Photos: CCCSheriff

By Jimmy Lee, Director of Public Affairs, Contra Costa County Office of the Sheriff

A new module for inmates who have mental illnesses has opened at the Martinez Detention Facility. This follows an 18-month remodel of a module which previously held 52 inmates. Now, it will house only 24 inmates who have mental illnesses. They will be supervised 24/7 by county health staff in addition to deputy sheriffs. The cells are all single-occupancy and include 5 cells for acute cases. There are also two private medical evaluation suites in the module.

“I am proud of this new module which is part of the jail modernization we planned many years ago,” said Contra Costa County Sheriff David Livingston. “Now, inmates who have mental illnesses will have a dedicated housing unit where they will receive mental health treatment, programming, and services, in addition to healthcare.

Photos: CCCSheriff

The new module has incorporated the latest technology and best practices for detention facilities. This includes state of the art software for managing the module, furnishings that will help prevent suicides and a design that allows for greater observation of the inmates. The new module also uses a biophilic design to create a calm environment, reduce stress, and is more conducive to therapy.

“This new module sets the standard for these types of detention facilities,” said Livingston. “This reflects the commitment of the Contra Costa Sheriff’s Office and Contra Costa County in serving the needs of inmates who are living with mental health issues.”

The TreVista Antioch Team. Pictured left to right: Ifrana Nisha, Erika Mendez, Teresa Glenn, Ali Haddadi, Alberto Maldonado, Jeanette Marquez, Ana Munoz, Elena Patchin, Connie Madrigal. (Not pictured: Tamsen Meierdierck). Photo by Agemark

The community’s first honor under Executive Director Alberto Maldonado

Antioch, CA – Agemark Senior Living recently recognized several of the company’s senior living communities as well as individuals from those communities in a company-wide virtual awards ceremony held February 10. TreVista Senior Living and Memory Care in Antioch was recognized as the company’s Rising Star Community of the Year. This award is given to the Agemark community that has shown tremendous improvement and future promise.

Agemark Founder and Managing Partner Richard Westin is impressed with the team at TreVista in Antioch.

“After undergoing a multimillion-dollar renovation, the community has filled nearly all of its available apartments, thanks to the excellent efforts of the entire TreVista team,” he said. “We are so thankful for their commitment to providing excellent care, love and support to all residents of the community.”

TreVista Senior Living and Memory Care in Antioch is under the direction of Executive Director Alberto Maldonado. He began leading the community in August 2020 and says the team is honored to be recognized by Agemark.

“Our community and incredible team embody the values of Agemark proudly and I believe that they are the reason for our tremendous growth, particularly over the last year,” Maldonado stated. “Agemark empowers its leaders and team members to operate as a family, and that’s another reason for our success. We are so thankful for Agemark’s belief in what we do, and we are proud to be the Rising Star recipients.”

TreVista in Antioch offers both Assisted Living and Memory Care in one comfortable and homelike community. Located at 3950 Lone Tree Way in Antioch, the community was acquired by Agemark Senior Living in fall 2017, with management takeover shortly thereafter. In 2020, the community completed an extensive remodel, which improved all common areas and added a bistro, theatre room, in-house beauty salon and manicure station, among other improvements for residents to enjoy. The in-house memory care community, The Villa, was completely redone, and made into a more homelike and comfortable environment for those who live with dementia, including Alzheimer’s disease.

A sister community, TreVista in Concord, is also managed by Agemark Senior Living. To learn more about TreVista, visit trevistaseniorliving.com.

Source: Kaiser

By Antonia Ehlers, PR and Media Relations, Kaiser Permanente Northern California

Colorectal cancer is the second leading cause of cancer deaths in the United States among men and women combined. With March being Colorectal Cancer Awareness Month, it’s a good time to remind those in your life about the importance of regular screening.

Following recently updated federal guidelines, Kaiser Permanente Northern California is now recommending screening to adults ages 45 to 49. Previously, the recommended screening age was 50 for adults who are at average risk for colorectal cancer.

“These new guidelines are important because younger people are getting colon cancer more often,” said Theodore Levin, MD, a gastroenterologist at the Kaiser Permanente Walnut Creek Medical Center. “Today, we have more options. A patient can have a colonoscopy or the at-home fecal immunochemical test.”

