Thursday, December 03, 2020

CoViD-19: California Announces Regional Stay-At-Home If ICU Beds Drop Below 15% Availability | San Diego Zoo Moves To Reservation System | 1.5 Million COVID Deaths Worldwide

Momma Koala and Joey at San Diego Zoo (Taken 12.3.2020)

We were warned on Monday that another stay-at-home order was on the horizon, we just didn't know the trigger. Today we got the answer: the state has been divided into 5 regions (based on some previously established mutual aid within healthcare providers) and if the entire region gets under 15% of ICU beds available, the stay-at-home order kicks in. San Diego is in the Southern California region which currently has 20.6% of beds available. 
With that announcement, we decided to run to the San Diego Zoo for an hour which is probably exactly not what you should do when you hear how widespread the virus is, but I still think it's safer than any park or afternoon stroll through the neighborhood, things which will still be allowed and encouraged, even if we do hit that 15% trigger, which has been projected over the next 48 hours. 
What was surprising, however, was that the San Diego Zoo has now expanded the health screening queue even further into the parking lot in anticipation for Jungle Bells, which starts on Friday and is implementing a reservation system. It was supposed to have started on Wednesday according to the dude at the screening (where there was no line at all at 3pm) but is now starting on Saturday. Unfortunately, if we do hit that 15%, zoos, museums, and aquariums are on the list to close. I don't think the reservation supersedes that. All this to say, if you want to catch the San Diego Zoo, Safari Park, Sea World, or Birch Aquarium, you better do it sooner rather than later or you may not be able to do so until 2021. 
All the notes on today's state media briefing plus other stats are after the jump. The county has been sucking at getting information out lately, so I'll update the community outbreak sectors when that information is provided. 


