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California has seen more measles cases this year than all of 2024, sparking concerns

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California has seen more measles cases this year than all of 2024, sparking concerns


California has already reported more measles cases this year than in all of 2024, a worrisome development that comes as the nation is suffering its largest outbreak of the super-infectious disease in decades.

The extent of the national outbreak has rocketed measles from a back-of-mind issue — one rarely, if ever, encountered by a whole generation of Americans — to a pressing public health concern.

“Measles is completely preventable,” Dr. Elizabeth Hudson, regional chief of infectious diseases at Kaiser Permanente Southern California, told The Times.

The virus is spreading almost universally among people who either haven’t been vaccinated, or whose vaccination status is not known, authorities note. But the MMR shots, so named because they also afford protection against mumps and rubella, has long been in the crosshairs of anti-vaccine activists and skeptics — some of whom are now in charge of shaping U.S. policy regarding childhood immunizations.

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There have been 17 cases of measles reported so far this year among California residents, up from the 15 reported all of last year, according to the state Department of Public Health. Doctors have been increasingly on alert for measles, which for decades has been so rare that many physicians haven’t encountered a single case.

Because of that recent rarity, many may be unfamiliar with how readily measles can spread — or the serious symptoms it can cause.

“This is not just a mild childhood disease,” Dr. Erica Pan, director of the California Department of Public Health and state public health officer, said in a recent briefing to doctors.

Measles has a death rate of 1 for every 500 to 1,000 cases, Pan said. Nationwide, more than 145 people have been hospitalized with measles so far this year, federal data show, and many of those hospitalized have needed intensive care.

“This can cause very severe disease — often causes a viral pneumonia that is severe enough to need intensive care,” Pan said.

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Measles is one of the most contagious viruses known to science. It is so infectious you can catch it just by being in a room where an infected person has been — even up to two hours after they left, according to the U.S. Centers for Disease Control and Prevention.

The uptick in confirmed measles cases in California, while still somewhat concerning for local public health officials, pales compared with the significant outbreak that began in Texas earlier this year and has since spread to surrounding states.

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Texas has reported at least 750 measles cases; New Mexico, 81; Kansas, 80; North Dakota, 28; and Montana, 23, according to the respective states’ health departments. Michigan has reported 15 cases; Ohio and Illinois, 10, and Arkansas and Indiana, eight.

The overwhelming majority of the measles cases are associated with outbreaks tied to close-knit communities with low rates of vaccination, according to the CDC. Recent outbreaks have occurred in areas with a notable population of certain Mennonite Christian communities, starting last fall in Ontario, Canada, which was linked to a large gathering in New Brunswick; then in Texas and New Mexico in late January; and more recently in the Mexican state of Chihuahua, according to the Associated Press.

The AP reported that officials in Mexico and the U.S. say the outbreaks in their countries match the strain found in Canada.

The CDC says that 95% of this year’s measles cases in the U.S. occurred among people who were either unvaccinated or had an unknown vaccination status. About 29% of cases occurred in children younger than 5, with an additional 37% in those age 5 to 19.

In all, the U.S. has reported 1,227 confirmed measles cases so far this year. That’s already rivaling the highest single-year total seen this century — 1,274 were reported in 2019.

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You would have to look back a generation to find a higher total than that: 2,126 cases were reported nationwide in 1992.

“And those are probably an underreporting,” Pan said of this year’s case count. Doctors, she said, have learned that most people affected by the measles outbreaks are reluctant to get themselves or their children tested.

Three measles deaths have been reported so far this year, according to the CDC. Two were Texas school-aged children — both of whom were unvaccinated and had no known underlying health conditions, according to state health officials. The other was an unvaccinated adult in New Mexico who didn’t seek medical care before dying, according to health authorities there.

One death has been reported in Mexico, according to the World Health Organization. That person was also unvaccinated. More than 3,300 confirmed and suspected measles cases have also been reported in Canada so far this year.

One infant, who was infected with measles before being born premature, died in Canada earlier this month, according to Dr. Kieran Moore, the chief medical officer for the province of Ontario. The infant’s mother was not vaccinated.

The infant faced other serious medical complications unrelated to the virus, but measles “may have been a contributing factor in both the premature birth and death,” Moore said in a statement.

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This year marks the first time a child has died from measles in the United States since 2003 — and the child in that case had a rare genetic condition that impaired the immune system. It’s also the first time since the 1990s that more than two people have died from measles in the U.S. in a single year.

