Eden Health District COVID-19 Bulletin
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“
Public health is not the barrier to economic recovery. Public health is the road to economic recovery."
Dr. Tom Frieden, former CDC Director,
7/21/20
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Teen makes specially adapted 'talking masks' for the hard-of-hearing
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Karma Quick-Panwala, who describes herself as severely hard of hearing, relies on lip reading to communicate. She was midway through her pregnancy when the Covid-19 crisis began, and became concerned she wouldn't be able to communicate with doctors and nurses when they were wearing protective masks.
"I like to say lip reading is my superpower and masks are my kryptonite," said Quick-Panwala. "I'm completely cut off from communication unless I have someone come speak to me personally so that I can lip read to understand what's being said. I knew right away I was going to need some form of communication access."
That's where Isabella Appell, 17, comes in. The high school junior from Thousand Oaks has been making face masks since the coronavirus pandemic began.
Alarmed by
reports
of a lack of available face masks in the early days of the pandemic, Appell sprang into action. Appell is not hard of hearing, but she said she has always been interested in learning sign language and is part of several Facebook groups for deaf people.
Appell created
Talking Masks
, a small venture that makes masks featuring a clear plastic window.
She cuts the fabric from a template she created, then sews the masks and inserts a piece of clear plastic vinyl over the mouth.
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Appell applies a de-fogging spray to the final product, so it doesn't steam up when in use.
Since March, when the pandemic closed her high school, Appell has been sewing the masks, day and night, from her upstairs bedroom.
So far, Appell has made more than 300 masks for customers. Anyone can order a mask from the website. All she asks is that those who want or need a mask make a small donation and pay the shipping fee. The money from the donations all goes to the
Hearing Aid Project
, a nonprofit group that supplies hearing aids to those who can't afford them.
As for Quick-Panwala, she gave birth to a healthy baby boy named Axel on June 6. It was a smooth delivery, for which she credits attentive doctors and their willingness to wear the Talking Masks that Appell sewed and sent her.
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Alameda County:
9,383
Contra Costa County:
5,931
California:
409,586
U.S.:
3,925.025
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Alameda County:
167
Contra Costa County:
102
California:
7,891
U.S.:
142,401
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SF Chronicle, July 21, 2020
An Oakland nurse who cared for Covid-19 patients died after contracting the disease, becoming one of more than 100 California health care workers who have lost their lives due to the coronavirus. Janine Paiste-Ponder, 59, who worked as a nurse at Sutter Alta Bates Summit Medical Center, died on July 17, according to the Alameda County coroner. She was a member of the California Nurses Association union for more than 25 years.
“She took care of our patients and she died doing it,” said Adetola Akindele, the supervising nurse on Paiste-Ponder’s unit who worked with her for 15 years, crying as she remembered her colleague. On Tuesday afternoon, at least 100 coworkers and community members gathered outside the hospital to remember Paiste-Ponder. Her two daughters clutched hands beside her husband as the crowd raised cell phones in a moment of silence.
SF Chronicle, July 20, 2020
Twelve residents have died and 130 people have been infected with the coronavirus at a Walnut Creek nursing home, state health officials said Monday. Ninety-two residents and 38 health care workers at Manor Care Health Services-Tice Valley tested positive for the coronavirus as of Sunday, according to data from the California Department of Public Health.
SF Chronicle, July 21, 2020
Nearly 10 times as many Bay Area residents had been infected with the coronavirus by the end of April than the official tally at the time, according to a new federal study that analyzed antibody tests to determine how widespread the virus was across a handful of United States hot spots. Scientists with the Centers for Disease Control and Prevention estimate that 65,000 people or 1% of the population in the Bay Area had been infected with the coronavirus by April 27, based on results of antibody tests conducted on a sample of the population. During that period, only about 7,000 cases had been reported. Results, however, showed that the Bay Area had the lowest infection rate in the country during that time period, compared to 9 other regions in the US. At 6.9%, New York City had the highest infection rate.
Though the Bay Area was one of the first parts of the country to experience community spread of the coronavirus, it had the lowest overall infection rate, according to the CDC study. “This is what we managed to do,” said George Rutherford, an infectious disease expert with UCSF. Even with the current surge in cases in the Bay Area, he guesses the percentage of people who have been infected remains small. “You’re only talking about hundreds of cases a day in a region with millions of people in it,” he said.
