California
Q&A: How California, now an epicenter for bird flu in dairy cattle, is monitoring the virus
From the earliest days of the H5N1 bird flu outbreak in dairy cattle, experts watching the evolving situation have worried about California.
The Golden State has the country’s largest concentration of dairy farms, roughly 1,100 herds. The concern has been if the virus got into California, the prospects for spread would be huge and containment a challenge.
And, indeed, in the roughly five weeks since California’s first infected farms were confirmed, those fears have proved to have been well-founded. As of Monday, 82 farms have tested positive for H5N1, vaulting California over Colorado as the state with the most infected herds. By comparison, Colorado has counted 64 infected herds over the course of six months. (It should also be noted that California’s Department of Food and Agriculture is actively looking for affected herds; many other states are not.)
Infected cows could in turn infect people. California has already detected three human infections in workers who had exposure to infected cows. (The Centers for Disease Control and Prevention has yet to confirm the third case.)
STAT recently spoke to Erica Pan, California’s state epidemiologist, about what public health officials are doing to monitor for human H5N1 infections. The conversation, which took place before California announced its human cases, has been lightly edited for clarity and length.
Has California been proactively looking for H5N1 infections among farmworkers and others, given the rapid rise in infected farms in the state?
Ever since March or April [when H5N1 in cows was first confirmed in the U.S.] we have been very actively watching and preparing and working with our California Department of Food and Ag. Typically, seasonal flu surveillance really decreases over the summer but we —like many other states — kept up our flu surveillance and sent out a health advisory to clinicians in California, saying: Please still test for flu, even though it’s summer. Please be asking these questions about animal exposures.
And then we were trying to reach goals of the numbers of flu specimens we would be subtyping of flu A, to confirm that the flu that is still circulating is seasonal flu and not H5N1. So we’ve been meeting our goals over the summer on that.
In addition, once we’ve had these positive herds in California, we’ve worked closely with our local health departments on the ground where these actual farms and premises are, who are then working with the farms and the farmworkers to monitor individuals who might be exposed and monitoring for symptoms. Really working to talk to the employees and the farmers about “This is a health check. The goal is not government monitoring. It is really to do a health check to make sure you are feeling well. And if you’re not, we can help get testing and treatment if needed.”
We, of course, had a lot of experience since 2022, when we had huge [H5N1] poultry outbreaks, so thankfully a lot of the local health departments at least had experience with that as well — acknowledging that dairy farmers are often different, though.
One of the things a lot of affected jurisdictions have had to grapple with is the fact that there’s been a fair amount of reluctance on the part of the farmers and farmworkers to interact with the public health side. Are you getting cooperation or are you facing suspicion and unwillingness to interact?
A lot of this work happens on the ground with our local health departments. And what we’re hearing from them is that it’s a big spectrum. There are definitely some farms that are the most collaborative and open and welcoming. And I think there are some that are challenging.
We’re working with some of the farmworker organizations, and I think we’re improving. I think local health departments are working more closely with their agricultural commissioners and some of these other worker organizations to really get more of their input and support — especially in areas where there may be more concern about what the role of public health is.
We are not only working on outreach and education around personal protective equipment but have distributed a lot. We’ve distributed over 300,000 respirator masks, gloves, goggles, and face shields to protect farmworkers from bird flu and have tried to offer that as well as a way to engage the workers and the worker organizations.
One of the things the CDC is also trying to do is get seasonal flu shots into farmworkers in states where it’s known that there have been outbreaks in cows. Is that happening at your level? Or is it happening at the local health department level?
Both. CDC did give us an additional allocation of CDC-funded seasonal flu vaccine for farmworkers. For our entire state, we’ve only gotten about 5,000 more doses. It’s not a huge amount. But it’s certainly helpful. So we are definitely working with the farms in the Central Valley where we have both the highest intensity of dairy farms and where our positives [herds] have been detected. And in general our local health departments are trying to figure out how to provide more influenza vaccinations in that community as well.
Five thousand doses? There are more than 1,000 dairies in California. Is that the only allocation you’re getting?
That’s the allocation that’s been associated with this bird flu H5N1 effort.
We have some state-funded vaccine that is for high-risk uninsured and underinsured people, which historically is distributed to the underinsured elderly living in congregate settings and other places. We typically do use all that vaccine in that high-risk population. So, yeah, I think we’re working on and thinking about other creative solutions, especially if there are workers in smaller farms, etc., that don’t have other health care access.
And it will be interesting to see what the uptake is [among farmworkers offered flu shots].
Do you have a sense of whether this is a population that takes flu shots normally?
I don’t offhand. I do know that in general only about half of people get a flu vaccination. So we have concerns that it may not be a population that typically has high uptake.
What about studies? There’s been a lot of interest in trying to test blood samples from farmworkers looking for antibodies to see if there have been more infections than have been detected. Is California trying to do that?
