Contra Costa Herald

News Of By and For The People of Contra Costa County, California

May is Mental Health Awareness Month: Friendship is good medicine

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Smiling friends at a picnic. Photo: KP.org

Loneliness and isolation contribute to health risks including insomnia, anxiety, depression, and even a shorter life span.

Finding and nourishing friendship is the remedy.

By Lynn Mundell, Senior Manager, Writers and Copywriters, Kaiser Permanente

In early May, U.S. Surgeon General Vivek Murthy, MD, released an advisory addressing the “epidemic of loneliness and isolation” affecting the country and laying out a plan for advancing social connection.

While the news may have surprised some, Jessica Johnson, a licensed clinical social worker at the Kaiser Permanente Walnut Creek Medical Center, has seen the topic of loneliness arising more frequently in her practice.

Loneliness and isolation contribute to a range of health risks.

“Patients at our clinic are complaining of anxiety or depression, but not realizing how their basic social isolation is playing a huge part in that.”

Missing friendships

According to Johnson, the 2020 pandemic that started with shelter-in-place disrupted friendships. Over the ensuing years, people moved away, changed jobs or retired, began virtual classes and workdays, or withdrew from their social lives due to health concerns.

“As a result, people haven’t always had opportunities to build friendships or even maintain some of the friendships they already had,” she said.

Johnson said this shift has resulted in a lack of companionship for people of all ages, from new college students isolated in dorm rooms, to those working from home.

“Statistically we’ve seen that many of us really have our strongest friendships from our school days or through the workplace,” she said. “But when the pandemic hit, we lost that structure and connection.”

“Johnson added that seniors are also struggling to transition to a more virtual world, due to inexperience with technology.

“Most senior are not working anymore, and they often don’t have access to the virtual world that the rest of us do. Isolation and loneliness for them is tenfold.”

Making friendships

While it would be natural to blame the pandemic for the shift in friendships, the share of people saying they have no close friends at all went from 3 percent in 1990, to 12 percent in 2021, according to the World Economic Forum.

It may be difficult to pinpoint all of the reasons behind the decades-long decline, and instead more constructive to coach people in friendship-making. Johnson has a number of practical ideas.

  • Reach out

Haven’t heard from a friend in a while? Pick up the phone and say hello. Schedule regular calls with loved ones. If everyone is comfortable, schedule a trip to catch up in person. “Who in your life offers you comfort, validation, or recognition?” Johnson asked. “Those are the people to seek out.”

  • Take the lead

Invite a new or old friend to lunch. Organize a neighborhood block party, book group, or crafting circle. “We’re all hungry for some more social interaction,” Johnson said. “It’s OK to be the one who initiates it, because more than likely the person you’re asking is also really in need of a friend.”

  • Get out there

Friendships can be founded on shared interests. Take a class or volunteer in your community. After you make a new friend, initiate a coffee date. Johnson said if you have social anxiety, ask questions. “People love to talk about themselves.”

  • Ask for help

“Sometimes the people in your life can’t give you direction or don’t know the answers,” Johnson said. If you’re lonely and having difficulty connecting with others, she recommends support and therapy groups — another place where she has seen friendships grow.

Johnson said friendships matter, for what they do for us and for how they make us feel.

“Friends give us access to others, to resources, and to opportunities from work to dating,” she said. “We are hardwired to feel, be seen and heard, and to be valued. A good majority of our most important relationships are with our friends.”

 

Contra Costa DA’s Office settles multi-county enforcement action with CVS Pharmacy

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Will pay almost $8 million for selling expired over-the-counter drugs and baby formula.

By Ted Asregadoo, PIO, Contra Costa County District Attorney’s Office

The Contra Costa County District Attorney’s Office Consumer Protection Unit has settled a civil law enforcement action against CVS Pharmacy for selling expired over-the-counter drugs and baby formula.

The settlement is part of a multi-county enforcement action initiated by Contra Costa, Santa Cruz, Fresno, Marin, Placer, Riverside, Sacramento, San Bernardino, San Joaquin, Shasta, Solano, and Yolo Counties District Attorneys’ Offices. Locally, Contra Costa Deputy District Attorney Bryan Tierney prosecuted the case against CVS Pharmacy, Inc., Longs Drug Stores California, L.L.C., and Garfield Beach CVS, L.L.C., (“CVS”).