SFist, July 21, 2020
UCSF's Chair of the Department of Medicine, Dr. Bob Wachter, has been a voice of reason and at least a modicum of optimism during UCSF's weekly "
Grand Rounds
" broadcasts since the pandemic began. As for looking ahead to the next few months, despite growing case numbers in the city of San Francisco and in cities nearby including Oakland, Wachter says, "I'm pretty confident that we won't be New York in April or Houston or Miami today. I think the combination of good governance, everything from the public health officials to the mayors to the governor, who have basically called it like it is and have not been afraid of making hard choices, and citizens who seem to be following the prescription without that much blowback."
SF Chronicle, July 22, 2020
A new report from UC Berkeley’s Center for the Study of Child Care Employment
presents the crisis in stark terms
. After surveying 953 programs throughout California from June 22 to July 1, it concluded that the state’s attempt to restart the economy “has only escalated the crisis in California child care, exposing providers to the dual threats of health risk and the potential collapse of their programs.” Roughly a quarter of the programs remain closed, and of those that have opened, 77% have lost income from tuition and 80% now contend with higher cleaning costs.
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Personal Health
CNN, July 22, 2020
If people washed their hands regularly, wore masks, and kept their social distance from each other, these three simple behaviors could stop most all of the Covid-19 pandemic, even without a vaccine or additional treatments, according to a new study. The study,
published Tuesday in the journal PLoS Medicine
,
created a new model to look at the spread of the disease and prevention efforts that could help stop it. The contact rates in the study were based on people's interaction in the Netherlands, but the model is appropriate for other Western countries, the researchers at the University Medical Center Utrecht said
.
Vaccine News
Nature, July 21, 2020
In the past few days, scientists working at feverish pace to develop vaccines against the coronavirus have released a flood of data from their first human trials. The results come from phase I and II trials of four promising vaccine candidates and detail how people respond to the jabs. Because the trials were focused on safety and dosing, the data cannot say whether the vaccines will prevent disease or infection, large-scale efficacy trials are needed for this.
Scientists caution against comparing immune responses shown in early-stage trials, and say there might be more than one path to an effective vaccine. Researchers don’t yet know the precise nature of the immune responses that protects against Covid-19, and there are likely to be multiple ways to fend off infection.
Reuters, July 22, 2020
The U.S. government will pay $1.95 billion to buy 100 million doses of a COVID-19 vaccine being developed by Pfizer Inc and German biotech BioNTech SE if it proves to be safe and effective, the companies said on Wednesday. Pfizer and BioNTech will not receive any money from the government unless their vaccine succeeds in large clinical trials and can be successfully manufactured.
Antibodies Studies News
STAT, July 21, 2020
The true number of coronavirus cases in the U.S. could be anywhere from six to 24 times higher than the confirmed number of cases, depending on location, according to a large federal study that relied on data from 10 U.S. cities and states. The vast majority of Americans, however, are still vulnerable to Covid-19.
The study
, published Tuesday in JAMA Internal Medicine, relied on
serological tests
, blood screens that search for antibodies to the virus and that determine whether someone was previously infected.
Bloomberg, July 21, 2020
Recovering from Covid-19 may not offer much lasting protection from future infections for those with only mild cases, according to a report that suggests caution regarding so-called herd immunity as well as the durability of vaccines. The correspondence in the New England Journal of Medicine outlined research on antibodies taken from the blood of 34 patients who had recovered after suffering mainly mild symptoms that didn’t require intensive care. The first analysis was done on antibodies taken an average of 37 days after symptoms began, with a second after about 86 days, or less than three months. The researchers found that antibody levels fell quickly, with a half-life of about 73 days between the two time frames.
Faye Flam, opinion columnist, Bloomberg, July 21, 2020
Vaccines can induce a stronger immune response than natural infections. And natural immunity might hold up better than these first studies suggest. This week, another team released
a study
that followed 19,860 patients in New York City, and found that more than 90% of them had produced the kind of antibody response likely to fight off reinfection, and it was still going strong three months after recovery.
