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Diabetes Continues to Largely Impact Low-Income Black and Brown Communities

Communities of color, particularly Black and Brown people, are amongst the most affected by Type 2 diabetes (T2D) due to socioeconomic status, cultural, and environmental factors. More than 38 million people in the US have diabetes, with up to 95% having Type 2 diabetes. While individuals aged 45 and older are typically the age range for those being diagnosed, more and more children and young adults are developing the chronic illness, according to the CDC.

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Dr. Kevin Peterson, vice president of Primary Care at the American Diabetes Association, said in an email that the environments where Black and Brown people historically live, such as areas of high carbohydrate diets, contribute to the prevalence of this illness.
Dr. Kevin Peterson, vice president of Primary Care at the American Diabetes Association, said in an email that the environments where Black and Brown people historically live, such as areas of high carbohydrate diets, contribute to the prevalence of this illness.

By Magaly Muñoz

Communities of color, particularly Black and Brown people, are amongst the most affected by Type 2 diabetes (T2D) due to socioeconomic status, cultural, and environmental factors.

More than 38 million people in the US have diabetes, with up to 95% having Type 2 diabetes. While individuals aged 45 and older are typically the age range for those being diagnosed, more and more children and young adults are developing the chronic illness, according to the CDC.

Of the 1 in 10 people with diabetes, 16.4% of Black people and 14.7% of Hispanic people make up the highest rates among different groups.

Dr. Kevin Peterson, vice president of Primary Care at the American Diabetes Association, said in an email that the environments where Black and Brown people historically live, such as areas of high carbohydrate diets, contribute to the prevalence of this illness.

But family history can also have a part to play in someone’s diagnosis. Although it is not always a determining factor, first-degree relatives, like parents, with Type 2 diabetes can increase someone’s risk of developing the same condition.

Doctors recommend that if there is that direct link, taking precautions such as a healthy diet and exercise can minimize or eliminate the chances of having T2D.

But Peterson also acknowledged that there can be difficulties with maintaining a healthy lifestyle for Black and Brown communities.

“It can be difficult in low-income communities to access healthy eating choices, and opportunities for activity can often be limited,” Peterson said. “Being creative in finding an activity that is available in your situation, finding a friend to assist you, and identifying healthy foods that you like and are available is a struggle worth taking on.”

Food deserts are one systemic factor in how people, especially low-income communities, develop chronic illnesses that can cause irreversible damage. These deserts are areas that lack easy accessibility to fresh and healthy food options.

Dr. Lloyd Stockey, MD, Internal Medicine at Kaiser Oakland Medical Center, said low-income people of color would be less susceptible to chronic illnesses like type 2 diabetes if they had more access to nutritious food.

“When you go into lower income areas or areas where people of color live, you typically see a lot of things that affect diabetes – tobacco, alcohol and fast food,” he said. “When you go out to other more affluent areas, you see more farmers’ markets, more boutique places to eat, and healthier choices. You don’t see all of that fast food.”

One of the most important things to do when talking to patients about their diagnosis, Stockey said, is meeting them where they are at. People come from all different walks of life whether that socioeconomic status, education levels, or willingness to listen to the problems they have that are contributing to their T2D.

He’s encountered patients who know exactly what the illness is, how they want to make lifestyle changes and who want to keep up with their medicine, but then there are many who are the complete opposite. These patients can be harder to get through to but no resource is left unturned for them.

Dr. Walter Acuña, MD, Internal Medicine at Kaiser Oakland Medical Center, said it’s also important to understand people’s cultures and upbringings. He understands that Latino and Black patients might be used to certain kinds of diets that are carb heavy, but added that making little changes can prevent people from having to give up the food they love.

Acuña also explained that lower income people often have time restraints or live in neighborhoods where they don’t feel safe taking a 30-minute walk. Exercising in the living room or watching online workout tutorials are excellent alternatives and can help to improve overall health.

T2D is a lifelong chronic illness but it doesn’t have to dictate someone’s life, doctors say. As long as you’re taking your prescribed medicine, watching what you eat and actively trying to make lifestyle changes, the long term risks, like liver or kidney problems, eyesight issues or early death, can be reduced.

