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Oakland Healthcare Unions Denounce CDC and California’s New Guidelines

While federal and California state guidelines now allow healthcare workers who test positive for COVID-19 to return to work without quarantining as long as they are asymptomatic until at least February 1, it’s unclear what this will mean for several Oakland healthcare facilities.

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Oakland Highland Hospital screening tent at the emergency entrance on July 5, 2021. Photo by Zack Haber.
Oakland Highland Hospital screening tent at the emergency entrance on July 5, 2021. Photo by Zack Haber.

By Zack Haber

Two unions representing healthcare professionals have denounced recent moves by the Center for Disease Control (CDC) and The California Department of Public Health that have eased, or in some cases temporarily eliminated, quarantining guidelines for those who have tested positive for COVID-19 or been directly exposed to the virus.

“Part of why there’s this rise in transmission is that people aren’t quite well and they’re able to come out and mingle with the public,” said Zenei Triunfo-Cortez in an interview. Triunfo-Cortez has worked as a registered nurse for 42 years, and she’s the president of National Nurses United (NNU), a registered nurses’ union with over 175,000 members.

On December 22 of last year, as news that the CDC was considering shortening their COVID-19 quarantine duration guidelines from 10 days to five days was spreading, the NNU published an open letter to the director of the CDC, Dr. Rochelle Walensky, that urged her to maintain the 10-day quarantine period.

“Weakening COVID-19 guidance now, in the face of what could be the most devastating COVID-19 surge yet,” the letter reads, “will only result in further transmission, illness and death.”

On December 23, the CDC changed their guidelines for healthcare workers. To address staffing shortages, the new guidelines stated that medical facilities could have both vaccinated and unvaccinated healthcare workers who test positive for the virus return to their jobs immediately without quarantining in certain crisis situations as long as they were either asymptomatic or mildly symptomatic.

On December 27, the CDC changed their guidelines for the rest of the population, shortening the quarantining period from 10 to five days. The new guidelines stated that as long as a COVID-positive person has no symptoms or their symptoms are resolving and they don’t have a fever, they can end their quarantine on the sixth day.

“The change is motivated by science demonstrating that the majority of [COVID-19] transmission occurs early in the course of the illness,” reads a statement from the CDC about the reduced quarantine guideline, “generally in the 1-2 days prior to onset of symptoms and 2-3 days after.”

In their letter, the NNU pointed to the extremely contagious Omicron variant, and warned “Now is not the time to relax protections.” They mentioned pressure from businesses to maintain profits “without regard for science or the health of employees or the public” as the primary motivation for shortening the quarantine time. The letter included a link to a story about Delta Airlines CEO Ed Bastian asking the CDC to consider such a change.

Data from Alameda County, and California show that after the Omicron variant of COVID-19 began to become widespread in mid-December, local and statewide cases surged. By late December, average daily case rates were higher than they ever had been before.

Hospitalizations also rose sharply. Then cases and hospitalizations continued to rise through early January and have continued to rise. At the time of publication, information on recent COVID-19 deaths is unclear as the county and the state are updating that data.

“It’s stressful because some of our co-workers might be coming into work sick,” said Sonya Allen-Smith in an interview on January 7 about working under the new guidelines. She’s been an X-ray technologist at a Kaiser Permanente facility in Oakland for 13 years and is a member of the SEIU UHW union for healthcare workers.

“We think about if we’re going to take it home to our families,” she said. “My husband’s immune system is compromised. If I bring it home to him, he definitely will not make it.”

The Oakland Post obtained a flow chart Kaiser e-mailed to their employees on January 7 that guided them through the quarantine process the company required them to enter into if they tested positive for COVID-19.

It showed Kaiser employees had to quarantine for five days and could return on the sixth day if they tested negative for the virus with an antigen test. Allen-Smith said she felt the quarantine period was too short.

