California
California surgeon general sets goal of reducing maternal mortality by 50%
California’s surgeon general has unveiled a new initiative to reduce maternal mortality and set a goal of halving the rate of deaths related to pregnancy and birth by December 2026.
Health officials say that more than 80% of maternal deaths nationwide are preventable. California has achieved a much lower rate of such deaths than the U.S., but maternal mortality resurged in recent years amid the COVID-19 pandemic, state data show.
“We have the lowest rate in the country. Now we can do better,” California Surgeon General Dr. Diana E. Ramos said in an interview.
Ramos was joined in announcing the effort Tuesday by First Partner Jennifer Siebel Newsom, the wife of Gov. Gavin Newsom.
In California, leading causes of such deaths include heart disease, bleeding, “behavioral health” issues such as mental illness and substance use, and infection. More than a fifth of pregnancy-related deaths in California occur the day of delivery, but the majority happen in the days, weeks and months that follow, according to state data.
The crisis has been especially stark among Black women, who have faced a maternal mortality rate more than three times that of white women in California. In Los Angeles County, there has been a public outcry in recent years over the deaths of women like April Valentine, 31, and Bridgette Burks, 32 — Black mothers who left behind devastated families.
Health researchers have faulted numerous factors for the higher rates of maternal mortality among Black women, including the physical effects on the body of enduring years of racism; higher rates of diabetes and other chronic conditions that increase risk; and inequities in the care received by Black patients.
California officials said they are also concerned about rising rates of maternal mortality among Latinos and Asian/Pacific Islander communities in the state.
The “Strong Start & Beyond” initiative, officials said, would help patients understand potential risks before they become pregnant and prompt earlier action to address hazards such as heart disease. It would also alert Californians to doula services and other programs intended to support people before, during and after birth.
Ramos said California had reached the lowest rate of maternal mortality in the nation through its system of reviewing maternal deaths and other efforts centered on hospitals, physicians and other healthcare professionals. Up until now, “the focus has been primarily on the healthcare setting,” she said.
But “if we keep on doing the same thing — just focusing on the healthcare team — we’re going to get the same results,” Ramos said. Health officials and experts decided they needed to bolster that work, “and that’s why we’re bringing in the patient.”
“It seems so simple, but oftentimes, the pregnant person doesn’t feel like they have a voice or they have the information they need to make informed decisions,” Ramos said.
U.S. Secretary of Health and Human Services Xavier Becerra said in a statement accompanying the launch of the new effort that “reducing maternal mortality isn’t a ‘should,’ it’s a ‘must.’ California gets it.”
The planned strategies outlined in the California Maternal Health Blueprint, released Tuesday, include a new questionnaire that patients can take at home to assess their risk of pregnancy complications and get recommendations for next steps based on their results.
As an obstetrician-gynecologist, Ramos said she found that it was often at their first prenatal appointment that a patient would first hear, “You’re going to be a high-risk patient.’ And more times than not, patients would say … ‘I wish I would have known that I could have done X, Y or Z to decrease my risk.’”
California officials also want all medical facilities in the state to use an existing screening tool for gauging the risk levels of pregnant patients.
Ramos said those results could help guide where patients go for births. Hospitals with limited resources could refer patients with a higher risk of complications — such as someone who “is going to be at risk for hemorrhage, is going to be at risk for ICU admission” — to the medical facilities best equipped to handle them.
The new effort comes as pregnant patients may face dwindling choices for hospital births: Nationally, roughly 1 in 25 obstetric units closed in 2021 and 2022, according to a March of Dimes report.
Under “the modern fee-for-service healthcare model … hospitals must fund round-the-clock capacity but are only reimbursed when their facilities and staff are in action,” wrote Dr. Anna Reinert, an assistant professor of clinical obstetrics and gynecology at USC’s Keck School of Medicine, in a recent op-ed.
“So if not enough deliveries are happening, expenses outweigh reimbursement. This drives hospitals to get out of the baby delivery business altogether,” Reinert wrote.
California has faced a wave of such closures in the last decade, including at many hospitals in Los Angeles County. A CalMatters analysis found that such closures had disproportionately affected Black, Latino and low-income communities. Among the latest hospitals to announce it would shut down a labor and delivery unit is USC Verdugo Hills Hospital in Glendale, which plans to halt maternity care on Nov. 20.
California
Top California governor candidates debate in San Francisco as field narrows
Six of the top-polling candidates in California’s race for governor faced off at a debate in San Francisco Wednesday night.
This marked the first debate since former East Bay Congressman Eric Swalwell dropped out of the race for governor and resigned from his seat. Despite Swalwell’s exit as well as the departure of Betty Yee from the race, no clear Democratic frontrunner has emerged.
The debate was hosted by Nexstar/KRON in San Francisco.