According to Levin, the increase in cases in younger patients has been linked to obesity, antibiotic use, and sweetened sodas and sports drinks.

Kaiser Permanente is expanding its easy to use, at-home colorectal cancer screening program to members age 45 and older following a nationwide increase in deaths of people under age 50. The fecal immunochemical test (FIT) for colon and rectal cancer is mailed annually to members’ homes, free of charge. 

Colorectal cancer symptoms include rectal bleeding, abdominal pain, a change in bowel habits and unexplained weight loss. The FIT test checks for hidden blood in a patient’s stool, which could be a sign of cancer or benign colorectal polyps.

If a test is positive, a colonoscopy is ordered to examine the inner lining of the colon and rectum for signs of cancerous or pre-cancerous growths.

According to Jeffrey Fox, MD, chair of Gastroenterology for The Permanente Medical Group in Northern California, Kaiser Permanente’s home screening test has lowered colorectal cancer deaths by 50 percent among its members during the past two decades.

“We estimate that our members have a 30 percent less risk of death from colorectal cancer than non-members in part because of this testing program,” he said.

Dr. Fox also noted that in addition to reducing deaths through use of the test among all members, Kaiser Permanente Northern California also has drastically reduced the rate of colorectal cancer among Black members. Targeted testing outreach over the last 10 years has brought the rate down from 54.2 per 100,000 to 21 per 100,000, which now is the same rate as white members.

Will match $200,000 in employee and physician donations raised in just two days

Calls on other health care organizations to join the effort

By Antonia Ehlers, PR and Media Relations, Kaiser Permanente Northern California

Kaiser Permanente has launched an employee and physician giving campaign to help with the urgent Ukrainian refugee crisis for physicians and employees who wish to personally support organizations helping with the relief effort, providing refugees with food, shelter, warm clothing, medical care, and supplies. Employees and physicians can choose to support these efforts by donating to any of 3 organizations selected by Kaiser Permanente, and the nonprofit integrated health care organization will match individual donations dollar for dollar, up to a total of $200,000.

The program was announced March 1, and in less than two days employees and physicians donated more than $200,000 in relief funds, ensuring the organization will contribute at least $400,000 for Ukraine relief. Donations continue to come in to support the three nonprofit relief organizations included in this matching effort, who are all providing direct aid: Direct Relief, Global Empowerment Mission, and World Central Kitchen. They were chosen based on a successful track record in disaster situations, and all three are on the ground in the region working to assist the refugees.

“Kaiser Permanente’s mission compels us to take action in response to the events unfolding in Eastern Europe. We are deeply saddened for the people in Ukraine, and for the loss of lives, destruction of communities, and displacement of families,” said Greg A. Adams, chair and chief executive officer, Kaiser Permanente. “This worsening humanitarian crisis merits our immediate response. We ask that you join us with your donations and solidarity for the people in Ukraine. This is a moment and cause that connects us regardless of our background or ethnicity. This is a time for unity, and for us to stand together as an industry and as a nation.”

The war in Ukraine already has caused more than 1 million refugees to leave the country and stream into neighboring nations. The United Nations estimates a total of 4 million people will eventually leave the country in the coming weeks. The scale of the humanitarian crisis is expanding significantly, and disaster relief agencies are struggling to meet the needs. While neighboring countries are welcoming the refugees, they are overwhelmed by their numbers.

The damage caused by this conflict continues to change every day. Kaiser Permanente will continue to closely monitor the situation as it continues to develop.

Kaiser Permanente has physicians and employees who have ties to Ukraine, Russia, and other countries in the region. Many of the people in the communities we serve also have connections to those affected by the war. This diversity is a source of strength and provides an opportunity to seek mutual understanding, offer support, and work together for a better future.

About Kaiser Permanente

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and nonprofit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 12.5 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. For more information, go to about.kp.org.

Still required on public transit

Joined by governors of Oregon, Washington to offer more updated health guidance for the three western states

SACRAMENTO – With declining case rates and hospitalizations across the West, California, Oregon and Washington are moving together to update their masking guidance. After 11:59 p.m. on March 11, California, Oregon and Washington will adopt new indoor mask policies and move from mask requirements to mask recommendations in schools.