CVS Pharmacy owns and runs pharmacies and retail stores throughout California – with 31 stores in Contra Costa County. These stores offer a variety of products such as over-the-counter drugs, food, infant formula, and baby food.

California law prohibits retailers from selling or offering for sale any over-the-counter drug that has expired. Also, food retailers in California are prohibited from selling or offering for sale any infant formula or baby food that has passed its “use by” date, as mandated by the federal Food, Drug, and Cosmetic Act.

The civil complaint — which was filed in Santa Cruz County Superior Court on May 9th — alleged that CVS Pharmacy has been selling expired over-the-counter drug products, as well as infant formula and baby food past their “use by” date for the past four years.

After being informed of the violation, CVS Pharmacy cooperated with authorities and acted by conducting internal checks for expired over-the-counter drugs, infant formula, and baby food that were past the “use by” date at all their retail locations in California. CVS Pharmacy also invested time and resources to retrain store personnel to verify the expiration dates of food and drug products.

It’s important to note that the investigation did not uncover any evidence that the sale of expired or past the “use by” date products resulted in harm to consumers.

Contra Costa District Attorney Diana Becton said, “This enforcement action underscores how our work helps to protect consumers from unlawful business practices. The residents of Contra Costa County must have confidence that the products they purchase are safe and not beyond their expiration dates. This settlement shows that CVS Pharmacy understands the seriousness of the violations and has taken steps to remedy the problem.”

CVS Pharmacy agreed to abide by a court order that prohibits any further violations of California law regarding the sale or offer for sale of expired over-the-counter drugs or infant formula and baby food past their “use by” date. The agreement was made without admitting or denying any wrongdoing. As part of the judgment, CVS will pay $6,500,000 in civil penalties and investigative costs, as well as an additional $1,000,000 in restitution. The restitution amount will be contributed to various charitable organizations that serve California residents throughout the state. Locally, CVS Pharmacy will pay the Contra Costa County District Attorney’s Office $475,000 in civil penalties, and $19,000 to reimburse the office for prosecution costs.

Hazmat crews cleaning up mercury on Martinez streets, including near Rankin Park

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By Contra Costa Health

After receiving a call from a resident this morning, our hazmat team identified an additional location in Martinez contaminated with mercury – this one near Rankin Park where Buckley Street hits a dead end. The team immediately conducted cleanup operations at this location after confirming the presence of mercury in the street. We did a visual inspection in the park itself and did not find any evidence of mercury in the park. (See related article)

Contra Costa Health spoke with the City of Martinez maintenance team and determined that the same garbage truck that collected trash at the Amtrak Station also serviced this location near Rankin Park on Monday, May 8. We have updated the map showing the route the garbage truck took after emptying the contaminated trashcan at the Amtrak station.

Hazmat cleanup crews are currently in the process of decontaminating parts of streets in the Martinez downtown area where mercury has been seen. We estimate the cleanup will take 1-2 days. There will be rolling street closures throughout the day today and possibly into tomorrow as the cleanup work is being done.

The Amtrak station remains closed and we don’t have an estimate for when it will reopen.

Anyone at the Amtrak station Monday or anyone who walked along the affected streets that thinks they may have stepped in mercury should take precautions to avoid contact with it. Shoes or clothes that have touched mercury should be double bagged and sealed shut and placed outside. Call our Hazmat Program at 925-655- 3200 during regular business hours for further handling instructions.

Health Advisory: Mercury cleanup in downtown Martinez

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EPA and Contra Costa HazMat Team members clean up a mercury spill at the Martinez Amtrak station on Monday, May 8, 2023. Photos: ConFire

Spread of mercury contamination first discovered at Martinez Amtrak station wider than initially believed

Avoid parts of downtown, sections of streets temporarily closed over next several days

By Contra Costa Health

Last updated: May 9, 2023, 8:09 pm

Further investigation by county health officials shows traces of mercury was inadvertently spread by a garbage truck while traveling on its route after picking up contaminated trash from a waste receptacle at the Amtrak station in downtown Martinez on Monday.

