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  • CSU and faculty reach surprise tentative agreement, ending massive strike after one day

    CSU and faculty reach surprise tentative agreement, ending massive strike after one day

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    The union representing California State University faculty reached a tentative agreement with the university system late Monday, putting an end to a planned five-day strike after one day.

    “In case anyone forgot, STRIKES WORK! After months of negotiations and two strike actions, our movement for a #betterCSU has paid off!” the union announced on Instagram.

    Faculty are expected to resume teaching Tuesday and students were advised to look for messages from their instructors. The agreement, which must be ratified by union members, includes higher salary floors for the lowest-paid workers, safer workplaces and an expansion of parental leave. In an email to faculty members, union leaders said the agreement includes a 5% salary increase retroactive to July 1, 2023, among other benefits.

    “I am extremely pleased and deeply appreciative that we have reached common ground with CFA that will end the strike immediately,” CSU Chancellor Mildred García said in a statement. “The agreement enables the CSU to fairly compensate its valued, world-class faculty while protecting the university system’s long-term financial sustainability.”

    The unanticipated announcement came after faculty at all 23 campuses of CSU, the nation’s largest four-year university system, staged a massive walkout Monday, the first day of the term for most students.

    While faculty members marched in chilly rain throughout much of the state, students navigated a dizzying mix of instructions: Classes are canceled, classes are temporarily on Zoom, class is in session; assignments are online, assignments are scratched for a week. Official email communication with professors was cut, leaving some unsure if classes were taking place.

    Neither university administrators nor the union had an official tally of the number of shuttered classrooms. But students throughout the system said faculty did not show up to most, if not all, of their classes.

    The university said it did not cancel classes and clarified what it called “misinformation” about the status of instruction.

    “Classes are not canceled. Individual faculty members who decide to strike will cancel their own classes,” a message said Monday. “If students have not heard from their instructor that their class is canceled, they should assume that it is being held as scheduled and go to class.”

    The message said the two sides were “in communication with each other over the weekend” but did not share details.

    The strike by the California Faculty Assn., which represents 29,000 professors, lecturers, counselors, librarians and coaches, culminated months of increasing tension between the union and CSU administration. It was the latest California walkout in higher education and TK-12 school districts as faculty and other workers — many stressed or burned out after the pandemic years — have demanded higher salaries amid escalating costs of living.

    Just over a year ago, about 48,000 University of California academic workers, teaching assistants, researchers and postdoctoral scholars walked out for about five weeks, ultimately winning significant improvements in wages and working conditions. The Los Angeles Unified School District shut down for three days in March 2023, when teachers walked off the job in solidarity with school support staff, who won pay increases. A month later, L.A. teachers agreed to a contract that provides a 21% wage increase over about three years, averting a second strike.

    Union demands

    The CSU faculty union had pushed for an across-the-board, 12% wage increase for the 2023-24 academic year and wanted to raise the minimum salary for full-time faculty to $64,360 from $54,360. The union also sought improvements such as smaller class sizes, gender-inclusive restrooms and a full semester of expanded parental leave.

    The tentative agreement falls short of the full slate of demands. In addition to the retroactive pay, the agreement includes another 5% increase on July 1 that is contingent on state funding. It raises the minimum salary for faculty by $3,000, increases paid parental leave from six to 10 weeks and improves access to gender-inclusive restrooms and lactation spaces, the email said.

    It also extends the current contract, which was slated to end in June, by one year.

    “This historic agreement was won because of members’ solidarity, collective action, bravery, and love for each other and our students,” said Antonio Gallo, an associate vice president of lecturers, in the email. “This is what People Power looks like. This deal immensely improves working conditions for faculty and strengthens learning conditions for students.”

    Scenes on campus

    The one-day strike left CSU campuses nearly empty.

    About a dozen people lingered in the Cal State L.A. student union in the morning, as faculty members in red ponchos picketed outside. The normally crowded campus Starbucks was devoid of customers.

    “Normally the line would be out the door,” said Jordyn O’Connell, a student who works as a barista.

    All of O’Connell’s classes had been canceled because of the strike. The 20-year-old psychology major supported the strike but had been looking forward to resuming classes after the winter break.

