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The post California’s Governor Newsom Says State Has New Coronavirus Hot Spot appeared first on Virus Reports.
]]>Weeks after California Governor Gavin Newsom identified Imperial County as the state’s hardest-hit region, he announced at his daily news conference that the state’s Central Valley was the new major area of concern.
While the 14-day average rate of positive tests statewide is 7.5 percent, that rate in the Central Valley ranges between 10.7 and 17.7 percent. Essential workers at farms, manufacturing and prisons there have been hit especially hard.
The governor announced that, much as he did a few weeks ago in hard-hit Imperial County, he was deploying three “strike teams” made up of of HHS, OSHA, state emergency services personnel and local partners to aid the Central Valley.
He announced a $52 million investment to bolster testing, tracing and healthcare support in the Central Valley. That comes via a $400 million CDC grant.
In the Central Valley here are 8 counties where the is R above 1, meaning that for every person infected, they pass it on to more than one additional person. The state’s top health official, Dr. Mark Ghaly, said the R was as high as 1.4 in some cases.
Some areas seeing 65 percent of their hospital and ICU beds taken up by coronavirus cases, said Dr. Ghaly.
Outside the Central Valley, said the governor, Imperial Valley is making progress, while Los Angeles was still “a disproportionate focus” of state efforts.
Statewide, the 18-49 age group “continues to see a disproportionate rate of growth” and the Latino community continues to be disproportionately impacted said Newsom.
California saw 6,891 new cases of coronavirus in the past 24 hours, he reported, for a total of 460,550 confirmed infections. COVID-19 resulted in 29 new deaths on the state for a total of 8,445. The number of COVID-related deaths increased by 0.3 percent from Saturday’s total of 8,416. The numbers were significantly lower in part because of delays caused by a new reporting process.
The number of COVID-19 diagnostic test results in California reached a total of 7,296,578 an increase of 128,439 tests since Saturday. The rate of positive tests over the last 14 days is 7.5 percent. That number has been “holding strong,” according to Newsom.
Today’s #COVID19 update:
128,439 tests were reported yesterday, with 6,891 positive cases.
CA’s positivity rate remains at an average of 7.5%.
Tragically, 29 fatalities were reported yesterday bringing our current average to 109 lives lost every day.
Please — wear a mask.
— Gavin Newsom (@GavinNewsom) July 27, 2020
Lest residents let their guard down due to lower recent numbers, the governor reminded that the 7-day average of daily new cases is is 9,859. The seven day average of new daily deaths, he said, also rose. That number was 91 a week ago and is 109 today.
“Those 7 day averages were a testament to a different reality,” said Newsom. “Please let’s wake up to that reality.”
Hospitalizations increased by 29, or .3 percent. The number of new ICU patients in the state rose by 19, filling a total of 2,012 out of the state’s 10,000 ICU beds. After bottoming out at 28 percent of the state’s intensive care beds, the percentage of those beds occupied by coronavirus patients has risen over the past seven days to 28.8 percent. The governor says those rates of increase are “more modest” than they had been a few weeks ago.
About 7,000 Californians are now in hospital beds with COVID-19. That’s more than during the March-April spring surge, according to the California Hospital Association.
Watch Newsom’s news conference below.
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]]>The post 3 Bay Area counties now on California’s coronavirus watch list appeared first on Virus Reports.
]]>According to the CDPH, Marin County is seeing elevated virus transmission and more hospitalizations. Some of this is due to the massive outbreak at San Quentin, where 1 in 3 inmates have tested positive for COVID-19. In addition, the state noted an increase in community transmission among essential workers and “outbreaks in congregate settings and Latinx neighborhoods.”
As a result of being added to the watchlist, the county announced Sunday afternoon that it is halting all indoor dining for a minimum of three weeks. The order goes into effect at 11:59 p.m. Sunday, July 5. Outdoor dining is still permitted.
Solano County ties part of its surge to “many dozens” of vineyard workers getting sick over the last two weeks; the state says those individuals work in Sonoma and Napa counties but reside in communities in Solano County. An “ongoing surge in cases related to family gatherings and other social gatherings on the weekends” is exacerbating the county’s rise in hospitalizations.