While most associated with its telltale rash, health officials warn measles can cause symptoms that cross the boundary from discomfort to danger. Measles can cause encephalitis, or inflammation of the brain. And years after contracting measles, people can later develop subacute sclerosing panencephalitis, or SSPE, a rare but fatal complication resulting from a weakened form of the virus remaining in the body, and later infecting the brain.

“This is a really, really unusual time to see this many deaths — and seeing previously healthy children with a vaccine-preventable death in the United States,” Pan said.

Measles can also cause something called “immune amnesia.” “It can actually suppress people’s immune systems for a few years after having that measles infection,” Pan said.

The measles outbreaks in Texas, Kansas and New Mexico are so severe that state health officials are recommending early vaccination in babies as young as 6 months in the hardest-hit counties. Those officials are also recommending a second dose for many children earlier than the typical schedule.

The standard CDC recommendation is that children receive the first of two measles vaccine shots when they turn 1, unless they are traveling internationally, in which case they can get vaccinated at 6 months old.

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In California, there is no active measles outbreak, so there’s no recommendation for additional or accelerated vaccine doses, Pan said. Most of California’s measles cases this year have involved people who traveled internationally.

Helping matters is California’s relatively high vaccination rate among kindergartners. For the 2023-24 school year, 96.2% of California’s kindergartners were vaccinated against measles, according to the CDC — one of the higher rates of any state.

The latest figure is down slightly from the 96.5% seen the year earlier, but it remains above the levels seen prior to 2014-15, when a severe measles outbreak linked to Disneyland prompted state legislators to strengthen vaccination requirements for children who attend school.

Experts aim for a 95% vaccination rate for measles to guard against outbreaks.

Today, California’s measles case rate remains much lower than the national rate. But that doesn’t mean the state is invulnerable.

There are settings in which unvaccinated people can cluster together, such as group outings of children who are homeschooled.

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Another vulnerable setting can be doctor’s offices. In 2008, an unvaccinated 7-year-old boy returned home to San Diego from a trip to Switzerland, became sick, then went to school and was taken to the pediatrician. Investigators found that measles then spread to 11 other children who were either unvaccinated or too young to be vaccinated — five in his school, four who were in the pediatrician’s office at the same time he was, and both of his siblings.

Among those infected were three infants younger than 1, one of whom was hospitalized for two days, according to a report published by the CDC. Another infant traveled by plane to Hawaii while infectious.

Some California counties also have measles vaccination rates for kindergartners that are below the 95% goal. For the 2023-24 school year, San Diego County’s rate is 94.8%; San Bernardino County’s is 93.5%; Santa Cruz County’s is 91.8%; and Kern County’s is 90.7%.

In 2017, a measles outbreak in Los Angeles County was centered in an Orthodox Jewish community, with a number of patients living in Westside L.A., the Santa Monica Mountains and the San Fernando Valley. In early 2019, California’s biggest measles outbreak was in Butte County, and started after a man visited the Philippines, a country that was then in the midst of a massive outbreak.

The last time measles caused scores of deaths nationwide was in the late 1980s and early 1990s. Between 1989 to 1991, there were about 55,000 cases and more than 130 suspected measles-associated deaths, according to the CDC.

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In California, that epidemic was the worst between 1988 and 1991 — with 18,000 cases, 3,500 hospital admissions and 70 deaths reported, according to state health officials. A big problem officials identified at that time was that poor parents could not afford vaccinations for their children. One of the nation’s largest outbreaks in 1989 involved mostly preschool-aged children in Los Angeles.

In light of the outbreak, the CDC’s Advisory Committee on Immunization Practices recommended a second dose of the measles vaccine be given between the ages of 4 and 6. And in the early 1990s, the federal government created the Vaccines for Children program, which funds a number of vaccinations for children with low-income parents. In 2000, officials declared that measles was no longer being continuously transmitted locally in the U.S., and new cases were only found when someone was infected abroad.

L.A. County has recorded four cases of measles so far this year among residents, up from one all of last year. Most of the cases this year were associated with someone who either traveled internationally or to domestic areas suffering community transmission of measles, according to the local Department of Public Health.

There were also two reported cases among non-county residents this year, including an infant traveling through Los Angeles International Airport on a flight from South Korea who was returning home to Orange County.

In 2024, there were six non-L.A. County residents who had measles while traveling through L.A. County; four had traveled through Los Angeles International Airport while infectious.

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“With measles cases rising across the country and globally, it’s important for unprotected individuals to consider preventive measures. Immunization provides the best protection. Additionally, anyone who was exposed should monitor for symptoms,” the Orange County Health Care Agency said in a statement to The Times.

