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The order expires late Wednesday, suggesting the court will decide that issue by then.\u003c/p>\n\u003cp>The legal saga that has unfolded over mifepristone — one of two drugs commonly used for medication abortions in the U.S. — has caused concern in California, where access to abortion is\u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\"> a constitutional right\u003c/a> under state law. Gov. Gavin Newsom announced last week the \u003ca href=\"https://www.kqed.org/news/11946207/california-strikes-deal-to-stockpile-abortion-pill-in-wake-of-texas-judge-ruling\">state would begin stockpiling abortion medications\u003c/a> in the event that restrictions come into effect. \u003ca href=\"https://www.gov.ca.gov/2023/04/07/governor-newsom-statement-on-texas-judge-restricting-access-to-medication-abortion/\">The governor reiterated that abortion is still legal and accessible\u003c/a> in California as “a fundamental freedom.”\u003c/p>\n\u003cp>In a statement to KQED on Friday, the California Department of Public Health said it was assessing the implications of recent rulings and evaluating various options on how to ensure access to reproductive services and medications, saying it was working with “multiple departments across the California Health and Human Services Agency to ensure that individuals in California are not adversely impacted by the recent court rulings regarding the use of Mifepristone.”\u003c/p>\n\u003cfigure id=\"attachment_11946807\" class=\"wp-caption alignright\" style=\"max-width: 1024px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11946807\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495.jpg\" alt='An African American woman with short hair speaks into a microphone surrounded by people holding signs that say \"Abortion Is Health Care\"' width=\"1024\" height=\"683\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495.jpg 1024w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Rep. Barbara Lee (D-Calif.) speaks at a news conference to reintroduce the Abortion Is Health Care Everywhere Act outside the US Capitol on March 23, 2023, in Washington, DC. The bill authorizes the use of certain foreign assistance funds to provide comprehensive reproductive health care services in developing countries, including abortion services, training and equipment. \u003ccite>(Tasos Katopodis/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>U.S. Rep. Barbara Lee (D-Calif.), who is co-chair of the Pro-Choice Caucus, said that while Alito’s decision Friday meant that mifepristone is still accessible, she warned that this access is still “under threat” pending the high court’s decision, and urged continued vigilance.\u003c/p>\n\u003cp>“I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion,” said Lee in an interview with KQED. “My constituents are saying they’re worried, because some of these broad, really backwards types of decisions could turn the clock back on scientifically approved drugs nationwide.”\u003c/p>\n\u003cp>The East Bay Congressmember added that she and her colleagues were prepared to act if legislation was needed to strengthen the FDA’s authority and prevent court decisions from undermining that authority, warning of the implications such decisions may have down the line.\u003c/p>\n\u003cp>“[The] FDA approves the safety and efficacy of drugs for all types of medical conditions, including Alzheimer’s,” Lee said. “So what does this say about a process that could hinder other kinds of scientific research for other types of medical conditions? That is very dangerous and people are concerned about that, in terms of the precedent setting with these decisions.”\u003c/p>\n\u003cp>The Supreme Court finds itself immersed in a new fight involving abortion less than a year after\u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\"> conservative justices reversed Roe v. Wade\u003c/a> and allowed more than a dozen states to effectively ban abortion outright.\u003c/p>\n\u003cp>President Joe Biden’s administration and New York-based Danco Laboratories, maker of the pill, asked the justices to intervene.\u003c/p>\n\u003cp>White House Press Secretary Karine Jean-Pierre said in a statement Friday evening that the administration continues “to stand by FDA’s evidence-based approval of mifepristone, and we will continue to support the FDA’s independent, expert authority to review, approve, and regulate a wide range of prescription drugs.”[pullquote align=\"right\" size=\"medium\" citation=\"Rep. Barbara Lee (D-Calif.)\"]‘I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion.’[/pullquote]She added, “The stakes of this fight could not be higher in the face of ongoing attacks on women’s health, and we will continue to fight to restore the protections of Roe v. Wade.”\u003c/p>\n\u003cp>A lawyer for the anti-abortion doctors and medical organizations suing over mifepristone said the court’s action Friday was “standard operating procedure” and urged the justices to allow the appeals court-ordered changes to take effect by the middle of next week.\u003c/p>\n\u003cp>The type of order issued by the court Friday, an administrative stay, ordinarily is not an indication of what the justices will do going forward. It was signed by Alito because he handles emergency filings from Texas. Alito also is the author of last year’s opinion overturning Roe v. Wade.\u003c/p>\n\u003cp>The Justice Department and Danco both warned of “regulatory chaos” and harm to women if the high court doesn’t block the lower-court rulings that had the effect of tightening FDA rules under which the drug, mifepristone, can be prescribed and dispensed.\u003c/p>\n\u003cfigure id=\"attachment_11946813\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11946813\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353.jpg\" alt='Protesters march holding signs that read \"Abortion Is Health Care\" with the U.S. Capitol in the backdrop.' width=\"1024\" height=\"684\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353.jpg 1024w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Demonstrators rally in support of abortion rights at the US Supreme Court in Washington, DC, April 15, 2023. \u003ccite>(Andrew Caballero-Reynolds/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The new limits would have taken effect Saturday if the court hadn’t acted.\u003c/p>\n\u003cp>“This application concerns unprecedented lower court orders countermanding FDA’s scientific judgment and unleashing regulatory chaos by suspending the existing FDA-approved conditions of use for mifepristone,” Solicitor General Elizabeth Prelogar, the Biden administration’s top Supreme Court lawyer, wrote Friday, less than two days after the appellate ruling.\u003c/p>\n\u003cp>The Biden administration and Danco now want a more lasting order that would keep the current rules in place as long as the legal fight over mifepristone continues. As a fallback, they asked the court to take up the issue, hear arguments and decide by early summer a legal challenge to mifepristone that anti-abortion doctors and medical organizations filed last year.\u003c/p>\n\u003cp>The court rarely acts so quickly to grant full review of cases before at least one appeals court has thoroughly examined the legal issues involved.[aside label=\"Related Stories\" postID=\"news_11946073,news_11946193,news_11938516\"]A ruling from the 5th U.S. Circuit Court of Appeals late Wednesday would prevent the pill, used in the most common abortion method, from being mailed or prescribed without an in-person visit to a doctor. It also would withdraw the Food and Drug Administration’s approval of mifepristone for use beyond the seventh week of pregnancy. The FDA says it’s safe through 10 weeks.\u003c/p>\n\u003cp>Still, the appeals court did not entirely withdraw FDA approval of mifepristone \u003ca href=\"https://apnews.com/article/abortion-telehealth-mifepristone-9ba8f3ce130fae246e1d87ce428b74a0\">while the fight over it continues\u003c/a>. The 5th Circuit narrowed an April 7 ruling by \u003ca href=\"https://apnews.com/article/texas-judge-matthew-kacsmaryk-abortion-pill-fda-75964b777ef09593a1ad948c6cfc0237\">U.S. District Judge Matthew Kacsmaryk\u003c/a>, whose far-reaching and virtually unprecedented order would have blocked FDA approval of the pill. He gave the administration a week to appeal.\u003c/p>\n\u003cp>“To the government’s knowledge, this is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years,” Prelogar wrote.\u003c/p>\n\u003cp>Erin Hawley, lawyer for the challengers, said in a statement that the FDA has put politics ahead of health concerns in its actions on medication abortion.\u003c/p>\n\u003cp>“The 5th Circuit rightly required the agency to prioritize women’s health by restoring critical safeguards, and we’ll urge the Supreme Court to keep that accountability in place,” said Hawley, senior counsel with Alliance Defending Freedom, a conservative legal group that also argued to overturn Roe v. Wade.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Mifepristone was approved by the FDA more than two decades ago and is used in combination with a second drug, misoprostol.\u003c/p>\n\u003cp>Adding to the uncertainty, a separate federal judge in Washington on Thursday clarified his own order from last week to make clear that the FDA is not to do anything that might block mifepristone’s availability in 17 Democrat-led states suing to keep it on the market.\u003c/p>\n\u003cp>It’s unclear how the FDA can comply with court orders in both cases, a situation that Prelogar described Friday as untenable.\u003c/p>\n\u003cp>Health and Human Services Secretary Xavier Becerra, in a statement Friday night, said the April 7 ruling out of Texas poses “an existential threat to the FDA’s authority to review and approve a wide range of drugs. If it stands, no medicine approved by the FDA would be safe from these attacks.”[pullquote align=\"right\" size=\"medium\" citation=\"Elizabeth Prelogar, US solicitor general\"]‘[T]his is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years.’[/pullquote]Use of medication abortion jumped significantly after the FDA’s 2016 rule expansion, according to data gathered by the Guttmacher Institute, a research group that supports abortion rights. In 2017, medication abortion accounted for 39% percent of abortions, but by 2020 it had increased to become the most common method, accounting for 53% of all abortions.\u003c/p>\n\u003cp>Experts have said the use of medication abortion has increased since the court overturned Roe.\u003c/p>\n\u003cp>When the drug was initially approved, the FDA limited its use to up to seven weeks of pregnancy. It also required three in-person office visits: the first to administer mifepristone, the next to administer the second drug, misoprostol, and the third to address any complications. It also required a doctor’s supervision and a reporting system for any serious consequences of the drug.\u003c/p>\n\u003cp>If the appeals court’s action stands, those would again be the terms under which mifepristone could be dispensed for now.\u003c/p>\n\u003cp>At the core of the Texas lawsuit is the allegation that the FDA’s initial approval of mifepristone was flawed because the agency did not adequately review safety risks.\u003c/p>\n\u003cp>Mifepristone has been used by millions of women over the past 23 years. While less drastic than completely overturning the drug’s approval, the latest ruling still represents a stark challenge to the FDA’s authority overseeing how prescription drugs are used in the U.S. The ruling late Wednesday overturned multiple decisions made by FDA regulators after years of scientific review.\u003c/p>\n\u003cp>Common side effects with mifepristone include cramping, bleeding, nausea, headache and diarrhea. In rare cases, patients can experience excess bleeding that requires surgery to stop.\u003c/p>\n\u003cp>Still, in loosening restrictions on mifepristone, FDA regulators cited “exceedingly low rates of serious adverse events.”\u003c/p>\n\u003cp>More than 5.6 million women in the U.S. had used the drug as of June 2022, according to the FDA. In that period, the agency received 4,200 reports of complications in women, or less than one-tenth of 1% of women who took the drug.