KQED NEWSROOM: Flu Season Spikes, Toxic Stress in Children and SJSU Tackles Racial Discrimination


>>>NEXT ON KQED “NEWSROOM,”   MORE THAN 200 FLU DEATHS IN   CALIFORNIA, AND COUNTING.  >>NICE AND RELAX FOR ME.  >>WHY IS THIS YEAR’S OUTBREAK   WORSE THAN OTHERS?  >>>SAN JOSE STATE UNIVERSITY   GRAPPLES WITH RACE-RELATED   HARASSMENT.   THE SEARCH FOR SOLUTIONS NOW   UNDER WAY.  >>>AND ONE SAN FRANCISCO   DOCTOR’S EXPERIENCE TREATING   KIDS COPING WITH THE STRESS OF   URBAN LIFE.  >>FOLKS WHO ARE EXPOSED TO   ADVERSITY IN CHILDHOOD HAVE   INCREASED RISK OF CHRONIC   DISEASE IN ADULTHOOD.  >>>GOOD EVENING AND WELCOME TO   KQED “NEWSROOM.”   I’M THUY VU.   THE NUMBER OF DEATHS RELATED TO   THE FLU CONTINUES TO RISE.   TODAY, CALIFORNIA’S DEPARTMENT   OF PUBLIC HEALTH ANNOUNCED 202   PEOPLE HAVE DIED AND 41 MORE   CASES ARE UNDER INVESTIGATION.   WHY IS THE CURRENT FLU STRAIN   MORE POTENT THAN LAST SEASON’S?   JOINING ME TO DISCUSS THE   BROADER PUBLIC HEALTH PICTURE   ARE LISA ALIFERIS.   EDITOR OF KQED’S “STATE OF   HEALTH” BLOG.   AND DR. ERIKA PAN, DIRECTOR OF   COMMUNICABLE DISEASE CONTROL AND   PREVENTION FOR ALAMEDA COUNTY.   BEFORE WE GET INTO THE   DISCUSSION, SCOTT SCHAEFER WENT   TO VISIT A NEARBY VACCINATION   CLINIC.   HERE’S HIS REPORT.  >>Reporter: SINCE SEPTEMBER THE   ADULT IMMUNIZATION AND TRAVEL   CLINIC IN SAN FRANCISCO HAS BEEN   ENCOURAGING PEOPLE TO DROP IN   FOR A VISIT.  >>IRENE?   HI, HOW ARE YOU DOING?  >>Reporter: EVEN IF IT MAY   STING A LITTLE.  >>YOU READY?  >>YEP.  >>OKAY.   JUST A LITTLE PINCH.  >>Reporter: ABOUT 40% OF   CALIFORNIANS GET VACCINATED   DURING THE FLU SEASON.   WHICH RUNS FROM OCTOBER THROUGH   MARCH IN THE U.S.   THIS YEAR, EVEN YOUNG ADULTS ARE   AT RISK FOR SEVERE INFECTION   FROM THE FLU.   IN FACT, 202 CALIFORNIANS UNDER   THE AGE OF 65 HAVE ALREADY DIED   FROM H1N1.   THAT’S THE MAIN FLU VIRUS   CIRCULATING THIS SEASON.   WHEN H1N1 FIRST APPEARED IN   2009, IT INFECTED UP TO 80   MILLION PEOPLE AROUND THE WORLD.   SO I HEADED TO THE SAN FRANCISCO   DEPARTMENT OF PUBLIC HEALTH TO   TALK WITH DR. CORA HOOVER ABOUT   H1N1 AND WHY GETTING VACCINATED   MAKES GOOD SENSE, EVEN IF YOU’RE   YOUNG AND HEALTHY.  >>WE’VE BEEN HEARING A LOT   ABOUT H1N1.   WHAT IS IT?  >>ONE OF THE THINGS THAT’S   UNIQUE ABOUT H1N1 IS THAT IT IS   KNOWN TO CAUSE MORE SERIOUS   DISEASE IN YOUNG AND MIDDLE-AGED   ADULTS AS COMPARED WITH SOME OF   THE OTHER SEASONAL FLU STRAINS.  >>DO YOU KNOW WHY THAT IS?  >>I DON’T THINK THE REASONS ARE   WELL UNDERSTOOD.   BRIAN?   HI, BRIAN.  >>Reporter: FORTUNATELY, THE   FLU VACCINE CURRENTLY BEING   ADMINISTERED HAS PROVEN   EFFECTIVE AGAINST H1N1.   THIS POTENT FLU BUG WAS A BIG   MOTIVATOR FOR 33-YEAR-OLD COREY   PERSHING.  >>HAVE A SEAT.   YOU’RE HERE FOR A FLU SHOT   TODAY?  >>YES.   WHAT I’VE HEARD ABOUT THE H1N1   SWINE FLU, IT’S MAINLY PEOPLE   WHO HAVE BEEN DYING FROM IT —   IT’S SCARY TO THINK ABOUT WITH   TWO SMALL KIDS.  >>OKAY, THANK YOU.  >>HAVE A GREAT DAY.  >>YOU TOO, THANK YOU.  >>THAT’S REALLY ONE OF THE   THINGS ABOUT FLU IS THAT IT’S   VERY INPREDICTABLE.   AND THAT’S ONE OF THE REASONS   WHY WE RECOMMEND A FLU VACCINE   FOR EVERYONE IS THAT YOU NEVER   KNOW IF YOU’RE GOING TO BE THE   ONE THAT MAY END UP WITH MORE   SERIOUS DISEASE.  >>SO WE JUST HEARD H1N1 IS THE   MAIN STRAIN CIRCULATING THIS   YEAR.   IS IT MORE VIRULENT THAN OTHER   STRAINS, DR. PAN?  >>SO H1N1 IS A NOVEL STRAIN   THAT WE SAW STARTING IN 2009.   AND IT DOES IMPACT DIFFERENT AGE   GROUPS DIFFERENTLY.   TYPICALLY IN A SEASONAL FLU   SEASON WE SEE MOST OF THE DEATHS   AND MOST OF THE IMPACTS IN THE   OVER 65.   WHEREAS WITH H1N1, WE ACTUALLY   SEE POTENTIALLY SOME LEVEL OF   PROTECTION IN PEOPLE OVER 65 WHO   DON’T SEEM TO GET THE SERIOUS   DISEASE.  >>WHY IS THAT?  >>THERE ARE A LOT OF THEORIES   OUT THERE.   ONE OF THE MAIN THEORIES IS THAT   PERHAPS THERE WAS A SIMILAR   STRAIN CIRCULATING MANY DECADES   AGO THAT PEOPLE OVER 65 HAVE   SOME IMMUNITY AND ARE PROTECTED.   BUT PEOPLE DON’T KNOW FOR SURE.  >>AND THE PEOPLE WHO ARE DYING,   ARE THEY PEOPLE WITH UNDERLYING   HEALTH CONDITIONS?   OR ARE YOU SEEING PERFECTLY   HEALTHY PEOPLE OF ALL AGES DYING   FROM THE FLU AS WELL?  >>SO ON THE CALL THIS MORNING   WITH THE STATE, THEY SAID THAT   90% OF THE PEOPLE WHO HAD DIED   HAD SOME UNDERLYING MEDICAL   CONDITION.   BUT THIS LEAVES 10% OF 202, 20   PEOPLE WHO HAD NO APPARENT   HEALTH CONDITION AND STILL   PASSED AWAY.  >>RIGHT.   EVERY YEAR HEALTHY PEOPLE CAN   DIE FROM THE FLU.   THEY’VE DONE — A RECENT SUMMARY   OF ALL THE PEDIATRIC DEATHS   BETWEEN SEVERAL YEARS OF FLU   SEASON AND THEY LOOKED AT ABOUT   800 KIDS WHO HAD DIED FROM THE   FLU.   I THINK ALMOST 40% OF THEM HAD   NO OTHER UNDERLYING MEDICAL   CONDITIONS.   SO HEALTHY KIDS CAN DIE OF THE   FLU EVERY SEASON AS WELL.  >>SO MANY PEOPLE ARE CONCERNED   ABOUT THIS.   IT SEEMS LIKE EVERYONE HAS   EITHER HAD THE FLU THEMSELVES OR   KNOWS SOMEONE WHO HAS.   IN FACT, IT HIT HOME FOR ME VERY   PERSONALLY BECAUSE A FRIEND OF   MINE, HER HUSBAND DIED RECENTLY   FROM THE FLU.   AND HIS SERVICE IS TOMORROW.   SO LOTS OF CONCERN.   HOW ACCURATE ARE THE STATISTICS   ON DEATHS FROM THE FLU?   IS IT REPORTED FOR EVERYBODY IN   EVERY AGE CATEGORY OR ONLY   CERTAIN PEOPLE?  >>I’M REALLY GLAD YOU ASKED   THAT QUESTION BECAUSE THERE HAS   BEEN SOME CONFUSION, ESPECIALLY   THIS YEAR.   THE ONLY DEATHS THAT ARE LEGALLY   REPORTABLE TO PUBLIC HEALTH   DEPARTMENTS ARE PEOPLE LESS THAN   65 YEARS OF AGE.   AND THAT’S ONLY BEEN LEGALLY   REPORTABLE SINCE 2011.   AS A RESULT OF THE PANDEMIC IN   2009.  >>THAT’S WHEN A STATE LAW CAME   INTO BEING REQUIRING IT?  >>EXACTLY.  >>WHAT’S ALSO INTERESTING IS   THAT CALIFORNIA IS APPARENTLY   THE ONLY STATE THAT REQUIRES   TRACKING OF EVERY FLU DEATH.   CDC, CENTERS FOR DISEASE   CONTROL, REQUIRES REPORTING OF   CHILDREN UNDER THE AGE OF 18.   BUT IT DOES NOT — WE SPOKE TO   THE CDC THIS WEEK AND THEY DO   NOT REQUIRE THAT ANY STATE   REPORT ALL DEATHS.  >>WHY IS THAT?  >>EVEN THEN IT’S PROBABLY   UNDERREPORTED.   BECAUSE SOME PEOPLE DON’T SEEK   MEDICAL CARE, SOME PEOPLE DON’T   GET TESTED.   CDC DOES TRY TO DO NATIONAL   SURVEILLANCE AND SOME ESTIMATES   NATIONWIDE BUT THEY’RE WIDE,   LARGE ESTIMATES OF   HOSPITALIZATIONS AND DEATH.  >>I WOULD SAY UNTIL THE   PANDEMIC IN 2009-10, THAT REVVED   UP PUBLIC INTEREST IN INFLUENZA   AND CONCERN ABOUT PANDEMICS.   THAT WOULD BE MY —  >>RIGHT, AND LOOKING FOR NEW   EPPEOPE   EPIDEMIOLO   EPIDEMIOLO   EPIDEMIOLOGY.   IN 1918, THE SPANISH FLU, IT WAS   MOSTLY YOUNGER PEOPLE IMPACTED   AS WELL.   AND SO WE’RE LOOKING FOR NOVEL   STRAINS OR NEW PATTERNS OF   DISEASE WAS THE OTHER REASON IT   WAS MADE REPORTABLE.  >>AND A NUMBER OF DEATHS, IN   19186   1918, 675,000 DEATHS BACK THEN.   