State policies do not change federal requirements, which still include masks on public transit.

Statement from California Governor Gavin Newsom: “California continues to adjust our policies based on the latest data and science, applying what we’ve learned over the past two years to guide our response to the pandemic. Masks are an effective tool to minimize spread of the virus and future variants, especially when transmission rates are high. We cannot predict the future of the virus, but we are better prepared for it and will continue to take measures rooted in science to keep California moving forward.”

In California, starting March 1, masks will no longer be required for unvaccinated individuals, but will be strongly recommended for all individuals in most indoor settings. After March 11, in schools and childcare facilities, masks will not be required but will be strongly recommended. Masks will still be required for everyone in high transmission settings like public transit, emergency shelters, health care settings, correctional facilities, homeless shelters and long-term care facilities. As always, local jurisdictions may have additional requirements beyond the state guidance.

Newsom also presented his COVID SMARTER Plan introduced on Feb. 17, which stands for Shots, Masks, Awareness, Readiness, Testing, Education and Rx.

Statement from Oregon Governor Kate Brown: “Two years ago today, we identified Oregon’s first case of COVID-19. As has been made clear time and again over the last two years, COVID-19 does not stop at state borders or county lines. On the West Coast, our communities and economies are linked. Together, as we continue to recover from the Omicron surge, we will build resiliency and prepare for the next variant and the next pandemic. As we learn to live with this virus, we must remain vigilant to protect each other and prevent disruption to our schools, businesses, and communities––with a focus on protecting our most vulnerable and the people and communities that have been disproportionately impacted by COVID-19.”

In Oregon, the Oregon Health Authority rules requiring masks in indoor public places and schools will be lifted after 11:59 p.m. on March 11. Other state and federal requirements, such as those for health care settings, public transit, and other specialized settings, will remain in place for a period of time.

Statement from Washington Governor Jay Inslee: “We’ve continued to monitor data from our state Department of Health, and have determined we are able to adjust the timing of our statewide mask requirement. While this represents another step forward for Washingtonians, we must still be mindful that many within our communities remain vulnerable. Many businesses and families will continue choosing to wear masks, because we’ve learned how effective they are at keeping one another safe. As we transition to this next phase, we will continue to move forward together carefully and cautiously.”

In Washington, indoor mask requirements will be lifted as of 11:59 p.m. on March 11. This new date does not change any other aspect of the updated mask requirements Inslee announced last week. Masks will still be required in certain settings including health care, corrections facilities and long-term care facilities. The Washington State Department of Health will be issuing new guidance for K-12 schools next week so schools can prepare to implement updated safety protocols.

Source: healthychildren.org

Screen Time Use Among U.S. Adolescents During the COVID-19 Pandemic Findings From the Adolescent Brain Cognitive Development (ABCD) Study

By Antonia Ehlers, PR and Media Relations, Kaiser Permanente Northern California

In today’s world, it’s not uncommon for children to be connected to their phones and laptops. Some sneak devices on their laps under the dinner table, while others are slow to respond to real conversations when they’re texting their friends. It’s a whole new world, but increased screen time might be leading to more mental health issues, according to “Screen Time Use Among U.S. Adolescents During the COVID-19 Pandemic Findings From the Adolescent Brain Cognitive Development (ABCD) Study” published in the Journal of the American Medical Association-Pediatrics (JAMA-Pediatrics).

“During the COVID-19 pandemic, many children increased screen time use due to online school, stay-at-home orders and general social isolation,” said Richard Freed, Ph.D., a clinical psychologist at Kaiser Permanente Antioch Medical Center. “JAMA-Pediatrics recently reported that children nearly doubled their screen time use during the pandemic. Unfortunately, this increase is posing mental health risks for kids because it displaces the activities we know are helpful to children and adolescents, including quality time with family, physical activity, and engaging with their teachers and school communities.”

The cumulative effect of excessive screen time is leading to ongoing mental health issues for children.