I think we’re learning from other states that have gone before us. And our understanding from Michigan, for example, is that it took them a little bit to develop these relationships, work with individuals to then get the engagement to do that. It’s still relatively early for us. It’s been about a month.
But we’re certainly interested and open to that and the CDC has indicated that they would absolutely support [that kind of work].
It is my understanding that some of the USDA resources that farms can apply for if they have been impacted also have inclusive language about collaborating with local public health and participating in CDC studies. So I think we do want to start to work on that soon. But I think right now, we’re really kind of working on just solidifying some of those relationships and working on encouraging overall health monitoring, health checks, etc.
How big an issue is raw milk in California and how worried are you about it in terms of people’s exposure to H5N1?
It definitely has been top of mind.
For a lot of the details you’ll have to refer to the California Department of Food and Ag. But they do regulate. There are a few raw dairy farms in California and they do regulate them at the state level. And they’ve been requiring testing — for several months at this point. Definitely before we had these other commercial detections.
California
Live Updates: Candidates face off in the CBS News California and San Francisco Examiner Governor’s Debate
Learn more about candidates’ stances on the issues in the California Governor’s Race interactive guide
CBS News California launched an interactive tool to help voters navigate this year’s gubernatorial race. The California Governor’s Race Candidate Guide features 20 hours of interviews with top-polling candidates to provide voters the opportunity to compare each candidate’s responses side-by-side on the issues that matter most to them.
Those running to succeed Gov. Gavin Newsom as California’s next chief executive offered their thoughts on more than a dozen issues, including homelessness, housing affordability, gas prices and environmental policy, immigration, healthcare, crime and public safety funding, and the state’s ongoing insurance crisis.
Here’s what to know about the CBS News California/San Francisco Examiner Governor’s Debate format
The format of the CBS News California and San Francisco Examiner Governor’s Debate on Thursday will allow candidates to question each other directly.
Candidates will also participate in segments in which they address real-world issues California voters may face in their daily lives. The Californians who will be featured include a working single mother pursuing education; a couple struggling to achieve homeownership; and a scientist warning of the long-term consequences of inaction on climate change.
This structure for Thursday’s debate differs from the previous face-off hosted by CBS News California stations, which comprised three segments focused on affordability, accountability and social issues that lasted roughly half an hour each.
Becerra, Hilton, Steyer lead field in latest polling on California governor’s race
An Emerson College poll released the day before the CBS News California and San Francisco Examiner Governor’s Debate showed Xavier Becerra leading the field with likely voters surveyed at 19%, followed by Steve Hilton and Tom Steyer both receiving 17%. Chad Bianco came in at 11%, followed by Katie Porter at 10%, Matt Mahan at 8%, Antonio Villaraigosa at 4% and Tony Thurmond at 1%. Twelve percent said they remained undecided.
In a CBS News/YouGov poll last month conducted before the April 28 CBS California Governor’s Debate, Hilton received support from 16% of likely voters polled, with Steyer and Becerra following at 15% and 13% respectively. Bianco came in at 10%, Porter received 9%, Matt Mahan and Antonio Villaraigosa both received 4%, and Tony Thurmond received 1%. The survey also found that a significant 26% of those polled were undecided.
California’s June 2 primary is an open primary where the top two vote-getters, regardless of party affiliation, advance to face off in the November general election.
California
Opinion | California will make less money from greenhouse gas emission auctions
By Dan Walters, CalMatters
This commentary was originally published by CalMatters. Sign up for their newsletters.
Two decades ago, when California got serious about reducing or even eliminating carbon dioxide and other greenhouse gases, its political leaders weighed two potential tactics about industrial emissions.
The state could impose direct facility-by-facility limits, generally favored by climate change advocates. Or it could set overall emission reduction goals that would gradually decrease and auction off emission allowances, assuming their costs would encourage reductions.
The latter, known as cap-and-trade, was favored by corporate interests as being less onerous and was adopted, finally taking effect in 2012.
Since then, the California Air Resources Board has conducted quarterly auctions of emission allowances, collecting a total of $35 billion dollars so far, which, in theory, is being spent on projects that would reduce emissions.
The revenues have varied from year to year, but they have generally increased as the emission caps have declined. Since reaching a peak of $8.1 billion in the 2023-24 fiscal year, however, auction proceeds have been declining.
Roughly half of the money has been given to utilities to minimize cap-and-trade’s impact on consumer costs. However, the program has been widely criticized as a de facto tax on gasoline and other fuels, which were already among the most expensive of any state.
The remaining revenues have been deposited into a Greenhouse Gas Reduction Fund that governors and legislators have tapped for various purposes, not all of them connected to emission reductions. In a sense, it’s been a slush fund.
Last year Gov. Gavin Newsom and the Legislature overhauled the program in two bills, Senate Bill 840 and Assembly Bill 1207. The program was extended, it was renamed as cap-and-invest and new priorities for spending auction proceeds were set.
