By Kevin Rector, Los Angeles Times

Alexia Nunez presumed “things were going to be pretty bad” for transgender people under President Donald Trump, given his campaign rhetoric, but had decided to stick it out in the U.S. “as long as possible.”

Her breaking point came just days after Trump’s inauguration, she said, when Secretary of State Marco Rubio ordered the suspension of passport applications seeking a gender marker different from an applicant’s birth sex.

Nunez, a 46-year-old software engineer originally from San Diego, called the directive the “definition of discrimination against a marginalized community,” and a direct threat to her safety as a transgender woman.

Although her passport has reflected her female identity since 2016, it expires next year. Suddenly, she feared renewing it would leave her without a travel document that matched her identity and appearance, and without a means of fleeing the country if things in the U.S. grew increasingly hostile.

“I knew it was time to enact my emergency plan,” Nunez said.

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Transgender Americans and their families are reaching similar conclusions across the country amid numerous anti-transgender policies from the Trump administration. They include directives to defund or even criminalize gender-affirming medical care, punish teachers who support gender nonconforming kids at school, ban transgender people from bathrooms and sports teams, and cast doubt not only on their legal documents but their very existence.

Trump issued an executive order on his first day in office declaring that the U.S. recognizes only“two sexes, male and female,” which are “not changeable.” The order called the idea people can change genders a “false claim” that endangers women, and directed federal agencies to strip “gender ideology” from their regulations and policies.

The Trump administration did not respond to a request for comment.

Although many of Trump’s proposed policies are being challenged in court, the fear and panic they have evoked is already widespread.

Both transgender adults and parents of transgender kids are comparing the risks of staying versus those of leaving. They are calculating the financial costs of moving versus the mental, emotional and physical costs of staying.

They are also eyeing asylum claims abroad and other potential paths to securing foreign visas, such as through work, schooling, lineage, real estate investments or other cash commitments. Those who can afford it are hiring lawyers and relocation specialists.

The one thing they are not considering, they said, is going back into the closet.

“Right now I am in a prison within my own country. Before I transitioned I was in a prison inside myself,” said K.D., a transgender man in Orange County who is considering fleeing. “I would rather be who I am without apology [than] hide for my own safety.”

K.D. and others requested to be identified only by their initials due to harassment of transgender people and for fear of reprisal from the Trump administration.

The increased fear and interest in fleeing marks a stunning reversal for queer rights in the U.S., but also for the nation’s standing in the world as a relative haven for LGBTQ+ people.

LGBTQ+ refugees have long fled to the U.S., not from it. The process has never been easy, but people facing violence, arrest or even death in their home countries due to their LGBTQ+ identities have successfully claimed asylum on those grounds in the U.S. since the 1990s. A 2021 study by the Williams Institute at UCLA Law found that, between 2012 and 2017, LGBTQ+ people from 84 countries filed 3,899 asylum claims in the U.S. based specifically on their persecution for being queer.

President Joe Biden had ramped up U.S. efforts to defend LGBTQ+ rights and protect queer asylum seekers and refugees. In contrast to Trump’s recent orders, Biden issued a memorandum in 2021 stating that the U.S. would “lead by the power of our example in the cause of advancing the human rights of LGBTQI+ persons around the world.”

The ground has clearly shifted.

Preparing to leave

Determining how many transgender Americans are considering fleeing, or have already fled, is difficult, though LGBTQ+ and immigration advocates, travel advisors and queer families told The Times that the impulse is widespread in their networks.

A recent Gallup poll found about 1.3% of U.S. adults identify as transgender. The American Civil Liberties Union, which is challenging the Trump administration’s passport policies in court, said it was contacted by more than 1,500 concerned transgender people or family members.

K.D. said he has been preparing to leave since Trump won. Three days after the election, he gave up his apartment to save more money. In late December, he obtained an updated passport. But he also has doubts.

K.D. said he has realized he “did not do enough homework” on how to leave, which now seems less straightforward. Saving money has been hard despite downsizing, and he has struggled with the idea of leaving others behind, wondering: “Am I betraying the values that I try to live by if I run?”

