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California communities are banning syringe programs. Now the state is fighting back in court

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California communities are banning syringe programs. Now the state is fighting back in court

As Indiana officials struggled to contain an outbreak of HIV among people who injected drugs, then-Gov. Mike Pence reluctantly followed the urgings of public health officials and cleared the way for an overwhelmed county to hand out clean syringes.

Pence was far from enthusiastic about launching the program in Scott County, but after it rolled out in 2015, the percentage of injection drug users there who said they shared needles dropped from 74% to 22%. Within a few years, the number of new HIV infections plummeted by 96% and new cases of hepatitis C fell by 76%.

The Sierra Harm Reduction Coalition wanted to keep those same diseases in check in California. The tiny nonprofit got approval from the state to deliver syringes in El Dorado County to prevent the spread of life-threatening illnesses.

Yet when the program was discussed at a December meeting of the county’s Board of Supervisors, the success story in Indiana held little sway. Faced with complaints about discarded needles and overdose deaths, the supervisors voted to prohibit syringe programs in the county’s unincorporated areas.

“These programs may work in other parts of California and throughout the United States, although I have my doubts,” Sheriff Jeff Leikauf said at the meeting. “El Dorado County does not want or need these types of programs.”

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El Dorado is among a growing number of California communities that have banned syringe programs, testing the state’s power and political will to defend them as a public health strategy. It is part of a broader pushback against “harm reduction” — the practical philosophy of trying to reduce the negative effects of drug use — as overdose deaths have soared.

Now California is fighting back. In a recently filed lawsuit, the Department of Public Health argued that local ordinances prohibiting syringe programs in El Dorado County were preempted by state law, making them unenforceable.

The state is seeking a court order telling El Dorado County and the city of Placerville, its county seat, to stop enforcing their bans and allow syringe programs to resume.

An El Dorado County spokesperson said Monday that the county does not comment on pending legal issues. Its district attorney, however, said he was outraged to learn of the lawsuit, saying that state leaders were “seeking to impose the normalization of hardcore drug use.”

“Don’t come into our county and double down on your failed policy,” El Dorado County Dist. Atty. Vern Pierson said in a statement. “Allowing addicts to use fentanyl and other hardcore drugs is exactly what has caused other California counties to experience a death rate that is out of control and getting worse.”

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Mona Ebrahimi, the city attorney for Placerville, said the city had put a 45-day temporary moratorium in place “to study the ongoing effects of syringe service programs in the city.”

“The city wants to protect the health, safety and welfare of its residents,” Ebrahimi said.

The California Department of Public Health has long endorsed handing out sterile syringes as a proven way to prevent dangerous infections from running rampant when people share contaminated syringes. Researchers have linked syringe programs with a roughly 50% reduction in HIV and hepatitis C.

“It sounds crazy: ‘Wait, you want to give out the tools to people to do this thing that we all agree is a bad idea?’” said Peter Davidson, a medical sociologist at UC San Diego. But it works, said Davidson, who called the programs “probably the best studied public health intervention of the last 70 years.”

Public health officials also see them as a crucial way to reach people who use drugs and link them to addiction and overdose-prevention services. In Seattle, for instance, researchers found that injection drug users who started going to a needle exchange were five times more likely to enter drug treatment than those who never went.

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Signs direct visitors to the syringe-exchange program at the Austin Community Outreach Center in Austin, Ind., in 2015. The program was set up to curb an outbreak of HIV among people who injected drugs.

(Darron Cummings / Associated Press)

And in California, harm reduction groups have been particularly effective in getting Narcan — a nasal spray that can reverse opioid overdoses — into the hands of people who need it.

It’s “hugely important to reduce overdose in the community, and these are the programs that do that,” said Barrot Lambdin, a health policy fellow at RTI International who studies the implementation of health interventions.

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Yet leaders in some cities and counties have strenuously rejected the health benefits of syringe programs.