“Children are experiencing anxiousness and stress in part because screen time has remained elevated even as pandemic restrictions are lifted,” Freed added. “It’s important for parents to understand how too much screen time can negatively impact children’s mental health, and there are ways parents can help reduce the amount of time their children spend on screens.”

Below are some tips for helping your child cut back on his or her screen time use:

• Help children and adolescents engage with the activities we know support their mental health, including time with family and physical activity, as that leaves less time for screens.
• Kids might need parent support and structure to get back into school routines, such as shutting down screens and completing homework.
• Cutting back on screen time use does not mean no screen time at all. Try setting some limits on children’s usage and work on a plan to limit the amount of time per day they are on their screens.
• Don’t allow children to have use of their screens before bedtime, which can disrupt sleep. Encourage them to read books or play quiet games instead.
• Model good behavior. Put your own screens away and show children the importance of finding other activities to occupy their time.
• Encourage children to play outdoors or take up a new hobby. Find ways to expand their in-person social interactions, such as joining a club or an after-school activity.
• Go on walks, have family game nights, start a family book club, or work on puzzles. Find other ways to keep your children occupied and engaged.
• Talk to your children about the importance of staying engaged with others and how screens prohibit them from developing the social skills they need to be successful.
• If your child continues to withdraw or seems anxious or stressed, talk about what might be happening and offer solutions to help.
• The American Academy of Pediatrics has a tool at healthychildren.org/MediaUsePlan to help you create a plan for screen time.

Dr. Brian C. Richardson

By Anita Creamer, Sutter Health

For decades, February—Black History Month—has been a time to remember battles won and hurdles overcome. A crucial hurdle remains: Because of traditional disparities in delivery and access to healthcare, stroke continues to have a disproportionate effect on the African American community.

That’s why Brian C. Richardson, M.D., neurologist and medical director of Stroke Service at Alta Bates Summit Medical Center, a Sutter Health affiliate, thinks February presents an opportunity to raise awareness of stroke and stroke prevention for Black Americans.

“Stroke can be prevented in Black Americans,” he says. “We need greater access to healthcare and treatment of underlying medical conditions. Getting better access to healthcare and managing risk factors for stroke can mitigate the risk of stroke dramatically for African Americans.”

Statistics are startling. According to the U.S. Department of Health and Human Services’ Office of Minority Health, African Americans are 50 percent more likely to have a stroke—a “brain attack,” in which blood stops bringing oxygen to the brain—than white adults, and Black men are 70 percent more likely to die from stroke.

Along with the higher prevalence of stroke and highest death rate from stroke than any other group, says Dr. Richardson, African Americans are predisposed to a range of underlying conditions that can contribute to stroke, including hypertension, or high blood pressure, hyperlipidemia and diabetes.

“Identifying and treating high blood pressure would have a significant effect in decreasing the prevalence of stroke in Black Americans,” he says. “If we can treat hypertension, we can reduce stroke in the African American community.”

Lowering the diastolic blood pressure (the lower number on the reading) by 5 mmHg can reduce the risk of stroke by up to 35%, he says.

And in general, living a healthy lifestyle—eating fresh foods, exercising, consuming less salt, not smoking and drinking less—can help prevent up to 80 percent of strokes.

“If people can consume five servings of fruits and vegetables a day, they’ll reduce their stroke risk by 30%,” Dr. Richardson says. “For Black Americans, that means we need to be able to find healthy, fresh food in our neighborhoods. Fast food isn’t the means to good health.”

To learn more about stroke prevention, risk factors and types of stroke, visit the American Stroke Association.

Matching state’s order one day prior; order comes one day after Contra Costa Supervisors appoint new county health officer; state continues to require masking in K-12 school settings

In alignment with the State, the Bay Area counties of Contra Costa, Alameda, Marin, Monterey, Napa, San Francisco, San Mateo, Solano, Sonoma, the City of Berkeley, and Santa Cruz County will lift universal mask requirements for vaccinated individuals in most indoor public settings beginning Wednesday, February 16. The change comes one day after Contra Costa Supervisors appointed Dr. Orli Tzvieli as the county’s new health officer. (See related article)

The change aligns with the California Department of Public Health’s (CDPH) decision to let expire the statewide indoor mask requirement, which was instated on December 15 during the latest COVID-19 surge, in spite of scientific evidence masks don’t work in preventing the spread of the virus. That’s because the size of the COVID molecule is much smaller than the gaps in the fabric of most if not all masks being used. In addition, a 2021 study (that has not yet been peer-reviewed), conducted using data from the CDC covering multiple seasons, reports that “mask mandates and use are not associated with lower SARS-CoV-2 spread among US states.” That study also shows “case growth was not significantly different between mandate and non-mandate states at low or high transmission rates, and surges were equivocal.”

