. But more than one-third of people who are supposed to get it (that's people ages 50-75) don't.\r\n\r\nWhy? I think you can guess.",
"title": "At-Home Test Good Alternative to Colonoscopy, Study Confirms | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "At-Home Test Good Alternative to Colonoscopy, Study Confirms",
"datePublished": "2014-02-03T17:34:39-08:00",
"dateModified": "2014-02-05T23:10:46-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "at-home-test-good-alternative-to-colonoscopy-study-finds",
"status": "publish",
"path": "/stateofhealth/17439/at-home-test-good-alternative-to-colonoscopy-study-finds",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>If you're like most of my colleagues in the newsroom, you read that headline and thought, \"GREAT! What is the alternative test?!\"\u003c/p>\n\u003cp>Here's the quick background: Colorectal cancer is the third most common cancer killer in the U.S. A colonoscopy is an excellent screening tool. But more than one-third of people who are supposed to get it (that's people ages 50-75) don't.\u003c/p>\n\u003cp>Why? I think you can guess.\u003c/p>\n\u003cp>A colonoscopy is an invasive screening test that can involve missing one to two days of work, an inconvenient preparation process and then a \"colonoscope is gently eased inside the colon and sends pictures to a TV screen,\" the American Cancer Society \u003ca href=\"http://www.cancer.org/healthy/findcancerearly/examandtestdescriptions/faq-colonoscopy-and-sigmoidoscopy\" target=\"_blank\">says\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>But it turns out that there's a less invasive option. It's called FIT -- fecal immunochemical test -- and essentially, you are taking a stool sample at home, in the privacy of your own bathroom. There's no preparation and there are no dietary restrictions. FIT will detect hidden blood in the stool, a sign of colon cancer or large polyps that could become cancerous.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cancer.org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-screening-tests-used\" target=\"_blank\">American Cancer Society\u003c/a> explains how it works:\u003c/p>\n\u003cblockquote>\u003cp>… blood vessels at the surface of larger colorectal polyps or cancers are often fragile and easily damaged by the passage of feces. The damaged vessels usually release a small amount of blood into the feces, but only rarely is there enough bleeding for blood to be visible in the stool.\u003c/p>\u003c/blockquote>\n\u003cp>FIT is not new -- it's already a recommended screening test from both the \u003ca href=\"http://www.cancer.org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-screening-tests-used\" target=\"_blank\">American Cancer Society\u003c/a> and the \u003ca href=\"http://www.uspreventiveservicestaskforce.org/uspstf08/colocancer/colors.htm\" target=\"_blank\">U.S. Preventive Services Task Force\u003c/a>, but few people know about it.\u003c/p>\n\u003cp>The doctors behind \u003ca href=\"http://annals.org/article.aspx?articleid=1819122\" target=\"_blank\">a study\u003c/a> published Monday -- from UCSF and Kaiser Permanente's Division of Research -- are hoping their research will change that. The researchers conducted what's called a meta-analysis, a review of existing studies, to reach their conclusion.\u003c/p>\n\u003cp>In their review, doctors found that FIT correctly identified 80 percent of people who have cancer, and FIT correctly identified more than 94 percent of people who did not have cancer.\u003c/p>\n\u003cp>Now, you might be thinking the inverse -- that 20 percent of people with cancer were missed. But FIT is a test that's meant to be done annually, and colon cancers generally are slow-growing. \"You will be tested (again) after a year goes by,\" said Dr. Jeffrey Lee, lead author of the study who works at both Kaiser Permanente's Division of Research and UCSF. \"During year two, the chances that the FIT test will detect it is much higher.\"\u003c/p>\n\u003cp>In addition, if non-cancerous polyps are removed, then patients may well be avoiding a later cancer diagnosis.\u003c/p>\n\u003cp>Dr. Theodore Levin, another of the study's authors, heads up colorectal screening for the Permanente Medical Group. Kaiser instituted a coordinated screening approach for its members several years ago, which includes mailing FITs to its members who are not up-to-date on screening. Kaiser's screening rate is going up and the incidence of colorectal cancer is going down.\u003c/p>\n\u003cp>\"FIT represents a really easy-to-use option for colon screening,\" Levin says. \"It's a much easier sell to get people to do the FIT test\" than undergo a colonoscopy. \"There's no way around it.\"\u003c/p>\n\u003cp>The study was published in the \u003ca href=\"http://annals.org/article.aspx?articleid=1819122\" target=\"_blank\">Annals of Internal Medicine\u003c/a>.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17439/at-home-test-good-alternative-to-colonoscopy-study-finds",
"authors": [
"240"
],
"categories": [
"stateofhealth_166",
"stateofhealth_13"
],
"tags": [
"stateofhealth_193",
"stateofhealth_461"
],
"label": "stateofhealth"
},
"stateofhealth_17425": {
"type": "posts",
"id": "stateofhealth_17425",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17425",
"score": null,
"sort": [
1391463066000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1391463066,
"format": "aside",
"disqusTitle": "What Philip Seymour Hoffman's Tragic Death Teaches Us About Addiction",
"title": "What Philip Seymour Hoffman's Tragic Death Teaches Us About Addiction",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17429\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg\">\u003cimg class=\"size-full wp-image-17429\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg\" alt=\"Philip Seymour Hoffman arrives for the Los Angeles premiere of 'The Hunger Games: Catching Fire' in Los Angeles, California, last November. Robyn Beck/AFP/Getty Images)\" width=\"640\" height=\"431\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-400x269.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-320x216.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Philip Seymour Hoffman arrives for the Los Angeles premiere of 'The Hunger Games: Catching Fire' last November. Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As I think pretty much everyone must know by now, the actor \u003ca href=\"http://ww2.kqed.org/news/2014/02/02/philip-seymour-hoffman-art-howe-moneyball-role\" target=\"_blank\">Philip Seymour Hoffman died Sunday\u003c/a>, apparently of a heroin overdose. I was stunned when I found out, then deeply saddened when I read reports that he had told \"\u003ca href=\"http://www.cbsnews.com/news/2006-philip-seymour-hoffman-on-60-minutes/\" target=\"_blank\">60 Minutes\u003c/a>\" in 2006 that he had given up drugs and alcohol when he was 22 -- \"I got panicked for my life,\" he told Steve Kroft. Hoffman \u003ca href=\"http://www.nytimes.com/2014/02/03/movies/philip-seymour-hoffman-actor-dies-at-46.html?hp&_r=0\" target=\"_blank\">relapsed\u003c/a> last year.\u003c/p>\n\u003cp>But my sadness turned to a kind of cold fury when I saw too many comments on social media clucking disapproval for Hoffman's \"selfishness\" and \"poor choices.\" (I'm not linking to them here; you can find them easily enough if you want to.) One friend on Facebook noted that another friend's thread about Hoffman was the only one he'd seen acknowledging \"the tragedy of his drug addiction.\"\u003c/p>\n\u003cp>And, indeed, addiction is a disease. Dr. David Smith has treated thousands of addicts since he founded the Haight Ashbury Free Clinic in 1967. He talked to me about \"battling an uninformed public.\"\u003c!--more-->\u003c/p>\n\u003cp>\"Diabetes is a disease of the pancreas. Addiction is a disease of the brain,\" he said. If you don't think addiction is a disease, Smith said, \"then take a laxative, sit on the toilet and try not to have a bowel movement.\" Yes, a simplistic analogy, he said, \"but effective.\"\u003c/p>\n\u003cp>Smith told me about the \"4 C's of addiction\" -- craving, compulsion, loss of control and continued use in spite of bad consequences. \"Craving is a signal,\" Smith said, then added the worst thing an addict can do when craving is to isolate. Hoffman appears to have died alone, in a Greenwich Village apartment.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a moving piece for The Guardian, the comedian and actor Russell Brand talked about the power of support -- or \"fellowships\" -- in battling his own craving for heroin. The \u003ca href=\"http://www.theguardian.com/culture/2013/mar/09/russell-brand-life-without-drugs\" target=\"_blank\">whole piece\u003c/a> is worth a read, but I'll excerpt here:\u003c/p>\n\u003cblockquote>\u003cp>Without these fellowships I would take drugs. Because, even now, the condition persists. Drugs and alcohol are not my problem, reality is my problem, drugs and alcohol are my solution.\u003c/p>\n\u003cp>If this seems odd to you it is because you are not an alcoholic or a drug addict. You are likely one of the 90% of people who can drink and use drugs safely. I have friends who can smoke weed, swill gin, even do crack and then merrily get on with their lives. For me, this is not an option. I will relinquish all else to ride that buzz to oblivion. Even if it began as a timid glass of chardonnay on a ponce's yacht, it would end with me necking the bottle, swimming to shore and sprinting to Bethnal Green in search of a crack house. I look to drugs and booze to fill up a hole in me; unchecked, the call of the wild is too strong. I still survey streets for signs of the subterranean escapes that used to provide my sanctuary. I still eye the shuffling subclass of junkies and dealers, invisibly gliding between doorways through the gutters. I see that dereliction can survive in opulence; the abundantly wealthy with destitution in their stare.\u003c/p>\u003c/blockquote>\n\u003cp>Smith said that Hoffman's death \"shatters the myth that addiction is a lower socioeconomic disease.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003cem>KQED's Forum discusses \u003ca href=\"http://www.kqed.org/a/forum/R201402040900\" target=\"_blank\">Battling Drug Addiction\u003c/a> Tuesday morning, Feb. 4. \u003ca href=\"http://www.kqed.org/radio/listen/\" target=\"_blank\">Listen Live at 9am\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Watch: Suburban Junkies, a look at young prescription drug addicts in California's Orange County who turn to heroin for a cheaper high.\u003c/em>\u003c/p>\n\u003cdiv style=\"overflow: hidden\">\n\u003cdiv class=\"embedly\">\u003ciframe src=\"//cdn.embedly.com/widgets/media.html?src=http%3A%2F%2Fwww.youtube.com%2Fembed%2FuhgdZHPxYds%3Ffeature%3Doembed&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DuhgdZHPxYds&image=http%3A%2F%2Fi1.ytimg.com%2Fvi%2FuhgdZHPxYds%2Fhqdefault.jpg&key=981697b3caaa4776a9e96c1890128d7f&type=text%2Fhtml&schema=youtube\" frameborder=\"0\" scrolling=\"no\" width=\"640\" height=\"360\">\u003c/iframe>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003cp>\u003cspan class=\"embedly-powered\" style=\"float: right\">\u003ca title=\"Powered by Embedly\" href=\"http://embed.ly/code?url=http%3A%2F%2Fyoutu.be%2FuhgdZHPxYds\" target=\"_blank\">\u003cimg src=\"http://static.embed.ly/images/logos/embedly-powered-small-light.png\" alt=\"Embedly Powered\">\u003c/a>\u003c/span>\u003c/p>\n\u003cdiv class=\"media-attribution\">via \u003ca class=\"media-attribution-link\" href=\"http://www.youtube.com/\" target=\"_blank\">YouTube\u003c/a>\u003c/div>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\n",
"disqusIdentifier": "17425 http://blogs.kqed.org/stateofhealth/?p=17425",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/02/03/what-philip-seymour-hoffmans-death-sadly-teaches-us-about-addiction/",
"stats": {
"hasVideo": false,
"hasChartOrMap": true,
"hasAudio": false,
"hasPolis": false,
"wordCount": 614,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [
"//cdn.embedly.com/widgets/media.html"
],
"paragraphCount": 15
},
"modified": 1391620388,
"excerpt": "But my sadness turned to a kind of cold fury when I saw too many comments on social media clucking disapproval for Hoffman's \"selfishness\" and \"poor choices.\" (I'm not linking to them here; you can find them easily enough if you want to.) One friend on Facebook noted that another friend's thread about Hoffman was the only one he'd seen acknowledging \"the tragedy of his drug addiction.\"\r\n\r\nAnd indeed addiction is a disease. Dr. David Smith has treated thousands of addicts since he founded the Haight Ashbury Free Clinic in 1967. He talked to me about \"battling an uninformed public.\"",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "But my sadness turned to a kind of cold fury when I saw too many comments on social media clucking disapproval for Hoffman's "selfishness" and "poor choices." (I'm not linking to them here; you can find them easily enough if you want to.) One friend on Facebook noted that another friend's thread about Hoffman was the only one he'd seen acknowledging "the tragedy of his drug addiction."\r\n\r\nAnd indeed addiction is a disease. Dr. David Smith has treated thousands of addicts since he founded the Haight Ashbury Free Clinic in 1967. He talked to me about "battling an uninformed public."",
"title": "What Philip Seymour Hoffman's Tragic Death Teaches Us About Addiction | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "What Philip Seymour Hoffman's Tragic Death Teaches Us About Addiction",
"datePublished": "2014-02-03T13:31:06-08:00",
"dateModified": "2014-02-05T09:13:08-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "what-philip-seymour-hoffmans-death-sadly-teaches-us-about-addiction",
"status": "publish",
"path": "/stateofhealth/17425/what-philip-seymour-hoffmans-death-sadly-teaches-us-about-addiction",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17429\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg\">\u003cimg class=\"size-full wp-image-17429\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg\" alt=\"Philip Seymour Hoffman arrives for the Los Angeles premiere of 'The Hunger Games: Catching Fire' in Los Angeles, California, last November. Robyn Beck/AFP/Getty Images)\" width=\"640\" height=\"431\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-400x269.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-320x216.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Philip Seymour Hoffman arrives for the Los Angeles premiere of 'The Hunger Games: Catching Fire' last November. Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As I think pretty much everyone must know by now, the actor \u003ca href=\"http://ww2.kqed.org/news/2014/02/02/philip-seymour-hoffman-art-howe-moneyball-role\" target=\"_blank\">Philip Seymour Hoffman died Sunday\u003c/a>, apparently of a heroin overdose. I was stunned when I found out, then deeply saddened when I read reports that he had told \"\u003ca href=\"http://www.cbsnews.com/news/2006-philip-seymour-hoffman-on-60-minutes/\" target=\"_blank\">60 Minutes\u003c/a>\" in 2006 that he had given up drugs and alcohol when he was 22 -- \"I got panicked for my life,\" he told Steve Kroft. Hoffman \u003ca href=\"http://www.nytimes.com/2014/02/03/movies/philip-seymour-hoffman-actor-dies-at-46.html?hp&_r=0\" target=\"_blank\">relapsed\u003c/a> last year.\u003c/p>\n\u003cp>But my sadness turned to a kind of cold fury when I saw too many comments on social media clucking disapproval for Hoffman's \"selfishness\" and \"poor choices.\" (I'm not linking to them here; you can find them easily enough if you want to.) One friend on Facebook noted that another friend's thread about Hoffman was the only one he'd seen acknowledging \"the tragedy of his drug addiction.\"\u003c/p>\n\u003cp>And, indeed, addiction is a disease. Dr. David Smith has treated thousands of addicts since he founded the Haight Ashbury Free Clinic in 1967. He talked to me about \"battling an uninformed public.\"\u003c!--more-->\u003c/p>\n\u003cp>\"Diabetes is a disease of the pancreas. Addiction is a disease of the brain,\" he said. If you don't think addiction is a disease, Smith said, \"then take a laxative, sit on the toilet and try not to have a bowel movement.\" Yes, a simplistic analogy, he said, \"but effective.\"\u003c/p>\n\u003cp>Smith told me about the \"4 C's of addiction\" -- craving, compulsion, loss of control and continued use in spite of bad consequences. \"Craving is a signal,\" Smith said, then added the worst thing an addict can do when craving is to isolate. Hoffman appears to have died alone, in a Greenwich Village apartment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a moving piece for The Guardian, the comedian and actor Russell Brand talked about the power of support -- or \"fellowships\" -- in battling his own craving for heroin. The \u003ca href=\"http://www.theguardian.com/culture/2013/mar/09/russell-brand-life-without-drugs\" target=\"_blank\">whole piece\u003c/a> is worth a read, but I'll excerpt here:\u003c/p>\n\u003cblockquote>\u003cp>Without these fellowships I would take drugs. Because, even now, the condition persists. Drugs and alcohol are not my problem, reality is my problem, drugs and alcohol are my solution.