In El Dorado County, local leaders asserted that the efforts of the Sierra Harm Reduction Coalition had not “meaningfully reduced” HIV or hepatitis C cases since its syringe program began four years ago and said the free needles were ramping up the risk of deadly overdoses, which they argued were a bigger threat.

Street scene shows trees with fall colors, cars and old buildings

The El Dorado County Courthouse in Placerville, Calif.

(Max Whittaker / For The Times)

Alessandra Ross, a harm reduction expert at the California Department of Public Health, disputed such arguments in a letter to county officials. Ross pointed out that in just one year, the coalition handed out more than 2,200 doses of medication to reverse opioid overdoses, saving at least 421 lives. Without the group’s efforts, she wrote, “El Dorado County could have potentially lost more than ten times as many people to overdose.”

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Under state law, the California Department of Public Health has the authority to approve syringe programs anywhere that deadly or disabling infections might spread through used needles, “notwithstanding any other law” that might say otherwise.

The agency argued that the “significant state and public interest in curtailing the spread of HIV, hepatitis, and other bloodborne infections extends to every jurisdiction in the state, especially since Californians travel freely throughout the state.”

After El Dorado County prohibited syringe services in unincorporated areas, the state public health department adjusted its authorization for the Sierra Harm Reduction Coalition program, limiting its operations to Placerville. In the court filing, the agency said it made the change out of concern for the coalition’s staff and volunteers, who could be at risk of arrest if they provided syringes in the unincorporated areas.

The nonprofit said when it stopped providing syringes outside of Placerville city limits, roughly 40% of its clients were cut off. In February, Placerville city officials passed their own urgency ordinance banning syringe programs for 45 days, exempting needle provision at health facilities.

Ebrahimi, its city attorney, said officials took that step “after CDPH concentrated their use by authorizing them only in Placerville and nowhere else in the county.”

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The Sierra Harm Reduction Coalition stopped providing syringes in Placerville as well, according to the state lawsuit. The coalition did not respond Monday to requests for comment on the suit.

El Dorado County and Placerville are not alone: A wave of local bans went into effect last year in Placer County after a harm reduction group from Sacramento sought state approval to hand out clean syringes. The county’s sheriff and its probation chief said in a letter to the state that the syringe program proposed by Safer Alternatives thru Networking and Education, or SANE, would “promote the use of addicting drugs” and lead to more “dirty needles discarded recklessly in our parks.”

The Placer County Board of Supervisors voted unanimously to ban syringe programs in its unincorporated areas. Cities including Auburn, Loomis and Rocklin banned them too.

“We are the ones who should make these kinds of decisions,” then-Mayor Alice Dowdin Calvillo said at a September meeting of the Auburn City Council, “and not allow the state to just bully us.”

Public health researchers stress that studies have found that free needle programs do not increase crime or drug use, or worsen syringe litter. Yet as much of Placer County became a no-go zone, SANE withdrew its application for a syringe program there.

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“Our political processes are not well set up for us to make reasoned, scientifically sound judgments about public health,” said Ricky Bluthenthal, a USC sociologist whose research has documented the effectiveness of syringe programs. It doesn’t help that “the populations at risk are often marginalized or not politically active.”

Our political processes are not well set up for us to make reasoned, scientifically sound judgments about public health.

— Ricky Bluthenthal, a USC sociologist who studies syringe programs

The California Department of Public Health declined to address whether it planned to challenge local bans on syringe programs elsewhere in the state, saying it “cannot comment on active litigation strategy.”

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Syringe programs have long faced public skepticism: In a 2017 survey, only 39% of U.S. adults said they supported legalizing them in their communities.

Experts say the programs have faced increasing jeopardy as public concern wanes about the threat of HIV and frustration swells over other problems like soaring numbers of overdose deaths and the spread of homeless encampments. Even in Indiana’s Scott County, local leaders voted three years ago to shutter its needle exchange.

