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"disqusTitle": "Flu Now Widespread in California",
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"content": "\u003cfigure id=\"attachment_17082\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/35618987@N05/8165753357/in/photolist-drzBYZ-aMMogF-axqcCi-axsPJA-axsU7q-axsNGN-axq8cD-8T6zyr-hL4Qoa-9wAPEr-dxJE2Z-akLiwJ-deRgYN-8TQmFT-8ANF83-fKNXuR-gLRbyB-8TExcU-att2uB-atvHRY-atsYnr-att2Nr-atvFCL-atsYVx-atsZWB-atvCBm-atsYHV-att15c-atvJe9-att12R-atsXsp-atsYr4-atvGYf-att2Ap-att3AR-att1AP-att3FX-atvGaf-atvHsd-atsXBr-att2b4-att2TB-atvFcw-atvCSs-atvDi9-atvHXU-atsZzD-atvJhb-atsYd2-atvEmL-atvFPJ\">\u003cimg class=\"size-large wp-image-17082\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8165753357_390e69f46c_b-2-640x320.jpg\" alt=\"Nursing student administers flu shot. (queensu/Flickr)\" width=\"640\" height=\"320\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nursing student administers flu shot. (queensu/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>State health officials are urging Californians to get vaccinated against the flu. At least nine people have died in the Bay Area in recent weeks.\u003c/p>\n\u003cp>The main culprit is the H1N1 strain, also known as swine flu. This is the same subtype of influenza that caused a \u003ca href=\"http://www.cdc.gov/h1n1flu/cdcresponse.htm\" target=\"_blank\">pandemic\u003c/a> in 2009-2010.\u003c/p>\n\u003cp>The vaccine is widely available and well suited to protect against the circulating H1N1 strain, officials say. Doctors' offices, pharmacies and grocery stores carry the vaccine. In addition, local health departments generally provide the vaccine at low or no cost.\u003c!--more-->\u003c/p>\n\u003cp>Usually influenza is most dangerous to people over 65, but the H1N1 strain is hitting younger adults harder this year, said Dr. Janice Louie, public health medical officer for the California Department of Public Health. In particular this year, adults ages 30-50 who also have chronic illnesses are at greatest risk of complications from the flu, she said. Those illnesses include lung diseases, such as emphysema and asthma, diabetes, heart disease, cancer or HIV. People who are obese are also at greater risk of severe influenza.\u003c/p>\n\u003cp>\"For those people who have risk factors who get ill, they should see their doctor right away,\" Louie said, \"because there are antiviral treatments that can help prevent the infection from becoming more severe and prevent progression into pneumonia.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Sacramento County has been hard hit by flu. Already this year, four people have died. In Contra Costa County, 18 people are hospitalized in the ICU with complications from influenza. Hospitals in Sacramento County are seeing a surge in admissions, including children, the \u003ca href=\"http://www.sacbee.com/2014/01/07/6054673/flu-season-takes-a-toll-on-sacramento.html\" target=\"_blank\">Sacramento Bee\u003c/a> reports.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>According to the Centers for Disease Control, \u003ca href=\"http://www.cdc.gov/flu/about/disease/symptoms.htm\" target=\"_blank\">symptoms of influenza\u003c/a> include:\u003c/p>\n\u003cul>\n\u003cli>Fever or feeling feverish/chills (CDC says not everyone with flu will have fever.)\u003c/li>\n\u003cli>Cough\u003c/li>\n\u003cli>Sore throat\u003c/li>\n\u003cli>Runny or stuffy nose\u003c/li>\n\u003cli>Muscle or body aches\u003c/li>\n\u003cli>Headaches\u003c/li>\n\u003cli>Fatigue (tiredness)\u003c/li>\n\u003cli>Some people may have vomiting and diarrhea, though this is more common in children than adults\u003c/li>\n\u003c/ul>\n\n",
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"excerpt": "State health officials are urging Californians to get vaccinated against the flu. At least eight people have died statewide in recent weeks, including a death in Contra Costa County announced on Tuesday.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17082\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/35618987@N05/8165753357/in/photolist-drzBYZ-aMMogF-axqcCi-axsPJA-axsU7q-axsNGN-axq8cD-8T6zyr-hL4Qoa-9wAPEr-dxJE2Z-akLiwJ-deRgYN-8TQmFT-8ANF83-fKNXuR-gLRbyB-8TExcU-att2uB-atvHRY-atsYnr-att2Nr-atvFCL-atsYVx-atsZWB-atvCBm-atsYHV-att15c-atvJe9-att12R-atsXsp-atsYr4-atvGYf-att2Ap-att3AR-att1AP-att3FX-atvGaf-atvHsd-atsXBr-att2b4-att2TB-atvFcw-atvCSs-atvDi9-atvHXU-atsZzD-atvJhb-atsYd2-atvEmL-atvFPJ\">\u003cimg class=\"size-large wp-image-17082\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8165753357_390e69f46c_b-2-640x320.jpg\" alt=\"Nursing student administers flu shot. (queensu/Flickr)\" width=\"640\" height=\"320\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nursing student administers flu shot. (queensu/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>State health officials are urging Californians to get vaccinated against the flu. At least nine people have died in the Bay Area in recent weeks.\u003c/p>\n\u003cp>The main culprit is the H1N1 strain, also known as swine flu. This is the same subtype of influenza that caused a \u003ca href=\"http://www.cdc.gov/h1n1flu/cdcresponse.htm\" target=\"_blank\">pandemic\u003c/a> in 2009-2010.\u003c/p>\n\u003cp>The vaccine is widely available and well suited to protect against the circulating H1N1 strain, officials say. Doctors' offices, pharmacies and grocery stores carry the vaccine. In addition, local health departments generally provide the vaccine at low or no cost.\u003c!--more-->\u003c/p>\n\u003cp>Usually influenza is most dangerous to people over 65, but the H1N1 strain is hitting younger adults harder this year, said Dr. Janice Louie, public health medical officer for the California Department of Public Health. In particular this year, adults ages 30-50 who also have chronic illnesses are at greatest risk of complications from the flu, she said. Those illnesses include lung diseases, such as emphysema and asthma, diabetes, heart disease, cancer or HIV. People who are obese are also at greater risk of severe influenza.\u003c/p>\n\u003cp>\"For those people who have risk factors who get ill, they should see their doctor right away,\" Louie said, \"because there are antiviral treatments that can help prevent the infection from becoming more severe and prevent progression into pneumonia.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sacramento County has been hard hit by flu. Already this year, four people have died. In Contra Costa County, 18 people are hospitalized in the ICU with complications from influenza. Hospitals in Sacramento County are seeing a surge in admissions, including children, the \u003ca href=\"http://www.sacbee.com/2014/01/07/6054673/flu-season-takes-a-toll-on-sacramento.html\" target=\"_blank\">Sacramento Bee\u003c/a> reports.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>According to the Centers for Disease Control, \u003ca href=\"http://www.cdc.gov/flu/about/disease/symptoms.htm\" target=\"_blank\">symptoms of influenza\u003c/a> include:\u003c/p>\n\u003cul>\n\u003cli>Fever or feeling feverish/chills (CDC says not everyone with flu will have fever.)\u003c/li>\n\u003cli>Cough\u003c/li>\n\u003cli>Sore throat\u003c/li>\n\u003cli>Runny or stuffy nose\u003c/li>\n\u003cli>Muscle or body aches\u003c/li>\n\u003cli>Headaches\u003c/li>\n\u003cli>Fatigue (tiredness)\u003c/li>\n\u003cli>Some people may have vomiting and diarrhea, though this is more common in children than adults\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Meditation Can Help Manage Anxiety, Depression and Pain",
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"content": "\u003cfigure id=\"attachment_17040\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/172587288-e1389130105169.jpg\">\u003cimg class=\"size-large wp-image-17040\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/172587288-640x488.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"488\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Allison Aubrey\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/health/2014/01/07/260470831/meditation-can-help-manage-anxiety-depression-and-pain?ft=1&f=1128&utm_content=socialflow&utm_campaign=nprhealth&utm_source=health&utm_medium=twitter\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>People are increasingly turning to \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=7654964\" target=\"_blank\">mindfulness mediation\u003c/a> to manage health issues, and meditation classes are being offered through schools and hospitals.\u003c/p>\n\u003cp>But doctors have questioned whether this ancient Eastern practice really offers measurable health benefits. A fresh \u003ca href=\"http://archinte.jamanetwork.com/article.aspx?articleid=1809754\" target=\"_blank\">review \u003c/a>of the evidence should help sort that out.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Think of it as Buddhist meditation \"but without the Buddhism.\" It's completely secular. \u003c/aside>\n\u003cp>Meditation does help manage anxiety, depression and pain, according to the 47 studies analyzed in \u003cem>JAMA Internal Medicine\u003c/em> on Monday, but does not appear to help with other problems, including substance abuse, sleep and weight.\u003c/p>\n\u003cp>\"We have moderate confidence that mindfulness practices have a beneficial effect,\" wrote the author of the paper, Dr. Madhav Goyal of Johns Hopkins School of Medicine, in an email to Shots. He says the positive effects on anxiety, depression and pain can be modest, but are seen across multiple studies.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It was surprising to see that with so little training [about 2.5 hours of meditation practice per week] we were still seeing consistent effects,\" Goyal wrote.\u003c/p>\n\u003cp>One type of mindfulness training that was used in many of the research studies is called \u003ca href=\"http://www.mindfullivingprograms.com/whatMBSR.php\" target=\"_blank\">Mindfulness-Based Stress Reduction\u003c/a> (or MBSR). It's typically taught in eight sessions.\u003c/p>\n\u003cp>Think of it as Buddhist meditation \"but without the Buddhism,\" says Jon Kabat-Zinn, the father of MBSR. It's completely secular.\u003c/p>\n\u003cp>The focus of mindfulness meditation is to train the brain to stay in the moment. To do this, practitioners are taught to let go of the regrets of the past as well as anxieties about the future.\u003c/p>\n\u003cp>This study reviewed earlier research that evaluated the effectiveness of meditation for managing a whole range of medical conditions — from breast cancer, irritable bowel syndrome and fibromyalgia to depression.\u003c/p>\n\u003cdiv>\u003c/div>\n\u003cp>With diseases like breast cancer, meditation is not used as a treatment for the disease. It's supportive care designed to help a person deal with the stress that comes with cancer.\u003c/p>\n\u003cp>In one \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23362338\" target=\"_blank\">breast cancer study\u003c/a>, researchers enrolled 163 women with stage 1 or stage 2 breast cancer. The women were randomized to either an 8-week mindfulness-based stress reduction class or to other kinds of more standard supportive care.\u003c/p>\n\u003cp>Techniques taught during the meditation class included visualizations to help shift attention away from thoughts that cause anxiety.\u003c/p>\n\u003cp>One technique is called the body scan. This is where you lie back on a mat and the teacher has you check in with each part of your body\u003c/p>\n\u003cp>You're told to relax all the tension in your jaws, then your neck, your shoulders, and so on, down the body. (\u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=7654964#7650123\" target=\"_blank\">Here's an audio link to the body scan\u003c/a>.)\u003c/p>\n\u003cp>The point is stop the mind from wandering off and to connect with your body. Do your toes feel colder than the rest of your body? Are you feeling resistance in any part of the body? The teacher guides participants to tune in.\u003c/p>\n\u003cp>After four months, the women who meditated experienced significant improvements in what the researchers called quality of life and coping outcomes, compared to the women in other groups.\u003c/p>\n\u003cp>Clearly, meditation is not for everyone. It's a discipline that needs daily time and attention.\u003c/p>\n\u003cp>And in many of the studies meditation was no more effective than medications and other non-medical treatments, including exercise.\u003c/p>\n\u003cp>In addition, the meta-analysis found little evidence that meditation programs could help treat substance abuse, sleep or weight issues.\u003c/p>\n\u003cp>But the researchers concluded that meditation has no harmful side effects. And it's free and something people can easily do at home.\u003c/p>\n\u003cp>Here's my favorite mindfulness visualization: If you've got a nagging thought that won't go away, just picture a cloud. Visualize that nagging thought being attached to the cloud. Now watch it float away.\u003c/p>\n\u003cp>What's left behind? A clear, blue sky. And hopefully a clearer mind. At least for the moment!\u003c/p>\n\u003cp>\u003cstrong>Related content:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://kvpr.org/post/fresno-area-high-school-students-embrace-mindfulness-movement-new-club\" target=\"_blank\">Fresno Area High School Students Embrace Mindfulness Movement with New Club\u003c/a> (KVPR)\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17040\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/172587288-e1389130105169.jpg\">\u003cimg class=\"size-large wp-image-17040\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/172587288-640x488.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"488\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Allison Aubrey\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/health/2014/01/07/260470831/meditation-can-help-manage-anxiety-depression-and-pain?ft=1&f=1128&utm_content=socialflow&utm_campaign=nprhealth&utm_source=health&utm_medium=twitter\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>People are increasingly turning to \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=7654964\" target=\"_blank\">mindfulness mediation\u003c/a> to manage health issues, and meditation classes are being offered through schools and hospitals.\u003c/p>\n\u003cp>But doctors have questioned whether this ancient Eastern practice really offers measurable health benefits. A fresh \u003ca href=\"http://archinte.jamanetwork.com/article.aspx?articleid=1809754\" target=\"_blank\">review \u003c/a>of the evidence should help sort that out.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Think of it as Buddhist meditation \"but without the Buddhism.\" It's completely secular. \u003c/aside>\n\u003cp>Meditation does help manage anxiety, depression and pain, according to the 47 studies analyzed in \u003cem>JAMA Internal Medicine\u003c/em> on Monday, but does not appear to help with other problems, including substance abuse, sleep and weight.\u003c/p>\n\u003cp>\"We have moderate confidence that mindfulness practices have a beneficial effect,\" wrote the author of the paper, Dr. Madhav Goyal of Johns Hopkins School of Medicine, in an email to Shots. He says the positive effects on anxiety, depression and pain can be modest, but are seen across multiple studies.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It was surprising to see that with so little training [about 2.5 hours of meditation practice per week] we were still seeing consistent effects,\" Goyal wrote.\u003c/p>\n\u003cp>One type of mindfulness training that was used in many of the research studies is called \u003ca href=\"http://www.mindfullivingprograms.com/whatMBSR.php\" target=\"_blank\">Mindfulness-Based Stress Reduction\u003c/a> (or MBSR). It's typically taught in eight sessions.\u003c/p>\n\u003cp>Think of it as Buddhist meditation \"but without the Buddhism,\" says Jon Kabat-Zinn, the father of MBSR. It's completely secular.\u003c/p>\n\u003cp>The focus of mindfulness meditation is to train the brain to stay in the moment. To do this, practitioners are taught to let go of the regrets of the past as well as anxieties about the future.\u003c/p>\n\u003cp>This study reviewed earlier research that evaluated the effectiveness of meditation for managing a whole range of medical conditions — from breast cancer, irritable bowel syndrome and fibromyalgia to depression.\u003c/p>\n\u003cdiv>\u003c/div>\n\u003cp>With diseases like breast cancer, meditation is not used as a treatment for the disease. It's supportive care designed to help a person deal with the stress that comes with cancer.\u003c/p>\n\u003cp>In one \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23362338\" target=\"_blank\">breast cancer study\u003c/a>, researchers enrolled 163 women with stage 1 or stage 2 breast cancer. The women were randomized to either an 8-week mindfulness-based stress reduction class or to other kinds of more standard supportive care.\u003c/p>\n\u003cp>Techniques taught during the meditation class included visualizations to help shift attention away from thoughts that cause anxiety.\u003c/p>\n\u003cp>One technique is called the body scan. This is where you lie back on a mat and the teacher has you check in with each part of your body\u003c/p>\n\u003cp>You're told to relax all the tension in your jaws, then your neck, your shoulders, and so on, down the body. (\u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=7654964#7650123\" target=\"_blank\">Here's an audio link to the body scan\u003c/a>.)\u003c/p>\n\u003cp>The point is stop the mind from wandering off and to connect with your body. Do your toes feel colder than the rest of your body? Are you feeling resistance in any part of the body? The teacher guides participants to tune in.\u003c/p>\n\u003cp>After four months, the women who meditated experienced significant improvements in what the researchers called quality of life and coping outcomes, compared to the women in other groups.\u003c/p>\n\u003cp>Clearly, meditation is not for everyone. It's a discipline that needs daily time and attention.\u003c/p>\n\u003cp>And in many of the studies meditation was no more effective than medications and other non-medical treatments, including exercise.\u003c/p>\n\u003cp>In addition, the meta-analysis found little evidence that meditation programs could help treat substance abuse, sleep or weight issues.\u003c/p>\n\u003cp>But the researchers concluded that meditation has no harmful side effects. And it's free and something people can easily do at home.\u003c/p>\n\u003cp>Here's my favorite mindfulness visualization: If you've got a nagging thought that won't go away, just picture a cloud. Visualize that nagging thought being attached to the cloud. Now watch it float away.\u003c/p>\n\u003cp>What's left behind? A clear, blue sky. And hopefully a clearer mind. At least for the moment!\u003c/p>\n\u003cp>\u003cstrong>Related content:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://kvpr.org/post/fresno-area-high-school-students-embrace-mindfulness-movement-new-club\" target=\"_blank\">Fresno Area High School Students Embrace Mindfulness Movement with New Club\u003c/a> (KVPR)\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Blunt, But True: Brain Death Is Death",