Santa Clara County is experiencing an increase in hospitalizations for coronavirus, but the state believes much of this can be attributed to patients from other counties seeking care there. Patients transferred from long-term care facilities are also landing in county hospitals. Once the epicenter of the Bay Area outbreak, Santa Clara County’s hospitals are some of the state’s most experienced at treating COVID-19 patients.
“Although the percentage change in hospitalizations shows an increase, the increase in the absolute number of patients hospitalized is low relative to the size of the population in Santa Clara County and is low relative to the number of hospital beds available in the county,” the California Department of Public Health said.
Many rural counties, like Stanislaus, are seeing an increase due to family gathering-related clusters and “decreased attention to personal protection measures such as face coverings and social distancing.”
Counties on the state’s watch list are working with the CDPH to identify the causes for any worrisome trends and next steps to mitigate the virus spread.
Contra Costa County, which was on the watchlist last week, has since been removed as its outbreak became less severe.
COUNTY HEALTH DEPARTMENTS
Alameda County: Find the latest COVID-19 numbers and health order.
Contra Costa County: Find the latest COVID-19 numbers and health order.
Lake County: Find the latest COVID-19 numbers and health order.
Marin County: Find the latest COVID-19 numbers and health order.
Monterey County: Find the latest COVID-19 numbers and health order.
Napa County: Find the latest COVID-19 numbers and health order.
San Benito County: Find the latest COVID-19 numbers and health order.
San Francisco County: Find the latest COVID-19 numbers and health order.
San Mateo County: Find the latest COVID-19 numbers and health order.
Santa Clara County: Find the latest COVID-19 numbers and health order.
Santa Cruz County: Find the latest COVID-19 numbers and health order.
Solano County: Find the latest COVID-19 numbers and health order.
Sonoma County: Find the latest COVID-19 numbers and health order.
WHAT YOU NEED TO KNOW
Here are answers to your most frequently asked questions about coronavirus
Forget a return to normal: How experts see COVID-19 unfolding this summer
Newsom: 72% of California population now on watch list
WHEN WILL THE BAY AREA REOPEN?
4 Bay Area counties pause reopening. Here’s where all 9 stand.
Will Bay Area schools reopen in-class this fall?
Spike in coronavirus comes with economic reopening in California
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]]>The post California’s sudden spike in coronavirus cases bodes poorly for other states pondering reopening appeared first on Virus Reports.
]]>The post California’s sudden spike in coronavirus cases bodes poorly for other states pondering reopening appeared first on Virus Reports.
]]>The post McDaniel on California’s vote-by-mail order: ‘Brazen power grab, will inject chaos into election’ appeared first on Virus Reports.
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]]>The post California’s governor issues new guidelines to reopen parts of the state appeared first on Virus Reports.
]]>
Published on May 12, 2020
California Governor Gavin Newsom has issued new guidelines to partially reopen the world’s fifth largest economy, but tensions continue to rise as L.A. County will continue enforcing a stay-at-home order until July. Jamie Yuccas has the latest.
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]]>The post California’s main universities not likely to return to campus this fall appeared first on Virus Reports.
]]>The post California’s coronavirus tracking of nearly 12000 travelers was ineffective, CDC report finds appeared first on Virus Reports.
]]>The California Department of Public Health’s effort to track thousands of travelers flying into the state this year not only failed to stop the coronavirus from entering, but used up limited time and staff at a time when the illness was first beginning to spread in communities.
State health employees spent nearly 1,700 hours over six weeks — from Feb. 5 to March 17 — collecting and processing information on U.S. citizens and permanent residents arriving from China and Iran at California airports. Yet they were able to identify just three positive cases out of 11,574 travelers, according to the report released Monday by the state’s public health department and the U.S. Centers for Disease Control and Prevention.
“Despite intensive effort, the traveler screening system did not effectively prevent introduction of COVID-19 into California,” the report said, noting that “health departments need to weigh the resources needed for monitoring against those needed for implementing mitigation activities during the COVID-19 pandemic.”
The CDC coordinated with state and local health departments in California to start the tracking program before officials believed the disease was spreading in the community. It’s now known that the program began one day before the nation’s first coronavirus death from an unknown source in Santa Clara County, probably while the virus was already circulating in the Bay Area.