    “I’ve been really eager to get back,” she said. “I just hope that we get this figured out. I’m ready to start the semester.”

    For some students, it was not clear which classes were canceled. Moments before heading into the student center at Cal State Fullerton on Monday, Leslie Segundo, an arts major, learned that a professor who had been scheduled to teach one of her classes had moved the start date to next week because of the strike.

    Segundo hadn’t heard from all of her professors and assumed that those who had not emailed her were going to hold classes.

    “I will attend the classes that are available,” said Segundo, who commutes to campus from Orange. “As far as the teachers that are on strike, they haven’t emailed me in clear detail about it. I don’t think I’ve been assigned any readings.”

    Around lunchtime, Karen Carrillo, president of the Associated Students Inc. at Fresno State University, said there wasn’t a typical rush at the campus food court. Three of her five professors canceled classes this week, a move she supported.

    “We are still learning, even if it’s not in the classroom,” Carrillo said. “We’re learning from professors how to lead by example and how to fight for what they believe is right.”

    Michael Lee-Chang, a second-year student at Sacramento State, said the campus looked like a ghost town. A friend sent him a picture of one class in progress; the only people in the room were the student and the professor. Lee-Chang said he feels that most students support the strike.

    Cal State officials had circulated online forms, asking students to report classes that were canceled. Lee-Chang said many were reluctant to “snitch on their faculty, because it’s faculty they know and care about.” Some students were filling in the forms with spam, reporting on the status of fictional classes such as “Evil 101.”

    The rain did not keep Stevie Ruiz, a Cal State Northridge professor in the Chicana and Chicano studies department, from protesting. He said the vast majority of students stayed away from campus. Ruiz added that about half of Northridge’s student body is Latino, and many are the first in their families to attend college.

    “This is a working-class struggle. We’ve been really amazed by the outpouring of support from students. What happens to us affects them,” he said. “They care about us, and we care about them.”

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    Debbie Truong, Gabriel San Román, Howard Blume

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  • Biologics for CSU: When Is it Time to Try?

    Biologics for CSU: When Is it Time to Try?

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    Is It Time to Try a Biologic for CSU?

































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  • Biologics for CSU: When Is it Time to Try?

    Biologics for CSU: When Is it Time to Try?

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    If you have chronic spontaneous urticaria (CSU), also called chronic hives, and treatments like antihistamines and steroids aren’t helping, you may be a good candidate for biologics.

    What Are Biologics?

    Biologics are medicines that target specific antibodies, molecules, and cell receptors that cause inflammation and may trigger an allergic reaction like CSU.

    Omalizumab (Xolair) is the only FDA-approved biologic for CSU. It’s approved for adolescents and adults 12 years and older who have chronic hives. It’s a shot you get about once a month. It blocks IgE, the antibody that causes allergies.

    When you first try a biologic, your doctor gives you the shot to make sure everything goes smoothly. “There’s about a 1 in 2,000 risk of having an allergic reaction to the medication, so the first several doses are administered in a physician’s office or [an] infusion clinic,” says Kara Wada, MD, an allergist and immunologist at the Ohio State University Wexner Medical Center in Columbus.

    Your doctor may recommend that you keep taking your other CSU medicines at the same time.

    Do Biologics Work Well?

    Research suggests biologics are an effective treatment for CSU with a low risk of side effects. 

    In one study, more than 70% of the participants felt better within 24 weeks of taking a biologic. If a biologic helps with your CSU symptoms, you may also see improvements in your sleep quality, stress levels, and quality of life.

    Biologics are considered lowrisk for side effects, compared with immunosuppressant and anti-inflammatory drugs for CSU.

    When to Try a Biologic

    Your doctor may recommend a biologic if traditional CSU treatments aren’t working for you.

    “Typically, I start considering a biologic if a patient is having daily symptoms that aren’t responding well to antihistamine medications,” Wada says.

    With CSU, it’s best to take a step-by-step approach. The first step may be over-the-counter antihistamines. Your doctor may recommend higher doses of antihistamines than you would take for other allergies.

    Your doctor may also recommend steroids or other immunosuppressive medicines for a short time.

