Eden Health District COVID-19 Bulletin
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"When you mix science and politics, you get politics."
John M. Barry, author of
The Great Influenza: The Story of the Deadliest Pandemic in History
,
7/14/20
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Bay Area teen invents "safe touch" utility device
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Thirteen year old Mizan Rupan-Tompkins has always had a knack for figuring stuff out. When the pandemic hit, the South San Francisco teen saw his mother using her sleeve to avoid touching door handles and elevator buttons.
“Because once you touch your face — now all those germs are on your face.” Mizan explained.
“He was like, ‘I could make you something!'” Mizan’s mom, Ronica, remembers. “I said, ‘sure, make me something.' ”
After 50 attempts, he developed the “Safe Touch Pro,” a hand-held utility device with a retracting cable that can be mounted on a belt and used as a hook to help open high-contact doors or as a punch to push buttons and keypads.
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So far, the manufacturing operation exists only in the family’s home using a 3D printer, but that could change because the orders are starting to come in, averaging 5 or 6 a day from all 50 states and Puerto Rico.
Mizan has begun marketing the device to large companies and would like to get Uber and Lyft to require drivers to carry them.
“I feel like, at any age you can make a difference in the world,” Mizan said with a proud grin. “I feel like I’m helping to flatten the curve of the coronavirus and I feel like my product can make a difference.”
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Alameda County:
8,478
Contra Costa County:
5,140
California:
346,589
U.S.:
3,454,190
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Alameda County:
154
Contra Costa County:
92
California:
7,243
U.S.:
136,807
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Alameda County Public Health Press Release, July 15, 2020
Alameda County’s attestation to become a variance county was approved today by the State, which means:
1. The Oakland Zoo can open for outdoor activities with appropriate safety measures in place
2. Outdoor dining can resume. Please note that face coverings are required at ALL times and may only be
removed during the physical act of eating or drinking.
East Bay Times, July 15, 2020
California had one of its grimmest days yet of the coronavirus crisis Tuesday, reporting near-record numbers of new cases and deaths. In the Bay Area, the region reported a record number of new cases Monday, then followed it by nearly matching that number Tuesday. Hospitalizations were up 7% Monday from the day before and 53% higher than two weeks ago; the 649 patients on Monday were the most of any point in the pandemic.
Even deaths, which so far had not hit the region as hard as other parts of the state, have begun to rise here following their upward trend statewide that started a little over a week ago. After nine deaths Monday followed by another 11 on Tuesday, the seven-day average of deaths per day hit six, its highest level since mid-May. Still, even the 20 deaths over the past two days in the Bay Area — or 1.25 per day per 1 million residents — is far lower than other parts of the state on a per-capita basis; averaged over seven days, the region is reporting less than one death per 1 million each day.
County Press Release, July 13, 2020
Gov. Newsom has required counties that have remained on the California Department of Public Health's county monitoring list for three or more consecutive days to close additional businesses and activities, effective immediately.
Contra Costa does meet the criteria, so this part of the governor's order does apply to the county. Some businesses and activities that had previously been permitted in the county are affected:
- Offices for "non-essential" business sectors, as determined by the state – visit covid19.ca.gov for more information when it becomes available.
- Hair salons and barber shops
- Indoor malls
SF Chronicle, July 14, 2020
Throughout the coronavirus pandemic, most of the Bay Area was in sync with shelter-in-place and other health mandates. Then as counties began reopening, they took divergent paths, especially smaller areas and those with fewer cases. But a virus surge statewide has led some counties to halt or even reverse their reopening plans. And on Monday, Gov. Gavin Newsom
announced a sweeping measure
ordering the indefinite, immediate statewide closure of indoor restaurants, movie theaters and wineries, and both indoor and outdoor bars.
Mercury News, July 15, 2020
Bay Area health officers’ retreat and fractured approach to slowing the spread of the coronavirus isn’t working. It’s confusing residents and undercutting respect for the counties’ health orders. The results are clear: Too many people are ignoring the disparate rules as Bay Area coronavirus cases and hospitalizations are rising rapidly. It’s time for the region’s health officers to show leadership, as they did at the onset of the outbreak, by unifying behind one set of guidelines that is easy to comprehend and aggressively slows the spread of the virus.