Notably, the state’s cash-strapped and long-stalled bullet train project would get a flat $1 billion a year, rather than the 25% share it had been getting. Project managers hope that lenders will advance enough money to complete its first leg in the San Joacim Valley; the plan is to repay the loans from the $1 billion annual cap-and-invest allocation.
Early this year, the Air Resources Board released new regulations to implement the legislative changes but faced criticism that they would increase consumer costs. That led to a revision in April that softens the rules’ impact — most obviously on refiners who have been threatening to leave California — but environmental groups are very critical.
The April version would also sharply reduce net revenues from emission auctions, according to the Legislative Analyst’s Office, providing barely enough for the $1 billion allocation to the bullet train and another $1 billion for the governor and Legislature to spend. Other programs that have been receiving cap-and-invest support, such as wildfire protection and housing, would probably get nothing.
The program has been tapped in recent years to backfill programs that a deficit-ridden state budget could not cover, so the projected revenue drop would exacerbate efforts by Newsom and legislators to close the state budget’s yawning gap.
“The (Greenhouse Gas Reduction Fund) is a relatively small portion of the overall state budget, but it has been a noteworthy source of funding for environmental and other programs in recent years,” the state Assembly’s budget advisor, Jason Sisney, says in an email. “Collapse of its revenues would change the state budget process noticeably. The state’s cost-pressured general fund seemingly would be unable to make up much, if any, of a significant (Greenhouse Gas Reduction Fund) revenue decline at this time.”
When Newsom presents his revised budget this week, he may reveal how he intends to cover the cap-and-invest program’s shortfall, particularly whether he will maintain the $1 billion bullet train commitment that project leaders say is vital to continuing construction of its Merced-to-Bakersfield segment.
It could boil down to bullet train vs. wildfire protection.
This article was originally published on CalMatters and was republished under the Creative Commons Attribution-NonCommercial-NoDerivatives license.
California
Trump administration will defer $1.3B in Medicaid funds for CA
Vance says Trump cares about Americans finances amid Iran debate
Vance pushes back on claims about Trump and says Americans finances matter as the administration weighs Iran and nuclear diplomacy.
Vice President JD Vance announced on Wednesday, May 13 that the Trump administration will be deferring $1.3 billion in Medicaid reimbursements from the state of California, as part of a new initiative to root out fraud in federal health programs.
The topic of California’s hospice care fraud has been a major focus of scrutiny by state leadership, members of President Donald Trump’s administration, and Gov. Gavin Newsom’s critics. In his announcement, Vance claimed that the administration was set on deferring these funds “because the state of California has not taken fraud very seriously.”
“There are California taxpayers and American taxpayers who are being defrauded because California isn’t taking its program seriously,” Vance said during a press conference.
Notably, this decision was part of Vance’s Anti-Fraud Task Force’s plan to implement a six-month nationwide, data-driven moratorium on new Medicare enrollment for hospices and home health agencies.
The Centers for Medicare and Medicaid Services, which is led by Dr. Mehmet Oz, is set to use this six-month moratorium to conduct investigations and review data on Medicare programs, with the hopes of removing hospice and home health agencies that are suspected of committing fraud.
“Today we’re shutting the door on fraud — preventing new bad actors from entering Medicare while we aggressively identify, investigate, and remove those already exploiting them,” Oz said. “This is about protecting patients, restoring integrity, and safeguarding taxpayer dollars.”
California Attorney General Rob Bonta called the administration’s action “unlawful” and noted that his office would be “carefully reviewing all available information” and may challenge the administration’s decision to threaten “Californians’ rights or access to critical services.”
“Once again, California appears to be targeted solely for political reasons,” Bonta said on X.
“The Trump Administration is planning to defer over $1 billion in Medicaid funding for vital programs that help seniors and people with disabilities remain safely in their homes.”
Bonta and his office have attempted to counteract criticism that the state does not take action against hospice fraud.
In April, Bonta announced that the California Department of Justice had arrested five people in connection with a major health care scheme in Southern California that defrauded taxpayers of nearly a quarter of a billion dollars.
“For years, California has led the charge to protect public programs from fraud and abuse,” Newsom said in the press release on April 10. “We hold accountable to the fullest extent of the law anyone who tries to rip off taxpayers and take advantage of public programs, particularly those as sensitive as hospice care.”
Newsom has yet to publicly respond to the administration’s decision to defer California’s Medicaid reimbursement.
However, shortly after Vance made the announcement, Newsom’s press office blasted the decision on X.
“We hate fraud. But that’s NOT what this is,” Newsom’s press office posted on X. “Vance and Oz are attacking programs that keep seniors and people with disabilities OUT of nursing homes. Pretty sick.”
Noe Padilla is a Northern California Reporter for USA Today. Contact him at npadilla@usatodayco.com, follow him on X @1NoePadilla or on Bluesky @noepadilla.bsky.social. Sign up for the TODAY Californian newsletter or follow us on Facebook at TODAY Californian.
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