He said he has thought a lot about the Holocaust and other genocides, and his view that the Trump administration is trying to “erase” transgender people. He told himself he needed to “draw a line in the sand” for when he must leave, lest he regret it.

But Trump has blown through the lines K.D. set — at gender-affirming care being threatened, at passports being suspended — so quickly that it’s felt impossible to react, he said. “I recognize that I am a frog in a pot of boiling water.”

J.G., an attorney in Los Angeles and the father of a transgender high schooler, said many families of transgender kids feel similarly. “We knew it was coming. We just didn’t know it was going to be in fifth gear,” he said.

He and his wife have scrambled to respond. They had already changed the gender marker on their son’s passport, but it still has his deadname — or the name he used before his transition. They’re working to get his name legally changed and his birth certificate updated in California, and hoping that will be enough to update his passport without new questions arising.

J.G. has heard of other families having trouble, and wakes at night worried. His son, 15, is “very aware” of what’s happening but wants his parents to figure it out. J.G. said he wants that too — wants to shield his son from the burden. But it’s been heavy, as has the recognition that they could soon be living in separate countries.

“I’m not saying that’s going to happen, but the fact that we are having serious conversations and taking steps to smooth that path, it’s like being on a tightrope,” he said. “I can’t look down on that one, because it’s overwhelming.”

Already abroad

G.R., 21, first faced anti-transgender hate years ago, when he and his mother started advocating for trans rights in Texas, where they lived.

After he left for college out of state, he told his mom he didn’t ever want to return to Texas. Soon, she and G.R.’s now-fiance started thinking in similar terms.

The trio quickly landed on moving to New Zealand, which has LGBTQ+-friendly policies, visa programs for students and paths to permanent residency for workers in certain fields, including nursing.

G.R. went first, arriving in Auckland in February 2023 after being accepted into a university nursing program. He’s set to graduate in December and start a career that should allow him to remain in the country, and maybe even sponsor his mom and fiance.

They arrived with the family’s three dogs and four cats in June 2023, both on student visas of their own. His mom, a social worker pursuing a graduate degree, has since gotten a job.

The move took a lot of paperwork, but it’s all been worth it, G.R. said. He feels “vindicated” given how many people told them they were “overreacting” by fleeing, and happier than he has ever been. Six months after arriving in New Zealand, he stopped taking the anti-depressants he’d been on for years.

“I felt safe, like fully safe, for the first time,” he said.

H.R., a trauma therapist and mother of two from California, said her family had a similar experience.

Her younger daughter, 7, came out as transgender about three years ago, just as legislation targeting gender-affirming care and the parents of kids receiving it began cropping up in state legislatures across the country.

H.R. said the threats awoke a “get-away response” in her, and she told her husband she would “rather get out and think, ‘Well, that was extreme,’” than remain in the U.S. and have their daughter’s healthcare suddenly revoked.

They began looking for options to move abroad soon after. When her husband — who works in aerospace engineering — got a job in New Zealand, they picked up and moved, arriving in September.

She said that she knows her family is “super privileged,” but that it was still “devastatingly sad to be forced from your home.”

“We have family, we have aging parents, we had a dog that couldn’t come with us because of her breed,” she said.

Still, with Trump “going nuclear on trans people,” she said, she knows it was the right call.

Haven no more?

Bridget Crawford, director of law and policy for Immigration Equality, an organization that helps LGBTQ+ refugees escape deadly violence and state-sanctioned discrimination, said the U.S. under Biden had been working hard to “increase the bandwidth” to resettle LGBTQ+ people in danger abroad.

Trump threatened that progress on Day One in office, she said, issuing an executive order suspending the U.S. Refugee Admissions Program.

The order, which is being challenged in court, immediately halted refugee claims around the world, including from LGBTQ+ people in extreme danger who had received conditional approval to immigrate to the U.S., Crawford said. Rubio followed it up with another directive targeting transgender athletes and other visa applicants, suggesting they could be barred from the country for allegedly misrepresenting their sex.