Newsweek, July 14, 2020
Almost 50 percent of San Francisco's total Covid-19 cases were diagnosed among Hispanic and Latino residents as of Monday, according to public health data. The statistic far outweighs infection rates reported among other communities and raises concerns about health inequities in San Francisco, given that Hispanic and Latino individuals compose roughly 15 percent of the city's overall population.
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The Hill, July 14, 2020
Quest Diagnostics, one of the main companies doing coronavirus testing, said Monday that “soaring demand” due to the surge in cases across the South and Southwest had pushed back their average turnaround time for getting results of a coronavirus test to at least seven days for all but the highest priority patients.
LabCorp, another major testing company, said last week that its turnaround times were only slightly better, at four to six days, because of “significant increases in testing demand and constraints in the availability of supplies and equipment.” A seven-day wait for test results, however, magnifies the risks that an infected person has already spread Covid-19, making it too late to effectively implement contact tracing.
STAT, July 14, 2020
Moderna’s Covid-19 vaccine led patients to produce antibodies that can neutralize the novel coronavirus that causes the disease, though it caused minor side effects in many patients, according to the
first published data
from an early-stage trial of the experimental shot. The study, which was run by the National Institutes of Health, showed that volunteers who received the vaccine made more neutralizing antibodies than have been seen in most patients who have recovered from Covid-19. But a second injection, four weeks after the first, was required before the vaccine produced a dramatic immune response.
Bruce Lee,Professor of Health Policy and Management, City University of New York, The Conversation, July 15, 2020
My colleagues and I used a computer simulation of every person in the country to show how effective a vaccine would have to be and how many people would have to get vaccinated to end the pandemic. We found that a coronavirus vaccine’s effectiveness may have to be higher than 70% or even 80% before Americans can safely stop relying social distancing. By comparison, the measles vaccine has an efficacy of 95%-98%, and the flu vaccine is 20%-60%. That doesn’t mean a vaccine that offers less protection would be useless, but it would mean social distancing in some form may still be necessary.
Vox, July 14, 2020
At the beginning of the Covid-19 pandemic, “the assumption was that people would get better, and then it was over,” says Michael Peluso, a clinical fellow in infectious diseases at the University of California San Francisco. “But we know from lots of other viral infections that there is almost always a subset of people who experience longer-term consequences.” He explains these can be due to damage to the body during the initial illness, the result of lingering viral infection, or because of complex immunological responses that occur after the initial disease. It’s not necessarily just the sickest patients w
ho experience long-term symptoms, but often people who weren’t even initially hospitalized.
USA Today, July 15, 2020
While some public health experts had expected coronavirus transmission to wane in the summer as temperatures rise and the air becomes more humid, cases have actually skyrocketed in some of the hottest and stickiest parts of the country. Engineers and ventilation experts say this may be in part due to residents escaping the heat and retreating indoors where heating, ventilation and air conditioning (HVAC) systems could exacerbate airborne transmission with unplanned air currents.
Kaiser Health News, July 14, 2020
You can expand your social bubble beyond the household, if you heed now-familiar health guidelines and even take extra precautions: Limit the number of people you see at one time, and wear a mask if meeting indoors is the only feasible option or if you can’t stay at least 6 feet from one another outdoors. Disinfect chairs and tables, and wash your hands, before and after the visit. If food and drink are on the agenda, it’s best for all involved to bring their own, since sharing can raise the risk of infection.
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California and US Data for July 14, 2020
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Cal Matters, July 14, 2020
As the nation grapples with growing demands for coronavirus testing, renewing shortages and delays in results, California is setting new guidelines for who gets tested first, state health officials announced.
The state’s new guidance divides testing into four categories. The top priority will be patients hospitalized with Covid-19 symptoms, as well as people linked to an outbreak. All other people with symptoms fall into “Tier 2,” as do asymptomatic people who are considered high risk, such as health care workers and those who live or work in nursing homes, homeless shelters and prisons. Essential workers without symptoms fall under the third category. More widespread testing of the general population will occur once testing turnaround time is less than 48 hours, according to the
new guidelines
.
SF Gate, July 14, 2020
Coronavirus cases in California are surging as the total number detected since the start of the pandemic nears 330,000. Of those, about 45% were reported in the last month alone.
Experts don't point to a single cause for the increase but rather say that it's the result of a combination of everything, from the reopening of the economy to protests to Memorial Day festivities to people holding indoor gatherings and not wearing masks.
