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She previously covered immigration. Farida was \u003ca href=\"https://www.ccnma.org/2022-most-influential-latina-journalists\">named\u003c/a> one of the 10 Most Influential Latina Journalists in California in 2022 by the California Chicano News Media Association. Her work has won awards from the Society of Professional Journalists (Northern California), as well as a national and regional Edward M. Murrow Award for the collaborative reporting projects “Dangerous Air” and “Graying California.” \u003c/span>\u003cspan style=\"font-weight: 400;\">Before joining KQED, Farida worked as a producer at Radio Bilingüe, a national public radio network. 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Sydney is a graduate of the University of California, Berkeley and lives in San Francisco.","avatar":"https://secure.gravatar.com/avatar/97855f2719b72ad6190b7c535fe642c8?s=600&d=blank&r=g","twitter":"sydneyfjohnson","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]}],"headData":{"title":"Sydney Johnson | KQED","description":"KQED 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FM","link":"/"}},"news_11980260":{"type":"posts","id":"news_11980260","meta":{"index":"posts_1591205157","site":"news","id":"11980260","score":null,"sort":[1711045601000]},"guestAuthors":[],"slug":"alameda-county-measles-exposure-sons-of-liberty-san-leandro","title":"Possible Measles Exposure in Alameda County: What You Need to Know","publishDate":1711045601,"format":"standard","headTitle":"Possible Measles Exposure in Alameda County: What You Need to Know | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Alameda County health officials are warning Bay Area residents of a potential exposure to measles in an East Bay restaurant earlier this month.\u003c/p>\n\u003cp>County officials said that a person infected with measles was present at the \u003ca href=\"https://www.google.com/maps/place/SONS+OF+LIBERTY+ALEHOUSE/@37.7237984,-122.1552742,15z/data=!4m2!3m1!1s0x0:0x63e565bb445aae39?sa=X&ved=1t:2428&ictx=111\">Sons of Liberty Alehouse on West Juana Avenue in San Leandro\u003c/a> back on Saturday, March 9 — and urged anyone who was also at the restaurant between 4:45 p.m. and 7:30 p.m. that day to \u003ca href=\"#measlesexposurealameda\">reach out to their health care provider and the Alameda County Public Health Department \u003c/a>if they or anyone else present is unvaccinated or in a high-risk group.[aside postID=news_11981370 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1472596010-1020x765.jpg']\u003c/p>\n\u003cp>They also asked others who may have been present during that timeframe to monitor themselves for symptoms of measles, which can emerge between seven and 21 days after exposure.\u003c/p>\n\u003cp>“At this time, we are not aware of anyone who developed measles due to this exposure at Sons of Liberty,” said Dr. Kavita Trivedi, director of clinical guidance and communicable disease controller at the Alameda County Public Health Department, in a press conference on Wednesday.\u003c/p>\n\u003cp>\u003cb>Jump straight to:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#measlesexposurealameda\">If I think I was exposed in San Leandro on March 9, what should I do?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#measlesvaccine\">Can I still get measles if I’m vaccinated?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#measlesvaccinerecord\">How can I check if I’m vaccinated against measles?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Trivedi said the county was now “acting out of an abundance of caution to reach people who may have been exposed” and stressed that this was not being treated as a measles outbreak. “This is a measles investigation,” Trivedi said, “and we want to be in touch with all people that were contacts of this case.”\u003c/p>\n\u003cp>Officials say that the infectious person who was at Sons of Liberty Alehouse on March 9 was unaware they had measles at the time of their visit. Trivedi also emphasized that “the patient did not become infected at Sons of Liberty,” but rather that “we believe the person contracted measles while traveling internationally a few weeks prior to illness.”\u003c/p>\n\u003cp>Trivedi said that Alameda County could not disclose the exact location of this person’s travel for confidentiality reasons but instead pointed people to \u003ca href=\"https://www.cdc.gov/globalhealth/measles/data/global-measles-outbreaks.html\">the list of international countries with current measles outbreaks \u003c/a>provided by the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Keep reading for what to know about this measles case in Alameda County, what to do if you think you — or somebody you know — might have been exposed on March 9, and why the measles virus is taken so seriously.\u003c/p>\n\u003ch2>\u003ca id=\"measlesexposurealameda\">\u003c/a>I was at Sons of Liberty Alehouse between 4:45 p.m. and 7:30 p.m. on March 9. What should I do?\u003c/h2>\n\u003cp>If you were present during this timeframe provided by Alameda County health officials, they say that you should call your health care provider and also the Alameda County Public Health Department at 510-267-3250 right away if you (or your child) are:\u003c/p>\n\u003cul>\n\u003cli>An infant 11 months of age or younger\u003c/li>\n\u003cli>Not vaccinated for measles\u003c/li>\n\u003cli>Unsure whether you’re vaccinated for measles\u003c/li>\n\u003cli>Pregnant\u003c/li>\n\u003cli>Immunocompromised (i.e., you have a weakened immune system)\u003c/li>\n\u003cli>A health care worker\u003c/li>\n\u003cli>A childcare provider.\u003c/li>\n\u003c/ul>\n\u003cp>However, Alameda County also said that everyone present at Sons of Liberty Alehouse during this timeframe should also watch for symptoms of measles. These symptoms can appear “in seven to 21 days,” say county officials, which means that if you were exposed on March 9 at Sons of Liberty Alehouse, symptoms of measles could have started on March 16 or could take until March 30 to emerge.\u003c/p>\n\u003cp>Those symptoms include fever, cough, runny nose, red eyes, and a rash that can last up to a week. \u003ca href=\"https://www.cdc.gov/measles/symptoms/signs-symptoms.html\">Read more about the symptoms of measles from the CDC.\u003c/a>\u003c/p>\n\u003cp>Alameda County health officials stress that if you develop measles symptoms, you should “call your medical facility before going there and inform them that you may have been exposed to measles so that the facility can take measures to protect other patients and visitors.”\u003c/p>\n\u003ch2>If this possible measles exposure happened on March 9, why is Alameda County only releasing information about it now?\u003c/h2>\n\u003cp>Alameda County health officials are “in contact with everyone that was exposed to this individual,” Trivedi said, and those people are being monitored to see if they develop symptoms within that seven to 21-day timeframe.\u003c/p>\n\u003cp>“The exposures at Sons of Liberty are the only exposures we don’t have specific names and contact information for — that’s why we released the exposure notification [Tuesday] to the public,” Trivedi said.\u003c/p>\n\u003cp>Trivedi stressed that the person involved was not aware they had measles at the time of their visit and later came forward. “Unless they already know they were exposed to measles, it typically takes time for people with measles to realize the nature of their illness, seek medical care and to complete the diagnostic testing,” Trivedi said.\u003c/p>\n\u003cp>“Once we have information about a measles case, we work as quickly as possible to identify and inform people who may have been exposed.”\u003c/p>\n\u003cfigure id=\"attachment_11980289\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11980289\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut.jpg\" alt=\"A pair of gloved hands fills a syringe from a vial of vaccine.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut-1536x1025.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The measles vaccine is offered as part of routine childhood immunizations in the United States. \u003ccite>(Andrii Zorii/Getty )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"measlesvaccine\">\u003c/a>I’m vaccinated against measles. Could I still get infected with measles from an exposure like this?\u003c/h2>\n\u003cp>Four years of the COVID-19 pandemic have taught us that being vaccinated against a virus doesn’t necessarily mean you won’t get infected with that virus. The COVID-19 vaccine, for example, does somewhat reduce your chances of being infected — although t\u003ca href=\"https://www.cdc.gov/ncird/whats-new/5-things-you-should-know.html\">he CDC said that “protection against infection tends to be modest and sometimes short-lived”\u003c/a> — but it also means you’re much less likely to get severely ill if you do get infected.\u003c/p>\n\u003cp>However, \u003ca href=\"https://www.cdc.gov/measles/about/faqs.html#:~:text=Could%20I%20still%20get%20measles,should%20have%20to%20the%20vaccine.\">the measles vaccine \u003ci>is \u003c/i>incredibly effective at protecting against infections, the CDC said\u003c/a>, and two doses of measles vaccine are “about 97% effective” at preventing measles if you’re exposed. (One dose, the CDC said, is “about 93% effective.”)\u003c/p>\n\u003cp>As for why “about three out of 100” people vaccinated against measles will still get measles after exposure, the CDC said that experts “aren’t sure why” and that this could be due to the responsiveness of an individual’s immune system to the vaccine. “But the good news is, fully vaccinated people who get measles seem more likely to have a milder illness,” the CDC said — and fully vaccinated people “seem also less likely to spread the disease to other people.”\u003c/p>\n\u003ch2>Remind me: What is measles, and why is it so dangerous?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdc.gov/measles/symptoms/signs-symptoms.html\">Measles (also known as rubeola) is a very contagious virus\u003c/a> that is spread through direct contact with infectious droplets. The virus can also spread through the air when a person with measles breathes, coughs, or sneezes.\u003c/p>\n\u003cp>“One person infected with measles can infect nine out of 10 unvaccinated individuals with whom they come into close contact,” Alameda County officials said in a statement.\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>“As a frame of reference, a measles case is infectious four days before a rash onset when they do not know that they are contagious,” Trivedi said.\u003c/p>\n\u003cp>Measles can be especially dangerous for babies and young children. \u003ca href=\"https://www.cdc.gov/measles/symptoms/complications.html\">People who get measles can also develop complications\u003c/a>, including diarrhea, ear infections, pneumonia (an infection of the lungs) and encephalitis (a brain infection). In some people, measles can be deadly.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003ca id=\"measlesvaccinerecord\">\u003c/a>I don’t know if I’m vaccinated against measles. How can I check?\u003c/h2>\n\u003cp>Measles is preventable with the combined Measles, Mumps, and Rubella (MMR) vaccine, and \u003ca href=\"https://www.cdc.gov/measles/about/history.html\">vaccination against measles has been part of routine childhood immunization for decades\u003c/a>. \u003ca href=\"https://www.cdc.gov/vaccines/vpd/mmr/public/index.html#\">The CDC recommends that children get two doses of the MMR vaccine\u003c/a>, starting with the first dose at 12–15 months old with the second dose at 4–6 years of age.\u003c/p>\n\u003cp>Everyone over 12 months of age is recommended to get vaccinated against measles, although the combined Measles, Mumps, Rubella and Varicella (MMRV) vaccine is \u003ca href=\"https://www.cdc.gov/vaccines/vpd/mmr/public/index.html#\">only licensed for use in children under 12 years of age\u003c/a>.\u003c/p>\n\u003cp>Alameda County recommends that you \u003ca href=\"https://www.cdc.gov/vaccines/parents/records/keeping-track.html\">check your immunization records\u003c/a> if you’re uncertain whether you’re vaccinated against measles. You can also contact your provider or your child’s pediatrician for further information about protection against measles.\u003c/p>\n\u003ch2>I thought measles was very rare. Why is this measles investigation happening?\u003c/h2>\n\u003cp>“There are a large number of measles cases currently identified in the United States,” said Trivedi, who noted that in 2024, \u003ca href=\"https://www.cdc.gov/measles/cases-outbreaks.html\">the country had seen as many cases of measles — 58 — in under three months as it did in all of 2023.\u003c/a>\u003c/p>\n\u003cp>According to the state’s most recent data from March 13,\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/measles.aspx\"> California has seen four confirmed measles cases so far in 2024\u003c/a>.\u003c/p>\n\u003cp>There had been no rise in cases in Alameda County, Trivedi said, “likely because of the high vaccination rates in our communities.” The CDC notes that\u003ca href=\"https://www.cdc.gov/globalhealth/measles/data/global-measles-outbreaks.html\"> the COVID-19 pandemic has generally impacted vaccination rates globally\u003c/a> because “over 61 million doses of measles-containing vaccine were postponed or missed from 2020 to 2022” due to pandemic-related delays.\u003c/p>\n\u003cp>Trivedi also emphasized the importance of \u003ca href=\"https://www.cdc.gov/measles/plan-for-travel.html\">measles awareness and being up-to-date on vaccines \u003c/a>when traveling internationally from the United States, noting that “globally, measles cases are on the rise due to low vaccination rates in some places.” The measles vaccine is routinely recommended only for children 12 months and older, so if you intend to travel internationally with a child aged between 6 and 12 months, \u003ca href=\"https://www.cdc.gov/measles/plan-for-travel.html\">you may be able to secure them an early MMR vaccination\u003c/a> due to the measles risk they may face abroad being unvaccinated.\u003c/p>\n\u003cp>\u003cem>This story contains reporting from KQED’s Samantha Lim.\u003c/em>\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 2024. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID-19\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>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Alameda County health officials are warning Bay Area residents of a potential measles exposure at the Sons of Liberty Alehouse in San Leandro earlier this month. Here's what you need to know.","status":"publish","parent":0,"modified":1712076743,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":true,"hasPolis":false,"paragraphCount":37,"wordCount":1815},"headData":{"title":"Possible Measles Exposure in Alameda County: What You Need to Know | KQED","description":"Alameda County health officials are warning Bay Area residents of a potential measles exposure at the Sons of Liberty Alehouse in San Leandro earlier this month. Here's what you need to know.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Possible Measles Exposure in Alameda County: What You Need to Know","datePublished":"2024-03-21T18:26:41.000Z","dateModified":"2024-04-02T16:52:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11980260/alameda-county-measles-exposure-sons-of-liberty-san-leandro","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Alameda County health officials are warning Bay Area residents of a potential exposure to measles in an East Bay restaurant earlier this month.\u003c/p>\n\u003cp>County officials said that a person infected with measles was present at the \u003ca href=\"https://www.google.com/maps/place/SONS+OF+LIBERTY+ALEHOUSE/@37.7237984,-122.1552742,15z/data=!4m2!3m1!1s0x0:0x63e565bb445aae39?sa=X&ved=1t:2428&ictx=111\">Sons of Liberty Alehouse on West Juana Avenue in San Leandro\u003c/a> back on Saturday, March 9 — and urged anyone who was also at the restaurant between 4:45 p.m. and 7:30 p.m. that day to \u003ca href=\"#measlesexposurealameda\">reach out to their health care provider and the Alameda County Public Health Department \u003c/a>if they or anyone else present is unvaccinated or in a high-risk group.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11981370","hero":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1472596010-1020x765.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>They also asked others who may have been present during that timeframe to monitor themselves for symptoms of measles, which can emerge between seven and 21 days after exposure.\u003c/p>\n\u003cp>“At this time, we are not aware of anyone who developed measles due to this exposure at Sons of Liberty,” said Dr. Kavita Trivedi, director of clinical guidance and communicable disease controller at the Alameda County Public Health Department, in a press conference on Wednesday.\u003c/p>\n\u003cp>\u003cb>Jump straight to:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#measlesexposurealameda\">If I think I was exposed in San Leandro on March 9, what should I do?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#measlesvaccine\">Can I still get measles if I’m vaccinated?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#measlesvaccinerecord\">How can I check if I’m vaccinated against measles?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Trivedi said the county was now “acting out of an abundance of caution to reach people who may have been exposed” and stressed that this was not being treated as a measles outbreak. “This is a measles investigation,” Trivedi said, “and we want to be in touch with all people that were contacts of this case.”\u003c/p>\n\u003cp>Officials say that the infectious person who was at Sons of Liberty Alehouse on March 9 was unaware they had measles at the time of their visit. Trivedi also emphasized that “the patient did not become infected at Sons of Liberty,” but rather that “we believe the person contracted measles while traveling internationally a few weeks prior to illness.”\u003c/p>\n\u003cp>Trivedi said that Alameda County could not disclose the exact location of this person’s travel for confidentiality reasons but instead pointed people to \u003ca href=\"https://www.cdc.gov/globalhealth/measles/data/global-measles-outbreaks.html\">the list of international countries with current measles outbreaks \u003c/a>provided by the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Keep reading for what to know about this measles case in Alameda County, what to do if you think you — or somebody you know — might have been exposed on March 9, and why the measles virus is taken so seriously.\u003c/p>\n\u003ch2>\u003ca id=\"measlesexposurealameda\">\u003c/a>I was at Sons of Liberty Alehouse between 4:45 p.m. and 7:30 p.m. on March 9. What should I do?\u003c/h2>\n\u003cp>If you were present during this timeframe provided by Alameda County health officials, they say that you should call your health care provider and also the Alameda County Public Health Department at 510-267-3250 right away if you (or your child) are:\u003c/p>\n\u003cul>\n\u003cli>An infant 11 months of age or younger\u003c/li>\n\u003cli>Not vaccinated for measles\u003c/li>\n\u003cli>Unsure whether you’re vaccinated for measles\u003c/li>\n\u003cli>Pregnant\u003c/li>\n\u003cli>Immunocompromised (i.e., you have a weakened immune system)\u003c/li>\n\u003cli>A health care worker\u003c/li>\n\u003cli>A childcare provider.\u003c/li>\n\u003c/ul>\n\u003cp>However, Alameda County also said that everyone present at Sons of Liberty Alehouse during this timeframe should also watch for symptoms of measles. These symptoms can appear “in seven to 21 days,” say county officials, which means that if you were exposed on March 9 at Sons of Liberty Alehouse, symptoms of measles could have started on March 16 or could take until March 30 to emerge.\u003c/p>\n\u003cp>Those symptoms include fever, cough, runny nose, red eyes, and a rash that can last up to a week. \u003ca href=\"https://www.cdc.gov/measles/symptoms/signs-symptoms.html\">Read more about the symptoms of measles from the CDC.\u003c/a>\u003c/p>\n\u003cp>Alameda County health officials stress that if you develop measles symptoms, you should “call your medical facility before going there and inform them that you may have been exposed to measles so that the facility can take measures to protect other patients and visitors.”\u003c/p>\n\u003ch2>If this possible measles exposure happened on March 9, why is Alameda County only releasing information about it now?\u003c/h2>\n\u003cp>Alameda County health officials are “in contact with everyone that was exposed to this individual,” Trivedi said, and those people are being monitored to see if they develop symptoms within that seven to 21-day timeframe.\u003c/p>\n\u003cp>“The exposures at Sons of Liberty are the only exposures we don’t have specific names and contact information for — that’s why we released the exposure notification [Tuesday] to the public,” Trivedi said.\u003c/p>\n\u003cp>Trivedi stressed that the person involved was not aware they had measles at the time of their visit and later came forward. “Unless they already know they were exposed to measles, it typically takes time for people with measles to realize the nature of their illness, seek medical care and to complete the diagnostic testing,” Trivedi said.\u003c/p>\n\u003cp>“Once we have information about a measles case, we work as quickly as possible to identify and inform people who may have been exposed.”\u003c/p>\n\u003cfigure id=\"attachment_11980289\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11980289\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut.jpg\" alt=\"A pair of gloved hands fills a syringe from a vial of vaccine.\" width=\"1920\" height=\"1281\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut-1536x1025.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The measles vaccine is offered as part of routine childhood immunizations in the United States. \u003ccite>(Andrii Zorii/Getty )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"measlesvaccine\">\u003c/a>I’m vaccinated against measles. Could I still get infected with measles from an exposure like this?\u003c/h2>\n\u003cp>Four years of the COVID-19 pandemic have taught us that being vaccinated against a virus doesn’t necessarily mean you won’t get infected with that virus. The COVID-19 vaccine, for example, does somewhat reduce your chances of being infected — although t\u003ca href=\"https://www.cdc.gov/ncird/whats-new/5-things-you-should-know.html\">he CDC said that “protection against infection tends to be modest and sometimes short-lived”\u003c/a> — but it also means you’re much less likely to get severely ill if you do get infected.\u003c/p>\n\u003cp>However, \u003ca href=\"https://www.cdc.gov/measles/about/faqs.html#:~:text=Could%20I%20still%20get%20measles,should%20have%20to%20the%20vaccine.\">the measles vaccine \u003ci>is \u003c/i>incredibly effective at protecting against infections, the CDC said\u003c/a>, and two doses of measles vaccine are “about 97% effective” at preventing measles if you’re exposed. (One dose, the CDC said, is “about 93% effective.”)\u003c/p>\n\u003cp>As for why “about three out of 100” people vaccinated against measles will still get measles after exposure, the CDC said that experts “aren’t sure why” and that this could be due to the responsiveness of an individual’s immune system to the vaccine. “But the good news is, fully vaccinated people who get measles seem more likely to have a milder illness,” the CDC said — and fully vaccinated people “seem also less likely to spread the disease to other people.”