Clashes are also arising because programs are making moves into new parts of California, bolstered in some cases by state funding. California officials also have taken steps to help syringe programs overcome local opposition, including exempting them from review under the California Environmental Quality Act.

“It’s not surprising that cities and counties are motivated to protect the public health and safety of their residents through whatever tools they have at their disposal,” said attorney David J. Terrazas, who represented a group that successfully sued to overturn state approval of a syringe program in Santa Cruz County.

In that case, a state appeals court ruled last year that the California Department of Public Health conducted an insufficient review of a program run by the Harm Reduction Coalition of Santa Cruz County. The department didn’t do enough to consult with law enforcement agencies in the area, among other shortcomings, the court said.

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Although the state health department had considered some comments from law enforcement, “it never engaged with them directly about their concerns,” the appeals court concluded. Internal records showed department staff had decided not to respond to some of their comments and called one police chief an “imbecile.”

Terrazas said local officials are best poised to know what works for their communities. But Denise Elerick, founder of the Harm Reduction Coalition of Santa Cruz County, argued it made no sense for law enforcement to hold sway in public health decisions.

“We wouldn’t consult with them on what to do about COVID,” Elerick said.

A bag is filled with boxes of Narcan nasal spray for distribution to people living on the street in Los Angeles.

A bag is filled with boxes of Narcan nasal spray, one of several harm-reduction supplies distributed to people living on the street in Los Angeles.

(Francine Orr / Los Angeles Times)

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Weeks after the court ruling, the state health department rolled back its approval for a syringe program in Orange County that would have been run by the Santa Ana-based Harm Reduction Institute, saying it wanted to consult more with local officials.

The decision was celebrated by city leaders in Santa Ana, who had banned syringe programs in 2020 and sharply opposed efforts to restart one. At a recent meeting, interim city manager Tom Hatch said a previous program was “an epic failure” that left its downtown littered with used syringes.

Orange County is currently the most populous county in the state without any syringe services programs — to the alarm of health researchers who found that syringe reuse increased after a local program was shut down.

The Santa Cruz court ruling was also invoked by the Santa Monica City Council, which directed city officials to investigate how Los Angeles County came to approve a program run by the Venice Family Clinic. That program sends outreach workers into Santa Monica parks once a week to offer clean syringes, Narcan and other supplies and connect people with healthcare, including for addiction.

A woman hands out Narcan to a man at Tongva Park in Santa Monica

Devon O’Malley, left, a harm reduction case manager with the Venice Family Clinic, hands out Narcan to Ken Newark at Tongva Park in Santa Monica.

(Mel Melcon / Los Angeles Times)

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Critics want the program to relocate indoors, which they say would better protect parkgoers from discarded syringes. In addition, “if someone has to walk inside, there’s a chance for counselors to suggest strongly that it’s time for them to get off the drugs,” said Santa Monica Mayor Phil Brock, who wants the city to formally express its opposition to the program. “We can’t just facilitate their demise.”

Last month, a group called the Santa Monica Coalition filed suit to get L.A. County to halt the program it approved, saying it should instead be in a government building.

But Venice Family Clinic staffers said unhoused people can be reluctant to leave behind their belongings to go elsewhere. Even offering services out of a van reduced participation, said Arron Barba, director of the clinic’s Common Ground program.

“Bringing the service directly to the people is what we know works,” Barba said.

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You're gonna need a bigger number: Scientists consider a Category 6 for mega-hurricane era

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You're gonna need a bigger number: Scientists consider a Category 6 for mega-hurricane era

In 1973, the National Hurricane Center introduced the Saffir-Simpson scale, a five-category rating system that classified hurricanes by wind intensity.

At the bottom of the scale was Category 1, for storms with sustained winds of 74 to 95 mph. At the top was Category 5, for disasters with winds of 157 mph or more.

In the half-century since the scale’s debut, land and ocean temperatures have steadily risen as a result of greenhouse gas emissions. Hurricanes have become more intense, with stronger winds and heavier rainfall.