Early in the epidemic, county public health departments were able to stay on top of small clusters of cases through investigation and contact tracing. But most counties had very small contact-tracing staffs, and as the virus began to spread widely in early March, they were forced to scale back that intense surveillance. They also moved away from monitoring travelers, since most people were becoming infected through exposure in their own community.
Instead, public health departments shifted staff and other limited resources toward less expensive but more draconian efforts to prevent explosive growth of the outbreak and protect hospitals from being overwhelmed. In fact, the state ended its travel monitoring program on March 17 — the same day six Bay Area counties began sheltering in place in a dramatic move to contain the virus.
Under that program, Customs and Border Protection agents interviewed thousands of people returning to the U.S. The passengers were asked about their travel history and symptoms. If they showed symptoms, they were referred to a separate station run by the CDC for medical assessment and mandatory quarantine. If they didn’t, they were encouraged to isolate at home for 14 days and monitor their health. Agents then shared travelers’ names, dates of birth, addresses and phone numbers with the CDC, which reported it to California’s public health department.
The state officials — medical officers, epidemiologists and other personnel — devoted nearly 1,700 hours to going through information for nearly 12,000 travelers, about 1,430 a week. One third of the hours were overtime, the report said.
The labor-intensive process was slowed by bad information, the state said. More than 1,500 records — 13% — had at least one error. Most of those records had an incorrect phone number. Some were duplicates, and others had insufficient location data or the traveler lived outside of California. Staff suspected there were even more mistakes in names and dates of birth.
The state health department had to fix errors before sending information to 51 California counties. The state then asked local officials, if resources permitted, to contact and oversee travelers for two weeks.
Local public health officials then used the information to contact the travelers over a two-week period and track their symptoms. This yielded two COVID-19 cases — two travelers from Iran, one on March 10 and another on March 14. A third person who traveled from China tested positive on March 30, six weeks after returning to the U.S. — but well after local health departments would have followed up.
The report does not say how much the state spent on the massive effort, which was also hampered by the sheer volume of travelers.
The number of travelers to track in each county ranged from one to 4,852, the report read, and the capacity to follow up “varied considerably according to resources and traveler volume.” San Francisco’s department of public health tracked hundreds of travelers, spokeswoman Veronica Vien said.
“We were faced with challenges including but not limited to incomplete passenger and traveler information and asymptomatic carriers of the disease,” she said.
Such monitoring — which typically includes airport screening, quarantine and monitoring of travelers — has been an effective method of stopping diseases such as Ebola, according to the report, authored by state employees. But to work well, the process requires accurate contact information for travelers.
The report also said airport monitoring may not always work to detect COVID-19, since symptoms can appear a month after infection or not at all. The report recommended more efficient methods of collecting and transmitting data, including getting flight passenger information from airlines and using text messaging to reach all travelers at risk more quickly.
More rural health departments probably lacked resources to track infections quickly when the disease was already running rampant, said George Lemp, former director of the California HIV/AIDS Research Program at the University of California’s Office of the President, who oversaw contact-tracing programs during the AIDS epidemic.
“If numbers are in the thousands, they can’t quickly grapple with it,” he said. “They couldn’t do it rapidly enough to prevent the spread of a virus like this.”
“Contact tracing is best reserved where the incidence and rapid speed of the virus has subsided,” he added.
Some Bay Area health departments are now hiring and training thousands of people to conduct coronavirus contact tracing as part of the effort to safely reopen society. The state’s recent report offers a cautionary tale of how labor-intensive the process is, Lemp said.
“It points out the difficulty that we face,” he said.
Chronicle staff writer Erin Allday contributed to this report.
Mallory Moench is a San Francisco Chronicle staff writer. Email: mallory.moench@sfchronicle.com Twitter:@mallorymoench
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]]>The post California’s coronavirus death toll could be much higher than known appeared first on Virus Reports.
]]>Total deaths across the state during the COVID-19 pandemic are more than 9% higher than historical averages, according to newly released federal statistics, suggesting the toll could be hundreds or even thousands of deaths more than what’s been attributed to the disease thus far.