To reduce the potential risk of exposure to mercury, Contra Costa Health (CCH) asks the public to avoid walking on the streets in affected parts of downtown Martinez and use the sidewalks until the residue of a spill is removed, so people or pets do not track the material indoors.

The contamination is limited to the street and has not been detected in amounts great enough to create an immediate risk to health.

“From a health standpoint, our primary concern is that people don’t step in the mercury on the street and bring it inside their homes where indoor vapors may pose a health hazard,” said Dr. Ori Tzvieli, the County’s health officer.

Dr. Tzvieli added that while the health risk posed by exposure to mercury from this release is low, it’s important for the community to be informed of any potential health risks and take appropriate actions. CCH issued a health advisory to the community earlier this evening.

Initially, the mercury release was thought to be contained to the area immediately outside the train station. But after examining the five-block route taken by the city of Martinez garbage truck today, Contra Costa Health’s hazmat team and the U.S. Environmental Protection Agency identified small amounts of mercury in the roadway, primarily on Marina Vista and Alhambra Avenues and Berrellesa Street.

Sections of these streets will be temporarily closed over the next several days while cleanup takes place:

Marina Vista Avenue between the station and Alhambra Avenue; Alhambra from Marina Vista to Buckley Street; Buckley from Alhambra to Berrellesa Street; Berrellesa from Buckley north to the Martinez City Public Works yard.

The train station has been closed since mid-afternoon on Monday after ambulance paramedics from Confire at the site, who were there for another matter, saw mercury on the ground. Mercury has also been detected inside the train station itself.

Anyone at the Amtrak station Monday or anyone who walked along the affected streets that thinks they may have stepped in mercury should take precautions to avoid contact with it.  Shoes or clothes that have touched mercury should be double bagged and sealed shut and placed outside. Call our Hazmat Program at 925-655-3200 during regular business hours for further handling instructions.

Instructions

Shoes or clothes that have touched mercury should not be brought inside if it can be avoided. Never attempt to wash an article that may be contaminated with mercury, by hand or with a washing machine. This can increase the risk of the mercury being vaporized.

It is not known who dumped the mercury at the Amtrak station or why. Local law enforcement is investigating the matter.

 

Contra Costa Regional Medical Center earns “A” for safety from national evaluator

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Contra Costa Regional Medical Center (CCRMC) has earned an A grade for hospital safety from the Leapfrog Group, a national nonprofit evaluator of healthcare services.

The Leapfrog Hospital Safety Grade evaluates nearly 3,000 general acute-care hospitals across the U.S. for occurrence of preventable safety problems such as surgery-related infections or complications, observed safety incidents, and the presence of staff training and procedures to prevent errors in care.

The latest grades, released Wednesday, show that CCRMC, which is part of Contra Costa Health (CCH), provides its patients with some of the safest, highest-quality healthcare in the nation.

“Our county’s commitment to health and equity for all underscores our belief that our county’s most vulnerable and lowest-income residents deserve the highest quality medical care,” said John Gioia, chair of the Contra Costa County Board of Supervisors. “We are proud that Contra Costa’s full-service community hospital has been recognized for the excellence and quality of its care.”

Leapfrog assesses several dimensions of patient safety including medication safety, complex surgeries for pediatric and adult patients, maternity care, intensive care unit staffing, patient safety practices, managing serious errors and outpatient procedures.

“It really comes down to our staff. It’s an honor to work with so many dedicated, talented health professionals, all of them focused on delivering the best possible care for our patients,” CCH Chief Executive Officer Anna Roth said. “Their daily efforts are reflected in this grade.”

CCRMC is a full-service, 164-bed county hospital that offers patient-centered healthcare services in a modern hospital, including a 24-hour emergency department, and 10 satellite health centers providing high-quality care throughout the county.

