Science
Doctors saw younger men seeking vasectomies after Roe vs. Wade was overturned
Kori Thompson had long wrestled with the idea of having a child.
The 24-year-old worried about the world a kid would face as climate change overtook the globe, fearing the environmental devastation and economic strain that could follow. He had been thinking about getting a vasectomy ever since he learned about the sterilization procedure from a television show.
But “the thing that actually triggered it was the court decision,” Thompson said.
After the Supreme Court overturned Roe vs. Wade nearly two years ago, paving the way for states to usher in new restrictions on abortion, doctors started seeing more young adults seeking vasectomies or getting their tubes tied, emerging research has found.
An analysis by University of Utah researchers, released as an abstract in the Journal of Urology, found that after Dobbs vs. Jackson Women’s Health Organization, a rising share of vasectomy patients were under the age of 30.
That percentage went from 6.2% to 9.8% after the Supreme Court decision, based on their analysis of a national database that includes hundreds of millions of patients.
Among the young patients who pursued the procedure is Thompson, who decided to get a vasectomy in the aftermath of the court ruling. In Georgia where he lives, abortion is illegal roughly six weeks into a pregnancy — a point before some people may learn that they are pregnant.
“If it’s effectively illegal,” Thompson said, “then I felt that this was necessary.” His girlfriend also disliked the effects of hormonal birth control, “so now I’ve decided to go on permanent birth control. It’s way easier.”
The University of Utah researchers found that before the Supreme Court ruling, vasectomy rates were consistently higher in states categorized as “hostile” or “illegal” for abortion by the Center for Reproductive Rights, compared to states that were not as restrictive. The same was true after the ruling.
Yet researchers also found an overall uptick in vasectomy rates after the Dobbs decision — both in states where abortion is heavily restricted and those where it is not.
In California, where state leaders have vowed to protect abortion rights, the rate of men getting vasectomies rose after the court decision, from roughly 7 to 13 per 100,000 potential patients, the Utah team found.
“We’re just seeing an overall increase in vasectomies — regardless of political climate” in each state, said Dr. Jessica Schardein, a urologist at the University of Utah. Schardein said the Supreme Court ruling and increased marketing for vasectomies may have gotten more people thinking about the procedure.
“People in general, even if they don’t have a uterus, are taking responsibility for their reproductive health,” Schardein said.
Her team also examined tubal sterilizations — a medical procedure often called “getting your tubes tied,” performed on the fallopian tubes connected to the uterus — and found that after the court decision, there was an increase in the percentage of patients ages 18 to 30 among those undergoing the procedure.
In Riverside County, Jacob Snow decided to get a vasectomy after the birth of his third child, concluding it was a safer option than his wife had for sterilization. “There’s no reason why all the blame and stress and trying to stop a pregnancy should be placed on the female when I can stop it at my end,” the 28-year-old said.
Even though Snow was already a parent, the doctor balked because of his age, he said. “They said I might change my mind in the future,” Snow recalled. “They flat out just refused.”
Vasectomies are intended to be permanent. The surgery may be able to be reversed with other procedures, but physicians caution that doing so is not a guaranteed option.
Snow ultimately found another doctor to do the procedure. Besides the pushback from the first physician, Snow said some men have been aghast when he tells them he had a vasectomy, saying it would make them feel like less of a man. But Snow said he doesn’t “feel that reproducing is how I need to prove that I’m a man.”
The University of Utah findings, presented at the annual meeting of the American Urological Assn., have been echoed in other recent research.
Last month, researchers from the University of Pittsburgh School of Public Health and Boston University published findings in JAMA Health Forum showing “an abrupt increase” in vasectomies and tube tying following Dobbs, with a sharper increase in tubal ligation.
The difference “likely reflects the fact that young women are overwhelmingly responsible for preventing pregnancy and disproportionately experience the health, social and economic consequences of abortion bans,” University of Pittsburgh assistant professor Jacqueline Ellison said in a statement.
