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Calif Gov. Newsom’s child in 14-day quarantine

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Calif Gov. Newsom’s child in 14-day quarantine

SACRAMENTO, Calif. — One of Gov. Gavin Newsom’s children may have been exposed to the coronavirus at school and is in quarantine.

The child began a 14-day quarantine “from the date of exposure” after the family was told a classmate at the private school had tested positive for the coronavirus, spokesman Nathan Click said in an emailed statement Friday.

The rest of the governor’s family is not quarantining because they weren’t directly exposed. The governor, his wife and all four of their children have tested negative for the virus, Click says.

Newsom had a rapid test this week that was negative and will get a regular test this weekend.

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HERE’S WHAT YOU NEED TO KNOW ABOUT THE VIRUS OUTBREAK:

Daily COVID-19 deaths in US reach highest level since May

— Russia reports daily record with nearly 25,000 virus cases

Republican governors in some hard-hit states are refusing to ask families to limit Thanksgiving celebrations despite warnings from federal health officials that gatherings could worsen a coronavirus surge that’s already spinning out of control.

Maryland lawmakers are renewing criticism of Gov. Larry Hogan’s procurement of a half million COVID-19 tests from South Korea after The Washington Post reported the first batch was flawed and never used.

Los Angeles County businesses trying to recover from the coronavirus pandemic face new restrictions and the prospect of a shutdown on the horizon.

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Follow AP’s coverage at https://apnews.com/hub/coronavirus-pandemic and https://apnews.com/UnderstandingtheOutbreak

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HERE’S WHAT ELSE IS HAPPENING:

LOS ANGELES — California is enacting a nighttime curfew Saturday as spiking coronavirus cases threaten to overrun health care systems. The state’s largest county warned that a more drastic lockdown could be imminent.

The new restrictions say people should stay home from 10 p.m. to 5 a.m., except for essential errands. The curfew runs through Dec. 21 and covers 41 counties that contain most of the state’s population.

 

Authorities say the focus is on keeping people from social mixing and drinking — the kinds of activities blamed for causing coronavirus infections to soar after dipping only a few months ago.

Los Angeles County, the state’s largest with about 10 million people, could see a stricter lockdown as early as next week because of soaring cases and hospitalization levels. The county accounts for a quarter of the state’s 40 million residents, but it has about a third of the coronavirus cases and close to 40% of the deaths.

California had a record 13,000 new cases on Thursday and more than 1 million total confirmed cases. The state has 18,653 confirmed deaths, third in the nation behind New York (34,252) and Texas (20,751).

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TEHRAN, Iran — Iran has shuttered businesses and curtailed travel between its major cities, including the capital of Tehran.

The Iranian Health Ministry says the daily deaths have risen above 430 in the past five days, bringing the death toll past 44,000. The total number of confirmed cases has risen past 840,000.

The new restrictions include Iran’s major cities and will last two weeks but can be automatically extended.

Top Iranian officials initially downplayed the risks posed by the virus outbreak, before recently urging the public to wear masks and avoid unessential travel.

All schools in the capital will close and switch to remote learning. Authorities will close shrines in Tehran and cancel mass prayers in mosques, though it was not immediately clear if the same restrictions would apply in other cities, including the holy city of Mashhad.

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MOSCOW — Russia reported new daily highs in the number of coronavirus infections and deaths on Saturday.

The national coronavirus taskforce says 24,822 new cases were recorded over the past day, the fourth time in a week that a new high has been tallied. It says a record 467 people died of COVID-19.

The surge in infections is straining Russia’s vast but underfunded health care system, with many infected people reportedly forced to search for sparse hospital beds.

Overall, Russia has recorded more than 2,064,000 confirmed cases and 35,778 confirmed deaths.

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COLOMBO, Sri Lanka — Sri Lanka’s Central Bank says the bank’s top management, including the governor, will work from home after one of its employees tested positive for COVID-19.

The bank says the move was taken as a precautionary measure. The governor, one deputy governor, seven assistant governors and several other senior officials who had been working at the bank’s offices will work from home for two weeks.

It says tests were done on possible contacts of the patient, but all others tested were found to be negative. The bank is located in the heart of the capital, Colombo, where the most cases have been detected in the past week.

Sri Lanka has had an outbreak of the virus following two clusters in Colombo — centered on a garment factory and a fish market.

The confirmed cases from the two clusters grew to 15,764 on Saturday. During the most recent 24-hour period, 435 cases were detected, of which 252 were in Colombo and its suburbs.

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TOKYO — Japan is scaling back on the government-backed “GoTo” campaign to encourage travel and dining out, as the number of confirmed coronavirus cases reached a record for the third day straight at 2,418.

Prime Minister Yoshihide Suga announced the decision at a government panel on coronavirus pandemic measures.

Stressing the need for “utmost caution,” he says the campaign’s travel discounts will no longer apply to hard-hit areas and discounts on eating out will temporarily end.