THE CURRENT VACCINE, HOW   EFFECTIVE IS IT?   EVERY YEAR SCIENTISTS HAVE TO   SORT OF PREDICT IN ADVANCE WHICH   STRAIN WILL BE THE MAIN ONE IN   ANY GIVEN YEAR.   BECAUSE THEY HAVE TO PUT IT INTO   THE VACCINE MONTHS BEFORE THE   FLU SEASON STARTS.  >>SURE, YEAH.   SO EVERY YEAR IN THE PAST WE’VE   HAD AT LEAST TWO INFLUENZA “A”   STRAINS AND ONE “B” STRAIN IN   THE VACCINE.   THIS YEAR THERE’S A FEW   DIFFERENT ONES.   A FEW THAT ACTUALLY HAVE TWO   INFLUENZA “A” AND TWO INFLUENZA   “B” STRAINS.   SINCE 2009 WE’VE HAD THIS   PARTICULAR H1N1 STRAIN IN THE   VACCINE EVERY SEASON.   IT IS A GOOD MATCH THIS YEAR.   EVEN THE OTHER COUPLE OF VIRUSES   THAT HAVE BEEN TYPED ARE A GOOD   MATCH AS WELL.  >>SO PEOPLE WORRY A LOT ABOUT   THE VACCINE.   BUT — I MEAN, THE SAFETY   PROFILE IS REALLY QUITE GOOD ON   THE VACCINE.   AND I THINK THE ESTIMATES THEY   GAVE TODAY ON THE CALL WERE   ABOUT — THAT CHILDREN TEND TO   BE VACCINATED AND ELDERLY TEND   TO BE VACCINATED BUT ADULTS,   THAT’S ABOUT A 40% VACCINATION   RATE.  >>PEOPLE KEEP ON WONDERING, I   HEAR THIS QUESTION ALL THE TIME,   CAN YOU GET SICK FROM GETTING   THE FLU VACCINE?   AND IS IT TOO LATE TO GET   VACCINATED?  >>SO THE — THEY’VE BEEN   SOUNDING THE DRUMBEAT WEEK AFTER   WEEK, URGING PEOPLE TO PLEASE   GET VACCINATED AND KNOW THE FLU   VACCINE, FOR THE SHOT, IS A   DEADENED VIRUS.   SO YOUR BODY CREATES AN IMMUNITY   TO IT BUT IT CANNOT MAKE YOU   SICK.   IT CAN GIVE YOU A SORE ARM, IT   CAN GIVE YOU LOW FEVER FOR THE   NEXT DAY OR TWO.   THAT’S UNCOMMON.   IT CANNOT GIVE YOU THE FLU.   WHAT WAS THE OTHER HALF OF YOUR   QUESTION?   I’M SORRY.  >>YOU KIND OF ANSWERED IT IN   THE BEGINNING.   WHETHER IT’S TOO LATE TO GET THE   FLU VACCINE EVEN AT THIS STAGE.  >>AND SO WE APPEAR TO HAVE   CROSSED A PEAK AT THIS POINT.   THEY SAID ON “THE CALL” TODAY.   BUT THERE IS SOME CONCERN THAT   IT COULD REV BACK UP AGAIN.   EVEN IF WE HAVE CROSSED A PEAK   THAT DOESN’T MEAN WE’RE GOING TO   ZERO CASES.  >>RIGHT, GRADUAL DECLINE.  >>THEY’RE STILL ENCOURAGING   PEOPLE TO GET VACCINATED IF THEY   HAVE NOT BEEN AND, NO, IT’S NOT   TOO LATE.  >>ARE THERE WARNING SIGNS, ANY   WAY TO KNOW WHETHER IT’S FLU YOU   SUFFER FROM FOR TWO WEEKS VERSES   A FLU THAT CAN KILL YOU?   WHAT SHOULD YOU WATCH OUT FOR?  >>I THINK THE MAIN IMPORTANT   THING FOR PEOPLE TO KEEP IN MIND   AS FAR AS WHEN TO SEEK MEDICAL   CARE, IF THEY HAVE A HIGH FEVER   FOR SEVERAL DAYS OR THEY’RE FEEL   FEELING SYSTEMICALLY ILL, REALLY   TIRED, MENTAL STATUS CHANGES OR   DEHYDRATION OR OTHER THINGS THAT   COULD BE CONCERNING, ESPECIALLY   IN PEOPLE WITH OTHER UNDERLYING   MEDICAL PROBLEMS, CALL THEIR   HEALTH CARE PROVIDER OR PERHAPS   SEEK CARE.   BUT IT IS HARD TO TELL WHETHER   YOU JUST HAVE A COLD VIRUS OR A   MILD FLU INFECTION OR OTHER   RESPIRATORY VIRUSES.   THERE’S A LOT OF RESPIRATORY   VIRUSS THAT CIRCULATE EVERY   YEAR.  >>ASIDE FROM VACCINES WHAT ARE   SOME OF THE BEST WAYS YOU CAN   PREVENT CATCHING THE FLU?  >>ONE IS REALLY BORING BUT WASH   YOUR HANDS.   THAT WILL PROTECT YOU ALSO FROM   EVERYTHING ELSE THAT’S   CIRCULATING TOO.   SO — BUT IN ADDITION, THERE’S   SOME PEOPLE WHO CANNOT BE   VACCINATED.   SO FOR THOSE PEOPLE, THE STATE   HEALTH OFFICIALS WERE   RECOMMENDING THAT EVERYONE IN A   HOUSEHOLD BE VACCINATED.   SO ESPECIALLY BABIES UNDER 6   MONTHS OF AGE CANNOT BE   VACCINATED.   