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"content": "\u003cfigure id=\"attachment_12470\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/01/what-prisons-and-the-solar-industry-have-in-common-in-california/avenalstateprison_buzzbo_flickr/\" rel=\"attachment wp-att-12470\">\u003cimg class=\"size-medium wp-image-12470 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/AvenalStatePrison_Buzzbo_Flickr-300x200.jpg\" alt=\"It's all that land around the prison (Avenal State Prison seen here) that carries a health hazard, the same one that affects solar manufacturers. (Buzzbo/Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">It's all that land around the prison (Avenal State Prison seen here) that carries a health hazard, the same one that affects solar manufacturers. (Buzzbo/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Normally, you wouldn't put \"prisons\" and \"solar\" together when thinking about a significant health problem hitting California. But the two prisons in question are in the dry, dusty Central Valley. The solar manufacturing is on huge construction sites in the California desert. Anyone who lives in those areas of California might quickly add these two clues together and come up with an answer:\u003c/p>\n\u003cp>Valley Fever.\u003c/p>\n\u003cp>Valley Fever can cause something like a nasty flu, but some people, especially those with compromised immune systems, can die. It is not contagious. Instead the illness spreads when people inhale fungal spores carried in the dirt by the wind.\u003c/p>\n\u003cp>California's prison system has been \u003ca href=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-taxpayers-spend-millions-on-valley-fever-in-prisons/\" target=\"_blank\">fighting a losing battle\u003c/a> with Valley Fever since 2006. In particular, inmates in two prisons along the I-5 corridor are right in harms way.\u003c!--more-->\u003c/p>\n\u003cp>Now the federal receiver in charge of health care in California's prisons has ordered state officials to move 3,300 inmates out, as Julie Small \u003ca href=\"http://www.californiareport.org/archive/R201305010850/b\" target=\"_blank\">detailed on The California Report\u003c/a> Wednesday morning. Inmates at higher risk include those over age 55, people undergoing chemotherapy or anyone with an illness that compromises the immune system, such as HIV/AIDS.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This move would be a \"logistical nightmare\" for prison officials, Small reported. The 3,300 inmates are roughly 40 percent of the two prisons' population. Still the directive is effective immediately and has the additional headache of coming just days before state corrections officials are to submit a plan to federal court on reducing the state prison population by 9,000 inmates by the end of the year.\u003c/p>\n\u003cp>Meanwhile, 28 workers at two large solar power plant construction sites in eastern San Luis Obispo County have also come down with Valley Fever. As \u003ca href=\"http://www.latimes.com/news/local/la-me-solar-fever-20130501,0,2746691.story\" target=\"_blank\">the Los Angeles Times reports\u003c/a>, officials from the California Department of Public Health visited the sites two months ago.\u003c/p>\n\u003cp>This type of construction involves scraping and clearing ground to make room for thousands of acres of solar panels. Dust goes flying. From the Times:\u003c/p>\n\u003cblockquote>\u003cp>Although respirators can prevent valley fever, workers laboring in harsh desert heat find the large commercial masks uncomfortable and are reluctant to wear them, Simonin said. He said the developer has done good job keeping dust down on the site.\u003c/p>\n\u003cp>The threat of acquiring the respiratory illness extends to residents living near expansive construction sites. That risk is rising given the scope of the renewable energy boom centered in the state. Scores of solar projects are planned for millions of acres across California's Mojave Desert and elsewhere.\u003c/p>\u003c/blockquote>\n\u003cp>People who work outside -- in construction and agriculture -- are at highest risk of contracting Valley Fever. And incidence is way up. Over the last dozen years, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/09/10/valley-fever-cases-soar-harm-remains-hidden/\" target=\"_blank\">cases are up nearly 800 percent\u003c/a>, according to the CDC. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/valley-fever-cases-skyrocketing-says-cdc/\" target=\"_blank\">\u003cbr>\n\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kvpr.org/post/prison-health-advocates-call-more-steps-stop-valley-fever-outbreak\" target=\"_blank\">Prison Health Advocates Call for More Steps to Stop Valley Fever Outbreak\u003c/a> (KVPR)\u003c/p>\n\n",
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"excerpt": "Normally, you wouldn't put \"prisons\" and \"solar\" together when thinking about a significant health problem hitting California. But the two prisons in question are in the dry, dusty Central Valley. The solar manufacturing is on huge construction sites in the California desert. Anyone who lives in those areas of California might quickly add these two clues together and come up with an answer:\r\n\r\nValley Fever.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_12470\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/01/what-prisons-and-the-solar-industry-have-in-common-in-california/avenalstateprison_buzzbo_flickr/\" rel=\"attachment wp-att-12470\">\u003cimg class=\"size-medium wp-image-12470 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/AvenalStatePrison_Buzzbo_Flickr-300x200.jpg\" alt=\"It's all that land around the prison (Avenal State Prison seen here) that carries a health hazard, the same one that affects solar manufacturers. (Buzzbo/Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">It's all that land around the prison (Avenal State Prison seen here) that carries a health hazard, the same one that affects solar manufacturers. (Buzzbo/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Normally, you wouldn't put \"prisons\" and \"solar\" together when thinking about a significant health problem hitting California. But the two prisons in question are in the dry, dusty Central Valley. The solar manufacturing is on huge construction sites in the California desert. Anyone who lives in those areas of California might quickly add these two clues together and come up with an answer:\u003c/p>\n\u003cp>Valley Fever.\u003c/p>\n\u003cp>Valley Fever can cause something like a nasty flu, but some people, especially those with compromised immune systems, can die. It is not contagious. Instead the illness spreads when people inhale fungal spores carried in the dirt by the wind.\u003c/p>\n\u003cp>California's prison system has been \u003ca href=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-taxpayers-spend-millions-on-valley-fever-in-prisons/\" target=\"_blank\">fighting a losing battle\u003c/a> with Valley Fever since 2006. In particular, inmates in two prisons along the I-5 corridor are right in harms way.\u003c!--more-->\u003c/p>\n\u003cp>Now the federal receiver in charge of health care in California's prisons has ordered state officials to move 3,300 inmates out, as Julie Small \u003ca href=\"http://www.californiareport.org/archive/R201305010850/b\" target=\"_blank\">detailed on The California Report\u003c/a> Wednesday morning. Inmates at higher risk include those over age 55, people undergoing chemotherapy or anyone with an illness that compromises the immune system, such as HIV/AIDS.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This move would be a \"logistical nightmare\" for prison officials, Small reported. The 3,300 inmates are roughly 40 percent of the two prisons' population. Still the directive is effective immediately and has the additional headache of coming just days before state corrections officials are to submit a plan to federal court on reducing the state prison population by 9,000 inmates by the end of the year.\u003c/p>\n\u003cp>Meanwhile, 28 workers at two large solar power plant construction sites in eastern San Luis Obispo County have also come down with Valley Fever. As \u003ca href=\"http://www.latimes.com/news/local/la-me-solar-fever-20130501,0,2746691.story\" target=\"_blank\">the Los Angeles Times reports\u003c/a>, officials from the California Department of Public Health visited the sites two months ago.\u003c/p>\n\u003cp>This type of construction involves scraping and clearing ground to make room for thousands of acres of solar panels. Dust goes flying. From the Times:\u003c/p>\n\u003cblockquote>\u003cp>Although respirators can prevent valley fever, workers laboring in harsh desert heat find the large commercial masks uncomfortable and are reluctant to wear them, Simonin said. He said the developer has done good job keeping dust down on the site.\u003c/p>\n\u003cp>The threat of acquiring the respiratory illness extends to residents living near expansive construction sites. That risk is rising given the scope of the renewable energy boom centered in the state. Scores of solar projects are planned for millions of acres across California's Mojave Desert and elsewhere.\u003c/p>\u003c/blockquote>\n\u003cp>People who work outside -- in construction and agriculture -- are at highest risk of contracting Valley Fever. And incidence is way up. Over the last dozen years, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/09/10/valley-fever-cases-soar-harm-remains-hidden/\" target=\"_blank\">cases are up nearly 800 percent\u003c/a>, according to the CDC. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/valley-fever-cases-skyrocketing-says-cdc/\" target=\"_blank\">\u003cbr>\n\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kvpr.org/post/prison-health-advocates-call-more-steps-stop-valley-fever-outbreak\" target=\"_blank\">Prison Health Advocates Call for More Steps to Stop Valley Fever Outbreak\u003c/a> (KVPR)\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "School-Based Health Centers Serve More Than Just Students",
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"content": "\u003cp>\u003ca href=\"http://chrisrichard.org\" target=\"_blank\">\u003cstrong>By Chris Richard\u003c/strong>\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_12415\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/29/school-based-health-centers-serve-more-than-just-students/wellnesscenter_chrisrichard/\" rel=\"attachment wp-att-12415\">\u003cimg class=\"size-medium wp-image-12415\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/WellnessCenter_ChrisRichard-300x225.jpg\" alt=\"At the Manual Arts High School Wellness Center in Los Angeles, pediatric nurse practitioner Jennie Lien gives 15-month-old Andrew Baptist a medical examination. Andrew's great-grandmother, Yvonne Lee (right) says Andrew's entire family relies on the center for medical care.(Photo/Chris Richard)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">At the Manual Arts High School Wellness Center in Los Angeles, pediatric nurse practitioner Jennie Lien gives 15-month-old Andrew Baptist a medical examination. Andrew's great-grandmother, Yvonne Lee (right) says Andrew's entire family relies on the center for medical care.(Photo/Chris Richard)\u003c/figcaption>\u003c/figure>\n\u003cp>When Compton’s Dominguez High School celebrated the opening of a new campus wellness center last month, it was a timeless moment.\u003c/p>\n\u003cp>The marching band blared and thundered. Drill teams members pranced and whirled, just as they’ve been dancing and high-kicking on high school campuses for generations.\u003c/p>\n\u003cp>But the scene in the wellness center itself offered a glimpse of what the future could be for school medical services in California.\u003c/p>\n\u003cp>There was a student in for routine blood work. In the next cubicle, a mother had brought her young son, who had the flu. And neighborhood resident Jonetta Stewart, 76, had come seeking relief from frequent vertigo and headaches.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Physician’s assistant Rachel Damicali checked Stewart’s blood pressure. It was very high.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Some campus-based wellness centers offer free and low-cost services not just to students, but to entire neighborhoods, to people of any age.\u003c/aside>\n\u003cp>Dimacali says she sees a lot of variety in her fast-paced days.\u003c/p>\n\u003cp>“My last patient was a 4-year-old kid, and now I’m seeing Jonetta for her blood pressure management,” she said. “So, we see a whole range: from chronic disease to urgent care visits to just physical exams.”\u003c/p>\n\u003cp>Just in time for the implementation of President Obama's health care overhaul coming Jan. 1, a handful of California schools are starting to open campus-based wellness centers like the one at Dominguez, offering free and low-cost services not just to students, but to entire neighborhoods, to people of any age.\u003c!--more-->\u003c/p>\n\u003cp>It's part of the health overhaul's emphasis on development of so-called “medical homes,” in which providers agree to give each patient wide-ranging medical services, with an emphasis on preventive care.\u003c/p>\n\u003cp>\"This is better than a doctor's office\" says Jim Mangia, CEO of St. John's Well Child and Family Center, which runs the Dominguez wellness center.\u003c/p>\n\u003cp>“This is comprehensive medical, dental health, mental health, enabling services, care coordination, case management, social workers,\" Mangia added. \"So this is a doctor’s office on steroids.”\u003c/p>\n\u003cp>Los Angeles Unified School District is one leader in embracing school centers. The district will have 14 of them within the year, says Kimberly Uyeda, Los Angeles Unified’s director of student medical services. To determine where to place the centers, district officials used computerized maps to identify “hot spots” for social and health ills including exposure to violence, poverty, obesity and high rates of sexually transmitted disease, Uyeda said.\u003c/p>\n\u003cp>Uyeda points out that students are often affected not only by the health and wellness of their families, but also by that of the broader community. “So if we don’t either address ... the families and the communities, we’re only going to get so far with students.”\u003c/p>\n\u003cp>\u003cstrong>Money is a big issue\u003c/strong>\u003c/p>\n\u003cp>The school board has built the centers from bond funds. But money to keep the clinics operating is harder to come by.\u003c/p>\n\u003cp>The nonprofits that run the wellness centers bill Medi-Cal and other public insurance programs for the services they provide. But startup costs of up to a half-million dollars per clinic can be harder to recover. Health care advocates are lobbying Congress for support.\u003c/p>\n\u003cp>L.A. County Supervisor Mark Ridley-Thomas is a strong backer. As a state senator, he wrote the legislation establishing a state grant program. At the Dominguez High School opening, he vowed continued support.\u003c/p>\n\u003cp>“The more school-based health clinics that we build, the better this community and this broader area will be.”\u003c/p>\n\u003cp>Los Angeles Unified would like to keep building, too. Someday, the district would like a center on every high school campus.\u003c/p>\n\u003cp>Alex Briscoe, director of the Alameda County Health Care Services Agency, said it’s important to proceed carefully. Privacy is a key concern.\u003c/p>\n\u003cp>“If adolescents think their parents or their friends’ parents are going to be in the waiting room when they come in,\" Briscoe says, \"they’re not going to seek these services that have a huge stigma around them, like mental health, like alcohol and drugs, like reproductive health.”\u003c/p>\n\u003cp>Protecting the privacy of patients could be as simple as providing separate entrances, waiting and treatment rooms for students and the public, Briscoe said. Alternatively, the centers might only be open to the public after school hours, he said.\u003c/p>\n\u003cp>If such precautions are followed, Briscoe said he’s very excited about the potential for expanded services.\u003c/p>\n\u003cp>“We think that schools can be a center of community building if you have things that people need there,” he said.\u003c/p>\n\u003cp>“And comprehensive health services is a really good one.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Chris Richard's report:\u003c/strong>\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/R201304290850b.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/R201304290850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "When Compton’s Dominguez High School celebrated the opening of a new campus wellness center recently, it was a timeless moment.\r\n\r\nThe marching band blared and thundered. Drill teams members pranced and whirled, just as they’ve been dancing and high-kicking on high school campuses for generations.\r\n\r\nBut the scene in the wellness center itself offered a glimpse of what the future could be for school medical services in California.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://chrisrichard.org\" target=\"_blank\">\u003cstrong>By Chris Richard\u003c/strong>\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_12415\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/29/school-based-health-centers-serve-more-than-just-students/wellnesscenter_chrisrichard/\" rel=\"attachment wp-att-12415\">\u003cimg class=\"size-medium wp-image-12415\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/WellnessCenter_ChrisRichard-300x225.jpg\" alt=\"At the Manual Arts High School Wellness Center in Los Angeles, pediatric nurse practitioner Jennie Lien gives 15-month-old Andrew Baptist a medical examination. Andrew's great-grandmother, Yvonne Lee (right) says Andrew's entire family relies on the center for medical care.