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"content": "\u003cfigure id=\"attachment_17011\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/200281093-001-e1388799719694.jpg\">\u003cimg class=\"size-large wp-image-17011\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/200281093-001-640x649.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"649\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>It's been more than three weeks since 13-year-old Jahi McMath was \u003ca href=\"http://ww2.kqed.org/news/2013/12/23/new-medical-tests-ordered-for-brain-dead-oakland-girl\" target=\"_blank\">declared brain dead \u003c/a>after what appeared to be a tonsillectomy at Children's Hospital Oakland. In the interim, the family has battled the hospital to keep McMath's body hooked up to a ventilator while they have searched for a facility willing to accept her. Friday morning, at a hearing in Alameda Superior Court, the two sides seem to have come to \u003ca href=\"http://ww2.kqed.org/news/2014/01/03/jahi-mcmath-release/\" target=\"_blank\">an agreement\u003c/a> that the family can possibly remove her, as long as they accept full responsibility for her.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"This isn't a patient with a bad prognosis. This is about someone who died. And what the family is hoping for ... is resurrection.\"\u003c/aside>\n\u003cp>But none of this changes the sad fact that Jahi McMath is dead, as experts patiently explained on \u003ca href=\"http://www.kqed.org/a/forum/R201312301000\" target=\"_blank\">KQED's Forum\u003c/a> earlier this week.\u003c/p>\n\u003cp>David Magnus, director of Stanford's Center for Biomedical Ethics, pointed to six separate independent evaluations that have all come to the same conclusion, that McMath is \"medically dead, she is legally dead.\"\u003c!--more-->\u003c/p>\n\u003cp>And here we get into how language does not clarify, but instead causes confusion. \u003ca href=\"https://www.google.com/search?client=safari&rls=en&q=McMath+life+support&ie=UTF-8&oe=UTF-8\" target=\"_blank\">Too often\u003c/a>, McMath is referred to as being on \"life support.\" But David Greer, professor of neurology at Yale's School of Medicine, says that is not an appropriate term in this case. \"She is legally dead,\" he explained. \"They are simply ventilating a body — or a corpse if you will — and putting oxygen through tissues. ... Of course, that was never the intention for these machines, just to preserve organs in this setting.\"\u003c/p>\n\u003cp>The concept of brain death \"is not a cutting-edge area of law,\" Magnus said. According to the \u003ca href=\"http://www.uniformlaws.org/ActSummary.aspx?title=Determination%20of%20Death%20Act\" target=\"_blank\">Uniform Law Commission\u003c/a>, the concept of brain death was first established in 1978 when it became clear \"that legal recognition only of traditional criteria — which rely on measuring cessation of respiration and circulation — would no longer suffice.\" In 1980, the Uniform Determination of Death Act, identified \"cardiorespiratory and brain death in accordance with the criteria the medical profession universally accepts.\" Brain death is specifically defined as \"irreversible cessation of all functioning of the brain, including the brain stem.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Over and over, host Dave Iverson and the Forum guests reiterated that this was a tragic case, that their hearts went out to the family, that losing a child is so difficult to accept. But the medical intervention going on is not benefiting Jahi, Magnus said. \"She's gone. She passed away. … What we need to do is focus on the family now.\"\u003c/p>\n\u003cp>Magnus and Greer also specified the difference between someone who is \"comatose,\" or in a \"persistent vegetative state.\" Someone who is comatose is unconscious, but very much alive. Someone in a persistent vegetative state has severe brain damage and cannot interact any more. But they can breathe on their own, and they have sleep and wake cycles. This was the case with \u003ca href=\"http://en.wikipedia.org/wiki/Terri_Schiavo_case\" target=\"_blank\">Terri Schiavo\u003c/a>. \"Terry Schiavo was alive,\" Magnus said. \"She had a horrible prognosis.\" He acknowledged the debate about \"who decides under those circumstances what should be done.\"\u003c/p>\n\u003cp>But the Schiavo case is \"fundamentally different,\" he said, from a patient who has passed away. In McMath's case, \"this isn't a patient with a bad prognosis, this isn't a patient who is highly unlikely to recover. This is about someone who died. And what the family is hoping for is a miracle. ... What they're hoping for is resurrection.\"\u003c/p>\n\u003cp>On this idea of resurrection, I found fascinating reading about McMath's case from Catholic theologians. \"Brain death is an acceptable means of determining death even from a 'pro-life' religious perspective,\" writes Beth Haile for \u003ca href=\"http://catholicmoraltheology.com/what-are-we-learning-from-the-jahi-mcmath-case/\" target=\"_blank\">Catholic Moral Theology\u003c/a>. \"Brain death criteria are acceptable according to the magisterial authority in the Roman Catholic Church.\"\u003c/p>\n\u003cp>And then she addresses the question of a miracle head-on:\u003c/p>\n\u003cp>\"Of course, God can work a miracle. But prudential medical decisions cannot be made based merely on the hope that God might choose to act miraculously.\"\u003c/p>\n\u003cp>Haile echoed the guests on Forum, who said the family needs more support to address their grief. From her post:\u003c/p>\n\u003cblockquote>\u003cp>They need to grieve their daughter, not fight for an unrealistic hope of recovery. The pro-life community needs to step up to the task here and make it clear that valid determinations of death, as it appears this one is, are not “anti-life” moves made by death panels, but scientifically and morally valid ways of recognizing a great tragedy.\u003c/p>\u003c/blockquote>\n\u003cp>To learn more about how medical professionals define brain death and to hear more about helping families cope with grief during a crisis, listen to Forum:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/127165653\" params=\"color=ff6600&auto_play=false&show_artwork=true\" width=\"100%\" height='166' iframe=\"true\" /]\u003c/p>\n\n",
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"excerpt": "It's been more than three weeks since 13-year-old Jahi McMath was declared brain dead after what appeared to be a routine tonsillectomy at Children's Hospital Oakland. In the interim, the family has battled the hospital to keep McMath's body hooked up to a ventilator while they have searched for a facility willing to accept her. Friday morning, at a hearing in Alameda Superior Court, the two sides seem to have come to an agreement that the family can possibly remove her, as long as they accept full responsibility for her.\r\n\r\nBut none of this changes the sad fact that Jahi McMath is dead, as experts patiently explained on KQED's Forum earlier this week.",
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"description": "It's been more than three weeks since 13-year-old Jahi McMath was declared brain dead after what appeared to be a routine tonsillectomy at Children's Hospital Oakland. In the interim, the family has battled the hospital to keep McMath's body hooked up to a ventilator while they have searched for a facility willing to accept her. Friday morning, at a hearing in Alameda Superior Court, the two sides seem to have come to an agreement that the family can possibly remove her, as long as they accept full responsibility for her.\r\n\r\nBut none of this changes the sad fact that Jahi McMath is dead, as experts patiently explained on KQED's Forum earlier this week.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17011\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/200281093-001-e1388799719694.jpg\">\u003cimg class=\"size-large wp-image-17011\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/200281093-001-640x649.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"649\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>It's been more than three weeks since 13-year-old Jahi McMath was \u003ca href=\"http://ww2.kqed.org/news/2013/12/23/new-medical-tests-ordered-for-brain-dead-oakland-girl\" target=\"_blank\">declared brain dead \u003c/a>after what appeared to be a tonsillectomy at Children's Hospital Oakland. In the interim, the family has battled the hospital to keep McMath's body hooked up to a ventilator while they have searched for a facility willing to accept her. Friday morning, at a hearing in Alameda Superior Court, the two sides seem to have come to \u003ca href=\"http://ww2.kqed.org/news/2014/01/03/jahi-mcmath-release/\" target=\"_blank\">an agreement\u003c/a> that the family can possibly remove her, as long as they accept full responsibility for her.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"This isn't a patient with a bad prognosis. This is about someone who died. And what the family is hoping for ... is resurrection.\"\u003c/aside>\n\u003cp>But none of this changes the sad fact that Jahi McMath is dead, as experts patiently explained on \u003ca href=\"http://www.kqed.org/a/forum/R201312301000\" target=\"_blank\">KQED's Forum\u003c/a> earlier this week.\u003c/p>\n\u003cp>David Magnus, director of Stanford's Center for Biomedical Ethics, pointed to six separate independent evaluations that have all come to the same conclusion, that McMath is \"medically dead, she is legally dead.\"\u003c!--more-->\u003c/p>\n\u003cp>And here we get into how language does not clarify, but instead causes confusion. \u003ca href=\"https://www.google.com/search?client=safari&rls=en&q=McMath+life+support&ie=UTF-8&oe=UTF-8\" target=\"_blank\">Too often\u003c/a>, McMath is referred to as being on \"life support.\" But David Greer, professor of neurology at Yale's School of Medicine, says that is not an appropriate term in this case. \"She is legally dead,\" he explained. \"They are simply ventilating a body — or a corpse if you will — and putting oxygen through tissues. ... Of course, that was never the intention for these machines, just to preserve organs in this setting.\"\u003c/p>\n\u003cp>The concept of brain death \"is not a cutting-edge area of law,\" Magnus said. According to the \u003ca href=\"http://www.uniformlaws.org/ActSummary.aspx?title=Determination%20of%20Death%20Act\" target=\"_blank\">Uniform Law Commission\u003c/a>, the concept of brain death was first established in 1978 when it became clear \"that legal recognition only of traditional criteria — which rely on measuring cessation of respiration and circulation — would no longer suffice.\" In 1980, the Uniform Determination of Death Act, identified \"cardiorespiratory and brain death in accordance with the criteria the medical profession universally accepts.\" Brain death is specifically defined as \"irreversible cessation of all functioning of the brain, including the brain stem.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Over and over, host Dave Iverson and the Forum guests reiterated that this was a tragic case, that their hearts went out to the family, that losing a child is so difficult to accept. But the medical intervention going on is not benefiting Jahi, Magnus said. \"She's gone. She passed away. … What we need to do is focus on the family now.\"\u003c/p>\n\u003cp>Magnus and Greer also specified the difference between someone who is \"comatose,\" or in a \"persistent vegetative state.\" Someone who is comatose is unconscious, but very much alive. Someone in a persistent vegetative state has severe brain damage and cannot interact any more. But they can breathe on their own, and they have sleep and wake cycles. This was the case with \u003ca href=\"http://en.wikipedia.org/wiki/Terri_Schiavo_case\" target=\"_blank\">Terri Schiavo\u003c/a>. \"Terry Schiavo was alive,\" Magnus said. \"She had a horrible prognosis.\" He acknowledged the debate about \"who decides under those circumstances what should be done.\"\u003c/p>\n\u003cp>But the Schiavo case is \"fundamentally different,\" he said, from a patient who has passed away. In McMath's case, \"this isn't a patient with a bad prognosis, this isn't a patient who is highly unlikely to recover. This is about someone who died. And what the family is hoping for is a miracle. ... What they're hoping for is resurrection.\"\u003c/p>\n\u003cp>On this idea of resurrection, I found fascinating reading about McMath's case from Catholic theologians. \"Brain death is an acceptable means of determining death even from a 'pro-life' religious perspective,\" writes Beth Haile for \u003ca href=\"http://catholicmoraltheology.com/what-are-we-learning-from-the-jahi-mcmath-case/\" target=\"_blank\">Catholic Moral Theology\u003c/a>. \"Brain death criteria are acceptable according to the magisterial authority in the Roman Catholic Church.\"\u003c/p>\n\u003cp>And then she addresses the question of a miracle head-on:\u003c/p>\n\u003cp>\"Of course, God can work a miracle. But prudential medical decisions cannot be made based merely on the hope that God might choose to act miraculously.\"\u003c/p>\n\u003cp>Haile echoed the guests on Forum, who said the family needs more support to address their grief. From her post:\u003c/p>\n\u003cblockquote>\u003cp>They need to grieve their daughter, not fight for an unrealistic hope of recovery. The pro-life community needs to step up to the task here and make it clear that valid determinations of death, as it appears this one is, are not “anti-life” moves made by death panels, but scientifically and morally valid ways of recognizing a great tragedy.\u003c/p>\u003c/blockquote>\n\u003cp>To learn more about how medical professionals define brain death and to hear more about helping families cope with grief during a crisis, listen to Forum:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/127165653&visual=true&color=ff6600&auto_play=false&show_artwork=true'\n title='https://api.soundcloud.com/tracks/127165653'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Why You Should Skip Multivitamins",