Dr. John Swartzberg, a UC Berkeley infectious disease professor, believes there's some hope for cases to decline in August if residents wear masks and follow public health orders with vigilance. But it will take time to see the effects of these efforts.
SF Chronicle, July 14, 2020
With coronavirus cases surging and the need for testing at an all-time high, California officials are putting pressure on major health insurance companies to help finance the fight against the pandemic. The state Department of Managed Health Care will issue new regulations requiring health insurers to pay for coronavirus testing for most patients, state officials said Tuesday. They hope the move will lead to large hospitals, clinics and other health care providers conducting more testing at a time the public needs it the most.
LA Times, July 15, 2020
An LA Times analysis of statewide data found that for every 100,000 Latino residents, 767 have tested positive. The Black community has also been hit particularly hard: for every 100,000 Black residents, 396 have tested positive. By comparison, 261 of every 100,000 white residents have confirmed infections.
Experts say the biggest outbreaks have been in Southern California and the Central Valley. In those regions, the economies are particularly reliant on Latino workers, and a number of Latino residents tend to live in densely packed communities where Covid-19 can easily spread through extended families.
Sacramento Bee, July 15, 2020
California communities are scrambling to track down people exposed to the coronavirus after the state let many accelerate reopening without meeting minimum standards for contact tracers.
The state initially told counties they must have at least 15 contact tracers for every 100,000 people before they could speed up their economic reopening. Of the 55 counties that attested they could safely reopen, at least 17 did not meet that contact tracing threshold when they submitted their attestation forms to the state, although many outlined plans to expand their staff.
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CNN, July 15, 2020
Hospital data on coronavirus patients will now be rerouted to the Trump administration instead of first being sent to the US Centers for Disease Control and Prevention, the Department of Health and Human Services confirmed to CNN on Tuesday. The move could make data less transparent to the public at a time when the administration is downplaying the spread of the pandemic, and threatens to undermine public confidence that medical data is being presented free of political interference.
Washington Post, July 15, 2020
It’s not just Florida, Arizona, Texas and California anymore. States including Oklahoma and Nevada are reporting record numbers of new coronavirus cases, hospitalizations and deaths. More than 62,000 new infections were reported nationwide on Tuesday, pushing the total count since the pandemic began past 3.41 million.
Outside of the United States, that kind of explosive growth can be found only in the developing world, in countries that lack the wealth and resources of the United States. The number of new cases reported in Florida alone over the past week outstrips the total count in most European nations.
The Hill, July 15, 2020
A lack of oversight for more than $2 trillion in Covid-19 spending approved by Congress is creating uncertainty about whether relief programs are working as planned, adding a new layer of complications to the next coronavirus package.
Reuters, July 15, 2020
A U.S. road trip this summer means navigating through a patchwork of quarantine regulations across various states, most of them voluntary. Like governors in at least 15 states, New Mexico Gov. Lujan Grisham has ordered out-of-state tourists to self-isolate, citing data that about one in 10 of New Mexico’s spiking COVID-19 cases comes from visitors.
Enforcing the orders is proving difficult, given the lack of a national plan, police reluctance to take on the massive task, and Americans’ penchant for driving hundreds or thousands of miles to vacation, even in a pandemic.
Reuters, July 15, 2020
The Paycheck Protection Program appears to have thrown a critical safety net under U.S. middle and upper-middle-wage jobs, but it faltered when it comes to lower-paying positions and the industries hit hardest by the coronavirus pandemic, according to a Reuters analysis of loan details. The program appears to have given proportionately less support to the lowest-wage industries, a group that includes restaurants, golf clubs and ski resorts and other leisure services hard hit by the coronavirus recession.
Axios, July 15, 2020
Florida is the new domestic epicenter of the coronavirus pandemic, and it's on track to keep getting worse. Of the 20 U.S. metro areas with the highest daily case growth, nine are in Florida.
USA Today, July 15, 2020
Walmart and Sam's Club will start requiring masks at stores and clubs nationwide starting Monday, July 20, the company announced. "We know some people have differing opinions on this topic. We also recognize the role we can play to help protect the health and well-being of the communities we serve by following the evolving guidance of health officials like the CDC," the retailers' chief operating officers said in a blog post.