Symptoms include fever, rash, cough and red, watery eyes. People can be contagious from about four days before the rash begins through four days afterward.

Those suspecting they have measles should call their medical provider before they go to the doctor’s office to avoid potentially exposing other patients, the Health Care Agency said.

The rash traditionally starts at the hairline and moves its way down the body, according to Pan.

Kaiser has seen one case of measles this past month, which was in the Santa Clarita area, Hudson said. Health officials said people were possibly exposed to the contagious individual at a Costco, Trader Joe’s and Walmart on the afternoon of May 29.

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“The MMR vaccine, which protects against measles, mumps, and rubella, has an excellent safety record. Hundreds of millions of children have safely received the vaccine worldwide,” she said in a statement to The Times.



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Deadly snake bites are up in California. Here’s what to do if you see one.

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Deadly snake bites are up in California. Here’s what to do if you see one.


The sunny skies and warmer weather in California are increasing the chance of seeing snakes, and this year, there’s been a big spike in the number of fatal rattlesnake bites in the state.

Rattlesnake deaths are so rare that in most years, there aren’t any in California. But so far this year, two people in southern California have been killed by rattlesnake bites, and a third victim was fatally bitten in Mendocino County.

Now, some snake experts are warning people about getting too close to these creatures.

Michael Starkey, executive director of the nonprofit group Save the Snakes, said the warmer weather is bringing rattlers, gopher snakes, and other native species out of their winter slumber, where they are coming in contact with people.

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“Around the Sacramento area, we can find them along the American River Parkway, El Dorado Hills, anywhere where there’s big patches of open land,” Starkey said. “A snake like a gopher snake, you could find them in some parks in the city of Sacramento.”

Peter Henry has had some close encounters with rattlesnakes while walking along the bike trail in Rancho Cordova. He said they came out a lot earlier than in past years.

“Mid-February is the first time I saw one out on the trail this year,” Henry said.

Other people, like Gary Johnston, who frequent the American River Parkway say snakes are a common sight.

“I’ve actually had one lunge at me,” Johnston said. “It was in some flora, a bush that I couldn’t see. It was coiled up.”

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What should you do if you come across a snake?

“Stopping and giving the snake space is the best thing you can do to make sure everyone is safe, you and the snake,” Starkey said.

Starkey said encounters are growing in places where new homes are being built on top of snake habitat areas. He said they’re an important part of the ecosystem, and he asks people to call a professional snake wrangler instead of killing them if they are found on people’s property.

“It’s just another reminder that we need to practice coexistence with wildlife, give snakes space and be aware when we enjoy nature,” Starkey said. “That’s their home too.”

If you have questions about snakes or want to see some in person, the 5th annual Sacramento Snake Festival is taking place this Saturday, beginning at 10 a.m. at Hagan Community Park in Rancho Cordova.

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California’s Rainy Day Fund and Other Budget Reserves Overview

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California’s Rainy Day Fund and Other Budget Reserves Overview




key takeaway

California’s state budget reserves, including the “rainy day fund” and other reserve accounts, serve as a financial safety net for services like education, health care, and child care during economic downturns. The rules for depositing and withdrawing funds are complex, and policymakers should consider reforms, such as excluding reserve deposits from the Gann Limit spending cap, to strengthen the state budget’s resilience during a recession.

Introduction

California has several state budget reserves. These reserves help to maintain essential public services — like education, health care, and child care — when revenues fall short, such as during recessions. Reserves aren’t for everyday spending, but rather a financial safety net for the state.

This report describes California’s state budget reserves, explains how funds can be accessed and used, and discusses proposals to reshape these reserves that have been floated in recent years. For more information about California’s reserve accounts, see the Budget Center’s companion resources, including this video — California’s State Budget Reserves Explained — and this fact sheet — 5 Key Questions About California’s State Budget Reserves.

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state budget Reserves in a nutshell

Budget Stabilization Account (BSA): California’s Largest Reserve

The BSA is California’s largest state budget reserve. Deposits into and withdrawals from this “rainy day fund” are based on complex rules that were added to the state Constitution by Proposition 2 of 2014. Key rules include the following:

An annual deposit is required. Prop. 2 requires that 1.5% of General Fund revenues be set aside every year. Until 2029-30 half of these revenues must be deposited into the BSA and the other half must be used to pay down certain state debts. Beginning in 2030-31, the entire amount must be deposited into the BSA, although state leaders will have the option of redirecting up to one-half of each year’s deposit to pay down debts.

