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UCSF Scientist Launches Drive to Halt Tobacco Sales in Drugstores

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By Elizabeth Fernandez, UCSF News

Pharmacies, focused on the health and wellbeing of their customers, have long been saddled with a paradox: they sell cigarettes and other tobacco products, even though tobacco use is the nation’s leading cause of preventable death.

If retailers, particularly pharmacies, were to discontinue selling cigarettes, fewer smokers and fewer deaths by smoking would occur, according to a new opinion article co-written by a UC San Francisco scientist.

< p>That’s also the premise behind a new decision by CVS Caremark, the nation’s largest pharmacy health care company, to end cigarette and tobacco sales in its stores this year.

In a Viewpoint article published online today in JAMA, the Journal of the American Medical Association, the authors say that selling tobacco products is “clearly antithetical” to the role of pharmacies, especially as pharmacies expand their role as an integral part of the nation’s health care system.

The JAMA Viewpoint is written by Troyen A. Brennan, MD, MPH, executive vice president and chief medical officer of CVS Caremark; and Steven A. Schroeder, MD, a UCSF professor and director of the Smoking Cessation Leadership Center.

Casting a harsh light on tobacco sales in drugstores, the authors say that selling tobacco products contradicts a commitment to health care.

The goal of the authors: eliminate tobacco sales in America’s drugstores.

“Nowhere else in health care are tobacco products available in the same setting where diseases are being diagnosed and treated,” they write.

The CVS decision will cost the company an estimated $1.5 billion in annual tobacco sales, according to the JAMA article.

Initially, the move to eliminate tobacco sales by CVS may not entice significant numbers to quit smoking – instead, customers may go elsewhere to buy cigarettes, the authors say. But if other retailers followed suit, tobacco products would become harder to obtain, the authors write, and thus the health of individuals and the population would benefit.

“Moreover, if people understood that retail outlets that plan to promote health, provide pharmacy services, and house retail clinics are no longer going to sell tobacco products, the social unacceptability of tobacco use will be substantially reinforced,” the physicians write. “Indeed, the continued sale (of cigarettes) would appear to sanction the most unhealthy habit a person can maintain.”

Noting that pharmacies in other developed countries do not sell cigarettes, the authors maintain that if drugstores don’t make this effort voluntarily, federal or state regulatory action would be appropriate.

Others have endorsed the elimination of tobacco sales in pharmacies. Among them, the American Pharmacists Association in 2010 called for the discontinuation of sales and the end to license renewals of pharmacies that sell the products. The American Heart Association, the American Cancer Society and the American Lung Association called for a ban on tobacco sales in pharmacies, and the American Medical Association passed a resolution opposing tobacco sales in products.

Moreover, some cities have already banned tobacco sales in pharmacies, including San Francisco and Boston.

The toll from smoking is monumental. Smoking is attributed to the deaths of more than 480,000 people in the United States annually, and costs $132 billion in direct medical costs, the physicians write, depicting it as “one of the most important public health challenges of the 21st century.”

During the last 40 years, tobacco control efforts, including cigarette taxes, smoke-free legislation, and a growth in smoking cessation programs, have reduced the prevalence of smoking in the U.S. from approximately 42 percent of American adults in 1965 to 18 percent today.

“Yet more interventions are needed,” the scientists write in the JAMA article. “The rate of reduction in smoking prevalence has stalled in the past decade, 42 million people continue to smoke, and 16 million current and former smokers suffer from smoking-related illness.”

Studies have demonstrated a relationship between smoking and geographic density of stores that sell cigarettes, the authors say, noting that reducing the number of tobacco outlets will likely reduce smoking among young people – an additional benefit.

 

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Activism

New Bill, the RIDER Safety Act, Would Support Transit Ambassadors and Safety on Public Transit

The RIDER Safety Act would allow public transit agencies to hire transit ambassadors trained in de-escalation, crisis response, and rider education and engagement. Acting as a visible, non-enforcement presence to deter low-level incidents and reduce conflict, transit ambassadors would ease the burden from law enforcement and enhance public safety.

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BART train. Photo courtesy of ABC7.
BART train. Photo courtesy of ABC7.

By Post Staff

A new federal bill would support transit ambassador, or transit support specialist, programs at public transit agencies across the country.