\u003c/p>\n\u003cp>\u003cem>This story includes reporting by Mark Sherman and Jessica Gresko of The Associated Press and by KQED’s Attila Pelit and Azul Dahlstrom-Eckman.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"The Supreme Court temporarily keeps in place federal rules for the use of the abortion drug mifepristone while it takes time to more fully consider the issues raised in a court challenge, with a decision expected Wednesday, April 19, as California waits and prepares for what happens next.","status":"publish","parent":0,"modified":1681753479,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":38,"wordCount":1934},"headData":{"title":"With Supreme Court Decision Pending, California Braces for What Comes Next in Abortion Pill Legal Saga | KQED","description":"The Supreme Court temporarily keeps in place federal rules for the use of the abortion drug mifepristone while it takes time to more fully consider the issues raised in a court challenge, with a decision expected Wednesday, April 19, as California waits and prepares for what happens next.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"nprByline":"The Associated Press and KQED News Staff","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11946802/with-supreme-court-decision-pending-california-braces-for-what-comes-next-in-abortion-pill-legal-saga","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Supreme Court issued an order Friday that temporarily stays any changes to federal rules for use of an abortion drug, while it takes time to more fully consider the issues raised in a court challenge.\u003c/p>\n\u003cp>The order, signed by Justice Samuel Alito, put a five-day pause on the fast-moving case so the justices can decide whether lower court rulings restricting the Food and Drug Administration’s approval of the drug, mifepristone, should be allowed to take effect in the short term.\u003c/p>\n\u003cp>The justices are being asked at this point only to determine what parts of an April 7 ruling by U.S. District Judge Matthew Kacsmaryk in Texas, as modified by \u003ca href=\"https://apnews.com/article/texas-abortion-pill-appeal-fe13d36218f1fb43590aff29b5ba4e9c\">an appellate ruling Wednesday\u003c/a>, can be enforced while the case continues. The order expires late Wednesday, suggesting the court will decide that issue by then.\u003c/p>\n\u003cp>The legal saga that has unfolded over mifepristone — one of two drugs commonly used for medication abortions in the U.S. — has caused concern in California, where access to abortion is\u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\"> a constitutional right\u003c/a> under state law. Gov. Gavin Newsom announced last week the \u003ca href=\"https://www.kqed.org/news/11946207/california-strikes-deal-to-stockpile-abortion-pill-in-wake-of-texas-judge-ruling\">state would begin stockpiling abortion medications\u003c/a> in the event that restrictions come into effect. \u003ca href=\"https://www.gov.ca.gov/2023/04/07/governor-newsom-statement-on-texas-judge-restricting-access-to-medication-abortion/\">The governor reiterated that abortion is still legal and accessible\u003c/a> in California as “a fundamental freedom.”\u003c/p>\n\u003cp>In a statement to KQED on Friday, the California Department of Public Health said it was assessing the implications of recent rulings and evaluating various options on how to ensure access to reproductive services and medications, saying it was working with “multiple departments across the California Health and Human Services Agency to ensure that individuals in California are not adversely impacted by the recent court rulings regarding the use of Mifepristone.”\u003c/p>\n\u003cfigure id=\"attachment_11946807\" class=\"wp-caption alignright\" style=\"max-width: 1024px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11946807\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495.jpg\" alt='An African American woman with short hair speaks into a microphone surrounded by people holding signs that say \"Abortion Is Health Care\"' width=\"1024\" height=\"683\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495.jpg 1024w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Rep. Barbara Lee (D-Calif.) speaks at a news conference to reintroduce the Abortion Is Health Care Everywhere Act outside the US Capitol on March 23, 2023, in Washington, DC. The bill authorizes the use of certain foreign assistance funds to provide comprehensive reproductive health care services in developing countries, including abortion services, training and equipment. \u003ccite>(Tasos Katopodis/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>U.S. Rep. Barbara Lee (D-Calif.), who is co-chair of the Pro-Choice Caucus, said that while Alito’s decision Friday meant that mifepristone is still accessible, she warned that this access is still “under threat” pending the high court’s decision, and urged continued vigilance.\u003c/p>\n\u003cp>“I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion,” said Lee in an interview with KQED. “My constituents are saying they’re worried, because some of these broad, really backwards types of decisions could turn the clock back on scientifically approved drugs nationwide.”\u003c/p>\n\u003cp>The East Bay Congressmember added that she and her colleagues were prepared to act if legislation was needed to strengthen the FDA’s authority and prevent court decisions from undermining that authority, warning of the implications such decisions may have down the line.\u003c/p>\n\u003cp>“[The] FDA approves the safety and efficacy of drugs for all types of medical conditions, including Alzheimer’s,” Lee said. “So what does this say about a process that could hinder other kinds of scientific research for other types of medical conditions? That is very dangerous and people are concerned about that, in terms of the precedent setting with these decisions.”\u003c/p>\n\u003cp>The Supreme Court finds itself immersed in a new fight involving abortion less than a year after\u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\"> conservative justices reversed Roe v. Wade\u003c/a> and allowed more than a dozen states to effectively ban abortion outright.\u003c/p>\n\u003cp>President Joe Biden’s administration and New York-based Danco Laboratories, maker of the pill, asked the justices to intervene.\u003c/p>\n\u003cp>White House Press Secretary Karine Jean-Pierre said in a statement Friday evening that the administration continues “to stand by FDA’s evidence-based approval of mifepristone, and we will continue to support the FDA’s independent, expert authority to review, approve, and regulate a wide range of prescription drugs.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Rep. Barbara Lee (D-Calif.)","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>She added, “The stakes of this fight could not be higher in the face of ongoing attacks on women’s health, and we will continue to fight to restore the protections of Roe v. Wade.”\u003c/p>\n\u003cp>A lawyer for the anti-abortion doctors and medical organizations suing over mifepristone said the court’s action Friday was “standard operating procedure” and urged the justices to allow the appeals court-ordered changes to take effect by the middle of next week.\u003c/p>\n\u003cp>The type of order issued by the court Friday, an administrative stay, ordinarily is not an indication of what the justices will do going forward. It was signed by Alito because he handles emergency filings from Texas. Alito also is the author of last year’s opinion overturning Roe v. Wade.\u003c/p>\n\u003cp>The Justice Department and Danco both warned of “regulatory chaos” and harm to women if the high court doesn’t block the lower-court rulings that had the effect of tightening FDA rules under which the drug, mifepristone, can be prescribed and dispensed.\u003c/p>\n\u003cfigure id=\"attachment_11946813\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11946813\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353.jpg\" alt='Protesters march holding signs that read \"Abortion Is Health Care\" with the U.S. Capitol in the backdrop.' width=\"1024\" height=\"684\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353.jpg 1024w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Demonstrators rally in support of abortion rights at the US Supreme Court in Washington, DC, April 15, 2023. \u003ccite>(Andrew Caballero-Reynolds/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The new limits would have taken effect Saturday if the court hadn’t acted.\u003c/p>\n\u003cp>“This application concerns unprecedented lower court orders countermanding FDA’s scientific judgment and unleashing regulatory chaos by suspending the existing FDA-approved conditions of use for mifepristone,” Solicitor General Elizabeth Prelogar, the Biden administration’s top Supreme Court lawyer, wrote Friday, less than two days after the appellate ruling.\u003c/p>\n\u003cp>The Biden administration and Danco now want a more lasting order that would keep the current rules in place as long as the legal fight over mifepristone continues. As a fallback, they asked the court to take up the issue, hear arguments and decide by early summer a legal challenge to mifepristone that anti-abortion doctors and medical organizations filed last year.\u003c/p>\n\u003cp>The court rarely acts so quickly to grant full review of cases before at least one appeals court has thoroughly examined the legal issues involved.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11946073,news_11946193,news_11938516"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>A ruling from the 5th U.S. Circuit Court of Appeals late Wednesday would prevent the pill, used in the most common abortion method, from being mailed or prescribed without an in-person visit to a doctor. It also would withdraw the Food and Drug Administration’s approval of mifepristone for use beyond the seventh week of pregnancy. The FDA says it’s safe through 10 weeks.\u003c/p>\n\u003cp>Still, the appeals court did not entirely withdraw FDA approval of mifepristone \u003ca href=\"https://apnews.com/article/abortion-telehealth-mifepristone-9ba8f3ce130fae246e1d87ce428b74a0\">while the fight over it continues\u003c/a>. The 5th Circuit narrowed an April 7 ruling by \u003ca href=\"https://apnews.com/article/texas-judge-matthew-kacsmaryk-abortion-pill-fda-75964b777ef09593a1ad948c6cfc0237\">U.S. District Judge Matthew Kacsmaryk\u003c/a>, whose far-reaching and virtually unprecedented order would have blocked FDA approval of the pill. He gave the administration a week to appeal.\u003c/p>\n\u003cp>“To the government’s knowledge, this is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years,” Prelogar wrote.\u003c/p>\n\u003cp>Erin Hawley, lawyer for the challengers, said in a statement that the FDA has put politics ahead of health concerns in its actions on medication abortion.\u003c/p>\n\u003cp>“The 5th Circuit rightly required the agency to prioritize women’s health by restoring critical safeguards, and we’ll urge the Supreme Court to keep that accountability in place,” said Hawley, senior counsel with Alliance Defending Freedom, a conservative legal group that also argued to overturn Roe v. Wade.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mifepristone was approved by the FDA more than two decades ago and is used in combination with a second drug, misoprostol.\u003c/p>\n\u003cp>Adding to the uncertainty, a separate federal judge in Washington on Thursday clarified his own order from last week to make clear that the FDA is not to do anything that might block mifepristone’s availability in 17 Democrat-led states suing to keep it on the market.\u003c/p>\n\u003cp>It’s unclear how the FDA can comply with court orders in both cases, a situation that Prelogar described Friday as untenable.\u003c/p>\n\u003cp>Health and Human Services Secretary Xavier Becerra, in a statement Friday night, said the April 7 ruling out of Texas poses “an existential threat to the FDA’s authority to review and approve a wide range of drugs. If it stands, no medicine approved by the FDA would be safe from these attacks.