Another analysis in the Journal of Urology that included multiple medical centers around the country — including UCLA — found that after the Dobbs decision, the typical patient seeking a vasectomy was younger than before. Researchers also found that an increased share were childless.
There was also a rise in the number of patients consulting doctors about the medical procedure, said Dr. Kara Watts, a urologist at Montefiore Medical Center in New York City — and longer waits to get the surgery after a consultation. If wait times weren’t an issue, Watts said, “the numbers would probably be even more dramatic.”
Researchers detected a similar trend in the UC San Diego health system, where there was a rise in men seeking consultations about vasectomies after the Dobbs decision, as well as increased rates of patients going through with the procedure after their consultations, according to another review presented at the urology meeting.
Even though California has enshrined abortion rights in its state constitution, “I think that vasectomy consultations and completion rates still increased due to the national media coverage on the Supreme Court ruling,” said Dr. Vi Nguyen, one of the authors of the analysis.
And at Ohio State University, urologists surveyed patients about why they chose to get vasectomies and found that after the Dobbs decision, they were more likely to cite concerns about abortion access or say that “they did not want to bring children into the current political climate.”
Other reasons for wanting a vasectomy, such as health concerns, did not change after Dobbs, the survey found. Dr. Jessica Yih, an assistant professor of urology at the Ohio State University, wasn’t surprised.
“Immediately after the Dobbs ruling, many people were extremely concerned about their reproductive rights,” Yih said in an email. “We had a threefold increase in referrals of patients who were wanting to be scheduled to discuss vasectomies and the number of vasectomies performed around this time increased dramatically.”
Abortion has been a sharply contested issue in Ohio, where a law banning abortion after six weeks of pregnancy initially went into effect after the Dobbs ruling. That ban was later put on hold in court, and Ohio voters have since backed protections for abortion access in its state constitution.
“Many patients told us at our clinics that they wanted their vasectomies done as soon as possible due to concerns about restrictions in abortion access,” Yih said.
Science
‘It is scary’: Oak-killing beetle reaches Ventura County, significantly expanding range
A tiny beetle responsible for killing hundreds of thousands of oak trees in Southern California has reached Ventura County, marking a troubling expansion.
This is the farthest north the goldspotted oak borer has been found in the state. Given the less-than-one-half-inch insect’s track record of devastating oaks since being first detected in San Diego County in 2008, scientists and land stewards are alarmed — and working to contain the outbreak.
“We keep seeing these oak groves getting infested and declining, and a lot of oak mortality,” said Beatriz Nobua-Behrmann, an ecologist with UC Agriculture and Natural Resources. “And as we go north, we have tons of oak woodlands that are very important ecosystems over there. It can even get into the Sierras if we don’t stop it. So it is scary.”
A goldspotted oak borer emerges from a tree.
(Shane Brown)
Although officials are only now reporting the arrival, they first found the beetle in Ventura County in the summer of 2024. Julie Clark, a community education specialist at the UC program, recalled getting a call from a local forester who spotted an unhealthy-looking coast live oak while driving in the Simi Hills’ Box Canyon.
“He saw dieback. He saw all the leaves on the crown were brown, which is one of the characteristic signs of a GSOB infestation,” Clark said in a blog post published this week, using the acronym for the invasive insect.
The forester examined the tree and found D-shaped holes — the calling card of the goldspotted oak borer — where the beetles had chewed through the tree to emerge from the bark.
Foresters debarked and chipped the highly infested tree to kill the beetles inside. Surrounding trees, however, were not afflicted.
Still, the beetle continued its march in the county. In April, another dead, beetle-infested oak was found in Santa Susana, according to the California Department of Forestry and Fire Protection. A month later, several more dead and injured trees were discovered.
The beetle, named for six gold spots that adorn its back, doesn’t fly far. It reaches faraway areas by hitching a ride on firewood. Nobua-Behrmann, an urban forestry and natural resources advisor, is among a contingent calling for regulations limiting the movement of firewood.
The goal, they say, is to prevent the slaughter of the state’s iconic oaks.