The bill, (D-CA-12), H.R. 6069, the Rapid Intervention and Deterrence for Enhanced Rider Safety Act, or the RIDER Safety Act, was introduced Jan. 30 by Congresswoman Lateefah Simon. (D-CA-12), H.R. 6069, the Rapid Intervention and Deterrence for Enhanced Rider Safety Act, or the RIDER Safety Act.

This legislation is based on Congresswoman Simon’s work at Bay Area Rapid Transit (BART) to create a first-in-the-nation Transit Ambassador Program, which previously earned a prestigious nationwide award for “Innovation in Public Safety.”

She announced the bill at a press conference at the 19th Street BART Station alongside BART leaders and other supporters

The RIDER Safety Act would allow public transit agencies to hire transit ambassadors trained in de-escalation, crisis response, and rider education and engagement. Acting as a visible, non-enforcement presence to deter low-level incidents and reduce conflict, transit ambassadors would ease the burden from law enforcement and enhance public safety.

This bill would also create jobs provide meaningful work, training opportunities, and a pathway for career growth in local communities. In the House of Representatives, the bill is also co-led by Representatives Shomari Figures (AL-02), Nellie Pou (NJ-09), Mark DeSaulnier (CA-10), and John Garamendi (CA-08).

“I am incredibly proud to champion the RIDER Safety Act in Congress and continue my work to ensure transit is safe, accessible, and affordable to everyone. We have seen the success of the transit ambassador programs here in the East Bay, and I am dedicated to bringing this proven public safety model to the rest of the country,” said Congresswoman Simon.

“These are strong local jobs for people who want to support public safety on transit and serve as a resource to individuals who may be in crisis or in need of services,” she continued. “Strengthening safety on transit benefits us all and helps ensure our public transportation systems remain places of opportunity, dignity, and trust.”

“This bill is critical to ensure the safety of every passenger who relies on public transportation across the country,” said Congresswoman Nellie Pou. “The RIDER Safety Act builds on successful transit models already implemented in communities, including the Bay Area Rapid Transit (BART) through the leadership of Congresswoman Lateefah Simon during her time as BART President. By providing transit stations with medically trained, unarmed personnel, we can strengthen safety standards, reduce fare evasion, and give riders a greater peace of mind when getting from one place to the next.”

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Bo Tefu

Trump’s White House Pushes to Control California Wildfire Recovery

The executive order signed Jan. 27 by President Donald Trump directs federal agencies to explore regulations that could override California and municipal permitting rules for homes and other structures destroyed in the fires. Land-use and rebuilding permits have traditionally been handled by cities and counties, making the move an unprecedented federal intervention into disaster recovery.

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iStock.
iStock.

By Bo Tefu, California Black Media

The White House is moving to take control of wildfire recovery efforts in the Los Angeles County area, issuing an executive order that would shift rebuilding permit authority from state and local governments to the federal government following the January 2025 Palisades and Eaton fires.

The executive order signed Jan. 27 by President Donald Trump directs federal agencies to explore regulations that could override California and municipal permitting rules for homes and other structures destroyed in the fires. Land-use and rebuilding permits have traditionally been handled by cities and counties, making the move an unprecedented federal intervention into disaster recovery.

“I want to see if we can take over the city and state and just give the people their permits they want to build,” Trump told the media when signing the order.

The Palisades and Eaton fires destroyed about 16,000 homes, businesses, and other structures across Pacific Palisades, Altadena, and surrounding areas. According to local data, roughly 4,700 applications to rebuild have been submitted, with about 2,000 approved so far. Officials say the pace of rebuilding is consistent with recovery timelines from other major wildfires in California, where reconstruction often takes several years.

Gov. Gavin Newsom and Los Angeles Mayor Karen Bass quickly condemned the order, stating that it is unnecessary and legally questionable. Disaster recovery experts echoed those concerns, pointing to constitutional limits on federal authority over land-use decisions.

Trump’s order calls on the Federal Emergency Management Agency (FEMA) and the Small Business Administration to consider allowing builders to self-certify compliance with health and safety regulations to receive federal approval.