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘[T]his is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Elizabeth Prelogar, US solicitor general","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Use of medication abortion jumped significantly after the FDA’s 2016 rule expansion, according to data gathered by the Guttmacher Institute, a research group that supports abortion rights. In 2017, medication abortion accounted for 39% percent of abortions, but by 2020 it had increased to become the most common method, accounting for 53% of all abortions.\u003c/p>\n\u003cp>Experts have said the use of medication abortion has increased since the court overturned Roe.\u003c/p>\n\u003cp>When the drug was initially approved, the FDA limited its use to up to seven weeks of pregnancy. It also required three in-person office visits: the first to administer mifepristone, the next to administer the second drug, misoprostol, and the third to address any complications. It also required a doctor’s supervision and a reporting system for any serious consequences of the drug.\u003c/p>\n\u003cp>If the appeals court’s action stands, those would again be the terms under which mifepristone could be dispensed for now.\u003c/p>\n\u003cp>At the core of the Texas lawsuit is the allegation that the FDA’s initial approval of mifepristone was flawed because the agency did not adequately review safety risks.\u003c/p>\n\u003cp>Mifepristone has been used by millions of women over the past 23 years. While less drastic than completely overturning the drug’s approval, the latest ruling still represents a stark challenge to the FDA’s authority overseeing how prescription drugs are used in the U.S. The ruling late Wednesday overturned multiple decisions made by FDA regulators after years of scientific review.\u003c/p>\n\u003cp>Common side effects with mifepristone include cramping, bleeding, nausea, headache and diarrhea. In rare cases, patients can experience excess bleeding that requires surgery to stop.\u003c/p>\n\u003cp>Still, in loosening restrictions on mifepristone, FDA regulators cited “exceedingly low rates of serious adverse events.”\u003c/p>\n\u003cp>More than 5.6 million women in the U.S. had used the drug as of June 2022, according to the FDA. In that period, the agency received 4,200 reports of complications in women, or less than one-tenth of 1% of women who took the drug.\u003c/p>\n\u003cp>\u003cem>This story includes reporting by Mark Sherman and Jessica Gresko of The Associated Press and by KQED’s Attila Pelit and Azul Dahlstrom-Eckman.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11946802/with-supreme-court-decision-pending-california-braces-for-what-comes-next-in-abortion-pill-legal-saga","authors":["byline_news_11946802"],"categories":["news_31795","news_457","news_6188","news_8","news_13","news_356"],"tags":["news_866","news_30251","news_23790","news_22880","news_22185","news_6456","news_20402","news_27626","news_25015","news_30394","news_32618","news_30743","news_31046","news_31059","news_932"],"featImg":"news_11946812","label":"news"},"news_11945498":{"type":"posts","id":"news_11945498","meta":{"index":"posts_1591205157","site":"news","id":"11945498","score":null,"sort":[1680570027000]},"guestAuthors":[],"slug":"as-california-drops-more-masking-rules-these-bay-area-counties-keep-theirs","title":"As California Drops More Masking Rules, These Bay Area Counties Keep Theirs","publishDate":1680570027,"format":"standard","headTitle":"As California Drops More Masking Rules, These Bay Area Counties Keep Theirs | KQED","labelTerm":{"site":"news"},"content":"\u003cp>As of today, California no longer requires face masks to be worn in health care facilities and other high-risk settings.\u003c/p>\n\u003cp>Since 2020, the state has required everyone to wear masks in places like hospitals, clinics, correctional facilities and centers for people experiencing homelessness. Even as public health officials removed other COVID-19 restrictions, this rule remained in place through the multiple surges and drops in cases California saw in the past three years.\u003c/p>\n\u003cp>Additionally, health care workers are no longer required to get the COVID-19 vaccine. This change includes direct care workers and those who work in adult care facilities, as well as in correctional and detention centers.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to your county’s new masking rules: \u003c/strong>\u003cstrong>\u003ca href=\"#alamedamaskmandate\">Alameda\u003c/a> | \u003ca href=\"#sanfranciscomaskmandate\">San Francisco\u003c/a> | \u003ca href=\"#contracostamaskmandate\">Contra Costa\u003c/a> | \u003ca href=\"#marinmaskmandate\">Marin\u003c/a> | \u003ca href=\"#napamaskmandate\">Napa\u003c/a> | \u003ca href=\"#sanmateomaskmandate\">San Mateo\u003c/a> | \u003ca href=\"#santaclaramaskmandate\">Santa Clara\u003c/a> | \u003ca href=\"#sonomamaskmandate\">Sonoma\u003c/a> | \u003ca href=\"#solanomaskmandate\">Solano\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Despite calls from physicians and disability advocates to keep these rules in place to protect people especially vulnerable to COVID-19, state officials say that California is in a strong enough position to loosen these restrictions.\u003c/p>\n\u003cp>“Our communities did a lot of the hard work by getting vaccinated and boosted, staying home and testing when sick, requesting treatments when positive, and masking to slow the spread,” said Dr. Tomás Aragón, the state’s public health officer, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR23-014.aspx\">in a press release on March 3 announcing the change\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>However, individual counties retain the authority to enforce their own additional public health restrictions separate from the state’s. So if your county has a mask mandate that’s more restrictive than state rules, that’s the one you have to follow. Some Bay Area counties, like Contra Costa and Alameda, will continue to require face masks in certain high-risk settings, like nursing facilities, after April 3.\u003c/p>\n\u003cp>Keep reading to find the mask rules for high-risk settings in the county you live, work or study in.\u003c/p>\n\u003ch2>\u003ca id=\"alamedamaskmandate\">\u003c/a>\u003cstrong>Alameda\u003c/strong>\u003c/h2>\n\u003cp>All staff working in Alameda County’s 66 skilled nursing facilities are still required to wear face masks, even after April 3. County health officials released \u003ca href=\"https://covid-19.acgov.org/covid19-assets/docs/press/press-release-2023.03.27.pdf\">a statement last week clarifying that this order will only apply to staff\u003c/a> and that visitors will only be \u003cem>encouraged\u003c/em> to wear masks.\u003c/p>\n\u003cp>“Alameda County is moving cautiously with our skilled nursing facilities because they serve a large and highly vulnerable population of generally older adults with complex medical conditions,” said Alameda County Health Officer Dr. Nicholas Moss in a March 27 statement.\u003c/p>\n\u003cp>The order applies only to those working at nursing facilities and will be reviewed monthly by county health officials. The county will align with state masking rules for all other settings.\u003c/p>\n\u003ch2>\u003ca id=\"contracostamaskmandate\">\u003c/a>\u003cstrong>Contra Costa\u003c/strong>\u003c/h2>\n\u003cp>All staff in the county’s nursing facilities will still be required to wear face masks, even after April 3. According to \u003ca href=\"https://cchealth.org/press-releases/2023/0327-Health-Order-to-Require-Staff-in-Skilled-Nursing-Facilities-to-Wear-Masks.php\">a press release from Contra Costa health officials\u003c/a>, wearing a mask will be required for employees working directly with patients, and also for paramedics, emergency medical technicians, contractors and vendors when they enter these facilities.\u003c/p>\n\u003cp>“When the state announced the change in their rules, we began to think, ‘Does it make sense to continue masking anywhere?'” Dr. Ori Tzvieli, the county’s health officer, told KQED. “We decided that one of the highest-risk settings was skilled nursing facilities … these nursing homes basically have some of the higher-risk patients. They have older patients. They have patients with medical co-morbidities.”\u003c/p>\n\u003cp>Visitors, however, will not be required to wear masks when inside these facilities. Patients also are not required to wear masks. The county will review its masking policy on a monthly basis.\u003c/p>\n\u003ch2>\u003ca id=\"napamaskmandate\">\u003c/a>Napa\u003c/h2>\n\u003cp>Napa County does not require the use of face masks in high-risk settings. County officials told KQED that masks will continue to be made available for residents and staff in these places, clarifying that “masking is strongly recommended in high-risk settings” when community transmission rates are high.\u003c/p>\n\u003ch2>\u003ca id=\"sanfranciscomaskmandate\">\u003c/a>\u003cstrong>San Francisco\u003c/strong>\u003c/h2>\n\u003cp>The San Francisco Department of Public Health told KQED that those working in health care, which includes skilled nursing facilities and jail settings, are still “required to wear a well-fitted mask when they are working in the same room as patients, clients, residents or people who are incarcerated.”\u003c/p>\n\u003cp>However, everyone else, which can include patients, clients, residents or people who are incarcerated and their visitors, are only \u003cem>encouraged\u003c/em> to wear a mask when inside these settings. Individual facilities do, however, have the authority to implement more restrictive guidelines.\u003c/p>\n\u003ch2>\u003ca id=\"marinmaskmandate\">\u003c/a>\u003cstrong>Marin\u003c/strong>\u003c/h2>\n\u003cp>Marin County does not require the use of face masks in high-risk settings. County officials told KQED that health care facilities can enforce their own mask rules individually.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"sanmateomaskmandate\">\u003c/a>San Mateo\u003c/strong>\u003c/h2>\n\u003cp>County officials told KQED that San Mateo follows the state’s guidelines and has not implemented any additional mask rules for high-risk settings. Individual health care facilities can still make their own decisions as to whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"santaclaramaskmandate\">\u003c/a>\u003cstrong>Santa Clara\u003c/strong>\u003c/h2>\n\u003cp>Santa Clara County will require face masks in health care facilities only during the “designated winter respiratory virus period,” which lasts from November 1 to March 31 of each year.\u003c/p>\n\u003cp>For the rest of the year, however, it is up to individual health care facilities to set their own masking rules.\u003c/p>\n\u003ch2>\u003ca id=\"solanomaskmandate\">\u003c/a>\u003cstrong>Solano\u003c/strong>\u003c/h2>\n\u003cp>County officials confirmed with KQED that Solano County will follow the state’s guidelines and has not implemented its own additional mask rules. Face masks will no longer be required in any of Solano County’s health care, long-term care or correctional facilities as well as homeless, emergency and warming and cooling centers.\u003c/p>\n\u003ch2>\u003ca id=\"sonomamaskmandate\">\u003c/a>\u003cstrong>Sonoma\u003c/strong>\u003c/h2>\n\u003cp>Officials told KQED that Sonoma County will follow the state’s guidelines and has not implemented its own additional mask rules. Individual health care facilities can make their own decisions on whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Brian Watt and Alex Gonzalez.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"California no longer requires face masks to be worn in health care facilities and other high-risk settings. But two Bay Area counties have chosen to keep a version of that requirement in place.","status":"publish","parent":0,"modified":1688412976,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":true,"hasPolis":false,"paragraphCount":27,"wordCount":1139},"headData":{"title":"As California Drops More Masking Rules, These Bay Area Counties Keep Theirs | KQED","description":"California no longer requires face masks to be worn in health care facilities and other high-risk settings. But two Bay Area counties have chosen to keep a version of that requirement in place.