With catastrophic storms regularly blowing past the 157-mph threshold, some scientists argue, the Saffir-Simpson scale no longer adequately conveys the threat the biggest hurricanes present.

Earlier this year, two climate scientists published a paper that compared historical storm activity to a hypothetical version of the Saffir-Simpson scale that included a Category 6, for storms with sustained winds of 192 mph or more.

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Of the 197 hurricanes classified as Category 5 from 1980 to 2021, five fit the description of a hypothetical Category 6 hurricane: Typhoon Haiyan in 2013, Hurricane Patricia in 2015, Typhoon Meranti in 2016, Typhoon Goni in 2020 and Typhoon Surigae in 2021.

Patricia, which made landfall near Jalisco, Mexico, in October 2015, is the most powerful tropical cyclone ever recorded in terms of maximum sustained winds. (While the paper looked at global storms, only storms in the Atlantic Ocean and the northern Pacific Ocean east of the International Date Line are officially ranked on the Saffir-Simpson scale. Other parts of the world use different classification systems.)

Though the storm had weakened to a Category 4 by the time it made landfall, its sustained winds over the Pacific Ocean hit 215 mph.

“That’s kind of incomprehensible,” said Michael F. Wehner, a senior scientist at the Lawrence Berkeley National Laboratory and co-author of the Category 6 paper. “That’s faster than a racing car in a straightaway. It’s a new and dangerous world.”

In their paper, which was published in the Proceedings of the National Academy of Sciences, Wehner and co-author James P. Kossin of the University of Wisconsin–Madison did not explicitly call for the adoption of a Category 6, primarily because the scale is quickly being supplanted by other measurement tools that more accurately gauge the hazard of a specific storm.

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“The Saffir-Simpson scale is not all that good for warning the public of the impending danger of a storm,” Wehner said.

The category scale measures only sustained wind speeds, which is just one of the threats a major storm presents. Of the 455 direct fatalities in the U.S. due to hurricanes from 2013 to 2023 — a figure that excludes deaths from 2017’s Hurricane Maria — less than 15% were caused by wind, National Hurricane Center director Mike Brennan said during a recent public meeting. The rest were caused by storm surges, flooding and rip tides.

The Saffir-Simpson scale is a relic of an earlier age in forecasting, Brennan said.

“Thirty years ago, that’s basically all we could tell you about a hurricane, is how strong it was right now. We couldn’t really tell you much about where it was going to go, or how strong it was going to be, or what the hazards were going to look like,” Brennan said during the meeting, which was organized by the American Meteorological Society. “We can tell people a lot more than that now.”

He confirmed the National Hurricane Center has no plans to introduce a Category 6, primarily because it is already trying “to not emphasize the scale very much,” Brennan said. Other meteorologists said that’s the right call.

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“I don’t see the value in it at this time,” said Mark Bourassa, a meteorologist at Florida State University’s Center for Ocean-Atmospheric Prediction Studies. “There are other issues that could be better addressed, like the spatial extent of the storm and storm surge, that would convey more useful information [and] help with emergency management as well as individual people’s decisions.”

Simplistic as they are, Herbert Saffir and Robert Simpson’s categories are the first thing many people think of when they try to grasp the scale of a storm. In that sense, the scale’s persistence over the years helps people understand how much the climate has changed since its introduction.

“What the Saffir-Simpson scale is good for is quantifying, showing, that the most intense storms are becoming more intense because of climate change,” Wehner said. “It’s not like it used to be.”

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Opinion: America's 'big glass' dominance hangs on the fate of two powerful new telescopes

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Opinion: America's 'big glass' dominance hangs on the fate of two powerful new telescopes

More than 100 years ago, astronomer George Ellery Hale brought our two Pasadena institutions together to build what was then the largest optical telescope in the world. The Mt. Wilson Observatory changed the conception of humankind’s place in the universe and revealed the mysteries of the heavens to generations of citizens and scientists alike. Ever since then, the United States has been at the forefront of “big glass.”