Japan has never had a total lockdown. It has had fewer than 2,000 confirmed deaths related to the coronavirus. But worries have been growing about a spike in infections over the three-day weekend. Monday is Labor Thanksgiving, a national holiday.

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NEW DELHI — India has reported 46,232 new confirmed coronavirus cases in the past 24 hours, with the situation particularly alarming in New Delhi.

Intensive care wards and the capital’s main crematorium are near capacity, and health officials this week found the prevalence of infections in markets much higher than expected. The city has added an average of 6,700 cases each day in recent weeks.

The next two weeks in the post-festival season, including celebrations for the Diwali holiday, are going to be important in determining which way the virus will go. The Health Ministry on Saturday also registered 564 deaths in the past 24 hours, taking total confirmed deaths to 132,726.

While the pace of new cases in the country of 1.3 billion appears to be slowing, experts have cautioned that official figures may be offering false hope since many infections are undetected.

The two states of Madhya Pradesh and Gujarat have announced night curfews in at least in eight cities from Saturday. Northern Rajasthan state is also imposing restrictions on the assembly of more than four people during nighttime.

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SEOUL, South Korea — South Korea has reported 386 new cases of the coronavirus in a resurgence that could force authorities to reimpose stronger social distancing restrictions after easing them in October to spur a faltering economy.

The figures released by the Korea Disease Control and Prevention Agency on Saturday brought the national caseload to 30,403 and 503 deaths.

More than 270 of the new cases came from the densely populated Seoul metropolitan area, where health workers have struggled to track transmissions in schools, private tutoring academies and religious facilities.

Infections were also reported in other major cities including Busan, Daejeon, Gwangju and Asan.

South Korea has so far managed to weather its COVID-19 epidemic without major lockdowns, relying instead on an aggressive test-and-quarantine campaign and mask-wearing.

Officials eased distancing measures to the lowest level in October, which allowed high-risk venues such as nightclubs and karaoke bars to reopen and fans to return to professional sports.

But the Korean Society of Infectious Diseases says the country could be reporting more than 1,000 new infections a day in a week or two if social distancing measures aren’t effectively strengthened.

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OLYMPIA, Wash. — Washington Gov. Jay Inslee on Friday announced $135 million in grants and loans to help businesses and workers hurt by new restrictions he imposed through mid-December.

Inslee says businesses can apply for the assistance to help blunt the impact of restrictions that took effect this week, including the closure of fitness facilities and gyms, bowling centers and movie theaters, and the requirement that restaurants and bars provide only outdoor dining and to-go service.

The economic package also includes $20 million in rental assistance and $15 million in utility payment assistance for those with low income. All of the funding is part of federal coronavirus outbreak assistance funds distributed to states.

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CASPER, Wyo. — Wyoming Gov. Mark Gordon has announced new limits on indoor and outdoor public gatherings. But he has not implemented a statewide mask mandate as coronavirus cases surge across the state.

The Republican governor and state health officer Dr. Alexia Harrist say public gatherings will be limited to 25 people or fewer without restrictions. Indoor gatherings will be limited to 25% capacity, and outdoor gatherings will be limited to 50%.

The new order goes into effect Tuesday. No statewide mask mandate was approved, though nearly all of the county health officers have called for one as virus cases, hospitalizations and deaths have substantially increased in recent weeks.

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AUSTIN, Texas — Texas has surpassed 8,000 hospitalized coronavirus patients for the first time since the summer surge, and doctors are amplifying pleas to keep Thanksgiving gatherings small.

Texas reported more than 11,700 new cases Friday, once again approaching record highs. Republican Gov. Greg Abbott has ruled out shutdowns and says cities and counties need to enforce restrictions already on the books, including occupancy limits and masks.

The Texas Hospital Association is appealing for families to keep holiday gatherings “very small” as doctors and nurses struggle to keep up with rising caseloads. The group says staff are “tired and emotionally drained” and worried about the health of their own families.

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NEW YORK — Former U.S. Sen. Alfonse D’Amato has been hospitalized with the coronavirus.

The New York Post reported Friday the New York Republican was being treated at a Long Island hospital.

“I’m weak but I feel good,” the 83-year-old told the newspaper in a phone interview. He says he has a light fever and congestion.

D’Amato says he started feeling unwell late last week, and didn’t know where he had gotten exposed to the virus. He says he had been mainly working from home, where he lives alone.

D’Amato served as one of the state’s senators in Congress from 1981 to 1999.

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LOUISVILLE, Kentucky — Kentucky reported 3,825 new confirmed coronavirus cases and 20 more virus-related deaths Friday, as new restrictions went into effect aiming to slow the virus’s spread.

“Remember, your decisions are going to be what determines how many people live or die. Do your part,” Gov. Andy Beshear said, urging Kentuckians to follow the new requirements.

