Best of the States

AP traces black Americans’ history of mistrust toward the medical field

As New York, Chicago, New Orleans and other cities with large black populations began to emerge as hot spots for COVID-19, reporters Aaron Morrison and Jay Reeves decided it would be relevant to examine how black Americans have historically mistrusted the medical field.

The pair connected the skepticism in the black community in part to the aftermath of the notorious “Tuskegee Study,” in which roughly 600 poor black Alabama men were left untreated for syphilis to track the disease’s progress. The secret program was exposed in 1972 and ended, but its effects linger, well beyond Alabama.

With photography by Bebeto Matthews, the story received heavy play as the nation wrestled with the high rate of coronavirus infections among the black community.

For setting the AP apart with a timely examination of black Americans’ mistrust of the medical field, Morrison, Reeves and Matthews win this week’s Best of the States award. 

Best of the States

AP Exclusive: Secret panel investigating Louisiana State Police unit’s treatment of Black motorists

From the very beginning of Jim Mustian’s stellar reporting on the death of Black motorist Ronald Greene, he has been driven by two main questions: What really happened to Greene on the night of his 2019 arrest? And was this a pattern of how Louisiana state troopers treated Black motorists?

Mustian answered the first last month when he obtained body camera video showing troopers stunning, choking, punching and dragging the unarmed Greene as he apologized and begged for mercy. 

And he began answering the second this past week when he exclusively reported that the Louisiana State Police has convened a secret panel to investigate whether Troop F — the same unit involved in Greene’s arrest  — was systematically targeting other Black motorists. Mustian’s detailed reporting and solid sourcing turned up new cases and new video, and he landed the first-ever interview with one of the victims. 

His scoop scored with heavy play and strong engagement. For dogged reporting to keep the AP ahead on a searing case of racial injustice and its continuing fallout, Mustian earns this week’s Best of the States award.

Beat of the Week

(Honorable Mention)

Exposing how ‘desperation science’ slows the race for a remedy

revealed how pressure and politics have corrupted and delayed the scientific process, slowing the development of effective treatments against the coronavirus pandemic.Marchione reviewed studies that are underway and interviewed dozens of doctors, researchers, patients and policy experts as she looked at organizations trying to do rigorous science, as well as the issues undermining that research. Young found creative ways to tell the story visually, including a GoPro mounted on a medical cart. Together they document a Pennsylvania COVID-19 patient enrolled in a clinical trial.The story – challenging to report because of the fluid and chaotic nature of the subject itself – attracted readers and generated interest on social media, a strong showing for non-breaking news.https://bit.ly/2B1uyxRhttps://bit.ly/2CFLpqo

Beat of the Week

(Honorable Mention)

Costs have more than doubled to overhaul California prison medical records

for reporting that the cost of California's project to modernize its prison medical records system has ballooned to nearly $400 million and is years behind schedule. http://abcn.ws/2hqvFZU

Best of the States

AP investigation reveals federal judge impaired by alcoholism

Baton Rouge-based reporter Michael Kunzelman was reporting on the police killing of a black man outside a convenience store last summer when a source called to encourage him to look into a case in front of a federal judge that had been mysteriously reassigned. It wasn’t the easiest time to be chasing down tips: the Alton Sterling shooting was swiftly followed by the killings of three law enforcement officials and then catastrophic flooding in Louisiana’s capital.

But Kunzelman didn’t forget about it.

When he was free, he began an investigation into the performance of U.S. District Judge Patricia Minaldi, work that would take months and aggressive use of public records. It culminated with the discovery last week she’d been ordered to seek treatment for alcoholism so severe that a colleague believed she couldn’t take care of herself. For his work Kunzelman wins this week’s Best of the States award.

Beat of the Week

(Honorable Mention)

For homeless on heroin, treatment can be elusive with no ID

for shedding light on an overlooked aspect of the opioid epidemic: how homeless heroin addicts are being turned away from treatment because they lack photo IDs. http://bit.ly/2uiehAi

Best of the Week — First Winner

AP releases mini-documentary package about the US opioid crisis

How best to capture the story of recovering opioid users?

Chicago-based medical writer Lindsey Tanner and Atlanta-based photographer/videographer David Goldman teamed up to produce an intimate look at a diverse group of people – among them, a lawyer, a businessman and a trucker – who got caught up in the worst opioid epidemic in U.S. history.

Their illuminating package – combining Tanner's powerful text and Goldman's photos with a haunting mini-documentary – earns the Beat of the Week.

Best of the Week — First Winner

Exclusive and explosive: WHO leader in Western Pacific accused of racism and abuse

London-based medical writer Maria Cheng, drawing on leaked emails, interviews, recordings and her deep understanding of the World Health Organization, revealed that dozens of staffers have accused Dr. Takeshi Kasai, the U.N. agency’s regional director for much of Asia, of racism and abuse, and that his actions allegedly hampered WHO’s efforts to curb the COVID pandemic in the region.