"title": "Why You Should Skip Multivitamins",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_16791\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/146873360-e1387392461923.jpg\">\u003cimg class=\"size-large wp-image-16791\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/146873360-640x425.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>WASHINGTON (AP) — There's more disappointing news about multivitamins: Two major studies found popping the pills didn't protect \u003ca href=\"http://annals.org/article.aspx?articleid=1789247\" target=\"_blank\">aging men's brains\u003c/a> or help \u003ca href=\"http://annals.org/article.aspx?articleid=1789246\" target=\"_blank\">heart attack survivors\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Evidence is sufficient to advise against routine supplementation.\" \u003c/aside>\n\u003cp>Millions of Americans spend billions of dollars on vitamin combinations, presumably to boost their health and fill gaps in their diets. But while people who don't eat enough of certain nutrients may be urged to get them in pill form, the government doesn't recommend routine vitamin supplementation as a way to prevent chronic diseases.\u003c/p>\n\u003cp>The studies released Monday are the latest to test if multivitamins might go that extra step and concluded they don't.\u003c/p>\n\u003cp>\"Evidence is sufficient to advise against routine supplementation,\" said a \u003ca href=\"http://annals.org/article.aspx?articleid=1767855\" target=\"_blank\">sharply worded editorial\u003c/a> that accompanied Monday's findings in the journal Annals of Internal Medicine.\u003c!--more-->\u003c/p>\n\u003cp>After all, most people who buy multivitamins and other supplements are generally healthy, said journal deputy editor Dr. Cynthia Mulrow. Even junk foods often are fortified with vitamins, while the main nutrition problem in the U.S. is too much fat and calories, she added.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But other researchers say the jury's still out, especially for the country's most commonly used dietary supplement — multivitamins that are taken by about a third of U.S. adults, and even more by people over the age of 50.\u003c/p>\n\u003cp>Indeed, the U.S. Preventive Services Task Force is deliberating whether vitamin supplements make any difference in the average person's risk of heart disease or cancer. In a draft proposal last month, the government advisory group said for standard multivitamins and certain other nutrients, there's not enough evidence to tell. (It did caution that two single supplements, beta-carotene and vitamin E, didn't work). A final decision is expected next year.\u003c/p>\n\u003cp>\"For better or for worse, supplementation's not going to go away,\" said Dr. Howard Sesso of Brigham and Women's Hospital in Boston. He helps leads a large multivitamin study that has had mixed results — suggesting small benefits for some health conditions but not others — and says more research is needed, especially among the less healthy.\u003c/p>\n\u003cp>Still, \"there's no substitute for preaching a healthy diet and good behaviors\" such as exercise, Sesso cautioned.\u003c/p>\n\u003cp>As scientists debate, here are some questions and answers to consider in the vitamin aisle:\u003c/p>\n\u003cp>\u003cstrong>Q: Why the new focus on multivitamins?\u003c/strong>\u003c/p>\n\u003cp>A: Multivitamins have grown more popular in recent years as research showed that taking high doses of single supplements could be risky, such as beta-carotene.\u003c/p>\n\u003cp>Multivitamins typically contain no more than 100 percent of the daily recommended amount of various nutrients. They're marketed as sort of a safety net for nutrition gaps; the industry's Council for Responsible Nutrition says they're taken largely for general wellness.\u003c/p>\n\u003cp>\u003cstrong>Q: What are the latest findings?\u003c/strong>\u003c/p>\n\u003cp>A: With Alzheimer's on the rise as the population ages, Harvard researchers wondered if long-term multivitamin use might help keep older brains agile. They examined a subset of nearly 6,000 male doctors, age 65 or older, who were part of a larger study. The men were given either multivitamins or dummy pills, without knowing which they were taking.\u003c/p>\n\u003cp>After a decade of pill use, the vitamin-takers fared no better on memory or other cognitive tests, Sesso's team reported Monday in the journal Annals of Internal Medicine.\u003c/p>\n\u003cp>\u003cstrong>Q: Did that Harvard study find any other benefit from multivitamins?\u003c/strong>\u003c/p>\n\u003cp>A: The results of the Physicians Health Study II have been mixed. Overall it enrolled about 15,000 health male doctors age 50 and older, and the vitamin-takers had a slightly lower risk of cancer — 8 percent. Diet and exercise are more protective. They also had a similarly lower risk of developing cataracts, common to aging eyes. But the vitamins had no effect the risk for heart disease or another eye condition, Sesso said.\u003c/p>\n\u003cp>\u003cstrong>Q: Might vitamins have a different effect on people who already have heart disease?\u003c/strong>\u003c/p>\n\u003cp>A: As part of a broader treatment study, a separate research team asked that question. They examined 1,700 heart attack survivors, mostly men, who were given either a special multivitamin containing higher-than-usual doses of 28 ingredients or dummy pills. But the vitamins didn't reduce the chances of another heart attack, other cardiovascular problems, or death.\u003c/p>\n\u003cp>\u003cstrong>Q: What about women?\u003c/strong>\u003c/p>\n\u003cp>A: Research involving postmenopausal women a few years ago also concluded multivitamins didn't prevent cancer or heart disease. But it wasn't nearly as rigorous a study as Monday's research, relying on women to recall what vitamins they used.\u003c/p>\n\u003cp>\u003cstrong>Q: What's the safety advice for multivitamin users?\u003c/strong>\u003c/p>\n\u003cp>A: The preventive services task force cited no safety issues with standard multivitamins. But specialists say to always tell your doctor what over-the-counter supplements you use. Some vitamins interact with some medications, and Sesso said anyone worried about nutrition should be discussing their diet with their doctor anyway.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"excerpt": " There's more disappointing news about multivitamins: Two major studies found popping the pills didn't protect aging men's brains or help heart attack survivors.\r\n\r\nMillions of Americans spend billions of dollars on vitamin combinations, presumably to boost their health and fill gaps in their diets. But while people who don't eat enough of certain nutrients may be urged to get them in pill form, the government doesn't recommend routine vitamin supplementation as a way to prevent chronic diseases.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16791\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/146873360-e1387392461923.jpg\">\u003cimg class=\"size-large wp-image-16791\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/146873360-640x425.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>WASHINGTON (AP) — There's more disappointing news about multivitamins: Two major studies found popping the pills didn't protect \u003ca href=\"http://annals.org/article.aspx?articleid=1789247\" target=\"_blank\">aging men's brains\u003c/a> or help \u003ca href=\"http://annals.org/article.aspx?articleid=1789246\" target=\"_blank\">heart attack survivors\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Evidence is sufficient to advise against routine supplementation.\" \u003c/aside>\n\u003cp>Millions of Americans spend billions of dollars on vitamin combinations, presumably to boost their health and fill gaps in their diets. But while people who don't eat enough of certain nutrients may be urged to get them in pill form, the government doesn't recommend routine vitamin supplementation as a way to prevent chronic diseases.\u003c/p>\n\u003cp>The studies released Monday are the latest to test if multivitamins might go that extra step and concluded they don't.\u003c/p>\n\u003cp>\"Evidence is sufficient to advise against routine supplementation,\" said a \u003ca href=\"http://annals.org/article.aspx?articleid=1767855\" target=\"_blank\">sharply worded editorial\u003c/a> that accompanied Monday's findings in the journal Annals of Internal Medicine.\u003c!--more-->\u003c/p>\n\u003cp>After all, most people who buy multivitamins and other supplements are generally healthy, said journal deputy editor Dr. Cynthia Mulrow. Even junk foods often are fortified with vitamins, while the main nutrition problem in the U.S. is too much fat and calories, she added.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But other researchers say the jury's still out, especially for the country's most commonly used dietary supplement — multivitamins that are taken by about a third of U.S. adults, and even more by people over the age of 50.\u003c/p>\n\u003cp>Indeed, the U.S. Preventive Services Task Force is deliberating whether vitamin supplements make any difference in the average person's risk of heart disease or cancer. In a draft proposal last month, the government advisory group said for standard multivitamins and certain other nutrients, there's not enough evidence to tell. (It did caution that two single supplements, beta-carotene and vitamin E, didn't work). A final decision is expected next year.\u003c/p>\n\u003cp>\"For better or for worse, supplementation's not going to go away,\" said Dr. Howard Sesso of Brigham and Women's Hospital in Boston. He helps leads a large multivitamin study that has had mixed results — suggesting small benefits for some health conditions but not others — and says more research is needed, especially among the less healthy.\u003c/p>\n\u003cp>Still, \"there's no substitute for preaching a healthy diet and good behaviors\" such as exercise, Sesso cautioned.\u003c/p>\n\u003cp>As scientists debate, here are some questions and answers to consider in the vitamin aisle:\u003c/p>\n\u003cp>\u003cstrong>Q: Why the new focus on multivitamins?\u003c/strong>\u003c/p>\n\u003cp>A: Multivitamins have grown more popular in recent years as research showed that taking high doses of single supplements could be risky, such as beta-carotene.\u003c/p>\n\u003cp>Multivitamins typically contain no more than 100 percent of the daily recommended amount of various nutrients. They're marketed as sort of a safety net for nutrition gaps; the industry's Council for Responsible Nutrition says they're taken largely for general wellness.\u003c/p>\n\u003cp>\u003cstrong>Q: What are the latest findings?\u003c/strong>\u003c/p>\n\u003cp>A: With Alzheimer's on the rise as the population ages, Harvard researchers wondered if long-term multivitamin use might help keep older brains agile. They examined a subset of nearly 6,000 male doctors, age 65 or older, who were part of a larger study. The men were given either multivitamins or dummy pills, without knowing which they were taking.\u003c/p>\n\u003cp>After a decade of pill use, the vitamin-takers fared no better on memory or other cognitive tests, Sesso's team reported Monday in the journal Annals of Internal Medicine.\u003c/p>\n\u003cp>\u003cstrong>Q: Did that Harvard study find any other benefit from multivitamins?\u003c/strong>\u003c/p>\n\u003cp>A: The results of the Physicians Health Study II have been mixed. Overall it enrolled about 15,000 health male doctors age 50 and older, and the vitamin-takers had a slightly lower risk of cancer — 8 percent. Diet and exercise are more protective. They also had a similarly lower risk of developing cataracts, common to aging eyes. But the vitamins had no effect the risk for heart disease or another eye condition, Sesso said.\u003c/p>\n\u003cp>\u003cstrong>Q: Might vitamins have a different effect on people who already have heart disease?\u003c/strong>\u003c/p>\n\u003cp>A: As part of a broader treatment study, a separate research team asked that question. They examined 1,700 heart attack survivors, mostly men, who were given either a special multivitamin containing higher-than-usual doses of 28 ingredients or dummy pills. But the vitamins didn't reduce the chances of another heart attack, other cardiovascular problems, or death.\u003c/p>\n\u003cp>\u003cstrong>Q: What about women?\u003c/strong>\u003c/p>\n\u003cp>A: Research involving postmenopausal women a few years ago also concluded multivitamins didn't prevent cancer or heart disease. But it wasn't nearly as rigorous a study as Monday's research, relying on women to recall what vitamins they used.\u003c/p>\n\u003cp>\u003cstrong>Q: What's the safety advice for multivitamin users?\u003c/strong>\u003c/p>\n\u003cp>A: The preventive services task force cited no safety issues with standard multivitamins. But specialists say to always tell your doctor what over-the-counter supplements you use. Some vitamins interact with some medications, and Sesso said anyone worried about nutrition should be discussing their diet with their doctor anyway.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "What Does Climate Change Have to Do with Health? Plenty",
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"content": "\u003cfigure id=\"attachment_16665\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS2860_smog-scr-e1386893175781.jpg\">\u003cimg class=\"size-large wp-image-16665\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS2860_smog-scr-640x426.jpg\" alt=\"A smoggy sunset in San Diego. (Sandy Huffaker/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A smoggy sunset in San Diego. (Sandy Huffaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>When people think of climate change, they tend to think of it as a science and environmental issue. But climbing levels of greenhouse gases, particulate matter, and rising seas hurts more than the environment. It harms people's health, too.\u003c/p>\n\u003cp>“Climate change is one of greatest public health threats of our time,\" said Anne Kelsey Lamb of Oakland's Public Health Institute.\u003c/p>\n\u003cp>Lamb was talking to a roomful of her own in a gathering this week when some 100 public health professionals from around the state and beyond were in Oakland to learn more about the intersection \u003ca href=\"http://climatehealthconnect.org/resource/framework-climate-change-and-health-opportunities-action\" target=\"_blank\">between climate change and public health\u003c/a> — and what they can do about it.\u003c!--more-->\u003c/p>\n\u003cp>While it's impossible to tie any specific illness or death to climate change, it's easy to imagine how the worst effects of global warming harm health. Here are just a few examples: deaths related to heat waves (\u003ca href=\"http://www.cdph.ca.gov/HealthInfo/injviosaf/Documents/HeatPlanAssessment-EPIC.pdf\" target=\"_blank\">140 people died\u003c/a> in the 2006 heat wave in California); a warming planet also \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/03/16/doctors-expect-climate-change-to-worsen-lung-diseases/\" target=\"_blank\">leads to more pollen\u003c/a>, which aggravates asthma; and climate change \u003ca href=\"http://www.californiareport.org/archive/R201209120850/b\" target=\"_blank\">can mean more mosquitoes\u003c/a> and an easier spread of the diseases they can transmit.\u003c/p>\n\u003cp>Who will bear the brunt of these changes? Climate change \"threatens to exacerbate existing inequities,\" said PHI's Linda Rudolph, disproportionately impacting people who are poor and people of color.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rudolph is the co-director of PHI's Climate Change and Public Health Project, and she's aiming to start a movement. There's been \"no coherent strategy,\" she said, from the health community on climate change. \"There's a critical window of opportunity right now,\" she said. \"We can seize that opportunity to build a movement to reduce climate change and build healthy communities or stick our heads in the sand.\"\u003c/p>\n\u003cp>With that, she unveiled a \"framework\" to help public health professionals see where they could make a difference. Fair warning before you click, \u003ca href=\"http://climatehealthconnect.org/sites/climatehealthconnect.org/files/resources/ClimateHealthDiagram.Layer08.pdf\" target=\"_blank\">the framework\u003c/a> is something only a public health professional could love. Initially it made about as much sense to me as this \u003ca href=\"http://www.flickr.com/photos/13649621@N00/3428577561/in/photolist-6dYmEe-6eK1dA-6rM5dB-6w1XsR-6yE65A-6yE6mW-6ALHci-6ALHcr-6ALHcB-6BsPdV-6BwYpu-6EWQ7F-6HLjgt-6JAhtk-6JAhv8-6TxESg-6X4tnQ-77X5Vp-7fUBK6-7kthcR-83Ls38-9WqHt1-dA28AU-914syp-arx6kw-8NveDf-9bNS3g-bzicgi-dgHLq4-cDj4UW-8AUEkM-7Gq9T1-e3Z1ic-9YkiXE-eDUj5A-bYJoqG-aTnnBH-aTnr94-aTnwvx-aTnySM-9tEMnU-82aD43-7GnSmW-7MvJXU-buXryS-dBRxXp-cCb1Du-cJCPNb-827uEk-82aCzu-827vbF\" target=\"_blank\">circuit board\u003c/a>, but once Rudolph walked us all through it, I started to be able to follow the paths, too.\u003c/p>\n\u003cp>The main takeaway, Rudolph argued, is that there are all kinds of levers along the climate trajectory where public health folks can do their jobs and achieve \"co-benefits.\" For example, \"urban greening\" can lead to better air quality — but it also leads to higher property values and green space for physical activity, which both improve a neighborhood and give individuals the space to lead more active lives. Or think of getting people out of their cars urging them to bike or walk where they need to go. Fewer cars on the road means less air pollution — and people out of their cars and moving improves health.\u003c/p>\n\u003cp>\"The health co-benefits are a huge piece\" that needs more attention, said Dr. Ron Chapman, director of the California Department of Public Health.\u003c/p>\n\u003cp>Perhaps the greatest challenges come in moving \"upstream\" — toward policy and systemic changes, which can \"affect the root causes of climate change,\" Rudolph said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But it's not easily accomplished. This work is \"really complex, really challenging,\" Chapman said. But the more \"we've been able to tie climate change to health impacts, the more public health gets on board.\"\u003c/p>\n\n",