Starting Friday, private indoor gatherings are limited to two households, with a maximum of eight people. For roughly three weeks, bars and restaurants must close indoor dining, though they are permitted to continue curbside pickup, delivery and outdoor dining services.

Event venue capacity is limited to 25 people. Gym capacity is lowered to 33%, and group classes, team practices and competitions are prohibited. Beshear has also encouraged houses of worship to refrain from in-person services. There is no statewide mask mandate in Kentucky.

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DETROIT — A judge on Friday declined to halt a three-week ban on indoor dining in Michigan that is one of the most recent coronavirus restrictions imposed by Gov. Gretchen Whitmer’s administration.

The state health department reported a new daily high of confirmed coronavirus cases, 9,779, and 53 more deaths.

In his ruling, U.S. District Judge Paul Maloney in Kalamazoo says a restraining order halting the indoor dining ban wouldn’t be appropriate, especially when the state hasn’t had a chance to respond to the lawsuit.

The Michigan Restaurant & Lodging Association, which has thousands of members, is suing to try to stop the indoor dining ban that began Wednesday. The group says restaurants can take further steps to reduce coronavirus risk without cutting off customers.

The group says its members were being unfairly treated compared to other businesses. The judge, however, wasn’t swayed.

“Individuals who patronize the businesses that remain open can do so — and must do so — while wearing a face covering. … In contrast, individuals cannot eat or drink while wearing a mask,” Maloney said.

Maloney scheduled the next hearing for Nov. 30, nearly two weeks into the three-week ban.

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TOPEKA, Kan. — Kansas is including movie theaters among the businesses to receive aid as the state gets close to wrapping up its distribution of federal coronavirus relief funds.

Legislative leaders signed off Friday on a proposal from Gov. Laura Kelly’s pandemic recovery office to allocate $38.5 million in federal relief funds. The state received $1.25 billion and must spend the money by the end of the year.

The proposal called for distributing $20 million for aid to businesses that have struggled because of restrictions imposed during the coronavirus pandemic and $18.5 million on public health.

The funds for businesses include $5 million specifically for movie theaters, to be distributed $10,000 per screen. House Appropriations Committee Chairman Troy Waymaster, a Bunker Hill Republican, received assurances during the meeting of legislative leaders with Kelly that one- or two-screen theaters in small towns will be eligible.

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SKOPJE, North Macedonia — North Macedonia has declared its first-ever nationwide state of emergency, allowing authorities to more easily use the armed forces as well as private resources to fight the pandemic.

The 30-day order, the first of its kind since the Balkan nation became independent in 1991, will take effect Saturday and was imposed after COVID-19 treatment capacity reached its limit.

The army will be used to help civilian authorities transport patients and build field hospitals.

Government-imposed restrictions have so far failed to curb a rise in infection rates. A total of 1,462 people have died in the country of around 2 million people from the pandemic — with 39 deaths recorded in the last 24 hours.

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TORONTO — Canada’s largest city is going back on lockdown.

The province of Ontario announced Toronto and the surrounding Peel Region will go into lockdown on Monday.

Premier Doug Ford and health officials say they won’t allow indoor organized events or social gatherings except for members of the same household. Restaurants and bars will only be allowed to offer takeout and delivery. Retail only will be open for curbside pickup or delivery, except for big box stores.

The stricter measures come as Ontario reports 1,418 new cases of coronavirus on Friday, including 393 in Toronto and 400 in Peel Region.

Ontario Chief Medical Officer of Health Dr. David Williams says Ontario flattened the epidemic curve before and he’s confident it can be done again.

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Fashion

The truth about fast fashion: can you tell how ethical your clothing is by its price?

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What is the true cost of a Zara hoodie? In April 2019, David Hachfeld of the Swiss NGO Public Eye, along with a team of researchers and the Clean Clothes Campaign, attempted to find out. They chose to analyse a black, oversized top from Zara’s flagship Join Life sustainability line, which was printed with lyrics made famous by Aretha Franklin: “R-E-S-P-E-C-T: find out what it means to me”. It was an apt choice, because the idea was to work out whether any respect had been paid to the workers involved in the garment’s production, and how much of the hoodie’s average retail price, €26.66 (£22.70), went into their pockets.

This was no simple assignment. It took several people six months, involved badgering Zara’s parent company, Inditex, over email, slowly getting limited information in return, and interviewing dozens of sources on the ground in Izmir, Turkey, where the garment was made. The researchers analysed financial results and trading data, and consulted with experts in pricing and production. It was, Hachfeld says on the phone, with dry understatement, “quite a huge project”.

Their research suggested that the biggest chunk of the hoodie’s retail price – an estimated €10.26 – went back into Zara, to cover retail space and staff wages. The next biggest slice, after VAT at €4.44, was profit for Inditex/Zara, at €4.20. Their research suggested that the textile factory in Izmir received just €1.53 for cutting the material, sewing, packing and attaching the labels, with €1.10 of that being paid to the garment workers for the 30-minute job of putting the hoodie together. The report concluded that workers could not have received anything like a living wage, which the Clean Clothes Campaign defined, at the time the report was released, as a gross hourly wage of €6.19.