Cheng obtained internal complaints and talked to current and former staffers who said Kasai had engaged in racist, unethical and abusive behavior. Staffers said the departure of more than 55 WHO personnel from this critical region, most not replaced, significantly contributing to a surge in cases in many countries. Kasai was also accused of sharing COVID information improperly with his home country, Japan, for its political gain.

In an email to the AP, Kasai denied charges of racism and unethical behavior and said he had taken steps to communicate with all his staff.

Cheng’s story was explosive. At Saturday’s closing session of WHO’s board meeting, several countries pressured the organization to investigate the allegations reported by the AP. By Monday, the WHO director-general said an investigation had started.

For deeply reported, groundbreaking work that has had an impact, Cheng is AP’s Best of the Week — First Winner.

Best of the Week — First Winner

AP examines patient consent before pelvic exams; states, med schools split on legislation

“Don’t dismiss a [story] idea just because it’s unfamiliar. Pelvic exams aren’t exactly in the wheelhouse of the State Government Team, but it turned out to be a really terrific and distinctive topic.”

That’s one editor’s takeaway from a story by Providence, Rhode Island, reporter Jennifer McDermott and Seattle medical writer Carla Johnson, both of whom, acting on a heads-up from New York photo editor Jenny Kane, found that it’s common practice for medical students to perform a pelvic exam on women under anesthesia as part of their training. Whether the patients have given consent for that exam is not clear, drawing the interest of state lawmakers.

The pair faced multiple obstacles in reporting the story, including initial reluctance by doctors and harried legislators to discuss the issue, but McDermott and Johnson succeeded in defining the conflict between medical schools and elected officials seeking to protect patient rights. Their efforts resulted in a unique story that received heavy play among major AP customers, both online and in print.

For their teamwork, execution and sensitive handling of a complex topic, McDermott, Johnson and Kane win AP’s Best of the Week award.

Best of the States

Long leads team coverage of fatal hospital shooting

New York City police reporter Colleen Long was taking the elevator at police headquarters on a quiet Friday afternoon before the Fourth of July weekend when she overheard a couple of patrol officers suddenly talking with alarm. “Oh my God,” one of them said. “Something’s going on at Bronx Lebanon Hospital. I think an active shooter.”

Long got off on the next stop and immediately called a source as she took the stairs down to her office in the second-floor press room, known as “the shack.” By the time she got to the desk, she had enough information to call the New York City bureau with a barebones APNewsAlert: “NEW YORK (AP) — Police are responding to a report of shots fired inside a New York City hospital.”

So began a bureau-wide reporting effort on a story that would unfold in unusual detail, even in the long litany of American gun violence. For leading a team effort that put the AP out front and kept us there, Colleen Long wins the Best of the States Award and the $300 that goes with it for the second week in a row.

Beat of the Week

(Honorable Mention)

AP Exclusive: Outgoing WHO head practiced art of appeasement in health-challenged countries

for obtaining a decade worth of private notes on every official trip taken by outgoing World Health Organization director-general Margaret Chan, allowing her to report on unusual meetings with Russia, North Korea and Turkmenistan. https://www.yahoo.com/news/ap-exclusive-outgoing-h...

Beat of the Week

(Honorable Mention)

AP investigation reveals nonexistent mask shortage

acted on a tip from a former federal official to reveal that hospitals were continuing to ration medical masks for their workers even when they had months of supply in store. The team’s investigation found a logistical breakdown at the heart of the perceived mask shortage, rooted in federal failures to coordinate supply chains and provide hospitals with clear rules about how to manage their medical equipment.The initial tip came from a source inside the U.S. Centers for Disease Control and Prevention, who shared pages of emails asking why U.S. manufacturers weren’t able to sell their products. In a series of interviews, the reporters surveyed hospital procurement officers representing more than 300 hospitals around the country and learned that all had two to 12 months supply of N95 masks in storage, but almost all were limiting workers to one mask per day, or even one per week. Meanwhile, at least one manufacturer had so many masks warehoused that it recently got government approval to export them.The story was used widely, and Dearen was interviewed live on CBS News. https://bit.ly/3pOAhub

Best of the Week — First Winner

AP data project shows women facing restrictions increasingly seek abortions out of state

Legislative debates over restricting abortion access in the U.S. have been among the most hotly contested and thoroughly covered state government topics of recent years. But what of the women affected by those laws? A distinctive, data-driven investigation by the state government and data teams provided answers: Each year thousands of women travel to get abortions in another state, and the share of non-resident women getting abortions had risen significantly in states where conservative legislatures passed measures restricting the procedure.

To arrive at that conclusion, state government team reporter Christina Cassidy went state-by-state to gather the most recent abortion data, while data team editor Meghan Hoyer oversaw the methodology and analysis. Cassidy also worked sources to find women who had left their home state for an abortion, humanizing the story behind the data. Colleagues Alina Hartounian, Susan Montoya Bryan, Gillian Flaccus and Francois Duckett produced compelling all-formats content for the package.