\u003c/p>\n\u003ch2>Remind me: What is measles, and why is it so dangerous?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.cdc.gov/measles/symptoms/signs-symptoms.html\">Measles (also known as rubeola) is a very contagious virus\u003c/a> that is spread through direct contact with infectious droplets. The virus can also spread through the air when a person with measles breathes, coughs, or sneezes.\u003c/p>\n\u003cp>“One person infected with measles can infect nine out of 10 unvaccinated individuals with whom they come into close contact,” Alameda County officials said in a statement.\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>“As a frame of reference, a measles case is infectious four days before a rash onset when they do not know that they are contagious,” Trivedi said.\u003c/p>\n\u003cp>Measles can be especially dangerous for babies and young children. \u003ca href=\"https://www.cdc.gov/measles/symptoms/complications.html\">People who get measles can also develop complications\u003c/a>, including diarrhea, ear infections, pneumonia (an infection of the lungs) and encephalitis (a brain infection). In some people, measles can be deadly.\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\u003ch2>\u003ca id=\"measlesvaccinerecord\">\u003c/a>I don’t know if I’m vaccinated against measles. How can I check?\u003c/h2>\n\u003cp>Measles is preventable with the combined Measles, Mumps, and Rubella (MMR) vaccine, and \u003ca href=\"https://www.cdc.gov/measles/about/history.html\">vaccination against measles has been part of routine childhood immunization for decades\u003c/a>. \u003ca href=\"https://www.cdc.gov/vaccines/vpd/mmr/public/index.html#\">The CDC recommends that children get two doses of the MMR vaccine\u003c/a>, starting with the first dose at 12–15 months old with the second dose at 4–6 years of age.\u003c/p>\n\u003cp>Everyone over 12 months of age is recommended to get vaccinated against measles, although the combined Measles, Mumps, Rubella and Varicella (MMRV) vaccine is \u003ca href=\"https://www.cdc.gov/vaccines/vpd/mmr/public/index.html#\">only licensed for use in children under 12 years of age\u003c/a>.\u003c/p>\n\u003cp>Alameda County recommends that you \u003ca href=\"https://www.cdc.gov/vaccines/parents/records/keeping-track.html\">check your immunization records\u003c/a> if you’re uncertain whether you’re vaccinated against measles. You can also contact your provider or your child’s pediatrician for further information about protection against measles.\u003c/p>\n\u003ch2>I thought measles was very rare. Why is this measles investigation happening?\u003c/h2>\n\u003cp>“There are a large number of measles cases currently identified in the United States,” said Trivedi, who noted that in 2024, \u003ca href=\"https://www.cdc.gov/measles/cases-outbreaks.html\">the country had seen as many cases of measles — 58 — in under three months as it did in all of 2023.\u003c/a>\u003c/p>\n\u003cp>According to the state’s most recent data from March 13,\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/measles.aspx\"> California has seen four confirmed measles cases so far in 2024\u003c/a>.\u003c/p>\n\u003cp>There had been no rise in cases in Alameda County, Trivedi said, “likely because of the high vaccination rates in our communities.” The CDC notes that\u003ca href=\"https://www.cdc.gov/globalhealth/measles/data/global-measles-outbreaks.html\"> the COVID-19 pandemic has generally impacted vaccination rates globally\u003c/a> because “over 61 million doses of measles-containing vaccine were postponed or missed from 2020 to 2022” due to pandemic-related delays.\u003c/p>\n\u003cp>Trivedi also emphasized the importance of \u003ca href=\"https://www.cdc.gov/measles/plan-for-travel.html\">measles awareness and being up-to-date on vaccines \u003c/a>when traveling internationally from the United States, noting that “globally, measles cases are on the rise due to low vaccination rates in some places.” The measles vaccine is routinely recommended only for children 12 months and older, so if you intend to travel internationally with a child aged between 6 and 12 months, \u003ca href=\"https://www.cdc.gov/measles/plan-for-travel.html\">you may be able to secure them an early MMR vaccination\u003c/a> due to the measles risk they may face abroad being unvaccinated.\u003c/p>\n\u003cp>\u003cem>This story contains reporting from KQED’s Samantha Lim.\u003c/em>\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 2024. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID-19\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>\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/11980260/alameda-county-measles-exposure-sons-of-liberty-san-leandro","authors":["3243"],"categories":["news_8"],"tags":["news_260","news_32707","news_27626","news_17604","news_19960"],"featImg":"news_11980287","label":"news"},"news_11977093":{"type":"posts","id":"news_11977093","meta":{"index":"posts_1591205157","site":"news","id":"11977093","score":null,"sort":[1709006440000]},"guestAuthors":[],"slug":"everybody-is-just-scrambling-nationwide-cyber-attack-delays-bay-area-pharmacy-orders","title":"'Everybody Is Just Scrambling': Nationwide Cyber Attack Delays Bay Area Pharmacy Orders","publishDate":1709006440,"format":"standard","headTitle":"‘Everybody Is Just Scrambling’: Nationwide Cyber Attack Delays Bay Area Pharmacy Orders | KQED","labelTerm":{"site":"news"},"content":"\u003cp>\u003cem>Updated 8 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>People across the Bay Area are clamoring to fill essential medications after a\u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/change-healthcare-network-hit-by-cybersecurity-attack-2024-02-22/\"> cyber attack last Wednesday\u003c/a> disrupted data transmission lines between health care providers, insurance companies and pharmacies.\u003c/p>\n\u003cp>East Bay resident Alison Hightower is among them.\u003c/p>\n\u003cp>For two days, she has been trying to refill a medication her husband takes for nerve damage. When she tried to pick it up, the pharmacist at her local Safeway on College Avenue in Oakland said they had been unable to fill most prescriptions since the hack against UnitedHealth Group Inc. last week. [pullquote size=\"medium\" align=\"right\" citation=\"Alison Hightower, East Bay resident\"]‘I stopped at the pharmacy, and they said they are totally shut down and can’t do anything. This will have a huge snowballing effect. …’[/pullquote]“I stopped at the pharmacy, and they said they are totally shut down and can’t do anything,” Hightower told KQED. “This will have a huge snowballing effect. My husband is scrambling to get his medication refilled.”\u003c/p>\n\u003cp>Since the cyber attack, \u003ca href=\"https://www.latimes.com/business/story/2024-02-23/unitedhealth-blames-nation-state-threat-in-hack-disrupting-pharmacy-orders\">pharmacies across the country\u003c/a> — including those at Safeway, Walgreens and CVS — have been unable to fill some prescription orders because the computer system that forwards prescriptions from doctors and processes insurance was disconnected after the hack at UnitedHealth’s technology unit, called Change Healthcare.\u003c/p>\n\u003cp>A spokesperson for Safeway confirmed that people filling online prescriptions may experience a delay due to the nationwide outage with Optum, a third-party healthcare technology vendor owned by UnitedHealth. Other insurance providers including Medicare were also affected.\u003c/p>\n\u003cp>UnitedHealth is Alameda County’s largest health insurer. It’s not clear when the service will be restored. As of noon on Monday \u003ca href=\"https://status.changehealthcare.com/incidents/hqpjz25fn3n7\">Optum reported that the disruption is expected to continue\u003c/a> through at least the end of the day.\u003c/p>\n\u003cfigure id=\"attachment_11977122\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11977122\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A Safeway store in Oakland on Feb. 26, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Change Healthcare is experiencing a cybersecurity issue, and our experts are working to address the matter,” the company said in a statement on its website. “Once we became aware of the outside threat, in the interest of protecting our partners and patients, we took immediate action to disconnect our systems to prevent further impact.”\u003c/p>\n\u003cp>Hindering access to medication can be life-threatening.\u003c/p>\n\u003cp>“Our pharmacy operations and the vast majority of prescriptions are not being impacted by this third-party issue,” a spokesperson for Walgreens said in an email. “For the small percentage that may be affected, we have procedures in place so that we can continue to process and fill these prescriptions with minimal delay or interruption.” [aside label='More on Public Health' tag='health'] “Safeway would like to reassure customers and the public that our pharmacy locations are open for business and serving customers,” a spokesperson for Safeway said in an email. “We are working quickly to address this matter and apologize for any inconvenience this may cause.”\u003c/p>\n\u003cp>CVS, which also relies on UnitedHealth technology, said earlier in a prepared statement that the company is still filling prescriptions, but “in certain cases, we are not able to process insurance claims, which our business continuity plan is addressing to ensure patients continue to have access to their prescriptions.” KQED has reached out to CVS for further comment but as of Monday evening has not received a response.\u003c/p>\n\u003cp>The issue is impacting different medications and particularly controlled substances like pain medications and ADHD medication, which are more heavily regulated by the federal government, Ruzly Mantara, a pharmacist in San Francisco, told KQED on Monday.\u003c/p>\n\u003cp>Pharmacists like Mantara need help to convey the news and to provide patients with their medications.\u003c/p>\n\u003cp>“This has never happened before. We are taking this one step at a time,” Mantara told KQED. “The best thing we can do is ask for their patience at this time.” [pullquote size=\"medium\" align=\"right\" citation=\"Ruzly Mantara, pharmacist, San Francisco\"]‘We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue. It creates a big problem.’[/pullquote]As of Sunday afternoon, Mantara said that the computer system could process most insurance plans again but that the pharmacy was still not able to receive prescriptions from doctors.\u003c/p>\n\u003cp>So far, options remain limited for customers who can’t pay out of pocket or don’t have a written prescription.\u003c/p>\n\u003cp>“We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue,” Mantara said. “It creates a big problem.”\u003c/p>\n\u003cp>Hightower’s husband’s medication is expensive and tightly regulated, she said, so paying out of pocket or sending over a written prescription are both unfeasible. She and her husband are continuing to assess their options.\u003c/p>\n\u003cp>“His drug is under more severe regulation, so they don’t keep it in stock, and they have to special order it,” Hightower said. “Everybody is just scrambling.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"People are clamoring to obtain pain medications as pharmacies in Oakland and San Francisco feel the crunch of a nationwide data breach. ","status":"publish","parent":0,"modified":1709058357,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":873},"headData":{"title":"'Everybody Is Just Scrambling': Nationwide Cyber Attack Delays Bay Area Pharmacy Orders | KQED","description":"People are clamoring to obtain pain medications as pharmacies in Oakland and San Francisco feel the crunch of a nationwide data breach. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'Everybody Is Just Scrambling': Nationwide Cyber Attack Delays Bay Area Pharmacy Orders","datePublished":"2024-02-27T04:00:40.000Z","dateModified":"2024-02-27T18:25:57.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11977093/everybody-is-just-scrambling-nationwide-cyber-attack-delays-bay-area-pharmacy-orders","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 8 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>People across the Bay Area are clamoring to fill essential medications after a\u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/change-healthcare-network-hit-by-cybersecurity-attack-2024-02-22/\"> cyber attack last Wednesday\u003c/a> disrupted data transmission lines between health care providers, insurance companies and pharmacies.\u003c/p>\n\u003cp>East Bay resident Alison Hightower is among them.\u003c/p>\n\u003cp>For two days, she has been trying to refill a medication her husband takes for nerve damage. When she tried to pick it up, the pharmacist at her local Safeway on College Avenue in Oakland said they had been unable to fill most prescriptions since the hack against UnitedHealth Group Inc. last week. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘I stopped at the pharmacy, and they said they are totally shut down and can’t do anything. This will have a huge snowballing effect. …’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Alison Hightower, East Bay resident","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“I stopped at the pharmacy, and they said they are totally shut down and can’t do anything,” Hightower told KQED. “This will have a huge snowballing effect. My husband is scrambling to get his medication refilled.”\u003c/p>\n\u003cp>Since the cyber attack, \u003ca href=\"https://www.latimes.com/business/story/2024-02-23/unitedhealth-blames-nation-state-threat-in-hack-disrupting-pharmacy-orders\">pharmacies across the country\u003c/a> — including those at Safeway, Walgreens and CVS — have been unable to fill some prescription orders because the computer system that forwards prescriptions from doctors and processes insurance was disconnected after the hack at UnitedHealth’s technology unit, called Change Healthcare.\u003c/p>\n\u003cp>A spokesperson for Safeway confirmed that people filling online prescriptions may experience a delay due to the nationwide outage with Optum, a third-party healthcare technology vendor owned by UnitedHealth. Other insurance providers including Medicare were also affected.\u003c/p>\n\u003cp>UnitedHealth is Alameda County’s largest health insurer. It’s not clear when the service will be restored. As of noon on Monday \u003ca href=\"https://status.changehealthcare.com/incidents/hqpjz25fn3n7\">Optum reported that the disruption is expected to continue\u003c/a> through at least the end of the day.\u003c/p>\n\u003cfigure id=\"attachment_11977122\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11977122\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A Safeway store in Oakland on Feb. 26, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Change Healthcare is experiencing a cybersecurity issue, and our experts are working to address the matter,” the company said in a statement on its website. “Once we became aware of the outside threat, in the interest of protecting our partners and patients, we took immediate action to disconnect our systems to prevent further impact.”\u003c/p>\n\u003cp>Hindering access to medication can be life-threatening.\u003c/p>\n\u003cp>“Our pharmacy operations and the vast majority of prescriptions are not being impacted by this third-party issue,” a spokesperson for Walgreens said in an email. “For the small percentage that may be affected, we have procedures in place so that we can continue to process and fill these prescriptions with minimal delay or interruption.” \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More on Public Health ","tag":"health"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp> “Safeway would like to reassure customers and the public that our pharmacy locations are open for business and serving customers,” a spokesperson for Safeway said in an email. “We are working quickly to address this matter and apologize for any inconvenience this may cause.”\u003c/p>\n\u003cp>CVS, which also relies on UnitedHealth technology, said earlier in a prepared statement that the company is still filling prescriptions, but “in certain cases, we are not able to process insurance claims, which our business continuity plan is addressing to ensure patients continue to have access to their prescriptions.” KQED has reached out to CVS for further comment but as of Monday evening has not received a response.\u003c/p>\n\u003cp>The issue is impacting different medications and particularly controlled substances like pain medications and ADHD medication, which are more heavily regulated by the federal government, Ruzly Mantara, a pharmacist in San Francisco, told KQED on Monday.\u003c/p>\n\u003cp>Pharmacists like Mantara need help to convey the news and to provide patients with their medications.\u003c/p>\n\u003cp>“This has never happened before. We are taking this one step at a time,” Mantara told KQED. “The best thing we can do is ask for their patience at this time.” \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue. It creates a big problem.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Ruzly Mantara, pharmacist, San Francisco","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>As of Sunday afternoon, Mantara said that the computer system could process most insurance plans again but that the pharmacy was still not able to receive prescriptions from doctors.\u003c/p>\n\u003cp>So far, options remain limited for customers who can’t pay out of pocket or don’t have a written prescription.\u003c/p>\n\u003cp>“We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue,” Mantara said. “It creates a big problem.”\u003c/p>\n\u003cp>Hightower’s husband’s medication is expensive and tightly regulated, she said, so paying out of pocket or sending over a written prescription are both unfeasible. She and her husband are continuing to assess their options.\u003c/p>\n\u003cp>“His drug is under more severe regulation, so they don’t keep it in stock, and they have to special order it,” Hightower said. “Everybody is just scrambling.”\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/11977093/everybody-is-just-scrambling-nationwide-cyber-attack-delays-bay-area-pharmacy-orders","authors":["11840"],"categories":["news_8"],"tags":["news_32205","news_27626","news_18543","news_683","news_33563","news_32610","news_18153","news_19960","news_4778","news_2211"],"featImg":"news_11977127","label":"news"},"news_11975156":{"type":"posts","id":"news_11975156","meta":{"index":"posts_1591205157","site":"news","id":"11975156","score":null,"sort":[1707437904000]},"guestAuthors":[],"slug":"san-francisco-to-open-first-permanent-supportive-housing-for-the-sober-community","title":"San Francisco to Open First Permanent Supportive Housing for the Sober Community","publishDate":1707437904,"format":"standard","headTitle":"San Francisco to Open First Permanent Supportive Housing for the Sober Community | KQED","labelTerm":{"site":"news"},"content":"\u003cp>San Francisco plans to open its first permanent supportive housing for residents who are sober and in recovery from drug or alcohol addiction, Mayor London Breed announced Thursday alongside recovery advocates.\u003c/p>\n\u003cp>The 149 units at 935 Kearny St. come as overdose deaths have continued to rise in San Francisco and across the West Coast. San Francisco recorded \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">806 drug overdose deaths\u003c/a> in 2023 — more than in any other year on record. [pullquote size=\"medium\" align=\"right\" citation=\"Shireen McSpadden, executive director, Department of Homelessness and Supportive Housing\"]‘… It’s very hard to be in recovery when you’re around people who are not like-minded. We hope this new model will better support people in achieving their goals.’[/pullquote]“We all know it’s very hard to be in recovery when you’re around people who are not like-minded,” said Shireen McSpadden, executive director of the Department of Homelessness and Supportive Housing, at a press conference Thursday at Hotel North Beach, where the city’s new units will be located. “We hope this new model will better support people in achieving their goals.”\u003c/p>\n\u003cp>Sober living units will be prioritized for people experiencing homelessness who have completed drug treatment programs, as well as people who already live in any of the city’s existing 10,000-plus units of permanent supportive housing and are seeking a sober environment.\u003c/p>\n\u003cp>Residents will be required to meet with social workers on-site to develop “recovery prevention plans,” according to Richard Beal, a recovery advocate and director at the Tenderloin Housing Clinic, which the city contracts with to provide low-income housing. At Hotel North Beach, there will also be recovery-focused group meetings on-site and case workers to support residents in their recovery journey and other health and social needs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Tenderloin Housing Clinic and the city’s Department of Homelessness and Supportive Housing will oversee the new program.\u003c/p>\n\u003cp>“We have so much work to do. We know,” Mayor London Breed said on Thursday. “But I think a project like this could be a game-changer and very transformative and exciting for so many people who deserve a second chance.”\u003c/p>\n\u003cp>Recovery advocates in the city have pushed for Breed to open more housing units for people seeking sober environments. Many people who are sober live in the city’s existing permanent supportive housing, but some say having a community dedicated to supporting their recovery journey could be beneficial. [pullquote size=\"medium\" align=\"right\" citation=\"San Francisco Mayor London Breed\"]‘We have so much work to do … But I think a project like this could be a game-changer and very transformative and exciting for so many people who deserve a second chance.’[/pullquote]A recent survey of 450 Tenderloin Housing Clinic residents found that 71% said they would prefer to live in a sober hotel, according to Randy Shaw, director of the Tenderloin Housing Clinic, who shared the findings at Thursday’s press conference.\u003c/p>\n\u003cp>“We have had a lot of people tell us this is what they want,” McSpadden said.\u003c/p>\n\u003cp>But opening up an all-sober housing option within the city’s permanent supportive housing inventory hasn’t been easy.\u003c/p>\n\u003cp>Fair housing laws prevent local governments from mandating residents to be sober to access public housing — because that could discriminate against people who are in recovery and make it even harder to access shelter.\u003c/p>\n\u003cp>To get around state law barriers, the sober living program at Hotel North Beach will be paid through city dollars from the general fund, city officials said.\u003c/p>\n\u003cp>“I thank God that London Breed listened to the community, listened to the people, for having more transitional housing and helping people get to permanent housing,” said Cedric Akbar, a recovery advocate and executive director of Positive Directions Equals Changes. “One size does not fit all.”\u003c/p>\n\u003cp>San Francisco recently reopened 70 units of permanent supportive housing on \u003ca href=\"https://www.kqed.org/news/11970663/san-franciscos-hope-for-expanding-supportive-housing-treasure-island\">Treasure Island\u003c/a> for people in recovery who had just completed a residential drug treatment program. Residents, however, can’t stay there long term and must leave between six months to two years.