CCRMC has been recognized in recent years for many efforts to improve health in Contra Costa County, including the California Association of Public Hospitals, Cal Hospital Compare and the Lown Institute. In 2020, Leapfrog and Newsweek rated CCRMC among the nation’s top hospitals for maternity care.

“We are proud and grateful to be recognized by Leapfrog for patient safety, because safety is our top concern,” said Dr. Samir B Shah, Chief Executive Officer of CCRMC. “Developing, teaching and following best practices improves outcomes, prevents mistakes and improves our patient’s experience. Our clinical system emphasizes a culture of safety where every staff member knows the importance of their contribution in risk reduction at CCRMC. It’s part of our mission, to care for and improve the health of all Contra Costa residents.”

Read the Spring 2023 Leapfrog Hospital Safety Grade for CCRMC here. 

 

Soil sampling conducted around Martinez refinery to assess health risks from “Spent Catalyst” release

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Proposed samples and refinery locations map. Source: CC Health

Martinez Refining Company area map. Source: Bay Area Air Quality Management District.

A toxicologist hired by the County this week began collecting samples of soil that may have been exposed to metal-laden “spent catalyst” released by the Martinez Refining Company (MRC) into the surrounding community last Thanksgiving. (See related articles here, here and here)

Soil samples are being taken from more than a dozen sites, primarily areas neighboring the refinery in Martinez and Benicia. Collected samples will be sent to a lab to analyze for concentrations of metals associated with the catalyst that may pose risks to human health through skin contact, inhalation or from consuming produce grown in the contaminated soil. Lab results of the soil samples are expected in late May or early June.

“We know the community is eager to find out what’s in the soil in their yards and whether they should be concerned for their health,” said Supervisor Federal Glover, whose district includes the refinery, which is owned by PBF Energy Inc. “The soil testing will help provide residents with answers to those questions.”

The sampling plan was based in part on a plume model map created by the Bay Area Air Quality Management District that showed where the spent-catalyst dust likely traveled. The plan was reviewed and approved by the MRC Oversight Committee, which includes seven community residents, at its April 27 meeting.

The soil sampling and risk assessment are being done for the County by TRC, a Concord-based environmental consulting firm. The risk assessment will also compare levels of metals found in the sampled soil against background levels taken from published academic and regulatory sources.

Catalyst dust fallout from MRC on a car. Source: BAAQMD

On November 24-25, 2022, MRC accidentally released up to 24 tons of metal-laden spent catalyst dust into the surrounding community. MRC failed to notify the County about the incident, which the County learned about two days later from social media, as required by local policy. Initial wipe samples of the spent-catalyst dust taken from surfaces in neighborhoods around the refinery in the days after the accident showed elevated levels of certain metals, such as aluminum, barium, chromium, nickel, vanadium, and zinc.

The most acute health risk occurred at the time of the incident when people could have breathed in the dust and caused respiratory distress. Questions have persisted about possible long-term health impacts, particularly from food grown in potentially contaminated soil exposed to the spent catalyst.

In March, with spring and gardening season arriving, the County’s health officer issued an advisory cautioning residents not to eat food grown in potentially contaminated soil until environmental testing could be completed.

“Residents affected by this release deserve to know if there is any health risk. Contra Costa Health is working as quickly as possible to ensure that accurate information reaches the public about this issue,” said Board of Supervisors Chair John Gioia, who also serves on the Bay Area Air Quality Management District Board of Directors.

For more information on the risk assessment and independent investigation of the November 2022 incident, visit cchealth.org/hazmat/mrc.

 

Three Kaiser Permanente Medical Centers in Contra Costa receive top patient safety rating

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The Leapfrog Group’s biannual safety report gives an “A” to Richmond, Walnut Creek and Antioch locations for limiting patient injuries, reducing medical errors, and preventing infections

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

The Leapfrog Group recognized both the Kaiser Permanente Richmond, Walnut Creek and Antioch Medical Centers with a top score of “A” in its biannual Hospital Safety Grades report. After reviewing hospital clinical performance, The Leapfrog Group assigned letter grades to nearly 3,000 hospitals throughout the United States. The Kaiser Medical Centers in Walnut Creek and on Sand Creek Road in Antioch received the same top rating for Fall 2022. Kaiser’s Richmond Medical Center improved from its B rating last fall. (See related article)

Hospitals received grades based on approximately two dozen measures that analyze patient injuries, medical and medication errors, and infections. The Leapfrog Hospital Safety Grades are updated twice annually, in the fall and spring.