\u003c/p>\n\u003cp>If this seems odd to you it is because you are not an alcoholic or a drug addict. You are likely one of the 90% of people who can drink and use drugs safely. I have friends who can smoke weed, swill gin, even do crack and then merrily get on with their lives. For me, this is not an option. I will relinquish all else to ride that buzz to oblivion. Even if it began as a timid glass of chardonnay on a ponce's yacht, it would end with me necking the bottle, swimming to shore and sprinting to Bethnal Green in search of a crack house. I look to drugs and booze to fill up a hole in me; unchecked, the call of the wild is too strong. I still survey streets for signs of the subterranean escapes that used to provide my sanctuary. I still eye the shuffling subclass of junkies and dealers, invisibly gliding between doorways through the gutters. I see that dereliction can survive in opulence; the abundantly wealthy with destitution in their stare.\u003c/p>\u003c/blockquote>\n\u003cp>Smith said that Hoffman's death \"shatters the myth that addiction is a lower socioeconomic disease.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003cem>KQED's Forum discusses \u003ca href=\"http://www.kqed.org/a/forum/R201402040900\" target=\"_blank\">Battling Drug Addiction\u003c/a> Tuesday morning, Feb. 4. \u003ca href=\"http://www.kqed.org/radio/listen/\" target=\"_blank\">Listen Live at 9am\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Watch: Suburban Junkies, a look at young prescription drug addicts in California's Orange County who turn to heroin for a cheaper high.\u003c/em>\u003c/p>\n\u003cdiv style=\"overflow: hidden\">\n\u003cdiv class=\"embedly\">\u003ciframe src=\"//cdn.embedly.com/widgets/media.html?src=http%3A%2F%2Fwww.youtube.com%2Fembed%2FuhgdZHPxYds%3Ffeature%3Doembed&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DuhgdZHPxYds&image=http%3A%2F%2Fi1.ytimg.com%2Fvi%2FuhgdZHPxYds%2Fhqdefault.jpg&key=981697b3caaa4776a9e96c1890128d7f&type=text%2Fhtml&schema=youtube\" frameborder=\"0\" scrolling=\"no\" width=\"640\" height=\"360\">\u003c/iframe>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003cp>\u003cspan class=\"embedly-powered\" style=\"float: right\">\u003ca title=\"Powered by Embedly\" href=\"http://embed.ly/code?url=http%3A%2F%2Fyoutu.be%2FuhgdZHPxYds\" target=\"_blank\">\u003cimg src=\"http://static.embed.ly/images/logos/embedly-powered-small-light.png\" alt=\"Embedly Powered\">\u003c/a>\u003c/span>\u003c/p>\n\u003cdiv class=\"media-attribution\">via \u003ca class=\"media-attribution-link\" href=\"http://www.youtube.com/\" target=\"_blank\">YouTube\u003c/a>\u003c/div>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17425/what-philip-seymour-hoffmans-death-sadly-teaches-us-about-addiction",
"authors": [
"240"
],
"categories": [
"stateofhealth_11",
"stateofhealth_12"
],
"tags": [
"stateofhealth_643",
"stateofhealth_461"
],
"featImg": "stateofhealth_17429",
"label": "stateofhealth"
},
"stateofhealth_17413": {
"type": "posts",
"id": "stateofhealth_17413",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17413",
"score": null,
"sort": [
1391220185000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1391220185,
"format": "aside",
"disqusTitle": "Flu Death Count Continues to Climb",
"title": "Flu Death Count Continues to Climb",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17421\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8481_transform.jpg\">\u003cimg class=\"size-large wp-image-17421\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8481_transform-640x421.jpg\" alt=\"KQED News interactive producer Olivia Hubert-Allen gets her flu shot. (Lisa Pickoff-White/KQED)\" width=\"640\" height=\"421\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">KQED News interactive producer Olivia Hubert-Allen gets her flu shot. (Lisa Pickoff-White/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>State health officials reported Friday that deaths from influenza have reached 147, including four children under age 18. Another 44 deaths are under investigation, but not confirmed.\u003c/p>\n\u003cp>The total deaths so far this flu season, which started last September, eclipses the number from all of last year -- 106.\u003c/p>\n\u003cp>As health officials have noted \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/01/08/flu-now-widespread-in-california/\" target=\"_blank\">all month\u003c/a>, the H1N1 strain is circulating -- that's the same strain that led to the pandemic in \u003ca href=\"http://www.cdc.gov/h1n1flu/cdcresponse.htm\" target=\"_blank\">2009-2010\u003c/a>. Younger adults are at increased risk from H1N1. The theory is that adults over 65 were exposed to H1N1 decades ago and have retained some immunity. Younger adults were (presumably) never exposed so have no natural protection.\u003c/p>\n\u003cp>Health officials urged all Californians over age 6 months to get a flu shot. This year's vaccine is well-matched to the circulating strains, health officials say. They urge people who believe they have the flu to contact their doctors immediately and ask about anti-viral medications.\u003c/p>\n\u003cp>KQED radio's Stephanie Martin talked to health editor Lisa Aliferis about the flu. Learn more:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/132453409&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n",
"disqusIdentifier": "17413 http://blogs.kqed.org/stateofhealth/?p=17413",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/01/31/flu-death-count-continues-to-climb/",
"stats": {
"hasVideo": false,
"hasChartOrMap": true,
"hasAudio": true,
"hasPolis": false,
"wordCount": 191,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [
"https://w.soundcloud.com/player/"
],
"paragraphCount": 8
},
"modified": 1391516798,
"excerpt": "State health officials reported Friday that deaths from influenza have reached 147, including four children under age 18. Another 44 deaths are under investigation, but not confirmed. \r\n\r\nThe total deaths so far this flu season, which started last September, eclipses the number from all of last year -- 106. ",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "State health officials reported Friday that deaths from influenza have reached 147, including four children under age 18. Another 44 deaths are under investigation, but not confirmed. \r\n\r\nThe total deaths so far this flu season, which started last September, eclipses the number from all of last year -- 106. ",
"title": "Flu Death Count Continues to Climb | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Flu Death Count Continues to Climb",
"datePublished": "2014-01-31T18:03:05-08:00",
"dateModified": "2014-02-04T04:26:38-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "flu-death-count-continues-to-climb",
"status": "publish",
"path": "/stateofhealth/17413/flu-death-count-continues-to-climb",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17421\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8481_transform.jpg\">\u003cimg class=\"size-large wp-image-17421\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8481_transform-640x421.jpg\" alt=\"KQED News interactive producer Olivia Hubert-Allen gets her flu shot. (Lisa Pickoff-White/KQED)\" width=\"640\" height=\"421\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">KQED News interactive producer Olivia Hubert-Allen gets her flu shot. (Lisa Pickoff-White/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>State health officials reported Friday that deaths from influenza have reached 147, including four children under age 18. Another 44 deaths are under investigation, but not confirmed.\u003c/p>\n\u003cp>The total deaths so far this flu season, which started last September, eclipses the number from all of last year -- 106.\u003c/p>\n\u003cp>As health officials have noted \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/01/08/flu-now-widespread-in-california/\" target=\"_blank\">all month\u003c/a>, the H1N1 strain is circulating -- that's the same strain that led to the pandemic in \u003ca href=\"http://www.cdc.gov/h1n1flu/cdcresponse.htm\" target=\"_blank\">2009-2010\u003c/a>. Younger adults are at increased risk from H1N1. The theory is that adults over 65 were exposed to H1N1 decades ago and have retained some immunity. Younger adults were (presumably) never exposed so have no natural protection.\u003c/p>\n\u003cp>Health officials urged all Californians over age 6 months to get a flu shot. This year's vaccine is well-matched to the circulating strains, health officials say. They urge people who believe they have the flu to contact their doctors immediately and ask about anti-viral medications.\u003c/p>\n\u003cp>KQED radio's Stephanie Martin talked to health editor Lisa Aliferis about the flu. Learn more:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/132453409&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17413/flu-death-count-continues-to-climb",
"authors": [
"8344"
],
"categories": [
"stateofhealth_12"
],
"tags": [
"stateofhealth_403",
"stateofhealth_33",
"stateofhealth_488",
"stateofhealth_461"
],
"featImg": "stateofhealth_17415",
"label": "stateofhealth"
},
"stateofhealth_17372": {
"type": "posts",
"id": "stateofhealth_17372",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17372",
"score": null,
"sort": [
1391022121000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1391022121,
"format": "aside",
"disqusTitle": "For Breast Cancer Survivors, Yoga May Help Overcome Fatigue",
"title": "For Breast Cancer Survivors, Yoga May Help Overcome Fatigue",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17374\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/lyntally/5007648675/sizes/l/\">\u003cimg class=\"size-large wp-image-17374\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-640x496.jpg\" alt=\"(Go Interactive Wellness/Flickr)\" width=\"640\" height=\"496\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Go Interactive Wellness/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Allison Aubrey,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2014/01/28/267612550/yoga-may-help-overcome-fatigue-after-breast-cancer\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Exercise helps recovery after cancer treatment, but fatigue can make working out hard. Yoga can help reduce fatigue for breast cancer survivors, a study finds. It's one of a growing number of efforts using randomized controlled trials to see if the ancient practice offers medical benefits.\u003c/p>\n\u003cp>Women who took a yoga class three hours a week for three months said they experienced 40 percent less fatigue compared to a group of breast cancer survivors who did not do yoga.\u003c/p>\n\u003cp>\"Fatigue is a major and serious problem in survivors,\" even years after treatments have ended, \u003ca href=\"http://faculty.psy.ohio-state.edu/1/kiecolt-glaser/\">Janice Kiecolt-Glaser\u003c/a>, a psychology professor at Ohio State University and lead author of the study, said.\u003c/p>\n\u003cp>The participants who did yoga also had lower levels of cytokines, which are markers of inflammation, in their blood, Kiecolt-Glaser says. Cytokine levels were reduced up to 20 percent six months after starting yoga. It's not clear how this may affect their health, she says.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Other studies have found that fatigue interferes with daily activities for about one third of cancer survivors. And fatigue can become a self-perpetuating cycle. \"The less you do, the more fatigued you are,\" says Kiecolt-Glaser. Yoga seems to be a way to break that cycle. The \u003ca href=\"http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.8860.abstract?sid=d641998e-1d13-4b98-9d70-521e7152478c\">study\u003c/a> was published online in the \u003cem>Journal of Clinical Oncology\u003c/em>.\u003c/p>\n\u003cp>Researchers recruited about 200 women for the study, all of whom had completed cancer treatment within three years. They ranged in age from 20s to 70s. The class included a series of very gentle stretching and strength-building exercises as well as breathing techniques.\u003c/p>\n\u003cp>\"It's relaxing and refocuses the body,\" Sue Cavanaugh of Columbus, Ohio, a study participant, said. She says yoga has not only helped with fatigue, it's also helped her regain some of the lost mobility in her right arm.\u003c/p>\n\u003cp>\"I'm happier because I can do the things I like,\" Cavanaugh says, including working with large installations in her work as an artist.\u003c/p>\n\u003cp>Earlier \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23181734\">studies\u003c/a> of yoga for cancer patients and survivors have found that yoga helped reduce distress, anxiety and depression, and had a moderate effect on fatigue and quality of life. But a Cochrane review of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22895974\">studies\u003c/a> looking at the broader issue of cancer and exercise found that more vigorous exercise produced greater reductions in fatigue and improvements in quality of life. Exercise also may \u003ca href=\"http://www.cancer.gov/cancertopics/factsheet/prevention/physicalactivity\">reduce the risk\u003c/a> of cancer recurrence.\u003c/p>\n\u003cp>The Cochrane review also points out the biggest problem with doing randomized controlled trials of yoga: you know if you're doing it. That could bias people's perception of benefits.\u003c/p>\n\u003cp>\"We're getting [breast cancer survivors] on bikes, on treadmills and training them like athletes,\" says \u003ca href=\"http://radonc.duke.edu/research-education/research-labs/cardiooncology/jones-lab\">Lee Jones\u003c/a>, a radiation oncologist at Duke University's School of Medicine who studies the effect of exercise on cancer patients. Fatigue is a hurdle for lots of survivors, he says. \"But if you actually prescribe exercise, they can exercise, and pretty vigorously.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Yoga can be a complementary form of movement to aerobic exercise, Jones says.\u003c/p>\n\n",
"disqusIdentifier": "17372 http://blogs.kqed.org/stateofhealth/?p=17372",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/01/29/for-breast-cancer-survivors-yoga-may-help-overcome-fatigue/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 521,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 15
},
"modified": 1391115368,
"excerpt": "Women who took a yoga class three hours a week for three months said they experienced 40 percent less fatigue compared to a group of breast cancer survivors who did not do yoga.\r\n\r\n\"Fatigue is a major and serious problem in survivors,\" even years after treatments have ended, Janice Kiecolt-Glaser, a psychology professor at Ohio State University and lead author of the study, said.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Women who took a yoga class three hours a week for three months said they experienced 40 percent less fatigue compared to a group of breast cancer survivors who did not do yoga.\r\n\r\n"Fatigue is a major and serious problem in survivors," even years after treatments have ended, Janice Kiecolt-Glaser, a psychology professor at Ohio State University and lead author of the study, said.",
"title": "For Breast Cancer Survivors, Yoga May Help Overcome Fatigue | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "For Breast Cancer Survivors, Yoga May Help Overcome Fatigue",
"datePublished": "2014-01-29T11:02:01-08:00",
"dateModified": "2014-01-30T12:56:08-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "for-breast-cancer-survivors-yoga-may-help-overcome-fatigue",
"status": "publish",