\u003c/p>\n\u003cp>One resident at the Treasure Island site named Craig H. told KQED that having a like-minded community has supported his sobriety. But, he said it can be difficult to maintain sobriety after exiting transitional housing programs.\u003c/p>\n\u003cp>“San Francisco can help those of us that are getting ready to go back into the world. We need some housing,” Craig H. said. “We don’t need to be thrown back on 16th and Mission. We don’t need just SROs in the Tenderloin. We need a shot at it.”\u003c/p>\n\u003cp>At North Beach Hotel, the hope is to create more spaces for people who are at a stage of their recovery where a sober community could help.\u003c/p>\n\u003cp>Case managers and social workers at the hotel will also support residents if they relapse. [aside postID=news_11959733 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/08/RS68436_230829-ODAwareness-26-BL-KQED-1020x680.jpg']If someone does relapse, Breed said, “Our goal is not to throw them out and put them on the streets, but to take them out of the environment and place them in another location that could provide more wraparound support services.”\u003c/p>\n\u003cp>Thursday’s press conference was interrupted by six residents and business owners who complained that they were not notified ahead of time of plans to open the sober living site in the neighborhood. The group chanted “no” as Breed walked up to speak and asked why they weren’t informed of the plans before the press conference.\u003c/p>\n\u003cp>McSpadden of HSH said that the city is following its normal process by identifying the site first and then inviting the community to provide feedback.\u003c/p>\n\u003cp>The purchase of the building has yet to be finalized, and the city has until March 7 to conduct outreach and community engagement about concerns and hopes for the site.\u003c/p>\n\u003cp>There will be a public meeting on Feb. 20 at the City College Chinatown campus to discuss the plans and gather local input.\u003c/p>\n\u003cp>“We know there have been some people who have not been directly outreached to, but we want to make that commitment today, that our goal is to sit down and have that conversation as we go through the process,” Breed said directly to critics at the press conference Thursday. “This is not about providing anything other than a safe living environment to be clean and sober and to contribute to the businesses and surrounding community.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"San Francisco city officials hope to offer a supportive living environment for low-income residents in recovery from addiction at this North Beach hotel.","status":"publish","parent":0,"modified":1707440447,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":1135},"headData":{"title":"San Francisco to Open First Permanent Supportive Housing for the Sober Community | KQED","description":"San Francisco city officials hope to offer a supportive living environment for low-income residents in recovery from addiction at this North Beach hotel.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco to Open First Permanent Supportive Housing for the Sober Community","datePublished":"2024-02-09T00:18:24.000Z","dateModified":"2024-02-09T01:00:47.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11975156/san-francisco-to-open-first-permanent-supportive-housing-for-the-sober-community","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco plans to open its first permanent supportive housing for residents who are sober and in recovery from drug or alcohol addiction, Mayor London Breed announced Thursday alongside recovery advocates.\u003c/p>\n\u003cp>The 149 units at 935 Kearny St. come as overdose deaths have continued to rise in San Francisco and across the West Coast. San Francisco recorded \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">806 drug overdose deaths\u003c/a> in 2023 — more than in any other year on record. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘… It’s very hard to be in recovery when you’re around people who are not like-minded. We hope this new model will better support people in achieving their goals.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Shireen McSpadden, executive director, Department of Homelessness and Supportive Housing","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“We all know it’s very hard to be in recovery when you’re around people who are not like-minded,” said Shireen McSpadden, executive director of the Department of Homelessness and Supportive Housing, at a press conference Thursday at Hotel North Beach, where the city’s new units will be located. “We hope this new model will better support people in achieving their goals.”\u003c/p>\n\u003cp>Sober living units will be prioritized for people experiencing homelessness who have completed drug treatment programs, as well as people who already live in any of the city’s existing 10,000-plus units of permanent supportive housing and are seeking a sober environment.\u003c/p>\n\u003cp>Residents will be required to meet with social workers on-site to develop “recovery prevention plans,” according to Richard Beal, a recovery advocate and director at the Tenderloin Housing Clinic, which the city contracts with to provide low-income housing. At Hotel North Beach, there will also be recovery-focused group meetings on-site and case workers to support residents in their recovery journey and other health and social needs.\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>Tenderloin Housing Clinic and the city’s Department of Homelessness and Supportive Housing will oversee the new program.\u003c/p>\n\u003cp>“We have so much work to do. We know,” Mayor London Breed said on Thursday. “But I think a project like this could be a game-changer and very transformative and exciting for so many people who deserve a second chance.”\u003c/p>\n\u003cp>Recovery advocates in the city have pushed for Breed to open more housing units for people seeking sober environments. Many people who are sober live in the city’s existing permanent supportive housing, but some say having a community dedicated to supporting their recovery journey could be beneficial. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We have so much work to do … But I think a project like this could be a game-changer and very transformative and exciting for so many people who deserve a second chance.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"San Francisco Mayor London Breed","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>A recent survey of 450 Tenderloin Housing Clinic residents found that 71% said they would prefer to live in a sober hotel, according to Randy Shaw, director of the Tenderloin Housing Clinic, who shared the findings at Thursday’s press conference.\u003c/p>\n\u003cp>“We have had a lot of people tell us this is what they want,” McSpadden said.\u003c/p>\n\u003cp>But opening up an all-sober housing option within the city’s permanent supportive housing inventory hasn’t been easy.\u003c/p>\n\u003cp>Fair housing laws prevent local governments from mandating residents to be sober to access public housing — because that could discriminate against people who are in recovery and make it even harder to access shelter.\u003c/p>\n\u003cp>To get around state law barriers, the sober living program at Hotel North Beach will be paid through city dollars from the general fund, city officials said.\u003c/p>\n\u003cp>“I thank God that London Breed listened to the community, listened to the people, for having more transitional housing and helping people get to permanent housing,” said Cedric Akbar, a recovery advocate and executive director of Positive Directions Equals Changes. “One size does not fit all.”\u003c/p>\n\u003cp>San Francisco recently reopened 70 units of permanent supportive housing on \u003ca href=\"https://www.kqed.org/news/11970663/san-franciscos-hope-for-expanding-supportive-housing-treasure-island\">Treasure Island\u003c/a> for people in recovery who had just completed a residential drug treatment program. Residents, however, can’t stay there long term and must leave between six months to two years.\u003c/p>\n\u003cp>One resident at the Treasure Island site named Craig H. told KQED that having a like-minded community has supported his sobriety. But, he said it can be difficult to maintain sobriety after exiting transitional housing programs.\u003c/p>\n\u003cp>“San Francisco can help those of us that are getting ready to go back into the world. We need some housing,” Craig H. said. “We don’t need to be thrown back on 16th and Mission. We don’t need just SROs in the Tenderloin. We need a shot at it.”\u003c/p>\n\u003cp>At North Beach Hotel, the hope is to create more spaces for people who are at a stage of their recovery where a sober community could help.\u003c/p>\n\u003cp>Case managers and social workers at the hotel will also support residents if they relapse. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11959733","hero":"https://ww2.kqed.org/app/uploads/sites/10/2023/08/RS68436_230829-ODAwareness-26-BL-KQED-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>If someone does relapse, Breed said, “Our goal is not to throw them out and put them on the streets, but to take them out of the environment and place them in another location that could provide more wraparound support services.”\u003c/p>\n\u003cp>Thursday’s press conference was interrupted by six residents and business owners who complained that they were not notified ahead of time of plans to open the sober living site in the neighborhood. The group chanted “no” as Breed walked up to speak and asked why they weren’t informed of the plans before the press conference.\u003c/p>\n\u003cp>McSpadden of HSH said that the city is following its normal process by identifying the site first and then inviting the community to provide feedback.\u003c/p>\n\u003cp>The purchase of the building has yet to be finalized, and the city has until March 7 to conduct outreach and community engagement about concerns and hopes for the site.\u003c/p>\n\u003cp>There will be a public meeting on Feb. 20 at the City College Chinatown campus to discuss the plans and gather local input.\u003c/p>\n\u003cp>“We know there have been some people who have not been directly outreached to, but we want to make that commitment today, that our goal is to sit down and have that conversation as we go through the process,” Breed said directly to critics at the press conference Thursday. “This is not about providing anything other than a safe living environment to be clean and sober and to contribute to the businesses and surrounding community.”\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/11975156/san-francisco-to-open-first-permanent-supportive-housing-for-the-sober-community","authors":["11840"],"categories":["news_6266","news_8"],"tags":["news_21434","news_25968","news_25959","news_27626","news_4020","news_32277","news_1775","news_19960","news_29051","news_38"],"featImg":"news_11975179","label":"news"},"news_11974828":{"type":"posts","id":"news_11974828","meta":{"index":"posts_1591205157","site":"news","id":"11974828","score":null,"sort":[1707307241000]},"guestAuthors":[],"slug":"fda-move-to-ban-formaldehyde-in-hair-straighteners-called-too-little-too-late","title":"FDA Move to Ban Formaldehyde in Hair Straighteners Called Too Little, Too Late","publishDate":1707307241,"format":"standard","headTitle":"FDA Move to Ban Formaldehyde in Hair Straighteners Called Too Little, Too Late | KQED","labelTerm":{"site":"news"},"content":"\u003cp>In April, a dozen years after a federal agency \u003ca href=\"https://www.nationalacademies.org/our-work/review-of-the-formaldehyde-assessment-in-the-national-toxicology-program-12th-report-on-carcinogens\">classified formaldehyde\u003c/a> as a human carcinogen, the U.S. Food and Drug Administration is tentatively scheduled to unveil \u003ca href=\"https://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202304&RIN=0910-AI83\">a proposal\u003c/a> to consider banning the chemical in hair-straightening products.\u003c/p>\n\u003cp>The move comes at a time of rising alarm among researchers over the health effects of hair straighteners, products widely used by and heavily marketed to Black women. However, advocates and scientists say the proposed new regulation would do far too little and be far too late.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"David Andrews, senior scientist, Environmental Working Group\"]‘It’s a clear example of failure in public health protection.’[/pullquote]“The fact that formaldehyde is still allowed in hair care products is mind-blowing to me,” said \u003ca href=\"https://www.nih.gov/about-nih/who-we-are/nih-director/statements/statement-retirement-dr-linda-birnbaum\">Linda Birnbaum\u003c/a>, a former director of the National Institute of Environmental Health Sciences and the National Toxicology Program. “I don’t know what we’re waiting for.”\u003c/p>\n\u003cp>Asked why it’s taking so long to get the issue on the FDA’s agenda, \u003ca href=\"https://www.fda.gov/about-fda/fda-organization/namandje-bumpus\">Namandjé Bumpus\u003c/a>, the regulatory agency’s chief scientist, told KFF Health News: “I think primarily the science has progressed.”\u003c/p>\n\u003cp>“Also,” she added, “the agency is always balancing multiple priorities. It is a priority for us now.”\u003c/p>\n\u003cp>The FDA’s glacial response to concerns about formaldehyde and other hazardous chemicals in hair straighteners partly reflects the agency’s limited powers when it comes to cosmetics and personal-care products, according to \u003ca href=\"https://publichealth.gwu.edu/departments/environmental-and-occupational-health-office-dean/lynn-r-goldman\">Lynn Goldman\u003c/a>, a former assistant administrator for toxic substances at the U.S. Environmental Protection Agency. Under the law, she said, the FDA must consider all chemical ingredients “innocent until proven guilty.”\u003c/p>\n\u003cp>Critics say it also points to broader problems. “It’s a clear example of failure in public health protection,” said David Andrews, senior scientist at the Environmental Working Group, which first petitioned the agency to ban formaldehyde in hair straighteners in 2011 and sued over the issue in 2016. “The public is still waiting for this response.”\u003c/p>\n\u003cp>The \u003ca href=\"https://www.fda.gov/cosmetics/cosmetic-products/hair-smoothing-products-release-formaldehyde-when-heated\">FDA said consumers\u003c/a> should ask their hair stylists about ingredients and can look for these words on labels:\u003c/p>\n\u003cul>\n\u003cli>Formaldehyde\u003c/li>\n\u003cli>Formalin\u003c/li>\n\u003cli>Methylene glycol\u003c/li>\n\u003c/ul>\n\u003cp>Mounting evidence linking hair straighteners to hormone-driven cancers prompted Reps. Ayanna Pressley (D-Mass.) and Shontel Brown (D-Ohio) \u003ca href=\"https://pressley.house.gov/wp-content/uploads/2023/03/2023-03-15-FINAL-Pressley-Brown-Chemical-Hair-Straighteners-Link-to-Uterine-Cancer-FDA-Letter-v2-PDF.pdf\">urged the regulatory agency\u003c/a> to investigate straighteners and relaxers last year.\u003c/p>\n\u003cp>The FDA responded by proposing to do what many scientists say the agency should have done years ago — initiate a plan to eventually outlaw chemical straighteners that contain or emit formaldehyde.\u003c/p>\n\u003cp>Such a ban would be a crucial public health step but doesn’t go nearly far enough, scientists who study the issue said. The elevated risk of breast, ovarian and uterine cancers that epidemiological studies have recently associated with hair straighteners is likely due to ingredients other than formaldehyde, they said.\u003c/p>\n\u003cp>Formaldehyde has been linked to an increased risk of upper respiratory tract cancer and myeloid leukemia, Bumpus \u003ca href=\"https://twitter.com/DrBumpusFDA/status/1714737379787907521\">said in a video announcement\u003c/a> of the proposed ban on X, formerly known as Twitter. But Kimberly Bertrand, an associate professor at the Boston University Chobanian & Avedisian School of Medicine and other scientists said they were unaware of any studies linking formaldehyde to the hormone-driven, or reproductive, cancers that prompted recent calls for the FDA to act.\u003c/p>\n\u003cp>“It’s hard for me to imagine that removing formaldehyde will have an impact on the incidence of these reproductive cancers,” said Bertrand, an epidemiologist and lead author on \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/37821068/\">a December study\u003c/a>, the second linking hair relaxers to an increased risk of uterine cancer.\u003c/p>\n\u003cp>Hair products targeted at African Americans contain a host of hazardous chemicals, said \u003ca href=\"https://www.hsph.harvard.edu/profile/tamarra-james-todd/\">Tamarra James-Todd\u003c/a>, an epidemiology professor at the Harvard T.H. Chan School of Public Health who has studied the issue for 20 years.\u003c/p>\n\u003cp>Studies have shown that straightener ingredients include phthalates, parabens, and other \u003ca href=\"https://www.niehs.nih.gov/health/topics/agents/endocrine/index.cfm\">endocrine-disrupting compounds\u003c/a> that mimic the body’s hormones and have been linked to cancers as well as early puberty, fibroids, diabetes, and gestational high blood pressure, which is a key contributor to Black women’s outsize risk of maternal mortality, James-Todd said.\u003c/p>\n\u003cp>“We have to do a better job regulating ingredients that people are exposed to, particularly some of our most vulnerable in this country,” she said. “I mean, children are being exposed to these.”\u003c/p>\n\u003cp>The first study linking hair relaxers to uterine cancer, published in 2022, found that frequent use of chemical straighteners more than doubled a woman’s risk. It followed studies showing women who frequently used hair relaxers doubled their ovarian cancer risk and had a 31% higher risk of breast cancer.\u003c/p>\n\u003cp>Bumpus praised the studies as “scientifically sound” and said she would leave epidemiologists and others questions about whether straightener ingredients besides formaldehyde might contribute to an elevated risk of hormone-driven cancers.\u003c/p>\n\u003cp>She could not offer a timeline for a formaldehyde ban except to say the agency was scheduled to initiate proceedings in April. The schedule could change, she said, and she did not know how long the process of finalizing a rule would take.\u003c/p>\n\u003cp>Brazilian Blowouts and similar hair-smoothing treatments sometimes use formaldehyde as a glue to hold the hair straight for months. Stylists usually seal the product into the hair with a flat iron. Heat converts liquid formaldehyde into a gas that creates fumes that can sicken salon workers and patrons.\u003c/p>\n\u003cp>In addition to cosmetics, formaldehyde is found in embalming fluid, medicines, fabric softeners, dishwashing liquid, paints, plywood, and particleboard. It irritates the throat, nose, eyes, and skin.\u003c/p>\n\u003cp>If there are opponents to a ban on formaldehyde in hair straighteners, they have not raised their voices. Even the Personal Care Products Council, which represents hair straightener manufacturers, supports a formaldehyde ban, spokesperson Stefanie Harrington said in an email. More than 10 years ago, she noted, a \u003ca href=\"https://journals.sagepub.com/doi/10.1177/1091581813511831?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed\">panel of industry-paid experts\u003c/a> deemed hair products with formaldehyde unsafe when heated.\u003c/p>\n\u003cp>California and Maryland will ban formaldehyde from all personal-care products starting next year. And manufacturers already have curtailed their use of formaldehyde in hair care products. Reports to the California Department of Public Health’s \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/CSCP/CDPH%20Document%20Library/DataReport2023.pdf\">Safe Cosmetics Program\u003c/a> show a tenfold drop in products containing formaldehyde between 2009 and 2022.\u003c/p>\n\u003cp>John Bailey, a former director of the FDA’s Office of Cosmetics and Colors, said the federal agency often waits for the industry to remove hazardous ingredients voluntarily.\u003c/p>\n\u003cp>Cheryl Morrow co-founded \u003ca href=\"https://www.youtube.com/watch?v=y5t6JzZpRuw\">The Relaxer Advocates\u003c/a> late last year to lobby on behalf of California Curl, a business she inherited from her father, a barber who started the company, and other Black hair care companies and salons. “Ban it,” she said of formaldehyde, “but please don’t mix it up culturally with what Black people are doing.”\u003c/p>\n\u003cp>Morrow points out that the active ingredient in curl relaxer products historically is sodium hydroxide, commonly known as soda ash. She insisted the relaxers African Americans use contain no formaldehyde or other carcinogens and are safe.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0013935118301518\">A 2018 study\u003c/a> found that hair products used primarily by Black women and children contained a host of hazardous ingredients. Investigators tested 18 products, from hot oil treatments to anti-frizz polishes, conditioners, and relaxers. In each of the products, they found at least four and as many as 30 endocrine-disrupting chemicals.\u003c/p>\n\u003cp>[aside tag=\"public-health\" label=\"More Public Health Stories\"]Racist beauty standards have long compelled girls and women with kinky hair to straighten it. Between 84% and 95% of Black women in the U.S. have reported using relaxers, studies show.\u003c/p>\n\u003cp>Black women’s often frequent and lifelong application of chemical relaxers to their hair and scalp might explain why hormone-related cancers kill more Black women than white women per capita, Bertrand and other epidemiologists say. Relaxers can be so habit-forming that users call them “\u003ca href=\"https://blackhairinformation.com/glossary/what-is-creamy-crack/\">creamy crack\u003c/a>.”\u003c/p>\n\u003cp>As a public health educator, \u003ca href=\"https://www.cablackhealthnetwork.org/our-staff/\">Astrid Williams\u003c/a>, director of programs and initiatives at the California Black Health Network, has known the health risks associated with hair relaxers for years. Nonetheless, she used them from age 13 until two years ago, when she was 45.\u003c/p>\n\u003cp>“I felt I had to show up in a certain way,” she said.\u003c/p>\n\u003cp>A formaldehyde ban won’t make “creamy crack” safe, she said. “It’s not even a band-aid. The solution is to address all chemicals that pose risk.”\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003c/em>\u003ca href=\"https://kffhealthnews.org/about-us/\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem>, a national newsroom that produces in-depth journalism about health issues. KFF Health News is the publisher of \u003c/em>\u003ca href=\"http://californiahealthline.org/\">\u003cem>California Healthline\u003c/em>\u003c/a>\u003cem>, an editorially independent service of the \u003c/em>\u003ca href=\"https://www.chcf.org/\">\u003cem>California Health Care Foundation\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2024 KFF Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">KFF Health News\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=FDA+move+to+ban+formaldehyde+in+hair+straighteners+called+too+little%2C+too+late&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"The FDA will soon move to ban formaldehyde in hair-straightening products. It's more than a decade after research raised alarms about health risks and other worrying chemicals remain in the products. ","status":"publish","parent":0,"modified":1707338136,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1486},"headData":{"title":"FDA Move to Ban Formaldehyde in Hair Straighteners Called Too Little, Too Late | KQED","description":"The FDA will soon move to ban formaldehyde in hair-straightening products. It's more than a decade after research raised alarms about health risks and other worrying chemicals remain in the products. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"FDA Move to Ban Formaldehyde in Hair Straighteners Called Too Little, Too Late","datePublished":"2024-02-07T12:00:41.000Z","dateModified":"2024-02-07T20:35:36.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprImageCredit":"Bill Clark","nprByline":"Ronnie Cohen","nprImageAgency":"CQ-Roll Call, Inc via Getty Images","nprStoryId":"1229421257","nprApiLink":"http://api.npr.org/query?id=1229421257&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2024/02/06/1229421257/formaldehyde-hair-straighteners-curl-relaxers-cancer-risk-fda?ft=nprml&f=1229421257","nprRetrievedStory":"1","nprPubDate":"Tue, 06 Feb 2024 09:28:00 -0500","nprStoryDate":"Tue, 06 Feb 2024 09:28:00 -0500","nprLastModifiedDate":"Tue, 06 Feb 2024 09:28:00 -0500","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11974828/fda-move-to-ban-formaldehyde-in-hair-straighteners-called-too-little-too-late","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In April, a dozen years after a federal agency \u003ca href=\"https://www.nationalacademies.org/our-work/review-of-the-formaldehyde-assessment-in-the-national-toxicology-program-12th-report-on-carcinogens\">classified formaldehyde\u003c/a> as a human carcinogen, the U.S. Food and Drug Administration is tentatively scheduled to unveil \u003ca href=\"https://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202304&RIN=0910-AI83\">a proposal\u003c/a> to consider banning the chemical in hair-straightening products.\u003c/p>\n\u003cp>The move comes at a time of rising alarm among researchers over the health effects of hair straighteners, products widely used by and heavily marketed to Black women. However, advocates and scientists say the proposed new regulation would do far too little and be far too late.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘It’s a clear example of failure in public health protection.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"David Andrews, senior scientist, Environmental Working Group","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“The fact that formaldehyde is still allowed in hair care products is mind-blowing to me,” said \u003ca href=\"https://www.nih.gov/about-nih/who-we-are/nih-director/statements/statement-retirement-dr-linda-birnbaum\">Linda Birnbaum\u003c/a>, a former director of the National Institute of Environmental Health Sciences and the National Toxicology Program. “I don’t know what we’re waiting for.”\u003c/p>\n\u003cp>Asked why it’s taking so long to get the issue on the FDA’s agenda, \u003ca href=\"https://www.fda.gov/about-fda/fda-organization/namandje-bumpus\">Namandjé Bumpus\u003c/a>, the regulatory agency’s chief scientist, told KFF Health News: “I think primarily the science has progressed.”\u003c/p>\n\u003cp>“Also,” she added, “the agency is always balancing multiple priorities. It is a priority for us now.”\u003c/p>\n\u003cp>The FDA’s glacial response to concerns about formaldehyde and other hazardous chemicals in hair straighteners partly reflects the agency’s limited powers when it comes to cosmetics and personal-care products, according to \u003ca href=\"https://publichealth.gwu.edu/departments/environmental-and-occupational-health-office-dean/lynn-r-goldman\">Lynn Goldman\u003c/a>, a former assistant administrator for toxic substances at the U.S. Environmental Protection Agency. Under the law, she said, the FDA must consider all chemical ingredients “innocent until proven guilty.”\u003c/p>\n\u003cp>Critics say it also points to broader problems. “It’s a clear example of failure in public health protection,” said David Andrews, senior scientist at the Environmental Working Group, which first petitioned the agency to ban formaldehyde in hair straighteners in 2011 and sued over the issue in 2016. “The public is still waiting for this response.”\u003c/p>\n\u003cp>The \u003ca href=\"https://www.fda.gov/cosmetics/cosmetic-products/hair-smoothing-products-release-formaldehyde-when-heated\">FDA said consumers\u003c/a> should ask their hair stylists about ingredients and can look for these words on labels:\u003c/p>\n\u003cul>\n\u003cli>Formaldehyde\u003c/li>\n\u003cli>Formalin\u003c/li>\n\u003cli>Methylene glycol\u003c/li>\n\u003c/ul>\n\u003cp>Mounting evidence linking hair straighteners to hormone-driven cancers prompted Reps. Ayanna Pressley (D-Mass.) and Shontel Brown (D-Ohio) \u003ca href=\"https://pressley.house.gov/wp-content/uploads/2023/03/2023-03-15-FINAL-Pressley-Brown-Chemical-Hair-Straighteners-Link-to-Uterine-Cancer-FDA-Letter-v2-PDF.pdf\">urged the regulatory agency\u003c/a> to investigate straighteners and relaxers last year.\u003c/p>\n\u003cp>The FDA responded by proposing to do what many scientists say the agency should have done years ago — initiate a plan to eventually outlaw chemical straighteners that contain or emit formaldehyde.\u003c/p>\n\u003cp>Such a ban would be a crucial public health step but doesn’t go nearly far enough, scientists who study the issue said. The elevated risk of breast, ovarian and uterine cancers that epidemiological studies have recently associated with hair straighteners is likely due to ingredients other than formaldehyde, they said.\u003c/p>\n\u003cp>Formaldehyde has been linked to an increased risk of upper respiratory tract cancer and myeloid leukemia, Bumpus \u003ca href=\"https://twitter.com/DrBumpusFDA/status/1714737379787907521\">said in a video announcement\u003c/a> of the proposed ban on X, formerly known as Twitter. But Kimberly Bertrand, an associate professor at the Boston University Chobanian & Avedisian School of Medicine and other scientists said they were unaware of any studies linking formaldehyde to the hormone-driven, or reproductive, cancers that prompted recent calls for the FDA to act.\u003c/p>\n\u003cp>“It’s hard for me to imagine that removing formaldehyde will have an impact on the incidence of these reproductive cancers,” said Bertrand, an epidemiologist and lead author on \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/37821068/\">a December study\u003c/a>, the second linking hair relaxers to an increased risk of uterine cancer.\u003c/p>\n\u003cp>Hair products targeted at African Americans contain a host of hazardous chemicals, said \u003ca href=\"https://www.hsph.harvard.edu/profile/tamarra-james-todd/\">Tamarra James-Todd\u003c/a>, an epidemiology professor at the Harvard T.H. Chan School of Public Health who has studied the issue for 20 years.\u003c/p>\n\u003cp>Studies have shown that straightener ingredients include phthalates, parabens, and other \u003ca href=\"https://www.niehs.nih.gov/health/topics/agents/endocrine/index.cfm\">endocrine-disrupting compounds\u003c/a> that mimic the body’s hormones and have been linked to cancers as well as early puberty, fibroids, diabetes, and gestational high blood pressure, which is a key contributor to Black women’s outsize risk of maternal mortality, James-Todd said.\u003c/p>\n\u003cp>“We have to do a better job regulating ingredients that people are exposed to, particularly some of our most vulnerable in this country,” she said. “I mean, children are being exposed to these.”\u003c/p>\n\u003cp>The first study linking hair relaxers to uterine cancer, published in 2022, found that frequent use of chemical straighteners more than doubled a woman’s risk. It followed studies showing women who frequently used hair relaxers doubled their ovarian cancer risk and had a 31% higher risk of breast cancer.\u003c/p>\n\u003cp>Bumpus praised the studies as “scientifically sound” and said she would leave epidemiologists and others questions about whether straightener ingredients besides formaldehyde might contribute to an elevated risk of hormone-driven cancers.\u003c/p>\n\u003cp>She could not offer a timeline for a formaldehyde ban except to say the agency was scheduled to initiate proceedings in April. The schedule could change, she said, and she did not know how long the process of finalizing a rule would take.\u003c/p>\n\u003cp>Brazilian Blowouts and similar hair-smoothing treatments sometimes use formaldehyde as a glue to hold the hair straight for months. Stylists usually seal the product into the hair with a flat iron. Heat converts liquid formaldehyde into a gas that creates fumes that can sicken salon workers and patrons.\u003c/p>\n\u003cp>In addition to cosmetics, formaldehyde is found in embalming fluid, medicines, fabric softeners, dishwashing liquid, paints, plywood, and particleboard. It irritates the throat, nose, eyes, and skin.\u003c/p>\n\u003cp>If there are opponents to a ban on formaldehyde in hair straighteners, they have not raised their voices. Even the Personal Care Products Council, which represents hair straightener manufacturers, supports a formaldehyde ban, spokesperson Stefanie Harrington said in an email. More than 10 years ago, she noted, a \u003ca href=\"https://journals.sagepub.com/doi/10.1177/1091581813511831?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed\">panel of industry-paid experts\u003c/a> deemed hair products with formaldehyde unsafe when heated.\u003c/p>\n\u003cp>California and Maryland will ban formaldehyde from all personal-care products starting next year. And manufacturers already have curtailed their use of formaldehyde in hair care products. Reports to the California Department of Public Health’s \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/CSCP/CDPH%20Document%20Library/DataReport2023.pdf\">Safe Cosmetics Program\u003c/a> show a tenfold drop in products containing formaldehyde between 2009 and 2022.\u003c/p>\n\u003cp>John Bailey, a former director of the FDA’s Office of Cosmetics and Colors, said the federal agency often waits for the industry to remove hazardous ingredients voluntarily.\u003c/p>\n\u003cp>Cheryl Morrow co-founded \u003ca href=\"https://www.youtube.com/watch?v=y5t6JzZpRuw\">The Relaxer Advocates\u003c/a> late last year to lobby on behalf of California Curl, a business she inherited from her father, a barber who started the company, and other Black hair care companies and salons. “Ban it,” she said of formaldehyde, “but please don’t mix it up culturally with what Black people are doing.”\u003c/p>\n\u003cp>Morrow points out that the active ingredient in curl relaxer products historically is sodium hydroxide, commonly known as soda ash. She insisted the relaxers African Americans use contain no formaldehyde or other carcinogens and are safe.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0013935118301518\">A 2018 study\u003c/a> found that hair products used primarily by Black women and children contained a host of hazardous ingredients. Investigators tested 18 products, from hot oil treatments to anti-frizz polishes, conditioners, and relaxers. In each of the products, they found at least four and as many as 30 endocrine-disrupting chemicals.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"public-health","label":"More Public Health Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Racist beauty standards have long compelled girls and women with kinky hair to straighten it. Between 84% and 95% of Black women in the U.S. have reported using relaxers, studies show.\u003c/p>\n\u003cp>Black women’s often frequent and lifelong application of chemical relaxers to their hair and scalp might explain why hormone-related cancers kill more Black women than white women per capita, Bertrand and other epidemiologists say. Relaxers can be so habit-forming that users call them “\u003ca href=\"https://blackhairinformation.com/glossary/what-is-creamy-crack/\">creamy crack\u003c/a>.”\u003c/p>\n\u003cp>As a public health educator, \u003ca href=\"https://www.cablackhealthnetwork.org/our-staff/\">Astrid Williams\u003c/a>, director of programs and initiatives at the California Black Health Network, has known the health risks associated with hair relaxers for years. Nonetheless, she used them from age 13 until two years ago, when she was 45.\u003c/p>\n\u003cp>“I felt I had to show up in a certain way,” she said.\u003c/p>\n\u003cp>A formaldehyde ban won’t make “creamy crack” safe, she said. “It’s not even a band-aid. The solution is to address all chemicals that pose risk.”\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003c/em>\u003ca href=\"https://kffhealthnews.org/about-us/\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem>, a national newsroom that produces in-depth journalism about health issues. KFF Health News is the publisher of \u003c/em>\u003ca href=\"http://californiahealthline.org/\">\u003cem>California Healthline\u003c/em>\u003c/a>\u003cem>, an editorially independent service of the \u003c/em>\u003ca href=\"https://www.chcf.org/\">\u003cem>California Health Care Foundation\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2024 KFF Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">KFF Health News\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=FDA+move+to+ban+formaldehyde+in+hair+straighteners+called+too+little%2C+too+late&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\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>\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/11974828/fda-move-to-ban-formaldehyde-in-hair-straighteners-called-too-little-too-late","authors":["byline_news_11974828"],"categories":["news_8","news_13","news_356"],"tags":["news_27626","news_19960"],"featImg":"news_11974829","label":"news"},"news_11974782":{"type":"posts","id":"news_11974782","meta":{"index":"posts_1591205157","site":"news","id":"11974782","score":null,"sort":[1707237111000]},"guestAuthors":[],"slug":"uc-optometrists-2-day-strike-could-delay-hundreds-of-patient-appointments","title":"UC Optometrists' 2-Day Strike Could Delay Hundreds of Patient Appointments","publishDate":1707237111,"format":"standard","headTitle":"UC Optometrists’ 2-Day Strike Could Delay Hundreds of Patient Appointments | KQED","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Optometrists at University of California campuses started a two-day strike on Tuesday over what they call labor law violations by their employer during negotiations for salaries and benefits. Hundreds of patients with appointments this week may have to reschedule.\u003c/p>\n\u003cp>The \u003ca href=\"https://drive.google.com/file/d/1HhlJjh9pipFhzWpXzBHW3VEY4vUUporQ/view\">work stoppage\u003c/a> comes as UC and the University Professional and Technical Employees, Communication Workers of America Local 9119, have failed over a year to agree on the terms of employment for more than 80 optometrists who joined the union in 2022. Both parties have recently filed unfair labor practice charges against each other with state regulators.[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Nicole Mercho, optometrist, UCSF Health\"]‘We love our patients. But it just feels like this strike is the only option that we have left.’[/pullquote]\u003c/p>\n\u003cp>Union representatives said noncompetitive compensation and lack of career growth opportunities contribute to the recruitment of new talent and retention problems.\u003c/p>\n\u003cp>As a result, at UCSF Health, one of the nation’s top-ranked ophthalmology hospitals, some patients wait six to eight months for an appointment, said Dr. Nicole Mercho, 29, who works at the hospital’s Glaucoma Clinic.\u003c/p>\n\u003cp>UCSF optometrists, who see about 12 to 14 patients daily on a regular schedule, manage a variety of ocular diseases and eye infections in patients often referred to the hospital from as far away as Eureka, Modesto and Stockton.\u003c/p>\n\u003cp>“We love our patients. But it just feels like this strike is the only option that we have left,” Mercho said. “It’s very frustrating that UC has not really bargained in good faith. They’re kind of dragging their feet. They are not taking it seriously.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A spokesperson for UC told KQED that each location would handle notifications for impacted patients by the work stoppage.\u003c/p>\n\u003cp>Since January 2023, the union and UC representatives have met nearly a dozen times to work through issues to integrate the newly represented optometrists into an existing contract agreement that covers 6,500 \u003ca href=\"https://ucnet.universityofcalifornia.edu/labor/bargaining-units/hx/index.html\">health care professional unit members\u003c/a>. But that process has come to a standstill, according to union representatives.\u003c/p>\n\u003cp>Last month, the union took its case to the California Public Employment Relations Board, \u003ca href=\"https://drive.google.com/file/d/1L11KqGzxt-O3EyMGns9lsuOCYjhqiPB5/view\">accusing\u003c/a> the university of violations that include refusing to disclose “essential” data for bargaining on wages and withholding contact information for new unit members for months.\u003c/p>\n\u003cfigure id=\"attachment_11974804\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974804\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg\" alt=\"The exterior shot of the UCSF Health building in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The outside of UCSF Health, one of the nation’s top-ranked ophthalmology hospitals. \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Matias Campos, executive vice president at UPTE CWA Local 9119, said UC’s conduct undermines collective bargaining.\u003c/p>\n\u003cp>“We all have an interest in making sure that large public employers like the University of California are conducting themselves in an appropriate manner under labor law,” Campos told KQED. “And if a public institution like the university, that is subject to oversight, [and a] recipient of a tremendous amount of public resources, thinks that they can get away with committing unfair labor practices at the bargaining table, that should be alarming to every worker in California and every taxpayer in California.”[aside tag=\"uc-strike,union\" label=\"More Related Coverage\"]\u003c/p>\n\u003cp>UC responded by filing its own unfair labor practice \u003ca href=\"https://s3.documentcloud.org/documents/24409156/2024-02-02-uc-v-upte-perb.pdf\">charges\u003c/a> against UPTE CWA Local 9119 last week, rejecting the union’s accusations.\u003c/p>\n\u003cp>The university argued that it is simply insisting that the terms of a collective bargaining agreement that already applies to healthcare professionals in the unit also apply to optometrists and that this week’s work stoppage represented an “unlawful pre-impasse strike.”\u003c/p>\n\u003cp>“The University of California respects the rights of employees to organize and is committed to good-faith bargaining across our system with unions, including the University Professional and Technical Employees Union (UPTE),” said a UC spokesperson in a statement. “The University believes the planned UPTE action related to this limited group of employees is an unlawful exercise by the union.”\u003c/p>\n\u003cp>The spokesperson added that the two parties had reached tentative agreements on incentive compensation and other issues during the bargaining process.\u003c/p>\n\u003cp>The San Francisco Board of Supervisors is scheduled to vote Tuesday on \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=6503388&GUID=DC407C91-30E9-4BAA-A937-277B932BD49A\">a resolution\u003c/a>, sponsored by six members, supporting UPTE-CWA Local 9119 optometrists and urging UC’s administration to swiftly reach an agreement that recognizes the issues raised by the employees.\u003c/p>\n\u003cp>Optometrists plan to hold a picket line outside UC medical centers in San Francisco, Los Angeles, San Diego and Davis. San Francisco Supervisors Dean Preston and Hillary Ronen are expected to speak at a strike rally on Wednesday at UCSF.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Optometrists at University of California campuses are striking for two days this week over what they call unfair labor practices by their employer during negotiations for salaries and benefits. ","status":"publish","parent":0,"modified":1707244915,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":766},"headData":{"title":"UC Optometrists' 2-Day Strike Could Delay Hundreds of Patient Appointments | KQED","description":"Optometrists at University of California campuses are striking for two days this week over what they call unfair labor practices by their employer during negotiations for salaries and benefits. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"UC Optometrists' 2-Day Strike Could Delay Hundreds of Patient Appointments","datePublished":"2024-02-06T16:31:51.000Z","dateModified":"2024-02-06T18:41:55.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-4[…]f-aaef00f5a073/d5903250-7112-4675-9a57-b10e012b361d/audio.mp3","sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11974782/uc-optometrists-2-day-strike-could-delay-hundreds-of-patient-appointments","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Optometrists at University of California campuses started a two-day strike on Tuesday over what they call labor law violations by their employer during negotiations for salaries and benefits. Hundreds of patients with appointments this week may have to reschedule.\u003c/p>\n\u003cp>The \u003ca href=\"https://drive.google.com/file/d/1HhlJjh9pipFhzWpXzBHW3VEY4vUUporQ/view\">work stoppage\u003c/a> comes as UC and the University Professional and Technical Employees, Communication Workers of America Local 9119, have failed over a year to agree on the terms of employment for more than 80 optometrists who joined the union in 2022. Both parties have recently filed unfair labor practice charges against each other with state regulators.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We love our patients. But it just feels like this strike is the only option that we have left.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Nicole Mercho, optometrist, UCSF Health","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Union representatives said noncompetitive compensation and lack of career growth opportunities contribute to the recruitment of new talent and retention problems.\u003c/p>\n\u003cp>As a result, at UCSF Health, one of the nation’s top-ranked ophthalmology hospitals, some patients wait six to eight months for an appointment, said Dr. Nicole Mercho, 29, who works at the hospital’s Glaucoma Clinic.\u003c/p>\n\u003cp>UCSF optometrists, who see about 12 to 14 patients daily on a regular schedule, manage a variety of ocular diseases and eye infections in patients often referred to the hospital from as far away as Eureka, Modesto and Stockton.\u003c/p>\n\u003cp>“We love our patients. But it just feels like this strike is the only option that we have left,” Mercho said. “It’s very frustrating that UC has not really bargained in good faith. They’re kind of dragging their feet. They are not taking it seriously.”\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>A spokesperson for UC told KQED that each location would handle notifications for impacted patients by the work stoppage.