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Mercury News, July 22, 2020
As California closed in on an ignominious milestone, passing New York as the state with the most coronavirus cases in the nation. one of the state’s leading coronavirus experts said it could be more than a month before cases begin to significantly decrease.
“We’ve learned that a two-to-three week period may not be long enough,” said California Health and Human Services Secretary Dr. Mark Ghaly. “It may take up to three, four, even five weeks to feel the full impact of some of those changes.”
LA Times, July 22, 2020
Sixty-six inmates from the coronavirus-ridden California Institution for Men were on buses in late May, headed from Chino to the prison at Corcoran, where Frank Estrada was incarcerated. What they didn’t know was that “the ‘beast’ came with them,” Estrada said, alluding to the lethal virus that hitched a ride on one of the most disastrous prisoner transfers in state history.
San Quentin, California’s oldest prison, took in 121 transfers from Chino and has since been
ravaged by the disease
. Last week, it passed the 2,000 mark in infections, and
now reports 862 active cases
and 13 deaths among its 3,362 inmates.
SF Chronicle, July 21, 2020
California personal care services can be provided outdoors, after all, a reversal by Gov. Newsom on Monday that had barbershops and salons in the Bay Area scrambling.
The hair, makeup, nail and skin industry is doing logistical gymnastics amid ever-changing protocols. Some say the state is unfairly singling out the industry.
LA Times, July 21, 2020
For a variety of reasons, Filipino Americans have been hit hard by the novel coronavirus. People with roots in the Philippines account for about one-quarter of the Asian Americans in California, yet data compiled by The Times show that Filipino Americans account for at least 35% of Covid-19 deaths in the state’s Asian population.
Cap Radio, July 21, 2020
Latino Californians between the ages of 50 and 64 are dying at more than five times the rate of white people of the same age, according to a new report from the University of California, Los Angeles. Black people in that age group are dying at about three times the rate of white people. Report co-author and UCLA professor David Hayes-Bautista said the trend is directly linked to the fact that Latino workers comprise much of the
high-risk agricultural sector
.
Sacramento Bee, July 21, 2020
Most California state workers trained to be Covid-19 “contact tracers” still haven’t started tracking down people exposed to the coronavirus, even as many counties say they don’t have enough staff to do the work. As of last week, just over a third of the 3,600 state workers who were trained had been assigned to do that work.
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CNN, July 22, 2020
At least 1,000 American deaths linked to the coronavirus were reported Tuesday, and the spread shows no sign of slowing down. The harrowing death toll comes as states across the country report record-breaking numbers of new cases. More governors are making masks a requirement as overwhelmed testing labs and hospitals are raising alarm. And officials are debating whether to send children back to school in person.
NY Times, July 21, 2020
President Trump acknowledged on Tuesday that the coronavirus pandemic was growing more severe in the United States and endorsed mask wearing in a shift after weeks of playing down the seriousness of the crisis that has killed more than 140,000 Americans. Rather than just “embers” of the virus, as he has repeatedly characterized recent outbreaks afflicting much of the country, Mr. Trump conceded that there were now “big fires,” particularly in Florida and elsewhere across the South and West. He vowed to press a “relentless” campaign to curb the spread without offering any new specific plans for how to do so.
NY Times, July 22, 2020
Six months since the coronavirus crisis was first detected in the United States, the Northeast stands in sharp contrast with the rest of the nation. Along the East Coast, from Delaware through Maine, new case reports remain well below their April peak. As of Wednesday, six of the country’s 11 states with flat or falling case levels are in that Northeastern corridor. “It’s acting like Europe,” Dr. Ashish Jha, the director of the Harvard Global Health Institute, said of the Northeastern United States.
The Hill, July 21, 2020
New York, New Jersey and Connecticut are now requiring visitors from 31 states, including California, to quarantine for 14 days in an effort to combat the growing number of coronavirus cases in the country.
Travelers from these states are required to fill out an online form or face fines up to $2,000 in New York. New York Gov. Andrew Cuomo acknowledged during his Monday press briefing that the enforcement of the advisory was operating in airports but not those traveling by road.