When the research was covered by the media at the time, Zara said the report was “based on erroneous premises and inaccurate reporting”, that the €7.76 sourcing price was wrong and that the workers were “paid more than the amounts mentioned in Public Eye’s report”. But at the time and when I contacted Zara for this article, the company declined to set out in greater detail where the research was inaccurate.

Workers in a small garment factory in Istanbul
Workers in a small garment factory in Istanbul. Photograph: NurPhoto/Getty Images

What is clear is that trying to find out the true production cost of a garment is a tortuous and potentially fruitless process – even when assessing a major high street retailer’s flagship “sustainability” line.

Hachfeld points out that Zara is by no means uniquely opaque. It is doing more than many clothing brands and has long-term commitments in place to work towards living wages. “They are launching initiatives and consultations with trade unions. But the question remains: when will they deliver on it?” he says. Vanishingly few retailers guarantee living wages across their vast, complex supply chains. According to the not-for-profit group Fashion Revolution, only two of the world’s 250 largest fashion brands (OVS and Patagonia) disclose how many of their workers are paid a living wage – despite the kind of resources that make billionaires of founders. Forbes estimates that Zara’s founder, Amancio Ortega, is worth $77bn (£55bn) and that H&M’s founder, Stefan Persson, is worth $21.3bn; the Sunday Times puts the wealth of Boohoo’s co-founder, Mahmud Kamani, at £1.4bn.

Throughout fashion, the numbers just don’t add up. High-street clothing has been getting cheaper and cheaper for decades. A major reason why, according to Gordon Renouf, the CEO of the fashion ethics comparison app Good on You, is that so many western brands have “moved from onshore production 40 years ago to larger offshore production”. Often, the countries they have chosen have “much lower wage costs, weaker labour movements and laxer environmental regulations”. Of course, we know all this, but we have also become accustomed to reaping the benefits. Our perception of what clothing should cost – and how much of it we need – has shifted.

In 1970, for example, the average British household spent 7% of its annual income on clothing. This had fallen to 5.9% by 2020. Even though we are spending less proportionally, we tend to own more clothes. According to the UN, the average consumer buys 60% more pieces of clothing – with half the lifespan – than they did 15 years ago. Meanwhile, fashion is getting cheaper: super-fast brands such as Shein (which sells tie-dye crop tops for £1.49) and Alibaba (vest tops for $2.20), have boomed online, making high-street brands look slow-moving and expensive by comparison.

But the correlation between price and ethics is knotty, to say the least. The conversation about sustainable fashion tends to be dominated by expensive designer brands: at Stella McCartney, for example, a wool-cotton jumper costs £925; at Another Tomorrow, each $520 sustainable viscose carbon-offset scarf neck blouse features a QR code in the label that outlines every stage of its “provenance journey”.

On the high street, many who proudly opt out of shopping at Primark or Boohoo for ethical reasons may be unaware that most reassuringly mid-priced brands don’t guarantee workers living wages or produce clothing without using environmentally harmful materials. A garment’s price is often more about aspiration and customer expectation than the cost of production. Hachfeld points out that the Zara hoodie was priced higher in Switzerland (CHF 45.90; €39.57), where Zara is positioned as a mid-range brand, than in Spain (€25.95), where it is perceived as more mainstream and affordable.

Another Tomorrow scar-neck blouse.
‘Provenance journey’ … Another Tomorrow scarf neck blouse.

Online, debates about the price of clothing can get heated. The sustainable-fashion writer Aja Barber, for example, uses the phrase “exploitation prices” to refer to very cheap clothes, such as the 8p bikini offered by the Boohoo brand Pretty Little Thing last autumn. “Either the company or the garment worker is taking the hit, and most likely it’s not the company, because that wouldn’t be a profitable business model,” she says.

Barber has a personal threshold in mind when she buys an item. “Any time a dress is under £50, you really need to break down the labour on it,” she says. “Think about what you get paid hourly – think, could a person make this dress in three hours?” She doesn’t base this calculation on local wages in the global south, either, which are so much lower “because of years of colonialism and oppression”. She buys new clothes infrequently and tries to avoid polyester, which is made with fossil fuels and generally used in garments to make them cheaper.

Barber gets annoyed by the accusations of snobbery that ripple through social media when anyone criticises super-cheap brands. Largely, she says, these comments come from middle-class people “who want to participate in the system and not feel bad about it”. In her view, fast fashion is propped up not by those with very low disposable incomes, but by middle-class overconsumption.