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"excerpt": "When people think of climate change, they tend to think of it as a science and environmental issue. But climbing levels of greenhouse gases, particulate matter, and rising seas hurts more than the environment. It harms people's health, too.\r\n\r\n“Climate change is one of greatest public health threats of our time,\" said Anne Kelsey Lamb of Oakland's Public Health Institute.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16665\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS2860_smog-scr-e1386893175781.jpg\">\u003cimg class=\"size-large wp-image-16665\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/RS2860_smog-scr-640x426.jpg\" alt=\"A smoggy sunset in San Diego. (Sandy Huffaker/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A smoggy sunset in San Diego. (Sandy Huffaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>When people think of climate change, they tend to think of it as a science and environmental issue. But climbing levels of greenhouse gases, particulate matter, and rising seas hurts more than the environment. It harms people's health, too.\u003c/p>\n\u003cp>“Climate change is one of greatest public health threats of our time,\" said Anne Kelsey Lamb of Oakland's Public Health Institute.\u003c/p>\n\u003cp>Lamb was talking to a roomful of her own in a gathering this week when some 100 public health professionals from around the state and beyond were in Oakland to learn more about the intersection \u003ca href=\"http://climatehealthconnect.org/resource/framework-climate-change-and-health-opportunities-action\" target=\"_blank\">between climate change and public health\u003c/a> — and what they can do about it.\u003c!--more-->\u003c/p>\n\u003cp>While it's impossible to tie any specific illness or death to climate change, it's easy to imagine how the worst effects of global warming harm health. Here are just a few examples: deaths related to heat waves (\u003ca href=\"http://www.cdph.ca.gov/HealthInfo/injviosaf/Documents/HeatPlanAssessment-EPIC.pdf\" target=\"_blank\">140 people died\u003c/a> in the 2006 heat wave in California); a warming planet also \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/03/16/doctors-expect-climate-change-to-worsen-lung-diseases/\" target=\"_blank\">leads to more pollen\u003c/a>, which aggravates asthma; and climate change \u003ca href=\"http://www.californiareport.org/archive/R201209120850/b\" target=\"_blank\">can mean more mosquitoes\u003c/a> and an easier spread of the diseases they can transmit.\u003c/p>\n\u003cp>Who will bear the brunt of these changes? Climate change \"threatens to exacerbate existing inequities,\" said PHI's Linda Rudolph, disproportionately impacting people who are poor and people of color.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Rudolph is the co-director of PHI's Climate Change and Public Health Project, and she's aiming to start a movement. There's been \"no coherent strategy,\" she said, from the health community on climate change. \"There's a critical window of opportunity right now,\" she said. \"We can seize that opportunity to build a movement to reduce climate change and build healthy communities or stick our heads in the sand.\"\u003c/p>\n\u003cp>With that, she unveiled a \"framework\" to help public health professionals see where they could make a difference. Fair warning before you click, \u003ca href=\"http://climatehealthconnect.org/sites/climatehealthconnect.org/files/resources/ClimateHealthDiagram.Layer08.pdf\" target=\"_blank\">the framework\u003c/a> is something only a public health professional could love. Initially it made about as much sense to me as this \u003ca href=\"http://www.flickr.com/photos/13649621@N00/3428577561/in/photolist-6dYmEe-6eK1dA-6rM5dB-6w1XsR-6yE65A-6yE6mW-6ALHci-6ALHcr-6ALHcB-6BsPdV-6BwYpu-6EWQ7F-6HLjgt-6JAhtk-6JAhv8-6TxESg-6X4tnQ-77X5Vp-7fUBK6-7kthcR-83Ls38-9WqHt1-dA28AU-914syp-arx6kw-8NveDf-9bNS3g-bzicgi-dgHLq4-cDj4UW-8AUEkM-7Gq9T1-e3Z1ic-9YkiXE-eDUj5A-bYJoqG-aTnnBH-aTnr94-aTnwvx-aTnySM-9tEMnU-82aD43-7GnSmW-7MvJXU-buXryS-dBRxXp-cCb1Du-cJCPNb-827uEk-82aCzu-827vbF\" target=\"_blank\">circuit board\u003c/a>, but once Rudolph walked us all through it, I started to be able to follow the paths, too.\u003c/p>\n\u003cp>The main takeaway, Rudolph argued, is that there are all kinds of levers along the climate trajectory where public health folks can do their jobs and achieve \"co-benefits.\" For example, \"urban greening\" can lead to better air quality — but it also leads to higher property values and green space for physical activity, which both improve a neighborhood and give individuals the space to lead more active lives. Or think of getting people out of their cars urging them to bike or walk where they need to go. Fewer cars on the road means less air pollution — and people out of their cars and moving improves health.\u003c/p>\n\u003cp>\"The health co-benefits are a huge piece\" that needs more attention, said Dr. Ron Chapman, director of the California Department of Public Health.\u003c/p>\n\u003cp>Perhaps the greatest challenges come in moving \"upstream\" — toward policy and systemic changes, which can \"affect the root causes of climate change,\" Rudolph said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But it's not easily accomplished. This work is \"really complex, really challenging,\" Chapman said. But the more \"we've been able to tie climate change to health impacts, the more public health gets on board.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_16548\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/34727235@N00/5365923132/in/photolist-9baL15-f4jtyL-aaJ7bC-7TdLaw-atDQBC-atDNLu-dzmRxN-9uxn1R-djfqYS-92Hq1Q-cNKXGC-aBkk7m-8MRA7r-8MRRxi-8MUPt9-8MRYhn-8MRNDa-8MUH5Q-8MUMUf-8MREfV-8MUFwN-8MUXs3-8MRQca-8MRV4i-8MRWTF-8MUQZ1-8MRGaZ-8MRyNn-aPMHnc-cp5ZBb-aEnVVV-8xBAvQ-8xyxYz-cQgYD1-i6Yvvi-e246SU-cuYqv5-fL71a9-a5ZWFZ-eYbBJv-gXqRmy-gXqPwu-eTyr6L-8MeQCc-eWuKqB-8Tb41F-7WKaNP-8Y89R5-bVi18o-9vs6M4-fN461n\">\u003cimg class=\"size-large wp-image-16548\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/5365923132_fa4307ff79_b-640x426.jpg\" alt=\"(Asela/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Asela/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>You can relax. This is not a story about how much exercise you should be getting. (Although just writing that line made me get up off my chair and take full advantage of my stand-up desk.)\u003c/p>\n\u003cp>Instead, it's a story about the power of asking — and measuring. Kaiser Permanente ran a pilot program at four of its 15 medical centers in Northern California and \u003ca href=\"http://link.springer.com/article/10.1007/s11606-013-2693-9\" target=\"_blank\">reported \u003c/a>Thursday that patients who were asked about exercise lost slightly more weight than patients who weren't.\u003c/p>\n\u003cp>Disclaimer: we're not talking big amounts. Overweight patients in the pilot group lost 0.2 pounds more than those not in in the program. Patients with diabetes had a 0.1 percent greater decline in their blood sugar levels — known as the A1C test. These are not big numbers individually, but the study points to something bigger — the power of an organized system to improve patients' health.\u003c!--more-->\u003c/p>\n\u003cp>Dr. Richard Grant with Kaiser's Division of Research is lead author of the study. He said being able to get patients to exercise regularly is the \"holy grail\" of primary care. This is the \"first step, but certainly not the last step, to get people to exercise more,\" he added.\u003c/p>\n\u003cp>Here's what they did: When you visit the doctor, a medical assistant or nurse first measures vital signs. You have your blood pressure checked, you get on the scale — and in this program, patients were also asked about exercise habits. How many days a week did they get \"moderate to strenuous\" exercise? How many minutes per day at that level? (\"Moderate\" activity was defined as something that would make you break a light sweat — walking fast, biking, mowing the lawn all counted.) That was all charted. Then, in some of those cases, it would spark a conversation with the doctor.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Grant and colleagues then compared what happened to patients at the four pilot sites against its patients at the other 11 Kaiser sites, or nearly 700,000 adult patients visiting more than 1,000 doctors. They found the small weight loss and the small improvement in blood sugar levels described above. But when they extrapolated that small weight change to all overweight Kaiser members in Northern California, it could mean 23 tons of weight loss.\u003c/p>\n\u003cp>But remember that even the small amount, the 0.2 pounds, was an \u003cem>average\u003c/em> weight loss. \"There's some subset of people that lost lost 5-10 pounds,\" Grant said.\u003c/p>\n\u003cp>Grant says his next step is to try and identify those people. \"Who are the patients who reported zero activity at baseline,\" he wondered, and went on to become very active. \"What we are interested in looking at next is who are the people who really benefited.\"\u003c/p>\n\u003cp>Lisa Schilling, vice president of Kaiser's Care Management Institute, credited Grant's research with giving her the hard data to be able to roll out \"exercise as a vital sign\" to all Kaiser sites nationwide. This study \"proved that just talking to people and measuring makes an impact.\"\u003c/p>\n\u003cp>\"It's not a magic pill,\" Grant said, \"but it's a step in the right direction, it's a system-level step.\"\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"excerpt": "You can relax. This is not a story about how much exercise you should be getting. (Although just writing that line made me get up off my chair and take full advantage of my stand-up desk.)\r\n\r\nInstead, it's a story about the power of asking -- and measuring. Kaiser Permanente ran a pilot program at four of its 15 sites and reported Thursday that patients who were asked about exercise lost slightly more weight than patients who weren't.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Grant and colleagues then compared what happened to patients at the four pilot sites against its patients at the other 11 Kaiser sites, or nearly 700,000 adult patients visiting more than 1,000 doctors. They found the small weight loss and the small improvement in blood sugar levels described above. But when they extrapolated that small weight change to all overweight Kaiser members in Northern California, it could mean 23 tons of weight loss.\u003c/p>\n\u003cp>But remember that even the small amount, the 0.2 pounds, was an \u003cem>average\u003c/em> weight loss. \"There's some subset of people that lost lost 5-10 pounds,\" Grant said.\u003c/p>\n\u003cp>Grant says his next step is to try and identify those people. \"Who are the patients who reported zero activity at baseline,\" he wondered, and went on to become very active. \"What we are interested in looking at next is who are the people who really benefited.\"\u003c/p>\n\u003cp>Lisa Schilling, vice president of Kaiser's Care Management Institute, credited Grant's research with giving her the hard data to be able to roll out \"exercise as a vital sign\" to all Kaiser sites nationwide. This study \"proved that just talking to people and measuring makes an impact.\"\u003c/p>\n\u003cp>\"It's not a magic pill,\" Grant said, \"but it's a step in the right direction, it's a system-level step.\"\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_16479\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-e1385742653284.jpg\">\u003cimg class=\"size-large wp-image-16479\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-640x423.jpg\" alt=\"San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\" width=\"640\" height=\"423\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jim Bunn\u003c/strong>\u003c/p>\n\u003cp>It was the summer of 1983 and my first day on the job at KPIX -- San Francisco's CBS television affiliate. My assignment: cover a news conference at the Irwin Memorial Blood Bank. It was about the new and mysterious disease, AIDS, and the blood supply.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“We need a day. Like 'Cold-Turkey' in the States where people quit smoking for a day.”\u003c/aside>\n\u003cp>Sitting in the car to return to the station, my head was reeling. I had heard about AIDS in my previous job on the east coast, but nothing more than that. Clearly this had all the earmarks of a tremendously important story. It was a fearful time. People were dying. The nation’s blood supply was somehow at risk. There was an international race to find the cause and, hopefully, some way to treat this terrible disease and save countless lives.\u003c/p>\n\u003cp>The kind of story a reporter yearns to cover.\u003c/p>\n\u003cp>But at the center of it was science. Significant, because not too many years earlier I was the stupidest high school biology student in the history of public education. No joke. Two weeks before graduation I still had an “incomplete” for sophomore biology. Only through the good graces of my biology teacher, who gave me an oral exam, during which he fed me the answers to his questions, was I able to graduate.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So the science of the AIDS “story” stared me in the face –- and scared me.\u003c!--more-->\u003c/p>\n\u003cp>Little could I anticipate that within a very few years of that news conference my coverage of the story would be the centerpiece of KPIX’s “AIDS Lifeline,” a community service project that won the country’s first national Emmy ever awarded to a local station, The Presidential Citation for Private-Sector Initiatives, and The Peabody Award, broadcasting’s highest honor.\u003c/p>\n\u003cp>The premise of “AIDS Lifeline” was simple. A television station in a community where there was a public health crisis had the tools to impact that crisis –- with clear information. Separating fact from fiction. Helping people understand what to be afraid of, and, what \u003cem>not\u003c/em> to be afraid of. Producer Nancy Saslow and Managing Editor Kim Montour were champions of the project.\u003c/p>\n\u003cp>I overcame my fear of science. I asked the stupid questions. Learned the language of scientists, about scientific method, what constituted a good study -- and which theories didn’t warrant coverage. Also during that time, I went from being an advocate for the story to becoming an advocate for the issue.\u003c/p>\n\u003cp>“AIDS Lifeline” was a unique partnership between KPIX, the San Francisco AIDS Foundation, and the Department of Public Health. I believed that we could still do our jobs as journalists, \u003cem>and \u003c/em>our company could be good corporate citizens, helping our community respond to this public health threat.\u003c/p>\n\u003cp>Our coverage put me in the company of the top people in the world who were grappling with this disease. One of them was Dr. Jonathan Mann, a brilliant epidemiologist for the Centers for Disease Control. One day, while I was covering a scientific conference in Washington, D.C., Dr. Mann told me that he was being assigned to work for the United Nations, to head up the Global Programme on AIDS for the World Health Organization (WHO). Before I could finish congratulating him he said, “I want you to come with me, be the Public Information Officer” for the group. My jaw dropped. All I could think was –- \"Wow, the stupidest high school biology student in the history of public education…\"\u003c/p>\n\u003cp>Weeks later, I was in Geneva working for the UN. One of the most important assignments for me and Tom Netter, my colleague in the Public Information Office, was to make sure we knew whenever anyone working for the UN said \u003cem>anything\u003c/em> about AIDS. The reason? The politics of AIDS were electric, and even the slightest misstep or misstatement would lead to a bevvy of reporters calling our office –- and Dr. Mann –- for comment.\u003c/p>\n\u003cp>In August of 1987, Tom was reading aloud a speech given by Dr. Halfdan Mahler, the Director-General of WHO. Buried in it was an oblique reference for the need to mobilize countries in the global fight against AIDS. Before Tom finished I interrupted, “Yeah, we need a day. Like 'Cold-Turkey' in the states where people quit smoking for a day.” Tom got up out of his chair. “Yes,” I said, as he walked over to the white board and started writing, “you know, something like Global or World AIDS Day.”\u003c/p>\n\u003cp>Ideas went up on the white board fast and furious. We chose December 1\u003csup>st\u003c/sup> because we knew it was a dead spot in the news calendar, so editors would be looking for stories. We would create “Action Kits” for AIDS support groups and tell them how to put on events that would draw media coverage. We would send press kits to media outlets telling them to look out for the kinds of events we were suggesting to the AIDS support groups. We would get them to begin a conversation. We would get the media and these groups to see how they could work together. Just as we did with “AIDS Lifeline” in San Francisco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now, 25 years later, that conversation continues.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16479\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-e1385742653284.jpg\">\u003cimg class=\"size-large wp-image-16479\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-640x423.jpg\" alt=\"San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\" width=\"640\" height=\"423\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jim Bunn\u003c/strong>\u003c/p>\n\u003cp>It was the summer of 1983 and my first day on the job at KPIX -- San Francisco's CBS television affiliate. My assignment: cover a news conference at the Irwin Memorial Blood Bank. It was about the new and mysterious disease, AIDS, and the blood supply.