(Photo/Chris Richard)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">At the Manual Arts High School Wellness Center in Los Angeles, pediatric nurse practitioner Jennie Lien gives 15-month-old Andrew Baptist a medical examination. Andrew's great-grandmother, Yvonne Lee (right) says Andrew's entire family relies on the center for medical care.(Photo/Chris Richard)\u003c/figcaption>\u003c/figure>\n\u003cp>When Compton’s Dominguez High School celebrated the opening of a new campus wellness center last month, it was a timeless moment.\u003c/p>\n\u003cp>The marching band blared and thundered. Drill teams members pranced and whirled, just as they’ve been dancing and high-kicking on high school campuses for generations.\u003c/p>\n\u003cp>But the scene in the wellness center itself offered a glimpse of what the future could be for school medical services in California.\u003c/p>\n\u003cp>There was a student in for routine blood work. In the next cubicle, a mother had brought her young son, who had the flu. And neighborhood resident Jonetta Stewart, 76, had come seeking relief from frequent vertigo and headaches.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Physician’s assistant Rachel Damicali checked Stewart’s blood pressure. It was very high.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Some campus-based wellness centers offer free and low-cost services not just to students, but to entire neighborhoods, to people of any age.\u003c/aside>\n\u003cp>Dimacali says she sees a lot of variety in her fast-paced days.\u003c/p>\n\u003cp>“My last patient was a 4-year-old kid, and now I’m seeing Jonetta for her blood pressure management,” she said. “So, we see a whole range: from chronic disease to urgent care visits to just physical exams.”\u003c/p>\n\u003cp>Just in time for the implementation of President Obama's health care overhaul coming Jan. 1, a handful of California schools are starting to open campus-based wellness centers like the one at Dominguez, offering free and low-cost services not just to students, but to entire neighborhoods, to people of any age.\u003c!--more-->\u003c/p>\n\u003cp>It's part of the health overhaul's emphasis on development of so-called “medical homes,” in which providers agree to give each patient wide-ranging medical services, with an emphasis on preventive care.\u003c/p>\n\u003cp>\"This is better than a doctor's office\" says Jim Mangia, CEO of St. John's Well Child and Family Center, which runs the Dominguez wellness center.\u003c/p>\n\u003cp>“This is comprehensive medical, dental health, mental health, enabling services, care coordination, case management, social workers,\" Mangia added. \"So this is a doctor’s office on steroids.”\u003c/p>\n\u003cp>Los Angeles Unified School District is one leader in embracing school centers. The district will have 14 of them within the year, says Kimberly Uyeda, Los Angeles Unified’s director of student medical services. To determine where to place the centers, district officials used computerized maps to identify “hot spots” for social and health ills including exposure to violence, poverty, obesity and high rates of sexually transmitted disease, Uyeda said.\u003c/p>\n\u003cp>Uyeda points out that students are often affected not only by the health and wellness of their families, but also by that of the broader community. “So if we don’t either address ... the families and the communities, we’re only going to get so far with students.”\u003c/p>\n\u003cp>\u003cstrong>Money is a big issue\u003c/strong>\u003c/p>\n\u003cp>The school board has built the centers from bond funds. But money to keep the clinics operating is harder to come by.\u003c/p>\n\u003cp>The nonprofits that run the wellness centers bill Medi-Cal and other public insurance programs for the services they provide. But startup costs of up to a half-million dollars per clinic can be harder to recover. Health care advocates are lobbying Congress for support.\u003c/p>\n\u003cp>L.A. County Supervisor Mark Ridley-Thomas is a strong backer. As a state senator, he wrote the legislation establishing a state grant program. At the Dominguez High School opening, he vowed continued support.\u003c/p>\n\u003cp>“The more school-based health clinics that we build, the better this community and this broader area will be.”\u003c/p>\n\u003cp>Los Angeles Unified would like to keep building, too. Someday, the district would like a center on every high school campus.\u003c/p>\n\u003cp>Alex Briscoe, director of the Alameda County Health Care Services Agency, said it’s important to proceed carefully. Privacy is a key concern.\u003c/p>\n\u003cp>“If adolescents think their parents or their friends’ parents are going to be in the waiting room when they come in,\" Briscoe says, \"they’re not going to seek these services that have a huge stigma around them, like mental health, like alcohol and drugs, like reproductive health.”\u003c/p>\n\u003cp>Protecting the privacy of patients could be as simple as providing separate entrances, waiting and treatment rooms for students and the public, Briscoe said. Alternatively, the centers might only be open to the public after school hours, he said.\u003c/p>\n\u003cp>If such precautions are followed, Briscoe said he’s very excited about the potential for expanded services.\u003c/p>\n\u003cp>“We think that schools can be a center of community building if you have things that people need there,” he said.\u003c/p>\n\u003cp>“And comprehensive health services is a really good one.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Chris Richard's report:\u003c/strong>\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/R201304290850b.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/R201304290850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Berkeley Journalist Takes On The 'Feel-Good War on Breast Cancer'",
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"content": "\u003cfigure id=\"attachment_12396\" class=\"wp-caption alignleft\" style=\"max-width: 236px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/26/berkeley-journalist-takes-on-the-feel-good-war-on-breast-cancer/pink-ribbon-getty-images-copy/\" rel=\"attachment wp-att-12396\">\u003cimg class=\"size-medium wp-image-12396\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/pink-ribbon-Getty-Images-copy-300x381.jpg\" alt=\"The article asks: (Photo/Getty Images)\" width=\"236\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>I first saw the article Thursday night on Facebook, then stayed up until midnight reading it. In a helluva story, Peggy Orenstein addresses \u003ca href=\"http://www.nytimes.com/2013/04/28/magazine/our-feel-good-war-on-breast-cancer.html?pagewanted=all&_r=0\" target=\"_blank\">The Feel-Good War on Breast Cancer\u003c/a> in this Sunday's New York Times Magazine.\u003c/p>\n\u003cp>Orenstein is uniquely situated to write an article she hopes will \"help change the national conversation.\" She's been treated for breast cancer twice in the last 15 years, including a mastectomy last fall, and the Times Magazine -- for which she writes regularly -- is one of the most powerful publications in the world.\u003c/p>\n\u003cp>Orenstein was first diagnosed with breast cancer in 1997 after her doctor sent her for a screening mammography. \"I used to believe a mammogram saved my life,\" she writes as the opening line of her piece. Today, she's not so sure.\u003c/p>\n\u003cp>As she writes in the Times:\u003c/p>\n\u003cblockquote>\u003cp>Sixteen years later, my thinking has changed. As study after study revealed the limits of screening — and the dangers of overtreatment — a thought niggled at my consciousness. How much had my mammogram really mattered? Would the outcome have been the same \u003c!--more-->had I bumped into the cancer on my own years later? It’s hard to argue with a good result. After all, I am alive and grateful to be here. But I’ve watched friends whose breast cancers were detected “early” die anyway. I’ve sweated out what blessedly turned out to be false alarms with many others.\u003c/p>\u003c/blockquote>\n\u003cp>She goes on to clearly and comprehensively detail the benefits and the harms of mammography, that breast cancer is not one disease, but many.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>After she's thoroughly explained the state of breast cancer screening and treatment, Orenstein travels to Dallas to talk to the Susan G. Komen Foundation about what she calls \"pink ribbon culture.\" She pulls no punches:\u003c/p>\n\u003cblockquote>\u003cp>The ribbon has come to symbolize both fear of the disease and the hope it can be defeated. It’s a badge of courage for the afflicted, an expression of solidarity by the concerned. It promises continual progress toward a cure through donations, races, volunteerism. It indicates community. And it offers corporations a seemingly fail-safe way to signal good will toward women, even if, in a practice critics call “pinkwashing,” the products they produce are linked to the disease or other threats to public health. Having football teams don rose-colored cleats, for instance, can counteract bad press over how the N.F.L. handles accusations against players of rape or domestic violence. Chevron’s donations to California Komen affiliates may help deflect what Cal OSHA called its “willful violations” of safety that led to a huge refinery fire last year in a Bay Area neighborhood.\u003c/p>\n\u003cp>More than anything else, though, the ribbon reminds women that every single one of us is vulnerable to breast cancer, and our best protection is annual screening. Despite the fact that Komen trademarked the phrase “for the cure,” only 16 percent of the $472 million raised in 2011, the most recent year for which financial reports are available, went toward research. At $75 million, that’s still enough to give credence to the claim that Komen has been involved in every major breast-cancer breakthrough for the past 29 years. Still, the sum is dwarfed by the $231 million the foundation spent on education and screening.\u003c/p>\u003c/blockquote>\n\u003cp>In what's sure to be a long media blitz, Orenstein was a guest on \u003ca href=\"http://www.kqed.org/a/forum/R201304260900\" target=\"_blank\">KQED's Forum \u003c/a>Friday morning.\u003c/p>\n\u003cp>\"Pink ribbon in general has been specifically promoting awareness, and that generally means mammography,\" Orenstein said. She argued powerfully in her article that death rates for metastatic breast cancer have barely budged. Mammography isn't going to do much for you if you have metastatic breast cancer, she told the Forum audience.\u003c/p>\n\u003cp>I caught up with Orenstein after Forum wrapped up. She talked about a \u003ca href=\"http://www.breastcancer.org/about_us/press_room/prevention\" target=\"_blank\">survey from BreastCancer.org\u003c/a> of 2,500 girls 8-18. Nearly 30 percent of those surveyed believe they might have breast cancer right now, despite the fact that breast cancer in girls is exceedingly rare.\u003c/p>\n\u003cp>BreastCancer.org argues we need to \"replace fear with facts.\" Orenstein's article takes us a huge step forward. She told me it was the hardest article she's written in her career, but it could end up being the most important.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Orenstein on Forum\u003c/strong>:\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/R201304260900.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/R201304260900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "I first saw the article last night on Facebook, then stayed up until midnight reading it. In a helluva story, Peggy Orenstein addresses The Feel-Good War on Breast Cancer in this Sunday's New York Times Magazine.\r\n\r\nOrenstein is uniquely situated to write an article she hopes will \"help change the national conversation.\" She's been treated for breast cancer twice in the last 15 years, including a mastectomy last fall, and the Times Magazine -- for which she writes regularly -- is one of the most powerful publications in the world.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_12396\" class=\"wp-caption alignleft\" style=\"max-width: 236px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/26/berkeley-journalist-takes-on-the-feel-good-war-on-breast-cancer/pink-ribbon-getty-images-copy/\" rel=\"attachment wp-att-12396\">\u003cimg class=\"size-medium wp-image-12396\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/pink-ribbon-Getty-Images-copy-300x381.jpg\" alt=\"The article asks: (Photo/Getty Images)\" width=\"236\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>I first saw the article Thursday night on Facebook, then stayed up until midnight reading it. In a helluva story, Peggy Orenstein addresses \u003ca href=\"http://www.nytimes.com/2013/04/28/magazine/our-feel-good-war-on-breast-cancer.html?pagewanted=all&_r=0\" target=\"_blank\">The Feel-Good War on Breast Cancer\u003c/a> in this Sunday's New York Times Magazine.\u003c/p>\n\u003cp>Orenstein is uniquely situated to write an article she hopes will \"help change the national conversation.\" She's been treated for breast cancer twice in the last 15 years, including a mastectomy last fall, and the Times Magazine -- for which she writes regularly -- is one of the most powerful publications in the world.\u003c/p>\n\u003cp>Orenstein was first diagnosed with breast cancer in 1997 after her doctor sent her for a screening mammography. \"I used to believe a mammogram saved my life,\" she writes as the opening line of her piece. Today, she's not so sure.\u003c/p>\n\u003cp>As she writes in the Times:\u003c/p>\n\u003cblockquote>\u003cp>Sixteen years later, my thinking has changed. As study after study revealed the limits of screening — and the dangers of overtreatment — a thought niggled at my consciousness. How much had my mammogram really mattered? Would the outcome have been the same \u003c!--more-->had I bumped into the cancer on my own years later? It’s hard to argue with a good result. After all, I am alive and grateful to be here. But I’ve watched friends whose breast cancers were detected “early” die anyway. I’ve sweated out what blessedly turned out to be false alarms with many others.\u003c/p>\u003c/blockquote>\n\u003cp>She goes on to clearly and comprehensively detail the benefits and the harms of mammography, that breast cancer is not one disease, but many.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>After she's thoroughly explained the state of breast cancer screening and treatment, Orenstein travels to Dallas to talk to the Susan G. Komen Foundation about what she calls \"pink ribbon culture.\" She pulls no punches:\u003c/p>\n\u003cblockquote>\u003cp>The ribbon has come to symbolize both fear of the disease and the hope it can be defeated. It’s a badge of courage for the afflicted, an expression of solidarity by the concerned. It promises continual progress toward a cure through donations, races, volunteerism. It indicates community. And it offers corporations a seemingly fail-safe way to signal good will toward women, even if, in a practice critics call “pinkwashing,” the products they produce are linked to the disease or other threats to public health. Having football teams don rose-colored cleats, for instance, can counteract bad press over how the N.F.L. handles accusations against players of rape or domestic violence. Chevron’s donations to California Komen affiliates may help deflect what Cal OSHA called its “willful violations” of safety that led to a huge refinery fire last year in a Bay Area neighborhood.\u003c/p>\n\u003cp>More than anything else, though, the ribbon reminds women that every single one of us is vulnerable to breast cancer, and our best protection is annual screening. Despite the fact that Komen trademarked the phrase “for the cure,” only 16 percent of the $472 million raised in 2011, the most recent year for which financial reports are available, went toward research. At $75 million, that’s still enough to give credence to the claim that Komen has been involved in every major breast-cancer breakthrough for the past 29 years. Still, the sum is dwarfed by the $231 million the foundation spent on education and screening.\u003c/p>\u003c/blockquote>\n\u003cp>In what's sure to be a long media blitz, Orenstein was a guest on \u003ca href=\"http://www.kqed.org/a/forum/R201304260900\" target=\"_blank\">KQED's Forum \u003c/a>Friday morning.\u003c/p>\n\u003cp>\"Pink ribbon in general has been specifically promoting awareness, and that generally means mammography,\" Orenstein said. She argued powerfully in her article that death rates for metastatic breast cancer have barely budged. Mammography isn't going to do much for you if you have metastatic breast cancer, she told the Forum audience.\u003c/p>\n\u003cp>I caught up with Orenstein after Forum wrapped up. She talked about a \u003ca href=\"http://www.breastcancer.org/about_us/press_room/prevention\" target=\"_blank\">survey from BreastCancer.org\u003c/a> of 2,500 girls 8-18. Nearly 30 percent of those surveyed believe they might have breast cancer right now, despite the fact that breast cancer in girls is exceedingly rare.\u003c/p>\n\u003cp>BreastCancer.org argues we need to \"replace fear with facts.\" Orenstein's article takes us a huge step forward. She told me it was the hardest article she's written in her career, but it could end up being the most important.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Orenstein on Forum\u003c/strong>:\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/R201304260900.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/R201304260900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Are Minority Kids Being Missed In ADHD Diagnosis?",