Yet, unvaccinated individuals over age 2 will continue to be required to wear masks in all indoor public settings. Businesses, venue operators and hosts may determine their own paths forward to protect staff and patrons and may choose to require all patrons to wear masks.

Plus, indoor masking is still required by the State for everyone, regardless of vaccination status, in public transportation; health care settings; congregate settings like correctional facilities and homeless shelters; long term care facilities; and in K-12 schools and childcare settings.

Bay Area health officers, in alignment with CDPH, continue to strongly recommend masks be used as an effective tool to prevent the spread of the virus especially when case rates are high, or when additional personal protection is needed. Continuing to mask in indoor public settings, especially crowded or poorly ventilated spaces, remains the safest choice for an individual and protects those who are medically vulnerable or are not able to get vaccinated, like our youngest children. As evidence continues to show, vaccinations and boosters remain the best defense against the virus.

The highly contagious Omicron variant brought on a new stage of the pandemic with a high number of new infections, but significantly fewer cases of life-threatening illnesses, especially for those who are vaccinated and boosted. While relaxing indoor masking requirements is part of a population-level shift toward a “new normal” of living with the disease, the Health Officers recognize that essential workers and communities of color continue to be highly impacted by COVID-19 and will need additional support to limit widening health disparities. Changes to health orders and recommendations may be updated as Health Officers follow the science and the data to evaluate whether additional protective measures may be needed as the virus evolves and if future surges occur.

People should continue to choose layered prevention strategies, such as wearing well-fitted masks (N95 or double layer cloth over surgical are best); staying home and testing when symptomatic; testing before gatherings; and improving indoor ventilation in situations where these strategies can add protection for themselves and others. Staying “up to date” on vaccinations, meaning primary series and boosters when eligible, remains the most important way to prevent severe illness, hospitalization, and death.

After reaching a high on January 9 of 2,835 new cases per day, Contra Costa’s case rates have rapidly declined to a 7-day average of 958 on February 1 and continue to drop. Meanwhile, hospitalizations, a lagging indicator of disease, have begun to drop and never exceeded local capacity during this latest surge because of the county’s overall high rates of vaccinations (80%) and boosters (49% of those eligible). Contra Costa’s universal mask mandate has been in place since August 2 when cases began climbing from the Delta variant.

A combination of preventative strategies, along with the community’s cooperation helped get the Bay Area through this last surge together as a stronger community.

“We are able to take this next major step of removing the universal indoor mask requirement because we have laid a strong foundation in good public health protections…and know we can reduce severe illness, hospitalizations and deaths,” said Dr. Ori Tzvieli, health officer for Contra Costa County.

By aligning with the state masking rules, the participating Bay Area counties will not need to meet previously established criteria for lifting local masking orders, which were devised at a different point in the pandemic.

CDPH continues to require masking in K-12 school settings but has indicated adjustments to the state’s policies will be shared in the coming weeks. In the meantime, there is work to be done in closing the remaining gaps in vaccinations and boosters among children with a particular focus on equity gaps within the most highly impacted communities.

For early education programs, such as preschool and childcare settings, CDPH continues to require masking for children older than age two. Vaccinations for children under 5 are currently undergoing federal review. Workplaces will continue to follow the COVID-19 prevention standards set by CalOSHA.

Some people may understandably feel anxious about these changes to masking requirements in the county. People can continue to choose to wear face coverings around others whether it’s mandated or not and should respect people’s choices around their health. Community members who are vaccinated and choose not to mask should respect the choices of those who continue to mask. Officials ask residents and visitors to be kind and respectful as people evaluate their risks and make choices to protect themselves and those around them.

Allen D. Payton contributed to this report.