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“We need a day. Like 'Cold-Turkey' in the States where people quit smoking for a day.”\u003c/aside>\n\u003cp>Sitting in the car to return to the station, my head was reeling. I had heard about AIDS in my previous job on the east coast, but nothing more than that. Clearly this had all the earmarks of a tremendously important story. It was a fearful time. People were dying. The nation’s blood supply was somehow at risk. There was an international race to find the cause and, hopefully, some way to treat this terrible disease and save countless lives.\u003c/p>\n\u003cp>The kind of story a reporter yearns to cover.\u003c/p>\n\u003cp>But at the center of it was science. Significant, because not too many years earlier I was the stupidest high school biology student in the history of public education. No joke. Two weeks before graduation I still had an “incomplete” for sophomore biology. Only through the good graces of my biology teacher, who gave me an oral exam, during which he fed me the answers to his questions, was I able to graduate.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So the science of the AIDS “story” stared me in the face –- and scared me.\u003c!--more-->\u003c/p>\n\u003cp>Little could I anticipate that within a very few years of that news conference my coverage of the story would be the centerpiece of KPIX’s “AIDS Lifeline,” a community service project that won the country’s first national Emmy ever awarded to a local station, The Presidential Citation for Private-Sector Initiatives, and The Peabody Award, broadcasting’s highest honor.\u003c/p>\n\u003cp>The premise of “AIDS Lifeline” was simple. A television station in a community where there was a public health crisis had the tools to impact that crisis –- with clear information. Separating fact from fiction. Helping people understand what to be afraid of, and, what \u003cem>not\u003c/em> to be afraid of. Producer Nancy Saslow and Managing Editor Kim Montour were champions of the project.\u003c/p>\n\u003cp>I overcame my fear of science. I asked the stupid questions. Learned the language of scientists, about scientific method, what constituted a good study -- and which theories didn’t warrant coverage. Also during that time, I went from being an advocate for the story to becoming an advocate for the issue.\u003c/p>\n\u003cp>“AIDS Lifeline” was a unique partnership between KPIX, the San Francisco AIDS Foundation, and the Department of Public Health. I believed that we could still do our jobs as journalists, \u003cem>and \u003c/em>our company could be good corporate citizens, helping our community respond to this public health threat.\u003c/p>\n\u003cp>Our coverage put me in the company of the top people in the world who were grappling with this disease. One of them was Dr. Jonathan Mann, a brilliant epidemiologist for the Centers for Disease Control. One day, while I was covering a scientific conference in Washington, D.C., Dr. Mann told me that he was being assigned to work for the United Nations, to head up the Global Programme on AIDS for the World Health Organization (WHO). Before I could finish congratulating him he said, “I want you to come with me, be the Public Information Officer” for the group. My jaw dropped. All I could think was –- \"Wow, the stupidest high school biology student in the history of public education…\"\u003c/p>\n\u003cp>Weeks later, I was in Geneva working for the UN. One of the most important assignments for me and Tom Netter, my colleague in the Public Information Office, was to make sure we knew whenever anyone working for the UN said \u003cem>anything\u003c/em> about AIDS. The reason? The politics of AIDS were electric, and even the slightest misstep or misstatement would lead to a bevvy of reporters calling our office –- and Dr. Mann –- for comment.\u003c/p>\n\u003cp>In August of 1987, Tom was reading aloud a speech given by Dr. Halfdan Mahler, the Director-General of WHO. Buried in it was an oblique reference for the need to mobilize countries in the global fight against AIDS. Before Tom finished I interrupted, “Yeah, we need a day. Like 'Cold-Turkey' in the states where people quit smoking for a day.” Tom got up out of his chair. “Yes,” I said, as he walked over to the white board and started writing, “you know, something like Global or World AIDS Day.”\u003c/p>\n\u003cp>Ideas went up on the white board fast and furious. We chose December 1\u003csup>st\u003c/sup> because we knew it was a dead spot in the news calendar, so editors would be looking for stories. We would create “Action Kits” for AIDS support groups and tell them how to put on events that would draw media coverage. We would send press kits to media outlets telling them to look out for the kinds of events we were suggesting to the AIDS support groups. We would get them to begin a conversation. We would get the media and these groups to see how they could work together. Just as we did with “AIDS Lifeline” in San Francisco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now, 25 years later, that conversation continues.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Stanford Study: Can't Find Your Keys? Don't Blame Your Hormones",
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"content": "\u003cfigure id=\"attachment_16436\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/124820676.jpg\">\u003cimg class=\"size-large wp-image-16436\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/124820676-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>So maybe that headline needs a bit of clarification: This new research has to do with postmenopausal women and their levels of estrogen. (Still, if you're a pre-menopausal woman, you should read this, too. Men, if you know any women, please read on.)\u003c/p>\n\u003cp>After a woman goes through menopause, her \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/000894.htm\" target=\"_blank\">estrogen levels drop\u003c/a>. This study, led by a Stanford School of Medicine researcher, was the first to look at associations between estrogen decline and cognition — both in women who went through menopause more recently (less than 6 years) and longer ago (more than 10 years). The research team wanted to know if the time from menopause made a difference in cognitive ability. And so we return to the headline: They found no connection.\u003c/p>\n\u003cp>\"There were no differences between women close to the time of menopause and further from the time of menopause,\" said Stanford neurologist Victor Henderson, lead author of \u003ca href=\"http://www.pnas.org/content/early/2013/11/20/1312353110.abstract\" target=\"_blank\">the study\u003c/a>. The women were given a battery of neurological tests, not just \"a short screening instrument,\" the authors wrote.\u003c!--more-->\u003c/p>\n\u003cp>Primarily, the researchers looked at memory. \"But we also looked at global cognition and executive function,\" Henderson said. \"And based on relation to blood levels [of estrogen], we didn't find any important effects one way or the other.\"\u003c/p>\n\u003cp>Together with colleagues at the University of Southern California, Henderson looked at 643 women, none of whom have taken hormone replacement. While researchers did not find any connections between estrogen levels and cognition, they did uncover a surprising association between a different sex hormone, progesterone, and memory. In younger women, higher progesterone levels were associated with better memory.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Henderson stressed this finding was new and needed additional research before it can be confirmed.\u003c/p>\n\u003cp>In addition, Henderson drew a distinction between this research and what might happen in women who have Alzheimer's Disease.\u003c/p>\n\u003cp>\"This study didn't look directly at Alzheimer's Disease,\" Henderson said, which is a \"complex illness. … The biochemical changes that occur in Alzheimer's Disease differ from those that occur in usual aging.\"\u003c/p>\n\u003cp>In this study, the researchers were interested in the so-called \"critical-window\" theory. Henderson says that's the belief that estrogen can have different effects on health outcomes and those effects would differ depending on timing in relation to menopause.\u003c/p>\n\u003cp>For example, it is well-known, Henderson says, that hormone therapy in women over age 65 increases their risk of heart disease — but before age 65, hormone therapy does not bear risks and \"might convey a small benefit,\" he said.\u003c/p>\n\u003cp>Researchers had wondered if the same could be true with cognition. The answer, again, is no. \"Our findings don't support the critical-window hypothesis with regard to cognitive outcomes,\" he said.\u003c/p>\n\u003cp>Next, researchers will look at post-menopausal women who are taking hormone therapy to see if there are any effects from that treatment. But because this trial did not show effects, Henderson doubts there will be effects for women with the higher estrogen levels that will come by taking estrogen replacement.\u003c/p>\n\u003cp>\"But until we look at the higher exposure directly, we don't know the answer to that,\" Henderson cautioned.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The findings were published Monday in the \u003ca href=\"http://www.pnas.org/content/early/2013/11/20/1312353110.abstract\" target=\"_blank\">Proceedings of the National Academy of Sciences\u003c/a>.\u003c/p>\n\n",
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"excerpt": "After a woman goes through menopause, her estrogen levels drop. This study, led by a Stanford School of Medicine researcher, was the first to look at associations between estrogen decline and cognition — both in women who went through menopause more recently (less than 6 years) and longer ago (more than 10 years). The research team wanted to know if the time from menopause made a difference in cognitive ability. And so we return to the headline: They found no connection.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16436\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/124820676.jpg\">\u003cimg class=\"size-large wp-image-16436\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/124820676-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>So maybe that headline needs a bit of clarification: This new research has to do with postmenopausal women and their levels of estrogen. (Still, if you're a pre-menopausal woman, you should read this, too. Men, if you know any women, please read on.)\u003c/p>\n\u003cp>After a woman goes through menopause, her \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/000894.htm\" target=\"_blank\">estrogen levels drop\u003c/a>. This study, led by a Stanford School of Medicine researcher, was the first to look at associations between estrogen decline and cognition — both in women who went through menopause more recently (less than 6 years) and longer ago (more than 10 years). The research team wanted to know if the time from menopause made a difference in cognitive ability. And so we return to the headline: They found no connection.\u003c/p>\n\u003cp>\"There were no differences between women close to the time of menopause and further from the time of menopause,\" said Stanford neurologist Victor Henderson, lead author of \u003ca href=\"http://www.pnas.org/content/early/2013/11/20/1312353110.abstract\" target=\"_blank\">the study\u003c/a>. The women were given a battery of neurological tests, not just \"a short screening instrument,\" the authors wrote.\u003c!--more-->\u003c/p>\n\u003cp>Primarily, the researchers looked at memory. \"But we also looked at global cognition and executive function,\" Henderson said. \"And based on relation to blood levels [of estrogen], we didn't find any important effects one way or the other.\"\u003c/p>\n\u003cp>Together with colleagues at the University of Southern California, Henderson looked at 643 women, none of whom have taken hormone replacement. While researchers did not find any connections between estrogen levels and cognition, they did uncover a surprising association between a different sex hormone, progesterone, and memory. In younger women, higher progesterone levels were associated with better memory.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Henderson stressed this finding was new and needed additional research before it can be confirmed.\u003c/p>\n\u003cp>In addition, Henderson drew a distinction between this research and what might happen in women who have Alzheimer's Disease.\u003c/p>\n\u003cp>\"This study didn't look directly at Alzheimer's Disease,\" Henderson said, which is a \"complex illness. … The biochemical changes that occur in Alzheimer's Disease differ from those that occur in usual aging.\"\u003c/p>\n\u003cp>In this study, the researchers were interested in the so-called \"critical-window\" theory. Henderson says that's the belief that estrogen can have different effects on health outcomes and those effects would differ depending on timing in relation to menopause.\u003c/p>\n\u003cp>For example, it is well-known, Henderson says, that hormone therapy in women over age 65 increases their risk of heart disease — but before age 65, hormone therapy does not bear risks and \"might convey a small benefit,\" he said.\u003c/p>\n\u003cp>Researchers had wondered if the same could be true with cognition. The answer, again, is no. \"Our findings don't support the critical-window hypothesis with regard to cognitive outcomes,\" he said.\u003c/p>\n\u003cp>Next, researchers will look at post-menopausal women who are taking hormone therapy to see if there are any effects from that treatment. But because this trial did not show effects, Henderson doubts there will be effects for women with the higher estrogen levels that will come by taking estrogen replacement.\u003c/p>\n\u003cp>\"But until we look at the higher exposure directly, we don't know the answer to that,\" Henderson cautioned.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The findings were published Monday in the \u003ca href=\"http://www.pnas.org/content/early/2013/11/20/1312353110.abstract\" target=\"_blank\">Proceedings of the National Academy of Sciences\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "UC Berkeley Research: Yes, Your Toddler Really Is Smarter Than a 5-Year-Old",
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"content": "\u003cfigure id=\"attachment_16415\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/160586342-e1385425694883.jpg\">\u003cimg class=\"size-large wp-image-16415\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/160586342-640x426.jpg\" alt=\"Children under age 2 can reason abstractly, UC Berkeley researchers show. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Children under age 2 can reason abstractly, UC Berkeley researchers show. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2013/11/25/247160180/yes-your-toddler-really-is-smarter-than-a-5-year-old?ft=1&f=1128&utm_content=socialflow&utm_campaign=nprhealth&utm_source=health&utm_medium=twitter\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Parents, does your 18-month-old seem wise beyond her years? Science says you're not fooling yourself.\u003c/p>\n\u003cp>Very small children can reason abstractly, researchers say, and are able to infer the relationships between objects that elude older children who get caught up on the concreteness of things.\u003c/p>\n\u003cp>In experiments at the U.C. Berkeley, children as young as 18 months were able to figure out the relationship between colored blocks.\u003c/p>\n\u003cp>The child would watch a researcher put two blocks on top of a box. If the blocks were identical, the box would play music. The majority of children were able to figure out the pattern after they were shown it just three times. They would then help the researcher pick the correct block.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The toddlers did much better at this task than do chimpanzees and other primates. The non-human primates have to practice doing the task themselves thousands of times to figure it out. And even then, it's only with lots of treats thrown in.\u003c/p>\n\u003cp>That's not such a big surprise. What really got the researchers' attention is that the diaper set did better at this sort of abstract thinking than children who were just a few years older.\u003c/p>\n\u003cp>\"Older kids tend to be really bad at analogies,\" says Caren Walker, a graduate student at in cognitive development who led the study. It was \u003ca href=\"http://pss.sagepub.com/content/early/2013/11/22/0956797613502983.abstract\">published\u003c/a> online in the journal \u003cem>Psychological Science\u003c/em>. She says that older children tend to focus on the objects rather than the relationships between them. \"Learning may actually harm these kids' abilities to do abstract reasoning.\"\u003c/p>\n\u003cp>Walker is working in the lab of \u003ca href=\"http://www.npr.org/blogs/health/2013/11/25/247160180/In%20experiments%20at%20the%20University%20of%20California,%20Berkeley,%20children%20as%20young%20as%2018%20month%20were%20able%20to%20figure%20out%20the%20relationship%20between%20colored%20blocks.%20The%20child%20would%20watch%20a%20researcher%20put%20two%20blocks%20on%20top%20of%20a%20box.%20If%20the%20blocks%20were%20identical,%20the%20box%20would%20play%20music.%20The%20majority%20of%20children%20were%20able%20to%20figure%20out%20the%20pattern%20after%20they%20were%20shown%20it%20three%20times.%20The%20toddlers%20do%20much%20better%20at%20this%20task%20than%20do%20chimpanzees%20and%20other%20primates.%20They%20have%20to%20practice%20doing%20the%20task%20themselves%20thousands%20of%20times%20to%20figure%20it%20out.%20And%20even%20then,%20it's%20only%20with%20lots%20of%20treats%20thrown%20in.%20That's%20not%20such%20a%20big%20surprise.%20What%20really%20got%20the%20researchers%20attention%20is%20that%20the%20diaper%20set%20does%20better%20at%20this%20sort%20of%20abstract%20thinking%20than%20children%20who%20are%207%20or%208.%20%20\">Alison Gopnik\u003c/a>, a developmental psychologist who has made a career out of devising experiments that reveal the inner thoughts of children still too young to talk. Her take is that babies are smart, and in many ways smarter than adults.\u003c/p>\n\u003cp>In this experiment, the box actually hides a wireless doorbell, and the researcher moving the blocks controls the music by tapping a hidden button with her foot. But the illusion of control is compelling, not just for the toddlers but for the parents who watch the experiment with their children, Walker says.\u003c/p>\n\u003cp>The researchers tested their hypothesis by running the same experiment but letting the children see only one of the pair of blocks. They couldn't get the right answer more often than they would by chance. By contrast, 61 percent of the children got it right when they could see the blocks.\u003c/p>\n\u003cp>And in a third variation, almost 80 percent were able to correctly deduce that they needed to choose sets of blocks that included pairs if they were going to do the experiment.\u003c/p>\n\u003cp>\"Even as incredibly young children, 18-month-olds are extremely powerful little learning machines,\" Walker told Shots.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Walker and Gopnik are repeating the same experiment with older children, to see if they do indeed lose this very early ability to think abstractly, only to regain it later in the context of language and culture.\u003c/p>\n\n",