"title": "Are Minority Kids Being Missed In ADHD Diagnosis?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_12314\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/24/are-minority-kids-being-missed-in-adhd-diagnosis/200317882-001/\" rel=\"attachment wp-att-12314\">\u003cimg class=\"size-medium wp-image-12314\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/PuzzlePiece_Getty_Thinkstock-300x200.jpg\" alt=\"(Getty Images)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/10405496\" target=\"_blank\">For years\u003c/a>, doctors, teachers and parents have fretted that attention deficit hyperactivity disorder (ADHD) is overdiagnosed and that children are overprescribed the stimulants that treat the brain disorder too often.\u003c/p>\n\u003cp>But, as EdSource Today reports, that's not the case in California. According to new data from the \u003ca href=\"http://www.childhealthdata.org/browse/allstates?q=2388\" target=\"_blank\">National Survey of Children's Health\u003c/a>, California ranks 5th lowest in the country in diagnosis. The national average of children with ADHD is 7.9 percent, but in California, the rate is 5.2 percent.\u003c/p>\n\u003cp>That 5.2 percent rate may be a low one nationally. But globally, rates vary between 3 and 9 percent, \"with the average closer to 5,\" Prof. Joshua Israel told EdSource Today.\u003c/p>\n\u003cp>Still, within ethnic groups in California, the diagnosis rates drop dramatically. Kaiser researchers \u003ca href=\"https://www.documentcloud.org/documents/686373-adhd-trends-poa120076-282-288.html\" target=\"_blank\">published data\u003c/a> earlier this year which showed white children had a 5.6 percent rate -- well in line with global averages. But other groups had much lower ADHD diagnosis rates as follows:\u003c/p>\n\u003cul>\n\u003cli>Black children: 4.1 percent\u003c/li>\n\u003cli>Latino children: 2.5 percent\u003c/li>\n\u003cli>Asian American children: 1.9 percent\u003c!--more-->\u003c/li>\n\u003c/ul>\n\u003cp>Which leads us to the question not of overdiagnosis, but underdiagnosis for some groups of children -- and potentially serious consequences, says Prof. Sandra Loo, an ADHD researcher at UCLA.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>From\u003ca href=\"http://www.edsource.org/today/2013/california-ranks-low-in-rates-of-attention-deficit-disorder/30448#.UXgYVZXJDHg\" target=\"_blank\"> EdSource Today\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>“There is a common perception that ADHD is not as severe as other disorders, when in fact the long-term outcomes of people with untreated ADHD are really horrible,” [Loo] said, including high rates of dropping out of school.\u003c/p>\n\u003cp>In fact, nearly one-third of children with ADHD drop out or delay high school graduation, according to \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/20638079\" target=\"_blank\">research\u003c/a> conducted at the UC Davis School of Medicine. ...\u003c/p>\n\u003cp>To avoid over- or under-diagnosis of ADHD, the evaluation process is supposed to be thorough. Yet at every step of the way the process can go awry, subject to pressures from schools, doctors and families.\u003c/p>\n\u003cp>Schools are on the front lines of identifying children who may have ADHD, working with their families and doctors and creating educational plans or accommodations if necessary.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>But schools do not do a uniform job in identifying children. Ruth Hughes, CEO of the Maryland-based advocacy group \u003ca title=\"CHADD\" href=\"http://www.chadd.org/\" target=\"_blank\">Children and Adults with Attention Deficit Hyperactivity Disorder\u003c/a>, tells EdSource Today that \"subtle, powerful messages in schools\" can determine whether children with ADHD are diagnosed:\u003c/p>\n\u003cblockquote>\u003cp>“The same kid who was never identified as having ADHD in one school system can move to another school system and be identified.”\u003c/p>\n\u003cp>Families, too, vary in their willingness to consider that their child might have a brain disorder, and their willingness to discuss the matter with teachers and doctors.\u003c/p>\n\u003cp>Another obstacle is that pediatricians, who make the bulk of diagnoses of childhood ADHD, typically aren’t reimbursed for the time it takes to conduct a rigorous evaluation, making the process “particularly challenging for primary care clinicians,” the American Academy of Pediatrics noted.\u003c/p>\n\u003cp>The need for appropriate diagnosis is considerable, researchers said, given risks at both ends of the spectrum: medicating children who don’t have ADHD or under-treating children who suffer from a disorder that may seriously impair their social and educational functioning.\u003c/p>\n\u003cp>“I am a researcher, but I am also a medical doctor, and I see the benefit of a carefully made diagnosis,” said Darios Getahun, lead author of the Kaiser Permanente study. “If you identify a child with ADHD in a timely way, and initiate treatment, the outcome will be better learning and better functioning in social situations.”\u003c/p>\u003c/blockquote>\n\n",
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"excerpt": "For years, doctors, teachers and parents have fretted that attention deficit hyperactivity disorder (ADHD) is overdiagnosed and that children are overprescribed the stimulants that treat the disorder too often.\r\n\r\nBut, as EdSource Today reports, that's not the case in California. According to new data from the National Survey of Children's Health, California ranks 5th lowest in the country in diagnosis. The national average of children with either ADHD or ADD (attention deficit disorder) is 7.9 percent, but in California, the rate is 5.2 percent.",
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"description": "For years, doctors, teachers and parents have fretted that attention deficit hyperactivity disorder (ADHD) is overdiagnosed and that children are overprescribed the stimulants that treat the disorder too often.\r\n\r\nBut, as EdSource Today reports, that's not the case in California. According to new data from the National Survey of Children's Health, California ranks 5th lowest in the country in diagnosis. The national average of children with either ADHD or ADD (attention deficit disorder) is 7.9 percent, but in California, the rate is 5.2 percent.",
"title": "Are Minority Kids Being Missed In ADHD Diagnosis? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_12314\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/24/are-minority-kids-being-missed-in-adhd-diagnosis/200317882-001/\" rel=\"attachment wp-att-12314\">\u003cimg class=\"size-medium wp-image-12314\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/PuzzlePiece_Getty_Thinkstock-300x200.jpg\" alt=\"(Getty Images)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/10405496\" target=\"_blank\">For years\u003c/a>, doctors, teachers and parents have fretted that attention deficit hyperactivity disorder (ADHD) is overdiagnosed and that children are overprescribed the stimulants that treat the brain disorder too often.\u003c/p>\n\u003cp>But, as EdSource Today reports, that's not the case in California. According to new data from the \u003ca href=\"http://www.childhealthdata.org/browse/allstates?q=2388\" target=\"_blank\">National Survey of Children's Health\u003c/a>, California ranks 5th lowest in the country in diagnosis. The national average of children with ADHD is 7.9 percent, but in California, the rate is 5.2 percent.\u003c/p>\n\u003cp>That 5.2 percent rate may be a low one nationally. But globally, rates vary between 3 and 9 percent, \"with the average closer to 5,\" Prof. Joshua Israel told EdSource Today.\u003c/p>\n\u003cp>Still, within ethnic groups in California, the diagnosis rates drop dramatically. Kaiser researchers \u003ca href=\"https://www.documentcloud.org/documents/686373-adhd-trends-poa120076-282-288.html\" target=\"_blank\">published data\u003c/a> earlier this year which showed white children had a 5.6 percent rate -- well in line with global averages. But other groups had much lower ADHD diagnosis rates as follows:\u003c/p>\n\u003cul>\n\u003cli>Black children: 4.1 percent\u003c/li>\n\u003cli>Latino children: 2.5 percent\u003c/li>\n\u003cli>Asian American children: 1.9 percent\u003c!--more-->\u003c/li>\n\u003c/ul>\n\u003cp>Which leads us to the question not of overdiagnosis, but underdiagnosis for some groups of children -- and potentially serious consequences, says Prof. Sandra Loo, an ADHD researcher at UCLA.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>From\u003ca href=\"http://www.edsource.org/today/2013/california-ranks-low-in-rates-of-attention-deficit-disorder/30448#.UXgYVZXJDHg\" target=\"_blank\"> EdSource Today\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>“There is a common perception that ADHD is not as severe as other disorders, when in fact the long-term outcomes of people with untreated ADHD are really horrible,” [Loo] said, including high rates of dropping out of school.\u003c/p>\n\u003cp>In fact, nearly one-third of children with ADHD drop out or delay high school graduation, according to \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/20638079\" target=\"_blank\">research\u003c/a> conducted at the UC Davis School of Medicine. ...\u003c/p>\n\u003cp>To avoid over- or under-diagnosis of ADHD, the evaluation process is supposed to be thorough. Yet at every step of the way the process can go awry, subject to pressures from schools, doctors and families.\u003c/p>\n\u003cp>Schools are on the front lines of identifying children who may have ADHD, working with their families and doctors and creating educational plans or accommodations if necessary.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>But schools do not do a uniform job in identifying children. Ruth Hughes, CEO of the Maryland-based advocacy group \u003ca title=\"CHADD\" href=\"http://www.chadd.org/\" target=\"_blank\">Children and Adults with Attention Deficit Hyperactivity Disorder\u003c/a>, tells EdSource Today that \"subtle, powerful messages in schools\" can determine whether children with ADHD are diagnosed:\u003c/p>\n\u003cblockquote>\u003cp>“The same kid who was never identified as having ADHD in one school system can move to another school system and be identified.”\u003c/p>\n\u003cp>Families, too, vary in their willingness to consider that their child might have a brain disorder, and their willingness to discuss the matter with teachers and doctors.\u003c/p>\n\u003cp>Another obstacle is that pediatricians, who make the bulk of diagnoses of childhood ADHD, typically aren’t reimbursed for the time it takes to conduct a rigorous evaluation, making the process “particularly challenging for primary care clinicians,” the American Academy of Pediatrics noted.\u003c/p>\n\u003cp>The need for appropriate diagnosis is considerable, researchers said, given risks at both ends of the spectrum: medicating children who don’t have ADHD or under-treating children who suffer from a disorder that may seriously impair their social and educational functioning.\u003c/p>\n\u003cp>“I am a researcher, but I am also a medical doctor, and I see the benefit of a carefully made diagnosis,” said Darios Getahun, lead author of the Kaiser Permanente study. “If you identify a child with ADHD in a timely way, and initiate treatment, the outcome will be better learning and better functioning in social situations.”\u003c/p>\u003c/blockquote>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "'Cal Enviroscreen' Ranks Zip Codes Statewide By Pollution",
"title": "'Cal Enviroscreen' Ranks Zip Codes Statewide By Pollution",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>New Screening Tool Provides Broad Snapshot of Total Environmental Burden\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_12264\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/23/worried-about-pollution-where-you-live-check-how-your-zip-code-ranks/west-fresno-factories/\" rel=\"attachment wp-att-12264\">\u003cimg class=\"size-medium wp-image-12264\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/west-fresno-factories-300x200.jpg\" alt=\"Factory in West Fresno. (Sasha Khokha/KQED)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A factory in West Fresno. (Sasha Khokha/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>It's the first environmental health screening tool of its kind in the country.\u003c/p>\n\u003cp>California’s Environmental Protection Agency is rolling out \"Cal Enviroscreen\" which helps pinpoint communities that may be particularly vulnerable to pollution. And it's not just for wonks. You can look up your own community. Cal Enviroscreen measures a broad range of pollutants and health indicators in every zip code across the state.\u003c/p>\n\u003cp>The most vulnerable community in the state? West Fresno, one of Fresno's poorest areas. Other zip codes in the top ten include Bakersfield, Stockton and the Los Angeles-area communities of Vernon, Baldwin Park, and Boyle Heights.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003ca href=\"http://www.oehha.ca.gov/ej/ces042313.html\" target=\"_blank\">Look up your community's score by zip code\u003c/a>\u003c/aside>\n\u003cp>Toxicologist Dr. George Alexeeff heads the state’s Office of Environmental Health Hazard Assessment. He says California regulators have done a pretty good job of targeting individual pollution problems, like reducing diesel exhaust, or eliminating particular chemicals in drinking water.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But that kind of regulation doesn’t give a broad snapshot of the total environmental burden some communities face.\u003c!--more-->\u003c/p>\n\u003cp>“This tool was to try and look at [a] community as a whole rather than a specific site or chemical,” says Alexeeff. “What about those areas that seem to be suffering from multiple sources of pollution?”\u003c/p>\n\u003cp>Cal Enviroscreen measures things like traffic, hazardous waste facilities, and pesticides. Top-scoring communities generally have high rates of air pollution and multiple toxic cleanup sites. The tool also measures population and health indicators, like poverty, low birth weight, and asthma rates.\u003c/p>\n\u003cp>But Alexeeff is careful to say while the tool gauges health indicators, it doesn’t imply a causal link.\u003c/p>\n\u003cp>“We’re using something like asthma or birth weight in this analysis, not to say the pollution is causing the asthma or the low birth weight,” he says. “Instead, what we’re saying is the community has people with asthma or seems to have a higher rate of low birth weight, and those individuals are more sensitive to pollution.”\u003c/p>\n\u003cp>\u003cstrong>Life in West Fresno: New Park Built on Superfund Cleanup Site\u003c/strong>\u003c/p>\n\u003cp>In some ways, it's no wonder that West Fresno scored highest in the state on the index: the area is a perfect storm of pollution and poor health.\u003c/p>\n\u003cp>City leaders recently opened a new sports complex there, billing it a “baseball, softball, and soccer dreamland.” It also features a skateboard park, paintball, and a fishing pond.\u003c/p>\n\u003cp>Watching kids play, you might not realize the park is also built on a \u003ca href=\"http://www.envirostor.dtsc.ca.gov/public/profile_report.asp?global_id=10490097\" target=\"_blank\">superfund cleanup site\u003c/a>. \u003ca href=\"http://www.envirostor.dtsc.ca.gov/public/profile_report.asp?global_id=10490097\">\u003cbr>\n\u003c/a>\u003c/p>\n\u003cp>“This location was formerly a dump. This is what we have as a park in West Fresno,” says community activist Bob Mitchell.\u003c/p>\n\u003cp>The park sits adjacent to a former landfill that was actually \u003ca href=\"http://articles.philly.com/2001-08-29/news/25299445_1_fresno-municipal-sanitary-landfill-fresno-site-martin-melosi\" target=\"_blank\">once honored \u003c/a>on the national register of historic places. \u003ca href=\"http://articles.philly.com/2001-08-29/news/25299445_1_fresno-municipal-sanitary-landfill-fresno-site-martin-melosi\">\u003cbr>\n\u003c/a>\u003c/p>\n\u003cp>It was closed after regulators figured out it was leaking dangerous pollutants into the air and water. Even though the site has been cleaned up, the city still burns off methane from the landfill and monitors the groundwater for chemicals.\u003c/p>\n\u003cp>“We’re glad the dump is gone,” says Mitchell. “But we don’t know what the pollutants are under here. And how they may impact a child who runs and rolls around in the grass.”\u003c/p>\n\u003cp>Mitchell’s a retired police officer. These days he’s active with Concerned Citizens of West Fresno, which has been \u003ca href=\"http://www.californiareport.org/archive/R201207310850/b\" target=\"_blank\">fighting odors\u003c/a> from a meat-rendering plant down the street from this park.\u003c/p>\n\u003cp>If you were to stand up on the grassy mound covering the landfill, you’d likely see \u003ca href=\"http://www.envirostor.dtsc.ca.gov/public/profile_report.asp?global_id=10490090\" target=\"_blank\">an abandoned junk yard\u003c/a> where the state found heavy metals and PCBs.\u003c/p>\n\u003cp>You’d catch a glimpse of meat-processing plants, factories, and miles of orchards and vineyards, where farmers spray pesticides and the 99 freeway, pulsing with diesel trucks.\u003c/p>\n\u003cp>West Fresno has some of the highest rates of asthma in the state. And a\u003ca href=\"http://www.fresnostate.edu/chhs/cvhpi/documents/40123_JCPES_English_CX_2_23_12.pdf\" target=\"_blank\"> recent study\u003c/a> estimates that life expectancy here is about 20 years less than people living just across town in North Fresno.\u003c/p>\n\u003cp>“That is simply ridiculous,” says Mitchell. “And that is the direct result of the cumulative effect of what has been put into our community.“\u003c/p>\n\u003cp>\u003cstrong>Bad for Business?\u003c/strong>\u003c/p>\n\u003cp>While \u003ca href=\"http://www.oehha.ca.gov/ej/cipa021913.html\" target=\"_blank\">industry has been concerned\u003c/a> Cal Enviroscreen will create more regulations, Alexeef says that’s not the goal. He says the tool is designed to help target resources. Under SB 535 25 percent of the \u003ca href=\"http://www.arb.ca.gov/cc/capandtrade/auctionproceeds/DraftCapandTradeInvestmentPlan.pdf\" target=\"_blank\">funds raised from cap-and-trade auctions \u003c/a>under California’s greenhouse gas laws, for example, are supposed to benefit disadvantaged communities –- and this tool can help pinpoint those areas.