The dispute has become another flashpoint in the ongoing political battle between Trump and Newsom. The governor has requested $33 billion in federal disaster aid that has not yet been approved, while survivors continue to face challenges related to insurance payouts, high rebuilding costs, and legal disputes tied to the cause of the fires.

“Instead of finally sending to Congress the federal relief Los Angeles needs to rebuild from last year’s firestorms, Donald Trump continues to live in fantasy land,” Newsom wrote on X.

Bass said the White House could speed recovery by approving disaster aid and pushing insurers and lenders to support affected residents.

Trump’s order calls for draft regulations within 30 days and final rules within 90 days.

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Activism

Past, Present, Possible! Oakland Residents Invited to Reimagine the 980 Freeway

Organizers ask attendees coming to 1233 Preservation Park Way to think of the event as a “time portal”—a walkable journey through the Past (harm and flourishing), Present (community conditions and resilience), and Future (collective visioning).

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Hundreds of residents in West Oakland were forced out by eminent domain before construction began on the 980 freeway in 1968. Courtesy photo.
Hundreds of residents in West Oakland were forced out by eminent domain before construction began on the 980 freeway in 1968. Courtesy photo.

By Randolph Belle
Special to The Post

Join EVOAK!, a nonprofit addressing the historical harm to West Oakland since construction of the 980 freeway began in 1968, will hold  a block party on Oct. 25 at Preservation Park for a day of imagination and community-building from 10 a.m. to 4 p.m.

Organizers ask attendees coming to 1233 Preservation Park Way to think of the event as a “time portal”—a walkable journey through the Past (harm and flourishing), Present (community conditions and resilience), and Future (collective visioning).

Activities include:

  • Interactive Visioning: Site mapping, 3-D/digital modeling, and design activities to reimagine housing, parks, culture, enterprise, and mobility.
  • Story & Memory: Oral history circles capturing life before the freeway, the rupture it caused, and visions for repair.
  • Data & Policy: Exhibits on health, environment, wealth impacts, and policy discussions.
  • Culture & Reflection: Films, installations, and performances honoring Oakland’s creativity and civic power.

The site of the party – Preservation Park – itself tells part of the story of the impact on the community. Its stately Victorians were uprooted and relocated to the site decades ago to make way for the I-980 freeway, which displaced hundreds of Black families and severed the heart of West Oakland. Now, in that same space, attendees will gather to reckon with past harms, honor the resilience that carried the community forward, and co-create an equitable and inclusive future.

A Legacy of Resistance

In 1979, Paul Cobb, publisher of the Post News Group and then a 36-year-old civil-rights organizer, defiantly planted himself in front of a bulldozer on Brush Street to prevent another historic Victorian home from being flattened for the long-delayed I-980 Freeway. Refusing to move, Cobb was arrested and hauled off in handcuffs—a moment that landed him on the front page of the Oakland Tribune.

Cobb and his family had a long history of fighting for their community, particularly around infrastructure projects in West Oakland. In 1954, his family was part of an NAACP lawsuit challenging the U.S. Post Office’s decision to place its main facility in the neighborhood, which wiped out an entire community of Black residents.

In 1964, they opposed the BART line down Seventh Street—the “Harlem of the West.” Later, Cobb was deeply involved in successfully rerouting the Cypress Freeway out of the neighborhood after the Loma Prieta earthquake.

The 980 Freeway, a 1.6-mile stretch, created an ominous barrier severing West Oakland from Downtown. Opposition stemmed from its very existence and the national practice of plowing freeways through Black communities with little input from residents and no regard for health, economic, or social impacts. By the time Cobb stood before the bulldozer, construction was inevitable, and his fight shifted toward jobs and economic opportunity.

Fast-forward 45 years: Cobb recalled the story at a convening of “Super OGs” organized to gather input from legacy residents on reimagining the corridor. He quickly retrieved his framed Tribune front page, adding a new dimension to the conversation about the dedication required to make change. Themes of harm repair and restoration surfaced again and again, grounded in memories of a thriving, cohesive Black neighborhood before the freeway.

The Lasting Scar

The 980 Freeway was touted as a road to prosperity—funneling economic opportunity into the City Center, igniting downtown commerce, and creating jobs. Instead, it cut a gash through the city, erasing 503 homes, four churches, 22 businesses, and hundreds of dreams. A promised second approach to the Bay Bridge never materialized.