CNN, July 22, 2020
The state of Texas has identified 351,071 Covid-19 cases, and 4,199 deaths as of Tuesday afternoon. On Monday, Hidalgo County, which borders Mexico in eastern Texas and has a population of 870,000, reported 34 new deaths due to Covid-19 complications, and 524 new cases.
The situation has grown so dire that Hidalgo County officials threatened this week to criminally prosecute people who don't quarantine after testing positive for Covid-19. Hidalgo County Judge Richard Cortez issued a shelter-at-home order for all residents starting Wednesday. The order includes a curfew, travel limitations and facial covering requirements and comes as the county's hospitals have hit capacity.
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Mercury News, July 22, 2020
State and local officials say online schooling will look a lot different than in the spring. Districts say they’ll make sure students have computers and check in daily. Those students will also follow a regular bell schedule and be graded, unlike when schools were thrown into chaos after the coronavirus pandemic abruptly shuttered classrooms in March. New state funding rules require schools to document daily student online participation, keep weekly engagement records, report absences and chronic absenteeism and develop re-engagement strategies for students who do not participate.
Associated Press, July 22, 2020
While most California school districts are planning only virtual instruction to start the academic year, some are offering child care programs that will bring students into the same buildings that are off-limits for classroom instruc
tion.
Dr. Mark Ghaly, California’s secretary of health and human services, said child care doesn’t have to be offered by school districts or on school campuses but can be so long as officials follow state guidance on sanitation and safety for these facilities
.
Marin Independent Journal, July 21, 2020
Marin’s outdoor classrooms could be some of the safest places for kids to learn during the coronavirus pandemic thanks to their open air and natural sunlight, some educators say. Terra Marin School in Mill Valley is planning to offer both an all-off-campus outdoor program and a schedule of four days on campus with small groups of 12 to 16 students, plus one day per week off campus.
LA Times, July 20, 2020
The start of the high school sports season in California will be delayed until December or January, the California Interscholastic Federation announced Monday. In releasing a new sports calendar, the state’s governing body for high school sports might be giving the state’s more than 800,000 athletes their best opportunity to have a sports season in the 2020-21 school year.
EdSource, July 21, 2020
UC Berkeley will hold all classes remotely when the fall semester begins next month, Chancellor Carol Christ announced yesterday, saying that it wouldn’t be safe to have in-person classes. Christ cited the “worsening” coronavirus pandemic in California and noted that there was recently an outbreak of Covid-19 cases in the Berkeley community linked to fraternity parties.
LA Times, July 20, 2020
For students studying music, dance, film, visual art, theater and other disciplines, the uncertainty of the fall adds an extra layer of anxiety. Training often relies on in-person practice through rehearsals and private instruction. It requires staging ensemble shows and having access to expensive equipment such as cameras and arts software for projects. For some students, those resources, along with the mentoring from faculty and the building of a network of fellow artists, are the reasons to pursue a college education.
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NPR, July 22, 2020
As the start of classes inches closer, more and more colleges are rolling back their earlier, more optimistic proclamations of an in-person or hybrid fall. Those plans are now more likely to include hefty virtual options. Some call for classes that would be mostly remote while others are calling for the semester to be entirely online.
San Diego Union-Tribune, July 21, 2020
Parents nationwide are forming so-called “learning pods,” “pandemic pods” or “micro-schools,” which are small groups of students who meet for social interaction and learning and are often led by parents or hired teachers or tutors. Pods, however, have already drawn criticism and concerns about inequity. Critics say they are another way that well-resourced families are able to pay for a better educational experience for their children while families without the money or time to do so are left at a disadvantage.
Lexington Herald Ledger, July 21, 2020
A Covid-19 outbreak among football players at Hazard Independent High School in Eastern Kentucky had spread by Monday to 38 people, including 18 football players, three coaches and 17 of their family members and close contacts who have tested positive. It is believed that the high school weight room is where the transmission among students occurred.
Boston Globe, July 21, 2020
As schools reopen in the fall, previously common and insignificant situations will carry new prospects of danger. To guide districts’ responses, the Massachusetts Department of Elementary and Secondary Education this week released protocols for when students, staffers, or families experience symptoms or test positive for Covid19, a
19-page plan
that makes clear how complicated and challenging the new school year will be.