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CITY OF SAN LEANDRO STATE OF CALIFORNIA PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION NOTICE TO BIDDERS FOR ANNUAL STREET OVERLAY/REHABILITATION 2019-21 – PHASE III

WORK DESCRIPTION: The work to be done consists of roadway paving, base cement stabilization, concrete curb ramps, driveways, sidewalks, curbs and gutters, traffic detection loops and pavement striping, and doing all appurtenant work in place and ready for use, all as shown on the plans and described in the specifications with the title indicated in Paragraph 1 above, and on file in the office of the City Engineer. Reference to said plans and specifications is hereby made for further particulars.

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PROJECT NO. 2020.0050

BID NO. 25-26.011

  1. BID OPENING: The bidder shall complete the “Proposal to the City of San Leandro” form contained in the Contract Book. The proposal shall be submitted in its entirety. Incomplete proposals will be considered non-responsive. Sealed bids containing the completed Proposal Section subject to the conditions named herein and in the specifications for ANNUAL STREET OVERLAY/REHABILITATION 2019-21 – PHASE III/PROJECT NO. 2020.0050 addressed to the City of San Leandro will be received at City Hall, 835 East 14th Street, 2nd Floor San Leandro at the office of the City Clerk up to 3:00 p.m. on Thursday, March 19, 2026, at which time they will be publicly opened and read.
  2. WORK DESCRIPTION: The work to be done consists of roadway paving, base cement stabilization, concrete curb ramps, driveways, sidewalks, curbs and gutters, traffic detection loops and pavement striping, and doing all appurtenant work in place and ready for use, all as shown on the plans and described in the specifications with the title indicated in Paragraph 1 above, and on file in the office of the City Engineer. Reference to said plans and specifications is hereby made for further particulars.
  3. OBTAINING THE PROJECT PLANS AND CONTRACT BOOK: The project plans and Contract Book may be obtained free of charge from the City’s website at:https://www.sanleandro.org/Bids.aspx Bidders who download the plans are encouraged to contact the City of San Leandro Public Works Department Engineering division at 510-577-3428 to be placed on the project planholder’s list to receive courtesy notifications of addenda and other project information. Project addenda, if any, will be posted on the website.  A bidder who fails to address all project addenda in its proposal may be deemed non-responsive.Bidders may also purchase the Project Plans and Contract Book from East Bay Blueprint & Supply Co., at 1745 14th Street, Oakland, CA 94606; Phone Number: (510) 261-2990 or email: ebbp@eastbayblueprint.com.
  4. PRE-BID CONFERENCE: A mandatory pre-bid conference will be held on Tuesday, February 24, 2026, at 2:00 PM and on Wednesday, February 25, 2026, at 10:00 AM as follows:
    Tuesday, February 24, 2026, at 2:00 PM
    Zoom Meeting ID: 883 8752 6074
    Passcode: 502955
    Zoom Link: https://sanleandro-org.zoom.us/j/88387526074?pwd=hZ5rjB8AWdLAUem3CtByFiZxqKarHj.1And

  5. Wednesday, February 25, 2026, at 10:00 AM
    Zoom Meeting ID: 898 2672 0472
    Passcode: 091848
    Zoom Link: https://sanleandro-org.zoom.us/j/89826720472?pwd=JgZX2nXMpLSRM5xDPr7EJUxl7QIznr.1The information presented at the conferences will be identical, all bidders must attend one of the pre-bid conference and sign the attendance sheet. A firm that didn’t attend the pre-bid conference isn’t qualified to bid on the project.

    Questions regarding the plans and specifications may be submitted in writing to the project engineer until 5:00 p.m. five (5) days before, excluding Saturdays, Sundays and Holidays, bids must be received by the City. The City will not respond to oral questions outside of the pre-bid conference. The response, if any, will be by written addendum only. Oral responses do not constitute a revision to these plans or specifications.

  6. VALUE OF WORK: The Engineer has estimated that the value of work is between $1,000,000 and $5,000,000.
  7. SAN LEANDRO BUSINESS PREFERENCE AND PARTICIPATION GOALS: The work performed under this contract is subject to Section 1-6-225 of the San Leandro Municipal Code regarding local business preference and participation. A list of companies that hold a San Leandro business license is located on the City webpage under the finance department, here: https://www.sanleandro.org/340/Business-License
  8. SAN LEANDRO COMMUNITY WORKFORCE AGREEMENT: The work performed under this contract is subject to the Community Workforce Agreement adopted by City Council Resolution 2015-104. Contractors attention is directed to Section 10.