\u003c/p>\n\u003cp>But some local leaders from LA and the Central Valley are worried the data gives too much weight to pesticides and diesel pollution.\u003c/p>\n\u003cp>“If you were just to look at the map, you’d think we’d have our mouths attached to the tailpipes along the [Highway] 99 corridor,” says Vito Chiesa, Chair of the Stanislaus County board of Supervisors. At first, he thought the Cal Enviroscreen tool was a good idea. After all, his constituents are always complaining the state doesn’t pay enough attention to their region’s problems.\u003c/p>\n\u003cp>But then, he started to worry it could backfire.\u003c/p>\n\u003cp>“This would be like hanging a sign at the county or the city limits saying, hey, don’t even think about doing business here,” says Chiesa.\u003c/p>\n\u003cp>Environmental Justice groups applaud the tool, saying it will bring needed funds to low-income communities. But they also have concerns.\u003c/p>\n\u003cp>“Zip codes are a very large geographic unit,” says Amy Vanderwarker, who chairs the statewide California Environmental Justice Alliance, based in Oakland.\u003c/p>\n\u003cp>“Within one zip code, you can have communities that are right next to refineries or power plants, and then you can have well-off communities that have good environmental conditions in their area,” Vanderwarker says.\u003c/p>\n\u003cp>Environmental and health activists are also worried Cal Enviroscreen also doesn’t take into account drinking water contamination. And it may not detect asthma rates in remote rural communities, since it measures asthma through emergency room visits.\u003c/p>\n\u003cp>Cal EPA officials received \u003ca href=\"http://www.oehha.ca.gov/ej/pdf/011113CIPAWorkGroupMeetSum.pdf\" target=\"_blank\">more than a thousand comments\u003c/a> [PDF] on drafts of the tool. And they say they plan to release a version using smaller geographic units, like census tracts, later this year.\u003c/p>\n\u003cp>Back in West Fresno, young pregnant moms recovering from drug and alcohol addiction are listening to a health educator give them tips on taking care of themselves. The Cal Enviroscreen tool shows that this community scores among the highest in the state when it comes to low birth weight-babies.\u003c/p>\n\u003cp>The class is sponsored by the West Fresno Family Resource Center. Director Yolanda Randles says she’s not surprised by the grim data. But she wants to see more resources headed to her community, now.\u003c/p>\n\u003cp>“You’re saying in West Fresno, it’s like the worst place to live, but you’re not putting [in] any funds to help change that direction for the residents here,” says Randles.\u003c/p>\n\u003cp>It’s unclear just how soon Cal Enviroscreen will translate into dollars for high-scoring communities. The California Air Resources Board will consider the tool at \u003ca href=\"http://www.arb.ca.gov/regact/nonreg/2013/ghgreductfund13.pdf\" target=\"_blank\">a meeting later this week\u003c/a>, a first step in figuring out how to allocate cap and trade money to disadvantaged communities.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>Listen to Sasha Khokha's Story:\u003c/strong>\u003cbr>\n\u003cobject width=\"335\" height=\"85\">\u003cparam name=\"movie\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201304230850a.xml\">\u003cembed src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" type=\"application/x-shockwave-flash\" width=\"335\" height=\"85\" flashvars=\"file=http://www.kqed.org/radio/archives/R201304230850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>New Screening Tool Provides Broad Snapshot of Total Environmental Burden\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_12264\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/23/worried-about-pollution-where-you-live-check-how-your-zip-code-ranks/west-fresno-factories/\" rel=\"attachment wp-att-12264\">\u003cimg class=\"size-medium wp-image-12264\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/west-fresno-factories-300x200.jpg\" alt=\"Factory in West Fresno. (Sasha Khokha/KQED)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A factory in West Fresno. (Sasha Khokha/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>It's the first environmental health screening tool of its kind in the country.\u003c/p>\n\u003cp>California’s Environmental Protection Agency is rolling out \"Cal Enviroscreen\" which helps pinpoint communities that may be particularly vulnerable to pollution. And it's not just for wonks. You can look up your own community. Cal Enviroscreen measures a broad range of pollutants and health indicators in every zip code across the state.\u003c/p>\n\u003cp>The most vulnerable community in the state? West Fresno, one of Fresno's poorest areas. Other zip codes in the top ten include Bakersfield, Stockton and the Los Angeles-area communities of Vernon, Baldwin Park, and Boyle Heights.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003ca href=\"http://www.oehha.ca.gov/ej/ces042313.html\" target=\"_blank\">Look up your community's score by zip code\u003c/a>\u003c/aside>\n\u003cp>Toxicologist Dr. George Alexeeff heads the state’s Office of Environmental Health Hazard Assessment. He says California regulators have done a pretty good job of targeting individual pollution problems, like reducing diesel exhaust, or eliminating particular chemicals in drinking water.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But that kind of regulation doesn’t give a broad snapshot of the total environmental burden some communities face.\u003c!--more-->\u003c/p>\n\u003cp>“This tool was to try and look at [a] community as a whole rather than a specific site or chemical,” says Alexeeff. “What about those areas that seem to be suffering from multiple sources of pollution?”\u003c/p>\n\u003cp>Cal Enviroscreen measures things like traffic, hazardous waste facilities, and pesticides. Top-scoring communities generally have high rates of air pollution and multiple toxic cleanup sites. The tool also measures population and health indicators, like poverty, low birth weight, and asthma rates.\u003c/p>\n\u003cp>But Alexeeff is careful to say while the tool gauges health indicators, it doesn’t imply a causal link.\u003c/p>\n\u003cp>“We’re using something like asthma or birth weight in this analysis, not to say the pollution is causing the asthma or the low birth weight,” he says. “Instead, what we’re saying is the community has people with asthma or seems to have a higher rate of low birth weight, and those individuals are more sensitive to pollution.”\u003c/p>\n\u003cp>\u003cstrong>Life in West Fresno: New Park Built on Superfund Cleanup Site\u003c/strong>\u003c/p>\n\u003cp>In some ways, it's no wonder that West Fresno scored highest in the state on the index: the area is a perfect storm of pollution and poor health.\u003c/p>\n\u003cp>City leaders recently opened a new sports complex there, billing it a “baseball, softball, and soccer dreamland.” It also features a skateboard park, paintball, and a fishing pond.\u003c/p>\n\u003cp>Watching kids play, you might not realize the park is also built on a \u003ca href=\"http://www.envirostor.dtsc.ca.gov/public/profile_report.asp?global_id=10490097\" target=\"_blank\">superfund cleanup site\u003c/a>. \u003ca href=\"http://www.envirostor.dtsc.ca.gov/public/profile_report.asp?global_id=10490097\">\u003cbr>\n\u003c/a>\u003c/p>\n\u003cp>“This location was formerly a dump. This is what we have as a park in West Fresno,” says community activist Bob Mitchell.\u003c/p>\n\u003cp>The park sits adjacent to a former landfill that was actually \u003ca href=\"http://articles.philly.com/2001-08-29/news/25299445_1_fresno-municipal-sanitary-landfill-fresno-site-martin-melosi\" target=\"_blank\">once honored \u003c/a>on the national register of historic places. \u003ca href=\"http://articles.philly.com/2001-08-29/news/25299445_1_fresno-municipal-sanitary-landfill-fresno-site-martin-melosi\">\u003cbr>\n\u003c/a>\u003c/p>\n\u003cp>It was closed after regulators figured out it was leaking dangerous pollutants into the air and water. Even though the site has been cleaned up, the city still burns off methane from the landfill and monitors the groundwater for chemicals.\u003c/p>\n\u003cp>“We’re glad the dump is gone,” says Mitchell. “But we don’t know what the pollutants are under here. And how they may impact a child who runs and rolls around in the grass.”\u003c/p>\n\u003cp>Mitchell’s a retired police officer. These days he’s active with Concerned Citizens of West Fresno, which has been \u003ca href=\"http://www.californiareport.org/archive/R201207310850/b\" target=\"_blank\">fighting odors\u003c/a> from a meat-rendering plant down the street from this park.\u003c/p>\n\u003cp>If you were to stand up on the grassy mound covering the landfill, you’d likely see \u003ca href=\"http://www.envirostor.dtsc.ca.gov/public/profile_report.asp?global_id=10490090\" target=\"_blank\">an abandoned junk yard\u003c/a> where the state found heavy metals and PCBs.\u003c/p>\n\u003cp>You’d catch a glimpse of meat-processing plants, factories, and miles of orchards and vineyards, where farmers spray pesticides and the 99 freeway, pulsing with diesel trucks.\u003c/p>\n\u003cp>West Fresno has some of the highest rates of asthma in the state. And a\u003ca href=\"http://www.fresnostate.edu/chhs/cvhpi/documents/40123_JCPES_English_CX_2_23_12.pdf\" target=\"_blank\"> recent study\u003c/a> estimates that life expectancy here is about 20 years less than people living just across town in North Fresno.\u003c/p>\n\u003cp>“That is simply ridiculous,” says Mitchell. “And that is the direct result of the cumulative effect of what has been put into our community.“\u003c/p>\n\u003cp>\u003cstrong>Bad for Business?\u003c/strong>\u003c/p>\n\u003cp>While \u003ca href=\"http://www.oehha.ca.gov/ej/cipa021913.html\" target=\"_blank\">industry has been concerned\u003c/a> Cal Enviroscreen will create more regulations, Alexeef says that’s not the goal. He says the tool is designed to help target resources. Under SB 535 25 percent of the \u003ca href=\"http://www.arb.ca.gov/cc/capandtrade/auctionproceeds/DraftCapandTradeInvestmentPlan.pdf\" target=\"_blank\">funds raised from cap-and-trade auctions \u003c/a>under California’s greenhouse gas laws, for example, are supposed to benefit disadvantaged communities –- and this tool can help pinpoint those areas.\u003c/p>\n\u003cp>But some local leaders from LA and the Central Valley are worried the data gives too much weight to pesticides and diesel pollution.\u003c/p>\n\u003cp>“If you were just to look at the map, you’d think we’d have our mouths attached to the tailpipes along the [Highway] 99 corridor,” says Vito Chiesa, Chair of the Stanislaus County board of Supervisors. At first, he thought the Cal Enviroscreen tool was a good idea. After all, his constituents are always complaining the state doesn’t pay enough attention to their region’s problems.\u003c/p>\n\u003cp>But then, he started to worry it could backfire.\u003c/p>\n\u003cp>“This would be like hanging a sign at the county or the city limits saying, hey, don’t even think about doing business here,” says Chiesa.\u003c/p>\n\u003cp>Environmental Justice groups applaud the tool, saying it will bring needed funds to low-income communities. But they also have concerns.\u003c/p>\n\u003cp>“Zip codes are a very large geographic unit,” says Amy Vanderwarker, who chairs the statewide California Environmental Justice Alliance, based in Oakland.\u003c/p>\n\u003cp>“Within one zip code, you can have communities that are right next to refineries or power plants, and then you can have well-off communities that have good environmental conditions in their area,” Vanderwarker says.\u003c/p>\n\u003cp>Environmental and health activists are also worried Cal Enviroscreen also doesn’t take into account drinking water contamination. And it may not detect asthma rates in remote rural communities, since it measures asthma through emergency room visits.\u003c/p>\n\u003cp>Cal EPA officials received \u003ca href=\"http://www.oehha.ca.gov/ej/pdf/011113CIPAWorkGroupMeetSum.pdf\" target=\"_blank\">more than a thousand comments\u003c/a> [PDF] on drafts of the tool. And they say they plan to release a version using smaller geographic units, like census tracts, later this year.\u003c/p>\n\u003cp>Back in West Fresno, young pregnant moms recovering from drug and alcohol addiction are listening to a health educator give them tips on taking care of themselves. The Cal Enviroscreen tool shows that this community scores among the highest in the state when it comes to low birth weight-babies.\u003c/p>\n\u003cp>The class is sponsored by the West Fresno Family Resource Center. Director Yolanda Randles says she’s not surprised by the grim data. But she wants to see more resources headed to her community, now.\u003c/p>\n\u003cp>“You’re saying in West Fresno, it’s like the worst place to live, but you’re not putting [in] any funds to help change that direction for the residents here,” says Randles.\u003c/p>\n\u003cp>It’s unclear just how soon Cal Enviroscreen will translate into dollars for high-scoring communities. The California Air Resources Board will consider the tool at \u003ca href=\"http://www.arb.ca.gov/regact/nonreg/2013/ghgreductfund13.pdf\" target=\"_blank\">a meeting later this week\u003c/a>, a first step in figuring out how to allocate cap and trade money to disadvantaged communities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cscript type=\"text/javascript\" src=\"http://platform.twitter.com/widgets.js\">\u003c/script>\u003cstrong>From Olympic Park to the Boston Marathon to Texas\u003c/strong>\u003c/p>\n\u003cp>The New Yorker's Atul Gawande writes often and well about medicine. This week, \u003ca href=\"http://www.newyorker.com/online/blogs/newsdesk/2013/04/why-bostons-hospitals-were-ready.html\" target=\"_blank\">he described \u003c/a>how disaster planning and training in hospitals saves lives. This morning he added a series of tweets:\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>.@\u003ca href=\"https://twitter.com/artkellermanmd\">artkellermanmd\u003c/a>, who helped manage ER response to the 1996 Olympic Park bombing, wrote with 6 factors that aid a city ability to rescue.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862659289817088\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>1. The explosion occurs at a big event with extra police and EMS pre-deployed.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862675433697280\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>2. The explosion occurs when hospital ORs and other services are operating at less than full capacity due to the event.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862691158134785\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>3. The explosion occurs during business hours so lots of staff are around.\u003cbr>\n— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862708082163712\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>4. The explosion occurs at the city center, close to many hospitals and, ideally, multiple trauma centers.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862722888048640\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>5. The explosion is detonated outside (lessening fatality count and blast severity) rather than inside.)\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862742634852353\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>6. The first responders and hospital providers have received advance training regarding the essentials of blast injury care.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862758606753792\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>Atlanta had 5 of 6 of these factors in its favor. Boston had 6 of 6. Waco TX responders have 1 of 6 at best. Thoughts are with them.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862981143932928\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>In his \u003ca href=\"http://www.newyorker.com/online/blogs/newsdesk/2013/04/why-bostons-hospitals-were-ready.html\" target=\"_blank\">New Yorker piece\u003c/a>, Gawande talked described how the years of post-September 11 training in hospitals led to the \"orchestration\" that happened after Monday's Boston Marathon explosions:\u003c/p>\n\u003cblockquote>\u003cp>There’s a way such events are supposed to work. Each hospital has an incident commander who coördinates the clearing of emergency bays and hospital beds to open capacity, the mobilization of clinical staff and medical equipment for treatment, and communication with the city’s emergency command center. At my hospital, Stanley Ashley, a general surgeon and our chief medical officer, was that person. I talked to him after the event—I had been out of the city at the time of the explosions—and he told me that no sooner had he set up his command post and begun making phone calls then the first wave of victims arrived. Everything happened too fast for any ritualized plan to accommodate.\u003c/p>\u003c/blockquote>\n\u003cp>Even without the \"ritualized plan,\" staff had been so thoroughly trained that one emergency department director told Gawande he didn't have to tell people much at all. “Everybody spontaneously knew the dance moves,” he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/04/17/learning-how-to-respond-to-a-boston-style-emergency/\" target=\"_blank\">Learning How to Respond To A Boston-Style Emergency\u003c/a>\u003c/p>\n\n",