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"excerpt": "Parents, does your 18-month-old seem wise beyond her years? Science says you're not fooling yourself.\r\n\r\nVery small children can reason abstractly, researchers say, and are able to infer the relationships between objects that elude older children who get caught up on the concreteness of things.\r\n\r\nIn experiments at the U.C. Berkeley, children as young as 18 months were able to figure out the relationship between colored blocks.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16415\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/160586342-e1385425694883.jpg\">\u003cimg class=\"size-large wp-image-16415\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/160586342-640x426.jpg\" alt=\"Children under age 2 can reason abstractly, UC Berkeley researchers show. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Children under age 2 can reason abstractly, UC Berkeley researchers show. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2013/11/25/247160180/yes-your-toddler-really-is-smarter-than-a-5-year-old?ft=1&f=1128&utm_content=socialflow&utm_campaign=nprhealth&utm_source=health&utm_medium=twitter\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Parents, does your 18-month-old seem wise beyond her years? Science says you're not fooling yourself.\u003c/p>\n\u003cp>Very small children can reason abstractly, researchers say, and are able to infer the relationships between objects that elude older children who get caught up on the concreteness of things.\u003c/p>\n\u003cp>In experiments at the U.C. Berkeley, children as young as 18 months were able to figure out the relationship between colored blocks.\u003c/p>\n\u003cp>The child would watch a researcher put two blocks on top of a box. If the blocks were identical, the box would play music. The majority of children were able to figure out the pattern after they were shown it just three times. They would then help the researcher pick the correct block.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The toddlers did much better at this task than do chimpanzees and other primates. The non-human primates have to practice doing the task themselves thousands of times to figure it out. And even then, it's only with lots of treats thrown in.\u003c/p>\n\u003cp>That's not such a big surprise. What really got the researchers' attention is that the diaper set did better at this sort of abstract thinking than children who were just a few years older.\u003c/p>\n\u003cp>\"Older kids tend to be really bad at analogies,\" says Caren Walker, a graduate student at in cognitive development who led the study. It was \u003ca href=\"http://pss.sagepub.com/content/early/2013/11/22/0956797613502983.abstract\">published\u003c/a> online in the journal \u003cem>Psychological Science\u003c/em>. She says that older children tend to focus on the objects rather than the relationships between them. \"Learning may actually harm these kids' abilities to do abstract reasoning.\"\u003c/p>\n\u003cp>Walker is working in the lab of \u003ca href=\"http://www.npr.org/blogs/health/2013/11/25/247160180/In%20experiments%20at%20the%20University%20of%20California,%20Berkeley,%20children%20as%20young%20as%2018%20month%20were%20able%20to%20figure%20out%20the%20relationship%20between%20colored%20blocks.%20The%20child%20would%20watch%20a%20researcher%20put%20two%20blocks%20on%20top%20of%20a%20box.%20If%20the%20blocks%20were%20identical,%20the%20box%20would%20play%20music.%20The%20majority%20of%20children%20were%20able%20to%20figure%20out%20the%20pattern%20after%20they%20were%20shown%20it%20three%20times.%20The%20toddlers%20do%20much%20better%20at%20this%20task%20than%20do%20chimpanzees%20and%20other%20primates.%20They%20have%20to%20practice%20doing%20the%20task%20themselves%20thousands%20of%20times%20to%20figure%20it%20out.%20And%20even%20then,%20it's%20only%20with%20lots%20of%20treats%20thrown%20in.%20That's%20not%20such%20a%20big%20surprise.%20What%20really%20got%20the%20researchers%20attention%20is%20that%20the%20diaper%20set%20does%20better%20at%20this%20sort%20of%20abstract%20thinking%20than%20children%20who%20are%207%20or%208.%20%20\">Alison Gopnik\u003c/a>, a developmental psychologist who has made a career out of devising experiments that reveal the inner thoughts of children still too young to talk. Her take is that babies are smart, and in many ways smarter than adults.\u003c/p>\n\u003cp>In this experiment, the box actually hides a wireless doorbell, and the researcher moving the blocks controls the music by tapping a hidden button with her foot. But the illusion of control is compelling, not just for the toddlers but for the parents who watch the experiment with their children, Walker says.\u003c/p>\n\u003cp>The researchers tested their hypothesis by running the same experiment but letting the children see only one of the pair of blocks. They couldn't get the right answer more often than they would by chance. By contrast, 61 percent of the children got it right when they could see the blocks.\u003c/p>\n\u003cp>And in a third variation, almost 80 percent were able to correctly deduce that they needed to choose sets of blocks that included pairs if they were going to do the experiment.\u003c/p>\n\u003cp>\"Even as incredibly young children, 18-month-olds are extremely powerful little learning machines,\" Walker told Shots.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Walker and Gopnik are repeating the same experiment with older children, to see if they do indeed lose this very early ability to think abstractly, only to regain it later in the context of language and culture.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Even California's Pre-School Age Kids Eating Fast Food Regularly",
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"content": "\u003cfigure id=\"attachment_16402\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/evelynishere/2680040875/in/photolist-55PUMi-5ue2Eo-5zhWzJ-5FSzot-6MwXA8-6MwYW6-6MB9Qh-6QkRDz-6R1EiV-7aevWD-fsEipJ-d6Uq7f-cGjGgd-93camm-cACFUQ-d6Uqz3-8vEmbQ-8TFvsy-8iy4GF-9HfC5X-7NLyiN-8iB9y7-8pEEqE-8EWxED-9PpjHa-hE7eti-bqdqsu-8tbsQg-9Ppkc2-bWprkY-aatXRF-aau7y8-aax5jb-aatRZt-aatUpR-aawMPu-aawRLj-aaujU8-aawMkw-aawEx9-aawGzN-aawJDq-aawSRG-aau5wR-aawLF9-aax6A7-aax9rY-aatT6Z-aawJhw-aawXBs-aaunEZ/\">\u003cimg class=\"size-large wp-image-16402\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/2680040875_7ace1b2e72_b-640x480.jpg\" alt=\"(EvelynGiggles/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(EvelynGiggles/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Two-thirds of children between the ages of two to five years old eat fast-food at least once a week in California, according to \u003ca href=\"http://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=1236\" target=\"_blank\">a study\u003c/a> released Monday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>The study gathered data from the 2007 and 2009 \u003ca href=\"http://healthpolicy.ucla.edu/CHIS/Pages/default.aspx\" target=\"_blank\">California Health Interview Survey \u003c/a>and found that 60 percent of children are eating fast food at least once a week, and one in 10 is eating three fast food meals a week.\u003c/p>\n\u003cp>“That’s too high for me,” says Susan Holtby, the lead author of the study and a senior researcher at the Public Health Institute in Oakland. “To have that many children that young eating fast food every week calls for attention. Those are the years where you really set the pace and set the tone for what a child’s diet will be like going forward to teens years.”\u003c!--more-->\u003c/p>\n\u003cp>\u003ca href=\"http://www.cdc.gov/healthyyouth/obesity/facts.htm\" target=\"_blank\">One in three children and adolescents\u003c/a> in the U.S. are either overweight or obese -- which increases their risk of eventually developing Type 2 diabetes, high blood pressure, cardiovascular disease, asthma, and a host of other health problems. Holtby says previous research has shown the link between fast food consumption and obesity, so cutting down the amount of fast foods young kids eat may help curb the country’s obesity epidemic.\u003c/p>\n\u003cp>“We know that children who are overweight when they’re very young can continue to be overweight,” Holtby said. “That can be more difficult to reverse once you get to the pre-teen puberty years. To a set a course like that in a child’s life is really doing a disservice to health effects later on.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The study shows fast food consumption is even higher for children in low-income families or communities of color. Latino children eat the most fast food -- about 70 percent eat it at least once a week. In California, half of all children under the age of five are Latino.\u003c/p>\n\u003cp>The UCLA study also shows that Asian children are eating less fruits and vegetables than kids in other ethnic groups. Forty percent of Asian families reported their child ate at least five fruits and vegetables the previous day, compared to a 57 percent state average. Holtby says while Asian children are below the other groups, fruit and vegetable consumption needs to be bumped up for all kids.\u003c/p>\n\u003cp>“One easy things parents and daycare providers can do is provide fruit instead of fruit juice,” Holtby says. “Fruit juice is really high in sugars. When it’s pressed to make juice a lot of the nutritional value is gone. Present the fruit in a way that kids like to eat. If you hand a kid an apple in his or her lunch tray, they might not eat it. If you slice it up they’re more likely to eat it.”\u003c/p>\n\u003cp>The study also looked at soda intake. The more fast food young kids eat, the more they’re likely to drink soda. But overall, soda consumption for this age group has dropped drastically in the past few years. Holtby says the\u003ca href=\"http://www.publichealthadvocacy.org/_PDFs/sb_677.pdf\" target=\"_blank\"> 2003 California law\u003c/a> banning sodas in schools sent a strong public health message.\u003c/p>\n\u003cp>“Taking sodas out of schools was a huge move,” she says. “Kids spend a lot of time in school each day and if they don’t have access to soda, it’s just reducing the number of hours in the day they have to drink it. We can’t show causality but certainly the soda bans runs parallel to the decline in soda consumption. The recent McDonald’s announcement saying that they’re not going to provide soda with Happy Meals any more shows that in the fat food industry there is a shift in what consumers want. It’s not a top down industry decision.”\u003c/p>\n\u003cp>Holtby says California was already looking at banning fast foods from being sold in public schools, but that was put on hold while the national set of standards were being formed.\u003c/p>\n\u003cp>“I think there are ways to tie the public dollars to policies that promote healthy policies,” Holtby says. “[Public] schools are a really good place to start because they are implemented in one large arena.”\u003c/p>\n\u003cp>Holtby says her research group focused between the ages of two to five because what children in this age group eat sets the stage for they’ll eat when they get older.\u003c/p>\n\u003cp>“As these kids grow older they’re out of the house more and are able to get food on their own,” says Holtby. “Parents have control over what their two to five-year-olds eat. As their kids get older, they have less control.”\u003c/p>\n\u003cp>Holtby says improving a young child’s eating habits can improve a family’s eating habits overall.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The longer you wait to introduce high fat, high salt, and sugary foods, the less likely they’ll eat it. If that food is not in the home, you’re not going to eat it either.”\u003c/p>\n\n",
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"excerpt": "Two-thirds of children between the ages of two to five years old eat fast-food at least once a week in California, according to a study released Monday by the UCLA Center for Health Policy Research.\r\n\r\nThe study gathered data from the 2007 and 2009 California Health Interview Survey and found that 60 percent of children are eating fast food at least once a week, and one in 10 is eating three fast food meals a week.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16402\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/evelynishere/2680040875/in/photolist-55PUMi-5ue2Eo-5zhWzJ-5FSzot-6MwXA8-6MwYW6-6MB9Qh-6QkRDz-6R1EiV-7aevWD-fsEipJ-d6Uq7f-cGjGgd-93camm-cACFUQ-d6Uqz3-8vEmbQ-8TFvsy-8iy4GF-9HfC5X-7NLyiN-8iB9y7-8pEEqE-8EWxED-9PpjHa-hE7eti-bqdqsu-8tbsQg-9Ppkc2-bWprkY-aatXRF-aau7y8-aax5jb-aatRZt-aatUpR-aawMPu-aawRLj-aaujU8-aawMkw-aawEx9-aawGzN-aawJDq-aawSRG-aau5wR-aawLF9-aax6A7-aax9rY-aatT6Z-aawJhw-aawXBs-aaunEZ/\">\u003cimg class=\"size-large wp-image-16402\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/2680040875_7ace1b2e72_b-640x480.jpg\" alt=\"(EvelynGiggles/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(EvelynGiggles/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Two-thirds of children between the ages of two to five years old eat fast-food at least once a week in California, according to \u003ca href=\"http://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=1236\" target=\"_blank\">a study\u003c/a> released Monday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>The study gathered data from the 2007 and 2009 \u003ca href=\"http://healthpolicy.ucla.edu/CHIS/Pages/default.aspx\" target=\"_blank\">California Health Interview Survey \u003c/a>and found that 60 percent of children are eating fast food at least once a week, and one in 10 is eating three fast food meals a week.\u003c/p>\n\u003cp>“That’s too high for me,” says Susan Holtby, the lead author of the study and a senior researcher at the Public Health Institute in Oakland. “To have that many children that young eating fast food every week calls for attention. Those are the years where you really set the pace and set the tone for what a child’s diet will be like going forward to teens years.”\u003c!--more-->\u003c/p>\n\u003cp>\u003ca href=\"http://www.cdc.gov/healthyyouth/obesity/facts.htm\" target=\"_blank\">One in three children and adolescents\u003c/a> in the U.S. are either overweight or obese -- which increases their risk of eventually developing Type 2 diabetes, high blood pressure, cardiovascular disease, asthma, and a host of other health problems. Holtby says previous research has shown the link between fast food consumption and obesity, so cutting down the amount of fast foods young kids eat may help curb the country’s obesity epidemic.\u003c/p>\n\u003cp>“We know that children who are overweight when they’re very young can continue to be overweight,” Holtby said. “That can be more difficult to reverse once you get to the pre-teen puberty years. To a set a course like that in a child’s life is really doing a disservice to health effects later on.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The study shows fast food consumption is even higher for children in low-income families or communities of color. Latino children eat the most fast food -- about 70 percent eat it at least once a week. In California, half of all children under the age of five are Latino.