\u003c/p>\n\u003cp>Since January 2023, the union and UC representatives have met nearly a dozen times to work through issues to integrate the newly represented optometrists into an existing contract agreement that covers 6,500 \u003ca href=\"https://ucnet.universityofcalifornia.edu/labor/bargaining-units/hx/index.html\">health care professional unit members\u003c/a>. But that process has come to a standstill, according to union representatives.\u003c/p>\n\u003cp>Last month, the union took its case to the California Public Employment Relations Board, \u003ca href=\"https://drive.google.com/file/d/1L11KqGzxt-O3EyMGns9lsuOCYjhqiPB5/view\">accusing\u003c/a> the university of violations that include refusing to disclose “essential” data for bargaining on wages and withholding contact information for new unit members for months.\u003c/p>\n\u003cfigure id=\"attachment_11974804\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974804\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg\" alt=\"The exterior shot of the UCSF Health building in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The outside of UCSF Health, one of the nation’s top-ranked ophthalmology hospitals. \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Matias Campos, executive vice president at UPTE CWA Local 9119, said UC’s conduct undermines collective bargaining.\u003c/p>\n\u003cp>“We all have an interest in making sure that large public employers like the University of California are conducting themselves in an appropriate manner under labor law,” Campos told KQED. “And if a public institution like the university, that is subject to oversight, [and a] recipient of a tremendous amount of public resources, thinks that they can get away with committing unfair labor practices at the bargaining table, that should be alarming to every worker in California and every taxpayer in California.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"uc-strike,union","label":"More Related Coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UC responded by filing its own unfair labor practice \u003ca href=\"https://s3.documentcloud.org/documents/24409156/2024-02-02-uc-v-upte-perb.pdf\">charges\u003c/a> against UPTE CWA Local 9119 last week, rejecting the union’s accusations.\u003c/p>\n\u003cp>The university argued that it is simply insisting that the terms of a collective bargaining agreement that already applies to healthcare professionals in the unit also apply to optometrists and that this week’s work stoppage represented an “unlawful pre-impasse strike.”\u003c/p>\n\u003cp>“The University of California respects the rights of employees to organize and is committed to good-faith bargaining across our system with unions, including the University Professional and Technical Employees Union (UPTE),” said a UC spokesperson in a statement. “The University believes the planned UPTE action related to this limited group of employees is an unlawful exercise by the union.”\u003c/p>\n\u003cp>The spokesperson added that the two parties had reached tentative agreements on incentive compensation and other issues during the bargaining process.\u003c/p>\n\u003cp>The San Francisco Board of Supervisors is scheduled to vote Tuesday on \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=6503388&GUID=DC407C91-30E9-4BAA-A937-277B932BD49A\">a resolution\u003c/a>, sponsored by six members, supporting UPTE-CWA Local 9119 optometrists and urging UC’s administration to swiftly reach an agreement that recognizes the issues raised by the employees.\u003c/p>\n\u003cp>Optometrists plan to hold a picket line outside UC medical centers in San Francisco, Los Angeles, San Diego and Davis. San Francisco Supervisors Dean Preston and Hillary Ronen are expected to speak at a strike rally on Wednesday at UCSF.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11974782/uc-optometrists-2-day-strike-could-delay-hundreds-of-patient-appointments","authors":["8659"],"programs":["news_72"],"categories":["news_18540","news_457","news_8"],"tags":["news_18545","news_20013","news_33801","news_27626","news_18543","news_19904","news_19960","news_23180","news_2659","news_3733"],"featImg":"news_11974807","label":"news_72"},"news_11974695":{"type":"posts","id":"news_11974695","meta":{"index":"posts_1591205157","site":"news","id":"11974695","score":null,"sort":[1707151787000]},"guestAuthors":[],"slug":"san-francisco-considers-a-measure-to-screen-welfare-recipients-for-addiction","title":"San Francisco Considers a Measure to Screen Welfare Recipients for Addiction","publishDate":1707151787,"format":"standard","headTitle":"San Francisco Considers a Measure to Screen Welfare Recipients for Addiction | KQED","labelTerm":{"site":"news"},"content":"\u003cp>The Democratic mayor of San Francisco is pushing a pair of controversial public safety proposals on the March 5 ballot, including one that would require single adults on welfare to be screened and treated for illegal drug addiction or else lose cash assistance.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/domestic-general-news-3b2cac01584f4479b7b1da0bde1c8a88\">Mayor London Breed\u003c/a> also supports a ballot measure that would grant police more crime-fighting powers, such as using drones and surveillance cameras. In November, she’ll face cranky voters in a competitive reelection bid.\u003c/p>\n\u003cp>San Francisco is in a struggle to redefine itself after the pandemic left it in economic tatters and highlighted its \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/coronavirus-pandemic-sports-business-health-lifestyle-538efc664e9da0d2f0831f3f3ed9a4d7\">longstanding problems\u003c/a> with homelessness, drugs and property crime. Opponents say both ballot measures are wildly out of step with San Francisco’s support for privacy and civil liberties and will only hurt the marginalized communities the city prides itself on helping. [pullquote size=\"medium\" align=\"right\" citation=\"San Francisco Mayor London Breed\"]‘They said San Francisco makes it too easy for people to access and to use drugs on the streets of the city, and we need to do something a lot more aggressive.’[/pullquote]But Breed, the first Black woman to lead San Francisco, said at a January campaign stop that residents from poorer, Black and immigrant neighborhoods are pleading for more police, and recovery advocates are demanding change as more than 800 people died of accidental overdose last year — a record fueled by the abundance of cheap and potent fentanyl.\u003c/p>\n\u003cp>“They said San Francisco makes it too easy for people to access and to use drugs on the streets of the city, and we need to do something a lot more aggressive,” Breed said at Footprint, an athletic apparel and shoe store that has been repeatedly burglarized.\u003c/p>\n\u003cp>While Breed’s name isn’t on the presidential primary ballots going out now — San Francisco uses a method where residents rank mayoral candidates by preference a single time in November — the two measures she’s pushing are. They serve as an opening salvo for her reelection campaign as she faces off against fellow moderates who say her approach to the city’s problems has been weak.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Violent crimes are low in San Francisco, but the city has long struggled with quality-of-life crimes.\u003c/p>\n\u003cp>Breed said rates of retail theft and auto smash-ins have declined recently, thanks in large part to strategic operations by city police. Similarly, police have stepped up enforcement of drug laws, including by issuing citations to people using drugs in public as a way to disrupt the behavior and an opportunity to persuade the person cited to seek help.\u003c/p>\n\u003cp>But she said San Francisco needs to do more.\u003c/p>\n\u003cp>If approved by voters, Proposition F would offer another way to compel treatment by allowing the city to screen single adults on local welfare for substance abuse. People found to be abusing illegal drugs would be required to enroll in treatment if they want to receive cash assistance from the city, which maxes out at just over $700 a month. [aside label='More Stories on Public Health' tag='public-health']Opponents say coercion doesn’t work and homelessness may increase if the measure passes. Drug addicts are not criminals, they say, and there are not enough treatment beds and counseling services as it is.\u003c/p>\n\u003cp>A crackdown on drugs is reminiscent of the failed war on drugs that disproportionately harmed Black families, said Chris Ballard, co-executive director of Coleman Advocates, which pushes for improvements for Black and Latino youth in San Francisco.\u003c/p>\n\u003cp>“There are more ethical ways to address the issue aside from punitive measures, and that’s the proper way to take care of a community, to show true support,” he said.\u003c/p>\n\u003cp>Yet Trent Rhorer, executive director of the San Francisco Human Services Agency, which provides cash assistance and employment services to low-income residents without dependent children, said the current situation conflicts with the agency’s mission: to improve lives.\u003c/p>\n\u003cp>“To give someone who’s addicted to fentanyl $700 a month, I don’t think it helps improve their lives,” he said. “In fact, I think it does the opposite.”\u003c/p>\n\u003cp>Compelling treatment has become more acceptable in Democratic California, despite angst over the potential loss of civil liberties, as visible signs of homelessness and mental illness, fentanyl addiction, and unsafe street behavior surge.\u003c/p>\n\u003cp>Last year, several counties rolled out an alternative mental health court created by Democratic Gov. Gavin Newsom, former mayor of San Francisco, to fast-track people with untreated schizophrenia and related disorders into care, and in March, voters will take up a statewide mental health proposition, that some say will increase involuntary treatment.\u003c/p>\n\u003cp>Rhorer said the welfare program for single adults — which serves about 9,000 people per year — already asks applicants about substance abuse, with about 20% self-reporting an issue. A data check with the Department of Public Health revealed that almost one-third of recipients have been diagnosed with a substance use disorder, he said.\u003c/p>\n\u003cp>The ballot measure would replace that question with a more rigorous screening test that an addiction specialist would verify. If substance abuse is found, Rhorer said, the specialist and applicant would agree on treatment options that include residential care, a 12-step program, individual counseling and replacement medication. [pullquote size=\"medium\" align=\"right\" citation=\"Michael Hsu, store owner, Footprint USA\"]‘You’re sending the wrong message to these criminals.’[/pullquote]There is no requirement that the person be sober, only that they make good-faith efforts to attend their program, with the hope that “at one point a light bulb will go off,” Rhorer said.\u003c/p>\n\u003cp>The measure calls for the city to pay the rent of those accepted into the program for 30 days or longer to avoid eviction. About 30% of the people who fatally overdosed in 2023 were homeless, and more were living in subsidized city housing.\u003c/p>\n\u003cp>Besides authorizing drones, cameras and other modern technologies, Proposition E would reduce paperwork so police have more time to patrol. It would also allow police to pursue more suspects by vehicle, not just in cases of a violent felony or immediate threat to public safety — a policy store owner Michael Hsu learned of the hard way.\u003c/p>\n\u003cp>Hsu has had his Footprint store broken into multiple times since he took over in 2020, most recently on Jan. 1. Police arrived as the suspects were leaving but could not pursue them because no lives were at risk. Hsu, who lost about $20,000 in merchandise and damage, called that discouraging.\u003c/p>\n\u003cp>“You’re sending the wrong message to these criminals,” he said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"The Democratic mayor of San Francisco is pushing a March 5 ballot measure that would require single adults on welfare to be screened and treated for illegal drug addiction or else lose cash assistance.","status":"publish","parent":0,"modified":1707162574,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":1132},"headData":{"title":"San Francisco Considers a Measure to Screen Welfare Recipients for Addiction | KQED","description":"The Democratic mayor of San Francisco is pushing a March 5 ballot measure that would require single adults on welfare to be screened and treated for illegal drug addiction or else lose cash assistance.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco Considers a Measure to Screen Welfare Recipients for Addiction","datePublished":"2024-02-05T16:49:47.000Z","dateModified":"2024-02-05T19:49:34.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"\u003ca href=\"https://apnews.com/\">Janie Har\u003c/a> \u003cbr> Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11974695/san-francisco-considers-a-measure-to-screen-welfare-recipients-for-addiction","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Democratic mayor of San Francisco is pushing a pair of controversial public safety proposals on the March 5 ballot, including one that would require single adults on welfare to be screened and treated for illegal drug addiction or else lose cash assistance.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/domestic-general-news-3b2cac01584f4479b7b1da0bde1c8a88\">Mayor London Breed\u003c/a> also supports a ballot measure that would grant police more crime-fighting powers, such as using drones and surveillance cameras. In November, she’ll face cranky voters in a competitive reelection bid.\u003c/p>\n\u003cp>San Francisco is in a struggle to redefine itself after the pandemic left it in economic tatters and highlighted its \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/coronavirus-pandemic-sports-business-health-lifestyle-538efc664e9da0d2f0831f3f3ed9a4d7\">longstanding problems\u003c/a> with homelessness, drugs and property crime. Opponents say both ballot measures are wildly out of step with San Francisco’s support for privacy and civil liberties and will only hurt the marginalized communities the city prides itself on helping. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘They said San Francisco makes it too easy for people to access and to use drugs on the streets of the city, and we need to do something a lot more aggressive.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"San Francisco Mayor London Breed","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>But Breed, the first Black woman to lead San Francisco, said at a January campaign stop that residents from poorer, Black and immigrant neighborhoods are pleading for more police, and recovery advocates are demanding change as more than 800 people died of accidental overdose last year — a record fueled by the abundance of cheap and potent fentanyl.\u003c/p>\n\u003cp>“They said San Francisco makes it too easy for people to access and to use drugs on the streets of the city, and we need to do something a lot more aggressive,” Breed said at Footprint, an athletic apparel and shoe store that has been repeatedly burglarized.\u003c/p>\n\u003cp>While Breed’s name isn’t on the presidential primary ballots going out now — San Francisco uses a method where residents rank mayoral candidates by preference a single time in November — the two measures she’s pushing are. They serve as an opening salvo for her reelection campaign as she faces off against fellow moderates who say her approach to the city’s problems has been weak.\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>Violent crimes are low in San Francisco, but the city has long struggled with quality-of-life crimes.\u003c/p>\n\u003cp>Breed said rates of retail theft and auto smash-ins have declined recently, thanks in large part to strategic operations by city police. Similarly, police have stepped up enforcement of drug laws, including by issuing citations to people using drugs in public as a way to disrupt the behavior and an opportunity to persuade the person cited to seek help.\u003c/p>\n\u003cp>But she said San Francisco needs to do more.\u003c/p>\n\u003cp>If approved by voters, Proposition F would offer another way to compel treatment by allowing the city to screen single adults on local welfare for substance abuse. People found to be abusing illegal drugs would be required to enroll in treatment if they want to receive cash assistance from the city, which maxes out at just over $700 a month. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More Stories on Public Health ","tag":"public-health"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Opponents say coercion doesn’t work and homelessness may increase if the measure passes. Drug addicts are not criminals, they say, and there are not enough treatment beds and counseling services as it is.\u003c/p>\n\u003cp>A crackdown on drugs is reminiscent of the failed war on drugs that disproportionately harmed Black families, said Chris Ballard, co-executive director of Coleman Advocates, which pushes for improvements for Black and Latino youth in San Francisco.\u003c/p>\n\u003cp>“There are more ethical ways to address the issue aside from punitive measures, and that’s the proper way to take care of a community, to show true support,” he said.\u003c/p>\n\u003cp>Yet Trent Rhorer, executive director of the San Francisco Human Services Agency, which provides cash assistance and employment services to low-income residents without dependent children, said the current situation conflicts with the agency’s mission: to improve lives.\u003c/p>\n\u003cp>“To give someone who’s addicted to fentanyl $700 a month, I don’t think it helps improve their lives,” he said. “In fact, I think it does the opposite.”\u003c/p>\n\u003cp>Compelling treatment has become more acceptable in Democratic California, despite angst over the potential loss of civil liberties, as visible signs of homelessness and mental illness, fentanyl addiction, and unsafe street behavior surge.\u003c/p>\n\u003cp>Last year, several counties rolled out an alternative mental health court created by Democratic Gov. Gavin Newsom, former mayor of San Francisco, to fast-track people with untreated schizophrenia and related disorders into care, and in March, voters will take up a statewide mental health proposition, that some say will increase involuntary treatment.\u003c/p>\n\u003cp>Rhorer said the welfare program for single adults — which serves about 9,000 people per year — already asks applicants about substance abuse, with about 20% self-reporting an issue. A data check with the Department of Public Health revealed that almost one-third of recipients have been diagnosed with a substance use disorder, he said.\u003c/p>\n\u003cp>The ballot measure would replace that question with a more rigorous screening test that an addiction specialist would verify. If substance abuse is found, Rhorer said, the specialist and applicant would agree on treatment options that include residential care, a 12-step program, individual counseling and replacement medication. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘You’re sending the wrong message to these criminals.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Michael Hsu, store owner, Footprint USA","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>There is no requirement that the person be sober, only that they make good-faith efforts to attend their program, with the hope that “at one point a light bulb will go off,” Rhorer said.\u003c/p>\n\u003cp>The measure calls for the city to pay the rent of those accepted into the program for 30 days or longer to avoid eviction. About 30% of the people who fatally overdosed in 2023 were homeless, and more were living in subsidized city housing.\u003c/p>\n\u003cp>Besides authorizing drones, cameras and other modern technologies, Proposition E would reduce paperwork so police have more time to patrol. It would also allow police to pursue more suspects by vehicle, not just in cases of a violent felony or immediate threat to public safety — a policy store owner Michael Hsu learned of the hard way.\u003c/p>\n\u003cp>Hsu has had his Footprint store broken into multiple times since he took over in 2020, most recently on Jan. 1. Police arrived as the suspects were leaving but could not pursue them because no lives were at risk. Hsu, who lost about $20,000 in merchandise and damage, called that discouraging.\u003c/p>\n\u003cp>“You’re sending the wrong message to these criminals,” he said.\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/11974695/san-francisco-considers-a-measure-to-screen-welfare-recipients-for-addiction","authors":["byline_news_11974695"],"categories":["news_457","news_8"],"tags":["news_21434","news_18538","news_27626","news_18543","news_19960","news_38","news_18176"],"featImg":"news_11974696","label":"news"},"news_11972780":{"type":"posts","id":"news_11972780","meta":{"index":"posts_1591205157","site":"news","id":"11972780","score":null,"sort":[1705579256000]},"guestAuthors":[],"slug":"police-pilot-new-tactics-for-people-with-dementia-as-advocates-urge-compassion","title":"Police Pilot New Tactics for People With Dementia as Advocates Urge Compassion","publishDate":1705579256,"format":"standard","headTitle":"Police Pilot New Tactics for People With Dementia as Advocates Urge Compassion | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Gloria Brown was worried when she saw her husband raking leaves in the street outside their home in the city of San Mateo, bringing traffic to a halt.\u003c/p>\n\u003cp>Arthur Brown had been diagnosed with dementia a couple of years before, and Gloria knew he could become agitated. He argued and raised his voice as she held his arms to coax him out of the street, but eventually, he allowed her to lead him indoors. [pullquote size=\"medium\" align=\"right\" citation=\"Gloria Brown, San Mateo resident\"]‘They wrestled him down to the ground. There were at least four police officers and one, late 70-year-old man.’[/pullquote]Shortly after that, police were at their doorstep. An onlooker had called them, reporting an elderly couple physically fighting, according to the San Mateo police report on the June 20, 2017 incident.\u003c/p>\n\u003cp>Officers asked Arthur questions and moved close to him, Gloria said. Growing increasingly distressed, Arthur raised his hands to push the police away.\u003c/p>\n\u003cp>“They wrestled him down to the ground,” Gloria said. “There were at least four police officers and one, late 70-year-old man.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Police arrested and booked him under charges of resisting and obstructing an officer, according to police records. Gloria said he spent two nights in jail, and the charges were eventually dropped.\u003c/p>\n\u003cp>“He was so confused,” she said. “He should never, ever have been taken to jail.”\u003c/p>\n\u003cp>Arthur died four years later from complications related to Alzheimer’s disease.\u003c/p>\n\u003cfigure id=\"attachment_11971964\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971964\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED.jpg\" alt=\"Gloria Brown holds a photo of her and her late husband, Arthur Brown in her home on in San Mateo on Nov. 3, 2023.