One refugee, a queer Ugandan, spoke to The Times on the condition of anonymity because he remains in danger after suffering violent threats in Uganda and another brutal attack in Kenya, where he’d fled and remains.

He applied to come to the U.S., proved his case, received conditional approval, passed background and medical checks, and was just waiting for a final medical review when Trump won and the U.S. government went silent, he said.

He was crushed, he said.

Crawford said Immigration Equality has a transgender client in Saudi Arabia who was meant to be on a flight to the U.S. a few days before Trump’s inauguration, was delayed because of a mix-up with her travel documentation, and is now stranded despite “actively being hunted.”

Crawford said another transgender client from Somalia was recently murdered in Kenya.

“This is really not hyperbole when we talk about the impact on refugees,” she said. “It’s a campaign of cruelty.”

Ari Shaw, director of international programs at the Williams Institute, said LGBTQ+ asylum seekers, who have detailed similar violence in dozens of countries for decades, are facing similar roadblocks, with far-reaching effects.

“As the U.S. moves away from that sort of welcoming environment — and also reflects a broader global rollback of LGBTQ rights — queer refugees have fewer options in terms of where they can go to be safe,” Shaw said.

The Ugandan refugee said it has been bizarre to watch LGBTQ+ rights deteriorate in the country he has longed to reach, but he would still leave for the U.S. tomorrow if he could, he said — a sentiment that refugee and asylum attorneys said is common among their LGBTQ+ clients.

Experiencing brutal anti-LGBTQ+ violence is one thing, but feeling you have no legal recourse or government support to challenge it “shatters your soul,” the Ugandan refugee said. And in the U.S., he said, “I don’t think I’d feel that powerless.”

Looking ahead

A week after deciding to leave the U.S., Nunez, the software engineer, arrived in Montreal with two suitcases of essentials: clothes, laptop, a photograph of her fiance and a three-month supply of her gender-affirming hormones. She also brought her Xbox, a distraction from “doomscrolling too much,” she said.

Nunez applied for asylum as an LGBTQ+ refugee and met with Canadian officials, who on Feb. 17 referred her case to the country’s Refugee Protection Division. She was granted temporary status to remain in the country until her next hearing — which she was told could take months, if not longer.

Despite having uprooted her life in Rhode Island — she and her fiance have been together seven years — Nunez said she was overjoyed.

She knows her asylum claim could still be denied but believes she has a strong case. For now, “I’m going to be safe and sound in Canada for the time being,” she said.

She kept her remote U.S. job but is otherwise settling into a new life. She’s looking for a local doctor, researching how her fiance might join her, and trying to learn French.

“It will just take time,” she said, “to feel like this is more of a permanent home.”

©2025 Los Angeles Times. Visit at latimes.com. Distributed by Tribune Content Agency, LLC.

By DEVNA BOSE, Associated Press

Chances are, if you’re reading this, you got some sleep last night. But are you feeling rested?

Experts say it’s an important question to consider.

Most of us spend a third of our lives sleeping, but you may need more or less than eight hours a night. The number of hours needed changes throughout your life, with babies and kids needing more sleep and people 65 and older able to function on slightly less than seven to nine hours.

Here’s what sleep scientists and doctors say about how much you really need — and whether your gender plays a role.

Sleep quality over quantity

Sleep is still a mystery, despite how critical it is for our health.

“The reasons aren’t entirely clear, but it’s an essential thing that we all do,” said Dr. Rafael Pelayo, a sleep specialist at Stanford University. “Something remarkable happens when you sleep. It’s the most natural form of self-care that we have.”

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Most of the population gets between seven to nine hours — and that particular category has the lowest association with health problems, said Molly Atwood, a behavioral sleep medicine clinician at Johns Hopkins.

Once people either dip into less than six hours of sleep or get more than nine hours on average, the risk of health problems inches up, Atwood said, but everybody is different.

When you’re trying to figure out how much sleep you need, it’s important to think about the quality of it, Pelayo said: “What you really want to do is wake up feeling refreshed — that’s what it’s about.”