The beetles lay their eggs on oaks. When the larvae hatch, they bore in to reach the cambium. The cambium is like a tree’s blood vessels, carrying water and nutrients up and down. The insect chews through the layer, and eventually the damage is akin to putting a permanent tourniquet on the tree.
An infested tree will often display a thinning canopy and red or black stains on the trunk, injured areas where the tree is attempting to force out insects. The “confirming sign” is the roughly eighth-inch exit hole.
In the Golden State, the beetles are attacking the coast live oak, canyon live oak and the California black oak.
The goldspotted oak borer is native to Arizona, where the ecosystem is adapted to it and it doesn’t kill many trees. It’s believed that it traveled to San Diego County via firewood. It has since been found in L.A., Orange, Riverside and San Bernardino counties, and, according to research by UC Riverside, has killed an estimated 200,000 oak trees.
In 2024, the beetle was discovered in several canyons in Santa Clarita, putting it just 14 miles from the roughly 600,000 coast live oaks in the Santa Monica Mountains. Reaching the scenic coastal mountain range was described as “the worst case scenario” for L.A. County in a 2018 report.
Researchers, fire officials and land managers, among others, are working to control or slow the beetles’ death march. They acknowledge they’re unlikely to be eradicated in the areas where they’ve settled in.
Experts advise removing and properly disposing of heavily infested trees, and that entails chipping them. (To kill the minute beetle, chips must be 3 inches in diameter or smaller.)
If trees are lightly or not yet infested, they can be sprayed or injected with insecticides.
However, there are drawbacks to the current options. Pesticides may harm nontarget species, such as butterflies and moths. And the treatment can be expensive and laborious, making it impractical for vast swaths of forest.
There’s another nontoxic tactic in play: educating the public to report possible infestations and burn firewood where they buy it.
People can also volunteer to survey trees for signs of the dreaded beetle, allowing them to “do something instead of just worrying about it,” Nobua-Behrmann said.
UC Agriculture and Natural Resources, along with the Cal Fire, is hosting a “GSOB Blitz” surveying event next month in Simi Valley.
Science
With a nudge from industry, Congress takes aim at California recycling laws
The plastics industry is not happy with California. And it’s looking to friends in Congress to put the Golden State in its place.
California has not figured out how to reduce single-use plastic. But its efforts to do so have created a headache for the fossil fuel industry and plastic manufacturers. The two businesses are linked since most plastic is derived from oil or natural gas.
In December, a Republican congressman from Texas introduced a bill designed to preempt states — in particular, California — from imposing their own truth-in-labeling or recycling laws. The bill, called the Packaging and Claims Knowledge Act, calls for a national standard for environmental claims on packaging that companies would voluntarily adhere to.
“California’s policies have slowed American commerce long enough,” Rep. Randy Weber (R-Texas) said in a post on the social media platform X announcing the bill. “Not anymore.”
The legislation was written for American consumers, Weber said in a press release. Its purpose is to reduce a patchwork of state recycling and composting laws that only confuse people, he said, and make it hard for them to know which products are recyclable, compostable or destined for the landfill.
But it’s clear that California’s laws — such as Senate Bill 343, which requires that packaging meet certain recycling milestones in order to carry the chasing arrows recycling label — are the ones he and the industry have in mind.
“Packaging and labeling standards in the United States are increasingly influenced by state-level regulations, particularly those adopted in California,” Weber said in a statement. “Because of the size of California’s market, standards set by the state can have national implications for manufacturers, supply chains and consumers, even when companies operate primarily outside of California.”
It’s a departure from Weber’s usual stance on states’ rights, which he has supported in the past on topics such as marriage laws, abortion, border security and voting.
“We need to remember that the 13 Colonies and the 13 states created the federal government,” he said on Fox News in 2024, in an interview about the border. “The federal government did not create the states. … All rights go to the people in the state, the states and the people respectively.”
During the 2023-2024 campaign cycle, the oil and gas industry was Weber’s largest contributor, with more than $130,000 from companies such as Philips 66, the American Chemistry Council, Koch Inc. and Valero, according to OpenSecrets.org.