The candidates at this debate included four Democrats: former Congresswoman Katie Porter, former California State Attorney General Xavier Beccera, San Jose Mayor Matt Mahan, and billionaire philanthropist Tom Steyer. The two Republicans at this debate included former Fox News commentator Steve Hilton and Riverside County Sheriff Chad Bianco.
All candidates are trying to make an impression ahead of the June 2 primary. Ballots will be mailed out to California voters in early May.
Political analyst Larry Gerston examines the first California governor’s race debate since Eric Swalwell dropped out, hosted by Nexstar/KRON in San Francisco.
California
Federal appeals court blocks California law requiring federal agents to wear identification
LOS ANGELES — An appeals court has blocked a California law passed in 2025 requiring federal immigration agents to wear a badge or some form of identification.
The Trump administration filed a lawsuit in November challenging the law, arguing that it would threaten the safety of officers who are facing harassment, doxing, and violence and that it violated the constitution because the state is directly regulating the federal government.
A three-judge panel of the 9th U.S. Circuit Court of Appeals issued an injunction pending appeal Wednesday. It had already granted a temporary administrative injunction to block the implementation of the law.
At a hearing March 3, Justice Department lawyers argued that the California law sought to regulate the federal government, violating the Supremacy Clause of the Constitution.
The appeals court agreed unanimously, saying the law “attempts to directly regulate the United States in its performance of governmental functions,” in an opinion written by Judge Mark J. Bennett. The panel was composed of two Trump appointees, Bennett and Daniel P. Collins, and Obama appointee Jacqueline H. Nguyen.
California lawyers argued that the law applied equally to all law enforcement officers without discriminating against the U.S. government, and that states could apply “generally applicable” laws federal agents. They also argued that the law was important to address public safety concerns.
People are more likely to attack officers in self-defense if there’s no visible identification letting the public know they are law enforcement, California lawyers said in a brief opposing the injunction.
“This confusion has resulted in federal law enforcement officials being mistaken for criminals and vice versa, creating serious risk of harm to peace officers and members of the public,” they wrote.
The appeals court judges said they did not consider the public safety factors because the federal government has demonstrate its constitutional rights would be violated by the legislation, and “all citizens have a stake in upholding the Constitution,” it ruled, quoting previous case law.
First Assistant U.S. Attorney Bill Essayli called it a “huge legal victory” in a post on X.
The California Attorney General’s office did not immediately respond to a request for comment.
The initial lawsuit also addressed another California measure signed into law last year that would have banned most law enforcement officers from wearing masks, neck gaiters, and other facial coverings. It was blocked by a federal judge in February.
The legislation did not apply to state law enforcement and made exceptions for undercover agents, protective equipment like N95 respirators or tactical gear, and other situations where not wearing a mask would jeopardize the operation.
California
California Islamic calligraphy artist preserves ancient tradition during Arab American Heritage Month
As Arab American Heritage Month is celebrated, one Northern California artist is keeping the centuries-old tradition of Islamic calligraphy alive, one carefully measured stroke at a time.
Sehar Shahzad is a student calligrapher. Before starting any project, Shahzad said “one of the first things that calligraphers learn is how to cut their pens.”
Her tools must be in pristine condition.
“Your instruments are just as important as anything else in this art,” she said.
Shahzad said that as a young girl growing up in Toronto, she took up Islamic calligraphy while reflecting on her religion.
“It’s not like I’d never seen it before, but it was my first time kind of trying it,” she said. “And there’s no other way to say it except that I just fell in love with it.”
Now married with three children, Islamic calligraphy is very much part of her life.
“I remember thinking that this isn’t something that I just want to learn for fun,” she said. “I really want to be able to master it.”
Shahzad said that every angle and curve follows strict geometric rules and is measured with dots.
“For example, this letter here was just a little bit too long, so we use these nuqtas to help us guide and understand how long that letter should be,” she said.
Like the Arabic language, Islamic calligraphy is read from right to left. Its bold simplicity requires precision and a deep understanding of proportion.
“When you’re creating a composition, it’s not only about the letter itself,” Shahzad said. “It’s about composition as a whole and making sure that everything balances together.”
Even though she’s still mastering her form, Shahzad’s work is featured in the prayer room of a Muslim cemetery in Napa and in the domes of mosques in San Jose, Hayward, and San Francisco.
Still, she considers her work on paper the most special.
“A form of meditation, a form of worship, requires focus, requires discipline, really brings me to a different space,” Shahzad said. “And I think that’s what I love most.”
Proving that in this fast-paced world, this millennia-long tradition is far from disappearing.
Shahzad’s work will be featured at the upcoming Light Upon Light art exhibit at the Tarbiya Institute in Roseville from April 24-26.
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