i'm michelle porsche, and i'm the director of psychology and behavioral sciences at ucsf. and again, i'll go through the same questions and try and add a little bit to what dr. dorado has presented. when i think about healing from a psychological perspective, you know, i think about not that the hurt and loss and trauma are not forgotten or gone away, but we're better able to live our lives and find meaning in our experiences. we really need to think about systems when we're thinking about healing. healing requires that our schools, our health centers, our government institutions are caring for individuals who have been hurt and require healing. my particular research has been focused on aces, adverse childhood experiences that include community violence, community violence abuse, separation, and loss, so when i see a need for healing in the community and myself, i think about how those experiences impact mental health and how they impact educational outcomes for our children. in my arch, i found people with these high levels of adverse childhood experiences are at higher

julian: we are back on air with ucsf eb dummy only just -- ucsf epidemiologist george rutherford. i want to get your take on long-haulers when it comes to covid-19. folks who have been vaccinated, are they exhibiting the same long-hauler symptoms? that's something people have been concerned about, after they get over covid, they still don't feel themselves for so long, the brain fog and other symptoms. >> aches and pains, joint pains and stuff. we don't know. the answer is, if you get a breakthrough case, what's your risk of the long-hauler syndrome -- we just don't know. i think that the take-home here is that you don't want to get a breakthrough case. how do you not get a breakthrough case? get vaccinated. try and avoid situations in which there might be transmission, which means wearing masks and trying to maintain some social distancing. so, that's kind of -- not totally within your hands to avoid infection postvaccination, but i would encourage you to go the extra yard to avoid being exposed. julian: on the topic of going extra yard and masks, foreign governor -- oregon gover

here to explain is doctor bob wachter chair of ucsf department of medicine. doctor walker, thank you so much for joining us. >> so doc, if the hospital workers are getting covid. then they have to go in isolation and everything else and it's terrible because the people who have covid who haven't got shots greatly are in the hospital. the who's going to take care of them. >> yeah. it's a problem. i mean, the reports of the number of health care workers that zuckerberg's general ucsf were a little distorted because it made it sound like people are getting covid in the hospital. that's not true. they were getting it when they got that they've gotten it outside of the hospital almost a 100% of the time and the denominator. we've had a couple 100 cases, but the dominator of the number of people who work at both institutions about 40,000. so it's still small number of people. the reasons mostly in in vaccinate people is most of the people at ucsf and the temps go general are vaccinated about 90%. but yes, it's a real issue of get covid. they have to stay out of wor

julian: we are joined now by ucsf infectious disease specialist dr. monica, a steady voice throughout's entire pandemic. thanks for joining us. let's start with the big news. 200 million pfizer doses have been administered in the u.s. hundreds of millions more under the emergency provision worldwide since december. what is this full fda approval that we heard the president talk about mean for all of us? >> i think it is an exciting day. it is a big deal that i got approved for two reasons. one is what president biden said is true, there are some people waiting for this full approval together vaccine. there was a psychological kind of impediment to signing a consent form for a vaccine that you do not know is approved and there are people who are waiting. that is great that people will get it. the second has to do with mandates. you keep on hearing more and more employers talking about mandates for their employees to get vaccinated to come back to work. it's much easier for an employer to issue a mandate for a compulsory vaccination when it is fully app

ucsf infectious disease. specialist doctor peter chin-hong. >> says that will help get more people vaccinated worldwide, which is really what's needed to put an end to this pandemic. >> it's not too late. in this is the time it may be too late in the future when we have another variance. but right now we have the technology. we have the tools and hopefully this will give us the push to get mall. people vaccinated so that we don't have to get to that point where you have to do this all over again. >> now. moderna has also applied for full fda approval experts expect that to come sometime within about a month live at ucsf. dan kerman kron 4 news. >> and the pentagon said today it will require service members to receive the covid vaccine. now that the pfizer one has received full approval. president biden hailed the fda's decision. here is what he had to say earlier. >> the fda approval is the gold standard. and as i just said now, it has been grant. those have been waiting for full approval should go get your s

. >> many of the large health care systems have done this including ucsf and others, kaiser did it a few days ago but it is appropriate for all health care workers in the state to be vaccinated and should not be coming near vulnerable patients unless they are. >> reporter: the order coming down from the state department of health and not a private employer eliminates one key challenge according to the professor. >> employer may have to negotiate with a union, the state does not have to. they are not the direct employer. >> reporter: the nurses association issued this statement. we strongly believe all eligible people should be vaccinated while respecting the need for medical and religious accommodations. the order does allow exceptions. >> the state allows people who are exempt to continue working as long as they get tested and wear masks. so, accommodation is you don't have to vaccinate but you have to test and wear a mask. yes, it is perfectly legal. >> reporter: the chair of the ucsf department of medicine says it is time. >> i am all in favor of it from the very beginning it has