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"excerpt": "The New Yorker's Atul Gawande writes often and well about medicine. This week, he described how disaster planning and training in hospitals saves lives. This morning he added a series of tweets:\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cscript type=\"text/javascript\" src=\"http://platform.twitter.com/widgets.js\">\u003c/script>\u003cstrong>From Olympic Park to the Boston Marathon to Texas\u003c/strong>\u003c/p>\n\u003cp>The New Yorker's Atul Gawande writes often and well about medicine. This week, \u003ca href=\"http://www.newyorker.com/online/blogs/newsdesk/2013/04/why-bostons-hospitals-were-ready.html\" target=\"_blank\">he described \u003c/a>how disaster planning and training in hospitals saves lives. This morning he added a series of tweets:\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>.@\u003ca href=\"https://twitter.com/artkellermanmd\">artkellermanmd\u003c/a>, who helped manage ER response to the 1996 Olympic Park bombing, wrote with 6 factors that aid a city ability to rescue.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862659289817088\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>1. The explosion occurs at a big event with extra police and EMS pre-deployed.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862675433697280\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>2. The explosion occurs when hospital ORs and other services are operating at less than full capacity due to the event.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862691158134785\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>3. The explosion occurs during business hours so lots of staff are around.\u003cbr>\n— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862708082163712\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>4. The explosion occurs at the city center, close to many hospitals and, ideally, multiple trauma centers.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862722888048640\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>5. The explosion is detonated outside (lessening fatality count and blast severity) rather than inside.)\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862742634852353\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>6. The first responders and hospital providers have received advance training regarding the essentials of blast injury care.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862758606753792\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>Atlanta had 5 of 6 of these factors in its favor. Boston had 6 of 6. Waco TX responders have 1 of 6 at best. Thoughts are with them.\u003c/p>\n\u003cp>— Atul Gawande (@Atul_Gawande) \u003ca href=\"https://twitter.com/Atul_Gawande/status/324862981143932928\">April 18, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>In his \u003ca href=\"http://www.newyorker.com/online/blogs/newsdesk/2013/04/why-bostons-hospitals-were-ready.html\" target=\"_blank\">New Yorker piece\u003c/a>, Gawande talked described how the years of post-September 11 training in hospitals led to the \"orchestration\" that happened after Monday's Boston Marathon explosions:\u003c/p>\n\u003cblockquote>\u003cp>There’s a way such events are supposed to work. Each hospital has an incident commander who coördinates the clearing of emergency bays and hospital beds to open capacity, the mobilization of clinical staff and medical equipment for treatment, and communication with the city’s emergency command center. At my hospital, Stanley Ashley, a general surgeon and our chief medical officer, was that person. I talked to him after the event—I had been out of the city at the time of the explosions—and he told me that no sooner had he set up his command post and begun making phone calls then the first wave of victims arrived. Everything happened too fast for any ritualized plan to accommodate.\u003c/p>\u003c/blockquote>\n\u003cp>Even without the \"ritualized plan,\" staff had been so thoroughly trained that one emergency department director told Gawande he didn't have to tell people much at all. “Everybody spontaneously knew the dance moves,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "The View From 30,000 Feet: The Intersection of Medicine, Ethics and Money",
"title": "The View From 30,000 Feet: The Intersection of Medicine, Ethics and Money",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_12159\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/18/the-view-from-30000-feet-the-intersection-of-medicine-ethics-and-money/elderhands_gettyimages/\" rel=\"attachment wp-att-12159\">\u003cimg class=\"size-medium wp-image-12159\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/ElderHands_GettyImages-300x200.jpg\" alt=\"(Getty Images)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As we're barreling along toward Jan. 1 and the full implementation of Obamacare, it seems that questions of ethics are embedded in just about every discussion of the practice of medicine and how it will change in the coming years. San Francisco's Commonwealth Club asked me to explore the issue recently by moderating a discussion featuring three prominent Bay Area physicians that the club had invited to participate.\u003c/p>\n\u003cp>The formal title of the event was \"\u003ca href=\"http://www.commonwealthclub.org/events/2013-03-28/improving-ethics-and-practice-medicine\" target=\"_blank\">Improving the Ethics and Practice of Medicine\u003c/a>,\" but pretty quickly money came right into play.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"We have to come up with the best possible distribution of those resources, so we do the greatest good for the greatest number.\"\u003c/aside>\n\u003cp>Dr. Josh Adler, chief medical officer of UCSF, started off by talking about the \"age-old principle in care of patients\": Do no harm. And he spoke of patient safety. But then he got right into the cost of health care. We don't have unlimited resources, ranging from doctors and nurses to hospital beds, he pointed out. \"We have to come up with the best possible distribution of those resources, so we do the greatest good for the greatest number.\"\u003c/p>\n\u003cp>He talked about \"appropriate stewardship\" of limited resources in considering both the health of the individual and the health of broader populations.\u003c!--more-->\u003c/p>\n\u003cp>But being a good steward creates conflict for the doctor in the treatment room, argued Dr. Victoria Sweet, who practiced for 20 years at Laguna Honda Hospital. She is also a historian and author of the book \"\u003ca href=\"http://www.victoriasweet.com/the-book/about-gods-hotel/\" target=\"_blank\">God's Hotel: A Doctor, a Hospital and a Pilgrimage to the Heart of Medicine\u003c/a>,\" where she writes about the concept of what she calls \"slow medicine.\" How can a doctor be both a steward to his patient and a steward of the nation's health care resources? \"I can't believe how stressful these ... often opposing ethical imperatives are for a doctor,\" Sweet said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Disruptive changes necessary\u003c/strong>\u003cstrong>\u003c/strong>\u003c/p>\n\u003cp>To reconcile those opposing imperatives (and righting much about what's wrong in American health care), we need a restructuring of the whole system, argued Dr. Robert Pearl, CEO of Kaiser Permanente Medical Group. He said this restructuring goes beyond Obamacare, which he said is about providing access to the uninsured. This restructuring would move the United States from \"a system rewarding volume to one that focuses on outcomes, that we start to value prevention\" as a way to not only keep patients healthy but also to reduce cost. (There it is again: money.)\u003c/p>\n\u003cp>Pearl said this \"will be very disruptive. These changes will fundamentally alter how physicians practice and how patients receive care, but I think from an ethical perspective they are the right answer.\"\u003c/p>\n\u003cp>He linked this fundamental reorganization to improvements in patient safety -- too many patients are harmed while they are receiving care. (Start with sponges left inside a patient after surgery or a patient who picks up an infection while in the hospital.)\u003c/p>\n\u003cp>Pearl pointed specifically to how hospitals are reimbursed and how the way the money flows fights against patient safety. Right now, Pearl said, the typical U.S. hospital makes about a 4 percent profit margin. But ironically, \"four percent of the people that are there are because of a medical error -- pressure sore, central line infections. If they'd avoided developing the complications, [the hospital] would be out of business.\" (\u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1679400\" target=\"_blank\">A study \u003c/a>published in JAMA on Wednesday confirmed how hospitals profit when patients suffer surgical errors.)\u003c/p>\n\u003cp>Sweet was doubtful about the prospect of radical systemwide overhaul, but then drew applause when she said Kaiser \"does a fantastic job\" and proposed turning over \"the whole system to Kaiser and let them do it.\"\u003c/p>\n\u003cp>Even UCSF's Josh Adler was smiling and called Kaiser \"groundbreaking,\" but still offered that \"what universities bring to the pie is really pushing the next great thing that might happen\" -- he named organ transplantation and genomic medicine for starters. He said,\"The universities do have a role to create that innovation and exploration,\" and quipped that he felt his job was safe for a little longer.\u003c/p>\n\u003cp>\u003cstrong>More primary care providers needed -- but not just physicians\u003c/strong>\u003c/p>\n\u003cp>One specific area where Adler saw a role for systemwide change was to allow non-physician professionals -- nurse practitioners, pharmacists and medical assistants, to name a few -- to practice at the \"top of their license.\" With more than 30 million currently uninsured Americans gaining health insurance through Obamacare starting in January, the United States will need a lot more primary care providers to treat those people. But doctors traditionally have been oriented toward protecting their incomes (money again) and have been opposed to letting other types of professionals in on their turf.\u003c/p>\n\u003cp>I asked Adler if he thought doctors were behaving ethically when they organized against allowing nurse practitioners or other non-MDs to provide expanded primary care.\u003c/p>\n\u003cp>\"I think it's wrong,\" Adler said bluntly. \"I think protecting patient care only within the realm of physicians is a bad strategy for the United States.\"\u003c/p>\n\u003cp>\u003cstrong>Calls for better end-of-life care\u003c/strong>\u003c/p>\n\u003cp>Perhaps nowhere in medicine is the question of ethics more challenging than in end-of-life care. Sweet urged everyone attending the panel to at the very least write a letter outlining \"who you are as a person and how you value freedom, lack of pain, life.\" Absent some kind of specific directive to loved ones -- even a conversation, Sweet said -- the presumption is \"you would want everything done.\"\u003c/p>\n\u003cp>Adler expanded on Sweet's point, saying that these discussions are not just for people at the \"very, very end of life\" but even the \"very, very sick.\" He cited a program at UCSF where people with heart failure were talked to explicitly and clearly about their preferences. These were not patients who were terminally ill. Many of these people were frequently hospitalized. But, upon careful discussion, some of those patients opted not be hospitalized again and to simply go with comfort care. \"But the amazing thing,\" Adler said, \"is those patients lived longer than those people who kept coming back to the hospital for aggressive care.\"\u003c/p>\n\u003cp>Pearl agreed. \"Physicians are very bad at telling patients bad news,\" he said. \"Patients are much stronger than we as doctors believe. ... Once people feel like they have control, they're not victims ... they live longer and live better.\"\u003c/p>\n\u003cp>As the discussion wrapped up, we returned to the looming Jan. 1 implementation of Obamacare. \"It's going to be a bumpy ride,\" Adler said, \"but we are on the right path and our desire is to stay on the path until we get it right.\"\u003c/p>\n\u003cp>\"There's a broad way that the American medical system is stuck in the 19th century and has to move into the 21st century,\" Pearl said. \"To me that's an ethical issue, and it's not going to get resolved on Jan. 1, 2014. I think it will be an evolution in our society over a five-to-10-year period.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Watch the one-hour discussion\u003c/strong>:\u003c/em>\u003cbr>\n[youtube http://www.youtube.com/watch?v=8i4dWP2_SrE]\u003c/p>\n\n",
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"excerpt": "As we're barreling along toward Jan. 1 and the full implementation of Obamacare, it seems that questions of ethics are embedded in just about every discussion of the practice of medicine and how it will change in the coming years. San Francisco's Commonwealth Club asked me to explore the issue recently by moderating a discussion featuring three prominent Bay Area physicians that the club had invited to participate.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_12159\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/18/the-view-from-30000-feet-the-intersection-of-medicine-ethics-and-money/elderhands_gettyimages/\" rel=\"attachment wp-att-12159\">\u003cimg class=\"size-medium wp-image-12159\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/ElderHands_GettyImages-300x200.jpg\" alt=\"(Getty Images)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As we're barreling along toward Jan. 1 and the full implementation of Obamacare, it seems that questions of ethics are embedded in just about every discussion of the practice of medicine and how it will change in the coming years. San Francisco's Commonwealth Club asked me to explore the issue recently by moderating a discussion featuring three prominent Bay Area physicians that the club had invited to participate.\u003c/p>\n\u003cp>The formal title of the event was \"\u003ca href=\"http://www.commonwealthclub.org/events/2013-03-28/improving-ethics-and-practice-medicine\" target=\"_blank\">Improving the Ethics and Practice of Medicine\u003c/a>,\" but pretty quickly money came right into play.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"We have to come up with the best possible distribution of those resources, so we do the greatest good for the greatest number.\"\u003c/aside>\n\u003cp>Dr. Josh Adler, chief medical officer of UCSF, started off by talking about the \"age-old principle in care of patients\": Do no harm. And he spoke of patient safety. But then he got right into the cost of health care. We don't have unlimited resources, ranging from doctors and nurses to hospital beds, he pointed out. \"We have to come up with the best possible distribution of those resources, so we do the greatest good for the greatest number.\"\u003c/p>\n\u003cp>He talked about \"appropriate stewardship\" of limited resources in considering both the health of the individual and the health of broader populations.\u003c!--more-->\u003c/p>\n\u003cp>But being a good steward creates conflict for the doctor in the treatment room, argued Dr. Victoria Sweet, who practiced for 20 years at Laguna Honda Hospital. She is also a historian and author of the book \"\u003ca href=\"http://www.victoriasweet.com/the-book/about-gods-hotel/\" target=\"_blank\">God's Hotel: A Doctor, a Hospital and a Pilgrimage to the Heart of Medicine\u003c/a>,\" where she writes about the concept of what she calls \"slow medicine.\" How can a doctor be both a steward to his patient and a steward of the nation's health care resources? \"I can't believe how stressful these ... often opposing ethical imperatives are for a doctor,\" Sweet said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Disruptive changes necessary\u003c/strong>\u003cstrong>\u003c/strong>\u003c/p>\n\u003cp>To reconcile those opposing imperatives (and righting much about what's wrong in American health care), we need a restructuring of the whole system, argued Dr. Robert Pearl, CEO of Kaiser Permanente Medical Group. He said this restructuring goes beyond Obamacare, which he said is about providing access to the uninsured. This restructuring would move the United States from \"a system rewarding volume to one that focuses on outcomes, that we start to value prevention\" as a way to not only keep patients healthy but also to reduce cost. (There it is again: money.)\u003c/p>\n\u003cp>Pearl said this \"will be very disruptive. These changes will fundamentally alter how physicians practice and how patients receive care, but I think from an ethical perspective they are the right answer.\"\u003c/p>\n\u003cp>He linked this fundamental reorganization to improvements in patient safety -- too many patients are harmed while they are receiving care. (Start with sponges left inside a patient after surgery or a patient who picks up an infection while in the hospital.)\u003c/p>\n\u003cp>Pearl pointed specifically to how hospitals are reimbursed and how the way the money flows fights against patient safety. Right now, Pearl said, the typical U.S. hospital makes about a 4 percent profit margin. But ironically, \"four percent of the people that are there are because of a medical error -- pressure sore, central line infections. If they'd avoided developing the complications, [the hospital] would be out of business.\" (\u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1679400\" target=\"_blank\">A study \u003c/a>published in JAMA on Wednesday confirmed how hospitals profit when patients suffer surgical errors.)\u003c/p>\n\u003cp>Sweet was doubtful about the prospect of radical systemwide overhaul, but then drew applause when she said Kaiser \"does a fantastic job\" and proposed turning over \"the whole system to Kaiser and let them do it.\"\u003c/p>\n\u003cp>Even UCSF's Josh Adler was smiling and called Kaiser \"groundbreaking,\" but still offered that \"what universities bring to the pie is really pushing the next great thing that might happen\" -- he named organ transplantation and genomic medicine for starters. He said,\"The universities do have a role to create that innovation and exploration,\" and quipped that he felt his job was safe for a little longer.