Weber did not respond to a request for comment. The bill has been referred to the House Energy and Commerce Committee.
Plastic and packaging companies and trade organizations such as Ameripen, Keurig, Dr Pepper, the Biodegradable Plastics Industry and the Plastics Industry Assn. have come out in support of the bill.
Other companies and trade groups that manufacture plastics that are banned in California — such as Dart, which produces polystyrene, and plastic bag manufacturers such as Amcor — support the bill. So do some who could potentially lose their recycling label because they’re not meeting California’s requirements. They include the Carton Council, which represents companies that make milk and other beverage containers.
“Plastic packaging is essential to modern life … yet companies and consumers are currently navigating a complex landscape of rules around recyclable, compostable, and reusable packaging claims,” Matt Seaholm, chief executive of the Plastics Industry Assn., said in a statement. The bill “would establish a clear national framework under the FTC, reducing uncertainty and supporting businesses operating across state lines.”
The law, if enacted, would require the Federal Trade Commission to work with third-party certifiers to determine the recyclability, compostability or reusability of a product or packaging material, and make the designation consistent across the country.
The law applies to all kinds of packaging, not just plastic.
Lauren Zuber, a spokeswoman for Ameripen — a packaging trade association — said in an email that the law doesn’t necessarily target California, but the Golden State has “created problematic labeling requirements” that “threaten to curtail recycling instead of encouraging it by confusing consumers.”
Ameripen helped draft the legislation.
Advocates focused on reducing waste say the bill is a free pass for the plastic industry to continue pushing plastic into the marketplace without considering where it ends up. They say the bill would gut consumer trust and make it harder for people to know whether the products they are dealing with are truly recyclable, compostable or reusable.
“California’s truth-in-advertising laws exist for a simple reason: People should be able to trust what companies tell them,” said Nick Lapis, director of advocacy for Californians Against Waste. “It’s not surprising that manufacturers of unrecyclable plastic want to weaken those rules, but it’s pretty astonishing that some members of Congress think their constituents want to be misled.”
If the bill were adopted, it would “punish the companies that have done the right thing by investing in real solutions.”
“At the end of the day, a product isn’t recyclable if it doesn’t get recycled, and it isn’t compostable if it doesn’t get composted. Deception is never in the public interest,” he said.
On Friday, California’s Atty. Gen. Rob Bonta announced settlements totaling $3.35 million with three major plastic bag producers for violating state law regarding deceptive marketing of non-recyclable bags. The settlement follows a similar one in October with five other plastic bag manufacturers.
Plastic debris and waste is a growing problem in California and across the world. Plastic bags clog streams and injure and kill marine mammals and wildlife. Plastic breaks down into microplastics, which have been found in just about every human tissue sampled, including from the brain, testicles and heart. They’ve also been discovered in air, sludge, dirt, dust and drinking water.
Science
‘Largest outbreak that we’ve seen in California.’ Death cap mushrooms linked to deaths, hospitalizations
An exceptionally wet December has contributed to an abundance of death cap mushrooms, or Amanita phalloides, on the Central Coast and Northern California, causing what officials describe as an unprecedented outbreak of severe illness and death among people who consume the fungi.
Public health officials are issuing a second warning this winter, this time urging the public against foraging for wild mushrooms, noting that many people have mistakenly eaten the death cap that, when consumed, can cause severe liver damage and in some causes death.
In the last 26 years, “we have not had a season as deadly as this season both in terms of the total numbers of cases as well as deaths and liver transplants,” said Craig Smollin, medical director of the San Francisco division of the California Poison Control System.
“I believe this is probably the largest outbreak that we’ve seen in California, ever.”
Many of the cases, officials say, have involved people from Mexico and elsewhere for whom the death cap resembles an edible mushroom in their home countries.
The California Department of Public health reported 35 death cap-related illness, including three fatalities and three liver transplants between Nov. 18 and Jan. 6. Affected people were between the ages of 19 months old and 67 years old.