This spring, 17 Kaiser Permanente hospitals in Northern California received “A” scores including: Antioch, Richmond, Walnut Creek, Fremont, Fresno, Manteca, Modesto, Oakland, Roseville, San Francisco, San Leandro, San Rafael, Santa Clara, Santa Rosa, South San Francisco, Vacaville and Vallejo. Additionally, Kaiser Permanente hospitals in Redwood City, Sacramento and San Jose received “B” scores.

More than 80% of Kaiser Permanente Northern California (17 of 21) hospitals received an “A” grade. In California overall, only 34% of the state’s hospitals earned the top grade.

“Patient safety is at the heart of everything we do,” said Chris Boyd, senior vice president and area manager of Kaiser Permanente’s Diablo Service Area. “We are honored to be recognized as a leader in patient safety, and we are incredibly proud of our health care professionals who make a difference every day.”

The Leapfrog Group, an independent national nonprofit run by employers and other large purchasers of health benefits, released its Hospital Safety Grades after examining publicly available data on patient injuries, medical and medication errors and infections at U.S. hospitals. The report includes data collected by national health care organizations, including the Centers for Disease Control and Prevention and the U.S. Department of Health and Human Services. Scores are calculated based on more than two dozen publicly available measures, and hospitals are then assigned A, B, C, D or F grades for their safety records. The grades are released as a free resource to help patients and their families make informed health care decisions.

“Recognitions like this speak to our commitment to safety,” said Sharon Mowat, MD, physician in chief of the Antioch Medical Center. “Our goal is to provide excellent, compassionate patient care of the highest quality and safety to every patient, every day.”

Kaiser Permanente is one of America’s leading integrated health care providers and serves more than 12.6 million members. Nationally, 29 of 39 Kaiser Permanente hospitals, nearly 75% percent, received a Leapfrog Safety “A” grade. In contrast, less than 30% of the nation’s hospitals received an “A” rating.

For more information and a complete list of the hospital safety grades, visit Leapfrog.

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 not-for-profit 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 12.6 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.

 

National Prescription Drug TAKE BACK Day is Saturday, April 22

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Photo: CCCSheriff

On Saturday, April 22, 2023, from 10 AM to 2 PM, the Contra Costa County Office of the Sheriff and the Drug Enforcement Administration (DEA) will give the public another opportunity to prevent pill abuse and theft by ridding their homes of potentially dangerous expired or unused prescription drugs.

“The Take Back event is a great opportunity to dispose of unwanted medication in our homes,” said Contra Costa Sheriff David Livingston. “These drugs could fall into the wrong hands or harm family members. Take Back helps prevent drug addiction and overdose deaths.”

Needles and sharps cannot be accepted; only pills, patches, and liquids sealed in their original container will be accepted. Vape pens or other e-cigarette devices from individual consumers are accepted only after the batteries are removed from the devices.

The service is free and anonymous, no questions asked. Bring your pills for disposal at the following sites:

DROP OFF LOCATIONS

-Sheriff’s Office Muir Station, 1980 Muir Road, Martinez

-Sheriff’s Office Bay Station, 5555 Giant Highway, Richmond

Sheriff’s Office Valley Station, 150 Alamo Plaza, #C, Alamo

-Delta Station/Discovery Bay Annex 1555 Riverlake Rd., Discovery Bay

-Danville Police Department, 510 La Gonda Way, Danville

-Lafayette Police Department, 3471 Mt. Diablo Blvd., Lafayette

-Orinda Police Department, 22 Orinda Way, Orinda

For more information about the disposal of prescription drugs, locations, or the Take Back event, visit: https://www.dea.gov/takebackday.

