Wednesday, July 29, 2020

COVID-19 San Diego Updates | Dr. Fauci Talks To Wired | Johns Hopkins Researches Ask For COVID Do-Over

Malayan Tiger At San Diego Zoo (taken 1.15.2020) #GlobalTigerDay

I'm not gonna lie, I was super bummed today. There's supposedly a heatwave coming on hard this weekend so I wanted to go to the San Diego Zoo this afternoon for a couple hours, but I woke up with gnarly allergies, which incidentally, manifest a lot like COVID-19 symptoms, so I realized it's my personal responsibility to stay home if I'm snotty and sneezy. Of course I have allergy pills and was fine after I took one, but I couldn't honestly answer the Zoo's three health screening questions, and considering they're worried about reverting back to lockdown, I'm not gonna be the jerk that ignores the rules. So it was a day at home feeling Claritin hazy and listening to the County Media Briefing and Carlsbad Councilmember Cori Schumacher's daily Facebook update and Nathan Fletcher's update, too. I'll go another time, but I guess we'll mostly be on lockdown if it's as hot as they expect. News stuff after the jump.

  • San Diego County Media Briefing:
    • Updating public health order to require employers to notify all employees of outbreaks in their place of employment, whether that employee has been in the business or not.  (Section 16 of Public Health Order will be updated and go into effect tonight at midnight.) This was previously just a recommendation.
    • Current Compliance Enforcement using warnings/citations/cease & desist:
      • Egregious violators
      • Outbreaks at food facilities
      • See something, say something
      • 7,500 food facility checks
      • Healthy compliance hotline and email
      • Additional staff for egregious cases, outbreaks, pre-outbreak assessments, and follow-up inspections
      • Coordination with local cities and jurisdictions
      • Violations to health order are misdemeanors with $1000 fine
    • Stats:
      • 6% 14-day average percentage of new cases 
      • 8,456 7-day average of tests
      • 282 New Cases/6,899 Cases 
      • 22 new ICU patients/502 total hospitalizations
    • CDC Reported 47% of adults have 1/5 pre-existing conditions which lead to more severe outcomes
    • 119 Active Outbreaks 
      • 33 congregate settings 
      • 64 community settings (1,040 confirmed cases/9 deaths)
      • 24 community outbreaks in last 7 days/6 new yesterday, 7 new today
    • Must get below 240 cases/day for 14 days to get closer to getting off the state monitor list
    • 59% of new cases are 20-49 year olds
    • In addition to protecting others from you, wearing a face-covering can reduce personal risk from contracting at 65% (uncited)
    • 614 full time staff doing contact tracing:
      • 270 investigators 
      • 232 contact tracers 
      • 66 support staff
      • 253 staff are in training: 48 case investigators, 165 contact tracers (doesn't add to 253)
      • Looking to hire additional 160 additional investigators and contact tracers
      • Working with SDSU for tracing program
  • Anthony Fauci Explains Why the US Still Hasn’t Beaten Covid: The director of NIAID talks about vaccines, school reopenings, hostility toward science, and the lessons we’ll learn when (yes, when) we recover. - Wired (7.29.2020)
  • Resetting Our Response: Changes Needed in the US Approach to COVID-19 - Johns Hopkins Center For Health Security (7.29.2020)
    As the US rapidly approaches 5 million COVID-19 cases and 150,000 deaths, it is clear that changes to the national response plan are needed. Researchers at the Johns Hopkins Center for Health Security published a report outlining key steps to “reset” the US response and put the country on a better path toward effectively combating COVID-19. Operational recommendations include encouraging or, “when appropriate,” mandating nonpharmaceutical interventions, including mask use; reinstituting social distancing restrictions in hard-hit areas where health systems are stressed, including “stay at home” orders and prohibitions on large gatherings and other high-risk activities; and conducting and publishing epidemiological analysis, including for case investigations and contact tracing. Additionally, the report outlines recommendations to provide necessary infrastructure and support ongoing research and operational efforts, including scaling up supply chains for personal protective equipment and testing, improving distribution and allocation systems, conducting rapid research to address emerging information needs, and identifying and disseminating best practices for response operations and policies. Finally, the authors highlight the importance of preparing for the production, distribution, and administration of a future vaccine, including effective community engagement efforts.

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