“If somebody tells me that they sleep many hours but they wake up tired, something is wrong,” Pelayo said. “You shouldn’t leave your favorite restaurant feeling hungry.”

How much sleep we need changes

The amount of sleep we need changes throughout our lives. Newborns need the most — somewhere between 14 to 17 hours.

“Definitely when we’re babies and children, because we are growing so rapidly, we do need a lot more sleep,” Atwood said.

The National Sleep Foundation recommends most adults between 26 and 64 get between seven to nine hours of sleep. People who are 65 and older can get slightly less, and young adults between ages 16 and 25 can get slightly more.

Humans cycle through sleep stages roughly every 90 minutes. In the first portion of the night, Atwood said that more of the cycle is slow wave sleep, or deep sleep, which is essential to repairing and restoring the body. It’s also when “growth hormone” is released.

In the latter hours of the night, more of the sleep cycle is spent in rapid-eye movement sleep, or dream sleep, which is important for learning and memory consolidation, or the process in which short-term memory gets turned into long-term memory.

Kids get more “deep sleep,” with about 50% of the night in that realm, she said. That drops at adolescence, Atwood said, because our body doesn’t need the same kind of repair and restoration.

Something else interesting happens around puberty: Gender-based differences in sleep start to crop up.

Do women need more sleep than men?

Research doesn’t show that women need more sleep — but women do get slightly more sleep on average than men, Atwood said.

It starts at a young age. Though they have the same sleep needs, teenage girls seem to get less sleep than teenage boys, Pelayo said. Additionally, teenage girls tend to complain of insomnia more frequently.

When women become first-time mothers, they often care for newborns throughout the night more frequently, which means less sleep, said Allison Harvey, a clinical psychologist and professor who studies sleep at UC Berkeley.

Hormones may also impact women’s sleep quantity and quality during pregnancy and menopause.

“With menopause in particular, women can develop deterioration in their sleep with an increased number and duration of nighttime awakenings,” said Dr. Mithri Junna, a Mayo Clinic neurologist who specializes in sleep.

Atwood said women may also need more sleep right before their menstrual cycle.

“There are definitely times that your body’s telling you that you need more sleep,” she said. “It’s important to listen.”

When to seek help sleeping

You’ll know if you’re not getting enough sleep if you’re feeling grumpy, irritable and inattentive. Long-term, those minor symptoms can become serious problems — even deadly.

“If you’re not getting enough sleep or you have untreated insomnia or sleep apnea, your risk of depression increases,” Atwood said. “Your risk of cardiovascular issues like high blood pressure, risk of heart attack and stroke increases. Your immune system is compromised. You’re at greater risk for Alzheimer’s.”

If you’re getting the recommended amount of sleep every night but still waking up feeling tired, you might consider going to your primary care physician. They can rule out other health conditions that may affect your sleep, Atwood said. But if problems persist, seeking out a sleep specialist could be helpful.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

By Corinne Purtill, Los Angeles Times

LOS ANGELES — As thick clouds of smoke rolled across Los Angeles in early January, Allison Shultz opened a freezer and took out a stash of pristine white pigeon feathers.

The ornithology curator at the Natural History Museum of Los Angeles County placed handfuls of feathers between two small screens and clipped them together with zip ties. She installed one of these homemade feather filters on the roof of the museum’s Exposition Park building, a few more in its surrounding gardens, another in her Gardena backyard.

Allison Shultz, ornithology curator at the Natural History Museum of Los Angeles County, holds bags of feathers that she placed on the roof of the museum during the wildfires in Los Angeles. (Christina House/Los Angeles Times/TNS)

As smoke engulfed the city, valuable bits of evidence accumulated in the feathers’ once-white barbs.

“It’s really weird to be a scientist who studies wildfire smoke,” Shultz said. “We don’t want there to be big smoke events. But then, at the same time, we do want data to understand things.”

Now stored in sealed plastic bags, the sooty plumes will help answer questions about how chronic smoke exposure affects birds, and what exactly the animals were exposed to during L.A.’s firestorms.