In fact, our institutions, Carnegie Science and Caltech, still help run some of the largest telescopes for visible-light astronomy ever built.

But that legacy is being threatened as the National Science Foundation, the federal agency that supports basic research in the U.S., considers whether to fund two giant telescope projects. What’s at stake is falling behind in astronomy and cosmology, potentially for half a century, and surrendering the scientific and technological agenda to Europe and China.

In 2021, the National Academy of Sciences released Astro2020. This report, a road map of national priorities, recommended funding the $2.5-billion Giant Magellan Telescope at the peak of Cerro Las Campanas in Chile and the $3.9-billion Thirty Meter Telescope at Mauna Kea in Hawaii. According to those plans, the telescopes would be up and running sometime in the 2030s.

NASA and the Department of Energy backed the plan. Still, the National Science Foundation’s governing board on Feb. 27 said it should limit its contribution to $1.6 billion, enough to move ahead with just one telescope. The NSF intends to present their process for making a final decision in early May, when it will also ask for an update on nongovernmental funding for the two telescopes. The ultimate arbiter is Congress, which sets the agency’s budget.

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America has learned the hard way that falling behind in science and technology can be costly. Beginning in the 1970s, the U.S. ceded its powerful manufacturing base, once the nation’s pride, to Asia. Fast forward to 2022, the U.S. government marshaled a genuine effort toward rebuilding and restarting its factories — for advanced manufacturing, clean energy and more — with the Inflation Reduction Act, which is expected to cost more than $1 trillion.

President Biden also signed into law the $280-billion CHIPS and Science Act two years ago to revive domestic research and manufacturing of semiconductors — which the U.S. used to dominate — and narrow the gap with China.

As of 2024, America is the unquestioned leader in astronomy, building powerful telescopes and making significant discoveries. A failure to step up now would cede our dominance in ways that would be difficult to remedy.

The National Science Foundation’s decision will be highly consequential. Europe, which is on the cusp of overtaking the U.S. in astronomy, is building the aptly named Extremely Large Telescope, and the United States hasn’t been invited to partner in the project. Russia aims to create a new space station and link up with China to build an automated nuclear reactor on the moon.

Although we welcome any sizable grant for new telescope projects, it’s crucial to understand that allocating funds sufficient for just one of the two planned telescopes won’t suffice. The Giant Magellan and the Thirty Meter telescopes are designed to work together to create capabilities far greater than the sum of their parts. They are complementary ground stations. The GMT would have an expansive view of the southern hemisphere heavens, and the TMT would do the same for the northern hemisphere.

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The goal is “all-sky” observation, a wide-angle view into deep space. Europe’s Extremely Large Telescope won’t have that capability. Besides boosting America’s competitive edge in astronomy, the powerful dual telescopes, with full coverage of both hemispheres, would allow researchers to gain a better understanding of phenomena that come and go quickly, such as colliding black holes and the massive stellar explosions known as supernovas. They would put us on a path to explore Earth-like planets orbiting other suns and address the question: “Are we alone?

Funding both the GMT and TMT is an investment in basic science research, the kind of fundamental work that typically has led to economic growth and innovation in our uniquely American ecosystem of scientists, investors and entrepreneurs.

Elon Musk’s SpaceX is the most recent example, but the synergy goes back decades. Basic science at the vaunted Bell Labs, in part supported by taxpayer contributions, was responsible for the transistor, the discovery of cosmic microwave background and establishing the basis of modern quantum computing. The internet, in large part, started as a military communications project during the Cold War.

Beyond its economic ripple effect, basic research in space and about the cosmos has played an outsized role in the imagination of Americans. In the 1960s, Dutch-born American astronomer Maarten Schmidt was the first scientist to identify a quasar, a star-like object that emits radio waves, a discovery that supported a new understanding of the creation of the universe: the Big Bang. The first picture of a black hole, seen with the Event Horizon Telescope, was front-page news in 2019.