 

Cancer Support Community and BASS Medical Group form collaboration to increase support to cancer patients, families

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In picture from BASS: CEO Inez Wondeh, MPA, MBA; Jesse Kaestner, BS, RT(T); K. Kenneth Chao, M.D.; Dr. Soheila Azghadi, BASS Medical Group; From CSC: Board President, Donald Duggan; Board VP, Patricia Falconer, MBA; Danielle Bertoni (and BASS), Rob Tufel, MSW, MPH; Margaret Stauffer, LMFT. Source: CSC

Cancer Support Community San Francisco Bay Area (CSC) and BASS Cancer Center, a division of BASS Medical Group, have partnered to develop an automated patient screening process to identify and refer patients at an increased risk of depression, anxiety, and stress to free mental health services provided by Cancer Support Community.

This new referral process is now integrated into BASS Cancer Center’s electronic medical record system. Patients will automatically be provided information for CSC’s services when they indicate an increased risk of mental and emotional stress related to their cancer diagnosis.

“As many as three out of every four cancer survivors experience symptoms of psychological distress which can negatively impact clinical outcomes and quality of life,” says Rob Tufel, MSW, MPH, Chief Executive Officer of Cancer Support Community. “Unfortunately, fewer than 10% of patients are referred for support by their medical team. The lack of support is even more pronounced among cancer patients from communities of color and those who have lower incomes as well as older adults.”

CSC Board Member, Patricia Falconer, MBA, notes that “40% of Cancer patients experience financial hardship as a result of their diagnosis. This unique collaboration between CSC and community-based cancer providers is a model of how to increase patients’ access to vital support including financial assistance and navigation.”

This new screening tool was developed by the National Comprehensive Cancer Network––an alliance of 32 leading cancer centers devoted to patient care research, and education––and is designed to look for evidence of psychological, social, spiritual, and physical indicators that may interfere with one’s ability to cope effectively with cancer, its physical symptoms, and its treatment.

“As the number of cancer patients continue to increase, it is vital that we offer not only high-quality medical care but also comprehensive support,” explains Inez Wondeh, MPA, MBA, Chief Executive Officer of BASS Medical Group, “It was really important to us to develop a streamlined process to better address our patient’s needs and partnering with Cancer Support Community, who already provides excellent psychosocial services for patients and families at no cost, was a natural fit. This will make an incredible impact for our patients.”

CSC has locations in Walnut Creek and Antioch. To learn more visit cancersupport.net.

Healthcare workers to protest understaffing at Walnut Creek, Antioch Kaiser hospitals   

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By Renée Saldaña, SEIU-United Healthcare Workers West (SEIU-UHW)

Starting the week of April 10, healthcare workers at medical facilities across California, including Walnut Creek and Antioch, will hold events to speak out against the dangers of short staffing and the effects on patients and caregivers.

On Tuesday, a protest will be held at Kaiser Permanente in Walnut Creek from 11 am to 1 pm and on Wednesday, another protest will be held at Kaiser Permanent on Sand Creek Road in Antioch, also from 11 am to 1 pm.

“After years of understaffing and dealing with the pandemic, we are stretched thin and burnt out. Healthcare workers are leaving the field, and those of us who have stayed are doing the work of two or three people. We can’t give our patients the care they deserve without enough staff,” said Datosha Williams, a service representative at Kaiser Permanente. “We are calling on Kaiser to do what it takes to hire more caregivers so that we can deliver the best care possible for our patients.”

After three years of the COVID pandemic and chronic understaffing, healthcare workers are calling on management to provide safe staffing levels and additional support. Caregivers say that short-staffed hospitals can lead to long wait times, mistaken diagnoses, and neglect, making it harder to give patients quality care.

Even before the pandemic, California faced a massive shortage of allied healthcare workers to care for its aging population — as many as 65,000 workers annually, according to conservative estimates. The stress and the toil of fighting the pandemic has led many to leave the industry, creating a full-blown healthcare staffing and patient care crisis.

A survey of over 30,000 SEIU-UHW members, Crisis in Care, highlighted the short-staffing crisis in California, with 83% of responding healthcare workers saying their facility is understaffed. At the same time, healthcare corporations are reporting record profits.