    “It may take a few weeks to have improvement,” says Viktoryia Kazlouskaya, MD, PhD, a dermatologist and dermatopathologist at Khrom Dermatology & Aesthetics in Brooklyn, NY. “Patience is key.”

    If your body is resistant to high doses of antihistamines, your doctor may recommend a biologic.

    What Biologics Are Available Now

    Although omalizumab is the only biologic approved for treating CSU right now, there are more on the horizon. “Other biologics are being studied, but aren’t yet FDA-approved,” Kazlouskaya says.

    Some doctors may use biologics that are approved to treat other conditions. This is called off-label use. They may try biologics like benralizumab (Fasenra), dupilumab (Dupixent), mepolizumab (Nucala), reslizumab (Cinqair), and secukinumab (Cosentyx) to treat CSU.

    Researchers are studying the following biologics to see how well they treat CSU:

    • Benralizumab (Fasenra), mepolizumab (Nucala), and reslizumab (Cinqair). These medicines are approved to treat asthma, but not CSU.
    • Dupilumab (Dupixent). In a small study, this medicine helped people who didn’t respond to omalizumab.
    • Ligelizumab (QGE031). Like omalizumab, this is an antibody that binds to IgE.
    • Secukinumab (Cosentyx). This medicine may help people with chronic hives who don’t get relief from other treatment options.

    Doctors hope to have more options as studies continue. With more biologics to choose from, doctors can use predictive biomarkers to choose which one is most likely to work for you.

    What to Consider With Biologics

    Though proven to have many benefits, biologics have also been shown to have several downsides.

    Inconvenience. You may have to go to a doctor’s office every month to get your shot or IV. “If you’re low-risk, you may be able to do it at home,” Wada says, “but that’s less common.”

    High costs. “Biologics also have a high price point,” Wada says. “Most people will need insurance coverage or will have to rely on the drug company’s copay assistance programs to help offset the costs.” On top of the biologic’s cost, you may also have to pay your doctor’s office or IV center for administrative costs if they charge any.

    Long-term effect. Even though studies suggest biologics improve CSU symptoms, it’s unclear if they can change the long-term course of your CSU. If you take a biologic and decrease your dose or stop taking it altogether, it’s possible for your symptoms to come back. You might need to take a biologic for a long time to trigger remission. 

    Health Insurance Considerations

    “Unfortunately, it’s very challenging to get biologics for patients with CSU, especially if they don’t have private insurance coverage,” Kazlouskaya says.

    You may have to wait a few months for approval. Your health insurance company may require you to try a less expensive medicine first, even if it’s not effective for CSU.

    Even if your health insurance approves a biologic, you may still have high out-of-pocket costs, depending on the type of plan you have. “Some high-deductible health care plans require that patients meet their out-of-pocket costs before coverage kicks in,” Wada says.

    If you have Medicare, you may not qualify for copay assistance programs.

    Biologics may work well and give you relief from CSU symptoms. But they’re not for everyone. Talk to your allergist about what’s right for you and whether it’s time to try a biologic.

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  • CSU: What to Wear and What to Avoid

    CSU: What to Wear and What to Avoid

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    If you have chronic spontaneous urticaria (CSU), also called chronic hives, the clothes you wear may affect the condition.

    Wearing the right clothes can make your skin feel better and keep hives at bay. But certain materials, chemicals, and clothing features can aggravate your skin, make itching worse, and cause your hives to spread.

    Here are some tips for what to wear and what to avoid when you have CSU.

    Choose Loose-Fitting, Lightweight Clothes

    “Loose-fitting clothing is preferred,” says Viktoryia Kazlouskaya, MD, a dermatologist and dermatopathologist at Khrom Dermatology & Aesthetics in Brooklyn, NY.

    Light, loose clothes help your skin breathe. On the other hand, pressure from tight clothes may irritate your skin and make your hives worse.

    Look for Gentle Materials

    When you shop, choose clothing that’s soft, smooth, and gentle on your skin.

    “Look for natural soft materials, loose-fitting designs, and light colors, especially if you’re sensitive to dyes,” Kazlouskaya says.

    Soft, natural materials include:

    If you choose a synthetic or semi-synthetic material, such as viscose, make sure it’s soft so it’s gentler on your skin.