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As Covid-19 surges across the state, major districts in California from Los Angeles and San Diego to Oakland are announcing plans to bring kids back to their home computers instead of the campus the Mercury News
reports
.
The SF Chronicle has published a
comprehensive summary of the reopening plans for Bay Area school districts with many districts deciding to start the school year with 100% distant learning.
Most districts are expected to finalize their reopening plans in the next week. A Bay Area News Group
survey
of 91 local districts found about 20 already are planning to start instruction online. On Tuesday, according to the
East Bay Times
, 39 teacher unions in Alameda and Contra Costa counties announced standards they say must be met before schools can reopen safely, similar to those voiced in Santa Clara, Marin, Solano and other counties.
East Bay school districts that decided earlier this week to start the school year with distance learning include:
No decision has yet been made for San Francisco public schools. The Chronicle
reports
, however, that "
it’s all but certain the district’s students won’t be back in class when school starts in August, district officials said Tuesday."
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LA Times, July 15, 2020
Pressed by reporters to explain why California doesn’t have a statewide rule for when its 6 million schoolchildren can return to their classrooms, Gov. Newsom insisted that his administration had already offered detailed plans. But the plan he appeared to reference, crafted in March, offered support for schools that had decided to close over coronavirus fears, not guidelines noting when to do so. Nor are there any rules in a state Department of Public Health document released last month that focus on school safety tips such as hand washing and physical distancing.
Orange County Register, July 15, 2020
The Orange County Board of Education, a five-member body with little power, on Monday
voted 4-1 to issue a document saying students should return to traditional classrooms
, without masks, when local schools resume next month.
The board’s white paper isn’t likely to sway local districts, where officials have been working for months on how to resume education even as the coronavirus continues to spread rapidly in Orange County.
On Tuesday,
Santa Ana Unified said it will offer only online instruction when education resumes in the district
, possibly next month. And trustees for Anaheim Union High School District will consider a similar online-only plan when they meet on Thursday.
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Coronavirus survivor comes home in style after more than 100 days in hospital
When 68-year-old Chicago, Illinois, resident Maurice Land was released after more than 100 days in the hospital, his family arranged for a white Rolls Royce to take him home.
Land arrived at Northwestern Hospital March 28; he was soon placed on a ventilator, and there were times doctors were worried he wouldn’t pull through. "The doctors didn’t believe he would live until his birthday, which was June 9," Maurice's sister Marva said.
Land's family and his church family rallied behind him. They say the power of prayer helped pull him through. "We had prayers coming from North Carolina, South Carolina, Texas, California, Florida and the Pacific," his sister Lynn said.
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Land said he feels much better and is ready to start living his life again — a life that revolves around his family and his church. The first thing Land said he wanted to do was to go to church and thank the faithful for their prayers.
Because he is not strong enough to attend church quite yet, Land said he planned to visit with his grandchildren.
After that, he planned to eat a good meal.
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Associated Press, July 15, 2020
Countries around the world are reimposing lockdowns and implementing new health checks at their borders in an effort to curb a resurgence of the coronavirus before it spins even further out of control.
The developments come with more than 13 million cases of coronavirus cases confirmed worldwide, and with over 578,000 deaths, according to a tally by Johns Hopkins University. The actual numbers are thought to be far higher due to a number of reasons including limited testing.
NPR, July 15, 2020
In some places in the world right now getting tested for Covid-19 remains difficult or nearly impossible. In Rwanda you might just get tested randomly as you're going down the street. Despite being classified by the World Bank as a low-income country and despite its limited resources, Rwanda has vowed to identify every coronavirus case. Anyone who tests positive is immediately quarantined at a dedicated Covid-19 clinic. Any contacts of that case who are deemed at high risk are also quarantined either at a clinic or at home until they can be tested.
LA Times, July 15, 2020
As India’s coronavirus caseload approaches 1 million, lockdowns are being reimposed in parts of the country as governments try to shield the health system from being overwhelmed. The initial boost that India’s economy received in June after the national lockdown was relaxed is being halted by these localized lockdowns in high-risk areas, experts say.
Washington Post, July 14, 2020
The novel coronavirus, once concentrated in specific cities or countries, has now crept into virtually every corner of the globe and is wreaking havoc in multiple major regions at once. Nearly all the countries struggling with a surge share something in common: After weeks or months of trying to suppress the virus, they reopened their economies, only to find that the virus came roaring back. Now they are using a more limited arsenal to contain the spread, with little success.