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Gloria Brown holds a photo of her and her late husband, Arthur Brown in her home on in San Mateo on Nov. 3, 2023. \u003ccite>(Courtesy of Luiz H. Monticelli)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since then, San Mateo has hired a new police chief. With the help of Gloria Brown and the Alzheimer’s Association, the department has moved to improve how police respond to people with dementia. Officers and staff received additional training to understand the condition, and the department established a voluntary registry of vulnerable adults. Families or caregivers can alert police about loved ones who have special needs and can pass along information about what triggers agitation and what works to calm them.\u003c/p>\n\u003cp>“We’re not mental health professionals. We’re definitely not clinicians,” San Mateo Police Chief Ed Barberini said. “But it’s important for us to understand the signs of certain conditions and how to best interact with members of the public.” [pullquote size=\"medium\" align=\"right\" citation=\"Brie Williams, professor of Medicine, UCSF\"]‘Old people are not just older young people,” Williams said. “They are actually old people and have a different set of health conditions and risks that they need to be aware of when they’re interacting with them on the streets.’[/pullquote]California police are required to take a minimum of 15 hours of training at the academy on how to interact with people with disabilities, and that training includes at least some information about dementia. But advocates for the elderly say it’s not enough. In previous legislative sessions, two state bills that could have required specific training for responding to people with dementia — \u003ca href=\"https://legiscan.com/CA/text/AB2583/id/2571105\">Assembly Bill 2583\u003c/a> and \u003ca href=\"https://legiscan.com/CA/text/AB21/id/2615832\">Assembly Bill 21\u003c/a> — failed to make it through the Legislature.\u003c/p>\n\u003cp>“This is an area of exceptional need, really throughout the nation,” said Brie Williams, a professor of Medicine and director of Amend at UCSF. She is also the director of the Aging Research In Criminal Justice Health Network, and she \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5555774/\">developed training about aging and dementia for San Francisco police.\u003c/a>\u003c/p>\n\u003cp>Williams said depending on the part of the brain that’s affected, people with dementia may engage in erratic behavior that can be scary for onlookers who do not understand what’s happening. Behavior that seems criminal may be medical, Williams said.\u003c/p>\n\u003cp>People wandering on the highway may be doing so because of their dementia or appear evasive when attempting to remember certain words.\u003c/p>\n\u003cp>“Old people are not just older young people,” Williams said. “They are actually old people and have a different set of health conditions and risks that they need to be aware of when they’re interacting with them on the streets.”\u003c/p>\n\u003ch2>Excessive police response\u003c/h2>\n\u003cp>The senior population is rapidly growing, and more than \u003ca href=\"https://acl.gov/sites/default/files/Profile%20of%20OA/2021%20Profile%20of%20OA/2021ProfileOlderAmericans_508.pdf\">one in six (PDF)\u003c/a> Americans are 65 or older. The number of older adults arrested is also growing faster than the population is aging, according to an \u003ca href=\"https://www.themarshallproject.org/2022/11/22/police-arrests-deadly-texas-florida-seniors-dementia-mental-health\">analysis\u003c/a> by The Marshall Project.\u003c/p>\n\u003cp>The public, though, rarely learns when police harm people with dementia, said Rashmi Goel, an associate professor at the Sturm College of Law at the University of Denver.\u003c/p>\n\u003cfigure id=\"attachment_11972513\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11972513\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED.jpg\" alt=\"A group of people walk along a small town shopping street.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A group of people walk down Main Street in downtown San Mateo on Jan. 11, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In her paper \u003ca href=\"https://digitalcommons.du.edu/law_facpub/472/\">“Grandma Got Arrested: Police, Excessive Force, and People with Dementia,” \u003c/a>Goel reviewed several cases that have put a spotlight on the issue, including the \u003ca href=\"https://www.npr.org/2021/05/19/998433764/former-colorado-officers-who-arrested-73-year-old-woman-with-dementia-face-charg\">violent arrest\u003c/a> of 73-year-old Karen Garner in 2020 by police in Loveland, Colorado.\u003c/p>\n\u003cp>Garner, who had dementia and died last year, left a Walmart without paying for about $14 worth of items and was picking flowers along the side of the road when police stopped her. The officer grabbed her arm and twisted it behind her back, and the arrest left Garner with a dislocated shoulder and broken arm. Prosecutors criminally charged two officers, one of them sentenced to five years in prison, and the city and police settled a lawsuit over the arrest for $3 million. [pullquote size=\"medium\" align=\"right\" citation=\"Josth Stenner, community organizer, Kern County\"]‘Dementia patients or older folk need to be a part of the conversation as it relates to police accountability and restorative justice as a whole.’[/pullquote]“When they approach an individual who has dementia, who is unable to answer their questions, who may not understand they have to stop and respond to police, we see a number of cases where police have responded with a lot of force, excessive force, brutality, even to the point of shooting and killing an individual,” Goel said.\u003c/p>\n\u003cp>Bakersfield police shot and killed Francisco Serna, a 73-year-old man with dementia, \u003ca href=\"https://www.kqed.org/news/11233089/attorney-general-to-review-kern-county-bakersfield-policing\">in 2016\u003c/a> when he refused to take his hand out of his pocket. Later, they found he had been clutching a crucifix. The killing galvanized the community, which demanded change in part because of Serna’s vulnerability.\u003c/p>\n\u003cp>“Dementia patients or older folk need to be a part of the conversation as it relates to police accountability and restorative justice as a whole,” said Josth Stenner, who had been a community organizer with Faith in the Valley. “These are vulnerable populations that police often don’t have a culture of wanting to deal with very gently.”\u003c/p>\n\u003ch2>San Mateo adds training\u003c/h2>\n\u003cp>Gloria Brown’s shock over her husband’s arrest grew into an urgent call to action in the summer of 2020 when George Floyd’s murder by a Minneapolis police officer led to nationwide protests and demands for reform.\u003c/p>\n\u003cp>“I said, ‘No more,’” Brown remembered.\u003c/p>\n\u003cp>She met with San Mateo Police Chief Ed Barberini, who had taken the position that year, and described her husband’s encounter with his department. She said Barberini took her concerns seriously.\u003c/p>\n\u003cfigure id=\"attachment_11972512\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11972512\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED.jpg\" alt='A sign outside a large building reads \"City of San Mateo Police Department.\"' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The San Mateo Police Department headquarters in San Mateo on Jan. 11, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In September 2020, all department staff took a 45-minute online course offered by the Alzheimer’s Association about what is happening in the brain of someone with dementia and how that can result in behavioral changes.\u003c/p>\n\u003cp>The department hired a mental health clinician the following year to work with officers on de-escalating emergencies involving people in behavioral health crises. [aside postID=news_11969550 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231211-SAN-MATEO-SHERIFF-020-JY-KQED-1020x680.jpg']Then, in 2022, the department launched \u003ca href=\"https://www.cityofsanmateo.org/4657/Project-Guardian\">Project Guardian,\u003c/a> the registry program for people with Alzheimer’s, dementia, autism, or any developmental or intellectual disability. Police send a blue sticker for participants to put outside their homes to signal officers.\u003c/p>\n\u003cp>The registry can also aid in finding missing people. The Alzheimer’s Association estimated that six in 10 people with dementia will wander at least once, forgetting where they’re going or where they live.\u003c/p>\n\u003cp>The San Mateo County Sheriff’s Department launched its own \u003ca href=\"https://www.smcsheriff.com/project-guardian\">Project Guardian\u003c/a> last April. Sheriff Christina Corpus is planning training with experts in April and May to educate the department about recognizing and responding to people with dementia and special needs.\u003c/p>\n\u003cp>“I had seen videos of really bad circumstances where law enforcement had no idea that somebody was either autistic or someone had dementia. And the call really went in a really negative direction, and then people were hurt,” Corpus said. “When you see that, you never forget those things.”\u003c/p>\n\u003ch2>‘You need to understand the disease’\u003c/h2>\n\u003cp>Gloria Brown believes her husband deserved a more compassionate response from the police, and she continues to advocate for people facing cognitive decline. [pullquote size=\"medium\" align=\"right\" citation=\"Gloria Brown, San Mateo resident\"]‘Maybe my grieving was continuing to be an advocate, continuing to help others who started the journey, because it truly is a journey.’[/pullquote]She and Arthur had been married for more than 50 years. Since his death, she’s drafted a bucket list that includes getting a tattoo of two hearts representing her and her husband.\u003c/p>\n\u003cp>“Maybe my grieving was continuing to be an advocate, continuing to help others who started the journey because it truly is a journey,” Brown said. “You need to understand the disease.”\u003c/p>\n\u003cp>\u003cem>Reporter \u003ca href=\"https://www.kqed.org/author/hmcdede\">Holly J. McDede\u003c/a> and photographer \u003ca href=\"https://lhmonticelli.com/\">Luiz H. Monticelli\u003c/a> are with the Investigative Reporting Program at the \u003ca href=\"https://journalism.berkeley.edu/\">UC Berkeley Graduate School of Journalism\u003c/a>. They covered this story through a grant from \u003ca href=\"https://www.thescanfoundation.org/\">The SCAN Foundation\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"San Mateo law enforcement agencies model new approaches when responding to people with dementia as the US population grows older.","status":"publish","parent":0,"modified":1705601283,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1688},"headData":{"title":"Police Pilot New Tactics for People With Dementia as Advocates Urge Compassion | KQED","description":"San Mateo law enforcement agencies model new approaches when responding to people with dementia as the US population grows older.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Police Pilot New Tactics for People With Dementia as Advocates Urge Compassion","datePublished":"2024-01-18T12:00:56.000Z","dateModified":"2024-01-18T18:08:03.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11972780/police-pilot-new-tactics-for-people-with-dementia-as-advocates-urge-compassion","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gloria Brown was worried when she saw her husband raking leaves in the street outside their home in the city of San Mateo, bringing traffic to a halt.\u003c/p>\n\u003cp>Arthur Brown had been diagnosed with dementia a couple of years before, and Gloria knew he could become agitated. He argued and raised his voice as she held his arms to coax him out of the street, but eventually, he allowed her to lead him indoors. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘They wrestled him down to the ground. There were at least four police officers and one, late 70-year-old man.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Gloria Brown, San Mateo resident","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Shortly after that, police were at their doorstep. An onlooker had called them, reporting an elderly couple physically fighting, according to the San Mateo police report on the June 20, 2017 incident.\u003c/p>\n\u003cp>Officers asked Arthur questions and moved close to him, Gloria said. Growing increasingly distressed, Arthur raised his hands to push the police away.\u003c/p>\n\u003cp>“They wrestled him down to the ground,” Gloria said. “There were at least four police officers and one, late 70-year-old man.”\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>Police arrested and booked him under charges of resisting and obstructing an officer, according to police records. Gloria said he spent two nights in jail, and the charges were eventually dropped.\u003c/p>\n\u003cp>“He was so confused,” she said. “He should never, ever have been taken to jail.”\u003c/p>\n\u003cp>Arthur died four years later from complications related to Alzheimer’s disease.\u003c/p>\n\u003cfigure id=\"attachment_11971964\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971964\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED.jpg\" alt=\"Gloria Brown holds a photo of her and her late husband, Arthur Brown in her home on in San Mateo on Nov. 3, 2023.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240108-GLORIA-BROWN-LHM-04-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Gloria Brown holds a photo of her and her late husband, Arthur Brown in her home on in San Mateo on Nov. 3, 2023. \u003ccite>(Courtesy of Luiz H. Monticelli)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since then, San Mateo has hired a new police chief. With the help of Gloria Brown and the Alzheimer’s Association, the department has moved to improve how police respond to people with dementia. Officers and staff received additional training to understand the condition, and the department established a voluntary registry of vulnerable adults. Families or caregivers can alert police about loved ones who have special needs and can pass along information about what triggers agitation and what works to calm them.\u003c/p>\n\u003cp>“We’re not mental health professionals. We’re definitely not clinicians,” San Mateo Police Chief Ed Barberini said. “But it’s important for us to understand the signs of certain conditions and how to best interact with members of the public.” \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Old people are not just older young people,” Williams said. “They are actually old people and have a different set of health conditions and risks that they need to be aware of when they’re interacting with them on the streets.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Brie Williams, professor of Medicine, UCSF","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>California police are required to take a minimum of 15 hours of training at the academy on how to interact with people with disabilities, and that training includes at least some information about dementia. But advocates for the elderly say it’s not enough. In previous legislative sessions, two state bills that could have required specific training for responding to people with dementia — \u003ca href=\"https://legiscan.com/CA/text/AB2583/id/2571105\">Assembly Bill 2583\u003c/a> and \u003ca href=\"https://legiscan.com/CA/text/AB21/id/2615832\">Assembly Bill 21\u003c/a> — failed to make it through the Legislature.\u003c/p>\n\u003cp>“This is an area of exceptional need, really throughout the nation,” said Brie Williams, a professor of Medicine and director of Amend at UCSF. She is also the director of the Aging Research In Criminal Justice Health Network, and she \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5555774/\">developed training about aging and dementia for San Francisco police.\u003c/a>\u003c/p>\n\u003cp>Williams said depending on the part of the brain that’s affected, people with dementia may engage in erratic behavior that can be scary for onlookers who do not understand what’s happening. Behavior that seems criminal may be medical, Williams said.\u003c/p>\n\u003cp>People wandering on the highway may be doing so because of their dementia or appear evasive when attempting to remember certain words.\u003c/p>\n\u003cp>“Old people are not just older young people,” Williams said. “They are actually old people and have a different set of health conditions and risks that they need to be aware of when they’re interacting with them on the streets.”\u003c/p>\n\u003ch2>Excessive police response\u003c/h2>\n\u003cp>The senior population is rapidly growing, and more than \u003ca href=\"https://acl.gov/sites/default/files/Profile%20of%20OA/2021%20Profile%20of%20OA/2021ProfileOlderAmericans_508.pdf\">one in six (PDF)\u003c/a> Americans are 65 or older. The number of older adults arrested is also growing faster than the population is aging, according to an \u003ca href=\"https://www.themarshallproject.org/2022/11/22/police-arrests-deadly-texas-florida-seniors-dementia-mental-health\">analysis\u003c/a> by The Marshall Project.\u003c/p>\n\u003cp>The public, though, rarely learns when police harm people with dementia, said Rashmi Goel, an associate professor at the Sturm College of Law at the University of Denver.\u003c/p>\n\u003cfigure id=\"attachment_11972513\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11972513\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED.jpg\" alt=\"A group of people walk along a small town shopping street.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-15-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A group of people walk down Main Street in downtown San Mateo on Jan. 11, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In her paper \u003ca href=\"https://digitalcommons.du.edu/law_facpub/472/\">“Grandma Got Arrested: Police, Excessive Force, and People with Dementia,” \u003c/a>Goel reviewed several cases that have put a spotlight on the issue, including the \u003ca href=\"https://www.npr.org/2021/05/19/998433764/former-colorado-officers-who-arrested-73-year-old-woman-with-dementia-face-charg\">violent arrest\u003c/a> of 73-year-old Karen Garner in 2020 by police in Loveland, Colorado.\u003c/p>\n\u003cp>Garner, who had dementia and died last year, left a Walmart without paying for about $14 worth of items and was picking flowers along the side of the road when police stopped her. The officer grabbed her arm and twisted it behind her back, and the arrest left Garner with a dislocated shoulder and broken arm. Prosecutors criminally charged two officers, one of them sentenced to five years in prison, and the city and police settled a lawsuit over the arrest for $3 million. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Dementia patients or older folk need to be a part of the conversation as it relates to police accountability and restorative justice as a whole.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Josth Stenner, community organizer, Kern County","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“When they approach an individual who has dementia, who is unable to answer their questions, who may not understand they have to stop and respond to police, we see a number of cases where police have responded with a lot of force, excessive force, brutality, even to the point of shooting and killing an individual,” Goel said.\u003c/p>\n\u003cp>Bakersfield police shot and killed Francisco Serna, a 73-year-old man with dementia, \u003ca href=\"https://www.kqed.org/news/11233089/attorney-general-to-review-kern-county-bakersfield-policing\">in 2016\u003c/a> when he refused to take his hand out of his pocket. Later, they found he had been clutching a crucifix. The killing galvanized the community, which demanded change in part because of Serna’s vulnerability.\u003c/p>\n\u003cp>“Dementia patients or older folk need to be a part of the conversation as it relates to police accountability and restorative justice as a whole,” said Josth Stenner, who had been a community organizer with Faith in the Valley. “These are vulnerable populations that police often don’t have a culture of wanting to deal with very gently.”\u003c/p>\n\u003ch2>San Mateo adds training\u003c/h2>\n\u003cp>Gloria Brown’s shock over her husband’s arrest grew into an urgent call to action in the summer of 2020 when George Floyd’s murder by a Minneapolis police officer led to nationwide protests and demands for reform.\u003c/p>\n\u003cp>“I said, ‘No more,’” Brown remembered.\u003c/p>\n\u003cp>She met with San Mateo Police Chief Ed Barberini, who had taken the position that year, and described her husband’s encounter with his department. She said Barberini took her concerns seriously.\u003c/p>\n\u003cfigure id=\"attachment_11972512\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11972512\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED.jpg\" alt='A sign outside a large building reads \"City of San Mateo Police Department.\"' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-DementiaCops-11-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The San Mateo Police Department headquarters in San Mateo on Jan. 11, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In September 2020, all department staff took a 45-minute online course offered by the Alzheimer’s Association about what is happening in the brain of someone with dementia and how that can result in behavioral changes.\u003c/p>\n\u003cp>The department hired a mental health clinician the following year to work with officers on de-escalating emergencies involving people in behavioral health crises. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11969550","hero":"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231211-SAN-MATEO-SHERIFF-020-JY-KQED-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Then, in 2022, the department launched \u003ca href=\"https://www.cityofsanmateo.org/4657/Project-Guardian\">Project Guardian,\u003c/a> the registry program for people with Alzheimer’s, dementia, autism, or any developmental or intellectual disability. Police send a blue sticker for participants to put outside their homes to signal officers.\u003c/p>\n\u003cp>The registry can also aid in finding missing people. The Alzheimer’s Association estimated that six in 10 people with dementia will wander at least once, forgetting where they’re going or where they live.\u003c/p>\n\u003cp>The San Mateo County Sheriff’s Department launched its own \u003ca href=\"https://www.smcsheriff.com/project-guardian\">Project Guardian\u003c/a> last April. Sheriff Christina Corpus is planning training with experts in April and May to educate the department about recognizing and responding to people with dementia and special needs.\u003c/p>\n\u003cp>“I had seen videos of really bad circumstances where law enforcement had no idea that somebody was either autistic or someone had dementia. And the call really went in a really negative direction, and then people were hurt,” Corpus said. “When you see that, you never forget those things.”\u003c/p>\n\u003ch2>‘You need to understand the disease’\u003c/h2>\n\u003cp>Gloria Brown believes her husband deserved a more compassionate response from the police, and she continues to advocate for people facing cognitive decline. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Maybe my grieving was continuing to be an advocate, continuing to help others who started the journey, because it truly is a journey.