Elizabeth Spiers, Washington Post, July 22, 2020
By now, we know enough about the risks of the
coronavirus
to realize that simply declaring that schools are safe is an exercise in fantasy. There are some things public health experts agree present extraordinarily high levels of risk, and schools combine several of them. Public health experts agree that the highest risk venue for transmission is an indoor setting with poor ventilation, where people are interacting for an extended period of time. The risk of transmission indoors is an estimated
19 times higher
than it is outdoors. This is a well-understood consensus, and it’s why many states still aren’t allowing indoor dining or reopening movie theaters.
Julia Marcus and Jessica Gold, The Atlantic, July 21, 2020
Relying on the self-control of young adults, rather than deploying the public-health infrastructure needed to control a disease that spreads easily among people who live, eat, study, and socialize together, is not a safe reopening strategy, and yelling at students for their dangerous behavior won’t help either.
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North Texas 24-Year Old Survivor: ‘I should have worn a mask’
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After spending 79 days in the hospital, Paola Castillo, 24, of North
Richland Hills, Texas, finally got to go home last week. Doctors at Medical City North Hills said her road to recovery is far from over after discharge, but the staff celebrated her “fighting spirit and remarkable recovery against dismal odds.”
Castillo was close to death during her nearly three-month stay. Symptoms began six days before she went to the hospital ER on April 27.
Castillo was placed on a ventilator within the first 24 hours at the hospital. She spent more than a month in the ICU and on a ventilator.
After slowly being weaned from the ventilator, Castillo found that many of her physical abilities had atrophied, such as the ability to talk, swallow and walk.
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Nurses, therapists and other staff worked to provide compassionate care and meaningful connections to keep her motivated and positive during rehabilitation.
Castillo said it never crossed her mind she could get the virus.“Maybe if I would have just listened and worn a mask, just a simple thing, I would have avoided all this,” she said. “I work at a bank, I’m always around people, but I was like I’m fine, I’m fine. Never did I think I’d catch it.”
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Reuters, July 22, 2020
The United States has the highest number of cases in the world with 3.91 million infections. The top five countries with the most cases is rounded out by Brazil, India, Russia and South Africa. But, the Reuters tally shows the disease is accelerating the fastest in the Americas, which account for more than half the world’s infections and half its deaths. Globally, the rate of new infections shows no sign of slowing.
Associated Press, July 22, 2020
Brazil’s government says President Jair Bolsonaro is still testing positive for the coronavirus following his July 7 announcement. The positive test Tuesday came after a follow-up check on July 15. The government says he remains in good health. Bolsonaro is treating his Covid-19 with the anti-malaria drug hydroxychloroquine, although it has not been proven effective against the virus and can be dangerous for some people.
Reuters, July 21, 2020
Mexico’s Health Ministry on Tuesday reported 6,859 new confirmed coronavirus infections and 915 additional fatalities, bringing the total in the country to 356,255 cases and 40,400 deaths. The government has said the real number of infected people is likely significantly higher than the confirmed cases.
The Guardian, July 22, 2020
Almost a quarter of Delhi’s 28 million residents may have developed coronavirus antibodies, making it one of the worst affected capital cities in the world, according to research. The coronavirus crisis
hit Delhi hard last month, pushing the city’s healthcare system to the brink of collapse and many died after hospitals ran out of beds and ventilators.
USA Today, July 21, 2020
Regardless of whether herd immunity is a goal or a side effect of the Swedish strategy, how has it worked out? Not so well. The proportion of Swedes carrying antibodies is estimated to be under 10%, thus nowhere near herd immunity. And yet, the Swedish death rate is unnerving. Sweden has a death toll greater than the United States: 556 deaths per million inhabitants, compared with 425 in the U.S., as of July 20.
Reuters, July 20, 2020
Passengers of China-bound flights must provide negative Covid-19 test results before boarding, as the government looks to further reduce the risk of imported coronavirus cases amid increased international travel.
The Guardian, July 22, 2020
The government’s flagship test and trace system is failing to contact thousands of people in areas with the highest infection rates in England, raising further questions about the £10bn programme described by Boris Johnson as “world-beating”. Local leaders and directors of public health are demanding more control over the tracing operation amid concerns that their ability to contain the virus is being put at risk.