"path": "/stateofhealth/17372/for-breast-cancer-survivors-yoga-may-help-overcome-fatigue",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17374\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/lyntally/5007648675/sizes/l/\">\u003cimg class=\"size-large wp-image-17374\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-640x496.jpg\" alt=\"(Go Interactive Wellness/Flickr)\" width=\"640\" height=\"496\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Go Interactive Wellness/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Allison Aubrey,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2014/01/28/267612550/yoga-may-help-overcome-fatigue-after-breast-cancer\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Exercise helps recovery after cancer treatment, but fatigue can make working out hard. Yoga can help reduce fatigue for breast cancer survivors, a study finds. It's one of a growing number of efforts using randomized controlled trials to see if the ancient practice offers medical benefits.\u003c/p>\n\u003cp>Women who took a yoga class three hours a week for three months said they experienced 40 percent less fatigue compared to a group of breast cancer survivors who did not do yoga.\u003c/p>\n\u003cp>\"Fatigue is a major and serious problem in survivors,\" even years after treatments have ended, \u003ca href=\"http://faculty.psy.ohio-state.edu/1/kiecolt-glaser/\">Janice Kiecolt-Glaser\u003c/a>, a psychology professor at Ohio State University and lead author of the study, said.\u003c/p>\n\u003cp>The participants who did yoga also had lower levels of cytokines, which are markers of inflammation, in their blood, Kiecolt-Glaser says. Cytokine levels were reduced up to 20 percent six months after starting yoga. It's not clear how this may affect their health, she says.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Other studies have found that fatigue interferes with daily activities for about one third of cancer survivors. And fatigue can become a self-perpetuating cycle. \"The less you do, the more fatigued you are,\" says Kiecolt-Glaser. Yoga seems to be a way to break that cycle. The \u003ca href=\"http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.8860.abstract?sid=d641998e-1d13-4b98-9d70-521e7152478c\">study\u003c/a> was published online in the \u003cem>Journal of Clinical Oncology\u003c/em>.\u003c/p>\n\u003cp>Researchers recruited about 200 women for the study, all of whom had completed cancer treatment within three years. They ranged in age from 20s to 70s. The class included a series of very gentle stretching and strength-building exercises as well as breathing techniques.\u003c/p>\n\u003cp>\"It's relaxing and refocuses the body,\" Sue Cavanaugh of Columbus, Ohio, a study participant, said. She says yoga has not only helped with fatigue, it's also helped her regain some of the lost mobility in her right arm.\u003c/p>\n\u003cp>\"I'm happier because I can do the things I like,\" Cavanaugh says, including working with large installations in her work as an artist.\u003c/p>\n\u003cp>Earlier \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23181734\">studies\u003c/a> of yoga for cancer patients and survivors have found that yoga helped reduce distress, anxiety and depression, and had a moderate effect on fatigue and quality of life. But a Cochrane review of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22895974\">studies\u003c/a> looking at the broader issue of cancer and exercise found that more vigorous exercise produced greater reductions in fatigue and improvements in quality of life. Exercise also may \u003ca href=\"http://www.cancer.gov/cancertopics/factsheet/prevention/physicalactivity\">reduce the risk\u003c/a> of cancer recurrence.\u003c/p>\n\u003cp>The Cochrane review also points out the biggest problem with doing randomized controlled trials of yoga: you know if you're doing it. That could bias people's perception of benefits.\u003c/p>\n\u003cp>\"We're getting [breast cancer survivors] on bikes, on treadmills and training them like athletes,\" says \u003ca href=\"http://radonc.duke.edu/research-education/research-labs/cardiooncology/jones-lab\">Lee Jones\u003c/a>, a radiation oncologist at Duke University's School of Medicine who studies the effect of exercise on cancer patients. Fatigue is a hurdle for lots of survivors, he says. \"But if you actually prescribe exercise, they can exercise, and pretty vigorously.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Yoga can be a complementary form of movement to aerobic exercise, Jones says.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17372/for-breast-cancer-survivors-yoga-may-help-overcome-fatigue",
"authors": [
"8344"
],
"categories": [
"stateofhealth_12"
],
"tags": [
"stateofhealth_46",
"stateofhealth_461"
],
"featImg": "stateofhealth_17374",
"label": "stateofhealth"
},
"stateofhealth_17303": {
"type": "posts",
"id": "stateofhealth_17303",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17303",
"score": null,
"sort": [
1390505326000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1390505326,
"format": "aside",
"disqusTitle": "Another Health Problem with (Many) Sodas: Caramel Color",
"title": "Another Health Problem with (Many) Sodas: Caramel Color",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17308\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/460403869-2-e1390505120856.jpg\">\u003cimg class=\"size-large wp-image-17308\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/460403869-2-640x516.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"516\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>There's caramel, and then there's caramel color. It turns out the two don't have much to do with each other. This matters to you if you drink soda.\u003c/p>\n\u003cp>Caramel color is the additive in many soft drinks and some foods that turns them brown. Some types of caramel color contain a chemical called 4-methylimidazole or 4-Mel, and 4-Mel is potentially carcinogenic. In 2011, the state of California \u003ca href=\"http://oehha.ca.gov/prop65/prop65_list/010711list.html\" target=\"_blank\">added 4-mel to \u003c/a>the so-called Prop. 65 list -- a list of chemicals known by the state to cause cancer.\u003c/p>\n\u003cp>Consumer Reports published \u003ca href=\"http://www.consumerreports.org/cro/news/2014/01/caramel-color-the-health-risk-that-may-be-in-your-soda/index.htm\" target=\"_blank\">an analysis\u003c/a> of various brands of soda on Thursday. They found that two brands exceeded a level of 29 micrograms per can or bottle: Pepsi One and Malta Goya. Consumer Reports cites state data showing daily consumption above that amount would cause one excess case of cancer in every 100,000 people.\u003c!--more-->\u003c/p>\n\u003cp>\"There's no reason why consumers should be exposed to an avoidable and unnecessary risk that can stem from coloring food brown,\" said Urvashi Rangan, PhD in the Consumer Reports story. He's a toxicologist and executive director of the magazine's Food Safety and Sustainability Center. \"Manufacturers have lower 4-Mel alternatives available to them. Ideally there would be no 4-Mel in food.\"\u003c/p>\n\u003cp>Consumer Reports conducted two rounds of testing of the sodas during 2013. Both times, samples of Pepsi One and Malta Goya exceeded 29 micrograms per can or bottle. But neither product had a cancer-risk warning label, as required by Prop. 65.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Consumer Reports contacted both Pepsi and Malta Goya. Only Pepsi responded. From \u003ca href=\"http://www.consumerreports.org/cro/news/2014/01/caramel-color-the-health-risk-that-may-be-in-your-soda/index.htm\" target=\"_blank\">Consumer Reports\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>After we informed PepsiCo of our test results, the company issued a statement that said that Proposition 65 is based on per day exposure and not exposure per can. It also cited government consumption data that shows that the average amount of diet soda consumed by people who drink it is 100 milliliters per day, or less than a third of a 12-ounce can. For that reason, they believe that Pepsi One does not require cancer-risk warning labels—even if the amount of 4-MeI in a single can exceeds 29 micrograms.\u003c/p>\n\u003cp>Consumer Reports says there is analysis of government data that shows higher levels of daily consumption of soft drinks generally. \"No matter how much consumers drink they don't expect their beverages to have a potential carcinogen in them. And we don't think 4-MeI should be in foods at all. Our tests of Coke samples show that it is possible to get to much lower levels,\" says Rangan.\u003c/p>\u003c/blockquote>\n\u003cp>Consumer Reports says that because of its results, Consumers Union, the policy wing of Consumer Reports, is contacting the California Attorney General's office and is also petitioning the Food and Drug Administration \"to set a federal standard for 4-Mel and to require manufacturers to list the type of caramel color they use on the products' ingredient lists.\" While there are four types of caramel coloring, only two of them contain 4-Mel.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Consumer Reports also found that three brands -- Coke, Diet Coke, and Coke Zero -- had less than 5 micrograms per can in its tests, which, the report noted, its \"experts believe is more acceptable.\" Consumer Reports said it used Sprite as a control. It's a clear soda and showed no significant levels of 4-Mel, the group found.\u003c/p>\n\n",
"disqusIdentifier": "17303 http://blogs.kqed.org/stateofhealth/?p=17303",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/01/23/another-health-problem-with-many-sodas-caramel-color/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 573,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 12
},
"modified": 1390607139,
"excerpt": "There's caramel, and then there's caramel color. It turns out the two don't have much to do with each other. This matters to you if you drink soda.\r\n\r\nCaramel color is the additive in many soft drinks and some foods that turns them brown. Some types of caramel color contain a chemical called 4-methylimidazole or 4-Mel, and 4-Mel is potentially carcinogenic. In 2011, the state of California added 4-mel to the so-called Prop. 65 list -- a list of chemicals known by the state to cause cancer.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "There's caramel, and then there's caramel color. It turns out the two don't have much to do with each other. This matters to you if you drink soda.\r\n\r\nCaramel color is the additive in many soft drinks and some foods that turns them brown. Some types of caramel color contain a chemical called 4-methylimidazole or 4-Mel, and 4-Mel is potentially carcinogenic. In 2011, the state of California added 4-mel to the so-called Prop. 65 list -- a list of chemicals known by the state to cause cancer.",
"title": "Another Health Problem with (Many) Sodas: Caramel Color | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Another Health Problem with (Many) Sodas: Caramel Color",
"datePublished": "2014-01-23T11:28:46-08:00",
"dateModified": "2014-01-24T15:45:39-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "another-health-problem-with-many-sodas-caramel-color",
"status": "publish",
"path": "/stateofhealth/17303/another-health-problem-with-many-sodas-caramel-color",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17308\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/460403869-2-e1390505120856.jpg\">\u003cimg class=\"size-large wp-image-17308\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/460403869-2-640x516.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"516\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>There's caramel, and then there's caramel color. It turns out the two don't have much to do with each other. This matters to you if you drink soda.\u003c/p>\n\u003cp>Caramel color is the additive in many soft drinks and some foods that turns them brown. Some types of caramel color contain a chemical called 4-methylimidazole or 4-Mel, and 4-Mel is potentially carcinogenic. In 2011, the state of California \u003ca href=\"http://oehha.ca.gov/prop65/prop65_list/010711list.html\" target=\"_blank\">added 4-mel to \u003c/a>the so-called Prop. 65 list -- a list of chemicals known by the state to cause cancer.\u003c/p>\n\u003cp>Consumer Reports published \u003ca href=\"http://www.consumerreports.org/cro/news/2014/01/caramel-color-the-health-risk-that-may-be-in-your-soda/index.htm\" target=\"_blank\">an analysis\u003c/a> of various brands of soda on Thursday. They found that two brands exceeded a level of 29 micrograms per can or bottle: Pepsi One and Malta Goya. Consumer Reports cites state data showing daily consumption above that amount would cause one excess case of cancer in every 100,000 people.\u003c!--more-->\u003c/p>\n\u003cp>\"There's no reason why consumers should be exposed to an avoidable and unnecessary risk that can stem from coloring food brown,\" said Urvashi Rangan, PhD in the Consumer Reports story. He's a toxicologist and executive director of the magazine's Food Safety and Sustainability Center. \"Manufacturers have lower 4-Mel alternatives available to them. Ideally there would be no 4-Mel in food.\"\u003c/p>\n\u003cp>Consumer Reports conducted two rounds of testing of the sodas during 2013. Both times, samples of Pepsi One and Malta Goya exceeded 29 micrograms per can or bottle. But neither product had a cancer-risk warning label, as required by Prop. 65.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Consumer Reports contacted both Pepsi and Malta Goya. Only Pepsi responded. From \u003ca href=\"http://www.consumerreports.org/cro/news/2014/01/caramel-color-the-health-risk-that-may-be-in-your-soda/index.htm\" target=\"_blank\">Consumer Reports\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>After we informed PepsiCo of our test results, the company issued a statement that said that Proposition 65 is based on per day exposure and not exposure per can. It also cited government consumption data that shows that the average amount of diet soda consumed by people who drink it is 100 milliliters per day, or less than a third of a 12-ounce can. For that reason, they believe that Pepsi One does not require cancer-risk warning labels—even if the amount of 4-MeI in a single can exceeds 29 micrograms.\u003c/p>\n\u003cp>Consumer Reports says there is analysis of government data that shows higher levels of daily consumption of soft drinks generally. \"No matter how much consumers drink they don't expect their beverages to have a potential carcinogen in them. And we don't think 4-MeI should be in foods at all. Our tests of Coke samples show that it is possible to get to much lower levels,\" says Rangan.\u003c/p>\u003c/blockquote>\n\u003cp>Consumer Reports says that because of its results, Consumers Union, the policy wing of Consumer Reports, is contacting the California Attorney General's office and is also petitioning the Food and Drug Administration \"to set a federal standard for 4-Mel and to require manufacturers to list the type of caramel color they use on the products' ingredient lists.\" While there are four types of caramel coloring, only two of them contain 4-Mel.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Consumer Reports also found that three brands -- Coke, Diet Coke, and Coke Zero -- had less than 5 micrograms per can in its tests, which, the report noted, its \"experts believe is more acceptable.\" Consumer Reports said it used Sprite as a control. It's a clear soda and showed no significant levels of 4-Mel, the group found.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17303/another-health-problem-with-many-sodas-caramel-color",
"authors": [
"240"
],
"categories": [
"stateofhealth_12"
],
"tags": [
"stateofhealth_461"
],
"featImg": "stateofhealth_17308",
"label": "stateofhealth"
},
"stateofhealth_17184": {
"type": "posts",
"id": "stateofhealth_17184",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17184",
"score": null,
"sort": [
1389983486000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1389983486,
"format": "aside",
"disqusTitle": "Minority Parents Less Likely to Use Appropriate Car Seat, Study Finds",
"title": "Minority Parents Less Likely to Use Appropriate Car Seat, Study Finds",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17245\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/hunterji/4054275272/sizes/l/\">\u003cimg class=\"size-large wp-image-17245\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/4054275272_489ecb436b_b-640x480.jpg\" alt=\"Children should always use a booster seat until they are big enough to fit in a seat belt properly. (Joshua & Amber/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Children should always use a booster seat until they are big enough to fit in a seat belt properly. (Joshua & Amber/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brian Lau, MD\u003c/strong>\u003c/p>\n\u003cp>Many studies have shown that parents don't always use carseats and booster seats, and their kids could be at increased risk in a crash. A new study published this week shows that non-white children have particularly low use.\u003c/p>\n\u003cp>Researchers from The University of Michigan surveyed 601 parents about their car seat usage for 1 to 12-year-old children that received treatment at the emergency room. They found that non-white parents were nearly four times less likely to use appropriate child car restraints than white parents.\u003c/p>\n\u003cp>Doctors and policy makers have known of this disparity and attributed it to socioeconomic variables. But the new study shows that differences remained even after accounting for education and income.\u003c!--more-->\u003c/p>\n\u003cp>“People have suggested that racial disparities in restraint use are due to differences in socioeconomic status,” said lead author Dr. Michelle Macy, a pediatrician at the University of Michigan, in an email. “Our results demonstrate the answer is more complicated than that.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the study, the authors noted that because race continues to be a \"significant predictor\" of appropriate car seat usage, \"suggests that modifiable factors not measured in our study, such as parental knowledge, motivation, barriers, and sociocultural norms, may contribute to disparities.\"\u003c/p>\n\u003cp>Others point out that income and education are not the only factors when accounting for differences in racial and socio-economic disparities.\u003c/p>\n\u003cp>“Injury prevention often suffers with greater social stress,” said Dr. Lee Sanders, co-director of Stanford's Center for Policy, Outcomes and Prevention. “Factors like single-parent families and greater number of kids can make it difficult to keep up with changes from kid to kid.” Both of these factors are associated with lower socio-economic status and were not directly accounted for in the study.\u003c/p>\n\u003cp>Laws on injury prevention vary from state to state which may make it difficult for anyone, but particularly adults with greater social stressors, to track what kind of car seat is appropriate at what age.\u003c/p>\n\u003cp>“State laws generally fall short of ‘optimal’ child passenger safety recommendations,” said Dr. Macy. This may be due in part to state legislators lagging behind recent changes to the American Academy of Pediatric \u003ca href=\"http://pediatrics.aappublications.org/content/early/2011/03/21/peds.2011-0213.full.pdf+html\">guidelines\u003c/a> released in March 2011 that place greater emphasis on child size than child age when determining when to transition from car seats, booster seats, and ultimately the front seat.\u003c/p>\n\u003cp>“Keep kids in a rear seat whenever possible,\" said Dr. Macy, \"using a rear-facing car seat beyond 1 year and until the child outgrows the car seat’s rear-facing weight or height limit.\" She added that children should be in a booster seat from the time they outgrow their forward-facing car seat -- until an adult seat belt \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/injviosaf/Documents/boosterseatlawposterEng.pdf\" target=\"_blank\">fits properly\u003c/a>.\u003c/p>\n\u003cp>Having the proper car seat and knowing how to use it is one thing, but getting your kids to stay in them is another.\u003c/p>\n\u003cp>“One of the most effective methods is to tell the kids that you won’t start the car until they are safely in their seat,” said Dr. Sanders, “and don’t let the kid trying to get out of their seat or complaining, fool you into thinking they are safe without their child seat.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Regardless of race, proper child passenger restraint use is known to save lives. California has been one of the leaders in keeping\u003ca href=\"http://www.cdph.ca.gov/programs/Pages/CPSinCalifornia-VOSP.aspx\" target=\"_blank\"> its guidelines up-to-date\u003c/a> with the American Academy of Pediatrics.\u003c/p>\n\n",