\u003c/p>\n\u003cp>\u003cstrong>More primary care providers needed -- but not just physicians\u003c/strong>\u003c/p>\n\u003cp>One specific area where Adler saw a role for systemwide change was to allow non-physician professionals -- nurse practitioners, pharmacists and medical assistants, to name a few -- to practice at the \"top of their license.\" With more than 30 million currently uninsured Americans gaining health insurance through Obamacare starting in January, the United States will need a lot more primary care providers to treat those people. But doctors traditionally have been oriented toward protecting their incomes (money again) and have been opposed to letting other types of professionals in on their turf.\u003c/p>\n\u003cp>I asked Adler if he thought doctors were behaving ethically when they organized against allowing nurse practitioners or other non-MDs to provide expanded primary care.\u003c/p>\n\u003cp>\"I think it's wrong,\" Adler said bluntly. \"I think protecting patient care only within the realm of physicians is a bad strategy for the United States.\"\u003c/p>\n\u003cp>\u003cstrong>Calls for better end-of-life care\u003c/strong>\u003c/p>\n\u003cp>Perhaps nowhere in medicine is the question of ethics more challenging than in end-of-life care. Sweet urged everyone attending the panel to at the very least write a letter outlining \"who you are as a person and how you value freedom, lack of pain, life.\" Absent some kind of specific directive to loved ones -- even a conversation, Sweet said -- the presumption is \"you would want everything done.\"\u003c/p>\n\u003cp>Adler expanded on Sweet's point, saying that these discussions are not just for people at the \"very, very end of life\" but even the \"very, very sick.\" He cited a program at UCSF where people with heart failure were talked to explicitly and clearly about their preferences. These were not patients who were terminally ill. Many of these people were frequently hospitalized. But, upon careful discussion, some of those patients opted not be hospitalized again and to simply go with comfort care. \"But the amazing thing,\" Adler said, \"is those patients lived longer than those people who kept coming back to the hospital for aggressive care.\"\u003c/p>\n\u003cp>Pearl agreed. \"Physicians are very bad at telling patients bad news,\" he said. \"Patients are much stronger than we as doctors believe. ... Once people feel like they have control, they're not victims ... they live longer and live better.\"\u003c/p>\n\u003cp>As the discussion wrapped up, we returned to the looming Jan. 1 implementation of Obamacare. \"It's going to be a bumpy ride,\" Adler said, \"but we are on the right path and our desire is to stay on the path until we get it right.\"\u003c/p>\n\u003cp>\"There's a broad way that the American medical system is stuck in the 19th century and has to move into the 21st century,\" Pearl said. \"To me that's an ethical issue, and it's not going to get resolved on Jan. 1, 2014. I think it will be an evolution in our society over a five-to-10-year period.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Watch the one-hour discussion\u003c/strong>:\u003c/em>\u003cbr>\n\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/8i4dWP2_SrE'\n title='//www.youtube.com/embed/8i4dWP2_SrE'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Gene Patent Supreme Court Case Centers Around Two Breast Cancer Genes",
"title": "Gene Patent Supreme Court Case Centers Around Two Breast Cancer Genes",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_12112\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/12/breast-cancer-gene-mutations-at-heart-of-supreme-court-case/doublehelix_gettyimages/\" rel=\"attachment wp-att-12112\">\u003cimg class=\"size-medium wp-image-12112\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/DoubleHelix_GettyImages-300x200.jpg\" alt=\"It's not the genes themselves, but mutations that can put women at higher risk of breast cancer.(Getty Images)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">It's not the genes themselves, but mutations that can put women at higher risk of breast cancer.(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>On Monday, the U.S. Supreme Court will hear oral arguments in \u003ca href=\"http://www.scotusblog.com/case-files/cases/association-for-molecular-pathology-v-myriad-genetics-inc/?wpmp_switcher=desktop\" target=\"_blank\">a case\u003c/a> that asks a central question: Can you patent a human gene?\u003c/p>\n\u003cp>Are genes naturally occurring and therefore not patentable by law? Or, since DNA must be extracted and processed to be read, is it no longer a natural product and so indeed can be patented, as human genes have been for 30 years?\u003c/p>\n\u003cp>Over at \u003ca href=\"http://science.kqed.org/quest/audio/bay-area-biotech-industry-braces-for-gene-patenting-court-case/\" target=\"_blank\">KQED Science\u003c/a>, reporter Lauren Sommer has a great breakdown of the issues in this case -- not only the ethical questions but also the business angle, so critical to the Bay Area's thriving biotechnology industry.\u003c/p>\n\u003caside class=\"pullquote alignright\">Everyone has these genes -- women and men alike -- but the question is whether you have a mutation in one or both of these genes that inhibits tumor suppression function.\u003c/aside>\n\u003cp>But let's take a step back and look at the genes at the heart of the case, BRCA1 and BRCA2\u003cspan style=\"color: #000000\">.\u003c/span> According to the \u003ca href=\"http://www.cancer.gov/cancertopics/factsheet/Risk/BRCA\" target=\"_blank\">National Cancer Institute\u003c/a>, these genes help keep cells' genetic material in order. They handle what's called tumor suppression.\u003c/p>\n\u003cp>Everyone has these genes -- women and men alike -- but the question is whether you have a mutation in one or both of these genes that inhibits the tumor suppression function. With impaired tumor suppression, you're at higher risk for cancer. Women with certain types of BRCA mutations are five times more likely to develop breast cancer and at least 10 times more likely to develop ovarian cancer. Both women and men with these mutations are also at increased risk for other cancers, including pancreatic cancer, prostate cancer and melanoma.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://www.ucsfhealth.org/robert.nussbaum\" target=\"_blank\">Dr. Robert Nussbaum\u003c/a> is a medical geneticist at UCSF. He stresses these are fairly rare mutations, accounting for perhaps 5 percent of all breast cancers. The BRCA gene, like other genes, \u003cspan style=\"color: #000000\">can mutate in many ways, but not all those mutations are harmful.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">In a genetic test, analysts are \"looking for misspellings, like a spellcheck,\" of the cell's DNA, he said. And that misspelling might not mean anything. It could be just a \"common variation\" such as having brown eyes or blue eyes. Or it could be a change \"which is actually going to affect the function of that protein and result in someone having a markedly increased risk for cancer,\" he added.\u003c/span>\u003c/p>\n\u003cp>In genetic analysis, the gene is compared with a catalog of thousands -- or hundreds of thousands -- of other people who had the test to determine if the mutation is positive, negative or ambiguous. The NCI cited a study that found 10 percent of women who had the BRCA 1 or 2 test were in this \"ambiguous\" category, \u003cspan style=\"color: #000000\">\u003cspan style=\"color: #000000\">\u003ca href=\"http://www.cancer.gov/cancertopics/factsheet/Risk/BRCA\" target=\"_blank\">then add\u003c/a>\u003c/span>\u003ca href=\"http://www.cancer.gov/cancertopics/factsheet/Risk/BRCA\" target=\"_blank\">ed\u003c/a>:\u003c/span>\u003c/p>\n\u003cblockquote>\u003cp>Because everyone has genetic differences that are not associated with an increased risk of disease, it is sometimes not known whether a specific DNA change affects a person’s risk of developing cancer. As more research is conducted and more people are tested for BRCA1 or BRCA2 changes, scientists will learn more about these changes and cancer risk.\u003c/p>\u003c/blockquote>\n\u003cp>But even if a woman has a mutation that puts her at increased risk of cancer, it's just that: an increased risk. Genes do not determine everything, Nussbaum said. Diet, culture, behavior and environment all play a role in cancer development. The NCI lists different approaches -- from more frequent screening tests to prophylactic surgery -- that women might consider when receiving a positive result.\u003c/p>\n\u003cp>\u003cstrong>Learn More\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Listen to Forum: \u003ca href=\"http://www.kqed.org/a/forum/R201304120900\" target=\"_blank\">Who Owns Your Genes?\u003c/a>\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/R201304120900.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/R201304120900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "On Monday, the Supreme Court will hear oral arguments in a case that asks a central question: can you patent a human gene? Are genes naturally occurring and therefore not patentable by law? Or since DNA must be extracted and processed to be read, it is no longer a natural product and so indeed can be patented, as human genes have been for 30 years?\r\n\r\nOver at KQED Science, reporter Lauren Sommer has a great breakdown of the issues in this case -- not only the ethical questions, but also the business angle, so critical to the Bay Area's thriving biotechnology industry.",
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"title": "Gene Patent Supreme Court Case Centers Around Two Breast Cancer Genes | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_12112\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/12/breast-cancer-gene-mutations-at-heart-of-supreme-court-case/doublehelix_gettyimages/\" rel=\"attachment wp-att-12112\">\u003cimg class=\"size-medium wp-image-12112\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/DoubleHelix_GettyImages-300x200.jpg\" alt=\"It's not the genes themselves, but mutations that can put women at higher risk of breast cancer.(Getty Images)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">It's not the genes themselves, but mutations that can put women at higher risk of breast cancer.(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>On Monday, the U.S. Supreme Court will hear oral arguments in \u003ca href=\"http://www.scotusblog.com/case-files/cases/association-for-molecular-pathology-v-myriad-genetics-inc/?wpmp_switcher=desktop\" target=\"_blank\">a case\u003c/a> that asks a central question: Can you patent a human gene?\u003c/p>\n\u003cp>Are genes naturally occurring and therefore not patentable by law? Or, since DNA must be extracted and processed to be read, is it no longer a natural product and so indeed can be patented, as human genes have been for 30 years?\u003c/p>\n\u003cp>Over at \u003ca href=\"http://science.kqed.org/quest/audio/bay-area-biotech-industry-braces-for-gene-patenting-court-case/\" target=\"_blank\">KQED Science\u003c/a>, reporter Lauren Sommer has a great breakdown of the issues in this case -- not only the ethical questions but also the business angle, so critical to the Bay Area's thriving biotechnology industry.\u003c/p>\n\u003caside class=\"pullquote alignright\">Everyone has these genes -- women and men alike -- but the question is whether you have a mutation in one or both of these genes that inhibits tumor suppression function.\u003c/aside>\n\u003cp>But let's take a step back and look at the genes at the heart of the case, BRCA1 and BRCA2\u003cspan style=\"color: #000000\">.\u003c/span> According to the \u003ca href=\"http://www.cancer.gov/cancertopics/factsheet/Risk/BRCA\" target=\"_blank\">National Cancer Institute\u003c/a>, these genes help keep cells' genetic material in order. They handle what's called tumor suppression.\u003c/p>\n\u003cp>Everyone has these genes -- women and men alike -- but the question is whether you have a mutation in one or both of these genes that inhibits the tumor suppression function. With impaired tumor suppression, you're at higher risk for cancer. Women with certain types of BRCA mutations are five times more likely to develop breast cancer and at least 10 times more likely to develop ovarian cancer. Both women and men with these mutations are also at increased risk for other cancers, including pancreatic cancer, prostate cancer and melanoma.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.ucsfhealth.org/robert.nussbaum\" target=\"_blank\">Dr. Robert Nussbaum\u003c/a> is a medical geneticist at UCSF. He stresses these are fairly rare mutations, accounting for perhaps 5 percent of all breast cancers. The BRCA gene, like other genes, \u003cspan style=\"color: #000000\">can mutate in many ways, but not all those mutations are harmful.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">In a genetic test, analysts are \"looking for misspellings, like a spellcheck,\" of the cell's DNA, he said. And that misspelling might not mean anything. It could be just a \"common variation\" such as having brown eyes or blue eyes. Or it could be a change \"which is actually going to affect the function of that protein and result in someone having a markedly increased risk for cancer,\" he added.\u003c/span>\u003c/p>\n\u003cp>In genetic analysis, the gene is compared with a catalog of thousands -- or hundreds of thousands -- of other people who had the test to determine if the mutation is positive, negative or ambiguous. The NCI cited a study that found 10 percent of women who had the BRCA 1 or 2 test were in this \"ambiguous\" category, \u003cspan style=\"color: #000000\">\u003cspan style=\"color: #000000\">\u003ca href=\"http://www.cancer.gov/cancertopics/factsheet/Risk/BRCA\" target=\"_blank\">then add\u003c/a>\u003c/span>\u003ca href=\"http://www.cancer.gov/cancertopics/factsheet/Risk/BRCA\" target=\"_blank\">ed\u003c/a>:\u003c/span>\u003c/p>\n\u003cblockquote>\u003cp>Because everyone has genetic differences that are not associated with an increased risk of disease, it is sometimes not known whether a specific DNA change affects a person’s risk of developing cancer. As more research is conducted and more people are tested for BRCA1 or BRCA2 changes, scientists will learn more about these changes and cancer risk.\u003c/p>\u003c/blockquote>\n\u003cp>But even if a woman has a mutation that puts her at increased risk of cancer, it's just that: an increased risk. Genes do not determine everything, Nussbaum said. Diet, culture, behavior and environment all play a role in cancer development. The NCI lists different approaches -- from more frequent screening tests to prophylactic surgery -- that women might consider when receiving a positive result.\u003c/p>\n\u003cp>\u003cstrong>Learn More\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Listen to Forum: \u003ca href=\"http://www.kqed.org/a/forum/R201304120900\" target=\"_blank\">Who Owns Your Genes?\u003c/a>\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/R201304120900.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/R201304120900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Unnecessary Early Deliveries Plummet in Multi-State Study, Includes California",
"title": "Unnecessary Early Deliveries Plummet in Multi-State Study, Includes California",
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"content": "\u003cfigure id=\"attachment_9865\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/09/best-health-system-in-the-world/pregnantexamgenericgetty/\" rel=\"attachment wp-att-9865\">\u003cimg class=\"size-medium wp-image-9865\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PregnantExamGenericGetty-300x200.jpg\" alt=\"American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The rate of early elective deliveries dropped from about 28 percent to under 5 percent. (Photo: Comstock)\u003c/figcaption>\u003c/figure>\n\u003cp>Hospitals in California were part of a multi-state approach designed to dramatically reduce early elective deliveries of babies. The result? In one calendar year, early deliveries -- those without a medical cause for doing so -- dropped from about 28 percent to just under 5 percent.\u003c/p>\n\u003cp>\"What everyone is amazed about is we did it in a year,\" said Leslie Kowalewski with the California chapter of the March of Dimes, which helped hospitals in setting up the new protocol for the study.\u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>The findings from the study \u003ca href=\"http://journals.lww.com/greenjournal/Abstract/publishahead/A_Multistate_Quality_Improvement_Program_to.99850.aspx\" target=\"_blank\">were published this week\u003c/a> in Obstetrics and Gynecology. For more than 30 years, the American College of Obstetricians and Gynecologists has recommended that women and their doctors wait until at least 39 weeks of gestation to deliver a baby. Delivering earlier is associated with health complications for the babies, including breathing and developmental problems.\u003c/p>\n\u003cp>\u003cstrong>Slippery Slope With Early Deliveries\u003c/strong>\u003c/p>\n\u003cp>But a \"slippery slope\" had developed around early elective deliveries, says Dr. Elliott Main, a high-risk obstetrician and director of obstetrics quality at Sutter Health. \"Your due date was 40 weeks, and then we thought 39 was just as good. Then it became 38 and a half, then 38, and that's the slippery slope.\"\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Over the last several years, though, some major studies were published, Main said, that drove home the problems around early deliveries, \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/03/18/peds.2012-1408\" target=\"_blank\">including one\u003c/a> that showed developmental problems associated with early delivery can persist into elementary school. \"That was a wake up call,\" Main says. \"That made us say, 'OK, we really should retrench. We should pull back and not deliver these babies before 39 weeks.\"\u003c/p>\n\u003cp>Main is a lead author of\u003ca href=\"http://www.cdph.ca.gov/programs/mcah/Documents/MCAH-EliminationOfNon-MedicallyIndicatedDeliveries.pdf\" target=\"_blank\"> the protocol \u003c/a>used by hospitals in the study. Main called California a leader in reducing early elective deliveries, saying several major health systems in the state -- including Sutter Health, Kaiser and Dignity Health -- have \"all seen impressive results, down in the 1-3 percent overall for these early elective deliveries.\"\u003c/p>\n\u003cp>At present, Main says, a baby is considered to be at term from 37 to 41 weeks. But he said there may be different gradations of term and said obstetrics may be leaning toward new profiles, such as early term, full term and post term to \"reinforce that there are differences without notions of term.\"\u003c/p>\n\u003cp>The study found there were no ill health effects for the mothers. In addition to California, a range of hospitals in Florida, Illinois, New York and Texas participated in the study. The five states were chosen because they account for almost 40 percent of all births in the U.S.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The five participating hospitals in California were El Centro Regional Medical Center, Mission Hospital, Mills-Peninsula Health Services, Sutter Roseville Medical Center, Sutter Medical Center Sacramento, San Gorgonio Memorial Hospital.\u003c/p>\n\n",