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Gloria Brown, San Mateo resident","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>She and Arthur had been married for more than 50 years. Since his death, she’s drafted a bucket list that includes getting a tattoo of two hearts representing her and her husband.\u003c/p>\n\u003cp>“Maybe my grieving was continuing to be an advocate, continuing to help others who started the journey because it truly is a journey,” Brown said. “You need to understand the disease.”\u003c/p>\n\u003cp>\u003cem>Reporter \u003ca href=\"https://www.kqed.org/author/hmcdede\">Holly J. McDede\u003c/a> and photographer \u003ca href=\"https://lhmonticelli.com/\">Luiz H. Monticelli\u003c/a> are with the Investigative Reporting Program at the \u003ca href=\"https://journalism.berkeley.edu/\">UC Berkeley Graduate School of Journalism\u003c/a>. They covered this story through a grant from \u003ca href=\"https://www.thescanfoundation.org/\">The SCAN Foundation\u003c/a>.\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/11972780/police-pilot-new-tactics-for-people-with-dementia-as-advocates-urge-compassion","authors":["11635"],"categories":["news_8"],"tags":["news_21407","news_21406","news_31984","news_27626","news_19903","news_19960","news_551"],"featImg":"news_11972510","label":"news"},"news_11972532":{"type":"posts","id":"news_11972532","meta":{"index":"posts_1591205157","site":"news","id":"11972532","score":null,"sort":[1705248052000]},"guestAuthors":[],"slug":"why-did-my-loved-one-contract-covid-but-not-me-one-expert-explains","title":"Why Did My Loved One Contract COVID, But Not Me? One Expert Explains","publishDate":1705248052,"format":"standard","headTitle":"Why Did My Loved One Contract COVID, But Not Me? One Expert Explains | KQED","labelTerm":{"term":253,"site":"news"},"content":"\u003cp>\u003cem>We regularly answer frequently asked questions about the coronavirus. If you have a question you’d like us to consider for a future post, email us at \u003c/em>\u003ca href=\"mailto:goatsandsoda@npr.org\">\u003cem>goatsandsoda@npr.org\u003c/em>\u003c/a>\u003cem> with the subject line: “Weekly Coronavirus Questions.” See an archive of our FAQs \u003c/em>\u003ca href=\"https://www.npr.org/tags/926361810/coronavirus-faqs\">\u003cem>here\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>As a physician and infectious disease epidemiologist, I’ve seen a lot of COVID-19 patients during the pandemic, and there’s a question I hear over and over:\u003c/p>\n\u003cp>\u003cstrong>How is it possible that my partner — or child or sibling or roommate — tested positive for COVID-19, and even though I slept in the same room or lived in the same house, I didn’t come down with the virus?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Weren’t they breathing out infectious particles for days on end? And I assume I was breathing them in. \u003c/strong>\u003c/p>\n\u003cp>There is an answer to this question. But it’s a bit complicated.\u003c/p>\n\u003cp>First, let’s review how SARS-CoV-2, the virus that causes COVID-19, spreads. While some viruses are primarily passed through contact with the bodily fluids (Ebola) or skin (mpox) of someone who’s infected, SARS-CoV-2 is easier to catch. It’s spread \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/your-health/about-covid-19.html\">mainly\u003c/a> through the air in invisible aerosols (and to a lesser extent in large droplets) that the infected person emits while breathing, talking, sneezing, coughing, laughing or snoring. The aerosols can hang around in the air for hours, and others can inhale them.\u003c/p>\n\u003cp>So yes, if someone in your house is exhaling SARS-CoV-2-viral particles, you could breathe them in and become infected. But … here’s why that does not always happen.\u003c/p>\n\u003cp>There are two points to ponder. One: The person with COVID is not contagious at all times. Two: Different factors can reduce the risk of getting infected by a housemate.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>The incubation period\u003c/h2>\n\u003cp>For starters, someone who is sick with COVID-19 is not infectious from the moment they catch the virus to the moment they test negative (or their symptoms go away). Viruses like SARS-CoV-2 have different stages.\u003c/p>\n\u003cp>It all starts when you’re first exposed.\u003c/p>\n\u003cp>If you breathe in enough viral particles and your immune system doesn’t vanquish the pathogens you’ve inhaled, the timer starts for your case of COVID. The virus will incubate in your body until symptoms begin to appear. [aside postID=news_11972313 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-AT-HOME-COVID-TEST-GETTY-MB-KQED-1038x576.jpg']And when do you become contagious – marking the transition from the “latent” stage to the “infectious” stage? There’s no way to know the exact moment this happens. It’s a complex biological process, and for everyone, it will be a little different.\u003c/p>\n\u003cp>But we can make certain inferences.\u003c/p>\n\u003cp>For example, many people wonder: Can you be contagious before symptoms of COVID appear?\u003c/p>\n\u003cp>Early on in the pandemic, the answer was definitely yes – and that’s one reason why it was so hard to control COVID. We knew this from \u003ca href=\"https://www.nejm.org/doi/full/10.1056/nejmoa2008457\">studies\u003c/a> that showed transmission happening before the sick person had any symptoms. You would not necessarily know when you were exposed to someone contagious because they may have been “pre-symptomatic.”\u003c/p>\n\u003cp>But things have changed since 2020. Now, most of our immune systems can recognize the virus — as a result of previous exposures and/or being vaccinated. The immune system’s reaction to even a small amount of virus could be symptoms like coughing, sore throat, running nose or a fever. With our immune systems primed, the body’s response comes much more quickly than it would have back in 2020 when SARS-CoV-2 was a novel pathogen. So those symptoms could appear early on after exposure — even before we’re infectious. This was shown \u003ca href=\"https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciad582/7285011\">in a study\u003c/a> published in \u003cem>Clinical Infectious Disease\u003c/em> that examined people’s symptoms compared to how much virus they were carrying across the days of their infection.\u003c/p>\n\u003ch2>The infectious window\u003c/h2>\n\u003cp>The infectious window — the period during which you’re contagious — varies from person to person.\u003c/p>\n\u003cp>For some, it may only be a couple of days, whereas, for others, it can be a week or even longer (especially in people who are immunocompromised and can’t easily clear the virus).\u003c/p>\n\u003cp>If you’re lucky, your housemate will have a short window.\u003c/p>\n\u003cp>And then there’s the matter of quantity.\u003c/p>\n\u003cp>Many, if not most, people will transmit only small amounts of SARS-CoV-2 after getting infected.\u003c/p>\n\u003cp>Most of the spread of SARS-CoV-2 happens from a relatively small number of highly infectious people — called superspreaders. Research on transmission has shown a \u003ca href=\"https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-15915-1\">wide variation\u003c/a> in how many people get infected by one person.\u003c/p>\n\u003cp>Some superspreaders are just biologically capable of shedding a lot of viruses. One study published in November 2023 \u003ca href=\"https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciad701/7424866?login=true#432788078\">found an association\u003c/a> between higher BMI in men and higher viral loads. Other superspreaders could have a big network of people they come into contact with — for example, infecting \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2770172\">on a bus\u003c/a> or in a \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6919e6.htm\">choir\u003c/a> setting.\u003c/p>\n\u003ch2>You can reduce the amount of pathogens you’re exposed to\u003c/h2>\n\u003cp>Just breathing in a pathogen doesn’t mean you’ll get sick. This is the difference between exposure versus actual infection.\u003c/p>\n\u003cp>For a pathogen to cause disease, you must be exposed to enough of it — the minimum infectious dose — so it can overcome your immune defenses. Some pathogens can do their work with a tiny infectious dose, meaning even just a few microbes or viral particles are sufficient to infect you, while others require a much heftier exposure. [aside label='More Stories on Public Health' tag='public-health']That’s why you’re unlikely to catch COVID from, say, dashing into a grocery store for a quick shop and perhaps breathing in a very small amount of virus. The \u003ca href=\"https://x.com/ChristoPhraser/status/1737513787563868270?s=20\">duration of exposure\u003c/a> and the concentration of the pathogen in its preferred route (air, for this virus) affect your chance of getting sick.\u003c/p>\n\u003cp>We are exposed to small amounts of pathogens all the time, but usually, it is not enough to cause disease. Sometimes, however, it is. A more sinister example of these principles is Coxiella burnetii, the bacteria that causes “Q Fever.” It can spread to people from animals, including farm animals, and is on the list of “\u003ca href=\"https://www.selectagents.gov/sat/list.htm\">select agents\u003c/a>” for bioterrorism concerns. The bacteria has a very low infectious dose, is stable in the environment and can spread so effectively that even living miles downwind of a farm is a risk factor.\u003c/p>\n\u003cp>Reducing the dose you are exposed to is one way to avoid infection. For SARS-CoV-2, opening windows can dilute the cloud of aerosols by bringing in fresh air.\u003c/p>\n\u003cp>If your home has a fan with an air filter or you’re using a HEPA air purifier, the infectious aerosol particles \u003ca href=\"https://blogs.cdc.gov/niosh-science-blog/2023/02/03/diy-filtration/\">can become trapped in the filter\u003c/a> rather than in your lungs.\u003c/p>\n\u003cp>To reiterate, the cumulative dose you inhale depends on the time you spend in a place and the concentration of viral particles there.\u003c/p>\n\u003cp>Masks that are worn correctly and consistently will also reduce that dose. If your housemate is infected and you wear an effective mask (a well-fitting N95, for example), the mask will trap most of the viral particles, reducing the amount you inhale. If the person with COVID masks up, that will decrease the quantity of pathogens they’re emitting into the air as well.\u003c/p>\n\u003ch2>Your immune system (or medications) could save you\u003c/h2>\n\u003cp>If you’ve been vaccinated or had a prior infection, your immune system could be able to knock out the pathogen. The older you get, the less effective your immune system will be. And if you have a medical condition that makes your immune system weaker — like cancer or chronic diseases like diabetes — that could also play a role in whether exposure to viral particles will lead to infection.\u003c/p>\n\u003cp>For healthy people exposed to a sick person, antiviral drugs (or antibiotics for bacteria) can often avert infection after exposure — this is called post-exposure prophylaxis and is used for many infections already, including \u003ca href=\"https://www.hiv.gov/hiv-basics/hiv-prevention/using-hiv-medication-to-reduce-risk/post-exposure-prophylaxis/\">HIV\u003c/a>, \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJMoa2211934\">gonorrhea, chlamydia and syphilis\u003c/a>. [aside postID=news_11966797 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1387450682-672x372.jpg']In one study, researchers looked at whether those living at home with someone infected with COVID-19 were less likely to get sick if they used the antiviral Paxlovid. The study found a signal — \u003ca href=\"https://www.pfizer.com/news/press-release/press-release-detail/pfizer-shares-top-line-results-phase-23-epic-pep-study\">a 32% reduced risk\u003c/a> of getting sick compared to placebo — but did not meet statistical significance.\u003c/p>\n\u003cp>So, in conclusion, yes, you can live with someone with COVID and not catch it. Because infectious disease transmission is complicated.\u003c/p>\n\u003cp>And remember, we do see weird things happening with infectious diseases every single day. So yes, in theory, you could catch, say, mpox from dust particles on a patient’s blanket. This happened in a \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/32023204/\">famous case\u003c/a> from the U.K., but it is exceedingly rare.\u003c/p>\n\u003cp>But don’t fall for the trap of thinking that your single example represents the general trend.\u003c/p>\n\u003cp>When it comes to COVID, let me assure you: It is contagious — but remember, that doesn’t mean everyone who is in contact with someone infected will catch it.\u003c/p>\n\u003cp>I was infected a few weeks ago. My mother and sister were both in the car with me hours before I felt sick and tested positive. My sister got COVID days later. But my mother never got it.\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/AbraarKaran?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor\">\u003cem>Abraar Karan\u003c/em>\u003c/a>\u003cem> is an infectious disease physician and researcher at Stanford University. He worked on the COVID-19 pandemic for the Massachusetts Department of Public Health and the mpox outbreak for the Los Angeles County Department of Public Health. \u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Infectious disease doctor Abraar Karan says it's the question he's asked most often about SARS-CoV-2. So how does that happen? Here's his answer.","status":"publish","parent":0,"modified":1705114211,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":39,"wordCount":1672},"headData":{"title":"Why Did My Loved One Contract COVID, But Not Me? One Expert Explains | KQED","description":"Infectious disease doctor Abraar Karan says it's the question he's asked most often about SARS-CoV-2. So how does that happen? Here's his answer.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Why Did My Loved One Contract COVID, But Not Me? One Expert Explains","datePublished":"2024-01-14T16:00:52.000Z","dateModified":"2024-01-13T02:50:11.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Abraar Karan","nprStoryId":"1222847727","nprApiLink":"http://api.npr.org/query?id=1222847727&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/goatsandsoda/2024/01/07/1222847727/coronavirus-faq-my-partner-roommate-kid-got-covid-and-i-didnt-how-come?ft=nprml&f=1222847727","nprRetrievedStory":"1","nprPubDate":"Sun, 07 Jan 2024 13:00:00 -0500","nprStoryDate":"Sun, 07 Jan 2024 07:21:54 -0500","nprLastModifiedDate":"Sun, 07 Jan 2024 13:00:49 -0500","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11972532/why-did-my-loved-one-contract-covid-but-not-me-one-expert-explains","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>We regularly answer frequently asked questions about the coronavirus. If you have a question you’d like us to consider for a future post, email us at \u003c/em>\u003ca href=\"mailto:goatsandsoda@npr.org\">\u003cem>goatsandsoda@npr.org\u003c/em>\u003c/a>\u003cem> with the subject line: “Weekly Coronavirus Questions.” See an archive of our FAQs \u003c/em>\u003ca href=\"https://www.npr.org/tags/926361810/coronavirus-faqs\">\u003cem>here\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>As a physician and infectious disease epidemiologist, I’ve seen a lot of COVID-19 patients during the pandemic, and there’s a question I hear over and over:\u003c/p>\n\u003cp>\u003cstrong>How is it possible that my partner — or child or sibling or roommate — tested positive for COVID-19, and even though I slept in the same room or lived in the same house, I didn’t come down with the virus?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Weren’t they breathing out infectious particles for days on end? And I assume I was breathing them in. \u003c/strong>\u003c/p>\n\u003cp>There is an answer to this question. But it’s a bit complicated.\u003c/p>\n\u003cp>First, let’s review how SARS-CoV-2, the virus that causes COVID-19, spreads. While some viruses are primarily passed through contact with the bodily fluids (Ebola) or skin (mpox) of someone who’s infected, SARS-CoV-2 is easier to catch. It’s spread \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/your-health/about-covid-19.html\">mainly\u003c/a> through the air in invisible aerosols (and to a lesser extent in large droplets) that the infected person emits while breathing, talking, sneezing, coughing, laughing or snoring. The aerosols can hang around in the air for hours, and others can inhale them.\u003c/p>\n\u003cp>So yes, if someone in your house is exhaling SARS-CoV-2-viral particles, you could breathe them in and become infected. But … here’s why that does not always happen.\u003c/p>\n\u003cp>There are two points to ponder. One: The person with COVID is not contagious at all times. Two: Different factors can reduce the risk of getting infected by a housemate.\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\u003ch2>The incubation period\u003c/h2>\n\u003cp>For starters, someone who is sick with COVID-19 is not infectious from the moment they catch the virus to the moment they test negative (or their symptoms go away). Viruses like SARS-CoV-2 have different stages.\u003c/p>\n\u003cp>It all starts when you’re first exposed.\u003c/p>\n\u003cp>If you breathe in enough viral particles and your immune system doesn’t vanquish the pathogens you’ve inhaled, the timer starts for your case of COVID. The virus will incubate in your body until symptoms begin to appear. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11972313","hero":"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240111-AT-HOME-COVID-TEST-GETTY-MB-KQED-1038x576.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>And when do you become contagious – marking the transition from the “latent” stage to the “infectious” stage? There’s no way to know the exact moment this happens. It’s a complex biological process, and for everyone, it will be a little different.\u003c/p>\n\u003cp>But we can make certain inferences.\u003c/p>\n\u003cp>For example, many people wonder: Can you be contagious before symptoms of COVID appear?\u003c/p>\n\u003cp>Early on in the pandemic, the answer was definitely yes – and that’s one reason why it was so hard to control COVID. We knew this from \u003ca href=\"https://www.nejm.org/doi/full/10.1056/nejmoa2008457\">studies\u003c/a> that showed transmission happening before the sick person had any symptoms. You would not necessarily know when you were exposed to someone contagious because they may have been “pre-symptomatic.”\u003c/p>\n\u003cp>But things have changed since 2020. Now, most of our immune systems can recognize the virus — as a result of previous exposures and/or being vaccinated. The immune system’s reaction to even a small amount of virus could be symptoms like coughing, sore throat, running nose or a fever. With our immune systems primed, the body’s response comes much more quickly than it would have back in 2020 when SARS-CoV-2 was a novel pathogen. So those symptoms could appear early on after exposure — even before we’re infectious. This was shown \u003ca href=\"https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciad582/7285011\">in a study\u003c/a> published in \u003cem>Clinical Infectious Disease\u003c/em> that examined people’s symptoms compared to how much virus they were carrying across the days of their infection.\u003c/p>\n\u003ch2>The infectious window\u003c/h2>\n\u003cp>The infectious window — the period during which you’re contagious — varies from person to person.\u003c/p>\n\u003cp>For some, it may only be a couple of days, whereas, for others, it can be a week or even longer (especially in people who are immunocompromised and can’t easily clear the virus).\u003c/p>\n\u003cp>If you’re lucky, your housemate will have a short window.\u003c/p>\n\u003cp>And then there’s the matter of quantity.\u003c/p>\n\u003cp>Many, if not most, people will transmit only small amounts of SARS-CoV-2 after getting infected.\u003c/p>\n\u003cp>Most of the spread of SARS-CoV-2 happens from a relatively small number of highly infectious people — called superspreaders. Research on transmission has shown a \u003ca href=\"https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-15915-1\">wide variation\u003c/a> in how many people get infected by one person.\u003c/p>\n\u003cp>Some superspreaders are just biologically capable of shedding a lot of viruses. One study published in November 2023 \u003ca href=\"https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciad701/7424866?login=true#432788078\">found an association\u003c/a> between higher BMI in men and higher viral loads. Other superspreaders could have a big network of people they come into contact with — for example, infecting \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2770172\">on a bus\u003c/a> or in a \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6919e6.htm\">choir\u003c/a> setting.\u003c/p>\n\u003ch2>You can reduce the amount of pathogens you’re exposed to\u003c/h2>\n\u003cp>Just breathing in a pathogen doesn’t mean you’ll get sick. This is the difference between exposure versus actual infection.\u003c/p>\n\u003cp>For a pathogen to cause disease, you must be exposed to enough of it — the minimum infectious dose — so it can overcome your immune defenses. Some pathogens can do their work with a tiny infectious dose, meaning even just a few microbes or viral particles are sufficient to infect you, while others require a much heftier exposure. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More Stories on Public Health ","tag":"public-health"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>That’s why you’re unlikely to catch COVID from, say, dashing into a grocery store for a quick shop and perhaps breathing in a very small amount of virus. The \u003ca href=\"https://x.com/ChristoPhraser/status/1737513787563868270?s=20\">duration of exposure\u003c/a> and the concentration of the pathogen in its preferred route (air, for this virus) affect your chance of getting sick.\u003c/p>\n\u003cp>We are exposed to small amounts of pathogens all the time, but usually, it is not enough to cause disease. Sometimes, however, it is. A more sinister example of these principles is Coxiella burnetii, the bacteria that causes “Q Fever.” It can spread to people from animals, including farm animals, and is on the list of “\u003ca href=\"https://www.selectagents.gov/sat/list.htm\">select agents\u003c/a>” for bioterrorism concerns. The bacteria has a very low infectious dose, is stable in the environment and can spread so effectively that even living miles downwind of a farm is a risk factor.\u003c/p>\n\u003cp>Reducing the dose you are exposed to is one way to avoid infection. For SARS-CoV-2, opening windows can dilute the cloud of aerosols by bringing in fresh air.\u003c/p>\n\u003cp>If your home has a fan with an air filter or you’re using a HEPA air purifier, the infectious aerosol particles \u003ca href=\"https://blogs.cdc.gov/niosh-science-blog/2023/02/03/diy-filtration/\">can become trapped in the filter\u003c/a> rather than in your lungs.\u003c/p>\n\u003cp>To reiterate, the cumulative dose you inhale depends on the time you spend in a place and the concentration of viral particles there.\u003c/p>\n\u003cp>Masks that are worn correctly and consistently will also reduce that dose. If your housemate is infected and you wear an effective mask (a well-fitting N95, for example), the mask will trap most of the viral particles, reducing the amount you inhale. If the person with COVID masks up, that will decrease the quantity of pathogens they’re emitting into the air as well.