Bloomberg, July 22, 2020
After initial success in containing the virus, Australia is battling a spike in Victoria, which has forced around 5 million people in Melbourne back into a six-week lockdown. The shutdown of the nation’s second-biggest city, which contributes about one-quarter of gross domestic product, could prolong the nation’s first recession in almost three decades.
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Timothy O’Brien, Bloomberg, July 22, 2020
Test results, to be useful, should arrive in less than two days. If they take longer, opportunities to isolate infected people and trace their contacts with others wither, undermining broader containment efforts. While the Trump administration and the federal government have drawn ample
criticism
for leadership failures around testing, the private sector has also proved unequal to the epic challenges a pandemic presents. Federal agencies such as the Centers for Disease Control and Prevention, state labs and hospitals all provide testing services, but commercial labs
dominate the market
.
Kaiser Health News, July 22, 2020
Chantee Mack, a 44-year-old disease intervention specialist, lost her life this spring after Covid-19 struck the Prince George’s County Health Department in the Maryland suburbs of Washington, D.C. The coronavirus infected at least 20 department employees. The spread of Covid-19 underscores the stark dangers facing the nation’s public health army, the very people charged with leading the pandemic response.
Joan Donovan, Nature, July 22, 2020
In her new book Stuck, Heidi L. Larson argues that in privileged neoliberal contexts, people see health care as a service rather than a right, and consider all treatment a consumer choice. That’s a problem for immunizations, which are a common good. Every unvaccinated child is not just themselves at risk; they pose a risk to any baby not yet vaccinated, for instance. Growing individualism, coupled with an understandable need to be heard and taken seriously, makes a fertile ground for distrust of vaccines.
Reuters, July 22, 2020
The surge of U.S. coronavirus cases that began in June was preceded in May by a large jump in consumer interest in social activities like dining out and going to bars and gyms, website Yelp reported on Wednesday in an analysis of searches and reviews conducted on its platform. Justin Norman, Yelp's VP of Data Science, said in states like Florida and South Carolina, which experienced high growth in coronavirus infections in June, consumer views of Web pages or posts of photos and reviews for bars, restaurants and gyms jumped more than 50% from the previous month.
Elizabeth Castillo, CalMatters, July 21, 2020
Coronavirus has reshaped how Californians live, learn and work in uneven ways. The pandemic has exposed the state’s long-standing digital divide with a significant share of low-income and rural households lacking reliable Internet access. And even though employers have quickly adapted to remote work, the opportunity to work from home has not spread evenly across the workforce. Many Latino and Black workers who work in essential fields find themselves taking more risks to stay employed, leading to higher rates of infection and death in those communities of color.
CalMatters, July 20, 2020
The pandemic has driven a wedge into the fault lines dividing the state’s haves and have nots. The workers facing the highest rates of unemployment are those that already earned the lowest wages. Federal and state lawmakers have cobbled together an enhanced pandemic safety net, but many fall through the cracks. And it will soon shrink back towards its previous size when CARES Act funding for extra unemployment dollars expires July 31.
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Alameda County Data
: 2,458 n
ew cases have been recorded over the last 14 days. The number of confirmed infections is currently doubling every 39.9 days.
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Contra Costa County Data
: 1,839 new cases have been recorded over last 14 days. The number of confirmed infections is currently doubling every 29.7 days.
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Top 8 Locations of Cases in Alameda County
, cases as of 7/21/20
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Oakland:
3,687
Hayward:
1,379
Eden MAC: 546
Fremont: 483
San Leandro: 474
Livermore:
371
Union City: 291
Castro Valley:
267
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Top 8 Locations of Cases in Contra Costa County
, cases as of 7/21/20
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Richmond: 1,286
Antioch: 710
Concord: 669
Pittsburgh:
537
San Pablo: 534
Walnut Creek: 272
Bay Point: 266
Brentwood: 232
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The parody songs on the pandemic by
Randy Rainbow
have generated over 16 million views on YouTube. His latest song is entitled "Gee, Anthony Fauci."
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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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