We understand that competing in astronomy has only gotten more expensive, and there’s a need to concentrate on a limited number of critical projects. But what could get lost in the shuffle are the kind of ambitious projects that have made America the scientific envy of the world, inspiring new generations of researchers and attracting the best minds in math and science to our colleges and universities.

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Do we really want to pay that price?

Eric D. Isaacs is the president of Carnegie Science, prime backer of the Giant Magellan Telescope. Thomas F. Rosenbaum is president of Caltech, key developer of the Thirty Meter Telescope.

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Mosquito season is upon us. So why are Southern California officials releasing more of them?

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Mosquito season is upon us. So why are Southern California officials releasing more of them?

Jennifer Castellon shook, tapped and blew on a box to shoo out more than 1,000 mosquitoes in a quiet, upscale Inland Empire neighborhood.

The insects had a job to do, and the pest scientist wanted every last one out.

Aggressive and impactful reporting on climate change, the environment, health and science.

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Their task? Find lady mosquitoes and mate.

But these were no ordinary mosquitoes. Technicians had zapped the insects, all males, with radiation in a nearby lab to make them sterile. If they achieve their amorous quest, there will be fewer baby mosquitoes than there would be if nature ran its course. That means fewer mouths to feed — mouths that thirst for human blood.

“I believe, fingers crossed, that we can drop the population size,” said Solomon Birhanie, scientific director for the West Valley Mosquito and Vector Control District, which released the mosquitoes in several San Bernardino County neighborhoods this month.

Sterilized male mosquitoes flying out of a box in Rancho Cucamonga

Sterilized male Aedes mosquitoes are released from a box in Rancho Cucamonga.

(Myung J. Chun / Los Angeles Times)

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Controlling mosquitoes with mosquitoes

Mosquito control agencies in Southern California are desperate to tamp down an invasive mosquito — called Aedes aegypti — that has exploded in recent years. Itchy, unhappy residents are demanding it. And the mosquitoes known for fierce ankle biting aren’t just putting a damper on outdoor hangouts — they also spread disease.

The low-flying, day-biting mosquitoes can lay eggs in tiny water sources. A bottle cap is fair game. And they might lay a few, say, in a plant tray and others, perhaps, in a drain. Tackling the invaders isn’t easy when it can be hard to even locate all the reproduction spots. So public health agencies increasingly are trying to use the insects’ own biology against them by releasing sterilized males.

The West Valley district, which covers six cities in San Bernardino County, rolled out the first program of this kind in California last year. Now they’re expanding it. Next month, a vector district covering a large swath of Los Angeles County will launch its own pilot, followed by Orange County in the near future. Other districts are considering using the sterile insect technique, as the method is known, or watching early adopters closely.

On the plus side, it’s an approach that doesn’t rely on pesticides, which mosquitoes become resistant to, but it requires significant resources and triggers conspiracy theories.

“People are complaining that they can’t go into their backyard or barbecue in the summer,” Birhanie said at his Ontario lab. “So we needed something to strengthen our Aedes control.” Of particular concern is the Aedes aegypti, which love to bite people — often multiple times in rapid succession.

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Releasing sterilized male insects to combat pests is a proven scientific technique, but using it to control invasive mosquitoes is relatively new.

Vector control experts often point to the success of a decades-long effort in California to fight Mediterranean fruit flies by dropping enormous quantities of sterile males from small planes. That program, run by the U.S. Department of Agriculture and the California Department of Food and Agriculture, costs about $16 million a year. That’s nearly four times West Valley’s annual budget.

So rather than try to tackle every nook and cranny of the district, encompassing roughly 650,000 residents, West Valley decided to use a more targeted approach. If a problem area reaches a certain threshold — over 50 mosquitoes counted in an overnight trap — it becomes a candidate.

