News publications and other organizations are encouraged to reuse Direct Relief-published content for free under a Creative Commons License (Attribution-Non-Commercial-No Derivatives 4.0 International), given the republisher complies with the requirements identified below.

When republishing:

  • Include a byline with the reporter’s name and Direct Relief in the following format: "Author Name, Direct Relief." If attribution in that format is not possible, include the following language at the top of the story: "This story was originally published by Direct Relief."
  • If publishing online, please link to the original URL of the story.
  • Maintain any tagline at the bottom of the story.
  • With Direct Relief's permission, news publications can make changes such as localizing the content for a particular area, using a different headline, or shortening story text. To confirm edits are acceptable, please check with Direct Relief by clicking this link.
  • If new content is added to the original story — for example, a comment from a local official — a note with language to the effect of the following must be included: "Additional reporting by [reporter and organization]."
  • If republished stories are shared on social media, Direct Relief appreciates being tagged in the posts:
    • Twitter (@DirectRelief)
    • Facebook (@DirectRelief)
    • Instagram (@DirectRelief)

Republishing Images:

Unless stated otherwise, images shot by Direct Relief may be republished for non-commercial purposes with proper attribution, given the republisher complies with the requirements identified below.

  • Maintain correct caption information.
  • Credit the photographer and Direct Relief in the caption. For example: "First and Last Name / Direct Relief."
  • Do not digitally alter images.

Direct Relief often contracts with freelance photographers who usually, but not always, allow their work to be published by Direct Relief’s media partners. Contact Direct Relief for permission to use images in which Direct Relief is not credited in the caption by clicking here.

Other Requirements:

  • Do not state or imply that donations to any third-party organization support Direct Relief's work.
  • Republishers may not sell Direct Relief's content.
  • Direct Relief's work is prohibited from populating web pages designed to improve rankings on search engines or solely to gain revenue from network-based advertisements.
  • Advance permission is required to translate Direct Relief's stories into a language different from the original language of publication. To inquire, contact us here.
  • If Direct Relief requests a change to or removal of republished Direct Relief content from a site or on-air, the republisher must comply.

For any additional questions about republishing Direct Relief content, please email the team here.

For Sonoma County’s Health Centers, The Kincade Fire Brings Déjà Vu

Health care organizations are preparing to treat a population still recovering from the Tubbs Fire.


California Wildfires

Small spot fires smolder near a destroyed structure in Geyserville, California after the Kincade Fire moved through the area. Fueled by high winds, the Kincade Fire has burned over 66,000 acres. (Photo by Justin Sullivan/Getty Images)

Annemarie Brown is worried about her health center’s homeless patients.

“The air quality is very poor, and they are people who do not have a lot of mobility,” said Brown, the director of communications at Santa Rosa Community Health Center. “The ability to get to other places to evacuate…those systems are not as accessible to them.”

Brown isn’t just worried about one patient group. Patients with chronic diseases and breathing issues, high-risk pregnancies…they’ll all need care and attention.

But for some people in particular, including many experiencing homelessness, the Kincade Fire has particular resonance.

Many of the health center’s patients weren’t homeless until after the Tubbs Fire, which tore through Santa Rosa in October of 2017, destroying 5% of the city’s housing. After the fire, rents skyrocketed. The number of homeless shot up.

In addition, the blaze was traumatic, directly contributing to post-traumatic stress disorder and other mental health issues in the larger community.

Santa Rosa Community Health even lost one of its locations – newly rebuilt and reopened in August of 2019 – to the Tubbs Fire.

Late last week, the Kincade Fire didn’t seem like an immediate threat to Santa Rosa. Shelters had even been set up within the city. But strong winds and high heat have helped the blaze flourish. Currently, it’s more than 66,000 acres in size, and only about 5% contained.

And as the fire grows nearer, it threatens a community that’s already struggling to recover from last time.

Brown estimated that 80% to 90% of Santa Rosa Health Center’s staff have been evacuated. The center is temporarily closed, although Brown hopes they’ll be able to open one or two sites on Tuesday – along with a much-needed pharmacy – to provide care to walk-ins, people who need vital prescriptions, and patients dealing with asthma, COPD, and other breathing conditions.

At the best of times, wildfires are disastrous to community health. Immediate dangers aside, the poor air quality that can extend for many miles around a fire zone affects everything from asthma to cardiovascular disease.

Patients forced to evacuate without vital medications – like insulin for diabetes – can quickly see a previously well-managed condition flare into an emergent crisis.

And crowded shelters are breeding grounds from everything from viruses – flu season is just beginning – to scabies.

But in the wake of another catastrophe, it’s essential to add mental health to the list of community needs. Post-traumatic stress disorder, anxiety, and depression are all common after natural (and unnatural) disasters.

“It’d be safe to say we’re anticipating seeing more [mental health needs] this week and the following week,” Brown said.

Pedro Toledo is chief administrative officer at Petaluma Health Centers, which is currently providing medical care to all three designated shelters in Petaluma – along with a few informal shelters that have popped up at community organizations.

People at the shelter are mostly focused on the present, he said. Many have been evacuated, then re-evacuated as the Kincade Fire quickly gained strength and size. “Right now, they just don’t have a place to live. They’re just trying to figure out what’s happening now,” he said.

When people at the shelters seek mental health, Toledo explained, they primarily want help coping with the stress and uncertainty of their current situation.

But that will change in the coming days and weeks, he anticipates. “I think it’s just so traumatic to go through this again. It just compounds the trauma of last time,” he said.

Giving is Good Medicine

You don't have to donate. That's why it's so extraordinary if you do.