  • California Governor Newsom/Secretary Ghaly Media Briefing:
    • The effects of Thanksgiving will be felt in a few weeks. "A surge on a surge"
    • California is Pulling an Emergency Brake
      • To blunt the surge and save lives, California is introducing a regional stay-at-home order
        • Californians Need to Stop gathering with non-household members
        • Keep it outside and keep your mask on
      • Five Regions based on already established mutual aid system
        • Northern California
        • Southern California
        • Greater Sacramento
        • Bay Area
        • San Joaquin 
      • Regions where ICU capacity falls below 15% will be places into a 3-week Stay-at-Home order
        • After 3-weeks, transmission rates will be considered to see if hospital/ICU projections will drop 
      • All regions will fall below 15% in next day or two, Bay Area by mid to late December
    • Stay At Home Sectors That Will Close:
      • Personal Services
      • Hair Salons/Barbershops
      • Indoor and outdoor playgrounds
      • Indoor recreational facilities
      • Museums, zoos, and aquariums
      • Movie theaters
      • Wineries
      • Bars, breweries, and distilleries
      • Family entertainment centers
      • Cardrooms and satellite wagering
      • Limited services
      • Live audience sports
      • Amusement parks
    • Stay At Home Sectors The Will Stay Open
      • Schools that have a waiver or previously opened
      • Critical infrastructure
      • Non-urgent medical and dental care
      • Child care and pre-K
    • Stay At Home Sectors The Will Stay Open With New Modifications
      • Outdoor recreational facilities: Allow outdoor operation only without any food, drink or alcohol sales. Additionally, overnight stays at campgrounds will not be permitted.
      • Retail: Allow indoor operation at 20% capacity with entrance metering and no eating or drinking in the stores. Additionally, special hours should be instituted for seniors and others with chronic conditions or compromised immune systems. 
      • Shopping centers: Allow indoor operation at 20% capacity with entrance metering and no eating or drinking in the stores. Additionally, special hours should be instituted for seniors and others with chronic conditions or compromised immune systems.
      • Hotels and lodging: Allow to open for critical infrastructure support only.
      • Restaurants: Allow only for take-out, pick-up, or delivery.
      • Offices: Allow remote only except for critical infrastructure sectors where remote working is not possible. 
      • Places of worship and political expression: Allow outdoor services only.
      • Entertainment production including professional sports: Allow operation without live audiences. Additionally, testing protocol and “bubbles” are highly encouraged.
    • All Non-Essential Travel is restricted statewide
    • Mental Health is Physical Health
      • It's important to stay active and connected during these times
      • Keep connected with loved ones virtually
      • Get Outdoors:
        • Park
        • Beach
        • Hike
        • Bike Ride
        • Fishing
        • Yoga/Meditate
        • Walk the dog
        • Outdoor fitness classes
        • Running with household members
        • Skiing, snowboarding, sledding
    • CA continues to prepare and support
      • "The state is doing everything in our power to help hospitals prepare for this surge while also supporting businesses and workers impacted by COVID-19"
      • Imperial Valley College FMS
        • Beds Ready 10
        • Beds in warm status 115
      • Arco/Sleep Train Arena in Sacramento
        • Beds Ready 20
        • Beds in warm status 224
      • Other surge facilities available in CA
        • Orange 180 Beds
        • Tulare 123 Beds
        • Riverside I 125 Beds
        • Riverside II 125 Beds
        • San Mateo 250 Beds
        • Contra Costa 250 Beds
        • Fresno 125 Beds
        • San Diego 200 Beds
        • San Francisco 125 Beds
      • Ventilators:
        • 14,233 available in state inventory
        • 6,996 still available in hospitals
    • Business Relief: Tax deferrail, Main Street hiring tax credit, Emergency grants, Rebuilding funds/loans, etc. (see Monday notes
    • Support for workers:
    • Housing:
      • Eviction moratorium extended to 2/1/2021
      • Project Roomkey - non-congregate shelter for high-risk individuals experiencing homelessness
      • Housing for Harvest - temporary, non-congregate housing for farmworkers
      • Hotel Rooms for Healthcare workers
    • Food resources
      • CalFresh - Emergency allotments bring every household to the max allotment
      • Pandemic EBT - Food benefits for kids who are eligible for free/reduced lunch
      • Food Banks - Food, diapers, reimbursements for food
    • HELP IS ON THE WAY: Light at the end of this tunnel
      • Several vaccines are on the way
      • Drafting Guidelines Workgroup and Community Advisory Committee have finalized recommendations for who will receive initial vaccine. Phase 1A.
        • Groups include critical healthcare workforce and long-term care residents
        • Based on scarcity, we have sub-prioritized the 327k doses into 3 tiers.
        • State will be monitoring distribution to make sure that those with means and influence do not come before those in need
    • Wildfires- In December!!
      • Bond Fire (Orange County)
      • 0% Contained 6,600 acres
    • Media Questions:
      • Overwhelming evidence that stay-at-home works
      • Imploring people not to gather
      • Spread cannot be attributed to one single sector, but that's why we have to shut down across the board requiring broadscale interventions
      • Regions go on when ICU beds <15%, but after 3-weeks, counties may come off after looking at transmission projections 4-weeks out
      • California has already procured ultra-low and cold storage arriving at end of the month and more in January
      • State has seen slight reductions from curfew change, but not significant enough so that's why new order is needed
    • California COVID-19 Stats:
      • 18,591 New Cases/1,264,539 Total Cases (1.5% increase)/15,121 7-Day Average
      • 113 New Deaths/19,437 Total Deaths (% increase)
      • 7% 14-day test positivity rate
      • 86% Hospitalization increases
      • 67% increase in ICU
      • 11/2-14 deaths; 12/2 113 deaths 
  • World COVID-19 Stats (JHU 12.3.2020 8:27pm):
    • 65,220,566 Known Cases
    • 1,506,157 Known Deaths
    • 100,667 Currently Hospitalized
  • US COVID-19 Stats (COVID Tracking Project):
    • 210,161 New Cases/13,921,312 Known Cases
    • 2,706 New Deaths/267,228 Known Deaths
    • Currently Hospitalized 100,667
    • Currently in ICU 19,442
    • Currently on Ventilator 6,867
  • San Diego County Stats
    • State Data:
      • 1,378 New Cases/83,423 Total Cases
      • 22 Deaths/1,019 Total Deaths
      • 30.5 cases/100k population (Based on week ending 11/28, Assessed on 12/1. Unadjusted Case Rate)
      • 4.7% Test Positivity (Based on week ending 11/28, Assessed on 12/1.)
      • 10.6% Health Equity Positivity (Based on week ending 11/28)
      • 761 COVID-19 hospitalized 
      • 204 COVID-19 ICU (219 beds available)
    • County Data:
      • San Diego County COVID Update - County News Center
      • 1,504 New Cases/86,142 Total Cases 
      • 5 New Daily Deaths/1,040 Total Deaths
      • 6% Daily Test Positivity/7.3% (7-day avg after 7-day lag)/6.2% Test Positivity (14-day average)
      • 15.3 cases/100k population (Based on week ending 11/28, Assessed on 12/1. Unadjusted case rate per 100,000 excluding prisons.) 
      • Case Investigation is 56% (under 70% goal)
      • Increasing Hospitalizations 10.7% (over 10% trigger)
      • Current hospitalizations (COVID & Non-COVID): 4531/4815 75%
      • Current ICU Beds in Use (COVID & Non-COVID): 534/696 77%
      • ICU Availability 23%
      • 12 New/89 Community Outbreaks (7-day)
  • Universities:
    • SDSU COVID-19UCSD COVID-19USD COVID-19CSU San MarcosPLNU
    • Sick Burn? The New York Times did a feature on the success of UCSD in containing the virus with an interview of UC President, Dr. Michael Burke.
      How are you handling parties, which have been a big source of outbreaks?
      "Most of our campuses start later. By the time September rolled around we saw what happened with campuses that started early. And we learned from that. Our students are thoughtful, intelligent adults interested in furthering their educations, and they want to do what it takes to be safe.
  • COVID-19:
  • Politics/News/Other Reading:
    • The Best Things About the Worst Year Ever. Yes, there was suffering, heartache, and noise. But if you look carefully, this strange year also served up something surprising: reasons to be hopeful. Here are 18 new ideas that just might shape our whole future. - GQ (12.3.2020)


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