Planning began in the late 1940s, bulldozers arrived in 1968, and after years of delays and opposition, the freeway opened in 1985. By then, Oakland’s economic engines had shifted, leaving behind a 600-foot-wide wound that resulted in fewer jobs, poorer health outcomes, and a divided neighborhood. The harm of displacement and loss of generational wealth was compounded through redlining, disinvestment, drugs, and the police state. Many residents fled to outlying cities, while those who stayed carried forward the spirit of perseverance.

The Big Picture

At stake now is up to 67 acres of new, buildable land in Downtown West Oakland. This time, we must not repeat the institutional wrongs of the past. Instead, we must be as deliberate in building a collective, equitable vision as planners once were in destroying communities.

EVOAK!’s strategy is rooted in four pillars: health, housing, economic development, and cultural preservation. These were the very foundations stripped away, and they are what  they aim to reclaim. West Oakland continues to suffer among the worst social determinants of health in the region, much of it linked to the three freeways cutting through the neighborhood.

The harms of urban planning also decimated cultural life, reinforced oppressive public safety policies, underfunded education, and fueled poverty and blight.

Healing the Wound

West Oakland was once the center of Black culture during the Great Migration—the birthplace of the Black Panther Party and home to the “School of Champions,” the mighty Warriors of McClymonds High. Drawing on that legacy, we must channel the community’s proud past into a bold, community-led future that restores connection, sparks innovation, and uplifts every resident.

Two years ago, Caltrans won a federal Reconnecting Communities grant to fund Vision 980, a community-driven study co-led by local partners. Phase 1 launched in Spring 2024 with surveys and outreach; Phase 2, a feasibility study, begins in 2026. Over 4,000 surveys have already been completed. This once-in-a-lifetime opportunity could transform the corridor into a blank slate—making way for accessible housing, open space, cultural facilities, and economic opportunity for West Oakland and the entire region.

Leading with Community

In parallel, EVOAK! is advancing a community-led process to complement Caltrans’ work. EVOAK! is developing a framework for community power-building, quantifying harm, exploring policy and legislative repair strategies, structuring community governance, and hosting arts activations to spark collective imagination. The goal: a spirit of co-creation and true collaboration.

What EVOAK! Learned So Far

Through surveys, interviews, and gatherings, residents have voiced their priorities: a healthy environment, stable housing, and opportunities to thrive. Elders with decades in the neighborhood shared stories of resilience, community bonds, and visions of what repair should look like.

They heard from folks like Ezra Payton, whose family home was destroyed at Eighth and Brush streets; Ernestine Nettles, still a pillar of civic life and activism; Tom Bowden, a blues man who performed on Seventh Street as a child 70 years ago; Queen Thurston, whose family moved to West Oakland in 1942; Leo Bazille who served on the Oakland City Council from 1983 to 1993; Herman Brown, still organizing in the community today; Greg Bridges, whose family’s home was picked up and moved in the construction process; Martha Carpenter Peterson, who has a vivid memory of better times in West Oakland; Sharon Graves, who experienced both the challenges and the triumphs of the neighborhood; Lionel Wilson, Jr., whose family were anchors of pre-freeway North Oakland; Dorothy Lazard, a resident of 13th Street in the ’60s and font of historical knowledge; Bishop Henry Williams, whose simple request is to “tell the truth,” James Moree, affectionately known as “Jimmy”; the Flippin twins, still anchored in the community; and Maxine Ussery, whose father was a business and land owner before redlining.

EVOAK! will continue to capture these stories and invites the public to share theirs as well.

Beyond the Block Party

The 980 Block Party is just the beginning. Beyond this one-day event, EVOAK! Is  building a long-term process to ensure West Oakland’s future is shaped by those who lived its past. To succeed, EVOAK! Is seeking partners across the community—residents, neighborhood associations, faith groups, and organizations—to help connect with legacy residents and host conversations.

980 Block Party Event Details
Saturday, Oct. 25
10 a.m. – 4 p.m.
Preservation Park, 1233 Preservation Park Way, Oakland, CA 94612
980BlockParty.org
info@evoak.org

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