"disqusIdentifier": "17184 http://blogs.kqed.org/stateofhealth/?p=17184",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/01/17/minority-parents-less-likely-to-use-appropriate-car-seat-study-finds/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 612,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 16
},
"modified": 1390005771,
"excerpt": "Many studies have shown that parents don't always use carseats and booster seats, and their kids could be at increased risk in a crash. A new study published this week shows that non-white children have particularly low use.\r\n\r\nResearchers from The University of Michigan surveyed 601 parents about their car seat usage for 1 to 12-year-old children that received treatment at the emergency room. They found that non-white parents were nearly four times less likely to use appropriate child car restraints than white parents.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Many studies have shown that parents don't always use carseats and booster seats, and their kids could be at increased risk in a crash. A new study published this week shows that non-white children have particularly low use.\r\n\r\nResearchers from The University of Michigan surveyed 601 parents about their car seat usage for 1 to 12-year-old children that received treatment at the emergency room. They found that non-white parents were nearly four times less likely to use appropriate child car restraints than white parents.",
"title": "Minority Parents Less Likely to Use Appropriate Car Seat, Study Finds | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Minority Parents Less Likely to Use Appropriate Car Seat, Study Finds",
"datePublished": "2014-01-17T10:31:26-08:00",
"dateModified": "2014-01-17T16:42:51-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "minority-parents-less-likely-to-use-appropriate-car-seat-study-finds",
"status": "publish",
"path": "/stateofhealth/17184/minority-parents-less-likely-to-use-appropriate-car-seat-study-finds",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17245\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/hunterji/4054275272/sizes/l/\">\u003cimg class=\"size-large wp-image-17245\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/4054275272_489ecb436b_b-640x480.jpg\" alt=\"Children should always use a booster seat until they are big enough to fit in a seat belt properly. (Joshua & Amber/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Children should always use a booster seat until they are big enough to fit in a seat belt properly. (Joshua & Amber/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brian Lau, MD\u003c/strong>\u003c/p>\n\u003cp>Many studies have shown that parents don't always use carseats and booster seats, and their kids could be at increased risk in a crash. A new study published this week shows that non-white children have particularly low use.\u003c/p>\n\u003cp>Researchers from The University of Michigan surveyed 601 parents about their car seat usage for 1 to 12-year-old children that received treatment at the emergency room. They found that non-white parents were nearly four times less likely to use appropriate child car restraints than white parents.\u003c/p>\n\u003cp>Doctors and policy makers have known of this disparity and attributed it to socioeconomic variables. But the new study shows that differences remained even after accounting for education and income.\u003c!--more-->\u003c/p>\n\u003cp>“People have suggested that racial disparities in restraint use are due to differences in socioeconomic status,” said lead author Dr. Michelle Macy, a pediatrician at the University of Michigan, in an email. “Our results demonstrate the answer is more complicated than that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the study, the authors noted that because race continues to be a \"significant predictor\" of appropriate car seat usage, \"suggests that modifiable factors not measured in our study, such as parental knowledge, motivation, barriers, and sociocultural norms, may contribute to disparities.\"\u003c/p>\n\u003cp>Others point out that income and education are not the only factors when accounting for differences in racial and socio-economic disparities.\u003c/p>\n\u003cp>“Injury prevention often suffers with greater social stress,” said Dr. Lee Sanders, co-director of Stanford's Center for Policy, Outcomes and Prevention. “Factors like single-parent families and greater number of kids can make it difficult to keep up with changes from kid to kid.” Both of these factors are associated with lower socio-economic status and were not directly accounted for in the study.\u003c/p>\n\u003cp>Laws on injury prevention vary from state to state which may make it difficult for anyone, but particularly adults with greater social stressors, to track what kind of car seat is appropriate at what age.\u003c/p>\n\u003cp>“State laws generally fall short of ‘optimal’ child passenger safety recommendations,” said Dr. Macy. This may be due in part to state legislators lagging behind recent changes to the American Academy of Pediatric \u003ca href=\"http://pediatrics.aappublications.org/content/early/2011/03/21/peds.2011-0213.full.pdf+html\">guidelines\u003c/a> released in March 2011 that place greater emphasis on child size than child age when determining when to transition from car seats, booster seats, and ultimately the front seat.\u003c/p>\n\u003cp>“Keep kids in a rear seat whenever possible,\" said Dr. Macy, \"using a rear-facing car seat beyond 1 year and until the child outgrows the car seat’s rear-facing weight or height limit.\" She added that children should be in a booster seat from the time they outgrow their forward-facing car seat -- until an adult seat belt \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/injviosaf/Documents/boosterseatlawposterEng.pdf\" target=\"_blank\">fits properly\u003c/a>.\u003c/p>\n\u003cp>Having the proper car seat and knowing how to use it is one thing, but getting your kids to stay in them is another.\u003c/p>\n\u003cp>“One of the most effective methods is to tell the kids that you won’t start the car until they are safely in their seat,” said Dr. Sanders, “and don’t let the kid trying to get out of their seat or complaining, fool you into thinking they are safe without their child seat.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Regardless of race, proper child passenger restraint use is known to save lives. California has been one of the leaders in keeping\u003ca href=\"http://www.cdph.ca.gov/programs/Pages/CPSinCalifornia-VOSP.aspx\" target=\"_blank\"> its guidelines up-to-date\u003c/a> with the American Academy of Pediatrics.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17184/minority-parents-less-likely-to-use-appropriate-car-seat-study-finds",
"authors": [
"8344"
],
"categories": [
"stateofhealth_12"
],
"tags": [
"stateofhealth_96",
"stateofhealth_461"
],
"featImg": "stateofhealth_17245",
"label": "stateofhealth"
},
"stateofhealth_17223": {
"type": "posts",
"id": "stateofhealth_17223",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17223",
"score": null,
"sort": [
1389863827000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1389863827,
"format": "aside",
"disqusTitle": "How Much Does It Cost to Have a Baby in California? ",
"title": "How Much Does It Cost to Have a Baby in California? ",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17229\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/shingo/5938064111/sizes/l/\">\u003cimg class=\"size-large wp-image-17229\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/5938064111_04af369bb9_b-640x425.jpg\" alt=\"(Shingo/Flickr)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Did this baby's hospital charge $3,300 or $33,000 for delivery -- or somewhere in between? (Shingo/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The most common reason for hospitalization in the United States is childbirth. A new study published Thursday adds to the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/11/how-much-for-a-hip-replacement-good-luck-trying-to-find-out/\" target=\"_blank\"> depth\u003c/a> of\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/08/how-much-would-you-rather-pay-for-that-procedure-170000-or-43000/\" target=\"_blank\"> research \u003c/a>on \u003ca href=\"http://content.time.com/time/magazine/article/0,9171,2136864,00.html\" target=\"_blank\">cost variation\u003c/a> in the American medical system.\u003c/p>\n\u003cp>In \u003ca href=\"http://bmjopen.bmj.com/content/4/1/e004017.abstract?sid=a32193cf-85b1-4f07-b2d1-cba35214aa0a\" target=\"_blank\">the study\u003c/a>, researchers at U.C. San Francisco looked at 110,000 uncomplicated births across California and found that hospital charges for a vaginal delivery ranged from $3,296 to $37,227 and for a caesarian section the range was $8,312 to $70,908.\u003c/p>\n\u003cp>For health policy researchers, this is not a big surprise, said lead author Dr. Renee Hsia, an associate professor of emergency medicine at UCSF, but \"most people that aren't familiar with health care variation would be surprised and distressed.\"\u003c!--more-->\u003c/p>\n\u003cp>Hsia's team looked at many variables that could account for variation -- things like how sick patients might be or cost of living in one area versus another. \"Even after controlling for patient, hospital and market characteristics, we found significant variation,\" Hsia said.\u003c/p>\n\u003cp>In the study, published in BMJ Open, researchers concluded that they could only account for about one-third of the variation in charges. \"This implies,\" the authors write, \"that the variation is a result of either (1) unobservable hospital characteristics or (2) pure noise.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Before we go any further, let's get some terms straight. Few hospitals are paid what they \"charge.\" If the patient has insurance, the insurer pays whatever rate it negotiated with the hospital for the procedure. But if you're uninsured, Hsia says, you are in a tough spot. Even with the implementation of the Affordable Care Act, lack of health insurance is a continuing problem.\u003c/p>\n\u003cp>\"We still have 30 million uninsured who will see the real bill and who will face the real charges of that bill,\" Hsia said. She acknowledged that some of them may get discounts, but added \"50 percent of a ridiculous amount is still a ridiculous amount\" of money.\u003c/p>\n\u003cp>Jan Emerson-Shea of the California Hospital Association took issue with the study as a whole and the point about the uninsured in particular. She pointed to a \u003ca href=\"http://www.oshpd.ca.gov/HID/Products/Hospitals/FairPricing/HSC127400_CharityCarePoliciesSB350.pdf\" target=\"_blank\">California law\u003c/a> that requires hospitals to provide either free or discounted care to many uninsured patients.\u003c/p>\n\u003cp>\"If you're uninsured, state law prohibits you from being billed on charges, assuming you fall within income guidelines,\" Emerson-Shea said. \"In most cases, patients would fall into an income category that would qualify them for free care or a discounted amount.\"\u003c/p>\n\u003cp>In an email Hsia called the law a \"great effort and important Act\" but said it does not solve everyone's problems of high hospital bills. In her email she noted two points in particular:\u003c/p>\n\u003cblockquote>\n\u003cdiv>1) It only applies to those who are \"financially qualified.\" You have to make under 350% of the federal poverty level to qualify. So for a single person who makes more than $40,000, if you get a hospital bill of $30,000, you are not going to get a discount.\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cdiv>2) There is no specific language stating what discount the hospitals must provide.\u003c/div>\n\u003c/blockquote>\n\u003cp>But one thing Emerson-Shea and Hsia agreed on was that the opaque pricing system doesn't work. \"We acknowledge there's variation in hospital charges for a multitude of reasons,\" Emerson-Shea said. \"It's part of the broken health care system that we've had in this country for several decades.\"\u003c/p>\n\u003cp>\"I think it would be in everyone's interest to have a more rational system of hospital pricing,\" Hsia said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>This post has been updated to clarify Dr. Hsia's comments on hospital discount programs.\u003c/strong>\u003c/em>\u003c/p>\n\n",
"disqusIdentifier": "17223 http://blogs.kqed.org/stateofhealth/?p=17223",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/01/16/how-much-does-it-cost-to-have-a-baby-in-california/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 614,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 15
},
"modified": 1390005793,
"excerpt": "The most common reason for hospitalization in the United States is childbirth. A new study published Thursday adds to the depth of research on cost variation in the American medical system.\r\n\r\nIn the study, researchers at U.C. San Francisco looked at 110,000 uncomplicated births across California and found that hospital charges for a vaginal delivery ranged from $3,296 to $37,227 and for a caesarian section the range was $8,312 to $70,908.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The most common reason for hospitalization in the United States is childbirth. A new study published Thursday adds to the depth of research on cost variation in the American medical system.\r\n\r\nIn the study, researchers at U.C. San Francisco looked at 110,000 uncomplicated births across California and found that hospital charges for a vaginal delivery ranged from $3,296 to $37,227 and for a caesarian section the range was $8,312 to $70,908.",
"title": "How Much Does It Cost to Have a Baby in California? | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "How Much Does It Cost to Have a Baby in California? ",
"datePublished": "2014-01-16T01:17:07-08:00",
"dateModified": "2014-01-17T16:43:13-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "how-much-does-it-cost-to-have-a-baby-in-california",
"status": "publish",