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/08c99a43-c676-40cb-8ccf-afd9012b0ad4/audio.mp3","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11945498/as-california-drops-more-masking-rules-these-bay-area-counties-keep-theirs","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As of today, California no longer requires face masks to be worn in health care facilities and other high-risk settings.\u003c/p>\n\u003cp>Since 2020, the state has required everyone to wear masks in places like hospitals, clinics, correctional facilities and centers for people experiencing homelessness. Even as public health officials removed other COVID-19 restrictions, this rule remained in place through the multiple surges and drops in cases California saw in the past three years.\u003c/p>\n\u003cp>Additionally, health care workers are no longer required to get the COVID-19 vaccine. This change includes direct care workers and those who work in adult care facilities, as well as in correctional and detention centers.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to your county’s new masking rules: \u003c/strong>\u003cstrong>\u003ca href=\"#alamedamaskmandate\">Alameda\u003c/a> | \u003ca href=\"#sanfranciscomaskmandate\">San Francisco\u003c/a> | \u003ca href=\"#contracostamaskmandate\">Contra Costa\u003c/a> | \u003ca href=\"#marinmaskmandate\">Marin\u003c/a> | \u003ca href=\"#napamaskmandate\">Napa\u003c/a> | \u003ca href=\"#sanmateomaskmandate\">San Mateo\u003c/a> | \u003ca href=\"#santaclaramaskmandate\">Santa Clara\u003c/a> | \u003ca href=\"#sonomamaskmandate\">Sonoma\u003c/a> | \u003ca href=\"#solanomaskmandate\">Solano\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Despite calls from physicians and disability advocates to keep these rules in place to protect people especially vulnerable to COVID-19, state officials say that California is in a strong enough position to loosen these restrictions.\u003c/p>\n\u003cp>“Our communities did a lot of the hard work by getting vaccinated and boosted, staying home and testing when sick, requesting treatments when positive, and masking to slow the spread,” said Dr. Tomás Aragón, the state’s public health officer, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR23-014.aspx\">in a press release on March 3 announcing the change\u003c/a>.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>However, individual counties retain the authority to enforce their own additional public health restrictions separate from the state’s. So if your county has a mask mandate that’s more restrictive than state rules, that’s the one you have to follow. Some Bay Area counties, like Contra Costa and Alameda, will continue to require face masks in certain high-risk settings, like nursing facilities, after April 3.\u003c/p>\n\u003cp>Keep reading to find the mask rules for high-risk settings in the county you live, work or study in.\u003c/p>\n\u003ch2>\u003ca id=\"alamedamaskmandate\">\u003c/a>\u003cstrong>Alameda\u003c/strong>\u003c/h2>\n\u003cp>All staff working in Alameda County’s 66 skilled nursing facilities are still required to wear face masks, even after April 3. County health officials released \u003ca href=\"https://covid-19.acgov.org/covid19-assets/docs/press/press-release-2023.03.27.pdf\">a statement last week clarifying that this order will only apply to staff\u003c/a> and that visitors will only be \u003cem>encouraged\u003c/em> to wear masks.\u003c/p>\n\u003cp>“Alameda County is moving cautiously with our skilled nursing facilities because they serve a large and highly vulnerable population of generally older adults with complex medical conditions,” said Alameda County Health Officer Dr. Nicholas Moss in a March 27 statement.\u003c/p>\n\u003cp>The order applies only to those working at nursing facilities and will be reviewed monthly by county health officials. The county will align with state masking rules for all other settings.\u003c/p>\n\u003ch2>\u003ca id=\"contracostamaskmandate\">\u003c/a>\u003cstrong>Contra Costa\u003c/strong>\u003c/h2>\n\u003cp>All staff in the county’s nursing facilities will still be required to wear face masks, even after April 3. According to \u003ca href=\"https://cchealth.org/press-releases/2023/0327-Health-Order-to-Require-Staff-in-Skilled-Nursing-Facilities-to-Wear-Masks.php\">a press release from Contra Costa health officials\u003c/a>, wearing a mask will be required for employees working directly with patients, and also for paramedics, emergency medical technicians, contractors and vendors when they enter these facilities.\u003c/p>\n\u003cp>“When the state announced the change in their rules, we began to think, ‘Does it make sense to continue masking anywhere?'” Dr. Ori Tzvieli, the county’s health officer, told KQED. “We decided that one of the highest-risk settings was skilled nursing facilities … these nursing homes basically have some of the higher-risk patients. They have older patients. They have patients with medical co-morbidities.”\u003c/p>\n\u003cp>Visitors, however, will not be required to wear masks when inside these facilities. Patients also are not required to wear masks. The county will review its masking policy on a monthly basis.\u003c/p>\n\u003ch2>\u003ca id=\"napamaskmandate\">\u003c/a>Napa\u003c/h2>\n\u003cp>Napa County does not require the use of face masks in high-risk settings. County officials told KQED that masks will continue to be made available for residents and staff in these places, clarifying that “masking is strongly recommended in high-risk settings” when community transmission rates are high.\u003c/p>\n\u003ch2>\u003ca id=\"sanfranciscomaskmandate\">\u003c/a>\u003cstrong>San Francisco\u003c/strong>\u003c/h2>\n\u003cp>The San Francisco Department of Public Health told KQED that those working in health care, which includes skilled nursing facilities and jail settings, are still “required to wear a well-fitted mask when they are working in the same room as patients, clients, residents or people who are incarcerated.”\u003c/p>\n\u003cp>However, everyone else, which can include patients, clients, residents or people who are incarcerated and their visitors, are only \u003cem>encouraged\u003c/em> to wear a mask when inside these settings. Individual facilities do, however, have the authority to implement more restrictive guidelines.\u003c/p>\n\u003ch2>\u003ca id=\"marinmaskmandate\">\u003c/a>\u003cstrong>Marin\u003c/strong>\u003c/h2>\n\u003cp>Marin County does not require the use of face masks in high-risk settings. County officials told KQED that health care facilities can enforce their own mask rules individually.\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"sanmateomaskmandate\">\u003c/a>San Mateo\u003c/strong>\u003c/h2>\n\u003cp>County officials told KQED that San Mateo follows the state’s guidelines and has not implemented any additional mask rules for high-risk settings. Individual health care facilities can still make their own decisions as to whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"santaclaramaskmandate\">\u003c/a>\u003cstrong>Santa Clara\u003c/strong>\u003c/h2>\n\u003cp>Santa Clara County will require face masks in health care facilities only during the “designated winter respiratory virus period,” which lasts from November 1 to March 31 of each year.\u003c/p>\n\u003cp>For the rest of the year, however, it is up to individual health care facilities to set their own masking rules.\u003c/p>\n\u003ch2>\u003ca id=\"solanomaskmandate\">\u003c/a>\u003cstrong>Solano\u003c/strong>\u003c/h2>\n\u003cp>County officials confirmed with KQED that Solano County will follow the state’s guidelines and has not implemented its own additional mask rules. Face masks will no longer be required in any of Solano County’s health care, long-term care or correctional facilities as well as homeless, emergency and warming and cooling centers.\u003c/p>\n\u003ch2>\u003ca id=\"sonomamaskmandate\">\u003c/a>\u003cstrong>Sonoma\u003c/strong>\u003c/h2>\n\u003cp>Officials told KQED that Sonoma County will follow the state’s guidelines and has not implemented its own additional mask rules. Individual health care facilities can make their own decisions on whether they want to require the use of masks indoors.\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"hearken","attributes":{"named":{"id":"10483","src":"https://modules.wearehearken.com/kqed/embed/10483.js","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Brian Watt and Alex Gonzalez.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11945498/as-california-drops-more-masking-rules-these-bay-area-counties-keep-theirs","authors":["11708"],"categories":["news_457","news_8"],"tags":["news_260","news_32707","news_18538","news_6456","news_1467","news_27350","news_29029","news_29660","news_27804","news_31032","news_32601","news_19960"],"featImg":"news_11945586","label":"news"},"news_11934868":{"type":"posts","id":"news_11934868","meta":{"index":"posts_1591205157","site":"news","id":"11934868","score":null,"sort":[1670636324000]},"guestAuthors":[],"slug":"masking-required-again-in-high-risk-settings-in-3-bay-area-counties","title":"Santa Clara County Moves Into High COVID Tier After Sewer System Tests","publishDate":1670636324,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>\u003cstrong>Update, 5:30 p.m. Sunday:\u003c/strong> Santa Clara County officials are warning that the upcoming holiday season is expected to coincide with a spike in COVID-19, nearly as severe as the omicron surge last year. The county moved into the high-risk designation over the weekend, prompting the federal Centers for Disease Control and Prevention to recommend people wear high-quality masks in public spaces. Dr. Sara Cody, the county’s health officer, says levels of the virus in San José’s sewer system — which draws from three quarters of the county’s population — are already at about 84% of the omicron peak.\u003c/p>\n\u003cp>\"We not only have COVID as we've had the last two winters, but we have flu and RSV and other viruses circulating as well,\" said Cody. \"So it's like a winter of viral soup. There's a ton of virus circulating and if you want to be healthy for the holidays, you need to take action and you need to do it now.\"\u003c/p>\n\u003cp>RSV refers to respiratory syncytial virus, a respiratory infection common in childhood, that can potentially cause pneumonia and other serious lung ailments. Cody said the flu and RSV seasons also began early this year, though RSV is beginning to plateau.\u003c/p>\n\u003cp>\u003cstrong>Original story, 5:30 p.m. Friday:\u003c/strong> More stringent masking rules have been reinstated for certain high-risk settings in Alameda, Contra Costa and Napa counties to protect against the spread of COVID-19, health officials said Friday.\u003c/p>\n\u003cp>Universal masking is now required for staff and residents in homeless shelters, emergency shelters and cooling and heating centers. It's also now required in county correctional and detention centers.\u003c/p>\n\u003cp>Per \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/guidance-for-face-coverings.aspx\">state guidance\u003c/a>, masking in these settings becomes required after the level of community spread of COVID-19, as defined by the federal Centers for Disease Control and Prevention, shifts from low to medium. Alameda and Contra Costa county officials said community spread moved from low to medium on Thursday, and that they will require high-risk settings to abide by the state's guidance. Napa County officials on Friday said they also now are at medium, and will likewise require masking per state guidance.\u003c/p>\n\u003cp>Masking continues to be required in health care and long-term care facilities.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Joanna Locke, COVID guidance lead, Alameda County Public Health Department\"]'I don't think we anticipate getting up to the peak of last winter, but I definitely don't think we've peaked.'[/pullquote]\u003c/p>\n\u003cp>“We moved into medium [level] because we reached over 10 new COVID hospital admissions per 100,000 persons,” said Joanna Locke, COVID guidance lead for Alameda County’s public health department, on Friday. As of Thursday, 149 county residents were hospitalized with COVID-19, she said.