 

Dated:  February 13, 2026                  Sarah Bunting, City Clerk 

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Oakland Post: Week of February 11 = 17, 2026

The printed Weekly Edition of the Oakland Post: Week of – February 11 – 17, 2026

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Rising Optimism Among Small And Middle Market Business Leaders Suggests Growth for California

“Business leaders across the Pacific region continue to demonstrate a unique blend of resilience and forward-thinking, even in the face of ongoing economic uncertainty,” said Brennon Crist, Managing Director and Head of the Pacific Segment, Commercial Banking, J.P. Morgan. “Their commitment to innovation and growth is evident in the way they adapt to challenges and seize new opportunities. It’s this spirit that keeps our region at the forefront of business leadership and progress. We look forward to helping our clients navigate all that’s ahead in 2026.”

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Super Scout / E+ with Getty Images.
Super Scout / E+ with Getty Images.

Sponsored by JPMorganChase

 Business optimism is returning for small and midsize business leaders at the start of 2026, fueling confidence and growth plans.

The 2026 Business Leaders Outlook survey, released in January by JPMorganChase reveals a turnaround from last June, when economic headwinds and uncertainty about shifting policies and tariffs caused some leaders to put their business plans on hold.

Midsize companies, who often find themselves more exposed to geopolitical shifts and policy changes, experienced a significant dip in business and economic confidence in June of 2025. As they have become more comfortable with the complexities of today’s environment, we are seeing optimism rebounding in the middle market nationwide – an encouraging sign for growth, hiring, and innovation. Small businesses, meanwhile, maintained steady optimism throughout 2025, but they aren’t shielded from domestic concerns. Many cited inflation and wage pressures as the top challenges for 2026 and are taking steps to ensure their businesses are prepared for what’s ahead.

“Business leaders across the Pacific region continue to demonstrate a unique blend of resilience and forward-thinking, even in the face of ongoing economic uncertainty,” said Brennon Crist, Managing Director and Head of the Pacific Segment, Commercial Banking, J.P. Morgan. “Their commitment to innovation and growth is evident in the way they adapt to challenges and seize new opportunities. It’s this spirit that keeps our region at the forefront of business leadership and progress. We look forward to helping our clients navigate all that’s ahead in 2026.”

Overall, both small and midsize business leaders are feeling more confident to pursue growth opportunities, embrace emerging technologies and, in some cases, forge new strategic partnerships. That bodes well for entrepreneurs in California. Here are a few other key findings from the Business Leaders Outlook about trends expected to drive activity this year:

  1. Inflation remains the top concern for small business owners. Following the 2024 U.S. presidential election, many anticipated a favorable business environment. By June 2025, however, that feeling shifted amid concerns about political dynamics, tariffs, evolving regulations and global economic headwinds.

     Going into 2026, 37% of respondents cited inflation as their top concern. Rising taxes came in second at 27% and the impact of tariffs was third at 22%. Other concerns included managing cash flow, hiring and labor costs.

  1. For middle market leaders, uncertainty remains an issue. Almost half (49%) of all midsize business leaders surveyed cited “economic uncertainty” as their top concern – even with an improved outlook from a few months ago. Revenue and sales growth was second at 33%, while tariffs and labor both were third at 31%.
  2. And tariffs are impacting businesses costs. Sixty-one percent of midsize business leaders said tariffs have had a negative impact on the cost of doing business.
  3. Despite challenges, leaders are bullish on their own enterprises. Though the overall outlook is mixed, 74% of small business owners and 71% of middle market companies are optimistic about their company’s prospects for 2026.
  4. Adaption is the theme. For small business owners surveyed across the U.S., responding to continuing pressures is important in 2026. Building cash reserves (47%), renegotiating supplier terms (36%) and ramping up investments in marketing and technology are among the top priorities.
  5. Big plans are on the horizon. A majority midsized company leaders expect revenue growth this year, and nearly three out of five of (58%) plan to introduce new products or services in the coming year, while 53% look to expand into new domestic and/or international markets. Forty-nine percentsay they’re pursuing strategic partnerships or investments.

 The bottom line

Rebounding optimism among U.S. business leaders at the start of the year is setting the stage for an active 2026. With business leaders looking to implement ambitious growth plans that position themselves for the future, momentum in California could be beneficial for leaders looking to launch, grow or scale their business this year.

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