“We’re not giving people enough time to heal or recover,” Allen-Smith said. “Weakening the guidelines is not going to stop the staff shortage. It may increase it because people will spread it.”

In an e-mail, Kaiser Permanente’s media team wrote that they’re “implementing CDC and CDHP guidance and isolation with considerations to vaccination status and staffing levels.” It also stated that “all employees coming back or continuing to work, wear the appropriate PPE and follow all infection prevention measures.”

On January 8, the California Department of Public Health (CDPH) decided to temporarily adopt the guidance for healthcare workers the CDC had released on December 23 to address staffing shortages at healthcare facilities.

“From January 8, 2022 until February 1, 2022, healthcare professionals who test positive for [COVID-19] and are asymptomatic,” reads their statement announcing the new guidelines, ”may return to work immediately without isolation and without testing.”

The statement also said such returning employees would have to wear N95 masks while working and that these new guidelines could again change as information becomes available.

Both the NNU and the SEIU-UHW unions immediately denounced CDHP’s decision.

“For healthcare workers on the frontline it is very disappointing to see the State of California bypass common sense safety measures,” said Gabe Montoya, an emergency room technician, in a statement SEIU-UHW released. “No patient wants to be cared for by someone who has COVID-19 or was just exposed to it.”

While federal and California state guidelines now allow healthcare workers who test positive for COVID-19 to return to work without quarantining as long as they are asymptomatic until at least February 1, it’s unclear what this will mean for several Oakland healthcare facilities.

When asked for a statement about their Bay Area healthcare facilities, Sutter Health’s media team wrote an email stating: “Consistent with CDC contingency tiered guidelines released in late December, and in response to critical staffing conditions, we have revised our process for how employees who work at patient care sites return after they have been sick with symptoms consistent with COVID-19. It’s important to note that symptomatic employees are not returning to work until their symptoms improve.”

When asked directly if asymptomatic COVID positive employees were currently returning to work, Sutter Health’s media team did not respond.

When asked about their current COVID-19 quarantine policies, Alameda Health System’s media and communications manager Eleanor Ajala wrote “Alameda Health System is reviewing guidance” and that they planned to attend a meeting with the state to discuss the issue.

On January 11, Allen-Smith said she hadn’t heard of any change to Kaiser Permanente’s quarantine policy, but that she knows three co-workers sick with COVID-19 who had just returned after five-day quarantines.

In an e-mail, Kaiser Permanente’s media team wrote that to address staffing shortages they were “employing traveling nurses, adjusting elective and non-urgent surgeries and procedures as needed, and offering our industry-leading telehealth capabilities in addition to in-person care.”

The media team did not directly answer when asked if Kaiser was allowing asymptomatic COVID positive employees to return to the job at Bay Area healthcare facilities.

Allen-Smith is unhappy about the guidelines changing and is unsure if Kaiser’s policy will further change in the near future due to CDHP’s recent announcement.

“A lot of us are confused and sad and just don’t feel safe in the workplace,” she said.

Activism

Diabetes in Black California: Turning the Tide from Crisis to Control

According to the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System data, nearly 17.9% of Black adults in California have been diagnosed with diabetes — above the national Black adult average of 16.8%, and nearly five points higher than California’s overall adult rate of 12.6% across all races. California ranks 24th out of 39 states with available data for Black adult diabetes rates.

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Dr. Khadijah Lang is a family physician with a clinic in Los Angeles who specializes in several family medical practices, including prenatal care. Lang believes in family medicine. She says it is important to treat all members of a family. Thursday, June 5, 2026. Photo by Solomon O. Smith/California Black Media.
Dr. Khadijah Lang is a family physician with a clinic in Los Angeles who specializes in several family medical practices, including prenatal care. Lang believes in family medicine. She says it is important to treat all members of a family. Thursday, June 5, 2026. Photo by Solomon O. Smith/California Black Media.

By Charlene Muhammad, California Black Media

Crystal Lambert knew something was terribly wrong with her three-year-old granddaughter as she sped down the street trying to get her to the hospital.