"path": "/stateofhealth/17223/how-much-does-it-cost-to-have-a-baby-in-california",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17229\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/shingo/5938064111/sizes/l/\">\u003cimg class=\"size-large wp-image-17229\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/5938064111_04af369bb9_b-640x425.jpg\" alt=\"(Shingo/Flickr)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Did this baby's hospital charge $3,300 or $33,000 for delivery -- or somewhere in between? (Shingo/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The most common reason for hospitalization in the United States is childbirth. A new study published Thursday adds to the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/11/how-much-for-a-hip-replacement-good-luck-trying-to-find-out/\" target=\"_blank\"> depth\u003c/a> of\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/08/how-much-would-you-rather-pay-for-that-procedure-170000-or-43000/\" target=\"_blank\"> research \u003c/a>on \u003ca href=\"http://content.time.com/time/magazine/article/0,9171,2136864,00.html\" target=\"_blank\">cost variation\u003c/a> in the American medical system.\u003c/p>\n\u003cp>In \u003ca href=\"http://bmjopen.bmj.com/content/4/1/e004017.abstract?sid=a32193cf-85b1-4f07-b2d1-cba35214aa0a\" target=\"_blank\">the study\u003c/a>, researchers at U.C. San Francisco looked at 110,000 uncomplicated births across California and found that hospital charges for a vaginal delivery ranged from $3,296 to $37,227 and for a caesarian section the range was $8,312 to $70,908.\u003c/p>\n\u003cp>For health policy researchers, this is not a big surprise, said lead author Dr. Renee Hsia, an associate professor of emergency medicine at UCSF, but \"most people that aren't familiar with health care variation would be surprised and distressed.\"\u003c!--more-->\u003c/p>\n\u003cp>Hsia's team looked at many variables that could account for variation -- things like how sick patients might be or cost of living in one area versus another. \"Even after controlling for patient, hospital and market characteristics, we found significant variation,\" Hsia said.\u003c/p>\n\u003cp>In the study, published in BMJ Open, researchers concluded that they could only account for about one-third of the variation in charges. \"This implies,\" the authors write, \"that the variation is a result of either (1) unobservable hospital characteristics or (2) pure noise.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Before we go any further, let's get some terms straight. Few hospitals are paid what they \"charge.\" If the patient has insurance, the insurer pays whatever rate it negotiated with the hospital for the procedure. But if you're uninsured, Hsia says, you are in a tough spot. Even with the implementation of the Affordable Care Act, lack of health insurance is a continuing problem.\u003c/p>\n\u003cp>\"We still have 30 million uninsured who will see the real bill and who will face the real charges of that bill,\" Hsia said. She acknowledged that some of them may get discounts, but added \"50 percent of a ridiculous amount is still a ridiculous amount\" of money.\u003c/p>\n\u003cp>Jan Emerson-Shea of the California Hospital Association took issue with the study as a whole and the point about the uninsured in particular. She pointed to a \u003ca href=\"http://www.oshpd.ca.gov/HID/Products/Hospitals/FairPricing/HSC127400_CharityCarePoliciesSB350.pdf\" target=\"_blank\">California law\u003c/a> that requires hospitals to provide either free or discounted care to many uninsured patients.\u003c/p>\n\u003cp>\"If you're uninsured, state law prohibits you from being billed on charges, assuming you fall within income guidelines,\" Emerson-Shea said. \"In most cases, patients would fall into an income category that would qualify them for free care or a discounted amount.\"\u003c/p>\n\u003cp>In an email Hsia called the law a \"great effort and important Act\" but said it does not solve everyone's problems of high hospital bills. In her email she noted two points in particular:\u003c/p>\n\u003cblockquote>\n\u003cdiv>1) It only applies to those who are \"financially qualified.\" You have to make under 350% of the federal poverty level to qualify. So for a single person who makes more than $40,000, if you get a hospital bill of $30,000, you are not going to get a discount.\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cdiv>2) There is no specific language stating what discount the hospitals must provide.\u003c/div>\n\u003c/blockquote>\n\u003cp>But one thing Emerson-Shea and Hsia agreed on was that the opaque pricing system doesn't work. \"We acknowledge there's variation in hospital charges for a multitude of reasons,\" Emerson-Shea said. \"It's part of the broken health care system that we've had in this country for several decades.\"\u003c/p>\n\u003cp>\"I think it would be in everyone's interest to have a more rational system of hospital pricing,\" Hsia said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>This post has been updated to clarify Dr. Hsia's comments on hospital discount programs.\u003c/strong>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17223/how-much-does-it-cost-to-have-a-baby-in-california",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"tags": [
"stateofhealth_461"
],
"featImg": "stateofhealth_17229",
"label": "stateofhealth"
},
"stateofhealth_17149": {
"type": "posts",
"id": "stateofhealth_17149",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "17149",
"score": null,
"sort": [
1389638054000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1389638054,
"format": "aside",
"disqusTitle": "Back Pain? Exercise May Help You Learn Not to Feel It",
"title": "Back Pain? Exercise May Help You Learn Not to Feel It",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17153\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/79071736-e1389637911232.jpg\">\u003cimg class=\"size-large wp-image-17153\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/79071736-640x424.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"424\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Patti Neighmond and Richard Knox\u003c/strong>,\u003ca href=\"http://www.npr.org/blogs/health/2014/01/13/255457090/pain-in-the-back-exercise-may-help-you-learn-not-to-feel-it\" target=\"_blank\"> NPR\u003c/a>\u003c/p>\n\u003cp>More than 1 in 4 adult Americans say they've recently suffered a bout of low-back pain. It's one of the most common reasons people go to the doctor. And more and more people are being treated for it.\u003c/p>\n\u003cp>America spends \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=181453\">more than $80 billion a year\u003c/a> on back pain treatments. But many specialists say less treatment is usually more effective.\u003c/p>\n\u003cp>In fact, there's \u003ca href=\"http://www.jabfm.org/content/22/1/62.full.pdf+html\">evidence\u003c/a> that many standard treatments for back pain — surgery, spinal injections and painkillers — are often ineffective and can even worsen and prolong the problem.\u003c/p>\n\u003cp>Dr. Jerome Groopman agrees with that premise. He suffered back pain for almost 20 years. He was a young marathon runner 32 years ago when back pain struck out of the blue.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"I couldn't run. It was difficult to sleep,\" he says. \"I wasn't confined to bed, but I was hobbling around.\"\u003c!--more-->\u003c/p>\n\u003cp>Groopman, a Harvard cancer specialist who writes about medicine for \u003cem>The New Yorker\u003c/em>, wanted the problem fixed — right away. So he found a surgeon who removed a damaged \u003ca href=\"http://www.spine-health.com/conditions/spine-anatomy/spinal-discs\">disc\u003c/a>, the jellylike cushioning between each vertebra.\u003c/p>\n\u003cp>The surgery didn't fix his pain.\u003c/p>\n\u003cp>Then, one day during brunch at a friend's house, something happened that altered the course of his life.\u003c/p>\n\u003cp>\"I stood up from a chair and just had an explosive electric shock through my lower back,\" he remembers. \"Basically, I fell to the floor and couldn't get up.\"\u003c/p>\n\u003cp>His previous pain was severe. But this was over the top. Groopman could hardly move.\u003c/p>\n\u003cp>\"I was so desperate after almost three weeks that I found a neurosurgeon and orthopedist who said, 'You have spinal instability. We'll fuse you, and in three weeks you'll be playing football.' \"\u003c/p>\n\u003cp>In a \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/002968.htm\">spinal fusion\u003c/a>, surgeons weld together adjacent vertebrae with a bone graft. It's an \u003ca href=\"http://depts.washington.edu/ccor/studies/SpineSurgEpi.shtml\">increasingly common\u003c/a> operation.\u003c/p>\n\u003cp>But for Groopman, more surgery made things worse.\u003c/p>\n\u003cp>\"I woke up from the surgery in excruciating pain, and basically could hardly move my legs,\" he says. \"And I remember the orthopedic surgeon coming by and saying, 'Well, I don't know why you're having so much trouble. ... But, you know, if it doesn't get better in a few weeks we could reoperate.' \"\u003c/p>\n\u003cp>Some research suggests that \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/17268274\">1 in 5 patients\u003c/a> who have surgery for back pain end up having more surgery.\u003cstrong> \u003c/strong>For some, like Jerry Groopman, it doesn't help at all.\u003c/p>\n\u003cp>There's \"\u003ca href=\"http://www.jabfm.org/content/22/1/62.abstract?sid=e37c1e7a-9d17-440e-a7f2-a661a4ab70b7\">good reason\u003c/a> to think that we are overprescribing painkillers, overprescribing injections, overprescribing back surgery,\" according to Dr. Richard Deyo. He is an authority on evidence-based medicine at Oregon Health Sciences University who has studied treatment of back pain.\u003c/p>\n\u003cp>One reason invasive treatments for back pain have been rising in recent years, Deyo says, is the ready availability of \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/007493.htm\">MRI scans\u003c/a>. These detailed, color-coded pictures that can show a cross-section of the spine are a technological tour de force. But they can be dangerously \u003ca href=\"http://www.choosingwisely.org/doctor-patient-lists/imaging-tests-for-lower-back-pain/\">misleading\u003c/a>.\u003c/p>\n\u003cp>\"Seeing is believing,\" Deyo says. \"And gosh! We can actually see degenerated discs, we can see\u003cem> \u003c/em>bulging discs. We can see all kinds of things that are alarming.\"\u003c/p>\n\u003cp>That is, they look alarming. But they're most likely not the cause of the pain.\u003c/p>\n\u003cp>Lots of people who are pain-free actually have terrible-looking MRIs. And among those who have MRI abnormalities and pain, many specialists question whether the abnormality is really the cause of the pain, and whether fixing it can make the pain go away.\u003c/p>\n\u003cp>Surgery can help for certain conditions, such as a \u003ca href=\"http://www.webmd.com/back-pain/herniated-disc-18869\">herniated or bulging disc\u003c/a> with leg pain called \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/sciatica/basics/definition/con-20026478\">sciatica\u003c/a>. But most age-related back pain usually can't be fixed with surgery.\u003c/p>\n\u003cp>Research is showing that the pain often has nothing to do with the mechanics of the spine, but with the way the nervous system is behaving, according to \u003ca href=\"http://www.nebh.org/doctors/rainville-james-1008560\">Dr. James Rainville\u003c/a> of New England Baptist Hospital in Boston.\u003c/p>\n\u003cp>\"It's a change in the way the sensory system is processing information,\" says Rainville, who is a physiatrist, or specialist in rehabilitation medicine. \"Normal sensations of touch, sensations produced by movements, are translated by the nervous system into a pain message. That process is what drives people completely crazy who have back pain, because so many things produce discomfort.\"\u003c/p>\n\u003cp>This is a different way of thinking about pain. Normally pain is an alarm bell that says, \"Stop what you're doing right now or you may hurt yourself!\" But for many people, that pain is a false signal. It's not about looming danger; it's actually caused by hypersensitive nerves.\u003c/p>\n\u003cp>Rainville says that about \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/8935469\">25 percent\u003c/a> of patients with acute back trouble get stuck in an endless loop of pain. He thinks this chronic back pain is often due to persistent hypersensitivity of the nervous system.\u003c/p>\n\u003cp>Genetics may help explain why back pain becomes chronic for that 25 percent. But whatever the underlying cause, Rainville and others have discovered that many of them can learn to ignore their pain.\u003c/p>\n\u003cp>That process requires around six months of regular visits to a \u003ca href=\"http://www.youtube.com/watch?v=NM4jBGMb5s8\">back pain \"boot camp\u003c/a>,\" where specially trained therapists gradually increase the intensity of exercises designed not only to increase the strength and flexibility of the back, but also to teach patients that it's OK to move normally again.\u003c/p>\n\u003cp>Janet Wertheimer is a 61-year-old Massachusetts woman who recently completed Rainville's boot camp. She has had severe back pain on and off for 10 years.\u003c/p>\n\u003cp>One recent morning, therapist Lisa Childs put Wertheimer through her paces, starting with a rotary torso machine that required her to twist her back this way and that against the resistance of a stack of iron plates.\u003c/p>\n\u003cp>Next she moved to a back extension device. Wertheimer arched her back against the weight stack — by this point in her rehabilitation, 100 pounds of weight. It's something most people with chronic back pain couldn't imagine doing.\u003c/p>\n\u003cp>\"Do you feel like you could do 5 pounds more or 10 pounds?\" Childs asks.\u003c/p>\n\u003cp>\"You can try 10 and I'll see what happens,\" Wertheimer says.\u003c/p>\n\u003cp>Wertheimer has a sudden twinge in her back. But Childs, who's trained to evaluate these things, says it's OK. Wertheimer is building strength. And along the way, she's learning not to be afraid. \"It's learning not to fear the pain, learning that you can live with pain,\" Wertheimer says. \"Understand what that pain is, but then put it aside.\"\u003c/p>\n\u003cp>Most patients in Rainville's boot camp and similar programs find that the pain eventually lessens over a few months. Sometimes it even goes away.\u003c/p>\n\u003cp>For years after his spinal fusion, Groopman was never without back pain. He tried a long list of things without success. Then a friend suggested that he see Rainville.\u003c/p>\n\u003cp>Given his long search for relief, Groopman was skeptical. But he decided to give Rainville's boot camp a try.\u003c/p>\n\u003cp>\"He was really tough,\" Groopman recalls. \"He said to me, 'You are worshiping the volcano god of pain!' And I thought: 'What is this about?' \"\u003c/p>\n\u003cp>Rainville explains: \"In primitive cultures, if you lived near a volcano and the volcano started smoking and looking like something was going to happen, well, it was obvious[ly] because gods were mad at you. And you'd start doing silly things — sacrificing chickens or goats or whatever, thinking that that would appease the gods.\"\u003c/p>\n\u003cp>In a strange way, Rainville says, people with chronic back pain do something very similar. They sacrifice parts of their life — playing golf or softball, running, picking up bags of groceries or grandchildren. Patients get so afraid of pain, they do anything to avoid it.\u003c/p>\n\u003cp>\"They keep putting things onto this altar, thinking that's going to change the situation,\" Rainville says.\u003c/p>\n\u003cp>But it usually doesn't work. Instead, they get more paranoid about any twinge of pain, and all the while they lose strength and flexibility.\u003c/p>\n\u003cp>Eventually that message sank in with the skeptical Dr. Groopman. \"It took about two months for me to really buy in that this was the way to go,\" he says. \"Just let it go. Don't pay attention to it. ... And after about nine months, I was basically without any back pain.\"\u003c/p>\n\u003cp>It doesn't work that well for everyone. Janet Wertheimer still has some back pain. But she says after graduating from boot camp she can pretty much do anything she wants to — ski, go on mountain hikes, walk her dogs.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>And the pain? Most of the time, she says, she blocks it out and moves on.\u003c/p>\n\n",
"disqusIdentifier": "17149 http://blogs.kqed.org/stateofhealth/?p=17149",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2014/01/13/back-pain-exercise-may-help-you-learn-not-to-feel-it/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1464,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 47
},
"modified": 1389747176,
"excerpt": "Surgery can help for certain conditions, such as a herniated or bulging disc with leg pain called sciatica. But most age-related back pain usually can't be fixed with surgery.\r\n\r\nResearch is showing that the pain often has nothing to do with the mechanics of the spine, but with the way the nervous system is behaving, according to Dr. James Rainville of New England Baptist Hospital in Boston.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Surgery can help for certain conditions, such as a herniated or bulging disc with leg pain called sciatica. But most age-related back pain usually can't be fixed with surgery.\r\n\r\nResearch is showing that the pain often has nothing to do with the mechanics of the spine, but with the way the nervous system is behaving, according to Dr. James Rainville of New England Baptist Hospital in Boston.",
"title": "Back Pain? Exercise May Help You Learn Not to Feel It | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Back Pain? Exercise May Help You Learn Not to Feel It",
"datePublished": "2014-01-13T10:34:14-08:00",
