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California is imposing an overnight curfew on most residents as the most populous state tries to head off a surge in coronavirus cases that it fears could tax its health care system. (Nov. 19)
Gov. Gavin Newsom on Monday warned a stay-at-home order could soon be implemented in counties with widespread COVID-19 transmission if they continue to see a surge of new cases that could potentially overwhelm local hospital systems.
In the past two weeks, COVID-19 hospitalizations across the state increased 89% while COVID-19 patient admissions into intensive care unit beds increased 67%. But that rise is just the tip of the iceberg, officials said.
“We anticipate another large increase in cases within the next one to two weeks from Thanksgiving activities and gatherings,” Newsom said.
Already, 51 of the state’s 58 counties are in the most restrictive purple tier of the state’s four-tiered, color-coded framework. Nine more counties moved back to the purple tier this weekend, leaving just six in the less restrictive red tier and one in the orange tier. None remain in the yellow tier, which allows for the greatest number of businesses to be open at a higher capacity.
Additionally, Newsom said about 12% of new daily cases show up in hospitals as COVID-19 patients within two weeks, meaning the true impact of this surge hasn’t yet been seen. Without drastic change, health officials project 78% of California’s hospital beds could be occupied by Christmas Eve with ICU beds at capacity by mid-December.
“At current projections, hospitalizations could increase two to three times in one month without any additional interventions,” Newsom said. “If these trends continue, California will need to take drastic action, including a potential stay-at-home order.”
Newsom said the state is “looking in real time” at hospitalization and ICU capacity and could issue shutdowns in purple tier counties “in the next day or two” that are “more in line with the stay-at-home order that folks were familiar with at the beginning of this year.”
In March, Newsom ordered residents to stay home, minimize unnecessary shopping trips, not mingle with those outside of their household and to only go for walks within their own neighborhood.
Residents returning home from Thanksgiving break already faced strict new measures around the state Monday as health officials brace for a worsening of the out-of-control surge because of holiday gatherings over the long weekend.
Los Angeles County imposed a stay-at-home order for its 10 million residents, and Santa Clara County, in the heart of Silicon Valley, banned high school, college and professional sports and decreed a quarantine for those who have traveled more than 150 miles outside the county.
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The outbreak in Santa Clara County “is like a high-speed train,” health officer Dr. Sara Cody said.
“Our projections tell us that we are on target to derail by around the third week of December if we don’t apply the brakes right now with all our collective might,” Cody said.
Health experts had pleaded with Americans to stay home over Thanksgiving and not gather with anyone who didn’t live with them. Nevertheless, almost 1.2 million people passed through U.S. airports Sunday, the most since the pandemic gripped the country in March, and others took to the highways to be with family and friends.
Now Americans are being urged to watch for any signs of illness and get tested right away if they experience symptoms.
Hospital capacity projected to vary by region
Different areas of California could experience varied levels of stress on their hospital systems in the coming weeks, according to current state projections.
For example, Southern California’s hospital beds are projected to be at 79% capacity by Christmas Eve; in that same time frame, the Greater Sacramento area is projected to be at 80% while the San Joaquin Valley could be at 83%, according to the state public health department.
Similarly, state projections for occupied ICU beds vary according to region:
- Northern California will reach capacity by early December.
- The San Joaquin Valley will reach capacity by mid-December.
- Southern California will reach capacity by mid- to late December.
- Greater Sacramento will reach capacity by late December.
- The Bay Area will reach capacity by early January.
The state has prepared 11 surge facilities to accommodate the overflow from hospitals that can be launched within 24 to 96 hours to provide a total of 1,862 beds across the pop-up facilities.
This would increase California’s total bed capacity, which currently sits at 73,867 beds, by 2.5%.
Riverside County hits record high number of COVID-19 patients
Riverside County on Monday reported a record number of coronavirus patients being treated in area hospitals. A total of 585 COVID-19 hospitalizations were reported, which surpasses the county’s previous high of 550 hospitalizations hit during the July surge, according to the Riverside University Health System.
The total number of COVID-19 hospitalizations accounts for roughly 59% of the county’s more than 1,000 hospital beds, which doesn’t include additional emergency beds that the county can bring online within a day or two.
With 2,126 additional cases reported Monday — the agency does not release updated figures on weekends — the aggregate number of infections recorded countywide since the public health documentation period began in early March is 84,412, compared to 82,286 on Friday.
Health officials also reported five additional deaths, bringing the death toll to 1,442.
In Riverside County last week, RUHS Dr. Geoffrey Leung said hospitals throughout the region “are starting to feel the strain,” but added hospitals stand prepared for an influx of patients.
“I think this (surge) will be a little different,” said Leung, referring to the amount of preparation that occurred over the summer to ensure facilities have the resources on hand to address heavier caseloads.
That sentiment has been echoed by county Emergency Management Department Director Bruce Barton, who assured the Board of Supervisors last Tuesday that facilities have access to sufficient personal, protective equipment and have made arrangements for excess capacity if and when it’s required.
Leung said residents who have any type of critical medical need should not delay care because facilities are following protocols to separate the contagious from the non-contagious.