\u003c/p>\n\u003cp>The UCLA study also shows that Asian children are eating less fruits and vegetables than kids in other ethnic groups. Forty percent of Asian families reported their child ate at least five fruits and vegetables the previous day, compared to a 57 percent state average. Holtby says while Asian children are below the other groups, fruit and vegetable consumption needs to be bumped up for all kids.\u003c/p>\n\u003cp>“One easy things parents and daycare providers can do is provide fruit instead of fruit juice,” Holtby says. “Fruit juice is really high in sugars. When it’s pressed to make juice a lot of the nutritional value is gone. Present the fruit in a way that kids like to eat. If you hand a kid an apple in his or her lunch tray, they might not eat it. If you slice it up they’re more likely to eat it.”\u003c/p>\n\u003cp>The study also looked at soda intake. The more fast food young kids eat, the more they’re likely to drink soda. But overall, soda consumption for this age group has dropped drastically in the past few years. Holtby says the\u003ca href=\"http://www.publichealthadvocacy.org/_PDFs/sb_677.pdf\" target=\"_blank\"> 2003 California law\u003c/a> banning sodas in schools sent a strong public health message.\u003c/p>\n\u003cp>“Taking sodas out of schools was a huge move,” she says. “Kids spend a lot of time in school each day and if they don’t have access to soda, it’s just reducing the number of hours in the day they have to drink it. We can’t show causality but certainly the soda bans runs parallel to the decline in soda consumption. The recent McDonald’s announcement saying that they’re not going to provide soda with Happy Meals any more shows that in the fat food industry there is a shift in what consumers want. It’s not a top down industry decision.”\u003c/p>\n\u003cp>Holtby says California was already looking at banning fast foods from being sold in public schools, but that was put on hold while the national set of standards were being formed.\u003c/p>\n\u003cp>“I think there are ways to tie the public dollars to policies that promote healthy policies,” Holtby says. “[Public] schools are a really good place to start because they are implemented in one large arena.”\u003c/p>\n\u003cp>Holtby says her research group focused between the ages of two to five because what children in this age group eat sets the stage for they’ll eat when they get older.\u003c/p>\n\u003cp>“As these kids grow older they’re out of the house more and are able to get food on their own,” says Holtby. “Parents have control over what their two to five-year-olds eat. As their kids get older, they have less control.”\u003c/p>\n\u003cp>Holtby says improving a young child’s eating habits can improve a family’s eating habits overall.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The longer you wait to introduce high fat, high salt, and sugary foods, the less likely they’ll eat it. If that food is not in the home, you’re not going to eat it either.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Californians With Canceled Policies Cannot Renew",
"title": "Californians With Canceled Policies Cannot Renew",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_15508\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/coveredca.jpg\">\u003cimg class=\"size-full wp-image-15508\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/coveredca.jpg\" alt=\"Screenshot from CoveredCA.com, the website of Covered California.\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Screenshot from CoveredCA.com, the website of Covered California.\u003c/figcaption>\u003c/figure>\n\u003cp>After long discussion, the board of Covered California, the state's health insurance marketplace, voted unanimously Thursday to stay the course and phase out plans that do not comply with the Affordable Care Act by Dec. 31.\u003c/p>\n\u003cp>The board's decision comes a week after \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/14/insurance-canceled-obama-now-says-companies-can-offer-renewals-obamacare-aca/\" target=\"_blank\">President Obama said\u003c/a> states should consider allowing consumers whose plans were canceled to renew them through 2014. Dave Jones, California's insurance commissioner, said \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/14/can-you-renew-your-health-insurance-policy-nobody-knows-yet-obamacare-covered-california/#more-16232\">he agreed\u003c/a> with the president's request.\u003c/p>\n\u003cp>But ultimately the authority to permit renewals rested with the board –- because of the contracts insurers have with Covered California. The board weighed whether to release carriers from the provision requiring them to phase out plans that do not have the benefits required by the ACA.\u003c/p>\n\u003cp>The board had three options before it: permit no renewals; permit consumers to renew through Mar. 31, 2014; or permit renewals through Dec. 31, 2014. In a \u003ca href=\"http://www.healthexchange.ca.gov/BoardMeetings/Documents/November%2021,%202013/PPT%20-%20CCIIO%20Transition%20Policy.pdf\">detailed analysis\u003c/a> (definitely worth a read), Leesa Tori, senior advisor to Covered California laid out the pros and cons of each, but there was no clear best option. “If we (allow extensions), are we making more of a mess or are we actually helping?” she said.\u003c!--more-->\u003c/p>\n\u003cp>Numerous consumer advocates and a representative from the California Association of Health Plans spoke in favor of sticking with the original Dec. 31 deadline. While acknowledging that many consumers face dramatic premium increases, many people who addressed the board said that they worried more about adding confusion to an already tumultuous change in the individual health insurance marketplace.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Even Diana Dooley, secretary of California Health and Human Services and member of the board, said she came into the meeting believing she would vote for the three-month extension, out of concern for people whose premiums were going up. \"They are Americans, too, and they are Californians, too, and we have an obligation to smooth the edges and lengthen the runway to make smoother landings.\"\u003c/p>\n\u003cp>But ultimately she said she was \"persuaded by testimony and the staff's analysis.\"\u003c/p>\n\u003cp>That analysis included the first estimates of how many Californians whose policies were cancelled are seeing rate increases. To walk through the numbers:\u003c/p>\n\u003cul>\n\u003cli>38 million people live in California\u003c/li>\n\u003cli>5.5 million people are uninsured\u003c/li>\n\u003cli>2 million people are insured on the individual market -- that's about 6 percent of Californians\u003c/li>\n\u003cli>About 900,000 people have had their policies canceled because they do not comply with the ACA\u003c/li>\n\u003cli>Of those people with canceled policies, 590,000 are not eligible for subsidies\u003c/li>\n\u003cli>About half of those -- 295,000 -- have \"thin\" insurance and, even though they're paying more, will receive more comprehensive coverage\u003c/li>\n\u003cli>Leaving another 295,000 -- or less than 1 percent of Californians -- paying more, sometimes much more, for roughly comparable coverage\u003c/li>\n\u003c/ul>\n\u003cp>In addition, of those with canceled policies 300,000 of them are eligible for subsidies. One of the drawbacks of allowing renewals was a concern that these people might miss out on the financial help. Even if people could renew, they would likely see a rate increase on their existing policies.\u003c/p>\n\u003cp>Roughly 5.5 million Californians are uninsured and stand to gain access to health insurance through Covered California.\u003c/p>\n\u003cp>Darcel Lee, executive director of the California Black Health Network was satisfied the board made the best decision it could. “The board negotiated rates with the plans, all of the details of the plans, months ago,” she said. “To now stop and go backwards, I don’t think that’s what the consumers were looking for. We want to go forward.”\u003c/p>\n\u003cp>But Insurance Commissioner Jones, a longtime supporter of the ACA, said he was “disappointed” in the board’s decision. “Allowing existing policyholders to keep their health insurance for the duration of 2014 will not undermine the implementation of the ACA, but rather will give consumers more time to figure out what makes sense for their families.”\u003c/p>\n\u003cp>\u003cstrong>Enrollment Surging\u003c/strong>\u003c/p>\n\u003cp>Consideration of extending policies came against a backdrop of surging enrollment in the Covered California marketplace. As of Nov. 19, nearly 80,000 Californians had completed applications and selected a health plan – the agency’s marker for being formally enrolled. In addition, more than 10,000 Californians per day are now completing applications – although they have not yet selected a health plan. These applications include many people who are eligible for Medi-Cal, California’s version of Medicaid.\u003c/p>\n\u003cp>\u003cstrong>New Consumer Help\u003c/strong>\u003c/p>\n\u003cp>Covered California staff asked the board to approve several items aimed at helping consumers whose policies were cancelled and are now facing rate increases. These measures include:\u003c/p>\n\u003cul>\n\u003cli>A slightly later enrollment deadline, Dec. 23 and a later deadline to make the first premium payment, Jan. 5, 2014\u003c/li>\n\u003cli>A dedicated hotline for people who are seeing premium increases to help them understand all their options\u003c/li>\n\u003cli>An additional mailing explaining people’s insurance options on the Covered California marketplace.\u003c/li>\n\u003c/ul>\n\u003cp>Advocates have been worried that some people were receiving mailed notices of cancellation and, in the same mailing, information about the new plan their carrier would enroll them in. Covered California wants to be sure people are aware of all their options. “That special customer service line” can help people compare apples to apples, Tori said. “We want people to understand that value proposition and understand what they’re getting.”\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003cem>\u003cstrong style=\"font-size: 14px\">Original Post:\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>SACRAMENTO (AP) -- The board overseeing California's health insurance exchange has voted to stick with its current approach of phasing out by year's end health insurance policies that do not meet current benefit requirements.\u003c/p>\n\u003cp>The Covered California Board of Directors voted 5-0 Thursday to hold steady on its current approach, defying President Barack Obama's recent flip on one crucial aspect of the Affordable Care Act.\u003c/p>\n\u003cp>The state insurance commissioner had said that 1.1 million Californians are receiving notices that their current individual health insurance policies will be discontinued in 2014 because they do not meet the benefit requirements of the federal health care overhaul.\u003c!--more-->\u003c/p>\n\u003cp>That has angered some policy holders, many of whom will see their monthly premiums and deductibles rise sharply with the new plans being offered. It also flies in the face of promises Obama made repeatedly when he said people who liked their current health insurance policies could keep them under his health insurance reforms.\u003c/p>\n\u003cp>The president has since backtracked and has asked states to allow insurance companies to extend those older policies.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>But many insurance companies oppose that, saying doing so would undermine the new markets being set up under Obama's law. They also said they did not have enough time to rebuild policies they already had discontinued.\u003c/p>\n\n",
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"excerpt": "The board overseeing California's health insurance exchange has voted to stick with its current approach of phasing out by year's end health insurance policies that do not meet current benefit requirements.\r\n\r\nThe Covered California Board of Directors voted 5-0 Thursday to hold steady on its current approach, defying President Barack Obama's recent flip on one crucial aspect of the Affordable Care Act.",
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"description": "The board overseeing California's health insurance exchange has voted to stick with its current approach of phasing out by year's end health insurance policies that do not meet current benefit requirements.\r\n\r\nThe Covered California Board of Directors voted 5-0 Thursday to hold steady on its current approach, defying President Barack Obama's recent flip on one crucial aspect of the Affordable Care Act.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15508\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/coveredca.jpg\">\u003cimg class=\"size-full wp-image-15508\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/coveredca.jpg\" alt=\"Screenshot from CoveredCA.com, the website of Covered California.\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Screenshot from CoveredCA.com, the website of Covered California.\u003c/figcaption>\u003c/figure>\n\u003cp>After long discussion, the board of Covered California, the state's health insurance marketplace, voted unanimously Thursday to stay the course and phase out plans that do not comply with the Affordable Care Act by Dec. 31.\u003c/p>\n\u003cp>The board's decision comes a week after \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/14/insurance-canceled-obama-now-says-companies-can-offer-renewals-obamacare-aca/\" target=\"_blank\">President Obama said\u003c/a> states should consider allowing consumers whose plans were canceled to renew them through 2014. Dave Jones, California's insurance commissioner, said \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/14/can-you-renew-your-health-insurance-policy-nobody-knows-yet-obamacare-covered-california/#more-16232\">he agreed\u003c/a> with the president's request.\u003c/p>\n\u003cp>But ultimately the authority to permit renewals rested with the board –- because of the contracts insurers have with Covered California. The board weighed whether to release carriers from the provision requiring them to phase out plans that do not have the benefits required by the ACA.\u003c/p>\n\u003cp>The board had three options before it: permit no renewals; permit consumers to renew through Mar. 31, 2014; or permit renewals through Dec. 31, 2014. In a \u003ca href=\"http://www.healthexchange.ca.gov/BoardMeetings/Documents/November%2021,%202013/PPT%20-%20CCIIO%20Transition%20Policy.pdf\">detailed analysis\u003c/a> (definitely worth a read), Leesa Tori, senior advisor to Covered California laid out the pros and cons of each, but there was no clear best option. “If we (allow extensions), are we making more of a mess or are we actually helping?” she said.\u003c!--more-->\u003c/p>\n\u003cp>Numerous consumer advocates and a representative from the California Association of Health Plans spoke in favor of sticking with the original Dec. 31 deadline. While acknowledging that many consumers face dramatic premium increases, many people who addressed the board said that they worried more about adding confusion to an already tumultuous change in the individual health insurance marketplace.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Even Diana Dooley, secretary of California Health and Human Services and member of the board, said she came into the meeting believing she would vote for the three-month extension, out of concern for people whose premiums were going up. \"They are Americans, too, and they are Californians, too, and we have an obligation to smooth the edges and lengthen the runway to make smoother landings.\"\u003c/p>\n\u003cp>But ultimately she said she was \"persuaded by testimony and the staff's analysis.\"\u003c/p>\n\u003cp>That analysis included the first estimates of how many Californians whose policies were cancelled are seeing rate increases. To walk through the numbers:\u003c/p>\n\u003cul>\n\u003cli>38 million people live in California\u003c/li>\n\u003cli>5.5 million people are uninsured\u003c/li>\n\u003cli>2 million people are insured on the individual market -- that's about 6 percent of Californians\u003c/li>\n\u003cli>About 900,000 people have had their policies canceled because they do not comply with the ACA\u003c/li>\n\u003cli>Of those people with canceled policies, 590,000 are not eligible for subsidies\u003c/li>\n\u003cli>About half of those -- 295,000 -- have \"thin\" insurance and, even though they're paying more, will receive more comprehensive coverage\u003c/li>\n\u003cli>Leaving another 295,000 -- or less than 1 percent of Californians -- paying more, sometimes much more, for roughly comparable coverage\u003c/li>\n\u003c/ul>\n\u003cp>In addition, of those with canceled policies 300,000 of them are eligible for subsidies. One of the drawbacks of allowing renewals was a concern that these people might miss out on the financial help. Even if people could renew, they would likely see a rate increase on their existing policies.\u003c/p>\n\u003cp>Roughly 5.5 million Californians are uninsured and stand to gain access to health insurance through Covered California.\u003c/p>\n\u003cp>Darcel Lee, executive director of the California Black Health Network was satisfied the board made the best decision it could. “The board negotiated rates with the plans, all of the details of the plans, months ago,” she said. “To now stop and go backwards, I don’t think that’s what the consumers were looking for. We want to go forward.”