. >> ucsf infectious disease specialist doctor peter chin-hong says the number of those fully vaccinated is not nearly enough that the delta variant. he says an indoor vaccine mandate could change that. we do have. >> some evidence that in europe, particularly in france when they did a similar requirement. a million people went out and got shots on the first and millions san francisco's public health director says many businesses are already requiring vaccination on their own. >> he says the city and county of san francisco is now exploring whether a mandate is necessary in san francisco.

when you look at age group is only in the 60's infectious disease specialist at ucsf. doctor peter chin-hong says. >> he's not surprised since this is the group with the lowest vaccination rates. it's also the group that has more tendencies to be social and out intermingling with the delta variant being more transmissible. doctor chin-hong says younger adults who are unvaccinated should be worried 99.6% of the hospitalized cases and those who are dying. >> are in the unvaccinated population. but if you vaccinated as young percent. yeah. definitely not invincible. he says those who are vaccinated also aren't invincible. but they definitely have a better shot of fighting covid with more mild cases. we're seeing a lot more breakthrough cases than we originally anticipated. >> it's still more in you know, it in the realm of much lower numbers than in the winter. but still we didn't expect to see this. and that's because we have a new war and that new war is is really against a new kind of area that we didn't even expect to be as transmissible. >> which is the delta variant

. >> ucsf infectious disease specialist doctor peter chin-hong says the number of those fully vaccinated is not nearly enough that the delta variant. he says an indoor vaccine mandate could change that. we do have. >> some evidence that in europe, particularly in france when they did a similar requirement. a million people went out and got shots on the first state and millions afterwards. san francisco's public health director says many businesses are already requiring vaccination on their own. >> he says the city and county of san francisco is now exploring whether a mandate is

. >> ucsf infectious disease specialist doctor peter chin-hong says the number of those fully vaccinated is not nearly enough that the delta variant. he says an indoor vaccine mandate could change that. we do have. >> some evidence that in europe, particularly in france when they did a similar requirement. a million people went out and got shots on the first 8 and millions afterwards san francisco's public health director says many businesses are already requiring vaccination on their own. >> he says the city and county of san francisco is now exploring whether a mandate is

. >> ucsf infectious disease specialist doctor peter chin-hong says the number of those fully vaccinated is not nearly enough with the delta variant. he says an indoor vaccine mandate could change that. we do have. >> some evidence that in europe, particularly in france when they did a similar requirement. a million people went out and got shots on the first and millions san francisco's public health director says many businesses are already requiring vaccination on their own. >> he says the city and county of san francisco is now exploring whether a mandate is

. >> ucsf infectious disease specialist doctor peter chin-hong says the number of those fully vaccinated is not nearly enough with the delta variant. he says an indoor vaccine mandate could change that. we do have. >> some evidence that in europe, particularly in france when they did a similar requirement. a million people went out and got the shots on the first 8 and millions afterwards, san francisco's public health director says many businesses are already requiring vaccination on their own. >> he says the city and county of san francisco is now exploring whether a mandate is

i was just talking to a number of infectious disease experts at ucsf. you may have read the report from louisiana about children's hospitals being filled with children with respiratory illness. that's obviously a concern, and there's much more covid there, much more than we have locally. there's a much lower vaccination rate, somewhere in the range of 35%, compared to our 75% overall, and there's no confirmation that delta causes more disease among children. right now, the consensus is that children are expect -- you know, even if children get covid-19, that they will experience milder symptoms compared to adults. but again, as we've seen during these last 18 months, this is an evolving field and we're watching it very carefully. but we want to support schools opening for in-person learning as much as possible. >> okay. thank you. we got a couple of questions about rapid testing and testing as soon as possible, so i don't know if you want to share anything about rapid tests? >> well, i think if people want to avail themselves of rapid testing, that's so

i was just talking to a number of infectious disease experts at ucsf. you may have read the report from louisiana about children's hospitals being filled with children with respiratory illness. that's obviously a concern, and there's much more covid there, much more than we have locally. there's a much lower vaccination rate, somewhere in the range of 35%, compared to our 75% overall, and there's no confirmation that delta causes more disease among children. right now, the consensus is that children are expect -- you know, even if children get covid-19, that they will experience milder symptoms compared to adults. but again, as we've seen during these last 18 months, this is an evolving field and we're watching it very carefully. but we want to support schools opening for in-person learning as much as possible. >> okay. thank you. we got a couple of questions about rapid testing and testing as soon as possible, so i don't know if you want to share anything about rapid tests? >> well, i think if people want to avail themselves of rapid testing, that's so