\u003c/p>\n\u003ch2>Your immune system (or medications) could save you\u003c/h2>\n\u003cp>If you’ve been vaccinated or had a prior infection, your immune system could be able to knock out the pathogen. The older you get, the less effective your immune system will be. And if you have a medical condition that makes your immune system weaker — like cancer or chronic diseases like diabetes — that could also play a role in whether exposure to viral particles will lead to infection.\u003c/p>\n\u003cp>For healthy people exposed to a sick person, antiviral drugs (or antibiotics for bacteria) can often avert infection after exposure — this is called post-exposure prophylaxis and is used for many infections already, including \u003ca href=\"https://www.hiv.gov/hiv-basics/hiv-prevention/using-hiv-medication-to-reduce-risk/post-exposure-prophylaxis/\">HIV\u003c/a>, \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJMoa2211934\">gonorrhea, chlamydia and syphilis\u003c/a>. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11966797","hero":"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/11/GettyImages-1387450682-672x372.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>In one study, researchers looked at whether those living at home with someone infected with COVID-19 were less likely to get sick if they used the antiviral Paxlovid. The study found a signal — \u003ca href=\"https://www.pfizer.com/news/press-release/press-release-detail/pfizer-shares-top-line-results-phase-23-epic-pep-study\">a 32% reduced risk\u003c/a> of getting sick compared to placebo — but did not meet statistical significance.\u003c/p>\n\u003cp>So, in conclusion, yes, you can live with someone with COVID and not catch it. Because infectious disease transmission is complicated.\u003c/p>\n\u003cp>And remember, we do see weird things happening with infectious diseases every single day. So yes, in theory, you could catch, say, mpox from dust particles on a patient’s blanket. This happened in a \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/32023204/\">famous case\u003c/a> from the U.K., but it is exceedingly rare.\u003c/p>\n\u003cp>But don’t fall for the trap of thinking that your single example represents the general trend.\u003c/p>\n\u003cp>When it comes to COVID, let me assure you: It is contagious — but remember, that doesn’t mean everyone who is in contact with someone infected will catch it.\u003c/p>\n\u003cp>I was infected a few weeks ago. My mother and sister were both in the car with me hours before I felt sick and tested positive. My sister got COVID days later. But my mother never got it.\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/AbraarKaran?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor\">\u003cem>Abraar Karan\u003c/em>\u003c/a>\u003cem> is an infectious disease physician and researcher at Stanford University. He worked on the COVID-19 pandemic for the Massachusetts Department of Public Health and the mpox outbreak for the Los Angeles County Department of Public Health. \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/11972532/why-did-my-loved-one-contract-covid-but-not-me-one-expert-explains","authors":["byline_news_11972532"],"categories":["news_8"],"tags":["news_32707","news_27989","news_27626","news_18543","news_19960"],"affiliates":["news_253"],"featImg":"news_11972533","label":"news_253"},"news_11968984":{"type":"posts","id":"news_11968984","meta":{"index":"posts_1591205157","site":"news","id":"11968984","score":null,"sort":[1701799285000]},"guestAuthors":[],"slug":"sf-reports-latinx-majority-in-new-hiv-diagnoses-despite-overall-drop","title":"SF Reports Latinx Majority in New HIV Diagnoses Despite Overall Drop","publishDate":1701799285,"format":"standard","headTitle":"SF Reports Latinx Majority in New HIV Diagnoses Despite Overall Drop | KQED","labelTerm":{"site":"news"},"content":"\u003cp>San Francisco’s wide embrace of HIV prevention has led to a staggering decrease in new cases of the virus, which attacks the body’s immune system. But research released Tuesday by the San Francisco Department of Public Health shows the Latinx community is bearing the brunt of new diagnoses.\u003c/p>\n\u003cp>Testing for HIV has slightly recovered after a sharp decline in 2020 during the COVID-19 pandemic. As the city works to maintain its decades-long progress on HIV, public health officials are noticing slight demographic shifts among populations that are most at risk — and adapting their response as a result. [pullquote size=\"medium\" align=\"right\" citation=\"Dr. Susan Buchbinder, co-chair, Getting to Zero Steering Committee\"]‘We are trying to understand ‘why’ as much as we can, and who within the Latinx community is most affected. It does seem to be men.’[/pullquote]“We are seeing an increase in new infections in the Latinx community,” Dr. Susan Buchbinder told KQED in an interview. Buchbinder is the co-chair of the Getting to Zero Steering Committee, an effort launched in 2013 to prevent any new HIV infections in San Francisco. “We are trying to understand ‘why’ as much as we can, and who within the Latinx community is most affected. It does seem to be men.”\u003c/p>\n\u003cp>The report found there were 157 new HIV diagnoses in San Francisco in 2022, a slight decrease from 2021 when there was a modest uptick. Overall, today’s new case rate for HIV infections is staggeringly lower than years and decades prior and has been largely on a downward trend.\u003c/p>\n\u003cp>Annual HIV diagnoses among Latinx people started to exceed all other racial groups in 2018. But in 2022, the year data for the recent study was gathered, Latino cis men in particular had more new diagnoses than any other group for the first time.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It’s not easy to \u003ca href=\"https://www.kqed.org/news/11965937/as-hiv-rates-fall-nationally-latinx-communities-remain-disproportionately-impacted-why#:~:text=Esperanza%20Macias%2C%20policy%20and%20communications,would%20face%20harassment%20and%20assault.\">attribute the shift\u003c/a> to any one cause, Buchbinder said, but factors include access to housing and health care, as well as place of origin and whether prevention was available before arriving in San Francisco.\u003c/p>\n\u003cp>Claudia Cabrera-Lara, program director for HIV services at Instituto Familiar de la Raza, said that concerns around sharing one’s immigration status are another barrier for many undocumented immigrants who could benefit from HIV preventative care.\u003c/p>\n\u003cp>“Many of the clients we work with are undocumented, and even though San Francisco is a sanctuary city, there is a fear that their information could be disclosed,” Cabrera-Lara told KQED. “That’s why so many people aren’t getting access to prep in the Latinx community.”\u003c/p>\n\u003cp>Other marginalized social groups that experienced disproportionate rates of new HIV diagnoses include people who are homeless, which accounted for one in every five new cases in 2022.\u003c/p>\n\u003cp>“We will not be satisfied until we get to zero new infections, and more must be done,” said SFDPH Director of Health Dr. Grant Colfax, in a press release about the new report. “Breaking down barriers to provide stigma-free care that reaches the community is key, and working together across San Francisco’s robust HIV care and prevention infrastructure, we will do just that.”\u003c/p>\n\u003cfigure id=\"attachment_11969006\" class=\"wp-caption aligncenter\" style=\"max-width: 1450px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11969006\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/AnnualReport2022_Page_068-1.jpg\" alt=\"A chart that illustrated figures from a report that studies HIV cases diagnosed by race and ethnicity.\" width=\"1450\" height=\"843\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/AnnualReport2022_Page_068-1.jpg 1450w, https://ww2.kqed.org/app/uploads/sites/10/2023/12/AnnualReport2022_Page_068-1-800x465.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/12/AnnualReport2022_Page_068-1-1020x593.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/12/AnnualReport2022_Page_068-1-160x93.jpg 160w\" sizes=\"(max-width: 1450px) 100vw, 1450px\">\u003cfigcaption class=\"wp-caption-text\">Testing for HIV has slightly recovered after a sharp decline in 2020 during the COVID-19 pandemic. As the city works to maintain its decades-long progress on HIV, public health officials are noticing slight demographic shifts among populations that are most at risk — and adapting their response as a result. \u003ccite>(Courtesy of the San Francisco Department of Public Health)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In July, the Department of Public Health opened seven sites, called Health Access Points, focusing on increasing HIV prevention and treatment services for the Latinx community, African Americans, and other priority populations including people who use drugs, trans women and people who are homeless.\u003c/p>\n\u003cp>At the sites, people can get free testing for HIV and other sexually transmitted diseases, as well as treatment services and support with overdose prevention in a low-barrier setting, meaning they don’t need to prove any insurance or residence. The \u003ca href=\"https://learnsfdph.org/programs/health-access-point-hap/\">access points are located\u003c/a> within community-based nonprofits, such as the Rafiki Coalition, the San Francisco AIDS Foundation and the Instituto Familiar de la Raza. [aside postID=news_11965263 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/10/231022-AIDSMemorialGrove-046-BL-KQED-1020x680.jpg']“We are excited to see the recent launch of the HAPs, which provide equitable access to HIV prevention, care and treatment services,” said Health Officer Dr. Susan Philip in the press announcement. “Providing comprehensive, whole-person care delivered by expert community service providers to those who have traditionally experienced barriers will help us address disparities and reduce new HIV diagnoses.”\u003c/p>\n\u003cp>The total number of people living with HIV who died in 2022 increased from 279 in 2021 to 312 in 2022, the report shows. Many of those deaths, however, were from causes not directly tied to HIV, and the number of late-stage HIV-related deaths has decreased.\u003c/p>\n\u003cp>That is, in part, because San Francisco’s population of people living with HIV is getting older and dying of other causes. They might also be at a higher risk of cardiovascular disease or rectal cancer, Buchbinder said.\u003c/p>\n\u003cp>“HIV prevention is not just using condoms or prep but also the many psycho-social issues affecting this population, like housing, employment, immigration and so on,” said Cabrera-Lara. “In order for people to take care of themselves, they need to take care of these other needs. That’s sometimes forgotten in the prevention effort.”\u003c/p>\n\u003cp>About 73% of people living with HIV in San Francisco are 50 or older, according to the report, and about 25% are 65 and older. Diagnoses among people aged 50 and older have also increased in recent years.\u003c/p>\n\u003cp>“We need to improve the quality of life for people living with HIV,” Buchbinder said. “They have health and psycho-social needs. It’s a large population in San Francisco, and we see deaths go up as the population ages. But we need to get rid of preventable causes of death to help them live as healthy of a life as possible.”\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"San Francisco’s annual HIV report shows a dip in cases overall, but also disparities among where new cases are detected.","status":"publish","parent":0,"modified":1701803648,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":1066},"headData":{"title":"SF Reports Latinx Majority in New HIV Diagnoses Despite Overall Drop | KQED","description":"San Francisco’s annual HIV report shows a dip in cases overall, but also disparities among where new cases are detected.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"SF Reports Latinx Majority in New HIV Diagnoses Despite Overall Drop","datePublished":"2023-12-05T18:01:25.000Z","dateModified":"2023-12-05T19:14:08.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11968984/sf-reports-latinx-majority-in-new-hiv-diagnoses-despite-overall-drop","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco’s wide embrace of HIV prevention has led to a staggering decrease in new cases of the virus, which attacks the body’s immune system. But research released Tuesday by the San Francisco Department of Public Health shows the Latinx community is bearing the brunt of new diagnoses.\u003c/p>\n\u003cp>Testing for HIV has slightly recovered after a sharp decline in 2020 during the COVID-19 pandemic. As the city works to maintain its decades-long progress on HIV, public health officials are noticing slight demographic shifts among populations that are most at risk — and adapting their response as a result. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We are trying to understand ‘why’ as much as we can, and who within the Latinx community is most affected. It does seem to be men.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Susan Buchbinder, co-chair, Getting to Zero Steering Committee","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“We are seeing an increase in new infections in the Latinx community,” Dr. Susan Buchbinder told KQED in an interview. Buchbinder is the co-chair of the Getting to Zero Steering Committee, an effort launched in 2013 to prevent any new HIV infections in San Francisco. “We are trying to understand ‘why’ as much as we can, and who within the Latinx community is most affected. It does seem to be men.”\u003c/p>\n\u003cp>The report found there were 157 new HIV diagnoses in San Francisco in 2022, a slight decrease from 2021 when there was a modest uptick. Overall, today’s new case rate for HIV infections is staggeringly lower than years and decades prior and has been largely on a downward trend.\u003c/p>\n\u003cp>Annual HIV diagnoses among Latinx people started to exceed all other racial groups in 2018. But in 2022, the year data for the recent study was gathered, Latino cis men in particular had more new diagnoses than any other group for the first time.\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>It’s not easy to \u003ca href=\"https://www.kqed.org/news/11965937/as-hiv-rates-fall-nationally-latinx-communities-remain-disproportionately-impacted-why#:~:text=Esperanza%20Macias%2C%20policy%20and%20communications,would%20face%20harassment%20and%20assault.\">attribute the shift\u003c/a> to any one cause, Buchbinder said, but factors include access to housing and health care, as well as place of origin and whether prevention was available before arriving in San Francisco.\u003c/p>\n\u003cp>Claudia Cabrera-Lara, program director for HIV services at Instituto Familiar de la Raza, said that concerns around sharing one’s immigration status are another barrier for many undocumented immigrants who could benefit from HIV preventative care.\u003c/p>\n\u003cp>“Many of the clients we work with are undocumented, and even though San Francisco is a sanctuary city, there is a fear that their information could be disclosed,” Cabrera-Lara told KQED. “That’s why so many people aren’t getting access to prep in the Latinx community.”\u003c/p>\n\u003cp>Other marginalized social groups that experienced disproportionate rates of new HIV diagnoses include people who are homeless, which accounted for one in every five new cases in 2022.\u003c/p>\n\u003cp>“We will not be satisfied until we get to zero new infections, and more must be done,” said SFDPH Director of Health Dr. Grant Colfax, in a press release about the new report. “Breaking down barriers to provide stigma-free care that reaches the community is key, and working together across San Francisco’s robust HIV care and prevention infrastructure, we will do just that.”\u003c/p>\n\u003cfigure id=\"attachment_11969006\" class=\"wp-caption aligncenter\" style=\"max-width: 1450px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11969006\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/AnnualReport2022_Page_068-1.jpg\" alt=\"A chart that illustrated figures from a report that studies HIV cases diagnosed by race and ethnicity.\" width=\"1450\" height=\"843\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/AnnualReport2022_Page_068-1.jpg 1450w, https://ww2.kqed.org/app/uploads/sites/10/2023/12/AnnualReport2022_Page_068-1-800x465.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/12/AnnualReport2022_Page_068-1-1020x593.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/12/AnnualReport2022_Page_068-1-160x93.jpg 160w\" sizes=\"(max-width: 1450px) 100vw, 1450px\">\u003cfigcaption class=\"wp-caption-text\">Testing for HIV has slightly recovered after a sharp decline in 2020 during the COVID-19 pandemic. As the city works to maintain its decades-long progress on HIV, public health officials are noticing slight demographic shifts among populations that are most at risk — and adapting their response as a result. \u003ccite>(Courtesy of the San Francisco Department of Public Health)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In July, the Department of Public Health opened seven sites, called Health Access Points, focusing on increasing HIV prevention and treatment services for the Latinx community, African Americans, and other priority populations including people who use drugs, trans women and people who are homeless.\u003c/p>\n\u003cp>At the sites, people can get free testing for HIV and other sexually transmitted diseases, as well as treatment services and support with overdose prevention in a low-barrier setting, meaning they don’t need to prove any insurance or residence. The \u003ca href=\"https://learnsfdph.org/programs/health-access-point-hap/\">access points are located\u003c/a> within community-based nonprofits, such as the Rafiki Coalition, the San Francisco AIDS Foundation and the Instituto Familiar de la Raza. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11965263","hero":"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231022-AIDSMemorialGrove-046-BL-KQED-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“We are excited to see the recent launch of the HAPs, which provide equitable access to HIV prevention, care and treatment services,” said Health Officer Dr. Susan Philip in the press announcement. “Providing comprehensive, whole-person care delivered by expert community service providers to those who have traditionally experienced barriers will help us address disparities and reduce new HIV diagnoses.”\u003c/p>\n\u003cp>The total number of people living with HIV who died in 2022 increased from 279 in 2021 to 312 in 2022, the report shows. Many of those deaths, however, were from causes not directly tied to HIV, and the number of late-stage HIV-related deaths has decreased.\u003c/p>\n\u003cp>That is, in part, because San Francisco’s population of people living with HIV is getting older and dying of other causes. They might also be at a higher risk of cardiovascular disease or rectal cancer, Buchbinder said.\u003c/p>\n\u003cp>“HIV prevention is not just using condoms or prep but also the many psycho-social issues affecting this population, like housing, employment, immigration and so on,” said Cabrera-Lara. “In order for people to take care of themselves, they need to take care of these other needs. That’s sometimes forgotten in the prevention effort.”\u003c/p>\n\u003cp>About 73% of people living with HIV in San Francisco are 50 or older, according to the report, and about 25% are 65 and older. Diagnoses among people aged 50 and older have also increased in recent years.\u003c/p>\n\u003cp>“We need to improve the quality of life for people living with HIV,” Buchbinder said. “They have health and psycho-social needs. It’s a large population in San Francisco, and we see deaths go up as the population ages. But we need to get rid of preventable causes of death to help them live as healthy of a life as possible.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11968984/sf-reports-latinx-majority-in-new-hiv-diagnoses-despite-overall-drop","authors":["11840"],"categories":["news_457","news_8"],"tags":["news_27626","news_1511","news_29548","news_19960","news_38"],"featImg":"news_11969002","label":"news"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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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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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"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. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us","airtime":"SUN 2pm-3pm, MON 12am-1am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png","officialWebsiteLink":"https://www.wnycstudios.org/shows/otm","meta":{"site":"news","source":"wnyc"},"link":"/radio/program/on-the-media","subscribe":{"apple":"https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2","tuneIn":"https://tunein.com/radio/On-the-Media-p69/","rss":"http://feeds.wnyc.org/onthemedia"}},"our-body-politic":{"id":"our-body-politic","title":"Our Body Politic","info":"Presented by KQED, KCRW and KPCC, and created and hosted by award-winning journalist Farai Chideya, Our Body Politic is unapologetically centered on reporting on not just how women of color experience the major political events of today, but how they’re impacting those very issues.","airtime":"SAT 6pm-7pm, SUN 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Our-Body-Politic-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://our-body-politic.simplecast.com/","meta":{"site":"news","source":"kcrw"},"link":"/radio/program/our-body-politic","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/our-body-politic/id1533069868","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9feGFQaHMxcw","spotify":"https://open.spotify.com/show/4ApAiLT1kV153TttWAmqmc","rss":"https://feeds.simplecast.com/_xaPhs1s","tuneIn":"https://tunein.com/podcasts/News--Politics-Podcasts/Our-Body-Politic-p1369211/"}},"pbs-newshour":{"id":"pbs-newshour","title":"PBS NewsHour","info":"Analysis, background reports and updates from the PBS NewsHour putting today's news in context.","airtime":"MON-FRI 3pm-4pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.pbs.org/newshour/","meta":{"site":"news","source":"pbs"},"link":"/radio/program/pbs-newshour","subscribe":{"apple":"https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2","tuneIn":"https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/","rss":"https://www.pbs.org/newshour/feeds/rss/podcasts/show"}},"perspectives":{"id":"perspectives","title":"Perspectives","tagline":"KQED's series of of daily listener commentaries since 1991","info":"KQED's series of of daily listener commentaries since 1991.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Perspectives-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/perspectives/","meta":{"site":"radio","source":"kqed","order":"15"},"link":"/perspectives","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/id73801135","npr":"https://www.npr.org/podcasts/432309616/perspectives","rss":"https://ww2.kqed.org/perspectives/category/perspectives/feed/","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"}},"planet-money":{"id":"planet-money","title":"Planet Money","info":"The economy explained. 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