\u003c/p>\n\u003cp>But Insurance Commissioner Jones, a longtime supporter of the ACA, said he was “disappointed” in the board’s decision. “Allowing existing policyholders to keep their health insurance for the duration of 2014 will not undermine the implementation of the ACA, but rather will give consumers more time to figure out what makes sense for their families.”\u003c/p>\n\u003cp>\u003cstrong>Enrollment Surging\u003c/strong>\u003c/p>\n\u003cp>Consideration of extending policies came against a backdrop of surging enrollment in the Covered California marketplace. As of Nov. 19, nearly 80,000 Californians had completed applications and selected a health plan – the agency’s marker for being formally enrolled. In addition, more than 10,000 Californians per day are now completing applications – although they have not yet selected a health plan. These applications include many people who are eligible for Medi-Cal, California’s version of Medicaid.\u003c/p>\n\u003cp>\u003cstrong>New Consumer Help\u003c/strong>\u003c/p>\n\u003cp>Covered California staff asked the board to approve several items aimed at helping consumers whose policies were cancelled and are now facing rate increases. These measures include:\u003c/p>\n\u003cul>\n\u003cli>A slightly later enrollment deadline, Dec. 23 and a later deadline to make the first premium payment, Jan. 5, 2014\u003c/li>\n\u003cli>A dedicated hotline for people who are seeing premium increases to help them understand all their options\u003c/li>\n\u003cli>An additional mailing explaining people’s insurance options on the Covered California marketplace.\u003c/li>\n\u003c/ul>\n\u003cp>Advocates have been worried that some people were receiving mailed notices of cancellation and, in the same mailing, information about the new plan their carrier would enroll them in. Covered California wants to be sure people are aware of all their options. “That special customer service line” can help people compare apples to apples, Tori said. “We want people to understand that value proposition and understand what they’re getting.”\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003cem>\u003cstrong style=\"font-size: 14px\">Original Post:\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>SACRAMENTO (AP) -- The board overseeing California's health insurance exchange has voted to stick with its current approach of phasing out by year's end health insurance policies that do not meet current benefit requirements.\u003c/p>\n\u003cp>The Covered California Board of Directors voted 5-0 Thursday to hold steady on its current approach, defying President Barack Obama's recent flip on one crucial aspect of the Affordable Care Act.\u003c/p>\n\u003cp>The state insurance commissioner had said that 1.1 million Californians are receiving notices that their current individual health insurance policies will be discontinued in 2014 because they do not meet the benefit requirements of the federal health care overhaul.\u003c!--more-->\u003c/p>\n\u003cp>That has angered some policy holders, many of whom will see their monthly premiums and deductibles rise sharply with the new plans being offered. It also flies in the face of promises Obama made repeatedly when he said people who liked their current health insurance policies could keep them under his health insurance reforms.\u003c/p>\n\u003cp>The president has since backtracked and has asked states to allow insurance companies to extend those older policies.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But many insurance companies oppose that, saying doing so would undermine the new markets being set up under Obama's law. They also said they did not have enough time to rebuild policies they already had discontinued.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "New Cholesterol Guidelines Will Lead to Overprescribing Statins, Critics Say",
"title": "New Cholesterol Guidelines Will Lead to Overprescribing Statins, Critics Say",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_16285\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/55908498-e1384822483114.jpg\">\u003cimg class=\"size-large wp-image-16285\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/55908498-640x373.jpg\" alt=\"A prescription label for the cholesterol-lowering drug Lipitor, a brand name statin medicine. (Tim Boyle/Getty Images)\" width=\"640\" height=\"373\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A prescription label for the cholesterol-lowering drug Lipitor, a brand name statin medicine. (Tim Boyle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Last Monday two major groups released a set of \u003ca href=\"http://circ.ahajournals.org/content/early/2013/11/11/01.cir.0000437738.63853.7a\" target=\"_blank\">new guidelines\u003c/a> designed to lower cholesterol. Now, it appears a major component of the guidelines — an online risk calculator — may be flawed, the \u003ca href=\"http://www.nytimes.com/2013/11/18/health/risk-calculator-for-cholesterol-appears-flawed.html?hpw&rref=us\" target=\"_blank\">New York Times reports\u003c/a>.\u003c/p>\n\u003cp>Since the publication of the guidelines, two Harvard Medical School professors \"evaluated the guidelines using three large studies that involved thousands of people and continued for at least a decade,\" the Times reported. They knew the patients' health status at the start and then they looked to see how many had had a heart attack or stroke in the next decade. How accurate was the new calculator in predicting risk? From the Times:\u003c/p>\n\u003cblockquote>\u003cp>The answer was that the calculator overpredicted risk by 75 to 150 percent, depending on the population. A man whose risk was 4 percent, for example, might show up as having an 8 percent risk. With a 4 percent risk, he would not warrant treatment — the guidelines that say treatment is advised for those with at least a 7.5 percent risk and that treatment can be considered for those whose risk is 5 percent.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->If this critique is accurate, it could mean that millions more people could be prescribed statins unnecessarily. That's a problem because \"most of those people will see no benefits and have a lot of harm\" from the statins, said Dr. Rita Redberg, a cardiologist at UC San Francisco. Redberg is also editor of JAMA Internal Medicine, where she has directed the \u003ca href=\"http://iom.edu/Global/Perspectives/2012/LessIsMore.aspx\" target=\"_blank\">Less is More\u003c/a> campaign, designed to cut down on health tests or treatments where there are few (or no) benefits and lots of potential for harm.\u003c/p>\n\u003cp>In the case of statins, side effects include muscle problems, fatigue, memory loss and diabetes risk, Redberg says. And cumulatively, these side effects can happen to 20 percent of people taking the drug. Redberg is concerned that many people at low risk for heart disease will be prescribed a statin and be much more likely to experience harm than benefit from the drug.\u003c/p>\n\u003cp>\"The chance of having a benefit from that medicine depends proportionately on how high your risk is of getting the disease in the first place,\" Redberg said. \"If you're already at low risk to have a heart problem, it's very hard to make that even lower with medicines.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Medical \u003ca href=\"http://www.thennt.com/nnt/statins-for-heart-disease-prevention-with-known-heart-disease/\" target=\"_blank\">evidence is strong\u003c/a> that certain groups of people can benefit from taking statins. These groups include people who have had a heart attack or stroke and people who have diabetes. If these people take statins, the drug can reduce their risk of death from a heart attack.\u003c/p>\n\u003cp>But for people without known heart disease, the evidence stacks up differently. Redberg had the numbers at her fingertips. Take 100 people without heart disease but who do have a 20 percent risk of heart attack in the next 10 years, she explained to me. If you put all of them on statins, here's what the evidence shows:\u003c/p>\n\u003cul>\n\u003cli>98 of those 100 people would see no benefit from taking a statin over a 5-year period\u003c/li>\n\u003cli>20 will have side effects (muscle pain, fatigue, memory loss, diabetes onset)\u003c/li>\n\u003cli>2 people who would have had a heart attack will avoid having one, because of the statin\u003c/li>\n\u003cli>\u003cspan>0 will live longer than they would have, if they had not taken a statin\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>In other words, for people who haven't had a heart attack, \"you can take that drug for years and you won't live any longer,\" says Redberg.\u003c/p>\n\u003cp>\"There are a lot of people who have risk factors for heart disease,\" Redberg said. Many people have high blood pressure, about 1 in 5 Americans smoke. \"The best way to reduce your (heart disease) risk is to change your diet, do more physical activity, and if you're a smoker, to stop smoking.\"\u003c/p>\n\u003cp>I pointed out that many Americans seem to resist the kinds of lifestyle changes doctors recommend, that people really cling to the idea of a magic pill.\u003c/p>\n\u003cp>\"Of course!\" Redberg replied. \"Everyone wants a magic pill, but we don't have a magic pill.\" Worse, she says, recommending a pill creates a \"moral hazard\" where people say to themselves, 'OK, I don't have to pay attention to my diet because I have this magic pill and it's going to make it all right.' Unfortunately, statins are not a magic pill.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>From KQED's Forum \u003ca href=\"http://www.kqed.org/a/forum/R201311190900\" target=\"_blank\">Doctors Divided Over New Cholesterol Guidelines\u003c/a>\u003cbr>\n\u003c/em>\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201311190900.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201311190900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "Last Monday two major groups released a set of new guidelines designed to lower cholesterol. Now, it appears a major component of the guidelines — an online risk calculator — may be flawed, the New York Times reports.\r\n\r\nSince the publication of the guidelines, two Harvard Medical School professors \"evaluated the guidelines using three large studies that involved thousands of people and continued for at least a decade,\" the Times reported. They knew the patients' health status at the start and then they looked to see how many had had a heart attack or stroke in the next decade. How accurate was the new calculator in predicting risk? From the Times:",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16285\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/55908498-e1384822483114.jpg\">\u003cimg class=\"size-large wp-image-16285\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/55908498-640x373.jpg\" alt=\"A prescription label for the cholesterol-lowering drug Lipitor, a brand name statin medicine. (Tim Boyle/Getty Images)\" width=\"640\" height=\"373\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A prescription label for the cholesterol-lowering drug Lipitor, a brand name statin medicine. (Tim Boyle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Last Monday two major groups released a set of \u003ca href=\"http://circ.ahajournals.org/content/early/2013/11/11/01.cir.0000437738.63853.7a\" target=\"_blank\">new guidelines\u003c/a> designed to lower cholesterol. Now, it appears a major component of the guidelines — an online risk calculator — may be flawed, the \u003ca href=\"http://www.nytimes.com/2013/11/18/health/risk-calculator-for-cholesterol-appears-flawed.html?hpw&rref=us\" target=\"_blank\">New York Times reports\u003c/a>.\u003c/p>\n\u003cp>Since the publication of the guidelines, two Harvard Medical School professors \"evaluated the guidelines using three large studies that involved thousands of people and continued for at least a decade,\" the Times reported. They knew the patients' health status at the start and then they looked to see how many had had a heart attack or stroke in the next decade. How accurate was the new calculator in predicting risk? From the Times:\u003c/p>\n\u003cblockquote>\u003cp>The answer was that the calculator overpredicted risk by 75 to 150 percent, depending on the population. A man whose risk was 4 percent, for example, might show up as having an 8 percent risk. With a 4 percent risk, he would not warrant treatment — the guidelines that say treatment is advised for those with at least a 7.5 percent risk and that treatment can be considered for those whose risk is 5 percent.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->If this critique is accurate, it could mean that millions more people could be prescribed statins unnecessarily. That's a problem because \"most of those people will see no benefits and have a lot of harm\" from the statins, said Dr. Rita Redberg, a cardiologist at UC San Francisco. Redberg is also editor of JAMA Internal Medicine, where she has directed the \u003ca href=\"http://iom.edu/Global/Perspectives/2012/LessIsMore.aspx\" target=\"_blank\">Less is More\u003c/a> campaign, designed to cut down on health tests or treatments where there are few (or no) benefits and lots of potential for harm.\u003c/p>\n\u003cp>In the case of statins, side effects include muscle problems, fatigue, memory loss and diabetes risk, Redberg says. And cumulatively, these side effects can happen to 20 percent of people taking the drug. Redberg is concerned that many people at low risk for heart disease will be prescribed a statin and be much more likely to experience harm than benefit from the drug.\u003c/p>\n\u003cp>\"The chance of having a benefit from that medicine depends proportionately on how high your risk is of getting the disease in the first place,\" Redberg said. \"If you're already at low risk to have a heart problem, it's very hard to make that even lower with medicines.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Medical \u003ca href=\"http://www.thennt.com/nnt/statins-for-heart-disease-prevention-with-known-heart-disease/\" target=\"_blank\">evidence is strong\u003c/a> that certain groups of people can benefit from taking statins. These groups include people who have had a heart attack or stroke and people who have diabetes. If these people take statins, the drug can reduce their risk of death from a heart attack.\u003c/p>\n\u003cp>But for people without known heart disease, the evidence stacks up differently. Redberg had the numbers at her fingertips. Take 100 people without heart disease but who do have a 20 percent risk of heart attack in the next 10 years, she explained to me. If you put all of them on statins, here's what the evidence shows:\u003c/p>\n\u003cul>\n\u003cli>98 of those 100 people would see no benefit from taking a statin over a 5-year period\u003c/li>\n\u003cli>20 will have side effects (muscle pain, fatigue, memory loss, diabetes onset)\u003c/li>\n\u003cli>2 people who would have had a heart attack will avoid having one, because of the statin\u003c/li>\n\u003cli>\u003cspan>0 will live longer than they would have, if they had not taken a statin\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>In other words, for people who haven't had a heart attack, \"you can take that drug for years and you won't live any longer,\" says Redberg.\u003c/p>\n\u003cp>\"There are a lot of people who have risk factors for heart disease,\" Redberg said. Many people have high blood pressure, about 1 in 5 Americans smoke. \"The best way to reduce your (heart disease) risk is to change your diet, do more physical activity, and if you're a smoker, to stop smoking.\"\u003c/p>\n\u003cp>I pointed out that many Americans seem to resist the kinds of lifestyle changes doctors recommend, that people really cling to the idea of a magic pill.\u003c/p>\n\u003cp>\"Of course!\" Redberg replied. \"Everyone wants a magic pill, but we don't have a magic pill.\" Worse, she says, recommending a pill creates a \"moral hazard\" where people say to themselves, 'OK, I don't have to pay attention to my diet because I have this magic pill and it's going to make it all right.' Unfortunately, statins are not a magic pill.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>From KQED's Forum \u003ca href=\"http://www.kqed.org/a/forum/R201311190900\" target=\"_blank\">Doctors Divided Over New Cholesterol Guidelines\u003c/a>\u003cbr>\n\u003c/em>\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201311190900.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201311190900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "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. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"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.",
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"radiolab": {
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"reveal": {
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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},
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"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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"snap-judgment": {
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"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.",
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