In some years, the state must set aside additional General Fund revenues. This occurs in years when estimated General Fund revenues that come from personal income taxes on capital gains exceed 8% of total General Fund proceeds of taxes. The share of these “excess” capital gains revenues that is not owed to K-12 schools and community colleges under the state’s Prop. 98 funding guarantee must be used for BSA deposits and debt repayments, following the same requirements as the mandatory 1.5% deposit.  Since Prop. 2 was enacted, capital gains tax revenues have exceeded the 8% threshold in most years, but could fall below the threshold in years when there are downturns in the stock market.

State leaders may also make discretionary deposits. In addition to the mandatory annual deposits required by Prop. 2, policymakers have the option of saving additional, discretionary revenue in the BSA.

The required annual deposit may be reduced or suspended in the event of a “budget emergency. If the governor declares a budget emergency, the state may reduce or suspend the required BSA deposit with a majority vote of each house of the Legislature. Prop. 2 defines a budget emergency as a situation where:

  • Conditions of disaster or extreme peril are present; or
  • The state has insufficient resources to maintain General Fund expenditures at the highest level of spending in the three most recent fiscal years, adjusted for state population growth and the change in the cost of living.

BSA funds may be withdrawn in the event of a budget emergency, but the entire balance cannot be removed at once. If the governor declares a budget emergency and the Legislature agrees with a majority vote of each house, funds may be taken out of the BSA. However, the entire balance cannot be removed immediately. Only the amount needed to address the budget emergency may be withdrawn, subject to the additional limitation that a withdrawal may not exceed 50% of the BSA balance in the first year of a budget emergency. In the second consecutive year of a budget emergency, all of the funds remaining in the BSA may be withdrawn.

Funds that are taken out of the BSA may go toward any purpose determined by the Legislature. For example, these dollars could be used for health care services, subsidized child care for working families, cash assistance for people with low incomes, K-12 schools, and any number of other public services and systems.

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Funds in the BSA cannot exceed 10% of General Fund tax revenues. Prop. 2 caps the balance of the BSA. Once the balance — excluding any discretionary deposits — reaches 10% of General Fund tax revenues, any revenue that would otherwise have been required to go into the reserve must be instead spent on infrastructure, which includes housing. Prior to 2026, the BSA balance reached the cap twice — in 2022-23 and 2023-24 — but then dropped below the cap as state leaders withdrew funds in some years to address budget shortfalls.

Prop. 2 of 2014 also established the PSSSA, the state’s budget reserve for California’s K-12 schools and community colleges. Prop. 2 does not require an annual deposit into this reserve. Moreover, Prop. 2 restricts the circumstances under which transfers to the PSSSA can occur. For a PSSSA deposit to be required, all of the following conditions must be met:

  • General Fund revenues that come from personal income taxes on capital gains are relatively strong;
  • Growth in General Fund revenues leads to relatively strong growth in the state’s annual minimum funding guarantee for K-12 schools and community colleges; and
  • The Legislature does not suspend the annual K-14 education minimum funding guarantee.

Even under these restricted circumstances, Prop. 2 limits the size of the deposit to the schools reserve when such a deposit is required.

Deposits to the PSSSA may be reduced or suspended in the event of a budget emergency under the same rules that govern reductions or suspensions of deposits to the BSA (see the prior section of this report). Similarly, funds may be withdrawn from the schools reserve if the governor declares a budget emergency and the Legislature agrees with a majority vote of each house.

In contrast to the rules governing the withdrawal of funds from the BSA, all of the PSSSA funds may be withdrawn in one year. Moreover, funds withdrawn from the PSSSA must be used to support K-12 schools and community colleges.

Safety Net Reserve: Funds to Protect the Medi-Cal and CalWORKs Programs

The Safety Net Reserve was created in 2018 to set aside funds to help cover the costs of two programs that often see increases in enrollment during recessions: Medi-Cal and California Work Opportunity and Responsibility to Kids (CalWORKs). Both of these programs serve Californians with low incomes — with Medi-Cal delivering health coverage, and CalWORKs providing modest cash assistance to families with children. During economic downturns, more people become unemployed and temporarily rely on these programs to cover their basic needs, increasing state costs.

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The Safety Net Reserve is not a constitutional reserve, so there are no binding requirements governing deposits or withdrawals. This means that funds can be transferred into and withdrawn from the reserve at the discretion of the Legislature. In fact, state policymakers voluntarily deposited $900 million in the Safety Net Reserve before draining all of those funds in 2024 to help address a $55 billion state budget problem.