    Try not to wear clothes that are rough or scratchy. “Wool and nylon clothing should be worn with caution,” Kazlouskaya says. These materials may scratch your skin and make your hives flare up.

    If you wear clothing that’s not gentle on your skin, try wearing soft underwear underneath so there’s a barrier between your skin and the fabric.

    Get a Proper Fit

    If your clothes don’t fit well, they may rub against your skin. This creates friction, which may make your hives worse.

    “Avoid clothes that are too tight or fit poorly,” Kazlouskaya says. This also applies to shoes. If your shoes are too tight or too loose, they may cause friction and irritate your skin.

    Avoid Clothing Features That Put Pressure on Your Skin

    Some clothing features put pressure on your skin and can lead to problems.

    “Tight elastic bands, like in some socks and undergarments, are a common trigger,” says Kara Wada, MD, an allergist and immunologist at the Ohio State University Wexner Medical Center in Columbus. Avoid these clothing features if you can.

    Avoid Accessories That Cause Irritation

    Even the bag you use to carry personal items can make CSU worse. If a bag or a bag strap rests against your body, it can irritate your skin.

    “Avoid wearing heavy purses and backpacks if pressure is a trigger,” Wada says.

    Pressure from wearing belts can also make hives worse. Try a loose waistband instead. “If a belt is needed, it’s best to stick to elastic waistbands and elastic belts,” she says.

    Protect Your Skin From Heat and Sunlight

    Heat can make itching worse.

    Try to stay out of direct sunlight. If you’re in the sun, wear protective clothing.

    “Some folks will find getting too warm exacerbates the itching associated with hives,” Wada says. “Dressing in layers and breathable fabrics can help you cool off.”

    Protect Your Skin From the Cold

    If low temperatures are a trigger for you, try to avoid exposing your skin to cold air. If you’re outside in cold weather, cover up with warm clothing. Consider using a scarf to protect your nose and mouth.

    Wash New Clothes Before You Wear Them

    Certain chemicals used in clothing production may cause an allergic reaction. “The most common ones are dyes and formaldehyde used for wrinkle-free clothes,” Kazlouskaya says.

    Dimethyl fumarate, a chemical used to prevent mold growth in clothes, can also trigger hives. “The use of this chemical is banned in the U.S. and the European Union, but some cheap stores may still sell products with this substance,” Kazlouskaya says.

    Wash Your Clothes With a Gentle Detergent

    “Fragrances, colors, and emulsifiers in detergents may potentially cause contact urticaria,” Kazlouskaya says.

    Choose a fragrance-free, dye-free detergent. Look for one that’s made for sensitive skin.

    For added protection from chemicals, try running your clothes through an extra rinse cycle and avoid dryer sheets.

    Embrace New Styles

    If you’re used to form-fitting clothes, wearing looser styles may be an adjustment. But there are many ways to look stylish with different types of clothes.

    Have fun mixing and matching styles. “Try to combine them,” Kazlouskaya says. “For example, wear wide pants with a well-fitting blouse.”

    Try small changes. “Clothing doesn’t have to be super baggy,” Wada says. “Just choose something that’s loose enough for your skin to breathe.

    “And remember,” she says, “comfort is key, especially if you’re itchy.”

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  • CSU: What to Wear and What to Avoid

    CSU: What to Wear and What to Avoid

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    CSU: What to Wear and What to Avoid

































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  • Treatment Plan for Chronic Spontaneous Urticaria

    Treatment Plan for Chronic Spontaneous Urticaria

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    Chronic Spontaneous Urticaria Treatment

































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  • When the Hives of CSU Don’t Go Away on Their Own

    When the Hives of CSU Don’t Go Away on Their Own

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    Chronic Spontaneous Urticaria: When Hives Don’t Go Away on Their Own

































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  • Chronic Spontaneous Urticaria: What to Know

    Chronic Spontaneous Urticaria: What to Know

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    Chronic Spontaneous Urticaria: What to Know

































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  • How Chronic Spontaneous Urticaria Is Different

    How Chronic Spontaneous Urticaria Is Different

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    How Chronic Spontaneous Urticaria Is Different

































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