In a typical year, the California Poison Control Center may receive up to five cases of poisonous mushroom-related illness, according to authorities.
The last major outbreak of mushroom-related illness in California occurred in 2016 with 14 reported cases and while there were no deaths, three people required liver transplants and one child suffered a “permanent neurologic impairment.”
The death cap is the world’s most poisonous mushroom, responsible for 90% of mushroom-related fatalities.
Where the death-cap outbreak is concentrated
When state public health officials first warned of the dangers of the death-cap mushroom in December, significant clusters of reported illness occurred in Monterey and the San Francisco bay areas.
Reported hospitalizations have since grown to include Alameda, Contra Costa, Monterey, San Francisco, San Luis Obispo, San Mateo, Santa Clara, Santa Cruz and Sonoma counties.
Death cap mushrooms are known to sprout across the state of California but they thrive in shady, humid or moist environments under live oak and cultivated cork oak trees.
Death cap mushrooms bloom particularly well after the fall and winter rains. Once they sprout, its tall and graceful characteristics are very conspicuous and catch people’s eye, said David Campbell, an expert on mushroom consumption or a mycophagist.
Who is mistakenly eating the death cap
People who have accidentally consumed the death cap were usually foraging for mushrooms in the wilderness, either alone or with a group, officials say.
Among the affected are monolingual speakers of Spanish, Chinese, Mandarin and Mixteco as well as foragers who may confuse the death cap mushroom for edible fungi from their native countries, according to experts.
“So they have a false sense of security in their knowledge, thinking they know what they’re doing but that only applies to where they’re from,” Campbell said.
“We’re seeing that a number of patients do seem to have a Hispanic background,” said Dr. Rita Nguyen, assistant state public health officer at the California Department of Public Health.
In November, a Salinas family said they went on a hike in their community and found the death cap which looked similar to an edible mushroom they would forage for in their hometown in Oaxaca, KSBW Action News reported.
Laura Marcelino and Carlos Diaz took the mushrooms home, cooked them and ate them — their children did not. They both threw up, had diarrhea for an entire day and were later hospitalized, KSBW Action News reported. Marcelino’s condition improved but Diaz’s health declined exponentially to the point that he fell into a coma and was put on a list to receive a liver transplant, according to news reports.
Why people are mistakenly eating death cap mushrooms
The three most deadly mushrooms in California include the death cap, destroying angel (Amanita ocreata) and deadly Galerina (Galerina marginata), according to the Bay Area Mycological Society.
The death cap mushroom has a dome-shape smooth cap with olive or yellowish-green tones. On the underside of its cap are white gills and spores.
It can be confused with the mushroom species Volvariella, which is edible.
These mushrooms appear similar because they have a volva, a cup-like structure at the base of the mushroom’s stem, and are white-ish, but lack one important key characteristic annulus, or ring, around its stem, said Ari Jumpponen, Kansas State University distinguished professor of biology.
Jumpponen said some Volvariella species can be found in Oaxaca.
What symptoms can you expect after eating a death cap?
No amount of death cap is safe to consume.
“I also want to just stress that there’s nothing, there’s no cooking of the mushroom or freezing of the mushroom that would inactivate the toxin,” Smollin said.
The poisonous toxins from the death cap can result in a delayed gastrointestinal symptoms that may not appear until 6 to 24 hours after eating it.
Some of the early symptoms that can go away within a day include:
- Nausea
- Vomiting
- Diarrhea
- Abdominal pain
- Drop in blood pressure
- Fatigue
- Confusion
Mild symptoms may only be the beginning of a more severe reaction.
Severe symptoms can develop within 48 to 96 hours, include progressive liver damage and, in some cases, full liver failure and potentially death, Smollin said.
If you’ve eaten a foraged mushroom and start to exhibit any adverse symptoms, call California’s poison control hotline at 1-800-222-1222 for free, confidential expert advice in multiple languages. If you suspect mushroom poisoning, call 911.
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