\u003c/p>\n\u003cp>“Right now we’re averaging a little over 20 cases per day per 100,000,” said Locke. “The peak of our spring-summer wave was around 50, and our winter peak last year was obviously much higher … I don’t think we anticipate getting up to the peak of last winter, but I definitely don’t think we’ve peaked.”\u003c/p>\n\u003cp>Locke said with the high level of winter respiratory viruses circulating in addition to COVID-19, she thinks everyone should consider wearing a mask in indoor public settings.\u003c/p>\n\u003cp>“I definitely am masking up now when I go into the grocery store. I took a little break earlier in the year and now I’m sending my kids back to school in masks. Really, we all have these masks in our house now and I think [we’re] shifting our culture to the way that some other countries have been for a long time where, when there’s high levels of any virus, you put on your mask.”\u003c/p>\n\u003cp>Alameda County Health Officer Dr. Nicholas Moss reaffirmed the importance of masking as numbers continue to rise in Alameda and Contra Costa.\u003c/p>\n\u003cp>\"We have observed worsening increases in COVID-19 case reports and hospitalizations since October,\" Moss said in a statement. \"Taking actions like masking and staying home when sick can prevent spreading illnesses like COVID-19, flu, and RSV and help protect our health care system from strain.\"\u003c/p>\n\u003cp>Solano County also is now at the medium level of community spread, according to the CDC, but the county has not indicated whether it’s reinstating masking rules in those high-risk settings where it's required by state guidelines. A message to the county’s public health administrator was not returned.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Bay City News.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Santa Clara County officials are warning that the upcoming holiday season is expected to coincide with a spike in COVID-19, nearly as severe as the omicron surge last year. As case rates and hospitalizations tick upward, officials recommend masking in crowded public settings.","status":"publish","parent":0,"modified":1670874210,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":785},"headData":{"title":"Santa Clara County Moves Into High COVID Tier After Sewer System Tests | KQED","description":"Santa Clara County officials are warning that the upcoming holiday season is expected to coincide with a spike in COVID-19, nearly as severe as the omicron surge last year. As case rates and hospitalizations tick upward, officials recommend masking in crowded public settings.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"excludeFromSiteSearch":"Include","path":"/news/11934868/masking-required-again-in-high-risk-settings-in-3-bay-area-counties","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 5:30 p.m. Sunday:\u003c/strong> Santa Clara County officials are warning that the upcoming holiday season is expected to coincide with a spike in COVID-19, nearly as severe as the omicron surge last year. The county moved into the high-risk designation over the weekend, prompting the federal Centers for Disease Control and Prevention to recommend people wear high-quality masks in public spaces. Dr. Sara Cody, the county’s health officer, says levels of the virus in San José’s sewer system — which draws from three quarters of the county’s population — are already at about 84% of the omicron peak.\u003c/p>\n\u003cp>\"We not only have COVID as we've had the last two winters, but we have flu and RSV and other viruses circulating as well,\" said Cody. \"So it's like a winter of viral soup. There's a ton of virus circulating and if you want to be healthy for the holidays, you need to take action and you need to do it now.\"\u003c/p>\n\u003cp>RSV refers to respiratory syncytial virus, a respiratory infection common in childhood, that can potentially cause pneumonia and other serious lung ailments. Cody said the flu and RSV seasons also began early this year, though RSV is beginning to plateau.\u003c/p>\n\u003cp>\u003cstrong>Original story, 5:30 p.m. Friday:\u003c/strong> More stringent masking rules have been reinstated for certain high-risk settings in Alameda, Contra Costa and Napa counties to protect against the spread of COVID-19, health officials said Friday.\u003c/p>\n\u003cp>Universal masking is now required for staff and residents in homeless shelters, emergency shelters and cooling and heating centers. It's also now required in county correctional and detention centers.\u003c/p>\n\u003cp>Per \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/guidance-for-face-coverings.aspx\">state guidance\u003c/a>, masking in these settings becomes required after the level of community spread of COVID-19, as defined by the federal Centers for Disease Control and Prevention, shifts from low to medium. Alameda and Contra Costa county officials said community spread moved from low to medium on Thursday, and that they will require high-risk settings to abide by the state's guidance. Napa County officials on Friday said they also now are at medium, and will likewise require masking per state guidance.\u003c/p>\n\u003cp>Masking continues to be required in health care and long-term care facilities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I don't think we anticipate getting up to the peak of last winter, but I definitely don't think we've peaked.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Dr. Joanna Locke, COVID guidance lead, Alameda County Public Health Department","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We moved into medium [level] because we reached over 10 new COVID hospital admissions per 100,000 persons,” said Joanna Locke, COVID guidance lead for Alameda County’s public health department, on Friday. As of Thursday, 149 county residents were hospitalized with COVID-19, she said.\u003c/p>\n\u003cp>“Right now we’re averaging a little over 20 cases per day per 100,000,” said Locke. “The peak of our spring-summer wave was around 50, and our winter peak last year was obviously much higher … I don’t think we anticipate getting up to the peak of last winter, but I definitely don’t think we’ve peaked.”\u003c/p>\n\u003cp>Locke said with the high level of winter respiratory viruses circulating in addition to COVID-19, she thinks everyone should consider wearing a mask in indoor public settings.\u003c/p>\n\u003cp>“I definitely am masking up now when I go into the grocery store. I took a little break earlier in the year and now I’m sending my kids back to school in masks. Really, we all have these masks in our house now and I think [we’re] shifting our culture to the way that some other countries have been for a long time where, when there’s high levels of any virus, you put on your mask.”\u003c/p>\n\u003cp>Alameda County Health Officer Dr. Nicholas Moss reaffirmed the importance of masking as numbers continue to rise in Alameda and Contra Costa.\u003c/p>\n\u003cp>\"We have observed worsening increases in COVID-19 case reports and hospitalizations since October,\" Moss said in a statement. \"Taking actions like masking and staying home when sick can prevent spreading illnesses like COVID-19, flu, and RSV and help protect our health care system from strain.\"\u003c/p>\n\u003cp>Solano County also is now at the medium level of community spread, according to the CDC, but the county has not indicated whether it’s reinstating masking rules in those high-risk settings where it's required by state guidelines. A message to the county’s public health administrator was not returned.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Bay City News.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11934868/masking-required-again-in-high-risk-settings-in-3-bay-area-counties","authors":["11812","11829"],"categories":["news_457","news_8"],"tags":["news_260","news_6456","news_1467","news_27350","news_27804","news_27626","news_31032","news_6565","news_23938"],"featImg":"news_11934911","label":"news"},"news_11860304":{"type":"posts","id":"news_11860304","meta":{"index":"posts_1591205157","site":"news","id":"11860304","score":null,"sort":[1613178979000]},"guestAuthors":[],"slug":"cdcs-new-color-coded-guide-for-school-reopening-could-create-more-confusion-in-california","title":"CDC's New Color-Coded Guide for School Reopening Could Create More Confusion in California","publishDate":1613178979,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>As educators around California await further guidance from Sacramento on school reopening, the Centers for Disease Control and Prevention issued a \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/downloads/community/schools-childcare/Operational-Strategy-for-K-12-Schools-through-Phased-Mitigation.pdf\">color-coded guide \u003c/a>to help school districts decide under what conditions they could offer in-person instruction.\u003c/p>\n\u003cp>The CDC guidance for schools bears a striking resemblance to what California already has in place in regard to its \u003ca href=\"https://covid19.ca.gov/safer-economy/\">much broader tiered system\u003c/a> of reopening guidelines for businesses and activities. But the CDC's guidance could generate more confusion because the color codes it has in mind don’t match California’s four-tier system.\u003c/p>\n\u003cp>In one of the strongest statements on this topic yet from the CDC, the guidance states that “K-12 schools should be the last settings to close after all other mitigation measures in the community have been employed, and the first to reopen when they can do so safely. Schools should be prioritized for reopening and remaining open for in-person instruction over nonessential businesses and activities.”\u003c/p>\n\u003cp>Despite this strong statement, the new guidance leaves crucial decisions around vaccinations and testing as voluntary strategies that could be implemented at the discretion of local communities.\u003c/p>\n\u003cp>Reinforcing what Gov. Gavin Newsom has been saying, the CDC says vaccinations “should not be considered a condition for reopening schools for in-person instruction.” It also does not require schools to do asymptomatic testing of staff and students, although it says that schools “may elect” to do so “as a strategy to identify cases and prevent secondary transmission.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>While California educators try to digest the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/downloads/community/schools-childcare/K-12-Operational-Strategy-2021-2-12.pdf\">new, lengthy CDC guidelines\u003c/a>, they are also awaiting the outcome of negotiations between Gov. Newson and the Legislature regarding efforts to come up with a more robust school reopening plan. Key elements of Newsom’s “Safe Schools for All” plan are in limbo, after coming under intense criticism from a range of sources.\u003c/p>\n\u003cp>A week ago, Newsom indicated that a revised strategy would be issued within days. But sources say that the negotiations have been intense, and difficult. As of 1 p.m Friday, no announcement had been made, and none appears to be forthcoming today.\u003c/p>\n\u003cp>The new CDC guidance for school reopening envisions a phased-in approach based on red, orange, yellow and blue tiers. In contrast, California’s tiers are purple, red, orange and yellow. Unlike California’s tiers, in which purple is the most restrictive category, and red somewhat less restrictive, red would be the most restrictive level under the CDC strategy.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='education']Under the CDC plan, schools in the blue and yellow tiers could open for “full-in person instruction,” along with sports and extracurricular activities, as long as strict social distancing and masking practices are followed. In the orange tier, K-12 schools could also open, but in a more restricted way — either by having hybrid instruction, with some classes offered via distance learning, and others in person, or through what the CDC calls “reduced attendance.”\u003c/p>\n\u003cp>In the red tier, middle and high school students would have to remain in a distance learning mode, unless schools “can strictly implement all mitigation strategies.” All sports and extracurricular activities would have to be carried out virtually.\u003c/p>\n\u003cp>It will take time and effort to sort out the differences in how the CDC and California define their various color codes.