SO IF YOU’RE IN A FAMILY WITH A   LITTLE BABY OR YOU ARE A   CAREGIVER FOR A BABY, YOU SHOULD   BE VACCINATED.   THE VACCINE IS READILY   AVAILABLE.   AND I HAVE A LINK IN A POST THAT   I WROTE TODAY, IT’S VERY EASY TO   FIND A MATCH — ENTER YOUR ZIP   CODE.  >>THERE’S NASAL VACCINE AS WELL   FOR 2 TO 49-YEAR-OLDS, IF YOU’RE   AFRAID OF NEEDLES BUT WANT THE   FLU VACCINE, IT’S ALSO EXTREMELY   SAFE.   I GET IT EVERY YEAR, MY CHILDREN   GET IT EVERY YEAR.  >>IT’S AN OPTION DEFINITELY.   THANK YOU BOTH, DR. ERIKA PAN   AND LISA ALIFERIS.  >>>HELPING CHILDREN DEAL WITH   TOXIC STRESS INDUCED BY POVERTY.   FIRST, THE HARASSMENT OF AN   AFRICAN-AMERICAN STUDENT AT   SANTO STATE UNIVERSITY LAST FALL   HAS PROMPTED MUCH   SOUL-SEARCHING.   AN INDEPENDENT INVESTIGATOR   RELEASED HIS REPORT.   HE FOUND THE UNIVERSITY   RESPONDED APPROPRIATELY ONCE IT   LEARNED FOUR WHITE STUDENTS HAD   REPORTEDLY TORMENTED THE BLACK   STUDENT.   INCLUDING CALLING HIM RACIST   NAMES AND FASTENING A BIKE LOCK   AROUND HIS NECK.   LAST NIGHT, A TASK FORCE ON   RACIAL DISCRIMINATION FORMED IN   RESPONSE TO THE INCIDENT HELD   ITS FIRST PUBLIC MEETING.   THE GROUP’S CHAIR, RETIRED JUDGE   KORDELL, JOINED US EARLIER TO   DISCUSS WHAT THEY HOPE TO   ACCOMPLISH.   JUDGE KORDELL, THANK YOU FOR   JOINING US.   JUST FIRST OF ALL, SO WE CAN   BETTER UNDERSTAND WHAT HAPPENED   HERE, TELL ME SOME OF THE   INSTANCES, THE INCIDENTS THAT   HAPPENED TO THIS BLACK STUDENT.  >>WE KNOW FROM THE FACT   FINDER’S REPORT THERE WERE A   SERIES OF INCIDENTS THAT   OCCURRED IN A SUITE IN ONE OF   THE DORMS, A THEME DORM WHERE   ENGINEERING STUDENTS WERE.   AT LEAST 13, MAYBE 14 DIFFERENT   INCIDENTS.   EVERYTHING FROM GIVING THIS   STUDENT A NICKNAME THAT WAS   RACIALLY DEROGATORY.   THE NAME WAS THREE-FIFTHS,   REFERRING TO THE   GOVERNMENT-SANCTIONED RULE IN   THIS COUNTRY, SLAVERY, SO EVERY   PERSON WHO’S A SLAVE GETS   COUNTED AS THREE-FIFTHS OF A   VOTE, SO THAT WAS FOR PLANTATION   OWNERS SO THEY COULD HAVE MORE   VOTES.   THERE WAS THE RACE-BASED   NICKNAMES.   THEN THEY WOULD LOCK HIM IN A   ROOM AND TAKE THE HANDLE OFF   INSIDE THE DOOR SO HE COULDN’T   GET OUT.   THEN THE ONE EVERYONE HAS HEARD   ABOUT I THINK WAS PUTTING A BIKE   LOCK, A METAL U-SHAPED BIKE   LOCK, LOCKING IT AROUND HIS   NECK.   THERE WERE TWO INSTANCES WHERE   THAT OCCURRED, OR AT LEAST ONE   IN WHICH IT WAS ATTEMPTED.   TAKING HIS SHOES AND HIDING   THEM.   PUTTING A CONFEDERATE FLAG UP,   FIRST IN THE WINDOW SO THAT   THOSE OUTSIDE COULD SEE IT, THEN   MOVING IT HAVING IT IN THE   COMMON AREA IN THE SUITE.   HAVING A SWASTIKA, NAZI   REFERENCES, UP.   WRITING A RACIAL SLUR ON A WHITE   BOARD THAT WAS IN THE ROOM.   SO THOSE ARE THE KINDS OF   THINGS.  >>ALL IN ALL, BY MY COUNT, 13   INCIDENTS OVER A MATTER OF   WEEKS, ABOUT FIVE WEEKS.   WHY DID NO ONE COME FORWARD TO   REPORT THIS?  >>WE DON’T KNOW.   THE FACT FINDER DIDN’T HAVE THE   OPPORTUNITY TO TALK TO THE   VICTIM.   BUT IT’S CLEAR THE VICTIM DID   NOT COME FORWARD AND SAY   ANYTHING.   WE DON’T KNOW WHY.   THERE COULD BE A LOT OF REASONS   FOR THAT.   AND THERE WERE STUDENTS WHO   KNEW.   BECAUSE THIS VICTIM TOLD HIM BUT   HE ASKED THEM TO NOT SAY   ANYTHING.   I FIND THAT PROBLEMATIC THAT   THEY DIDN’T SAY ANYTHING.   BECAUSE THEIR SILENCE LED TO   THIS, THIS ABUSE CONTINUING.   SO THAT’S A CONCERN ABOUT,   WHAT’S THE THINKING?   WHAT’S THE MENTALITY?   WHAT’S THE MORAL OBLIGATION THAT   STUDENTS HAVE?  >>SO ONCE THE SCHOOL DID FIND   OUT, AND THEY FOUND OUT BECAUSE   HIS PARENTS ENTERED HIS DORM   ROOM AND SAW THE CONFEDERATE   FLAG AND SAID, WHAT’S GOING ON   HERE?   THAT’S WHEN IT ALL BECAME   PUBLIC.   THIS WEEK A FACT FINDER CAME OUT   WITH HIS INDEPENDENT   INVESTIGATIONS, BASICALLY SAYING   THE UNIVERSITY ACTED SWIFTLY AND   PROPERLY.   IN THAT THEY DID EVERYTHING FROM   MOVING THE HARASSMENT SUSPECTS   AWAY FROM THE STUDENT AND THEN   EVENTUALLY SUSPENDED THEM.   WHAT DO YOU THINK OF THE   SCHOOL’S RESPONSE AND WHAT IS   YOUR TASK FORCE GOING TO DO NOW   AS A RESULT OF THAT?  >>THE SCHOOL’S RESPONSE, I HAVE   TWO DIFFERENT OBSERVATIONS ON   IT.   ONE IS THAT AS CONSISTENT WITH   WHAT THE FACT FINDER FOUND,   THERE ARE RULES AND POLICIES   THAT THE FACT FINDER FOUND DID   NOT — THEY WERE NOT BROKEN.   THEY WERE ADHERED TO BY THE   UNIVERSITY.   AND THAT KIND OF FOR ME BEGS THE   QUESTION, IF ALL THE RULES WERE   ADHERED TO AND THIS STILL WENT   ON FOR THIS LONG, THERE’S   SOMETHING WRONG, THERE’S A   PROBLEM.   THE TASK FORCE WHICH I CHAIR,   THE PURPOSE IS TO LOOK AT THIS   FACT FINDING REPORT AND THEN TO   SEE WHAT RECOMMENDATIONS THERE   ARE TO BE MADE SO THE   UNIVERSITY, TO IMPLEMENT TO SEE   THAT THIS NEVER HAPPENS AGAIN   AND WHAT LESSONS WE CAN LEARN   FROM THIS.  >>SO YOU WILL BE LOOKING AT,   WHY IS IT THAT THIS STUDENT   DIDN’T FEEL THERE WAS SOMEONE OR   A GROUP THAT HE COULD COME   FORWARD AND TALK TO.   WHAT ELSE WILL YOU BE LOOKING   AT?  >>WHAT’S THE TRAINING OF THOSE   WHO LIVED ON THE FLOOR, THE   RESIDENT ADVISERS, STUDENTS WHO   WORK AS QUASI STAFF, AND THOSE   WHO SUPERVISE THE RESIDENT   ADVISERS, WHERE WERE THEY?   WHEN THAT CONFEDERATE FLAG WAS   UP IN THE WINDOW AND THEY WERE   TOLD TO TAKE IT DOWN AND THEY   WERE AND THERE WERE NO FURTHER   INQUIRIES, THAT IS PROBLEMATIC?   IT TURNS OUT MANY, MANY TIMES   INDIVIDUALS FROM STAFF HAD TO GO   TO THAT SUITE TO DEAL WITH   ISSUES.   YET THE RED FLAGS, THEY’RE   WAVING, BUT IT DIDN’T SEEM TO   REALLY GENERATE THE KIND OF   RESPONSE IT SHOULD HAVE.   SO WE’RE GOING TO BE LOOKING AT   BOTH THE TRAINING OF THOSE WHO   WORK IN RESIDENTIAL LIFE.   WE’RE GOING TO BE LOOKING AT   FRESHMAN ORIENTATION.   THESE WERE FRESHMEN.   SO THEY DIDN’T HAVE A LONG TIME   TO BE AT THIS SCHOOL BEFORE ALL   THIS JUMPED OFF.   SO WHAT’S THE ORIENTATION?   DO THEY REALLY TALK ABOUT ISSUES   ABOUT RACE AND ABOUT APPROPRIATE   BEHAVIOR?  >>YOU HAD YOUR FIRST PUBLIC   MEETING THIS WEEK, YOU’LL HAVE   MEETINGS EVERY TWO WEEKS UNTIL   APRIL WHEN YOU HAVE YOUR REPORT.  >>WHAT I THINK IS SO UNIQUE   ABOUT THIS PROCESS IS THAT   THERE’S A LOT OF SOUL SEARCHING   GOING ON.   AS EVIDENCED BY THE FIRST   MEETING THAT WE HAD.   PEOPLE REALLY TALKED ABOUT THE   CONCERNS THEY HAVE.   WHAT’S UNIQUE ABOUT THIS IS THAT   THIS IS IN A PUBLIC FORUM,   NOTHING HIDDEN, TRAS PARENT AS   IT GETS.   IT’S MY HOPE THAT WHAT WE’RE   DOING WILL SERVE AS A MODEL FOR   ALL OF THE UNIVERSITIES WITHIN   THE CALIFORNIA STATE SYSTEM.   THIS IN MY VIEW IS THE PROPER   WAY TO DO THIS.   AND THE PRESIDENT OF THE   UNIVERSITY, TOP STAFF,   ADMINISTRATIVE STAFF, WERE   ABSOLUTELY SUPPORTIVE AND ARE OF   HAVING THIS BE A VERY   TRANSPARENT AND PUBLIC PROCESS.   BECAUSE AS A RESULT OF THAT, YOU   GENERATE TRUST IN THE PROCESS   AND TRUST IN THE   RECOMMENDATIONS.  >>YOU’RE OBVIOUSLY VERY   PASSIONATE.   