"dateModified": "2014-01-14T16:52:56-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "back-pain-exercise-may-help-you-learn-not-to-feel-it",
"status": "publish",
"path": "/stateofhealth/17149/back-pain-exercise-may-help-you-learn-not-to-feel-it",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17153\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/79071736-e1389637911232.jpg\">\u003cimg class=\"size-large wp-image-17153\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/79071736-640x424.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"424\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Patti Neighmond and Richard Knox\u003c/strong>,\u003ca href=\"http://www.npr.org/blogs/health/2014/01/13/255457090/pain-in-the-back-exercise-may-help-you-learn-not-to-feel-it\" target=\"_blank\"> NPR\u003c/a>\u003c/p>\n\u003cp>More than 1 in 4 adult Americans say they've recently suffered a bout of low-back pain. It's one of the most common reasons people go to the doctor. And more and more people are being treated for it.\u003c/p>\n\u003cp>America spends \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=181453\">more than $80 billion a year\u003c/a> on back pain treatments. But many specialists say less treatment is usually more effective.\u003c/p>\n\u003cp>In fact, there's \u003ca href=\"http://www.jabfm.org/content/22/1/62.full.pdf+html\">evidence\u003c/a> that many standard treatments for back pain — surgery, spinal injections and painkillers — are often ineffective and can even worsen and prolong the problem.\u003c/p>\n\u003cp>Dr. Jerome Groopman agrees with that premise. He suffered back pain for almost 20 years. He was a young marathon runner 32 years ago when back pain struck out of the blue.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I couldn't run. It was difficult to sleep,\" he says. \"I wasn't confined to bed, but I was hobbling around.\"\u003c!--more-->\u003c/p>\n\u003cp>Groopman, a Harvard cancer specialist who writes about medicine for \u003cem>The New Yorker\u003c/em>, wanted the problem fixed — right away. So he found a surgeon who removed a damaged \u003ca href=\"http://www.spine-health.com/conditions/spine-anatomy/spinal-discs\">disc\u003c/a>, the jellylike cushioning between each vertebra.\u003c/p>\n\u003cp>The surgery didn't fix his pain.\u003c/p>\n\u003cp>Then, one day during brunch at a friend's house, something happened that altered the course of his life.\u003c/p>\n\u003cp>\"I stood up from a chair and just had an explosive electric shock through my lower back,\" he remembers. \"Basically, I fell to the floor and couldn't get up.\"\u003c/p>\n\u003cp>His previous pain was severe. But this was over the top. Groopman could hardly move.\u003c/p>\n\u003cp>\"I was so desperate after almost three weeks that I found a neurosurgeon and orthopedist who said, 'You have spinal instability. We'll fuse you, and in three weeks you'll be playing football.' \"\u003c/p>\n\u003cp>In a \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/002968.htm\">spinal fusion\u003c/a>, surgeons weld together adjacent vertebrae with a bone graft. It's an \u003ca href=\"http://depts.washington.edu/ccor/studies/SpineSurgEpi.shtml\">increasingly common\u003c/a> operation.\u003c/p>\n\u003cp>But for Groopman, more surgery made things worse.\u003c/p>\n\u003cp>\"I woke up from the surgery in excruciating pain, and basically could hardly move my legs,\" he says. \"And I remember the orthopedic surgeon coming by and saying, 'Well, I don't know why you're having so much trouble. ... But, you know, if it doesn't get better in a few weeks we could reoperate.' \"\u003c/p>\n\u003cp>Some research suggests that \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/17268274\">1 in 5 patients\u003c/a> who have surgery for back pain end up having more surgery.\u003cstrong> \u003c/strong>For some, like Jerry Groopman, it doesn't help at all.\u003c/p>\n\u003cp>There's \"\u003ca href=\"http://www.jabfm.org/content/22/1/62.abstract?sid=e37c1e7a-9d17-440e-a7f2-a661a4ab70b7\">good reason\u003c/a> to think that we are overprescribing painkillers, overprescribing injections, overprescribing back surgery,\" according to Dr. Richard Deyo. He is an authority on evidence-based medicine at Oregon Health Sciences University who has studied treatment of back pain.\u003c/p>\n\u003cp>One reason invasive treatments for back pain have been rising in recent years, Deyo says, is the ready availability of \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/007493.htm\">MRI scans\u003c/a>. These detailed, color-coded pictures that can show a cross-section of the spine are a technological tour de force. But they can be dangerously \u003ca href=\"http://www.choosingwisely.org/doctor-patient-lists/imaging-tests-for-lower-back-pain/\">misleading\u003c/a>.\u003c/p>\n\u003cp>\"Seeing is believing,\" Deyo says. \"And gosh! We can actually see degenerated discs, we can see\u003cem> \u003c/em>bulging discs. We can see all kinds of things that are alarming.\"\u003c/p>\n\u003cp>That is, they look alarming. But they're most likely not the cause of the pain.\u003c/p>\n\u003cp>Lots of people who are pain-free actually have terrible-looking MRIs. And among those who have MRI abnormalities and pain, many specialists question whether the abnormality is really the cause of the pain, and whether fixing it can make the pain go away.\u003c/p>\n\u003cp>Surgery can help for certain conditions, such as a \u003ca href=\"http://www.webmd.com/back-pain/herniated-disc-18869\">herniated or bulging disc\u003c/a> with leg pain called \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/sciatica/basics/definition/con-20026478\">sciatica\u003c/a>. But most age-related back pain usually can't be fixed with surgery.\u003c/p>\n\u003cp>Research is showing that the pain often has nothing to do with the mechanics of the spine, but with the way the nervous system is behaving, according to \u003ca href=\"http://www.nebh.org/doctors/rainville-james-1008560\">Dr. James Rainville\u003c/a> of New England Baptist Hospital in Boston.\u003c/p>\n\u003cp>\"It's a change in the way the sensory system is processing information,\" says Rainville, who is a physiatrist, or specialist in rehabilitation medicine. \"Normal sensations of touch, sensations produced by movements, are translated by the nervous system into a pain message. That process is what drives people completely crazy who have back pain, because so many things produce discomfort.\"\u003c/p>\n\u003cp>This is a different way of thinking about pain. Normally pain is an alarm bell that says, \"Stop what you're doing right now or you may hurt yourself!\" But for many people, that pain is a false signal. It's not about looming danger; it's actually caused by hypersensitive nerves.\u003c/p>\n\u003cp>Rainville says that about \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/8935469\">25 percent\u003c/a> of patients with acute back trouble get stuck in an endless loop of pain. He thinks this chronic back pain is often due to persistent hypersensitivity of the nervous system.\u003c/p>\n\u003cp>Genetics may help explain why back pain becomes chronic for that 25 percent. But whatever the underlying cause, Rainville and others have discovered that many of them can learn to ignore their pain.\u003c/p>\n\u003cp>That process requires around six months of regular visits to a \u003ca href=\"http://www.youtube.com/watch?v=NM4jBGMb5s8\">back pain \"boot camp\u003c/a>,\" where specially trained therapists gradually increase the intensity of exercises designed not only to increase the strength and flexibility of the back, but also to teach patients that it's OK to move normally again.\u003c/p>\n\u003cp>Janet Wertheimer is a 61-year-old Massachusetts woman who recently completed Rainville's boot camp. She has had severe back pain on and off for 10 years.\u003c/p>\n\u003cp>One recent morning, therapist Lisa Childs put Wertheimer through her paces, starting with a rotary torso machine that required her to twist her back this way and that against the resistance of a stack of iron plates.\u003c/p>\n\u003cp>Next she moved to a back extension device. Wertheimer arched her back against the weight stack — by this point in her rehabilitation, 100 pounds of weight. It's something most people with chronic back pain couldn't imagine doing.\u003c/p>\n\u003cp>\"Do you feel like you could do 5 pounds more or 10 pounds?\" Childs asks.\u003c/p>\n\u003cp>\"You can try 10 and I'll see what happens,\" Wertheimer says.\u003c/p>\n\u003cp>Wertheimer has a sudden twinge in her back. But Childs, who's trained to evaluate these things, says it's OK. Wertheimer is building strength. And along the way, she's learning not to be afraid. \"It's learning not to fear the pain, learning that you can live with pain,\" Wertheimer says. \"Understand what that pain is, but then put it aside.\"\u003c/p>\n\u003cp>Most patients in Rainville's boot camp and similar programs find that the pain eventually lessens over a few months. Sometimes it even goes away.\u003c/p>\n\u003cp>For years after his spinal fusion, Groopman was never without back pain. He tried a long list of things without success. Then a friend suggested that he see Rainville.\u003c/p>\n\u003cp>Given his long search for relief, Groopman was skeptical. But he decided to give Rainville's boot camp a try.\u003c/p>\n\u003cp>\"He was really tough,\" Groopman recalls. \"He said to me, 'You are worshiping the volcano god of pain!' And I thought: 'What is this about?' \"\u003c/p>\n\u003cp>Rainville explains: \"In primitive cultures, if you lived near a volcano and the volcano started smoking and looking like something was going to happen, well, it was obvious[ly] because gods were mad at you. And you'd start doing silly things — sacrificing chickens or goats or whatever, thinking that that would appease the gods.\"\u003c/p>\n\u003cp>In a strange way, Rainville says, people with chronic back pain do something very similar. They sacrifice parts of their life — playing golf or softball, running, picking up bags of groceries or grandchildren. Patients get so afraid of pain, they do anything to avoid it.\u003c/p>\n\u003cp>\"They keep putting things onto this altar, thinking that's going to change the situation,\" Rainville says.\u003c/p>\n\u003cp>But it usually doesn't work. Instead, they get more paranoid about any twinge of pain, and all the while they lose strength and flexibility.\u003c/p>\n\u003cp>Eventually that message sank in with the skeptical Dr. Groopman. \"It took about two months for me to really buy in that this was the way to go,\" he says. \"Just let it go. Don't pay attention to it. ... And after about nine months, I was basically without any back pain.\"\u003c/p>\n\u003cp>It doesn't work that well for everyone. Janet Wertheimer still has some back pain. But she says after graduating from boot camp she can pretty much do anything she wants to — ski, go on mountain hikes, walk her dogs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And the pain? Most of the time, she says, she blocks it out and moves on.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/17149/back-pain-exercise-may-help-you-learn-not-to-feel-it",
"authors": [
"240"
],
"categories": [
"stateofhealth_12"
],
"tags": [
"stateofhealth_58",
"stateofhealth_461"
],
"featImg": "stateofhealth_17153",
"label": "stateofhealth"
}
},
"podcastsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"podcasts": {}
},
"radioProgramsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"radioPrograms": {}
},
"radioSearchSegmentsReducer": {},
"programsReducer": {
"all-things-considered": {
"id": "all-things-considered",
"title": "All Things Considered",
"info": "Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.",
"airtime": "MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/all-things-considered/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/all-things-considered"
},
"american-suburb-podcast": {
"id": "american-suburb-podcast",
"title": "American Suburb: The Podcast",
"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg",
"officialWebsiteLink": "/news/series/american-suburb-podcast",
"meta": {
"site": "news",
"source": "kqed",
"order": 19
},
"link": "/news/series/american-suburb-podcast/",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/RBrW",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328",
"tuneIn": "https://tunein.com/radio/American-Suburb-p1086805/",
"rss": "https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"
}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Bay Curious",
"officialWebsiteLink": "/news/series/baycurious",
"meta": {
"site": "news",
"source": "kqed",
"order": 3
},
"link": "/podcasts/baycurious",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/bay-curious/id1172473406",
"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
"rss": "https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast",
"amazon": "https://music.amazon.com/podcasts/9a90d476-aa04-455d-9a4c-0871ed6216d4/bay-curious",
"stitcher": "https://www.stitcher.com/podcast/kqed/bay-curious",
"spotify": "https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"
}
},
"bbc-world-service": {
"id": "bbc-world-service",
"title": "BBC World Service",
"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
"site": "news",
"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report",
"officialWebsiteLink": "/californiareport",
"meta": {
"site": "news",
"source": "kqed",
"order": 8
},
"link": "/californiareport",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-the-california-report/id79681292",
"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
"npr": "https://www.npr.org/podcasts/432285393/the-california-report",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-the-california-report-podcast-8838",
"rss": "https://ww2.kqed.org/news/tag/tcram/feed/podcast"
}
},
"californiareportmagazine": {
"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Magazine-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report Magazine",
"officialWebsiteLink": "/californiareportmagazine",
"meta": {
"site": "news",
"source": "kqed",
"order": 10
},
"link": "/californiareportmagazine",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-california-report-magazine/id1314750545",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
"npr": "https://www.npr.org/podcasts/564733126/the-california-report-magazine",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-california-report-magazine",
"rss": "https://ww2.kqed.org/news/tag/tcrmag/feed/podcast"
}
},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
"tagline": "Your irreverent guide to the trends redefining our world",
"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/02/CAT_2_Tile-scaled.jpg",
"imageAlt": "KQED Close All Tabs",
"officialWebsiteLink": "/podcasts/closealltabs",
"meta": {
"site": "news",
"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/close-all-tabs/id214663465",
"rss": "https://feeds.megaphone.fm/KQINC6993880386",
"amazon": "https://music.amazon.com/podcasts/92d9d4ac-67a3-4eed-b10a-fb45d45b1ef2/close-all-tabs",
"spotify": "https://open.spotify.com/show/6LAJFHnGK1pYXYzv6SIol6?si=deb0cae19813417c"
}
},
"code-switch-life-kit": {
"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
"airtime": "SUN 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/code-switch-life-kit",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
"spotify": "https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV",
"rss": "https://feeds.npr.org/510312/podcast.xml"
}
},
"commonwealth-club": {
"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
"tuneIn": "https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"
}
},
"forum": {
"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
"officialWebsiteLink": "/forum",
"meta": {
"site": "news",
"source": "kqed",
"order": 9
},
"link": "/forum",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
"npr": "https://www.npr.org/podcasts/432307980/forum",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast",
"rss": "https://feeds.megaphone.fm/KQINC9557381633"
}
},
"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
"airtime": "MON-FRI 7pm-8pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/fresh-air/",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/fresh-air",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Fresh-Air-p17/",
"rss": "https://feeds.npr.org/381444908/podcast.xml"
}
},
"here-and-now": {
"id": "here-and-now",
"title": "Here & Now",
"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
"airtime": "MON-THU 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://www.wbur.org/hereandnow",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/here-and-now",
"subsdcribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661",
"tuneIn": "https://tunein.com/radio/Here--Now-p211/",
"rss": "https://feeds.npr.org/510051/podcast.xml"
}
},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/hidden-brain/id1028908750?mt=2",
"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
"tuneIn": "https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/",
"rss": "https://feeds.npr.org/510313/podcast.xml"
}
},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
"site": "news",
