Activism
Marin County Offers Booklet to Parents to Prevent Preteen Substance Abuse
Each middle school teen is different and there is no single right way to address their changes, experiences, and their transition to middle school. But the book endeavors to help parents more objectively understand and support their children.

By Godfrey Lee
Marin County District Attorney Lori E. Frugoli recently distributed an informational booklet “Let’s Start Talking – A Parent’s Toolkit for Understanding Substance Use in Marin County Through the Middle School Years” at the San Rafael Elks Lodge 1108 on Tuesday, July 19.
The toolkit booklet was created with support from the Marin Prevention Network and the Marin County Office of Education. The booklet was also translated and published in Spanish under the title “Hablemos.”
The booklet begins by saying that although drug usage among 7th graders remains low, their substance abuse can increase as they grow older. Parents and caregivers can still lay the foundations to support preteens/teens as they grow and help prevent negative consequence from substances use. This involves knowing the facts, communicate openly, and focus on relationships and resilience.
Each middle school teen is different and there is no single right way to address their changes, experiences, and their transition to middle school. But the book endeavors to help parents more objectively understand and support their children.
The major life experience for middle schoolers is the start of puberty, where their bodies, brains, and social environments rapidly and dramatically change, along with their hormones levels and emotions. The booklet says, don’t joke about or dismiss the child’s puberty process as being unimportant.
Parents are still in charge and should also teach and model healthy coping skills. Accept the child even while they are investigating their own identities and their attraction to the other or their own sex.
Their adolescent brain is not fully developed until about the age 25, and they are still growing in its management of reasoning, decision-making, planning, and impulse control. Their peers become more important, their circle of friends may change, and need to become more independent from their parents.
All teens face a lot of risks. Social media gives a lot of unfiltered information that can be disturbing. Other risk factors include mental health issues, attention deficit disorders, trauma, bullying, family substance and drugs abuse, the family rejection of their same-sex identity and thoughts of suicide.
Teens can still be protected with parental monitoring and involvement, a positive self-image, community and school norms and behavioral expectations, positive coping and self-regulation skills, positive and healthy peer relationships, school and community connections, and a sense of belonging to a healthy group.
Peer pressure and social norms are powerful during the middle school age, and the child’s social relationships can tip the scale toward risk or protection. Parents or caretakers can still meet and know the child’s friends and their parents, and also ask questions concerning the safety of their children. Parents can also spend time with their teens to stretch their minds and find opportunities for their teens to meet and work together with other youths with similar interest in groups and clubs.
Activism
Oakland Post: Week of February 5 – 11, 2025
The printed Weekly Edition of the Oakland Post: Week of February 5 – 11, 2025

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Activism
OP-ED: Like Physicians, U.S. Health Institutions Must ‘First, Do No Harm’
Coupled with their lack of government and healthcare-related experience, we are concerned these nominees will significantly undermine public health, increase the number of uninsured people, worsen health outcomes, and exacerbate health disparities. Physicians observe Hippocrates’ maxim to “First Do No Harm,”, and we urge Trump administration officials to do the same. It is critical that the leadership of HHS and its agencies make decisions based on facts, evidence, and science. Misinformation and disinformation must not guide policymaking decisions and undermine evidence-based public health strategies. Spreading these falsehoods also erodes trust in our public institutions.

By Albert L. Brooks MD
Special to The Post
Presidential administrations significantly impact the health and wellbeing of our patients and communities.
Through the Department of Health and Human Services (HHS) and the agencies within it, such as the Centers for Medicare & Medicaid Services and the National Institutes of Health, this new administration will decide how financial resources are allocated, dictate the focus of federal research, and determine how our public health care insurance systems are managed, including the Affordable Care Act (ACA), the Children’s Health Insurance Program, the Vaccines for Children program, Medicare, and Medicaid.
The decisions made over the next four years will impact all Americans but will be felt more acutely by those most underserved and vulnerable.
As physicians, we are greatly concerned by the nominations announced by President Trump to critical healthcare related positions. Many of their previous statements and positions are rooted in misinformation.
Coupled with their lack of government and healthcare-related experience, we are concerned these nominees will significantly undermine public health, increase the number of uninsured people, worsen health outcomes, and exacerbate health disparities. Physicians observe Hippocrates’ maxim to “First Do No Harm,”, and we urge Trump administration officials to do the same.
It is critical that the leadership of HHS and its agencies make decisions based on facts, evidence, and science. Misinformation and disinformation must not guide policymaking decisions and undermine evidence-based public health strategies. Spreading these falsehoods also erodes trust in our public institutions.
Vaccines, in particular, have been a target of disinformation by some HHS nominees. In fact, research continues to confirm that vaccines are safe and effective. Vaccines go through multiple rounds of clinical trials prior to being approved by the Food and Drug Administration (FDA) for administration to the public.
Vaccines protect against life-threateningdiseasessuch as measles, polio, tetanus, and meningococcal disease and, when used effectively, have beenshowntoeliminateorsubstantiallyreducediseaseprevalenceand/orseverity.
Because of vaccine mis- and disinformation, there has been a resurgence in vaccine-preventable diseases such as measles and whooping cough, endangering those who are too young or unable to be vaccinated.
Several nominees have spread disinformation alleging that fluoride in public drinking water is harmful. In fact, fluoride in drinking water at the recommended level of 0.7 parts per million, like we have in our EBMUD water, is safe and keeps teeth strong. Because of public health interventions dating back to the 1960s that have resulted in 72.3% of the U.S. population now having access to fluoridated water, there has been a reduction in cavities by about 25% in both children and adults.
We also encourage the next administration to invest in our public health infrastructure. The COVID-19 pandemic highlighted the critical role of public health agencies in preventing and responding to health crises in our communities.
Health departments at the state and local levels rely on federal funding support and technical assistance to develop public health response plans, implement public health strategies, and work with on the ground organizations to serve hard to reach communities. Public health agencies are critical for protecting everyone in our communities, regardless of income-level, insurance status, or housing status.
Health officials should also work to protect the significant improvements in insurance coverage that have occurred since the passage of theACAin 2010.According to HHS, the numberofuninsuredAmericansfellfrom48millionin2010to25.6millionin2023.
California has led the way by investing in Medi-Cal and expanding eligibility for enrollment. In fact, it reached its lowest uninsured rate ever in 2022 at 6.2%. Voters affirmed this commitment to expanding and protecting access to care in November by passing Proposition 35, which significantly expanded funding for California’s Medi-Cal program. The administration should advance policies that strengthen the ACA, Medicaid, and Medicare and improve access to affordable health care.
Regardless of the president in power, physicians will always put the best interests of our patients and communities at the forefront. We will continue to be a resource to our patients, providing evidence-based and scientifically proven information and striving to better their lives and our community’s health. We urge the new Trump administration to do the same.
Albert L. Brooks MD is the immediate past president of the Alameda-Contra Costa Medical Association, which represents 6,000 East Bay physicians.
Activism
Oakland Post: Week of January 29 – February 4, 2025
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