The Brief

Breast cancer is very treatable when caught early, and mammograms, which are X-ray images of breasts, are a reliable screening test to detect it. Now, final guidelines released Tuesday from the U.S. Preventive Services Taskforce urge all women to get screened every other year, starting at age 40.

The new recommendation applies to all people assigned female at birth who are at average risk of breast cancer.

The recommendation is based on a review of new evidence by an independent panel of experts at the task force. Until now, women in their 40s have been encouraged to have a conversation with their health care provider about when to start mammograms based on their personal risks.

The task force's previous recommendation was for women to start mammograms at 50, and for women ages 40-49 to consider it, depending on personal risk. The American Cancer Society recommends that women 40 to 44 who are at "average" risk should "have the option" to start screening, but stops short of recommending it for all women, until age 45.

The evidence has shifted in support of recommending mammograms for all women at 40, says, Dr. Carol Mangione, an internal medicine specialist at UCLA who served as previous Chair of the U.S. Preventive Services Taskforce and is co-author of the new recommendation.

"New and more inclusive science about breast cancer in women younger than the age of 50 has allowed us to expand our prior recommendation," Mangione says. Mangione points to the rise in breast cancer among people in their forties. "There are a lot more women getting breast cancer, and that influences our recommendation," she says.

The task force recommendations are considered the gold standard because they're based on a thorough review of evidence by an independent group of experts. Many doctors follow the task force guidelines. The Affordable Care Act requires most private health insurers to cover annual mammograms, with no cost sharing, making them free to patients.

Breast cancer is the second leading cause of cancer death among women. About 42,000 women and 500 men die from the disease each year, according to the CDC.

"If all women followed our new recommendation, we could reduce mortality from breast cancer in the U.S. by about 20%," says Mangione, saving about 8,000 lives a year. "That's a big reduction in mortality from breast cancer," she says.

Black women are 40% more likely to die from breast cancer, so the new recommendation is "incredibly important" to address this disparity, Mangione says. "Starting at 40 actually creates the most benefit for Black women in our country," she says.

When someone is diagnosed with breast cancer, there are many interactions with the health care system, from screening to biopsy to treatment. "Because of structural racism and health equity problems, there's probably a step off at every single part of that pathway for Black women," Mangione says. "The cumulative effect is they end up with higher mortality."

In order to address this health disparity, the Task Force is "urgently calling" for more research.

Women with a family history or genetic risk factors who are at high risk of breast cancer may start screenings before age 40, and there are separate screening recommendations for women at high risk. But for women at average risk, there's previously been debate about what age to begin and how often.

Mangione says the task force "looked hard" to see if annual screening would save more lives than bi-annual screening. For now, "we found that every other year was the optimal strategy,' she says, though she says more evidence is needed.

"Believe it or not, there's never been a clinical trial in the U.S. that has compared annual to biannual with our current technology and treatments," Mangione says. "This is a big evidence gap." The task force also calls for more research to better understand whether people with dense breasts, which can make breast cancer more difficult to detect, could benefit from additional screening such as breast ultrasound or MRI.

Several medical groups have breast cancer screening recommendations. The American College of Obstetricians and Gynecologists recommends that women at average risk of breast cancer should get a mammogram every 1 to 2 years, beginning at age 40. So, the new recommendation from the U.S. Preventive Services Taskforce brings the screening recommendations into alignment.

"We're seeing a consensus," Mangione says, that starting at 40 and having mammograms every other year can be beneficial.

This story first appeared on Long Beach Post.

For Luis Mendiola, the kitchen is his happy place. It has been since he was a kid. The kitchen is warm and comfortable. The kitchen feeds him and keeps him safe.

“It’s like being in the womb. You are always protected,” Mendiola said in Spanish. And while Mendiola loves cooking in the kitchen, his wife, Veronica Lopez, enjoys serving customers.

Together, they’re running their dream restaurant in West Long Beach, Black Pork. Lopez describes Black Pork as “a multicultural, California-style” restaurant.