"source": "kqed",
"order": 15
},
"link": "/podcasts/hyphenacion",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/hyphenaci%C3%B3n/id1191591838",
"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
"youtube": "https://www.youtube.com/c/kqedarts",
"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
"site": "news",
"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
"subscribe": {
"npr": "https://www.npr.org/podcasts/790253322/the-political-mind-of-jerry-brown",
"apple": "https://itunes.apple.com/us/podcast/id1492194549",
"rss": "https://ww2.kqed.org/news/series/jerrybrown/feed/podcast/",
"tuneIn": "http://tun.in/pjGcK",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-political-mind-of-jerry-brown",
"spotify": "https://open.spotify.com/show/54C1dmuyFyKMFttY6X2j6r?si=K8SgRCoISNK6ZbjpXrX5-w",
"amazon": "https://music.amazon.com/podcasts/44420f75-3b0e-4301-ab3b-16da6b09e543/the-political-mind-of-jerry-brown"
}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Latino-USA-p621/",
"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/APM-Marketplace-p88/",
"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
"site": "news",
"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
"npr": "https://rpb3r.app.goo.gl/onourwatch",
"spotify": "https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x",
"tuneIn": "https://tunein.com/radio/On-Our-Watch-p1436229/",
"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
"site": "radio",
"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
}
},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/political-breakdown/id1327641087",
"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
"stitcher": "https://www.stitcher.com/podcast/kqed/political-breakdown",
"spotify": "https://open.spotify.com/show/07RVyIjIdk2WDuVehvBMoN",
"rss": "https://ww2.kqed.org/news/tag/political-breakdown/feed/podcast"
}
},
"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
"meta": {
"site": "news",
"source": "Possible"
},
"link": "/radio/program/possible",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/possible/id1677184070",
"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
}
},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pri.org/programs/the-world",
"meta": {
"site": "news",
"source": "PRI"
},
"link": "/radio/program/pri-the-world",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pris-the-world-latest-edition/id278196007?mt=2",
"tuneIn": "https://tunein.com/podcasts/News--Politics-Podcasts/PRIs-The-World-p24/",
"rss": "http://feeds.feedburner.com/pri/theworld"
}
},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
"airtime": "SUN 12am-1am, SAT 2pm-3pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/radiolab1400.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/radiolab/",
"meta": {
"site": "science",
"source": "WNYC"
},
"link": "/radio/program/radiolab",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/radiolab/id152249110?mt=2",
"tuneIn": "https://tunein.com/radio/RadioLab-p68032/",
"rss": "https://feeds.wnyc.org/radiolab"
}
},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png",
"officialWebsiteLink": "https://www.revealnews.org/episodes/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/reveal",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/reveal/id886009669",
"tuneIn": "https://tunein.com/radio/Reveal-p679597/",
"rss": "http://feeds.revealradio.org/revealpodcast"
}
},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Rightnowish-Podcast-Tile-500x500-1.jpg",
"imageAlt": "KQED Rightnowish with Pendarvis Harshaw",
"officialWebsiteLink": "/podcasts/rightnowish",
"meta": {
"site": "arts",
"source": "kqed",
"order": 16
},
"link": "/podcasts/rightnowish",
"subscribe": {
"npr": "https://www.npr.org/podcasts/721590300/rightnowish",
"rss": "https://ww2.kqed.org/arts/programs/rightnowish/feed/podcast",
"apple": "https://podcasts.apple.com/us/podcast/rightnowish/id1482187648",
"stitcher": "https://www.stitcher.com/podcast/kqed/rightnowish",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMxMjU5MTY3NDc4",
"spotify": "https://open.spotify.com/show/7kEJuafTzTVan7B78ttz1I"
}
},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
"airtime": "FRI 11am-1pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Science-Friday-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/science-friday",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/science-friday",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=73329284&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Science-Friday-p394/",
"rss": "http://feeds.wnyc.org/science-friday"
}
},
"snap-judgment": {
"id": "snap-judgment",
"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
"airtime": "SAT 1pm-2pm, 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/05/Snap-Judgment-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Snap Judgment",
"officialWebsiteLink": "https://snapjudgment.org",
"meta": {
"site": "arts",
"source": "kqed",
"order": 4
},
"link": "https://snapjudgment.org",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/snap-judgment/id283657561",
"npr": "https://www.npr.org/podcasts/449018144/snap-judgment",
"stitcher": "https://www.pandora.com/podcast/snap-judgment/PC:241?source=stitcher-sunset",
"spotify": "https://open.spotify.com/show/3Cct7ZWmxHNAtLgBTqjC5v",
"rss": "https://snap.feed.snapjudgment.org/"
}
},
"soldout": {
"id": "soldout",
"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
"info": "Sold Out: Rethinking Housing in America",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Sold-Out-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Sold Out: Rethinking Housing in America",
"officialWebsiteLink": "/podcasts/soldout",
"meta": {
"site": "news",
"source": "kqed",
"order": 13
},
"link": "/podcasts/soldout",
"subscribe": {
"npr": "https://www.npr.org/podcasts/911586047/s-o-l-d-o-u-t-a-new-future-for-housing",
"apple": "https://podcasts.apple.com/us/podcast/introducing-sold-out-rethinking-housing-in-america/id1531354937",
"rss": "https://feeds.megaphone.fm/soldout",
"spotify": "https://open.spotify.com/show/38dTBSk2ISFoPiyYNoKn1X",
"stitcher": "https://www.stitcher.com/podcast/kqed/sold-out-rethinking-housing-in-america",
"tunein": "https://tunein.com/radio/SOLD-OUT-Rethinking-Housing-in-America-p1365871/"
}
},
"spooked": {
"id": "spooked",
"title": "Spooked",
"tagline": "True-life supernatural stories",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/10/Spooked-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Spooked",
"officialWebsiteLink": "https://spookedpodcast.org/",
"meta": {
"site": "news",
"source": "kqed",
"order": 7
},
"link": "https://spookedpodcast.org/",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/spooked/id1279361017",
"npr": "https://www.npr.org/podcasts/549547848/snap-judgment-presents-spooked",
"spotify": "https://open.spotify.com/show/76571Rfl3m7PLJQZKQIGCT",
"rss": "https://feeds.simplecast.com/TBotaapn"
}
},
"tech-nation": {
"id": "tech-nation",
"title": "Tech Nation Radio Podcast",
"info": "Tech Nation is a weekly public radio program, hosted by Dr. Moira Gunn. Founded in 1993, it has grown from a simple interview show to a multi-faceted production, featuring conversations with noted technology and science leaders, and a weekly science and technology-related commentary.",
"airtime": "FRI 10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Tech-Nation-Radio-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://technation.podomatic.com/",
"meta": {
"site": "science",
"source": "Tech Nation Media"
},
"link": "/radio/program/tech-nation",
"subscribe": {
"rss": "https://technation.podomatic.com/rss2.xml"
}
},
"ted-radio-hour": {
"id": "ted-radio-hour",
"title": "TED Radio Hour",
"info": "The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.",
"airtime": "SUN 3pm-4pm, SAT 10pm-11pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/tedRadioHour.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/ted-radio-hour/?showDate=2018-06-22",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/ted-radio-hour",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/8vsS",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=523121474&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/TED-Radio-Hour-p418021/",
"rss": "https://feeds.npr.org/510298/podcast.xml"
}
},
"thebay": {
"id": "thebay",
"title": "The Bay",
"tagline": "Local news to keep you rooted",
"info": "Host Devin Katayama walks you through the biggest story of the day with reporters and newsmakers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Bay-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Bay",
"officialWebsiteLink": "/podcasts/thebay",
"meta": {
"site": "radio",
"source": "kqed",
"order": 2
},
"link": "/podcasts/thebay",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-bay/id1350043452",
"amazon": "https://music.amazon.com/podcasts/d800ea4c-7a2c-42f2-b861-edaf78a5db0b/the-bay",
"npr": "https://www.npr.org/podcasts/586725995/the-bay",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-bay",
"spotify": "https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ",
"rss": "https://feeds.megaphone.fm/KQINC8259786327"
}
},
"thelatest": {
"id": "thelatest",
"title": "The Latest",
"tagline": "Trusted local news in real time",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/05/The-Latest-2025-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Latest",
"officialWebsiteLink": "/thelatest",
"meta": {
"site": "news",
"source": "kqed",
"order": 6
},
"link": "/thelatest",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-latest-from-kqed/id1197721799",
"npr": "https://www.npr.org/podcasts/1257949365/the-latest-from-k-q-e-d",
"spotify": "https://open.spotify.com/show/5KIIXMgM9GTi5AepwOYvIZ?si=bd3053fec7244dba",
"rss": "https://feeds.megaphone.fm/KQINC9137121918"
}
},
"theleap": {
"id": "theleap",
"title": "The Leap",
"tagline": "What if you closed your eyes, and jumped?",
"info": "Stories about people making dramatic, risky changes, told by award-winning public radio reporter Judy Campbell.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Leap-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Leap",
"officialWebsiteLink": "/podcasts/theleap",
"meta": {
"site": "news",
"source": "kqed",
"order": 17
},
"link": "/podcasts/theleap",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-leap/id1046668171",
"npr": "https://www.npr.org/podcasts/447248267/the-leap",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-leap",
"spotify": "https://open.spotify.com/show/3sSlVHHzU0ytLwuGs1SD1U",
"rss": "https://ww2.kqed.org/news/programs/the-leap/feed/podcast"
}
},
"the-moth-radio-hour": {
"id": "the-moth-radio-hour",
"title": "The Moth Radio Hour",
"info": "Since its launch in 1997, The Moth has presented thousands of true stories, told live and without notes, to standing-room-only crowds worldwide. Moth storytellers stand alone, under a spotlight, with only a microphone and a roomful of strangers. The storyteller and the audience embark on a high-wire act of shared experience which is both terrifying and exhilarating. Since 2008, The Moth podcast has featured many of our favorite stories told live on Moth stages around the country. For information on all of our programs and live events, visit themoth.org.",
"airtime": "SAT 8pm-9pm and SUN 11am-12pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/theMoth.jpg",
"officialWebsiteLink": "https://themoth.org/",
"meta": {
"site": "arts",
"source": "prx"
},
"link": "/radio/program/the-moth-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/the-moth-podcast/id275699983?mt=2",
"tuneIn": "https://tunein.com/radio/The-Moth-p273888/",
"rss": "http://feeds.themoth.org/themothpodcast"
}
},
"the-new-yorker-radio-hour": {
"id": "the-new-yorker-radio-hour",
"title": "The New Yorker Radio Hour",
"info": "The New Yorker Radio Hour is a weekly program presented by the magazine's editor, David Remnick, and produced by WNYC Studios and The New Yorker. Each episode features a diverse mix of interviews, profiles, storytelling, and an occasional burst of humor inspired by the magazine, and shaped by its writers, artists, and editors. This isn't a radio version of a magazine, but something all its own, reflecting the rich possibilities of audio storytelling and conversation. Theme music for the show was composed and performed by Merrill Garbus of tUnE-YArDs.",
"airtime": "SAT 10am-11am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-New-Yorker-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/tnyradiohour",
"meta": {
"site": "arts",
"source": "WNYC"
},
"link": "/radio/program/the-new-yorker-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/id1050430296",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/New-Yorker-Radio-Hour-p803804/",
"rss": "https://feeds.feedburner.com/newyorkerradiohour"
}
},
"the-sam-sanders-show": {
"id": "the-sam-sanders-show",
"title": "The Sam Sanders Show",
"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
"airtime": "FRI 12-1pm AND SAT 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/11/The-Sam-Sanders-Show-Podcast-Tile-400x400-1.jpg",
"officialWebsiteLink": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"meta": {
"site": "arts",
"source": "KCRW"
},
"link": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"subscribe": {
"rss": "https://feed.cdnstream1.com/zjb/feed/download/ac/28/59/ac28594c-e1d0-4231-8728-61865cdc80e8.xml"
}
},
"the-splendid-table": {
"id": "the-splendid-table",
"title": "The Splendid Table",
"info": "\u003cem>The Splendid Table\u003c/em> hosts our nation's conversations about cooking, sustainability and food culture.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Splendid-Table-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.splendidtable.org/",
"airtime": "SUN 10-11 pm",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/the-splendid-table"
},
"this-american-life": {
"id": "this-american-life",
"title": "This American Life",
"info": "This American Life is a weekly public radio show, heard by 2.2 million people on more than 500 stations. Another 2.5 million people download the weekly podcast. It is hosted by Ira Glass, produced in collaboration with Chicago Public Media, delivered to stations by PRX The Public Radio Exchange, and has won all of the major broadcasting awards.",
"airtime": "SAT 12pm-1pm, 7pm-8pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/thisAmericanLife.png",
"officialWebsiteLink": "https://www.thisamericanlife.org/",
"meta": {
"site": "news",
"source": "wbez"
},
"link": "/radio/program/this-american-life",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201671138&at=11l79Y&ct=nprdirectory",
"rss": "https://www.thisamericanlife.org/podcast/rss.xml"
}
},
"tinydeskradio": {
"id": "tinydeskradio",
"title": "Tiny Desk Radio",
"info": "We're bringing the best of Tiny Desk to the airwaves, only on public radio.",
"airtime": "SUN 8pm and SAT 9pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/04/300x300-For-Member-Station-Logo-Tiny-Desk-Radio-@2x.png",
"officialWebsiteLink": "https://www.npr.org/series/g-s1-52030/tiny-desk-radio",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/tinydeskradio",
"subscribe": {
"rss": "https://feeds.npr.org/g-s1-52030/rss.xml"
}
},
"wait-wait-dont-tell-me": {
"id": "wait-wait-dont-tell-me",
"title": "Wait Wait... Don't Tell Me!",
"info": "Peter Sagal and Bill Kurtis host the weekly NPR News quiz show alongside some of the best and brightest news and entertainment personalities.",
"airtime": "SUN 10am-11am, SAT 11am-12pm, SAT 6pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Wait-Wait-Podcast-Tile-300x300-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/wait-wait-dont-tell-me/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/wait-wait-dont-tell-me",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/Xogv",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=121493804&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Wait-Wait-Dont-Tell-Me-p46/",
"rss": "https://feeds.npr.org/344098539/podcast.xml"
}
},
"weekend-edition-saturday": {
"id": "weekend-edition-saturday",
"title": "Weekend Edition Saturday",
"info": "Weekend Edition Saturday wraps up the week's news and offers a mix of analysis and features on a wide range of topics, including arts, sports, entertainment, and human interest stories. The two-hour program is hosted by NPR's Peabody Award-winning Scott Simon.",
"airtime": "SAT 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-saturday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-saturday"
},
"weekend-edition-sunday": {
"id": "weekend-edition-sunday",
"title": "Weekend Edition Sunday",
"info": "Weekend Edition Sunday features interviews with newsmakers, artists, scientists, politicians, musicians, writers, theologians and historians. The program has covered news events from Nelson Mandela's 1990 release from a South African prison to the capture of Saddam Hussein.",
"airtime": "SUN 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-sunday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-sunday"
}
},
"racesReducer": {},
"racesGenElectionReducer": {},
"racesGenElection2026Reducer": {},
"racesGenElection2026PresidentialReducer": {},
"radioSchedulesReducer": {},