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"excerpt": "Hospitals in California were part of a multi-state approach designed to dramatically reduce early elective deliveries of babies. The result? In one calendar year, early deliveries -- those without a medical cause for doing so -- dropped from about 28 percent to just under 5 percent.\r\n\r\n\"What everyone is amazed about is we did it in a year,\" said Leslie Kowalewski with the California chapter of the March of Dimes, which helped hospitals in setting up the new protocol for the study.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9865\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/09/best-health-system-in-the-world/pregnantexamgenericgetty/\" rel=\"attachment wp-att-9865\">\u003cimg class=\"size-medium wp-image-9865\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PregnantExamGenericGetty-300x200.jpg\" alt=\"American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The rate of early elective deliveries dropped from about 28 percent to under 5 percent. (Photo: Comstock)\u003c/figcaption>\u003c/figure>\n\u003cp>Hospitals in California were part of a multi-state approach designed to dramatically reduce early elective deliveries of babies. The result? In one calendar year, early deliveries -- those without a medical cause for doing so -- dropped from about 28 percent to just under 5 percent.\u003c/p>\n\u003cp>\"What everyone is amazed about is we did it in a year,\" said Leslie Kowalewski with the California chapter of the March of Dimes, which helped hospitals in setting up the new protocol for the study.\u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>The findings from the study \u003ca href=\"http://journals.lww.com/greenjournal/Abstract/publishahead/A_Multistate_Quality_Improvement_Program_to.99850.aspx\" target=\"_blank\">were published this week\u003c/a> in Obstetrics and Gynecology. For more than 30 years, the American College of Obstetricians and Gynecologists has recommended that women and their doctors wait until at least 39 weeks of gestation to deliver a baby. Delivering earlier is associated with health complications for the babies, including breathing and developmental problems.\u003c/p>\n\u003cp>\u003cstrong>Slippery Slope With Early Deliveries\u003c/strong>\u003c/p>\n\u003cp>But a \"slippery slope\" had developed around early elective deliveries, says Dr. Elliott Main, a high-risk obstetrician and director of obstetrics quality at Sutter Health. \"Your due date was 40 weeks, and then we thought 39 was just as good. Then it became 38 and a half, then 38, and that's the slippery slope.\"\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Over the last several years, though, some major studies were published, Main said, that drove home the problems around early deliveries, \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/03/18/peds.2012-1408\" target=\"_blank\">including one\u003c/a> that showed developmental problems associated with early delivery can persist into elementary school. \"That was a wake up call,\" Main says. \"That made us say, 'OK, we really should retrench. We should pull back and not deliver these babies before 39 weeks.\"\u003c/p>\n\u003cp>Main is a lead author of\u003ca href=\"http://www.cdph.ca.gov/programs/mcah/Documents/MCAH-EliminationOfNon-MedicallyIndicatedDeliveries.pdf\" target=\"_blank\"> the protocol \u003c/a>used by hospitals in the study. Main called California a leader in reducing early elective deliveries, saying several major health systems in the state -- including Sutter Health, Kaiser and Dignity Health -- have \"all seen impressive results, down in the 1-3 percent overall for these early elective deliveries.\"\u003c/p>\n\u003cp>At present, Main says, a baby is considered to be at term from 37 to 41 weeks. But he said there may be different gradations of term and said obstetrics may be leaning toward new profiles, such as early term, full term and post term to \"reinforce that there are differences without notions of term.\"\u003c/p>\n\u003cp>The study found there were no ill health effects for the mothers. In addition to California, a range of hospitals in Florida, Illinois, New York and Texas participated in the study. The five states were chosen because they account for almost 40 percent of all births in the U.S.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The five participating hospitals in California were El Centro Regional Medical Center, Mission Hospital, Mills-Peninsula Health Services, Sutter Roseville Medical Center, Sutter Medical Center Sacramento, San Gorgonio Memorial Hospital.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Sex Information, Teens and Technology: YTHLive in San Francisco",
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"content": "\u003cfigure id=\"attachment_11996\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/08/sex-information-teens-and-technology-ythlive-in-san-francisco/smartphone_okalkavan_flickr/\" rel=\"attachment wp-att-11996\">\u003cimg class=\"size-medium wp-image-11996\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/SmartPhone_okalkavan_Flickr-300x200.jpg\" alt=\"A powerful way to reach teens with credible health information say conference organizers. (okalkavan/Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A powerful way to reach underserved teens with credible health information say conference organizers. (okalkavan/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>In the olden days, teens and young adults who wanted accurate information about contraception or sexually transmitted diseases would perhaps find a trusted adult or sneak a book or perhaps rely on information (misinformation?) from peers.\u003c/p>\n\u003cp>Not so much any more. Mobile apps and websites provide a range of options, and YTH.org (that's for youth, tech, health) is the focal point.\u003c/p>\n\u003cp>Its mission: To advance youth health and wellness through technology.\u003c/p>\n\u003cp>\u003ca href=\"http://ythlive.org\" target=\"_blank\">YTH Live\u003c/a> kicked off Sunday in San Francisco and runs through tomorrow. The conference convenes everyone from public health professionals to youth advocates to social entrepreneurs. KQED's Stephanie Martin \u003ca href=\"http://www.kqed.org/news/story/2013/04/05/118978/annual_sf_conference_on_youth_health_and_tech_underway?category=bay+area\" target=\"_blank\">talked with YTH.org executive director Deb Levine\u003c/a> about the conference.\u003c/p>\n\u003cp>Here's their conversation, lightly edited:\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>STEPHANIE MARTIN:\u003c/strong> On the Frequently Asked Questions section of YTH's website, one of the questions that struck me was: \"Is this conference for real?\" What about this conference would prompt people to ask a question like that?\u003c/p>\n\u003cp>\u003cstrong>DEB LEVINE: \u003c/strong>Our conference is the only one of its kind, not only in the United States but globally. People really can’t believe that there’s a conference around youth, sex and technology. Back in the early 90s I started the first question-and-answer service around health for college students called Go Ask Alice, and 75 percent of questions on that website were about sexual health, relationships, sexual identity, reproductive health, STDs and so on. That was when we realized -- almost 20 years ago -- that the power of the small screen really does enable young people to ask those burning questions around their bodies and their own lives.\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong>: What kind of apps and other services are available to teens right now?\u003c/p>\n\u003cp>\u003cstrong>LEVINE\u003c/strong>: People are putting together incredible videos, teen citizen journalists, who have made videos about their own communities that you can watch on your phone. For text messaging, we have Mt. Sinai Adolescent Health Center in New York, they have a text messaging question and answer service, so you ask a question and you get an answer form a medical provider. \u003cem>(Editor's note: the service, called \u003ca href=\"http://textinthecity.posterous.com\" target=\"_blank\">Text in the City\u003c/a>, appears to be in a trial phase, exclusively for teens attending the Mt. Sinai Center.)\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong>: Your conference addresses the popularity of texting among young people. How can that be leveraged to help them locate information and resources related to their sexual health?\u003c/p>\n\u003cp>\u003cstrong>LEVINE\u003c/strong>: For example, at the conference, we have \u003ca href=\"http://www.mobilecommons.com\" target=\"_blank\">mobilecommons\u003c/a> as a representative of \u003ca href=\"http://www.dosomething.org\" target=\"_blank\">DoSomething.Org\u003c/a>. DoSomething is setting up a crisis text line where young people can text any kind of question, fear or crisis that they’re going through -- right at that moment -- and it’s 24/7. They get texts back with conversation with a real person and the ability to connect to youth friendly services.\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong>: How are tech developers addressing the concerns of parents, many of whom argue that if their child is under 18 -- they should be in the loop?\u003c/p>\n\u003cp>\u003cstrong>LEVINE\u003c/strong>: I love that question! As a parent of a tween, I’m concerned too. This is what I say to all parents: you need to know what your kids are doing online. If they download an app, then you should go and check that app on their phone. Nothing is meant to be kept from parents, but ideally this technology will help start a conversation between parents and teens about these difficult subjects.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"excerpt": "In the olden days, teens and young adults who wanted accurate information about contraception or sexually transmitted diseases would perhaps find a trusted adult or sneak a book or perhaps rely on information (misinformation?) from peers.\r\n\r\nNot so much any more. Mobile apps and websites provide a range of options, and YTH.org (that's for youth, tech, health) is the focal point.",
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"title": "Sex Information, Teens and Technology: YTHLive in San Francisco | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_11996\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/08/sex-information-teens-and-technology-ythlive-in-san-francisco/smartphone_okalkavan_flickr/\" rel=\"attachment wp-att-11996\">\u003cimg class=\"size-medium wp-image-11996\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/SmartPhone_okalkavan_Flickr-300x200.jpg\" alt=\"A powerful way to reach teens with credible health information say conference organizers. (okalkavan/Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A powerful way to reach underserved teens with credible health information say conference organizers. (okalkavan/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>In the olden days, teens and young adults who wanted accurate information about contraception or sexually transmitted diseases would perhaps find a trusted adult or sneak a book or perhaps rely on information (misinformation?) from peers.\u003c/p>\n\u003cp>Not so much any more. Mobile apps and websites provide a range of options, and YTH.org (that's for youth, tech, health) is the focal point.\u003c/p>\n\u003cp>Its mission: To advance youth health and wellness through technology.\u003c/p>\n\u003cp>\u003ca href=\"http://ythlive.org\" target=\"_blank\">YTH Live\u003c/a> kicked off Sunday in San Francisco and runs through tomorrow. The conference convenes everyone from public health professionals to youth advocates to social entrepreneurs. KQED's Stephanie Martin \u003ca href=\"http://www.kqed.org/news/story/2013/04/05/118978/annual_sf_conference_on_youth_health_and_tech_underway?category=bay+area\" target=\"_blank\">talked with YTH.org executive director Deb Levine\u003c/a> about the conference.\u003c/p>\n\u003cp>Here's their conversation, lightly edited:\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>STEPHANIE MARTIN:\u003c/strong> On the Frequently Asked Questions section of YTH's website, one of the questions that struck me was: \"Is this conference for real?\" What about this conference would prompt people to ask a question like that?\u003c/p>\n\u003cp>\u003cstrong>DEB LEVINE: \u003c/strong>Our conference is the only one of its kind, not only in the United States but globally. People really can’t believe that there’s a conference around youth, sex and technology. Back in the early 90s I started the first question-and-answer service around health for college students called Go Ask Alice, and 75 percent of questions on that website were about sexual health, relationships, sexual identity, reproductive health, STDs and so on. That was when we realized -- almost 20 years ago -- that the power of the small screen really does enable young people to ask those burning questions around their bodies and their own lives.\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong>: What kind of apps and other services are available to teens right now?\u003c/p>\n\u003cp>\u003cstrong>LEVINE\u003c/strong>: People are putting together incredible videos, teen citizen journalists, who have made videos about their own communities that you can watch on your phone. For text messaging, we have Mt. Sinai Adolescent Health Center in New York, they have a text messaging question and answer service, so you ask a question and you get an answer form a medical provider. \u003cem>(Editor's note: the service, called \u003ca href=\"http://textinthecity.posterous.com\" target=\"_blank\">Text in the City\u003c/a>, appears to be in a trial phase, exclusively for teens attending the Mt. Sinai Center.)\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong>: Your conference addresses the popularity of texting among young people. How can that be leveraged to help them locate information and resources related to their sexual health?\u003c/p>\n\u003cp>\u003cstrong>LEVINE\u003c/strong>: For example, at the conference, we have \u003ca href=\"http://www.mobilecommons.com\" target=\"_blank\">mobilecommons\u003c/a> as a representative of \u003ca href=\"http://www.dosomething.org\" target=\"_blank\">DoSomething.Org\u003c/a>. DoSomething is setting up a crisis text line where young people can text any kind of question, fear or crisis that they’re going through -- right at that moment -- and it’s 24/7. They get texts back with conversation with a real person and the ability to connect to youth friendly services.\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong>: How are tech developers addressing the concerns of parents, many of whom argue that if their child is under 18 -- they should be in the loop?\u003c/p>\n\u003cp>\u003cstrong>LEVINE\u003c/strong>: I love that question! As a parent of a tween, I’m concerned too. This is what I say to all parents: you need to know what your kids are doing online. If they download an app, then you should go and check that app on their phone. Nothing is meant to be kept from parents, but ideally this technology will help start a conversation between parents and teens about these difficult subjects.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \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": "\u003cp>It was four years ago this month that a new strain of flu virus was reported in Mexico and captured \u003ca href=\"http://www.nytimes.com/2009/04/25/world/americas/25mexico.html\" target=\"_blank\">global attention\u003c/a>. Ultimately, the World Health Organization declared it a pandemic. More than 18,000 people died in 2009 from the virus.\u003c/p>\n\u003cp>Now, in China, global influenza experts are watching another novel virus, H7N9. So far, nine people are sick, and three are dead. As Helen Branswell at The Canadian Press (and self-described \"\u003ca href=\"https://twitter.com/HelenBranswell\" target=\"_blank\">flu freak\u003c/a>\") \u003ca href=\"http://www.ctvnews.ca/health/health-leaders-lay-out-their-concerns-about-the-new-bird-flu-1.1223628\" target=\"_blank\">reports\u003c/a> \"those first three sick people and the genetic sequences of the flu viruses that infected them were enough to make the hairs on the backs of knowledgeable necks stand on end.\"\u003c/p>\n\u003cp>Branswell also \u003ca href=\"https://twitter.com/HelenBranswell\" target=\"_blank\">tweeted\u003c/a> that case \"numbers are a moving target\" right now.