Before meeting in California and settling in Long Beach together, Mendiola and Lopez learned to cook in various professional kitchens from Mexico to London, Louisiana to Oregon. Drawing from their experiences around the world, they put together a menu of comfort foods: empanadas, mac and cheese balls, clam chowder, Cubano sandwiches, hamburgers, barbecue ribs, porchetta, Korean barbecue and more.

“We want to give people something different with our style,” Lopez said.

Veronica Lopez and Chef Luis Mendiola own and operate Black Pork restaurant in West Long Beach.

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The menu is a culmination of customer feedback over the last three years and what the couple just wants to make. Clam chowder holds a special place in Mendiola’s heart because it was one of the first soups he learned how to make, so when customers asked for a soup, it was easy to decide which one. The clam chowder was only supposed to be on the menu for a couple of months, but customers loved it so much they kept it as a regular menu item. The soup, like almost all of their food, is made from scratch and has a hint of spice from the splash of Tabasco and white pepper that Mendiola adds.

With a name like Black Pork, their pork dishes, of course, take center stage.

“The pork belly skewers are decadent; crispy but tender, the smoky flavor is perfect. Chef Luis makes some mouth-watering Cubano pulled pork, too,” Kate Maule, a long-time customer, said. “I honestly won’t order a Cubano sandwich anywhere else because it will never be made with the care Chef Luis takes.”

Inside Black Pork, a three-foot-tall black pig wearing a scarf and glasses greets customers as they walk through the door. A smaller pig wearing a bow tie stands on the counter next to the register. Illustrations of pigs line the left wall and figurines of pigs with wings sit on a shelf above the tables. Mendiola and Lopez’s nod to John Steinbeck’s Pigasus — a symbol of aspiration.

The pig motif and the restaurant’s name are a reflection of Mendiola’s passion for cooking with pork.

“[Mendiola] loves to cook with the pork because he says that you can work with everything: the head, the tongue, the feet, everything. You can do whatever you want,” Lopez said.

Cuban pork sandwich at Black Pork restaurant in West Long Beach.

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In the three years they’ve been open, Lopez said Black Pork has gained a loyal following from customers in Long Beach and surrounding cities.

“I don’t know why people come here, but I love that they do it,” Lopez said.

Maule said it is the food and the warm hospitality of Lopez and Mendiola that make Black Pork one of her favorite restaurants and keeps her coming back at least once a month since they opened in 2023.

“You don’t just go for a good meal. You visit friends, too,” Maule said. “Chef Luis and Veronica aren’t just chefs; they’re the best kind of people.”

Guava and spices (left) and peach ginger iced tea at Black Pork restaurant in West Long Beach.

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Long Beach Post

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She appreciates how much care they put into every dish.

“You can tell Chef Luis put himself into all of his smoked meats; you can tell Chef Veronica puts her last touches on everything before that plate gets put in front of you. I rarely get that feeling anywhere else,” Maule said.

Christine Cabrera’s customers at PBS Pub in Wrigley, kept raving about the empanadas at Black Pork. When Cabrera and her husband, who help run the pub, finally went to Black Pork a few months after the restaurant opened, they planned on ordering their food to-go. But they dined-in after meeting Lopez and Mendiola.

“We hit it off with [Mendiola and Lopez], ordered appetizers, and left with full bellies and hearts,” Cabrera said. Now, Cabrera and her husband are one of the many frequent customers at Black Pork and sell their empanadas at their pub.

“We are a community of small businesses. Our neighbors aren’t just people who live here, but also people who believed in the neighborhood enough to invest here, which makes it even more important that we lean into helping other small businesses that have that same dedication,” Cabrera said.

Black Pork’s owners said they work 12 hours a day, six days a week and run the restaurant by themselves because, “it’s something that we do with all the love in the world,” Lopez said.

Black Pork, 1916 W Willow St., is open Mondays from 10 a.m. to 8 p.m. and Tuesdays through Saturdays from 9 a.m. to 8 p.m.

Starting Saturday, Nov. 7, the 63-year-old Vincent Thomas Bridge will shut down until at least March 2028 for major construction. Workers will replace its deck, which has become “severely deteriorated” from thousands of vehicles driving across it daily.