Hospitals urged to test all workers
California has strongly recommended that hospitals test all their workers for the coronavirus each week as the state sees a surge of new cases and a record number of hospitalizations. A letter from the California Department of Public Health recommended hospitals test health care workers each week for the virus because they are at high-risk of contracting the disease and spreading it to other patients.
The letter also urged hospitals to test all patients before admitting them and to promptly test all current patients who start to show symptoms. The letter said hospitals should begin the tests the week of Dec. 14. They can start testing next week for health care workers who are at the most risk.
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However, hospitals “must understand that routine … testing of (health care workers) does not replace or preclude other infection prevention and control interventions,” Heidi W. Steinecker, deputy director of the California Department of Public Health, wrote in the letter to hospitals.
The California Nurses Association welcomed the news, calling it a “tremendous victory” for nurses. “There are simply too many asymptomatic people with COVID, and without robust testing, our hospitals will remain centers for spreading the disease instead of centers of healing as they should be,” said Zenei Triunfo-Cortez, the association’s president who works as a nurse in the San Francisco Bay Area.
First vaccines coming in December
The state anticipates receiving an initial 327,000 COVID-19 vaccine doses by mid-December, Newsom said.
Since each person receiving that vaccine must have two doses, the first distribution will be able to help just 163,500 people.
Health care workers and first responders on the frontlines of caring for COVID-19 patients are slated to be the first group to have access to the vaccine — but the initial distribution won’t even cover all of those individuals throughout the state.
Timeline: When will California get a COVID-19 vaccine? Who will get it first?
The first dose will be given in mid-December and the second dose will be given three weeks later, Newsom said.
Since the vaccines will be limited, state officials are in the process of deciding how the first round of vaccines will be distributed and how they will select which health care workers will receive top priority.
Health officials are urging people to remain vigilant until a vaccine becomes widely available, which is not expected to happen for at least a few months.
More financial support for businesses
Newsom on Monday also announced additional funding to support businesses as the state eyes stricter stay-at-home orders.
Newsom said billions of dollars in sales tax deferrals will allow for immediate relief for businesses both large and small.
Businesses will be allowed to defer their tax payments to the state and instead use that money to pay for immediate expenses. Businesses will have to pay those monies back after a three-month grace period.
“You can hold that money and use it to float any obligations you have immediately,” Newsom said. “This is a deferral.”
For small businesses that take in less than $1 million in sales tax each year, the deferral will be automatic. Larger businesses must fill out a form to be approved.
Newsom said this relief is targeted at business operations that have been unduly impacted by various restrictions throughout the pandemic including bars, restaurants, hair salons and others.
Additionally, California will provide $500 million in COVID-19 relief funds including grants up to $25,000 for small businesses, nonprofits and cultural institutions to carry them through non-revenue generating stretches during current or potential shutdown orders.
“This program will act as a bridge until we can take further actions with the legislature in January,” Newsom said.
However, the state will not be able to carry the weight of the financial relief for businesses throughout the remainder of the pandemic. Newsom stressed that California needs help from the federal government to provide additional relief.
Additionally, applications opened last weekend for the California Rebuilding Fund, which has a goal of providing $125 million in relief dollars through public-private investment for small businesses.
Associated Press and City News Service contributed to this report.
Coachella Valley: Cases so far
Officials on Monday reported 287 new cases and two additional virus-related deaths in the Coachella Valley. Here’s the city and community breakdown, with the numbers in parentheses showing increases from Friday:
- Cathedral City: 2,400 cases (+40), 39 deaths and 2,089 recoveries
- Coachella: 3,314 cases (+41), 33 deaths and 2,919 recoveries
- Desert Hot Springs: 1,453 cases (+37), 30 deaths and 1,208 recoveries
- Indian Wells: 70 cases, 4 deaths and 52 recoveries
- Indio: 4,668 cases (+64), 95 deaths and 4,027 recoveries
- La Quinta: 1,092 cases (+13), 19 deaths and 926 recoveries
- Palm Desert: 1,383 cases (+22), 63 deaths (+1) and 1,106 recoveries
- Palm Springs: 1,383 cases (+18), 64 deaths and 1,144 recoveries
- Rancho Mirage: 328 cases (+11), 25 deaths and 256 recoveries
- Unincorporated communities: Bermuda Dunes: 202 cases (+8), 3 deaths and 150 recoveries; Desert Edge: 89 cases, 5 deaths and 72 recoveries; Desert Palms: 74 cases (+1), 5 deaths and 51 recoveries; Garnet: 282 cases (+5), 5 deaths and 244 recoveries; Mecca: 567 cases (+4), 11 deaths and 483 recoveries; North Shore: 202 cases (+3), 1 death and 159 recoveries; Oasis: 425 cases (+5), 6 deaths (+1) and 369 recoveries; Sky Valley: 59 cases, 2 deaths and 52 recoveries; Thermal: 229 cases (+4), 2 deaths and 195 recoveries; Thousand Palms: 319 cases (+7), 1 death and 254 recoveries; Vista Santa Rosa: 120 cases (+4), 1 death and 102 recoveries
- California: 1,212,968 cases (+14,034) and 19,141 deaths (+20)
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