Allison Shultz, ornithology curator at the Natural History Museum, shows drawers of house finches at the museum, where researchers are studying bird feathers to determine the effects of wildfire smoke on birds. (Christina House/Los Angeles Times/TNS)

It’s part of a broader scientific effort to understand how a disaster of unprecedented scope will alter the region’s varied ecosystems, many of which were already stressed by a changing climate.

“Most fire ecology is done pretty remotely from human habitation, so therefore we have a bias in what we know in terms of how birds and vegetation and nature respond in quote-unquote, ‘natural areas,’ ” said Morgan Tingley, a UCLA professor of ecology and evolutionary biology who is collaborating with Shultz on the study. “We know much less about how those same processes happen when humans are very, very strongly influencing the environment.”

Microplastics research assistant Jessica Flores demonstrates the Raman spectrometer, which is the machine that will be used to analyze the bird feathers for carbon, at the Natural History Museum. (Christina House/Los Angeles Times/TNS)

Their research team will soon extract the pollutants that accumulated on the pigeon feathers. A machine in the museum’s mineralogy department called a Raman spectrometer will analyze the compounds, determining how much carbon on the feathers originated from burned organic matter like trees and shrubs and how much originated from combustion and other urban sources.

They’ll look for other contaminants arising from the burning of homes and vehicles, like microplastics and heavy metals.

Shultz and her colleagues were in the process of developing these methods well before January’s fires broke out. They anticipated studying birds’ exposure to smoke during Southern California’s typical wildfire season, which traditionally peaks August through October.

They didn’t expect that the smoke in question would originate so close to home.

UCLA’s Tingley lives about three miles from the Palisades fire’s eastern flank. He took copious notes on his observations of bird behavior as the fire raged.

Allison Shultz shows drawers of house finches at the museum, where researchers are studying bird feathers to determine the effects of wildfire smoke on birds. (Christina House/Los Angeles Times/TNS)

The yellow-rumped warbler is a migratory songbird that spends its winters in Los Angeles. For two days, Tingley recorded a constant stream of them flying in a pattern that looked like their springtime migration.

That was expected behavior for a highly mobile species, he said. We don’t know yet how L.A.’s resident bird species — some of which spend their entire lives within the area of a single kilometer (less than a mile) — will cope with a conflagration in their midst.

At the Natural History Museum, Shultz is well-positioned to compare birds from this era to those exposed to pollutants past. The ornithology department houses floor-to-ceiling archives of carefully preserved bird specimens.

On a recent morning, Shultz opened a wooden tray to reveal rows of house finches, a palm-sized bird commonly found in Los Angeles.

From one specimen’s spindly leg dangled a handwritten tag bearing the year of its death: 1917. Shultz gently lifted it from the tray.

“You see how this is black, and this is black,” she said, delicately pointing at the bird’s soiled feathers with a gloved finger. More than a century later, fine particles of pollution still clung to its feathers, dulling what once was a scarlet red breast to a mottled gray.

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“We’ve known that birds are very sensitive to smoke for a long time. Think about canaries in the coal mine, right?” Shultz said. Caged birds were used as living carbon monoxide detectors starting in the late nineteenth century — thanks to their highly efficient respiratory systems, the birds died from gas leaks long before human miners did.

But there is a lot we don’t know about how cumulative pollution affects these animals, and what impacts a catastrophe like this year’s fires will have. Does the carbon trapped in its barbs affect a bird’s ability to regulate its own body temperature? Which pollutants stick, and which ones molt away? Many species take dust baths to clean themselves — what if that dust is full of contaminants too?

Found dead birds are often donated to the museum, and Shultz was braced for an influx of new specimens as the fires raged. They didn’t come. Tingley also heard few reports of bird mortality.

It’s possible that most species were able to escape the smoke or minimize their exposure by reducing their activity during its peak and “it could be that we got lucky,” he said. “But these are questions that we’ll have to keep on trying to answer.”

©2025 Los Angeles Times. Visit at latimes.com. Distributed by Tribune Content Agency, LLC.

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