The Vincent Thomas, which connects San Pedro to Terminal Island, is the state’s fourth-longest suspension bridge. It handles an estimated 53,000 vehicles — including 4,600 heavy trucks — each day.

The bridge is often the quickest route between San Pedro and Long Beach. Detours along Anaheim Street or Pacific Coast Highway could double many people’s commute times.

Tate Allen and his San Pedro neighbors have begun referring to the closure as “Harborgeddon.”

The Vincent Thomas Bridge will close to traffic starting Saturday, Nov. 7 in San Pedro, Monday, Nov. 2, 2026. Photo by Thomas R. Cordova.Allen, with help from Claude AI, even put together a website bearing that name that has a countdown clock and a map of suggested detours.

Caltrans’ official detour recommends that drivers from San Pedro use the 110 Freeway to access Harry Bridges Boulevard, then take the 47 Freeway at Henry Ford Boulevard or the 710 Freeway.

That’s likely the route most truck drivers entering and exiting the Port of Long Beach will take, Allen said, and commute times could vary widely depending on the time of day.

He currently travels from San Pedro to his downtown Long Beach office three days a week. Once the bridge closes, his 15-minute drive will likely take 30-45 minutes, Allen estimated.

Ahead of the bridge closure, Los Angeles City Councilmember Tim McOsker, who represents District 15 including San Pedro and Wilmington, pushed for road improvements along the detours to prepare them for increased traffic.

In Wilmington, those efforts included “slurry sealing along Alameda Street and Harry Bridges Boulevard, with concrete repairs in some locations,” Sophie Gilchrist, the councilmember’s spokesperson, wrote in a statement.

McOsker is also asking the Los Angeles Department of Transportation to monitor traffic on Anaheim Street after the bridge closes and identify short-term and long-term fixes “if problems arise,” Gilchrist wrote.

Why is this happening now?

Caltrans began forming this plan after a 2021 inspection found that the bridge deck condition had dropped from “fair” to “poor” in part because of heavy truck traffic from the ports of Los Angeles and Long Beach.

That ultimately led to the $750 million bridge deck replacement project, which will also replace the center median, railing, fencing and install new seismic sensors and utilities on the bridge.

Caltrans officials say a full bridge closure was the most palatable of several unsavory options. Plans to just close the bridge at night would have stretched construction to 48 months. A mix of weekend and overnight closures to keep one lane open ranged between 25 and 32 months.

What does this mean for locals?

Business owners in San Pedro are worried that lengthy detours will frustrate potential customers and lead to a dip in sales.

Stephanie Crawford, who has owned Creative Pet Supply in San Pedro for the past 26 years, said construction on the 47 Freeway off-ramp just up the road from her business has already hurt.

Lately, she’s had “quite a few” customers from Long Beach asking how they’ll be able to visit her store once the bridge shuts down.

She’s been telling customers: “We’ll still be open, if you can get to us.”

The Vincent Thomas Bridge will be closed for repairs for over a year, starting Saturday, Nov. 7, in San Pedro, Tuesday, Nov. 3, 2026. Photo by Thomas R. Cordova.The closure might also be a headache for the historic Warner Grand Theatre in downtown San Pedro, which is just finishing up renovations of its own, albeit at an inopportune time, said Liz Schindler Johnson, executive director of the Grand Vision Foundation – a nonprofit arts organization that markets the theater’s events.

On average, roughly 10-15% of their audience comes from Long Beach, Schindler Johnson said. She’s hoping they won’t be put off by the longer drive, especially because the shows primarily take place on weekends.

Two of her eight employees typically commute over the bridge to their San Pedro office and are bracing for added drive time, she said.

“We don’t want to go back to remote work if we can help it,” Schindler Johnson said.

Meanwhile, Allen is trying to stay positive. The longer drive, he said, will give him an excuse to catch up on audiobooks and check out a new grocery store — the Northgate Market along Pacific Coast Highway in Wilmington.

Construction of the green metal fence around MacArthur Park will begin Monday, Nov. 16, with work scheduled to continue through fall 2027.