“I thought she got a hold of some poison,” Lambert recalled.

Doctors found Lambert’s granddaughter had a blood sugar level over 800, diagnosing her with Diabetic Ketoacidosis(DKA), a state in which the body, starved of insulin, begins to shut down.

Lambert said she was born with a pancreas that was not fully functioning — it lacked the specialized cells required to produce insulin.

Her granddaughter survived and is five years old today.  Now, she gives herself insulin shots, asks endless questions about her condition, and runs like the spirited child she is. But the terror of that night transformed Lambert — and ultimately inspired her to launch the We Fight Back Organization, a mobile health and food access initiative serving underserved communities across California. Lambert is the executive director.

The Crisis by the Numbers

According to the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System data, nearly 17.9% of Black adults in California have been diagnosed with diabetes — above the national Black adult average of 16.8%, and nearly five points higher than California’s overall adult rate of 12.6% across all races. California ranks 24th out of 39 states with available data for Black adult diabetes rates.

Nationally, according to the U.S. Department of Health and Human Services, Black Americans were 24% more likely than the overall U.S. population to have diabetes in 2024. They also died from diabetes 78% more often than the general population in 2022. Black Americans are also more than twice as likely as the overall population to develop kidney failure caused by diabetes.

According to the California Health Care Foundation’s 2024 Health Disparities Almanac, Black Californians have the shortest life expectancy in the state at just 74.6 years — due in part to chronic conditions like diabetes and its devastating complications.

Leon Rock, co-founder of the African American Diabetes Association, believes statistics, though revealing, only tell part of the story.

“There are a whole bunch of Black folks that don’t tell you that they have diabetes — or don’t know,” he said.

And the disease itself, Rock is careful to note, is not what kills. “They die from the complications. That’s heart attack, that’s stroke, that’s amputations of legs, of feet. Going blind. All those complications are inherent in a system that has impacted Black folks with diabetes in California and across America.”

Crystal Lambert, creator and executive director of We Fight Back. She started the organization out of a need to learn more about diabetes on behalf of her granddaughter. Now she is looking to spread the impact of her organization to the valley. Friday, June 6, 2026. Photo by Solomon O. Smith/California Black Media.

Crystal Lambert, creator and executive director of the We Fight Back Organization, started out of a need to learn more about diabetes on behalf of her granddaughter. Now she is looking to spread her organization to the valley, on Friday, June 6, 2026 Photo by Solomon O. Smith/ California Black Media

An Information Gap Fuels the Crisis

For Rock, part of the solution is diagnosis. He says the medical and public health systems are failing Black Californians by the absence of information designed for them.

“That is the bottom line. We need good information. Information that is culturally specific,” said Rock.

Telling people to eat healthy or exercise, he added, falls short when culturally specific alternatives are not provided, and when many residents of urban communities do not feel safe exercising in some neighborhoods – or outside at night.

Dr. Khadijah Lang, a family medicine physician and president of the Golden State Medical Association, agrees that the roots of the crisis run deeper than individual behavior — and blaming patients misses the point.

“We are not genetically predisposed to diabetes,” Lang said. “But the system under which we live increases the likelihood that we will develop it.” 

What the Body Needs — What Communities Are Denied

Type 2 diabetes, which accounts for 90 to 95% of all diabetes cases, according to the CDC, develops when the body can no longer use insulin effectively to regulate blood sugar. Left unmanaged, it damages nerves, kidneys, eyes, and the cardiovascular system. The hemoglobin A1C test is a blood draw that reveals how the body has processed sugar over the previous three months — not just at the moment of the test. It is the standard tool for both diagnosis and ongoing monitoring.

That distinction matters, Lang emphasized, because patients cannot manipulate three months of blood sugar history the way they might fast for a day before a single blood draw.