The only way to tell if a garment has been ethically produced is by combing through the details on the manufacturer’s website (although many brands give little or no information) and checking out its rating on Good on You, which compares fashion brands on the basis of their impact on the planet, people and animals. Even among brands that have launched with sustainability as their USP, greenwashing is rife. Renouf warns against those that talk vaguely about being “natural” and “fair”, or bang on about recycled packaging, without giving details about, say, the materials they use or whether they engage with unions in their factories.

For the fashion retailer Sam Mabley, the idea that fashion can be ethical only if it is expensive is a myth. Mabley runs a sustainable fashion store in Bristol; he thought it was a shame that he was selling so many ethical T-shirts at around the £30 price point. Usually, he says, such T-shirts are created in small batches, by “cool indie brands who do printed designs – a lot of the work is in the design”. He decided to invert that business model, ramping up the scale in order to get bigger discounts from suppliers and creating plain, organic cotton, ethically produced Ts in black and white for £7.99. With just a month of social media promotion, he secured 4,000 orders.

A model wears a Yes Friends T-shirt by Sam Mabley
‘Buying power’ … a Yes Friends T-shirt by Sam Mabley.

He believes it would be fairly easy for fast-fashion brands to use their buying power to “drive change for millions of workers around the world” and guarantee their factories paid living wages, without drastically affecting their margins. He is not alone in this view: Jenny Hulme, the head of buying at the sustainable fashion mainstay People Tree, believes ethical production is necessary and possible in every part of the market. “If you order in big volumes, it does reduce price – if a company really wants to improve, it can,” she says.

The reality of high-street clothes shopping is still very far from this ideal. Apart from a few “sustainable” lines produced by the big fast-fashion brands – which I am loath to recommend, because of so many accusations of greenwashing – it is almost impossible to find new, ethical clothing at rock-bottom prices, because the business models that have enabled clothing to get this cheap rely on inexpensive, environmentally damaging fabrics and very low wages.

That may leave anyone wanting to dress ethically on a high-street purse feeling out of options, although Renouf points out that buying better is possible at every budget. That is why, he says, Good on You aims to “provide ratings for as many brands as possible, rather than simply promoting the most sustainable brands”. You could, for example, move from an ultra-rapid fashion brand to a more engaged high-street fast-fashion brand, which might not cost much more, but still could constitute progress.

Buying fewer, but better-quality, items might save you money overall and is the most consistent advice you will hear from fashion campaigners. “Buy the best quality that you can afford, perhaps in end-of-season sales or by buying a thick jumper in the middle of summer to wear the next winter,” says Hulme.

Stepping out of the trend cycle, and avoiding brands that trade on planned obsolescence, is another avenue to explore. For example, Patrick Grant, a judge on the BBC’s The Great British Sewing Bee, explains that his Community Clothing brand aims to give shoppers more bang for their buck by stocking basics rather than continually designing new collections (it also does without retail space and marketing). Working to slimmer margins means he can invest in good fabric, but keep prices fairly low: his £49 hoodies are made from 470g 100% loopback cotton, a thicker, more durable fabric than you might find for a similar price on the high street.

A blazer from ethical brand Lora Gene
A blazer from the ethical brand Lora Gene. Photograph: Lora Gene

For those who can afford mid-high street prices, researching small, sustainable brands might glean results. A quick look at the Zara website today shows silk dresses selling for as much as £199, with plenty of others at £49.99, while H&M-owned &OtherStories sells blazers for about £120; Barber points out that at these prices, shoppers could switch to ethical brands including Lora Gene, for which she has designed a collection, and Ninety Percent. (There is a dress I like the look of for £64 in the Ninety Percent sale; a mustard Lora Gene blazer is £139.)

If those prices are out of reach, swapping clothes, shopping secondhand, repairing and rethinking what you already have, and occasionally renting for special occasions can all be cheaper – even free – alternatives.

Voting with your wallet will only go so far, however, and won’t be possible for many people who are struggling, as the number of people in poverty in the UK soars to 15 million. Questioning the magical thinking of rock-bottom prices is not about blaming the consumer. Instead, you could write to MPs and CEOs and demand that they do something about living wages and the environmental cost of fashion. The responsibility lies with brands, and with the government, which should be held to account for a broken system.

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What Is Health at Every Size (HAES)? The Approach Focuses on Health vs. Weight

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What Is Health at Every Size (HAES)? The Approach Focuses on Health vs. Weight
anti diet special report bug

Whenever we go to the doctor’s office — whether it’s for an annual physical or a sore throat— one of the first things we do is step on a scale. For some of us, it’s a fraught moment: Will the number be higher or lower than last time? How will we feel about that? And folks in larger bodies, especially, may wonder: What will my doctor think about that?

In a paper published in 2014, researchers found that 21% of patients with BMIs in the “overweight” and “obese” ranges felt that their doctor “judged them about their weight” — and as a result, they were significantly less likely to trust their doctor or even to return for follow-up care. And research shows that this lack of trust is valid: Doctors are more likely to be biased against patients with high BMIs, and that this impacts the quality of the medical care they receive.