The city announced the start date Nov. 4, saying crews will install an 8-foot fence around the park’s perimeter. Nearby residents and businesses can expect some noise, dust and vibration during construction, although the city said mitigation measures will be in place.

Crews will work Monday through Friday from 7 a.m. to 3:30 p.m., and the park will remain open while crews are working. 

The fence is the city’s latest attempt to tackle longstanding problems at MacArthur Park, including drug use, homelessness and crime.

The city first approved plans for the fence in October 2025, and the proposal has since drawn both support and criticism from residents and community groups.

Some say they hope the fence will make the park safer, while others question whether it will actually improve conditions there. Police and city officials say the fence will give them more control over the space and make it easier to enforce the law.

Ana Luz Vazquez, a street vendor near MacArthur Park, said her main concern about the fence is what will happen to the unhoused people who stay in the park throughout the day and whether the city plans to address that issue directly.

She is also concerned that construction during the day could affect her ability to work because of traffic, less parking availability and loud noise.

Vazquez said she would prefer construction to take place at night so it would have less of an impact on street vendors.

“If they’re working in the day then how are we supposed to come here and who is going to help us survive,” Vazquez said.

Construction will happen in two phases

Phase 1

• Alvarado St. from W. 6th St. to Wilshire Blvd.
• S. Park View St. from Wilshire Blvd. to W. 6th St.
• Wilshire Blvd. from Alvarado St. to S. Park View St.

Phase 2

• Alvarado St. from Wilshire Blvd. to W. 7th St.
• S. Park View St. from W. 7th St. to Wilshire Blvd.
• Wilshire Blvd. from S. Park View St. to Alvarado St.
• W. 7th St. from Alvarado St. to S. Park View St.

Existing trees will be protected and monitored during the work, according to the Department of Recreation and Parks. Traffic control measures will be in place during work hours, and crews will post temporary “No Parking” signs near active work areas in advance.

Services at the park are expected to remain the same throughout construction. The schedule could change because of weather or other unforeseen circumstances, according to the city.

The city has allocated $2.3 million for the project, but officials have not said whether that will cover the full cost.

After the fence is installed, the city plans a second phase focused on adding decorative elements. Officials have said residents will have an opportunity to provide input on the design.

Residents with questions or concerns about the project can contact Recreation and Parks at RAP.PublicInfo@lacity.org or (213) 202-2700.

The post MacArthur Park fence construction to begin Nov. 16 appeared first on LA Local.

The California Coastal Commission voted Thursday to allow transportation authorities to build a quarter-mile-long seawall just south of San Clemente State Beach to protect the coastal railroad from rising sea levels and coastal erosion. The plan also includes a major influx of sand for local beaches.

Why this matters

The tracks that carry passengers on the Pacific Surfliner between Orange County and San Diego have shut down frequently in recent years due to rising sea levels and erosion. Rail authorities have dumped thousands of tons of boulders on the beach to buttress the tracks. Now, they’re hoping a seawall will buy them time to come up with a more permanent solution. Not everyone is happy about the plan. Critics say seawalls cause waves to refract and dig deeper, ultimately stripping away even more sand in the long run.

What else do I need to know?

Environmental groups and local tribal authorities say the emergency work has already ruined the beach. To mitigate the negative effects, authorities will haul in close to 700,000 cubic yards of new sand to San Clemente beaches over the coming year.

What's the official reaction?

Orange County Supervisor Katrina Foley released a statement hailing the decision. “Today’s unanimous approval from the California Coastal Commission marks a major milestone to save our critical coastal rail corridor and restore San Clemente’s iconic beaches following decades of erosion and inaction,” Foley said. “The placement of 690,000 cubic yards of sand represents the region’s largest beach nourishment effort in decades and demonstrates our commitment to long-term coastal resilience."

She added: “Wide sandy beaches provide a natural buffer for our rail corridor while protecting our coastline, expanding public access, and supporting our local economy. Through continued collaboration with our state, regional, and local partners, we will advance lasting solutions that protect our beaches and preserve this vital transportation corridor for future generations.”