The new data from the Centers for Disease Control and Prevention show roughly 4,500 additional deaths from all causes have occurred in 2020 over what would be expected from historical averages, according to a Times analysis.
With the agency’s coronavirus death total for the state at 1,017 as of Monday, the difference of about 3,500 suggests a broader implication on mortality attributable to the disease, experts say.
The statistics, they caution, are preliminary and more extensive research will reveal the true impact of the disease on California deaths. But they say the new figures are an important early indicator in understanding it.
“It does signal that, more likely than not, this COVID disease really did have a role in some or all of those excess deaths,” said Bonnie Maldonado, a Stanford University professor and an infectious disease epidemiologist. “The extent that it did will be important to understand.”
The federal death totals, and those attributed to the disease, lag behind those local figures, and they offer only a partial understanding of the true impact.
In California, where attention by health experts and social distancing orders perhaps slowed the coronavirus’ spread, about 1,900 deaths directly linked to the disease have been reported locally.
The newly released figures paint an even darker picture of additional mortality in states hardest hit by the disease, such as New York and New Jersey.
The data come from official death certificates completed by doctors or medical officials. They are compiled by CDC experts under a national vital statistics program that aggregates deaths reported by local and state health authorities.
On Monday, the agency released those newly compiled weekly death totals, by state, from 2014 to 2020, allowing for a mortality comparison this year over the past. It also released its own totals for coronavirus-related deaths, by county, and the total numbers of deaths from all causes.
“What we think is there is some combination of COVID deaths that are not declared COVID deaths and other deaths that are due to other causes people have not gotten treatment for, or have delayed treatment,” said Eileen Crimmins, a professor of gerontology at USC who is the president of the Population Assn. of America.
The statistics include figures for certain common types of death, including pneumonia, influenza, lower respiratory infections and heart disease. Experts say some coronavirus deaths could have been wrongly categorized, especially as widespread and rapid testing remained elusive in the pandemic’s early weeks. A catchall category for uncategorized types of death showed an increase over previous years, according to the data.
It’s possible those additional deaths are related to the disease, or related to a reluctance by some sick Californians to seek medical attention because of its presence in hospitals and clinics. The growth may also be partially attributed to population trends or a historical anomaly, or some combination of all those factors, experts say.
More research and data collection over time could help improve understanding, they say.
“You’re not going to see the full picture, but what you’ve detected is a signal, and I think that’s important,” Maldonado said. “Over time I think we’ll have a better sense of the true impact of COVID on California deaths.”
The county by county figures released by the agency, which also lag behind local reporting, allow for a comparison of coronavirus deaths and their share of total mortality in each region of the state.
In Los Angeles County, for example, the disease has been attributed to about 2.7% of deaths from all causes this year — the second-highest rate in the state after that of San Mateo County. Orange County ranks the lowest, at roughly 0.5%, among the states included in the report. The agency withheld totals from many smaller counties with low coronavirus figures.
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]]>The post California’s Newport Beach to continue allowing access to surf, sand despite weekend crowds appeared first on Virus Reports.
]]>The tony city of Newport Beach, California, on Tuesday decided to keep its beaches open despite weekend crowds that didn’t always observe social distancing and facial-covering guidelines.
Tens of thousands of people hit the Orange County shore during the weekend heat wave. To some the scene in Southern California looked like a reprise of the reopening of some beaches in Florida following pandemic-inspired closures designed to slow the spread of COVID-19.
On Monday, California Gov. Gavin Newsom criticized beachgoers who sunbathed too close to one another and enjoyed the beach without face coverings.
“This virus doesn’t take the weekends off,” he said. “This virus doesn’t go home because it’s a beautiful sunny day around our coasts.”
The Newport Beach City Council voted Tuesday to keep its 10 miles of oceanfront open. In a Facebook statement the city said its police and lifeguards were prepared to enforce social distancing.
“The City Council has advised staff to maintain accessibility to the Newport Beach coastline for exercise and recreation, with a greater police and lifeguard presence to more actively enforce social distancing directives,” it said.
The city of San Diego reopened its beaches Monday, but only for access to the water.
Todd Miyazawa
contributed.
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