JUDGE KORDELL, THANK YOU FOR   JOINING US.  >>YOU’RE WELCOME.   THANK YOU FOR INVITING ME.  >>>WHEN CHILDREN ARE REGULARLY   EXPOSED TO THE STRESS OF   POVERTY, VIOLENCE, AND SUBSTANCE   ABUSE IT CAN HAVE A LASTING   IMPACT ON THEIR MENTAL AND   PHYSICAL HEALTH.   IT CAN LEAD TO PHYSIOLOGICAL   CHANGES AND ILLNESS, EVEN TAKING   YEARS OFF THEIR LIVES.   THE CENTER FOR YOUTH WELLNESS IN   SAN FRANCISCO’S BAY VIEW HUNTERS   POINT IS WORKING TO COUNTERACT   THE EFFECTS OF THIS SO-CALLED   TOXIC STRESS.   SCOTT SCHAEFER SPOKE WITH THE   CENTER’S CO-FOUNDER DR. NADINE   BURKE HARRIS.  >>WELCOME.   YOU WORK WITH KIDS WHO ARE   REPEATEDLY EXPOSED TO WHAT YOU   CALL TOXIC STRESS.   GIVE US A SENSE OF THE KIDS YOU   WORK WITH IN PLACES LIKE BAY   VIEW HUNTERS POINT AND   NEIGHBORHOODS LIKE THAT, WHAT   SOME KIDS WHO LIVE IN THOSE   PLACES GO THROUGH.   WHAT’S LIFE LIKE?  >>SURE.   WHAT WE SEE IS MANY KIDS WHO ARE   EXPOSED TO THINGS LIKE CERTAINLY   A LOT OF COMMUNITY VIOLENCE, BUT   ALSO KIDS WHO ARE GROWING UP IN   FAMILIES WHERE THERE’S A PARENT   WITH MENTAL ILLNESS OR PERHAPS   SUBSTANCE DEPENDANCE.   AND SOME OF THE CHALLENGES THAT   THEY SEE IN DETERMINES OF JUST   DEALING WITH HOUSEHOLD FUNCTION.   THERE’S A LOT OF FAMILIES WHERE   ONE PARENT ISN’T AS HOME OR   MAYBE A PARENT IS INCARCERATED.   AND SO THESE ARE THE CHALLENGES   THAT WE SEE.  >>WHAT’S INTERESTING AND WHAT   YOU’VE DISCOVERED AND WHAT   OTHERS HAVE DISCOVERED AND   YOU’RE BUILDING ON IS THE IDEA   THAT THIS AFFECTS THEM NOT JUST   PSYCHOLOGICALLY BUT PHYSIO   PSYCHOLOGICALLY.   TALK ABOUT THE PHYSIOLOGICAL   CHANGES THAT HAPPEN.  >>THAT’S RIGHT.   WHEN KIDS ARE EXPOSED TO   TRAUMATIC STRESS LIKE I JUST   DESCRIBED, IT ACTIVATES THE   STRESS RESPONSE SYSTEM, WHAT WE   CALL THE FIGHT OR FLIGHT SYSTEM.   AND THAT RELEASES HORMONES AND   CHEMICALS LIKE ADRENALINE AND   CORTIS   CORTISOL.   NOW WE UNDERSTAND KIDS WE   PREVIOUSLY THOUGHT HAD PROBLEMS   WITH ATTENTION, LIKE ADHD,   ACTUALLY WHAT WE’RE SEAL IS THE   IMPACTS OF THESE STRESS HORMONES   THAT ARE IN THEIR BODY.  >>IS IT A CHANGE IN THEIR   BRAINS, NERVOUS SYSTEMS, ALL   THAT?  >>SO IT’S ACTUALLY ALL OF THOSE   THINGS.   AND YOUNGER CHILDREN ARE MORE   SUSCEPTIBLE BECAUSE THEIR BRAINS   ARE GROWING, ARE MORE IMMATURE,   AND THEY’RE GROWING QUITE   QUICKLY.   BUT WE SEE CHANGES IN BRAIN   STRUCTURE AND FUNCTION, WHAT WE   CALL BRAIN ARCHITECTURE.   AS WELL AS CHANGES TO THE   HORMONAL SYSTEMS IN THE BODY.   AND BELIEVE IT OR NOT, CHANGES   TO THE IMMUNE SYSTEM AS WELL.   SO THEY’RE AT HIGHER RISK FOR   DISEASES LIKE ASTHMA AND OF   HAVING WORSE ASTHMA.   AND ALSO HIGHER RISK FOR   DISEASES IN ADULTHOOD LIKE CHONG   OBSTRUCTIVE PULMONARY DISEASE   AND HEART DISEASE WHICH IS THE   NUMBER ONE KILLER IN THE UNITED   STATES.  >>YOU’RE SAYING EXPOSURE TO   THESE STRESSES AT A YOUNGER AGE   CAN TAKE YEARS OFF A PERSON’S   LIFE WHEN THEY GROW UP AS WELL?  >>ABSOLUTELY.   THERE HAVE BEEN SOME MAJOR   RESEARCH STUDIES THAT HAVE SHOWN   THAT FOLKS WHO ARE EXPOSED TO   ADVERSITY IN CHILDHOOD HAVE   INCREASED RISK OF CHRONIC   DISEASE IN ADULTHOOD.   AND IN FACT, THOSE IN THE MAJOR   STUDY THAT WAS DONE, BETWEEN   KAISER AND THE CENTERS FOR   DISEASE CONTROL AND PREVENTION,   THOSE PEOPLE WHO WERE EXPOSED TO   SIX OR MORE OF THESE ADVERSE   CHILDHOOD EXPERIENCES HAD A   20-YEAR DIFFERENCE IN LIFE   EXPECTANCY.  >>WOW.   