i was just talking to a number of infectious disease experts at ucsf. you may have read the report from louisiana about children's hospitals being filled with children with respiratory illness. that's obviously a concern, and there's much more covid there, much more than we have locally. there's a much lower vaccination rate, somewhere in the range of 35%, compared to our 75% overall, and there's no confirmation that delta causes more disease among children. right now, the consensus is that children are expect -- you know, even if children get covid-19, that they will experience milder symptoms compared to adults. but again, as we've seen during these last 18 months, this is an evolving field and we're watching it very carefully. but we want to support schools opening for in-person learning as much as possible. >> okay. thank you. we got a couple of questions about rapid testing and testing as soon as possible, so i don't know if you want to share anything about rapid tests? >> well, i think if people want to avail themselves of rapid testing, that's so

a bad response to the coronavirus. >> doctor john bombs, a professor of medicine at ucsf says this isadded reason why it's important to take precautions against wildfire. smoke. kron four's gayle ong we'll have more details in on this in a live report coming up on kron 4 news at 9. >> the sec. a live look outside right now from our camera atop mount tam o pious. and you can see it's hazy and cloudy and their chief meteorologist or as karl joins us now with more. yeah, guys, you probably do a case study in the tahoe area for people affected. >> by the smoke. that smoke is just been pouring in there over the last few days that westerly component. the wind that is pumping at exactly into the tahoe basin. so it's been a very poor to extremely poor to the worst conditions. you can imagine now this evening. the kitchen a little bit of a break. but even that still poor. look at their scene. orange in tahoe city in the truckee parts of incline that is poor air quality. then it gets very poor. as you head south lake tahoe in the extreme conditions in purple have moved a little for the east in

we are working with our partners and across our health care system partners, kaiser, ucsf, sutter, and so forth, to expand testing. people who have health care providers are experiencing some delays both in getting some appointments and some delays in getting test results back, so we're working to mitigate that as much as possible. we're also working to access home test kits, which we haven't had in prior times, to help people get rapidly tested. but we acknowledge that testing demand is increasing and, again, are working hard to expand testing options, testing hours for people so that people can get tested when they need to. >> okay. great. next, we'll go back to fini. >> okay. thanks for that. why do some people who are vaccinated experience symptoms and are being hospitalized despite the small numbers? >> yeah, so i think it's important to look at the broader numbers in san francisco. there are going to be some breakthrough infections, and especially with delta, there are going to be some breakthrough infections. when we talk about breakthrough infections, there are people who, wher

that's exactly what happens with covid ucsf, professor of medicine. doctor john bomb that wildfire smoke causes irritation and inflammation of the lung. >> and that sets the stage for a bad response to the coronavirus. a recent study by harvard. look that wildfire smoke articulate or pm 2.5 in more than 90 counties in the western united states. that includes california, washington and oregon. researchers used satellite data and found a bad wildfire smoke days showed strong associations with covid cases and deaths from march through december of 2020, the study found that from mid august to mid-october around peak fire season daily levels of smoke particulates were significantly higher than on non wildfire days. there is some evidence that. >> the virus can travel on the fine particles. but mostly. it's the risk of getting actions. one wildfire smoke increases doctor bombs. also a member of the california air resources board says the best way to protect yourself from wildfire, smoke and covid reduction of exposure. >> to the wildfire. smoke. so that mea

one professor at ucsf says he warned of the potential link. more than a year ago. >> wildfire smoke irritates airway lining. and the lining of their. that's exactly what happens with covid ucsf, professor of medicine. doctor john bomb that wildfire smoke causes irritation and inflammation of the lung. >> and that sets the stage for a bad response to the coronavirus. a recent study by harvard. look that wildfire smoke articulate or pm 2.5 in more than 90 counties in the western united states. that includes california, washington and oregon. researchers used satellite data and found a bad wildfire smoke days showed strong associations with covid cases and deaths. >> from march through december of 2020, the study found that from mid august to mid-october around peak fire season daily levels of smoke particulates were significantly higher than on non wildfire days. there is some evidence that. >> the virus can travel on the fine particles. but mostly. it's the risk of getting actions. once your wildfire smoke increases doctor bombs. also a member

it's also not just ucsf. we told you yesterday that sf general hospital has also seen a number of its employees come down with covid as well. kron four's, camila barco spoke to doctors there about the dozens of vaccinated healthcare workers that are not able to work because of coronavirus. and ucsf is just another major health care provider seeing the spike in breakthrough cases in recent days we talk with ucsf infectious disease expert doctor peter chin-hong about the outbreak. >> and he agrees with what sf general says that it's nothing to be alarmed about. >> but the bottom line is most of these were actually from the community and they kind of just people who work in the hospital also live in the community and it probably is a smaller percentage of what we would expect. but it is a week a call not to work is but for all of us to really be, you know, wary of delta. you still wall likely the transmitted as of oxygen and oxidant person that a vaccinated person. >> meanwhile, in the east bay 15 staff members