\u003c/p>\n\u003cp>The CDC uses similar measures to California in determining what color a district is assigned — the average rate of new infections and the test positivity rate. But the CDC’s definitions are slightly different. The CDC, for example, takes into account the weekly rate of new cases, while California looks at daily cases. A school would be in the CDC’s red tier, equivalent to California’s purple tier, if a community has more than 100 weekly new cases per 100,000, and a positive rate of over 10 percent. Under California’s system, a school is in the purple zone if there are more than seven new cases per day, and a positivity rating of 8%.\u003c/p>\n\u003cp>In another significant development, the California Department of Public Health has \u003ca href=\"https://maps.schools.covid19.ca.gov/public.html\">issued long-awaited information\u003c/a> on the extent to which local districts are offering in-person or remote instruction. The maps show that many districts are offering in-person instruction, but far fewer are doing so for middle schools, and even fewer for high school students.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"New national guidance bears a striking resemblance to what California already has in place. But it could generate more confusion because the color codes it has in mind don’t match California’s four-tier system.","status":"publish","parent":0,"modified":1613521380,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":752},"headData":{"title":"CDC's New Color-Coded Guide for School Reopening Could Create More Confusion in California | KQED","description":"New national guidance bears a striking resemblance to what California already has in place. But it could generate more confusion because the color codes it has in mind don’t match California’s four-tier system.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11860304 https://ww2.kqed.org/news/?p=11860304","disqusUrl":"https://ww2.kqed.org/news/2021/02/12/cdcs-new-color-coded-guide-for-school-reopening-could-create-more-confusion-in-california/","disqusTitle":"CDC's New Color-Coded Guide for School Reopening Could Create More Confusion in California","source":"EdSource","sourceUrl":"https://edsource.org/","nprByline":"\u003ca href=\"https://edsource.org/author/lfreedberg\">Louis Freedberg\u003c/a>\u003cbr>\u003ca href=\"https://edsource.org/\">EdSource\u003c/a>","path":"/news/11860304/cdcs-new-color-coded-guide-for-school-reopening-could-create-more-confusion-in-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As educators around California await further guidance from Sacramento on school reopening, the Centers for Disease Control and Prevention issued a \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/downloads/community/schools-childcare/Operational-Strategy-for-K-12-Schools-through-Phased-Mitigation.pdf\">color-coded guide \u003c/a>to help school districts decide under what conditions they could offer in-person instruction.\u003c/p>\n\u003cp>The CDC guidance for schools bears a striking resemblance to what California already has in place in regard to its \u003ca href=\"https://covid19.ca.gov/safer-economy/\">much broader tiered system\u003c/a> of reopening guidelines for businesses and activities. But the CDC's guidance could generate more confusion because the color codes it has in mind don’t match California’s four-tier system.\u003c/p>\n\u003cp>In one of the strongest statements on this topic yet from the CDC, the guidance states that “K-12 schools should be the last settings to close after all other mitigation measures in the community have been employed, and the first to reopen when they can do so safely. Schools should be prioritized for reopening and remaining open for in-person instruction over nonessential businesses and activities.”\u003c/p>\n\u003cp>Despite this strong statement, the new guidance leaves crucial decisions around vaccinations and testing as voluntary strategies that could be implemented at the discretion of local communities.\u003c/p>\n\u003cp>Reinforcing what Gov. Gavin Newsom has been saying, the CDC says vaccinations “should not be considered a condition for reopening schools for in-person instruction.” It also does not require schools to do asymptomatic testing of staff and students, although it says that schools “may elect” to do so “as a strategy to identify cases and prevent secondary transmission.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While California educators try to digest the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/downloads/community/schools-childcare/K-12-Operational-Strategy-2021-2-12.pdf\">new, lengthy CDC guidelines\u003c/a>, they are also awaiting the outcome of negotiations between Gov. Newson and the Legislature regarding efforts to come up with a more robust school reopening plan. Key elements of Newsom’s “Safe Schools for All” plan are in limbo, after coming under intense criticism from a range of sources.\u003c/p>\n\u003cp>A week ago, Newsom indicated that a revised strategy would be issued within days. But sources say that the negotiations have been intense, and difficult. As of 1 p.m Friday, no announcement had been made, and none appears to be forthcoming today.\u003c/p>\n\u003cp>The new CDC guidance for school reopening envisions a phased-in approach based on red, orange, yellow and blue tiers. In contrast, California’s tiers are purple, red, orange and yellow. Unlike California’s tiers, in which purple is the most restrictive category, and red somewhat less restrictive, red would be the most restrictive level under the CDC strategy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"education"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Under the CDC plan, schools in the blue and yellow tiers could open for “full-in person instruction,” along with sports and extracurricular activities, as long as strict social distancing and masking practices are followed. In the orange tier, K-12 schools could also open, but in a more restricted way — either by having hybrid instruction, with some classes offered via distance learning, and others in person, or through what the CDC calls “reduced attendance.”\u003c/p>\n\u003cp>In the red tier, middle and high school students would have to remain in a distance learning mode, unless schools “can strictly implement all mitigation strategies.” All sports and extracurricular activities would have to be carried out virtually.\u003c/p>\n\u003cp>It will take time and effort to sort out the differences in how the CDC and California define their various color codes.\u003c/p>\n\u003cp>The CDC uses similar measures to California in determining what color a district is assigned — the average rate of new infections and the test positivity rate. But the CDC’s definitions are slightly different. The CDC, for example, takes into account the weekly rate of new cases, while California looks at daily cases. A school would be in the CDC’s red tier, equivalent to California’s purple tier, if a community has more than 100 weekly new cases per 100,000, and a positive rate of over 10 percent. Under California’s system, a school is in the purple zone if there are more than seven new cases per day, and a positivity rating of 8%.\u003c/p>\n\u003cp>In another significant development, the California Department of Public Health has \u003ca href=\"https://maps.schools.covid19.ca.gov/public.html\">issued long-awaited information\u003c/a> on the extent to which local districts are offering in-person or remote instruction. The maps show that many districts are offering in-person instruction, but far fewer are doing so for middle schools, and even fewer for high school students.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11860304/cdcs-new-color-coded-guide-for-school-reopening-could-create-more-confusion-in-california","authors":["byline_news_11860304"],"categories":["news_18540","news_457","news_8"],"tags":["news_18538","news_22221","news_6456","news_27350","news_27504","news_20013","news_27881","news_28267"],"featImg":"news_11860306","label":"source_news_11860304"},"news_11831871":{"type":"posts","id":"news_11831871","meta":{"index":"posts_1591205157","site":"news","id":"11831871","score":null,"sort":[1596582268000]},"guestAuthors":[],"slug":"california-is-under-reporting-recent-covid-19-cases-due-to-technical-issue","title":"California Is Underreporting Recent COVID-19 Cases Due to Technical Issue","publishDate":1596582268,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>A technical problem has caused a lag in California's tally of coronavirus test results, casting doubt on the accuracy of recent data showing improvements in the infection rate and number of positive cases, and hindering efforts to track the spread, the state's top health official said Tuesday. \u003c/p>\n\u003cp>Health and Human Services Secretary Dr. Mark Ghaly said in a news briefing Tuesday that in recent days, California has not been receiving a full count of tests conducted, or positive results, through electronic lab reports due to the unresolved issue, which he did not describe in detail.\u003c/p>\n\u003cp>The technical problems have affected the state's electronic lab reporting system known as CalREDIE.\u003c/p>\n\u003cp>\"There's a specific component that feeds information from labs to both the state system and the local public health system,\" Ghaly said. \"That may actually be the place where data is getting stuck.\"\u003c/p>\n\u003cp>Ghaly said the state is working \"around the clock\" to fix the problem, and is now asking labs to report cases manually.\u003c/p>\n\u003cp>\"We're not sure when we will have a definitive fix,\" he said.\u003c/p>\n\u003cp>The state's data page now carries a disclaimer saying the numbers \"represent an underreporting of actual positive cases\" per day. \u003c/p>\n\u003cp>The latest daily tally posted Tuesday showed 4,526 new confirmed positives, the lowest total in more than six weeks and a precipitous drop from the record nearly 13,000 reported two weeks ago. County health officials have posted notices on their sites advising of the lag and that a drop in cases might not paint a full picture. \u003c/p>\n\u003cp>\"Some counties, many counties, in fact, depend on the state's information to keep their own data up to date,\" Ghaly said. \"There is no doubt that their ability to address in a timely way specific cases, case investigation[s] and contact tracing is limited.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Wendy Hetherington, Riverside County's chief of epidemiology and program evaluation, said she believes hundreds of cases a day haven't been reported in her county. The undercount impedes the ability to find newly infected individuals and quickly contact those who have been in close contact with them so they can self-quarantine to avoid spreading the disease. \u003c/p>\n\u003cp>\"We're delaying case investigations. We're delaying follow up,\" she said. \"We can't tell how well we're doing until this issue is resolved.\"\u003c/p>\n\u003cp>Even with the underreporting of cases, California has recorded more total positive tests than any other state, about 520,000. \u003c/p>\n\u003cp>[aside label='Coronavirus Coverage' tag='coronavirus']On Monday, Gov. Gavin Newsom gave his most optimistic report on the state's virus efforts since a second surge of cases in early June. He noted daily cases had dropped by an average of 2,200 in the last week and the infection rate of 6.1% was significantly lower than the nearly 8% recorded last month. \u003c/p>\n\u003cp>Ghaly acknowledged on Tuesday that the rate Newsom highlighted was based on incomplete data and that missing data is being inputted manually. He stressed that looking at one- and two-week trends can help account for missing data from individual days. \u003c/p>\n\u003cp>Ghaly said hospitalization data – which doesn't run through the same troubled system – has seen signs of improvement. \u003c/p>\n\u003cp>\"These data centers [affected by the IT issue] do not have overlap with our hospitalization and ICU numbers,\" Ghaly said. \u003c/p>\n\u003cp>\"And we feel confident that [those numbers] are beginning to stabilize, as the governor mentioned yesterday ... We're now down to an 11% reduction over the past 14 days. And similarly, our ICU admissions continue to reduce. That is good news.