After analyzing audio recordings of 208 patient encounters by 39 primary care physicians, scientists found that doctors established less emotional rapport with their higher weight patients, according to a study published in a 2013 issue of the journal Obesity. Other studies have found that this lack of rapport makes doctors more likely to deem a higher-weight patient as “noncompliant” or “difficult,” often before the exam has even begun. And for women, gender non-conforming folks, people of color and people with low socioeconomic status, a doctor’s weight bias may intersect with other biases and potentially make the situation worse.

Medical weight stigma can have dire consequences. When patients delay healthcare because they’re worried about discrimination, they miss regular screening exams and are more likely to be much sicker by the time doctors do see them, which is one of the reasons why some people assume everyone in a larger body is unhealthy and observe correlations (but not causations) between higher body weight and chronic health conditions that benefit from good preventative healthcare.

At the same time, provider bias can lead doctors to under-treat or misdiagnose their larger patients in all sorts of ways. Patients in larger bodies with eating disorders tend to struggle longer and be sicker when they finally do get treatment, because doctors can ignore their symptoms — or even praise their disordered eating when it results in weight loss. Weight stigma also causes doctors to overlook problems that aren’t about weight. For example, in May 2018, a Canadian woman named Ellen Maud Bennett died only a few days after receiving a terminal cancer diagnosis; in her obituary, her family wrote that Bennett had sought medical care for her symptoms for years, but only ever received weight loss advice.

Because of this mounting evidence about the health consequences of medical anti-fat bias, some providers are starting to shift their medical practices to what’s known as the “Health at Every Size” approach, the purpose of which is to take the focus off a person’s weight, and instead look more holistically at their overall health. Of course, many doctors are still using scales and prescribing weight loss. But the Health at Every Size movement can be a model for health and wellness that you can adopt for yourself, too.


anti diet special report bug

While only a fifth of the 600 respondents in a 2012 survey perceived weight-related judgment from PCPs, they were significantly less likely to report high trust in these doctors.


So, what is Health at Every Size?

Most doctors today approach health through what’s known as the “weight-centric” model, where weight is viewed as one of, if not the, most important marker of health. In the weight-centric model, if the patient is in a larger body, many conditions are treated primarily through the prescription of weight loss. Health at Every Size, commonly known as HAES (pronounced “hays”), is an alternative approach, also sometimes referred to as a “weight-inclusive” model of healthcare.

HAES originated in the fat acceptance movement and was further popularized by Lindo Bacon, Ph.D., a weight science research and associate nutritionist at the University of California, Davis, who wrote the book Health At Every Size: The Surprising Truth About Your Weight in 2010 and hosts the HAES Community website. “Health at Every Size is the new peace movement,” writes Bacon. “It is an inclusive movement, recognizing that our social characteristics such as our size, race, national origin, sexuality, gender, disability status and other attributes, are assets and acknowledges and challenges the structural and systemic forces that impinge on living well. It also supports people of all sizes in adopting healthy behaviors.” (If you’re interested, more information about the history and philosophy of HAES is available from the Association for Size Diversity and Health.)

HAES-informed practitioners do not routinely weigh patients, or use weight to determine how healthy a person is. Instead, they look at other biomarkers, like blood pressure and cholesterol levels, to assess physiological health. And they consider how various social, economic and environmental factors in a person’s life impact their ability to pursue health. Translation: Instead of assuming you’re lazy or uninformed if you aren’t exercising or eating vegetables, a HAES-aligned doctor will ask about your schedule, responsibilities and priorities, to see what kind of barriers you face to adopting a regular workout routine. And they’ll take into consideration whether or not you live near a grocery store, have time to cook, or can otherwise easily access healthier food.

This doesn’t mean a HAES provider won’t ever encourage you to be more active or change your eating habits; it means they’ll only recommend changes that are attainable and realistic for you. And, most crucially, they won’t be telling you to do these things to lose weight. In the HAES model, weight loss is never a goal of treatment because your body is never viewed as a problem to be solved. You have the right to pursue health in the body you have, rather than waiting for that body to change in order to be deemed healthy.

But isn’t it unhealthy to be fat?

Contrary to popular belief, it’s not inherently unhealthy to be fat. Research shows that the relationship between weight and health is much less clear-cut than we’re often told. Weight may be a correlating factor in health conditions like diabetes and heart disease, but scientists haven’t been able to prove that a high body weight causes such diseases. In some cases it may contribute, or it may be simply another symptom of a different root cause. (Consider how smoking can cause both lung cancer and yellow teeth — but nobody assumes that yellow teeth cause lung cancer.)

In fact, weighing more can actually protect you against certain health problems, including osteoporosis and some kinds of cancer. Heart surgery patients with higher BMIs also tend to have better survival rates than their thinner counterparts. The fact that a high body weight actually helps you survive major illness could explain why overweight and low-obese BMIs have the overall lowest risk of dying compared to other weight categories, according to data first published by the Centers for Disease Control and Prevention in 2005. In short, it is absolutely possible to be fat and fit.