"listsReducer": {
"posts/stateofhealth?tag=science": {
"isFetching": false,
"latestQuery": {
"from": 156,
"size": 12
},
"vitalsOnly": false,
"totalRequested": 12,
"isLoading": false,
"isLoadingMore": true,
"total": {
"value": 266,
"relation": "eq"
},
"items": [
"stateofhealth_17595",
"stateofhealth_17582",
"stateofhealth_17542",
"stateofhealth_17505",
"stateofhealth_17439",
"stateofhealth_17425",
"stateofhealth_17413",
"stateofhealth_17372",
"stateofhealth_17303",
"stateofhealth_17184",
"stateofhealth_17223",
"stateofhealth_17149"
],
"complete": true
}
},
"recallGuideReducer": {
"intros": {},
"policy": {},
"candidates": {}
},
"savedArticleReducer": {
"articles": [],
"status": {}
},
"newslettersReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"newsletters": {},
"isSubscribing": false,
"isUnsubscribing": false,
"subscribedNewsletters": {}
},
"termsReducer": {
"about": {
"name": "About",
"type": "terms",
"id": "about",
"slug": "about",
"link": "/about",
"taxonomy": "site"
},
"arts": {
"name": "Arts & Culture",
"grouping": [
"arts",
"pop",
"trulyca"
],
"description": "KQED Arts provides daily in-depth coverage of the Bay Area's music, art, film, performing arts, literature and arts news, as well as cultural commentary and criticism.",
"type": "terms",
"id": "arts",
"slug": "arts",
"link": "/arts",
"taxonomy": "site"
},
"artschool": {
"name": "Art School",
"parent": "arts",
"type": "terms",
"id": "artschool",
"slug": "artschool",
"link": "/artschool",
"taxonomy": "site"
},
"bayareabites": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "bayareabites",
"slug": "bayareabites",
"link": "/food",
"taxonomy": "site"
},
"bayareahiphop": {
"name": "Bay Area Hiphop",
"type": "terms",
"id": "bayareahiphop",
"slug": "bayareahiphop",
"link": "/bayareahiphop",
"taxonomy": "site"
},
"campaign21": {
"name": "Campaign 21",
"type": "terms",
"id": "campaign21",
"slug": "campaign21",
"link": "/campaign21",
"taxonomy": "site"
},
"careers": {
"name": "Careers",
"type": "terms",
"id": "careers",
"slug": "careers",
"link": "/careers",
"taxonomy": "site"
},
"checkplease": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "checkplease",
"slug": "checkplease",
"link": "/food",
"taxonomy": "site"
},
"education": {
"name": "Education",
"grouping": [
"education"
],
"type": "terms",
"id": "education",
"slug": "education",
"link": "/education",
"taxonomy": "site"
},
"elections": {
"name": "Elections",
"type": "terms",
"id": "elections",
"slug": "elections",
"link": "/elections",
"taxonomy": "site"
},
"events": {
"name": "Events",
"type": "terms",
"id": "events",
"slug": "events",
"link": "/events",
"taxonomy": "site"
},
"event": {
"name": "Event",
"alias": "events",
"type": "terms",
"id": "event",
"slug": "event",
"link": "/event",
"taxonomy": "site"
},
"filmschoolshorts": {
"name": "Film School Shorts",
"type": "terms",
"id": "filmschoolshorts",
"slug": "filmschoolshorts",
"link": "/filmschoolshorts",
"taxonomy": "site"
},
"food": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"type": "terms",
"id": "food",
"slug": "food",
"link": "/food",
"taxonomy": "site"
},
"forum": {
"name": "Forum",
"relatedContentQuery": "posts/forum?",
"parent": "news",
"type": "terms",
"id": "forum",
"slug": "forum",
"link": "/forum",
"taxonomy": "site"
},
"futureofyou": {
"name": "Future of You",
"grouping": [
"science",
"futureofyou"
],
"parent": "science",
"type": "terms",
"id": "futureofyou",
"slug": "futureofyou",
"link": "/futureofyou",
"taxonomy": "site"
},
"jpepinheart": {
"name": "KQED food",
"relatedContentQuery": "posts/food,bayareabites,checkplease",
"parent": "food",
"type": "terms",
"id": "jpepinheart",
"slug": "jpepinheart",
"link": "/food",
"taxonomy": "site"
},
"liveblog": {
"name": "Live Blog",
"type": "terms",
"id": "liveblog",
"slug": "liveblog",
"link": "/liveblog",
"taxonomy": "site"
},
"livetv": {
"name": "Live TV",
"parent": "tv",
"type": "terms",
"id": "livetv",
"slug": "livetv",
"link": "/livetv",
"taxonomy": "site"
},
"lowdown": {
"name": "The Lowdown",
"relatedContentQuery": "posts/lowdown?",
"parent": "news",
"type": "terms",
"id": "lowdown",
"slug": "lowdown",
"link": "/lowdown",
"taxonomy": "site"
},
"mindshift": {
"name": "Mindshift",
"parent": "news",
"description": "MindShift explores the future of education by highlighting the innovative – and sometimes counterintuitive – ways educators and parents are helping all children succeed.",
"type": "terms",
"id": "mindshift",
"slug": "mindshift",
"link": "/mindshift",
"taxonomy": "site"
},
"news": {
"name": "News",
"grouping": [
"news",
"forum"
],
"type": "terms",
"id": "news",
"slug": "news",
"link": "/news",
"taxonomy": "site"
},
"newsletters": {
"name": "newsletters",
"type": "terms",
"id": "newsletters",
"slug": "newsletters",
"link": "/newsletters",
"taxonomy": "site"
},
"perspectives": {
"name": "Perspectives",
"parent": "radio",
"type": "terms",
"id": "perspectives",
"slug": "perspectives",
"link": "/perspectives",
"taxonomy": "site"
},
"podcasts": {
"name": "Podcasts",
"type": "terms",
"id": "podcasts",
"slug": "podcasts",
"link": "/podcasts",
"taxonomy": "site"
},
"pop": {
"name": "Pop",
"parent": "arts",
"type": "terms",
"id": "pop",
"slug": "pop",
"link": "/pop",
"taxonomy": "site"
},
"pressroom": {
"name": "Pressroom",
"type": "terms",
"id": "pressroom",
"slug": "pressroom",
"link": "/pressroom",
"taxonomy": "site"
},
"quest": {
"name": "Quest",
"parent": "science",
"type": "terms",
"id": "quest",
"slug": "quest",
"link": "/quest",
"taxonomy": "site"
},
"radio": {
"name": "Radio",
"grouping": [
"forum",
"perspectives"
],
"description": "Listen to KQED Public Radio – home of Forum and The California Report – on 88.5 FM in San Francisco, 89.3 FM in Sacramento, 88.3 FM in Santa Rosa and 88.1 FM in Martinez.",
"type": "terms",
"id": "radio",
"slug": "radio",
"link": "/radio",
"taxonomy": "site"
},
"root": {
"name": "KQED",
"image": "https://ww2.kqed.org/app/uploads/2020/02/KQED-OG-Image@1x.png",
"imageWidth": 1200,
"imageHeight": 630,
"headData": {
"title": "KQED | News, Radio, Podcasts, TV | Public Media for Northern California",
"description": "KQED provides public radio, television, and independent reporting on issues that matter to the Bay Area. We’re the NPR and PBS member station for Northern California."
},
"type": "terms",
"id": "root",
"slug": "root",
"link": "/root",
"taxonomy": "site"
},
"science": {
"name": "Science",
"grouping": [
"science",
"futureofyou"
],
"description": "KQED Science brings you award-winning science and environment coverage from the Bay Area and beyond.",
"type": "terms",
"id": "science",
"slug": "science",
"link": "/science",
"taxonomy": "site"
},
"stateofhealth": {
"name": "State of Health",
"parent": "science",
"type": "terms",
"id": "stateofhealth",
"slug": "stateofhealth",
"link": "/stateofhealth",
"taxonomy": "site"
},
"support": {
"name": "Support",
"type": "terms",
"id": "support",
"slug": "support",
"link": "/support",
"taxonomy": "site"
},
"thedolist": {
"name": "The Do List",
"parent": "arts",
"type": "terms",
"id": "thedolist",
"slug": "thedolist",
"link": "/thedolist",
"taxonomy": "site"
},
"trulyca": {
"name": "Truly CA",
"grouping": [
"arts",
"pop",
"trulyca"
],
"parent": "arts",
"type": "terms",
"id": "trulyca",
"slug": "trulyca",
"link": "/trulyca",
"taxonomy": "site"
},
"tv": {
"name": "TV",
"type": "terms",
"id": "tv",
"slug": "tv",
"link": "/tv",
"taxonomy": "site"
},
"voterguide": {
"name": "Voter Guide",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "voterguide",
"slug": "voterguide",
"link": "/voterguide",
"taxonomy": "site"
},
"guiaelectoral": {
"name": "Guia Electoral",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "guiaelectoral",
"slug": "guiaelectoral",
"link": "/guiaelectoral",
"taxonomy": "site"
},
"stateofhealth_tag_science": {
"isLoading": true
},
"stateofhealth_461": {
"type": "terms",
"id": "stateofhealth_461",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "461",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Science",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Science Archives | KQED Arts",
"ogDescription": null
},
"ttid": 462,
"slug": "science",
"isLoading": false,
"link": "/stateofhealth/tag/science"
},
"stateofhealth_11": {
"type": "terms",
"id": "stateofhealth_11",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "11",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Community Health",
"description": "\r\n\r\nFrom rural California to urban neighborhoods, where you live affects your health",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "From rural California to urban neighborhoods, where you live affects your health",
"title": "Community Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 11,
"slug": "place-matters",
"isLoading": false,
"link": "/stateofhealth/category/place-matters"
},
"stateofhealth_12": {
"type": "terms",
"id": "stateofhealth_12",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "12",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Living Healthy",
"description": "Health is about much more than medicine. We show you what's new to help you attain and maintain a healthy life",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Health is about much more than medicine. We show you what's new to help you attain and maintain a healthy life",
"title": "Living Healthy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 12,
"slug": "living-healthy",
"isLoading": false,
"link": "/stateofhealth/category/living-healthy"
},
"stateofhealth_715": {
"type": "terms",
"id": "stateofhealth_715",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "715",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Pertussis",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Pertussis Archives | KQED Arts",
"ogDescription": null
},
"ttid": 716,
"slug": "pertussis",
"isLoading": false,
"link": "/stateofhealth/tag/pertussis"
},
"stateofhealth_31": {
"type": "terms",
"id": "stateofhealth_31",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "31",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Vaccines",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Vaccines Archives | KQED Arts",
"ogDescription": null
},
"ttid": 31,
"slug": "vaccines",
"isLoading": false,
"link": "/stateofhealth/tag/vaccines"
},
"stateofhealth_152": {
"type": "terms",
"id": "stateofhealth_152",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "152",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Whooping Cough",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Whooping Cough Archives | KQED Arts",
"ogDescription": null
},
"ttid": 152,
"slug": "whooping-cough",
"isLoading": false,
"link": "/stateofhealth/tag/whooping-cough"
},
"stateofhealth_625": {
"type": "terms",
"id": "stateofhealth_625",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "625",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Birth Control",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Birth Control Archives | KQED Arts",
"ogDescription": null
},
"ttid": 626,
"slug": "birth-control",
"isLoading": false,
"link": "/stateofhealth/tag/birth-control"
},
"stateofhealth_403": {
"type": "terms",
"id": "stateofhealth_403",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "403",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Flu",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Flu Archives | KQED Arts",
"ogDescription": null
},
"ttid": 404,
"slug": "flu",
"isLoading": false,
"link": "/stateofhealth/tag/flu"
},
"stateofhealth_33": {
"type": "terms",
"id": "stateofhealth_33",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "33",
"found": true
},
"relationships": {},
"featImg": null,
"name": "H1N1",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "H1N1 Archives | KQED Arts",
"ogDescription": null
},
"ttid": 33,
"slug": "h1n1",
"isLoading": false,
"link": "/stateofhealth/tag/h1n1"
},
"stateofhealth_488": {
"type": "terms",
"id": "stateofhealth_488",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "488",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Influenza",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Influenza Archives | KQED Arts",
"ogDescription": null
},
"ttid": 489,
"slug": "influenza",
"isLoading": false,
"link": "/stateofhealth/tag/influenza"
},
"stateofhealth_13": {
"type": "terms",
"id": "stateofhealth_13",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "13",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Tests & Treatments",
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"title": "Tests & Treatments Archives | KQED Arts",
"ogDescription": null
},
"ttid": 13,
"slug": "tests-treatments",
"isLoading": false,
"link": "/stateofhealth/category/tests-treatments"
},
"stateofhealth_96": {
"type": "terms",
"id": "stateofhealth_96",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "96",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Children's Health",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Children's Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 96,
"slug": "childrens-health",
"isLoading": false,
"link": "/stateofhealth/tag/childrens-health"
},
"stateofhealth_166": {
"type": "terms",
"id": "stateofhealth_166",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "166",
"found": true
},
"relationships": {},
"featImg": null,
"name": "KQED blogs",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "KQED blogs Archives | KQED Arts",
"ogDescription": null
},
"ttid": 166,
"slug": "kqed-blogs",
"isLoading": false,
"link": "/stateofhealth/category/kqed-blogs"
},
"stateofhealth_193": {
"type": "terms",
"id": "stateofhealth_193",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "193",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Colon Cancer",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Colon Cancer Archives | KQED Arts",
"ogDescription": null
},
"ttid": 193,
"slug": "colon-cancer",
"isLoading": false,
"link": "/stateofhealth/tag/colon-cancer"
},
"stateofhealth_643": {
"type": "terms",
"id": "stateofhealth_643",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "643",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Addiction",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Addiction Archives | KQED Arts",
"ogDescription": null
},
"ttid": 644,
"slug": "addiction",
"isLoading": false,
"link": "/stateofhealth/tag/addiction"
},
"stateofhealth_46": {
"type": "terms",
"id": "stateofhealth_46",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "46",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Breast Cancer",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Breast Cancer Archives | KQED Arts",
"ogDescription": null
},
"ttid": 46,
"slug": "breast-cancer",
"isLoading": false,
"link": "/stateofhealth/tag/breast-cancer"
},
"stateofhealth_14": {
"type": "terms",
"id": "stateofhealth_14",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "14",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Policy",
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"title": "Policy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 14,
"slug": "policy",
"isLoading": false,
"link": "/stateofhealth/category/policy"
},
"stateofhealth_58": {
"type": "terms",
"id": "stateofhealth_58",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "58",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Exercise",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Exercise Archives | KQED Arts",
"ogDescription": null
},
"ttid": 58,
"slug": "exercise",
"isLoading": false,
"link": "/stateofhealth/tag/exercise"
}
},
"userPermissionsReducer": {
"wpLoggedIn": false
},
"eventsReducer": {},
"fssReducer": {},
"tvDailyScheduleReducer": {},
"tvWeeklyScheduleReducer": {},
"tvPrimetimeScheduleReducer": {},
"tvMonthlyScheduleReducer": {},
"userAccountReducer": {
"user": {
"email": null,
"emailStatus": "EMAIL_UNVALIDATED",
"loggedStatus": "LOGGED_OUT",
"loggingChecked": false,
"articles": [],
"firstName": null,
"lastName": null,
"phoneNumber": null,
"fetchingMembership": false,
"membershipError": false,
"memberships": [
{
"id": null,
"startDate": null,
"firstName": null,
"lastName": null,
"familyNumber": null,
"memberNumber": null,
"memberSince": null,
"expirationDate": null,
"pfsEligible": false,
"isSustaining": false,
"membershipLevel": "Prospect",
"membershipStatus": "Non Member",
"lastGiftDate": null,
"renewalDate": null,
"lastDonationAmount": null
}
]
},
"authModal": {
"isOpen": false,
"view": "LANDING_VIEW"
},
"error": null
},
"youthMediaReducer": {},
"checkPleaseReducer": {
"filterData": {
"region": {
"key": "Restaurant Region",
"filters": [
"Any Region"
]
},
"cuisine": {
"key": "Restaurant Cuisine",
"filters": [
"Any Cuisine"
]
}
},
"restaurantDataById": {},
"restaurantIdsSorted": [],
"error": null
},
"userAgentReducer": {
"userAgent": "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)",
"isBot": true
},
"requestOutcomesReducer": {
"notFound": []
},
"navPromosReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": true,
"promos": {
"news": {
"name": "2026 Voter Guide",
"link": "/voterguide",
"imageURL": "https://cdn.kqed.org/wp-content/uploads/2026/10/Nav-News-Nov2026ElectionCoverage@2x-7bd4aad4.png",
"description": "Get informed in minutes with our Voter Guide for California’s November 3 election."
},
"podcasts-radio": {},
"video-tv": {},
"events": {},
"support": {}
}
}
}