A unique dataset released before publication allowed AP’s member publications to produce localized graphics and stories. The project checked all the boxes for customer and reader engagement, which was extraordinarily strong.

For putting the AP out front on one of the most contentious issues roiling American politics, Cassidy, Hoyer, Flaccus, Montoya Bryan, Hartounian and Duckett share AP’s Best of the Week award.

Beat of the Week

(Honorable Mention)

$1,000 Vivitrol injections given inmate addicts to prevent relapses, but do the shots work?

for first spotting news in a single line in a state Medicaid waiver form, and then chasing down and chronicling in text and video how prisons in the U.S. are experimenting with $1,000-per-shot Vivitrol injections to keeps inmate from falling back into addictions, even without iron-clad medical evidence that they work. http://www.cbsnews.com/news/prisons-fight-opioids-...

Beat of the Week

(Honorable Mention)

Exclusive reveals probe into actions of WHO’s Syria leader

revealed the largest internal investigation conducted by the World Health Organization in years — over allegations by WHO staffers in Syria that their boss mismanaged millions of dollars, plied government officials with gifts and acted frivolously as COVID-19 swept the country.A tip last November about misconduct in the Syria office led to nearly a year of document reporting and source work for Cheng, AP London-based medical writer. Instrumental to this story was her previous reporting about accusations of racism against WHO’s regional director in the Western Pacific. That coverage led to the director being placed on leave, which persuaded Syria staffers of WHO, some of whom had been reluctant to talk to AP, that Cheng’s reporting could result in concrete action. They provided further documentation of Dr. Akjemal Magtymova’s management practices in Syria, and Cheng had her exclusive.The story won massive play in the Middle East and WHO dispatched an ethics team to Cairo, while major AP competitors reached out to congratulate Cheng on her scoop.Read more

Beat of the Week

(Honorable Mention)

Letter reveals disputed case of euthanasia in Belgium

for obtaining a letter detailing the death of a dementia patient in Belgium that raises concerns about the country’s euthanasia laws. http://bit.ly/2GyhTzF

Beat of the Week

(Honorable Mention)

Casual remark from CDC leads to scoop on flu deaths

for being first to report that influenza claimed 80,000 American lives in 2017-18, making it the deadliest flu season in decades. Attending an evening event to build sources, Stobbe heard the CDC’s leader, Dr. Robert Redfield, refer nonchalantly to a death toll of 80,000 last flu season. Realizing the figure had not been made public, Stobbe did follow-up reporting and landed the scoop just a day before the CDC made the figure public. https://bit.ly/2xIBgUK

Best of the Week — First Winner

​AP investigation: Children suffered as Vatican hospital chased profits

The approach to Vatican Correspondent Nicole Winfield came from a member of a task force that had investigated care at Italy’s foremost pediatric facility, known as “the pope’s hospital.” The contact feared that serious concerns raised by the task force hadn’t been addressed two years later.

That tip, in late 2015, set the AP on a 20-month investigation of the Bambino Gesu (Baby Jesus) Pediatric Hospital. Winfield teamed up with London-based Medical Writer Maria Cheng to reveal a dark chapter in the facility's history. They found that children sometimes paid the price as administrators tried to make the money-losing enterprise turn a profit, and Vatican officials took pains to keep the concerns quiet.

Their work earns the Beat of the Week.

Best of the Week — First Winner

As cases peak, AP duo embeds in a French ICU for a 24-hours in the battle against COVID-19

Just as a second surge of coronavirus cases peaked in France, Associated Press journalists secured exclusive, hard-won access to an intensive care unit in southern France’s largest hospital for 24 hours, capturing the exhaustion, loneliness and dedication medical workers desperately struggling to save lives.

After a full day embedded with the ICU team, AP freelance photographer/video journalist Daniel Cole and global enterprise reporter Lori Hinnant came away with a searing, intimately reported all-formats account of Marseille’s La Timone  hospital, as medical staff tried to keep even one bed open.  

For their dogged pursuit of access, tireless reporting and sensitive, compelling and timely storytelling, Cole and Hinnant earn AP’s Best of the Week award.

Beat of the Week

(Honorable Mention)

AP finds rural hospital running out of staff during surge

acted on a source’s tip to reveal the pandemic’s toll on rural Midwestern hospitals during the current case surge. She told the story of a tiny Kansas hospital, full of patients and struggling to function as much of its own staff was sidelined with COVID-19. At one point a doctor and physician assistant tested positive on the same day, briefly leaving the hospital without anyone who could write prescriptions or oversee patient care. Hollingsworth spoke with hospital staff, including the radiology technician who slept in an RV in the parking lot for more than a week because his co-workers were out sick and there was no one else available to take X-rays.A medical staffing agency saw the story and responded by offering to send nurses to the town to help out, a sign of the power and reach of the AP. https://bit.ly/34gVpl1