The Guardian, July 15, 2020
Brazilian meat plants helped spread Covid-19 in at least three different places across the country as the virus continues to migrate from big cities to the country’s
vast interior
, experts have said. A study showed that Covid-19 cases in central and southern Brazil were clustered around towns where meat plants were located and workers lived.
Bloomberg, July 15, 2020
Of all the companies around the world affected by Covid-19, none has disclosed a worse death toll than Pemex, Mexico’s state-owned oil producer. It’s not clear why Pemex’s tally is so high, but social distancing is difficult on offshore oil platforms, and the company may initially have been slow to enact protective measures such as sending workers home.
The Guardian, July 15, 2020
A litany of failings meant that when Italy faced disaster, its distress call to the EU met with a shocking silence. This is the full story of how Europe emerged to be the WHO-designated “epicenter” of a global pandemic and what key lessons might be learned.
The stark reality was that in the months and years before coronavirus arrived in Europe, stocks of personal protective equipment (PPE) had dwindled. Emergency supplies of masks had expired, been destroyed and never replaced. Pandemic preparedness plans were out of date.
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John M. Barry,
author of
The Great Influenza: The Story of the Deadliest Pandemic in History
,
NY Times, July 14, 2020
When you mix science and politics, you get politics. With the coronavirus, the United States has proved politics hasn’t worked. If we are to fully reopen both the economy and schools safely, which can be done, we have to return to science.
A comprehensive shutdown may be required in much of the country.
This is our second chance. We won’t get a third. If we don’t get the growth of this pandemic under control now, in a few months, when the weather turns cold and forces people to spend more time indoors, we could face a disaster that dwarfs the situation today.
Don McNeil, Science Reporter, NY Times, July 15, 2020
Nearly 140,000 Americans have been lost to coronavirus, and many experts fear the deaths will only accelerate in the fall as cold weather forces us indoors. By year’s end, half as many Americans may have died as did in the four years of World War II. And yet we are still arguing over how to prevent this, each state struggling over how much lockdown to impose and what its governor can make its citizens do. Today, Americans are facing the same choice our ancestors did: We can listen to scientists and spend money to save lives, or we can watch our neighbors die.
Sharon Begley, senior writer, STAT, July 15, 2020
“In some ways you could say we’re doing Sweden, but unintentionally” and, crucially, without the guardrails that kept that country’s case count from exploding, said physician David Rubin, director of PolicyLab at Children’s Hospital of Philadelphia (CHOP), whose Covid-19 model shows the epidemic resurging through early August almost everywhere in the U.S. but New England. Some states, especially in the South, began easing restrictions in late April. But many people seemed to take “bars and restaurants can reopen with capacity limits” as “back to normal!” An entrenched culture of “don’t tell me what to do” just about ensured the opposite of Swedes’ placing greater restrictions on themselves than the government did. And that’s what happened.
Ed Yong, science writer, The Atlantic, July 15, 2020
Sars-cov-2, the coronavirus that causes COVID-19, is just one of many coronaviruses that exist in bats and other wild animals. Changing climate and shrinking habitats have brought those viruses into closer contact with people and livestock, while crowded cities and air travel hasten their spread. “If another pandemic happens, it will follow the same path the first one took, carved out by the world we created,” says Jessica Metcalf, an infectious-disease ecologist at Princeton.
Amy Lauren Fairchild, Cheryl Healton, and Sandro Galea, STAT, July 15, 2020
A national mask order could be nuanced.
Evidence continues to suggest
that indoor aerosol or droplet transmission is key to the spread of the epidemic. A mask probably doesn’t need to be worn while jogging or strolling through a park or lightly populated outdoor area if you won’t be close to other people. But they should be worn in urban areas with heavy pedestrian traffic, during protests, or at political rallies.
Derek Thompson, staff writer, The Atlantic, July 15, 2020
Without intervention, the COVID-19-induced economic crisis is in danger of becoming a housing crisis. By September,
more than 20 million renters
will be at risk of eviction, especially as eviction moratoriums come to an end.
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Alameda County Data
: 2,357 n
ew cases have been recorded over the last 14 days. The number of confirmed infections is currently doubling every 32.8 days.