\"\u003c/p>\n\u003cp>The latest count Tuesday showed 6,302 people were hospitalized across the state, a 12% drop from the high recorded in July. Total deaths have now topped 9,500.\u003c/p>\n\u003cp>Ghaly advised people who think they’ve been exposed to the coronavirus to quarantine before getting their test results back.\u003c/p>\n\u003cp>\u003cem>KQED's Peter Arcuni and The Associated Press contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"An IT problem has caused a lag in California's tally of coronavirus test results, casting doubt on the accuracy of recent data showing improvements in the state's infection rate.","status":"publish","parent":0,"modified":1596585508,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":661},"headData":{"title":"California Is Underreporting Recent COVID-19 Cases Due to Technical Issue | KQED","description":"An IT problem has caused a lag in California's tally of coronavirus test results, casting doubt on the accuracy of recent data showing improvements in the state's infection rate.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11831871 https://ww2.kqed.org/news/?p=11831871","disqusUrl":"https://ww2.kqed.org/news/2020/08/04/california-is-under-reporting-recent-covid-19-cases-due-to-technical-issue/","disqusTitle":"California Is Underreporting Recent COVID-19 Cases Due to Technical Issue","path":"/news/11831871/california-is-under-reporting-recent-covid-19-cases-due-to-technical-issue","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A technical problem has caused a lag in California's tally of coronavirus test results, casting doubt on the accuracy of recent data showing improvements in the infection rate and number of positive cases, and hindering efforts to track the spread, the state's top health official said Tuesday. \u003c/p>\n\u003cp>Health and Human Services Secretary Dr. Mark Ghaly said in a news briefing Tuesday that in recent days, California has not been receiving a full count of tests conducted, or positive results, through electronic lab reports due to the unresolved issue, which he did not describe in detail.\u003c/p>\n\u003cp>The technical problems have affected the state's electronic lab reporting system known as CalREDIE.\u003c/p>\n\u003cp>\"There's a specific component that feeds information from labs to both the state system and the local public health system,\" Ghaly said. \"That may actually be the place where data is getting stuck.\"\u003c/p>\n\u003cp>Ghaly said the state is working \"around the clock\" to fix the problem, and is now asking labs to report cases manually.\u003c/p>\n\u003cp>\"We're not sure when we will have a definitive fix,\" he said.\u003c/p>\n\u003cp>The state's data page now carries a disclaimer saying the numbers \"represent an underreporting of actual positive cases\" per day. \u003c/p>\n\u003cp>The latest daily tally posted Tuesday showed 4,526 new confirmed positives, the lowest total in more than six weeks and a precipitous drop from the record nearly 13,000 reported two weeks ago. County health officials have posted notices on their sites advising of the lag and that a drop in cases might not paint a full picture. \u003c/p>\n\u003cp>\"Some counties, many counties, in fact, depend on the state's information to keep their own data up to date,\" Ghaly said. \"There is no doubt that their ability to address in a timely way specific cases, case investigation[s] and contact tracing is limited.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Wendy Hetherington, Riverside County's chief of epidemiology and program evaluation, said she believes hundreds of cases a day haven't been reported in her county. The undercount impedes the ability to find newly infected individuals and quickly contact those who have been in close contact with them so they can self-quarantine to avoid spreading the disease. \u003c/p>\n\u003cp>\"We're delaying case investigations. We're delaying follow up,\" she said. \"We can't tell how well we're doing until this issue is resolved.\"\u003c/p>\n\u003cp>Even with the underreporting of cases, California has recorded more total positive tests than any other state, about 520,000. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Coronavirus Coverage ","tag":"coronavirus"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>On Monday, Gov. Gavin Newsom gave his most optimistic report on the state's virus efforts since a second surge of cases in early June. He noted daily cases had dropped by an average of 2,200 in the last week and the infection rate of 6.1% was significantly lower than the nearly 8% recorded last month. \u003c/p>\n\u003cp>Ghaly acknowledged on Tuesday that the rate Newsom highlighted was based on incomplete data and that missing data is being inputted manually. He stressed that looking at one- and two-week trends can help account for missing data from individual days. \u003c/p>\n\u003cp>Ghaly said hospitalization data – which doesn't run through the same troubled system – has seen signs of improvement. \u003c/p>\n\u003cp>\"These data centers [affected by the IT issue] do not have overlap with our hospitalization and ICU numbers,\" Ghaly said. \u003c/p>\n\u003cp>\"And we feel confident that [those numbers] are beginning to stabilize, as the governor mentioned yesterday ... We're now down to an 11% reduction over the past 14 days. And similarly, our ICU admissions continue to reduce. That is good news.\"\u003c/p>\n\u003cp>The latest count Tuesday showed 6,302 people were hospitalized across the state, a 12% drop from the high recorded in July. Total deaths have now topped 9,500.\u003c/p>\n\u003cp>Ghaly advised people who think they’ve been exposed to the coronavirus to quarantine before getting their test results back.\u003c/p>\n\u003cp>\u003cem>KQED's Peter Arcuni and The Associated Press contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11831871/california-is-under-reporting-recent-covid-19-cases-due-to-technical-issue","authors":["237"],"categories":["news_457","news_8","news_13"],"tags":["news_18538","news_6456","news_27350","news_27504","news_28352"],"featImg":"news_11831885","label":"news"},"stateofhealth_20966":{"type":"posts","id":"stateofhealth_20966","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"20966","score":null,"sort":[1408678011000]},"guestAuthors":[],"slug":"sacramento-patient-does-not-have-ebola-officials-say","title":"Sacramento Patient Does Not Have Ebola, Officials Report","publishDate":1408678011,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_20919\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-e1408556674718.jpg\">\u003cimg class=\"size-large wp-image-20919\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-640x426.jpg\" alt=\"Ebola virus magnified 108,000 times. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ebola virus magnified 108,000 times. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\"> patient admitted to a Kaiser hospital\u003c/a> in South Sacramento has tested negative for the Ebola virus, said Dr. Ron Chapman, director of the California Department of Public Health (CDPH) in a brief press conference Thursday evening.\u003c/p>\n\u003cp>Chapman said the results came in from the Centers for Disease Control and Prevention earlier in the day. Chapman, Kaiser officials and Sacramento County health officials refused to answer other questions about the patient, citing privacy laws.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\">Earlier this week\u003c/a>, CDPH called the patient \"low risk\" and said the testing was occurring out of an \"abundance of caution.\" Chapman said CDPH and Kaiser made the determination that the patient was low risk by \u003ca href=\"http://www.cdc.gov/vhf/ebola/hcp/case-definition.html\" target=\"_blank\">following established CDC assessment tools\u003c/a>, available to any health care worker.\u003c/p>\n\u003cp>Chapman stressed that Ebola is \"a very difficult infection to spread.\" It does not spread through air, food or water. The virus can only be spread through direct physical contact with an infected person's bodily fluid, including blood and sweat.\u003c/p>\n\u003cp>There are no reported cases of Ebola in California. In West Africa, \u003ca href=\"http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html\" target=\"_blank\">the disease has killed 1,350 people\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The patient's blood samples were tested by the Centers for Disease Control.","status":"publish","parent":0,"modified":1408737197,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":7,"wordCount":191},"headData":{"title":"Sacramento Patient Does Not Have Ebola, Officials Report | KQED","description":"The patient's blood samples were tested by the Centers for Disease Control.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"20966 http://blogs.kqed.org/stateofhealth/?p=20966","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/08/21/sacramento-patient-does-not-have-ebola-officials-say/","disqusTitle":"Sacramento Patient Does Not Have Ebola, Officials Report","path":"/stateofhealth/20966/sacramento-patient-does-not-have-ebola-officials-say","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20919\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-e1408556674718.jpg\">\u003cimg class=\"size-large wp-image-20919\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-640x426.jpg\" alt=\"Ebola virus magnified 108,000 times. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ebola virus magnified 108,000 times. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\"> patient admitted to a Kaiser hospital\u003c/a> in South Sacramento has tested negative for the Ebola virus, said Dr. Ron Chapman, director of the California Department of Public Health (CDPH) in a brief press conference Thursday evening.\u003c/p>\n\u003cp>Chapman said the results came in from the Centers for Disease Control and Prevention earlier in the day. Chapman, Kaiser officials and Sacramento County health officials refused to answer other questions about the patient, citing privacy laws.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\">Earlier this week\u003c/a>, CDPH called the patient \"low risk\" and said the testing was occurring out of an \"abundance of caution.\" Chapman said CDPH and Kaiser made the determination that the patient was low risk by \u003ca href=\"http://www.cdc.gov/vhf/ebola/hcp/case-definition.html\" target=\"_blank\">following established CDC assessment tools\u003c/a>, available to any health care worker.\u003c/p>\n\u003cp>Chapman stressed that Ebola is \"a very difficult infection to spread.\" It does not spread through air, food or water. The virus can only be spread through direct physical contact with an infected person's bodily fluid, including blood and sweat.\u003c/p>\n\u003cp>There are no reported cases of Ebola in California. In West Africa, \u003ca href=\"http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html\" target=\"_blank\">the disease has killed 1,350 people\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/20966/sacramento-patient-does-not-have-ebola-officials-say","authors":["240"],"categories":["stateofhealth_13"],"tags":["stateofhealth_840","stateofhealth_461"],"featImg":"stateofhealth_20919","label":"stateofhealth"},"news_139101":{"type":"posts","id":"news_139101","meta":{"index":"posts_1591205157","site":"news","id":"139101","score":null,"sort":[1402690394000]},"guestAuthors":[],"slug":"whooping-cough-reaches-epidemic-level-in-california","title":"Whooping Cough Reaches 'Epidemic' Level in California","publishDate":1402690394,"format":"aside","headTitle":"News Fix | KQED News","labelTerm":{"term":6944,"site":"news"},"content":"\u003cfigure id=\"attachment_139103\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr.jpg\">\u003cimg class=\"size-medium wp-image-139103\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr-640x425.jpg\" alt=\"A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images) \u003ccite>(Robyn Beck/AFP-Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California health officials announced Friday that \u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\">whooping cough (also known as pertussis\u003c/a>) has reached epidemic levels in the state. The \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/Pertussis_Report_6-10-2014.pdf\" target=\"_blank\">Department of Public Health reported 809 new cases of the infection\u003c/a>, bringing the 2014 total to 3,458. That's 1,000 more cases than all of last year.