Even if you live in a larger body and do have health conditions often assumed to be weight-linked, there is good evidence that you can treat those problems and improve your health without pursuing weight loss. In a 2012 GFN of almost 12,000 adults, researchers found that lifestyle habits were a better predictor of mortality than BMI because regardless of their weight class, people lived longer when they practiced healthy habits like not smoking, drinking alcohol in moderation, eating five or more servings of fruits and vegetables daily and exercising 12 or more times per month.

That’s good news because despite how often doctors prescribe it, we don’t have a safe and durable way for most people to lose significant amounts of weight. That’s because our bodies are programmed to fight weight loss, for our own good. According to an evidence review of common commercial weight loss protocols first published in 2007, and later updated in 2013: People lose some weight in the first nine to 12 months of any diet, but over the next two to five years, they gain back all but an average of 2.1 pounds. And dieting and “weight cycling” in this way can increase your risk for disordered eating and other health problems.


anti diet special report bug

In a University of South Carolina study, all of the men and women followed over the course of 170 months benefited from the adoption of healthy habits, no matter their size.

How do I practice HAES — and how do I get my doctor on board?

Practicing Health at Every Size will look different for everyone, because that’s part of its beauty: You get to decide your own health priorities and can focus on the goals that are accessible and realistic for your life, rather than following a doctor’s “one size fits all” approach to health. But there is one universal tenet: Your weight is no longer part of the conversation. That might mean that you ditch your scale, stop dieting and exercising for weight loss, start to explore intuitive eating and joyful movement — or all of the above.

But while there is growing awareness of HAES in the medical community, it is not the default approach in most healthcare offices. To find doctors or other practitioners in your area who identify as HAES-aligned, you can start by checking the HAES provider directory. But if not, it may be possible to have a productive conversation with your current doctor about why you’d like to take the focus off your weight. One simple way to set this boundary is to decline to be weighed at the start of the visit.

You may worry that the doctor’s office won’t allow you to skip the routine weigh-in, but you have a right to refuse to be weighed, says Dana Sturtevent, R.D., a dietitian and co-founder of Be Nourished, a nonprofit organization in Portland, Oregon, which offers workshops, retreats and e-courses for healthcare providers on how to offer trauma-informed and weight-inclusive care. “This can be a very real and potentially vulnerable step towards self-care,” she says. If your doctor objects, you can ask: “How will this information be used?” There are times when a weight is medically necessary, such as when it’s needed to determine the correct dosing of certain medication. If that’s the case, you can ask to be weighed with your back turned to the scale so you can’t see the number. But if you’re told it’s routine or that they just need to write it down for insurance purposes, you can ask that they write “patient declined” instead.

It can also help to give your doctor a heads up that you would prefer not to discuss weight or weight loss at your appointment. If you feel anxious about bringing this up in the exam room, you can download this letter, created by HAES providers Louise Metz, MD., and Anna Lutz, R.D., to send ahead or give to the nurse who takes your vitals at the start of the appointment. Dr. Metz has also collaborated with health coaches Ragen Chastain and Tiana Dodson to create the HAES Health Sheets Library, which contains downloadable fact sheets on how to treat conditions commonly linked to weight from a HAES perspective.

If your doctor persists in a weight-focused approach to your care, remember that you have the right to switch providers. But more importantly: “Remember that you are not required to be a certain weight in order to be worth of love, respect, belonging or decent medical care,” says Sturtevent. “Your body is your body.”

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9 Amazon Fashion Brands You Need to Be Shopping

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9 Amazon Fashion Brands You Need to Be Shopping

You’re already well-acquainted with Amazon as your shopping preference for everything from household products to books, tech accessories to groceries. But since 2017 one of the world’s largest retail marketplaces has made a pointed effort to expand past their traditional stock. In less than four years, Amazon has introduced dozens of in-house fashion brands, making their mark on the style world in the process. (And with free speedy shipping on most Amazon Prime items, there’s never been an easier way to do a spot of last-minute shopping).

We’ve gathered the nine standout Amazon fashion brands you need to know below. Whether you’re looking to refresh your underwear drawer, update your closet with some trend-focused finds, or simply add a few wardrobe essentials, the mega-retailer is literally your one-stop destination.

Core 10

What it is: High-quality workout-wear with tons of amazing reviews

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If you’re looking for affordable activewear that performs just as well as brands three times the price, Core 10 is your answer (it comes in extended sizing as well). Sports bras, leggings, shorts, hoodies, and more—it’s got all your workout needs covered.

Highlights include a ’90s-fantastic collaboration with Reebok launched earlier this summer and a “Build your own” legging option. Shoppers can customize their perfect pair with three lengths and three waistband styles, resulting in one shopper saying that they’re the “best leggings [she’s] tried. Hands down.”