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Contra Costa County Data
: 1,891 new cases have been recorded over last 14 days. The number of confirmed infections is currently doubling every 25.3 days.
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Top 8 Locations of Cases in Alameda County
, data as of 7/14/20
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Oakland:
3,259
Hayward:
1,292
Eden MAC: 508
Fremont: 435
San Leandro: 429
Livermore:
336
Union City: 264
Castro Valley:
245
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Top 8 Locations of Cases in Contra Costa County
, data as of 7/14/20
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Richmond: 1,117
Antioch: 601
Concord: 559
San Pablo: 472
Pittsburgh:
427
Bay Point: 222
Walnut Creek: 214
Brentwood: 180
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CDC Press Release, July 14, 2020
In an
editorial published
in the Journal of the American Medical Association (JAMA), CDC reviewed the latest science and affirms that cloth face coverings are a critical tool in the fight against COVID-19 that could reduce the spread of the disease, particularly when used universally within communities. There is increasing evidence that cloth face coverings help prevent people who have COVID-19 from spreading the virus to others.
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Experience at a Missouri hair salon
When two stylists at a Missouri hair salon tested positive for the virus that causes COVID-19, researchers worked together to trace contacts, investigate the cases, and publish their findings in the MMWR.
One of the stylists developed respiratory symptoms but continued to see clients for eight days. The other, who apparently became infected from her co-worker, also developed respiratory symptoms and continued to see clients for four days.
The salon in which they worked had a policy requiring both stylists and their clients to wear face coverings, consistent with the local government ordinance. Both stylists wore double-layered cloth face coverings or surgical masks when seeing clients. The median appointment time was 15 minutes and ranged from 15 to 45 minutes.
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More than 98% of clients wore a face covering—47% wore cloth face coverings, 46% wore surgical masks, and about 5% wore N-95 respirators.
When customers were asked whether they had been ill with any respiratory symptoms in the 90 days preceding their appointment, 87 (84%) reported that they had not. None of the interviewed customers developed symptoms of illness.
Among 67 (48%) customers who volunteered to be tested, all 67 tested negative for the virus that causes COVID-19. Several family members of one of the stylist’s subsequently developed symptoms and received a diagnosis of COVID-19.
LA Times, July 14, 2020
There’s a common refrain that masks don’t protect you; they protect other people from your own germs, which is especially important to keep unknowingly infected people from spreading the coronavirus.
But now, there’s mounting evidence that masks also protect you. If you’re unlucky enough to encounter an infectious person, wearing any kind of face covering will reduce the amount of virus that your body will take in.
As it turns out, that’s pretty important. Breathing in a small amount of virus may lead to no disease or far more mild infection. But inhaling a huge volume of virus particles can result in serious disease or death.
That’s the argument Dr. Monica Gandhi, UC San Francisco professor of medicine and medical director of the HIV Clinic at Zuckerberg San Francisco General Hospital, is making about why — if you do become infected with the virus — masking can still protect you from more severe disease.
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We have posted information on food pantries and food services in the cities of Hayward and San Leandro and unincorporated Alameda County including Castro Valley and San Lorenzo. You can access the information
here on our website
.
Alameda County has also released an
interactive map
listing food distributions and other social services.
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We are proud to partner with the
East Bay Community Foundation
in publishing this bulletin. Through donations to its
COVID-19 Response Fund
,
the EBCF provides grants to East Bay nonprofit organizations delivering essential services to those most impacted by the economic fallout from the pandemic.
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Your feedback is welcome. Please share the Bulletin.
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The
Eden Health District Board of Directors
are Gordon Galvan, Chair, Mariellen Faria, Vice Chair, Charles Gilcrest, Secretary-Treasurer, Roxann Lewis and Pam Russo. The Chief Executive Officer is Mark Friedman.
The Eden Health District is committed to ensuring that policy makers and community members receive accurate and timely information to help make the best policy and personal choices to meet and overcome the challenges posed
by
the Covid-19 pandemic.
Each bulletin includes a summary of the top health, Bay Area, California, national and international news on the pandemic plus links to a diverse range of commentary and analysis. We publish the Bulletin on Mondays, Wednesdays and Fridays.
We welcome your feedback on our bulletin. Please contact editor
Stephen Cassidy
.
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