\u003c/p>\n\u003cp>Four Bay Area communities have been hit particularly hard: Sonoma, Napa and Marin counties and Berkeley, which reports separately from the rest of Alameda County.\u003c/p>\n\u003cp>The overall state incidence rate is about 9 cases per 100,000 people, the CDPH says. But for Sonoma County the rate is 103 per 100,000; in Napa it's 65, and in Marin it's 53. Berkeley's rate is lower — 25 per 100,000; but that's three times higher than the rate for Alameda County as a whole. The rest of the Bay Area reports rates between a low of 6 per 100,000 in Santa Clara County and 17 per 100,000 in Solano County.\u003c/p>\n\u003cp>The CDPH said this year's epidemic is due at least in part to the cyclical nature of pertussis, which officials say peaks every three to five years. The last peak was in 2010, when the state had more than 9,000 cases and recorded 10 infant deaths connected to the disease.\u003c/p>\n\u003cp>But health officials say other factors may be at play, too. One suspected problem is the widespread use of acellular pertussis vaccines, which cause fewer negative reactions in patients than earlier vaccines but may not provide the long-lasting immunity.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Another widely discussed factor is that fewer children in some communities are receiving vaccinations for pertussis and other illnesses. That's because parents fearing potential harm from the vaccines are increasingly seeking \"personal belief exemptions\" (PBEs) that allow them to enroll children in school without getting state-required vaccinations. \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">As we reported last summer\u003c/a>, Marin County had a 7.8 percent PBE rate, the highest in the nine-county Bay Area. The statewide rate is 2.8 percent\u003c/p>\n\u003cp>But those PBE numbers alone don't appear to explain the pertussis spike in some locales. Santa Cruz County has a 9.6 percent personal-belief-exemption rate. But today's state figures show the county reporting a pertussis incidence rate of 11 per 100,000 — far below the North Bay counties and relatively close to the statewide rate. If you want to look up that PBE rate for schools in your community, \u003ca href=\"http://blogs.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">search the database that KQED's State of Health blog posted last year\u003c/a>.\u003c/p>\n\u003cp>Here's the latest Associated Press report on the whooping cough story:\u003c/p>\n\u003cp>\u003cstrong>Associated Press\u003c/strong>\u003c/p>\n\u003cp>LOS ANGELES — The number of whooping cough cases in California is now at an epidemic level, state health officials said Friday.\u003c/p>\n\u003cp>More than 800 whooping cough cases were reported over the past two weeks, suggesting that\u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\"> the infection, which is also known as pertussis\u003c/a>, is spreading rapidly, according to a statement by the California Department of Public Health.\u003c/p>\n\u003cp>As of June 10, there were 3,458 reported cases — more than in all of 2013. There have been two reported infant deaths.\u003c/p>\n\u003cp>The infection is cyclical and peaks every three to five years, officials said. The previous whooping cough peak was in 2010, when an epidemic struck 9,159 people and killed 10 infants in the state.\u003c/p>\n\u003cp>Infants are most susceptible to the disease, so parents are encouraged to vaccinate their children as early as possible. Pregnant women are also encouraged to get vaccinated.\u003c/p>\n\u003cp>The disease has also raised national concerns. Although California is the only state to declare an epidemic, there has been a 24 percent increase of reported pertussis cases nationally from this time last year, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Whooping cough begins with cold-like symptoms and can progress to severe coughing fits that leave people gasping for breath.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California officials said they were working closely with local health departments and schools to inform the public of the importance of vaccinations.\u003c/p>\n\n","blocks":[],"excerpt":"Public health officials report a surge in the number of those suffering from sometimes-fatal infection. ","status":"publish","parent":0,"modified":1402697973,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":683},"headData":{"title":"Whooping Cough Reaches 'Epidemic' Level in California | KQED","description":"Public health officials report a surge in the number of those suffering from sometimes-fatal infection. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"139101 http://ww2.kqed.org/news/?p=139101","disqusUrl":"https://ww2.kqed.org/news/2014/06/13/whooping-cough-reaches-epidemic-level-in-california/","disqusTitle":"Whooping Cough Reaches 'Epidemic' Level in California","path":"/news/139101/whooping-cough-reaches-epidemic-level-in-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_139103\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr.jpg\">\u003cimg class=\"size-medium wp-image-139103\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr-640x425.jpg\" alt=\"A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images) \u003ccite>(Robyn Beck/AFP-Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California health officials announced Friday that \u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\">whooping cough (also known as pertussis\u003c/a>) has reached epidemic levels in the state. The \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/Pertussis_Report_6-10-2014.pdf\" target=\"_blank\">Department of Public Health reported 809 new cases of the infection\u003c/a>, bringing the 2014 total to 3,458. That's 1,000 more cases than all of last year.\u003c/p>\n\u003cp>Four Bay Area communities have been hit particularly hard: Sonoma, Napa and Marin counties and Berkeley, which reports separately from the rest of Alameda County.\u003c/p>\n\u003cp>The overall state incidence rate is about 9 cases per 100,000 people, the CDPH says. But for Sonoma County the rate is 103 per 100,000; in Napa it's 65, and in Marin it's 53. Berkeley's rate is lower — 25 per 100,000; but that's three times higher than the rate for Alameda County as a whole. The rest of the Bay Area reports rates between a low of 6 per 100,000 in Santa Clara County and 17 per 100,000 in Solano County.\u003c/p>\n\u003cp>The CDPH said this year's epidemic is due at least in part to the cyclical nature of pertussis, which officials say peaks every three to five years. The last peak was in 2010, when the state had more than 9,000 cases and recorded 10 infant deaths connected to the disease.\u003c/p>\n\u003cp>But health officials say other factors may be at play, too. One suspected problem is the widespread use of acellular pertussis vaccines, which cause fewer negative reactions in patients than earlier vaccines but may not provide the long-lasting immunity.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Another widely discussed factor is that fewer children in some communities are receiving vaccinations for pertussis and other illnesses. That's because parents fearing potential harm from the vaccines are increasingly seeking \"personal belief exemptions\" (PBEs) that allow them to enroll children in school without getting state-required vaccinations. \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">As we reported last summer\u003c/a>, Marin County had a 7.8 percent PBE rate, the highest in the nine-county Bay Area. The statewide rate is 2.8 percent\u003c/p>\n\u003cp>But those PBE numbers alone don't appear to explain the pertussis spike in some locales. Santa Cruz County has a 9.6 percent personal-belief-exemption rate. But today's state figures show the county reporting a pertussis incidence rate of 11 per 100,000 — far below the North Bay counties and relatively close to the statewide rate. If you want to look up that PBE rate for schools in your community, \u003ca href=\"http://blogs.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">search the database that KQED's State of Health blog posted last year\u003c/a>.\u003c/p>\n\u003cp>Here's the latest Associated Press report on the whooping cough story:\u003c/p>\n\u003cp>\u003cstrong>Associated Press\u003c/strong>\u003c/p>\n\u003cp>LOS ANGELES — The number of whooping cough cases in California is now at an epidemic level, state health officials said Friday.\u003c/p>\n\u003cp>More than 800 whooping cough cases were reported over the past two weeks, suggesting that\u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\"> the infection, which is also known as pertussis\u003c/a>, is spreading rapidly, according to a statement by the California Department of Public Health.\u003c/p>\n\u003cp>As of June 10, there were 3,458 reported cases — more than in all of 2013. There have been two reported infant deaths.\u003c/p>\n\u003cp>The infection is cyclical and peaks every three to five years, officials said. The previous whooping cough peak was in 2010, when an epidemic struck 9,159 people and killed 10 infants in the state.\u003c/p>\n\u003cp>Infants are most susceptible to the disease, so parents are encouraged to vaccinate their children as early as possible. Pregnant women are also encouraged to get vaccinated.\u003c/p>\n\u003cp>The disease has also raised national concerns. Although California is the only state to declare an epidemic, there has been a 24 percent increase of reported pertussis cases nationally from this time last year, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Whooping cough begins with cold-like symptoms and can progress to severe coughing fits that leave people gasping for breath.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California officials said they were working closely with local health departments and schools to inform the public of the importance of vaccinations.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/139101/whooping-cough-reaches-epidemic-level-in-california","authors":["222"],"programs":["news_6944"],"categories":["news_356"],"tags":["news_18538","news_1153","news_6456","news_3228","news_1878"],"featImg":"news_139103","label":"news_6944"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. 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Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2022/02/Consider-This_3000_V3-copy-scaled-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://ww2.kqed.org/app/uploads/2022/06/forum-logo-900x900tile-1.gif","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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No other part of the globe has experienced such dynamic political and social change in recent years.","airtime":"SAT 3am-4am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/insideEurope.jpg","meta":{"site":"news","source":"Deutsche Welle"},"link":"/radio/program/inside-europe","subscribe":{"apple":"https://itunes.apple.com/us/podcast/inside-europe/id80106806?mt=2","tuneIn":"https://tunein.com/radio/Inside-Europe-p731/","rss":"https://partner.dw.com/xml/podcast_inside-europe"}},"latino-usa":{"id":"latino-usa","title":"Latino USA","airtime":"MON 1am-2am, SUN 6pm-7pm","info":"Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg","officialWebsiteLink":"http://latinousa.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/latino-usa","subscribe":{"npr":"https://rpb3r.app.goo.gl/xtTd","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Latino-USA-p621/","rss":"https://feeds.npr.org/510016/podcast.xml"}},"live-from-here-highlights":{"id":"live-from-here-highlights","title":"Live from Here Highlights","info":"Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. 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We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2022/02/mindshift2021-tile-3000x3000-1-scaled-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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