1 A man in a lab coat looks at plastic containers of mosquito larvae in a lab.

2 A man in a lab coat with a gloved hand uses an eye dropper in a plastic container with water and mosquito larvae.

3 Mosquito eggs in a lab

4 In the eye-dropper tube, water and mosquito larvae

5 A man in a lab coat demonstrates an X-ray machine that sterilizes the male mosquitoes.

1. Solomon Birhanie inspects a container of mosquito larvae in the lab at the West Valley Mosquito and Vector Control District in Ontario. 2. Birhanie and his team raise mosquitoes in the lab, separating them by sex, because only the males, which don’t bite humans, will eventually be released. 3. Mosquito eggs in the West Valley lab. 4. The lab can grow about 10,000 mosquitoes at a time. 5. Before the male mosquitoes are released, an X-ray machine sterilizes them. If the zapped males mate with a female, her eggs won’t hatch. (Allen J. Schaben / Los Angeles Times)

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And it’s still a big lift. About 10,000 mosquitoes are reared at a time at West Valley’s facility, about half of which will be males. The males are separated out, packed into cups and placed into an X-ray machine that looks like a small refrigerator. The sterilizing process isn’t that different from microwaving a frozen dinner. Zap them on a particular setting for four to five minutes and they’re good to go.

Equipment purchased for the program costs roughly $200,000, said Brian Reisinger, spokesperson for the district. He said it was too early to pin down a cost estimate for the program, which is expanding.

Some districts serving more people are going bigger.

The Greater Los Angeles County Vector Control District plans to unleash up to 60,000 mosquitoes a week in two neighborhoods in Sunland-Tujunga from mid-May through November.

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With the sterile-insect program, “the biggest hurdle we’re up against really is scalability,” said Susanne Kluh, general manager of the L.A. County district, which is responsible for nearly 6 million residents across 36 cities.

In part to save money, Kluh’s district has partnered with the Orange County Mosquito and Vector Control District. They’re sharing equipment and collaborating on studies, but L.A. County’s releases will move forward first, said Brian Brannon, spokesperson for the O.C. district. Orange County expects to release its “ankle biter fighters,” as Brannon called them, in Mission Viejo this fall or next spring.

So far, the L.A. County district has shelled out about $255,000 for its pilot, while O.C. has spent around $160,000. It’s a relatively small portion of their annual budgets: L.A. at nearly $25 million and O.C. at $17 million. But the area they’re targeting is modest.

Mosquito control experts tout sterilization for being environmentally friendly because it doesn’t involve spraying chemicals, and it may have a longer-lasting effectiveness than pesticides. It can also be done now. Other methods involving genetically modified mosquitoes and ones infected with bacteria are stuck in an approval process that spans federal and state agencies. One technique, involving the bacteria Wolbachia was recently approved by the Environmental Protection Agency and is now heading to the California Department of Pesticide Regulation to review, said Jeremy Wittie, general manager for the Coachella Valley Mosquito and Vector Control District.

“Using pesticides or insecticides, resistance crops up very quickly,” said Nathan Grubaugh, associate professor of epidemiology at the Yale School of Public Health.

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Vector control experts hope the fact that the sterilization technique doesn’t involve genetic modification will tamp down conspiracy theories that have cropped up around mosquito releases. One erroneous claim is that a Bill Gates-backed effort to release mosquitoes was tied to malaria cases in Florida and Texas. Reputable outlets debunked the conspiracy theory, pointing out that Gates’ foundation didn’t fund the Florida project and that the type of mosquito released (Aedes) does not transmit malaria.

To get ahead of concerns, districts carrying out the releases say they’ve engaged in extensive outreach and education campaigns. Residents’ desire to rid themselves of a scourge may overcome any anxieties.

“I think if you have the choice of getting eaten alive by ankle biters or having a DayGlo male X-rayed mosquito come by looking for a female to not have babies with, you’d probably go for the latter,” Brannon said. (“DayGlo” is a riff on the fluorescent pigment product of the same name — the sterilized mosquitoes were dusted with bright colors to help identify them.)