\u003c/p>\n\u003cp>She lays out why flu experts are racing to determine if we're on the brink of the second pandemic in five years \u003ca href=\"http://www.ctvnews.ca/health/health-leaders-lay-out-their-concerns-about-the-new-bird-flu-1.1223628\" target=\"_blank\">in this report\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Influenza scientists always pay attention when animal flu viruses start making people sick. There is a rich soup of flu viruses in nature, most of which human immune systems have never seen. Many of those viruses, at least in theory, have the potential to trigger pandemics.\u003c/p>\n\u003cp>So when China notified the World Health Organization over the weekend that it had found three cases of infection with H7N9 viruses, there was immediate concern.\u003c!--more-->\u003c/p>\n\u003cp>While some H7 viruses have infected people in the past -- including two poultry workers in a big H7N3 outbreak in British Columbia in 2004 -- viruses bearing an H7 hemagglutinin and an N9 neuraminidase in combination had never been previously known to infect humans.\u003c/p>\n\u003cp>Adding to the alarm: The three people were not linked. That means each caught the virus from an animal, or a person. The first bet would be animals, but so far the virus hasn't been found in Chinese poultry or pigs, the likely suspects.\u003c/p>\n\u003cp>And the cases didn't live close to one another. Two were in Shanghai, China's largest megacity. But the third was in the nearby province of Anhui. As more cases have emerged, the geographic distance among infections has become greater, making it increasingly clear that there is H7N9 virus spreading, undetected, over hundreds of kilometres in China.\u003c/p>\n\u003cp>Dr. Keiji Fukuda, the World Health Organization's top flu expert explains: \"It's possible that we have infected animals. But we still haven't detected actually what is the infected animal and whether it's these animals that are spread out and individuals in a widespread area are coming into contact (with them) and becoming ill.\"\u003c/p>\n\u003cp>The other option? \"At the same time you have to be thinking about is there any evidence of person-to-person transmission,\" Fukuda, the WHO's assistant director-general for health security and environment, told The Canadian Press in an interview.\u003c/p>\n\u003cp>------\u003c/p>\n\u003cp>When people show up in hospitals sick with pneumonia, it can take a while to figure out what bacteria or virus is making them ill. It takes even longer when tests for known culprits come back negative, and laboratories have to start thinking about whether they are dealing with something new.\u003c/p>\n\u003cp>The first known H7N9 cases started getting sick in late February. And two died in the first part of March. But once the Chinese hospitals got the country's public health agency -- the China CDC -- involved and they found the new virus, that organization quickly mapped the genetic sequences of the first three viruses and uploaded them into a database that international flu scientists can access.\u003c/p>\n\u003cp>That prompt sharing allowed outside experts to start studying the viruses to look for clues to their origin.\u003c/p>\n\u003cp>All eight genes of each virus were avian, meaning these were bird flu viruses. But all the viruses showed several genetic changes that scientists who study influenza recognize as signals of a virus adapting to spread in mammals, not birds. Those changes mean the virus is learning to attach to the type of cells people have in their upper airways, the type of cells that human flu viruses infect.\u003c/p>\n\u003cp>Those signs of adaptation ratcheted up the concern.\u003c/p>\n\u003cp>\"We would be paying very close attention to any situation in which you have a novel influenza virus which has caused some cases of infection and caused some deaths,\" Fukuda says.\u003c/p>\n\u003cp>\"But I think that the molecular changes also make us pay a lot of attention.\"\u003c/p>\n\u003cp>Richard Webby, a swine flu expert who runs the WHO's influenza collaborating centre at St. Jude Children's Research Hospital in Memphis, Tenn., says those genetic changes suggest the virus may no longer be circulating in birds.\u003c/p>\n\u003cp>He believes it is in mammals. That could mean pigs, which are called mixing bowls of influenza, because they can be infected with both human and bird flu viruses, providing a chance for genes to swap.\u003c/p>\n\u003cp>Or it could mean the virus is spreading in people.\u003c/p>\u003c/blockquote>\n\u003cp>Typically with influenza, we see a (relatively) small number of deaths, many very sick people and then a large group with such mild symptoms they might not even know they have the flu.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Right now, experts don't know if that's the case with this flu or if it's something much more serious.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Longtime pandemic-watcher and Pulitzer Prize winner\u003ca href=\"http://www.lauriegarrett.com/index.php/en/home/\" target=\"_blank\"> Laurie Garrett \u003c/a>filed \u003ca href=\"http://www.foreignpolicy.com/articles/2013/04/01/is_this_a_pandemic_being_born_china_pigs_virus?page=0,2\" target=\"_blank\">this piece\u003c/a> earlier this week for Foreign Policy where she examines whether the recent (and mysterious) mass deaths of pigs and ducks are linked to the flu deaths in people. \"Is this a pandemic being born?\" the headline asks.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It was four years ago this month that a new strain of flu virus was reported in Mexico and captured \u003ca href=\"http://www.nytimes.com/2009/04/25/world/americas/25mexico.html\" target=\"_blank\">global attention\u003c/a>. Ultimately, the World Health Organization declared it a pandemic. More than 18,000 people died in 2009 from the virus.\u003c/p>\n\u003cp>Now, in China, global influenza experts are watching another novel virus, H7N9. So far, nine people are sick, and three are dead. As Helen Branswell at The Canadian Press (and self-described \"\u003ca href=\"https://twitter.com/HelenBranswell\" target=\"_blank\">flu freak\u003c/a>\") \u003ca href=\"http://www.ctvnews.ca/health/health-leaders-lay-out-their-concerns-about-the-new-bird-flu-1.1223628\" target=\"_blank\">reports\u003c/a> \"those first three sick people and the genetic sequences of the flu viruses that infected them were enough to make the hairs on the backs of knowledgeable necks stand on end.\"\u003c/p>\n\u003cp>Branswell also \u003ca href=\"https://twitter.com/HelenBranswell\" target=\"_blank\">tweeted\u003c/a> that case \"numbers are a moving target\" right now.\u003c/p>\n\u003cp>She lays out why flu experts are racing to determine if we're on the brink of the second pandemic in five years \u003ca href=\"http://www.ctvnews.ca/health/health-leaders-lay-out-their-concerns-about-the-new-bird-flu-1.1223628\" target=\"_blank\">in this report\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Influenza scientists always pay attention when animal flu viruses start making people sick. There is a rich soup of flu viruses in nature, most of which human immune systems have never seen. Many of those viruses, at least in theory, have the potential to trigger pandemics.\u003c/p>\n\u003cp>So when China notified the World Health Organization over the weekend that it had found three cases of infection with H7N9 viruses, there was immediate concern.\u003c!--more-->\u003c/p>\n\u003cp>While some H7 viruses have infected people in the past -- including two poultry workers in a big H7N3 outbreak in British Columbia in 2004 -- viruses bearing an H7 hemagglutinin and an N9 neuraminidase in combination had never been previously known to infect humans.\u003c/p>\n\u003cp>Adding to the alarm: The three people were not linked. That means each caught the virus from an animal, or a person. The first bet would be animals, but so far the virus hasn't been found in Chinese poultry or pigs, the likely suspects.\u003c/p>\n\u003cp>And the cases didn't live close to one another. Two were in Shanghai, China's largest megacity. But the third was in the nearby province of Anhui. As more cases have emerged, the geographic distance among infections has become greater, making it increasingly clear that there is H7N9 virus spreading, undetected, over hundreds of kilometres in China.\u003c/p>\n\u003cp>Dr. Keiji Fukuda, the World Health Organization's top flu expert explains: \"It's possible that we have infected animals. But we still haven't detected actually what is the infected animal and whether it's these animals that are spread out and individuals in a widespread area are coming into contact (with them) and becoming ill.\"\u003c/p>\n\u003cp>The other option? \"At the same time you have to be thinking about is there any evidence of person-to-person transmission,\" Fukuda, the WHO's assistant director-general for health security and environment, told The Canadian Press in an interview.\u003c/p>\n\u003cp>------\u003c/p>\n\u003cp>When people show up in hospitals sick with pneumonia, it can take a while to figure out what bacteria or virus is making them ill. It takes even longer when tests for known culprits come back negative, and laboratories have to start thinking about whether they are dealing with something new.\u003c/p>\n\u003cp>The first known H7N9 cases started getting sick in late February. And two died in the first part of March. But once the Chinese hospitals got the country's public health agency -- the China CDC -- involved and they found the new virus, that organization quickly mapped the genetic sequences of the first three viruses and uploaded them into a database that international flu scientists can access.\u003c/p>\n\u003cp>That prompt sharing allowed outside experts to start studying the viruses to look for clues to their origin.\u003c/p>\n\u003cp>All eight genes of each virus were avian, meaning these were bird flu viruses. But all the viruses showed several genetic changes that scientists who study influenza recognize as signals of a virus adapting to spread in mammals, not birds. Those changes mean the virus is learning to attach to the type of cells people have in their upper airways, the type of cells that human flu viruses infect.\u003c/p>\n\u003cp>Those signs of adaptation ratcheted up the concern.\u003c/p>\n\u003cp>\"We would be paying very close attention to any situation in which you have a novel influenza virus which has caused some cases of infection and caused some deaths,\" Fukuda says.\u003c/p>\n\u003cp>\"But I think that the molecular changes also make us pay a lot of attention.\"\u003c/p>\n\u003cp>Richard Webby, a swine flu expert who runs the WHO's influenza collaborating centre at St. Jude Children's Research Hospital in Memphis, Tenn., says those genetic changes suggest the virus may no longer be circulating in birds.\u003c/p>\n\u003cp>He believes it is in mammals. That could mean pigs, which are called mixing bowls of influenza, because they can be infected with both human and bird flu viruses, providing a chance for genes to swap.\u003c/p>\n\u003cp>Or it could mean the virus is spreading in people.\u003c/p>\u003c/blockquote>\n\u003cp>Typically with influenza, we see a (relatively) small number of deaths, many very sick people and then a large group with such mild symptoms they might not even know they have the flu.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Right now, experts don't know if that's the case with this flu or if it's something much more serious.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Longtime pandemic-watcher and Pulitzer Prize winner\u003ca href=\"http://www.lauriegarrett.com/index.php/en/home/\" target=\"_blank\"> Laurie Garrett \u003c/a>filed \u003ca href=\"http://www.foreignpolicy.com/articles/2013/04/01/is_this_a_pandemic_being_born_china_pigs_virus?page=0,2\" target=\"_blank\">this piece\u003c/a> earlier this week for Foreign Policy where she examines whether the recent (and mysterious) mass deaths of pigs and ducks are linked to the flu deaths in people. \"Is this a pandemic being born?\" the headline asks.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Editor's Note: Many Americans seek prescription medication to manage stress, anxiety and depression. But for some, the pills become a problem in their own right. As part of our first-person series \u003ca href=\"http://www.californiareport.org/specialcoverage/whatsyourstory/index.jsp\" target=\"_blank\">\"What's Your Story?\"\u003c/a> Sabirah Mustafa of \u003ca href=\"http://oaklandvoices.us/\" target=\"_blank\">Oakland Voices\u003c/a> tells how she and her doctor came up with another approach. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Sabirah Mustafa\u003c/strong>\u003c/p>\n\u003cfigure class=\"wp-caption alignleft\" style=\"max-width: 360px\">\u003cimg class=\" \" src=\"http://u.s.kqed.net/2013/04/03/sabirahmustafa.jpg\" alt=\"\" width=\"360\" height=\"203\">\u003cfigcaption class=\"wp-caption-text\">When Sabirah Mustafa was suffering from depression, she found that medication wasn't the best prescription for her. (Shuka Kalantari/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>I used to wish for a magic pill that would enable me to swallow away my problems, so I could successfully navigate my unfulfilled life. But when I found it, it wasn’t in any pharmacy. For many years I suffered from trauma and abuse, but I saw them as symptoms of a soul struggling to find answers in a question complicated life.\u003c/p>\n\u003cp>I wasn’t necessarily searching for easy solutions, just a way to cope with it all. When my doctor became aware of the overwhelming helplessness and sadness I felt, he prescribed medication he thought would help. But the debilitating side-effects were terrible. My environment appeared apart and distant from me. My mind and body felt out of sync with how I moved and spoke, which made me feel awkward and self-conscious. Joy, anger, sympathy and other emotions non-medicated people experience routinely were lost to me. I began to doubt not just the meds' function, but also their purpose. When I complained about their side effects, my medications were adjusted, but the adjustments would transform one problem into another.\u003c/p>\n\u003cp>Roller coaster treatment finally reached a conclusion one day, when I saw my primary physician for chest pain and difficulty breathing. “Let’s talk,\" he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->He performed his routine check of my blood pressure and temperature, but he also listened as I described my personal and workplace challenges. My physical symptoms, he determined, were due to not managing my stress well. I was feeling overwhelmed at work and wasn't communicating well with my boss.\u003c/p>\n\u003cp>My doctor suggested some ideas around communicating better, streamlining my workload, even considering a new job. Most of his suggestions I had already tried unsuccessfully. But he didn’t give up. We dug deeper. We spent about an hour going over each obstacle, including my complicated personal life. His prescription and referral tablet never left his pocket. Instead he spoke to me as a person who understood human challenges, without judging me.\u003c/p>\n\u003cp>It was difficult working through my issues without medication as a crutch. I wanted to just let myself off the hook and let my doctor solve all my problems for me, but it didn’t work that way this time, I had to come up with my own plan, tackling each problem until I could choose a solution I felt comfortable committing to.\u003c/p>\n\u003cp>I had to become the boss of my own life, a responsibility I had given to medication.\u003c/p>\n\u003cp>Confronting problems is not without uncomfortable side effects, too, I learned, like fear and worry, and like my medication, I had to adjust to the uncomfortable side effects of confronting my problems. But the benefit of being my own boss had surely outweighed the negative.\u003c/p>\n\u003cp>I now have a personal prescription for my magic pill that I wrote for myself: “Life is a drama. You write the script.\"\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201304030850c.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/R201304030850c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Sabirah Mustafa is a community liaison for \u003ca href=\"http://oaklandvoices.us/author/sabirah-mustafa/\" target=\"_blank\">Oakland Voices,\u003c/a> a project of The Oakland Tribune.\u003c/strong>\u003c/em>\u003c/p>\n\n",
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"excerpt": "Many Americans seek prescription medication to manage stress, anxiety and depression. But for some, the pills become a problem in their own right. As part of our first-person series \"What's Your Story?\" we hear from Sabirah Mustafa of Oakland about how she and her doctor came up with another approach.",
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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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"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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"mindshift": {
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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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"order": 12
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"onourwatch": {
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"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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},
"pbs-newshour": {
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},
"perspectives": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
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"description": "Get informed in minutes with our Voter Guide for California’s November 3 election."
},
"podcasts-radio": {},
"video-tv": {},
"events": {},
"support": {}
}
}
}