Wild Meadow

What it is: Basics with a ’90s feel that all cost less than $30

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Launched this spring, Wild Meadow brings that easy-breezy youthful ’90s vibe and all styles are offered up to a size XXL. The best part? Not a single item costs more than $30, which means you should stock up—ASAP.

In the market for a tie-dye cami dress? A tie-front cropped tee? Still hunting for that perfect slip dress that will take you from day to night with a simple shoe swap? Wild Meadow has you covered with all that and more.

Amazon Essentials

What it is: Non-basic basics that are budget-friendly

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The Amazon Essentials brand includes food, household items—and wardrobe basics. Essentials, yes, but they’re anything but boring. Expect to find everything from floral t-shirt dresses to cozy fleeces, yoga leggings to bathing suits.

It’s affordable—prices are pretty much all under $50, with most under $25—and available in plus sizes. An important-to-know factor that makes this label stand out is how many maternity options there are, should you be in the market. In short, you can curate your entire wardrobe virtually no matter your size, budget, or stage of life.

Goodthreads

What it is: Trend-driven closet essentials

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Goodthreads started as a menswear-only Amazon brand but quickly expanded into the womenswear market. This line has a lot of wardrobe essentials, like button-down shirts, chinos, and sundresses, but they’re a bit more fashion-focused than some of Amazon’s other basics go-tos (like Amazon Essentials).

Here, you’ll find cinched-waist midi dresses, tops with subtly ruffled sleeves, and colorfully striped button-downs. The biggest draw, though, is the denim, which is sold in six different silhouettes, showcasing an impressive number of length and wash options. The size range for Goodthreads is XS-XXL on most pieces.

There is

What it is: Everyday underwear and lingerie, plus great swim options

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Amazon’s own lingerie brand offers everything from underwire bras to slinky slips and lace-trimmed thongs. If you’re looking for underwear or sleepwear of any kind, this is your brand.

For casual everyday wear, Mae offers cotton briefs and bras, lacy bralettes, and future go-to t-shirt bras to name a few. If you’re looking for more of a special lingerie moment, consider their wide selection of sexy, flirty sets and separates. The brand has expanded into swim, shapewear, and pajamas, too.

Daily Ritual

What it is: Comfortable basics that go up to 7X

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Daily Ritual is your go-to for comfortable options that look presentable enough for stepping out with friends or running errands. The brand is known for its selection of casual essentials that are anything but basic, and most items are made of a super soft cotton jersey or fleece.

There’s a bit of everything, including puffer jackets for when temps get chilly, but the majority of the pieces focus on classic cotton tees, joggers, and the like. An impressive amount is offered in plus sizes up to 7X, providing real universal appeal. For the shopper who loves to dress simply, stay comfortable, and look put-together, this is the Amazon fashion brand for you.

The Drop

What it is: Limited-edition collections co-created with some of today’s biggest social stars

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Built on the concept of curated, limited-edition capsule collections that are only promised to be available for a quick 30 hours, The Drop is Amazon’s most coveted line. Each collab is designed and curated by a rotating list of bloggers and influencers uniquely catering to their individual style at affordable prices—it’s either pieces they want for their own wardrobe or have developed a signature look around.

Past influencers to participate include Charlotte Groeneveld of The Fashion Guitar, Leonie Hanne of Ohh Couture, Quigley Goode of Officially Quigley, and more. Depending on the influencer, The Drop could include everything from wrap dresses to faux leather pants; teddy bear shearling coats or shackets. You have 30 hours to order originally, but some styles (like the below) make a reappearance.

Cable Stitch

What it is: Classic knitwear silhouettes, updated

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The name literally says it all: Cable Stitch is the Amazon brand to go to if you love a good knitwear moment. Cardigans, pullovers, dresses…you name it. The range will appeal to minimalists and maximalists alike, with classic solid colors and brightly colored stripes in the mix.

When Amazon creates an entire line centered around knitwear, you know they’re going to go big or go home. You can shop an array of the more unconventional knits that are trending (like side-slit midis and puff-sleeve pullovers) as well as basics. Most pieces retail between $20 and $60, though some outliers will exist from season to season.

The Fix

What it is: Stand-out shoes and bags that can upgrade everything in your closet

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Accessory obsessed? You need to know about The Fix. Specializing in the little pieces that make or break a look, this is your shop for all the trendiest footwear and handbags you’ve been coveting since you first saw them explode on the street style scene.

At The Fix, you can shop heels, flats, sandals, and sneakers in a range of head-turning styles. There are certainly no basics here, with every style boasting at least one special detail that makes them stand out from the rest. Whether that’s an ankle strap or chunky heels covered in velvet, special details let you transform your look by swapping in a new accessory.

This content is created and maintained by a third party, and imported onto this page to help users provide their email addresses. You may be able to find more information about this and similar content at piano.io

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