Mosquitoes buzz around the face of a woman wearing sunglasses

Sterilized male mosquitoes buzz around vector ecologist Jennifer Castellon as they are released in Rancho Cucamonga earlier this month.

(Myung J. Chun / Los Angeles Times)

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Disease at our doorstep

As the climate warms and some regions become wetter, dengue is expanding to areas it’s never been seen before — and surging in areas where it’s established. Florida has seen alarming spikes in the viral infection in recent years, and Brazil and Puerto Rico are currently battling severe outbreaks. While most people infected with dengue have no symptoms, it can cause severe body aches and fever and, in rare cases, death. Its alias, “breakbone fever,” provides a grim glimpse into what it can feel like.

In October of last year, the city of Pasadena announced the Golden State’s first documented locally transmitted case of dengue, describing it as “extremely rare” in a news release. That same month, a second case was confirmed in Long Beach. Local transmission means the patient hadn’t traveled to a region where dengue is common; they may have been bitten by a mosquito carrying the disease in their own neighborhood.

Surging dengue abroad means there’s more opportunity for travelers to bring it home. However, Grubaugh said it doesn’t seem that California is imminently poised for a “Florida-like situation,” where there were nearly 1,000 cases in 2022, including 60 that were locally acquired. Southern California in particular lacks heavy rainfall that mosquitoes like, he said. But some vector experts believe more locally acquired cases are inevitable.

A woman stands under a tree in a residential area, releasing mosquitoes from a box.

Ale Macias releases sterilized male mosquitoes in Upland this month.

(Myung J. Chun / Los Angeles Times)

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Set them free

In mid-April, a caravan of staffers from the West Valley district traveled to five mosquito “hot spots” in Chino, Upland and Rancho Cucamonga — where data showed mosquito levels were particularly high — to release their first batches of sterilized male mosquitoes for the year. Peak Aedes season is months away, typically August to October in the district, and Birhanie said that’s the point. The goal is to force down the numbers to prevent an itchy tsunami later.

Males don’t bite, so the releases won’t lead to more inflamed welts. But residents might notice more insects in the air. Sterilized males released by West Valley will outnumber females in the wild by at least 100 to 1 to increase their chances of beating out unaltered males, spokeperson Reisinger said.

“They’re not going to be contributing to the biting pressure; they’re just going to be looking for love,” as Reisinger put it.

Eggs produced by a female after a romp with a sterile male don’t hatch. And female mosquitoes typically mate only once, meaning all her eggs are spoiled, so to speak. Vector experts say the process drives down the population over time.

Interestingly, the hot spots were fairly spread out across the district, indicative of the bloodsuckers’ widespread presence and adaptive nature. A picturesque foothills community in Upland was “especially interesting” because of its relatively high elevation, Birhanie said.

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It was once inhabited primarily by another invasive mosquito that prefers colder, mountainous climates. Construction and deforestation in the area has literally paved the way for its humidity- and heat-loving brethren to move in.

Another neighborhood, in Rancho Cucamonga, posed a mystery. For the last two years, mosquito levels were consistently high. Door-to-door inspections, confoundingly, didn’t reveal the source.

“That’s one of the things about invasive Aedes mosquitoes — you can’t find them,” he said.

Next steps

Some vector control experts want to see a regional approach to sterile mosquito releases, similar to the state Medfly program.

Jason Farned, district manager for the San Gabriel Valley Mosquito and Vector Control District, believes a widespread effort “would be much more effective” and thinks that will come in time.

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There are no talks underway to make it happen, and it’s not yet clear how it would work. Vector control agencies are set up to serve their local communities.

Fears of a bad mosquito year ahead are bubbling as the weather warms. Rain — which there was plenty of this spring — can quickly transform into real estate for mosquito reproduction.

When the swarms come, mosquito haters can take typical precautions: dump standing water and wear repellent. And they can root for the sterile males to get lucky.

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