Moreover, while state law specifies that the funds are to be used only for Medi-Cal and CalWORKs costs during economic downturns, state policymakers could decide to modify this language and use the funds for other purposes. However, in establishing this reserve, policymakers clearly recognized the need to protect critical services for Californians with low incomes from budget cuts — cuts that would undermine Medi-Cal and CalWORKs at the very time that these programs are needed most.

Special Fund for Economic Uncertainties (SFEU): The Discretionary Reserve

The SFEU is the state’s discretionary General Fund budget reserve, meaning policymakers have a great deal of latitude in spending the funds in the reserve. The amount of money in the SFEU is equal to the difference between General Fund resources and General Fund spending in a given fiscal year.

The SFEU acts as a buffer against unanticipated revenue shortfalls or spending increases. Due to California’s constitutional balanced-budget requirement, which requires the state to enact a budget in which spending does not exceed available resources, the projected SFEU balance cannot be less than zero at the time the annual budget is adopted. However, if state revenues come in lower than projected and/or spending unexpectedly rises, the SFEU balance will decline, and may become negative as spending begins to exceed revenues.

The Legislature can appropriate funds from the SFEU at any time and for any purpose. Additionally, in the event of a disaster, the governor can allocate funds from the SFEU without the prior approval of the Legislature. Specifically, when the governor declares a state of emergency, the Department of Finance (DOF) can transfer funds from the SFEU into a subaccount called the Disaster Response-Emergency Operations Account (DREOA). These funds are allocated to state agencies for costs that are “immediate and necessary to deal with an ongoing or emerging crisis.”

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Projected Surplus Temporary Holding Account: A Place to Set Aside Anticipated Surplus Revenues

State leaders created the Projected Surplus Temporary Holding Account in 2024. This account gives policymakers a place to temporarily set aside anticipated surplus revenues, “ensuring that funds are only spent once they are realized.”

State leaders have broad authority to determine whether or how to use this holding account. The only requirement is that revenues that go into the account cannot remain there for longer than one year. If state revenues materialize as projected, the revenues in the account may be spent for any purpose or transferred back to the General Fund for future use.

This holding account is a “pilot budgeting project” that expires at the end of 2030, although state leaders could approve an extension as well as potentially modify the rules.

What’s Next for California’s State Budget Reserves?

The rules that govern California’s budget reserves can be amended by voters or state policymakers. Changing the reserve rules established by Prop. 2 (2014) would require voters to approve a constitutional amendment. Other reserve rules can be changed by state policymakers without the need for voter approval.

In recent years, state policymakers and others have advanced proposals to revise California’s reserve policies, although none have moved beyond the conceptual stage. Common proposals for changing state reserve policies include the following:

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Proposals to increase the share of state General Fund revenue deposited into the Budget Stabilization Account (BSA), or rainy day fund.

Proposals to allow the balance of the BSA to grow beyond 10% of annual state General Fund revenue.

Proposals to exclude reserve deposits from California’s spending cap, or “Gann Limit.”

Changes to the rainy day fund or the Gann Limit would require amending the state Constitution. This means that voters would have the last word on the most significant proposals to modify California’s state budget reserves.

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As e-bike popularity surges in Northern California, safety concerns grow

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As e-bike popularity surges in Northern California, safety concerns grow


An e-bike boom is sweeping across Northern California, with more young riders taking to the streets than ever before.

Inside California Ebikes in Fair Oaks, owner Erica Frith says business has taken off. 

What started as a small operation out of a local gym in 2020 quickly grew into a storefront by 2022, and demand hasn’t slowed.

“We’re getting about 100 out the door a month,” Frith said.

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But for her, it’s not just about sales, it’s about the experience.

“There’s only a few things in life that create a childlike smile and happiness, and bike riding is one of them,” she said.

With more bikes on the road, service demand is also climbing. Shop service manager Jesse Cristo says keeping up means relying on years of hands-on experience.

“You have an e-bike industry that’s fledgling, but it’s a five billion dollar a year industry,” Cristo said.

At a recent safety panel in El Dorado Hills, residents and leaders came together to address concerns about young riders on the road.

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“The safety around this area has been really scary,” said resident Liz Kmiec. “I have witnessed multiple scenes where these kids do not recognize the danger they’ve put themselves in.”

For law enforcement, the focus is on education, especially for parents.

“Education is huge,” said CHP Officer Andrew Brown. “We’ve been getting out to schools, community events, and sharing information to make sure parents know what they’re buying their kids.”

As the e-bike boom continues to grow, leaders say the challenge will be making sure safety keeps up.

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