“The pill is not meant to undo or control a sugar level that’s being constantly stressed,” Lang said. “It’s meant to work in conjunction with a low-carbohydrate diet and exercise.” She recommended at minimum 30 minutes of physical activity five days a week — breakable into 10-minute sessions for those who need it.

Lang stressed that education must be delivered in language people recognize and can relate to. The goal is to inform them of the choices that serve their health best, she said.

But for many Black Californians, even those informed choices remain out of reach, Lambert said.

“They need access to healthy foods and medication, too” she said.

California has made some critical policy advances. The state has expanded access to the Continuous Glucose Monitor (CGM), which has transformed diabetes care for state residents. Assembly Bill 365, introduced in 2024, proposed requiring Medi-Cal to cover the costs of CGM and other related medical equipment but it failed in the State Senate. Since then, the California Department of Health Care Services (DHCS) reports that the core Medi-Cal CGM benefit now available to eligible patients was solidified through previous budget actions and pharmacy policy updates.

These measures, while meaningful, have not closed the gap for the communities most at risk, according to advocates.

Control Through Community

Health care advocates conclude that the solution must be communal, culturally grounded, and sustained — not a fad, not a celebrity moment, not a single clinic visit. For example, observed Lang, lifestyle shaped by shared values and collective accountability can move the needle where individual prescriptions have not.

Rock is building infrastructure to match the urgency, establishing local chapters of the African American Diabetes Association across the country, with California next.

“We have to do for self, period,” he said. “Health is wealth. We have to eat to live.”

And Lambert, whose granddaughter unknowingly started all of this for her, keeps showing up.

“Diabetes advocacy is about dignity, education, prevention, and hope,” she said.

Video: Diabetes Disparity Exposed in California

This article is supported by the California Health Care Foundation 

(CHCF). Visit www.chcf.org 

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Activism

Oakland Post: Week of July 1 – 7, 2026

The printed Weekly Edition of the Oakland Post: Week of July 1 – 7, 2026

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Arts and Culture

Prescott Circus Theatre Presents Free Summer Performance Series

Now in its 41st year, the Prescott Circus Theatre is a nationally recognized performing arts education program for Oakland youth. The circus offers safe environments that challenge Oakland youth, through circus arts training, to develop the skills and confidence to thrive on stage, in school, and in life.

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Prescott Circus showcase pathways pyramid. Photo courtesy of Prescott Circus.
Prescott Circus showcase pathways pyramid. Photo courtesy of Prescott Circus.

By Post Staff

The Prescott Circus, Oakland’s longest-running youth circus, is returning this summer with its free shows. Join the Prescott Circus’s young stars as they share their joys and talents through stilt-dancing, tumbling, juggling, and more.

At the heart of this one-hour show, which demonstrates teamwork, pride, and joy, are Oakland Unified School District students ages 8 – 17 from more than 10 different schools

Now in its 41st year, the Prescott Circus Theatre is a nationally recognized performing arts education program for Oakland youth. The circus offers safe environments that challenge Oakland youth, through circus arts training, to develop the skills and confidence to thrive on stage, in school, and in life.

This is accomplished through no-cost school and community programs for more than 300 Oakland youth each year. Performing company members from Prescott, where the program began, perform and make appearances at as many as 40 Bay Area events each year.

The summer program is funded in part by Oakland Fund for Children and Youth, California Arts Council, Port of Oakland, and the West Davis & Bergard Foundation.

Performances will be held Tuesday, July 14, 11 a.m. and 1:30 p.m. (ASL interpreted) and Wednesday, July 15, 11 a.m., at the Malonga Casquelourd Center for the Arts, 1428 Alice St., Oakland. For free reservations go to

https://PrescottCircusSummerShows.eventbrite.com

For group reservations for camps, childcare centers, senior centers, go to www.prescottcircus.org

A community show will be held Saturday, July 18, 2 p.m. to 3 p.m., at DeFremery Park,1651 Adeline St., Oakland.

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