WHAT YOU’RE DESCRIBING SOUNDS A   BIT LIKE POST-TRAUMATIC STRESS   DISORDER WHICH WE HEAR ABOUT IN   VETERANS COMING BACK FROM IRAQ   AND AFGHANISTAN.   TWO QUESTIONS.   IS THAT WHAT WE’RE TALKING ABOUT   IN THESE YOUNG PEOPLE?   AND IS IT AS HARD TO REVERSE IN   KIDS AND TEENS AND YOUNG ADULTS   AS IT IS IN VETERANS?  >>I WOULD SAY IT’S A LITTLE   BIT — WHAT WE’RE TALKING ABOUT   IS DIFFERENT FROM POST-TRAUMATIC   STRESS DISORDER.   AND ONE OF THE REASONS WHY IS   BECAUSE WHEN A CHILD IS EXPOSED   TO A TRAUMATIC EXPERIENCE, THEIR   BRAINS AND BODIES ARE STILL   DEVELOPING.   AND SO THAT TRAUMA ACTUALLY HAS   A DEVELOPMENTAL IMPACT BECAUSE   IT AFFECTS THE WAY THAT THE   BRAIN WILL GO ON TO DEVELOP.   SO IT’S NOT JUST A STATIC   PROBLEM, IF THAT MAKES ANY   SENSE.   AND SO THE GOOD THING ABOUT   THAT — AND THIS IS THE PROMISE   AND THE HOPE — IS THAT WHEN WE   INTERVENE EARLY WITH KIDS, WE   HAVE ALL OF THAT BRAIN   DEVELOPMENT ON OUR SIDE IN TERMS   OF THE ABILITY TO DO HEALING   WORK.  >>SO WHAT DO YOU DO WHEN AN   INFANT OR YOUNG PERSON,   2-YEAR-OLD, 3-YEAR-OLD, COMES   INTO THE CLINIC, WHAT DO YOU DO?   KNOWING ALL OF THAT, WHAT DO YOU   DO?  >>THERE ARE A COUPLE OF BASIC   THINGS THAT WE DO.   NUMBER ONE, WE HAVE A HOME   VISITING PROGRAM.   SO IT STARTS WITH REALLY GOING   IN AND LOOKING AT THE CHILD’S   ENVIRONMENT.   FINDING WAYS TO SUPPORT THE   PARENTS.   THIS IS TWO-GENERATION WORK.   WHEN IT COMES TO HEALING THE   EFFECTS OF TOXIC STRESS, YOU   HAVE TO WORK WITH A CAREGIVER TO   BE ABLE TO SUPPORT THEM, AS WELL   AS WORKING WITH A CHILD TO HEAL   THE SYMPTOMS OF TOXIC STRESS   THAT THEY’RE EXPERIENCING.  >>SO YOU CAN’T TAKE AWAY   COMMUNITY VIOLENCE, YOU CAN’T   NECESSARILY CURE A PERSON’S   SUBSTANCE ABUSE, YOU CAN’T GET   SOMEBODY OUT OF PRISON.   SOME OF THE PROBLEMS YOU   DESCRIBED.   SO WHAT CAN YOU DO, THEN?  >>SO ONE OF THE THINGS THAT WE   CAN DO IS, NUMBER ONE, TEACH THE   PARENT OR CAREGIVER —   OFTENTIMES MANY CAREGIVERS HAVE   THEIR OWN HISTORY OF TRAUMA   THAT’S BEING REPEATED.   PARTICULARLY WE SEE THIS IN   DOMESTIC VIOLENCE OR HAVING A   PARENT WITH MENTAL ILLNESS.   AND SO HELPING THE CAREGIVER   HAVE RESOURCES AND TOOLS TO BE   ABLE TO SUPPORT THEIR CHILD.   THAT’S ONE THING THAT’S REALLY   IMPORTANT.   A SECOND THING THAT WE DO IS   CERTAINLY MENTAL HEALTH CARE.   BOTH FOR THE CHILD AND FOR THE   CAREGIVER.   AND THEN THE OTHER THINGS THAT   WE DO ARE SOME WELLNESS   ACTIVITIES THAT ARE   EVIDENCE-BASED.   THINGS LIKE BIOFEEDBACK AND   BREATHING TECHNIQUES THAT HELP   PEOPLE EVEN IF THEY’RE IN THAT   DIFFICULT SITUATION TO BE ABLE   TO SELF-REGULATE AND CALM DOWN.  >>WHAT’S THE MOST IMPORTANT   THING YOU LIKE PEOPLE TO TAKE   AWAY FROM HEARING THIS?   THEY MIGHT SAY, I DON’T LIVE IN   THAT NEIGHBORHOOD, OR MY FAMILY   DOESN’T GO THROUGH THIS, WHY   SHOULD WE CARE?  >>ONE OF THE MOST INTERESTING   THINGS ABOUT THE BIG STUDY DONE   BY KAISER AND THE CENTERS FOR   DISEASE CONTROL WAS THAT THAT   STUDY POPULATION WAS 70%   CAUCASIAN, 70% COLLEGE EDUCATED.   WHAT THEY FOUND WAS THAT   TWO-THIRDS OF THE POPULATION HAD   AT LEAST ONE ADVERSE CHILDHOOD   EXPERIENCE.   AND 12% OF THEIR PATIENTS HAD   FOUR OR MORE.   SO THIS IS SOMETHING THAT   AFFECTS US ALL.   CERTAINLY WE SEE A HIGHER DOSE   IN LOW-INCOME COMMUNITIES.   BUT FOR EVERY CALIFORNIAN, FOR   EVERY AMERICAN, THIS IS AN   ISSUE.  >>DR. NADINE BURKE HARRIS,   THANKS FOR YOUR WORK AND FOR   COMING IN AND TELLING US ABOUT   IT.  >>THANK YOU.  >>THAT INTERVIEW WAS PREVIOUSLY   RECORDED.   SCOTT JOINS US NOW FOR A LOOK AT   WHAT’S COMING UP.   THERE’S BEEN A LOT OF CONCERN   ABOUT THE DROUGHT.   NOW WE’RE FINALLY SEEING A   PRETTY BIG STORM PREDICTED THIS   WEEKEND FOR NORTHERN CALIFORNIA   AND THE SIERRA.   THERE’S A TEMPTATION HERE TO   THINK THAT MAYBE WE’RE OUT OF   THE WOODS.   THAT’S NOT QUITE RIGHT, IS IT?  >>IT’S NOT QUITE RIGHT, IT’S   NOT EVEN CLOSE TO BEING RIGHT,   UNFORTUNATELY.   DESPITE ALL THE PRECIPITATION   THAT WE’RE HOPING FOR THIS   WEEKEND, ONE TOP STATE WATER   OFFICIAL THIS WEEK SAID WE COULD   GET SIGNIFICANT PRECIPITATION   EVERY OTHER DAY, NOW THROUGH THE   END OF MAY, AND STILL ONLY GET   TO NORMAL.  >>WOW.  >>THAT GIVES YOU A SENSE OF HOW   MUCH DEFICIT WE HAVE.   THIS IS GOING TO HELP.   IT DOES HELP A LITTLE BIT.   BUT NOT NEARLY ENOUGH TO GET US   OUT OF ANY KIND OF DANGER.  >>SO EVEN IF WE’RE IN THAT   DANGER ZONE STILL, ANY AMOUNT OF   RAIN MUST HIP, DOESN’T IT?  >>IT DOES.   IT CAN BE FRUSTRATING TO HEAR,   THIS DOESN’T MATTER AT ALL.   IT DOES.   FIRST OF ALL, IT HELPS WITH   REDUCING FIRE DANGER.   WE HAD WILDFIRES UP NORTH AND   DOWN NEAR LOS ANGELES LAST   MONTH.   THAT WILL BE TAMPED DOWN.   IT ALSO HELPED SCRUB THE AIR.   YOU’VE GOT A LOT OF SMOG IN   PLACES LIKE THE CENTRAL VALLEY   AND RAIN WILL HELP CLEAN THAT   UP.   THAT’S GREAT FOR KIDS ESPECIALLY   WITH ASTHMA.   IT HELPS WITH THE RESERVOIRS TO   A CERTAIN EXTENT.   IT’S ALL GOOD, IT ALL HELPS.   BUT YOU HAVE TO BE CAREFUL NOT   TO THINK, WE DON’T HAVE TO   CONSERVE WATER.   OR THE FARMERS ARE GOING TO GET   EVERYTHING THAT THEY NEED.   THAT’S NOT THE CASE AT ALL.  >>DEEP YOUR SHOWERS SHORT AND   CONSERVE.   WE MENTIONED THE HOUSE OF   REPRESENTATIVES DROUGHT   LEGISLATION IN OUR PIECE ON THE   SAN JOAQUIN RIVER LEGISLATION.   THE HOUSE PASSED IT.   BUT BOY, A LOT OF CRITICISM FROM   DEMOCRATIC LAWMAKERS, JERRY   BROWN, EVEN PRESIDENT OBAMA.   WHAT WAS THIS LEGISLATION DOING   AND WHY IS THERE SO MUCH   CRITICISM?  >>WHAT IT WOULD DO IS   REALLOCATE WATER FROM THE NORTH   TO THE FARMERS.   AND IT WOULD END THESE RIVER   RESTORATION PROGRAMS.   THE REPUBLICAN PARTY, WHICH OF   COURSE CONTROLS THE HOUSE, IS   VERY CLOSE TO AGRICULTURE AND   FARMERS.   THEY DON’T LIKE THE IDEA OF   SENDING WATER AWAY FROM FARMS   AND TO FISH AND TO RESTORATION.   IT’S GREAT POLITICS FOR THEM.   IT HELPS SOME OF THOSE   VULNERABLE INCUMBENTS IN THE   CENTRAL VALLEY, REPUBLICANS WHO   COULD BE FACING TOUGHER RACES.   BUT IN TERMS OF SOLVING THE   PROBLEM, NOT GOING TO DO   ANYTHING.   AND IN FACT, IT’S DEAD IN THE   WATER, SO TO SPEAK.   BECAUSE IT’S NOT GOING TO PASS   THE SENATE.   AS YOU SAID, PRESIDENT OBAMA   CRITICIZED IT.   SAID HE WOULD VETO IT IF IT GOT   TO HIS DESK.   SENATOR FEINSTEIN SAYS SHE’S   GOING TO INTRODUCE SOMETHING   ELSE SOON THAT WOULD HELP   FARMERS WITHOUT HURTING FISH AND   RIVERS AND ALL THAT.   WE’LL HAVE TO WAIT AND SEE WHAT   IT IS.  >>DEFINITELY A LOT OF DROUGHT   POLITICS GOING ON.  >>ABSOLUTELY.   AND MORE TO COME.  >>SCOTT, THANK YOU.  >>>FOR ALL OF KQED’S NEWS   COVERAGE, GO TO KQEDNEWS.ORG.  >>I’M SCOTT SHAFFER.   THANKS FOR JOINING US.  >>I’M THUY VU.   HAVE A GREAT NIGHT AND A GREAT   WEEKEND.  

Leave a Reply

Your email address will not be published. Required fields are marked *