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| Christmas Lights at Sea World (Taken 12.13.2019) |
Darren and I were watching a movie last night when all of our power flickered and went out. It was an unscheduled outage affected nearly 7000 customers in the area, but fortunately we keep flashlights all over the house and were able to sort things out, but ended up asleep pretty early. I woke up bright and sparkly this morning, but after reading and going through email, I could feel the dry air was going to be a problem, took an allergy pill, then zonked right back out. When I woke up, Nova and Darren had been doing home projects, putting up Christmas lights, and Darren finally moved my pot rack from the studio and I don't know why but it made a huge difference in our kitchen.
Today's San Diego media briefing was pretty grim, with SHARP healthcare's CEO talking about the rapid increase of hospitalizations and ICUs and how the healthcare workers are just spent. There are also numerous warnings that more and more, people are expecting the Governor and Dr. Ghaly to add more stay-at-home restrictions tomorrow or Friday, including from a friend who works at a hospital who said they were told as much in their managers' meeting. So I guess be ready for all of that. I promised the fam I'd make enchiladas tonight, so I'm gonna cut for the night. Have a good one, y'all, and I'll be here if the Governor speaks tomorrow.
- World COVID-19 Stats (JHU 12.2.2020 5:26pm):
- 64,433,937 Known Cases
- 1,490,725 Known Deaths
- US COVID-19 Stats (COVID Tracking Project):
- 195,695 New Cases/13,711,151 Known Cases
- 2,733 New Deaths/264,522 Known Deaths
- 100,226 Currently Hospitalized
- 19,396 Currently in ICU
- 6,855 Currently on ventilator
- California COVID-19 Stats:
- 20,759 New Cases/1,245,948 Total Cases (1.7% increase)
- 113 New Deaths/19,324 Total Deaths (% increase)
- 6.9% 14-day test positivity rate
- San Diego County Media Briefing
- Not to be a scrooge, but this holiday season is a time for staying home and watching holiday specials instead of caroling, ugly sweater contests, etc.
- Two new testing sites. Mondays in Oceanside, Every other Thursday at Northgate on University Ave. Santee City Hall (12.8, 12/29)
- Free Flu Shots on Sundays at Tubman Chavez centers
- 1million vaccinations already in 2020
- Vaccines will be shipping soon across the country. San Diego will be aiding in storage and distribution for the region. Following CDC guidelines and priority.
- San Diego passed surpassed 1,000 deaths
- Even if we slow the spread now, things will get worse before they get better
- Actions today take days and weeks to make any change
- Recognize role of religion and services are allowed in unlimited numbers outdoors. Must act in a responsible manner. Implore public to be responsible in the absence of faith leadership and outright defiance.
- Bringing in more staffing for case investigations
- Health care systems have made adjustment
- 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)
- County Data:
- COVID-19 Hospitalizations Rapidly Rising as County Waits for Vaccine - County News Center
- County of San Diego Influenza Watch, 12/2/2020
- 1,217 New Cases/84,638 Total Cases
- 16 New Daily Deaths/1,035 Total Deaths
- 6% Daily Test Positivity/6.9% (7-day avg after 7-day lag)/6.3% 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 58% (under 70% goal)
- Increasing Hospitalizations 14% (over 10% trigger)
- 77% of ICU Beds are Occupied
- 18 New/89 Community Outbreaks (7-day)/225 Active Community Outbreaks
- Business 26
- Restaurant/bar 9
- Retail 17
- Restaurant 5
- Grocery 6
- Faith-based agency 10
- Government 3
- Daycare/preschool 5
- Healthcare 2
- Construction 1
- Emergency Services 1
- Food/Bev Processing 1
- tk-12 school 2
- Other 1
- 208% increase in hospitalizations from November 1 to 30th
- 129% increase hospital 14-day
- Vaccine Framework:
- Confidence
- Convenience
- Complacency
- Cultural Responsiveness
- Communication (Collaboration)
- Clinical Advisory Group
- Dr. Gail Knight
- Dr. Ankita Kadakia
- Dr. Rodney Hood
- Distribution will be focused on Equity
- County Prioritization
- Communication Outreach, and Counseling
- Access to Immunization
- CEO Chris Howard, Sharp Healthcare: The escalation of hospitalizations and ICU is a very real threat. We are at the beginning of this problem. We're at a crossroads. We thought we had improvement from surges in May, then 4th of July, we thought we were ready for anything. October 25th, Sharp had 53 COVID patients across all hospitals. Now, there are almost 300 COVID patients in beds and ICU. Concern with ICU and bed staffing. Sharp has 184 ICU beds; only 25 left. 180 people. Almost 800 COVID and COVID suspected cases across San Diego hospitals. "Flexing procedures" are no longer called "elective surgeries." PPE is being managed. Top concern is staff: not just are there enough staff, but they're all at their rope's end going into the most crucial 30-60 days. Not masking, not being socially distanced is so frustrating to healthcare workers on the line. Plea to community to step up and wear masks, maintain distance, if you don't have to go out, stay home.
- Media Questions:
- CDC Quarantine Update: 14-day to 10-day quarantine period for asymptomatic, and 7-day if you get a negative test on day 5 or later.
- If you have symptoms, don't wait to get tested. Let individuals who you've exposed know so they can get tested and quarantine.
- Compliance hotline is averaging 250 complaints per day. Priority is businesses operating that are restricted. Follow up is 1-2 day.
- Health systems are managing capacity, already sharing patients. Not modifying health order beyond state limits at this point.
- Expect further state restrictions this week.
- General hospitalizations are down because healthcare systems are carefully managing, postponing, "flexing" procedures as needed to make capacity for COVID-19 patients. SHARP has 2000 beds total, 1800 staffed. Staffing is tight.
- County doesn't have specifics on anticipated updated state guidance.
- Meeting is on Dec 10 to allocate vaccine shipment.
- Jail/inmate numbers have increased slightly, but manageable.
- Border Committee meets weekly. Ambulance transport crossing the border is down, though COVID suspicious is slightly increasing. Only legal/citizens/legal permanent residents may cross border for care.
- Anyone can sue for anything, but County will continue to press the health order for the public good.
- County will not be implementing guidelines beyond state guidelines at this point.
- Supreme Court ruling has nothing to do with tiered system or state of California.
- Universities:
- SDSU COVID-19, UCSD COVID-19, USD COVID-19, CSU San Marcos, PLNU
- SDSU: Rest and Recovery Days Throughout Spring to be Implemented: On Dec. 1, the University Senate voted to spread out the spring recess by introducing four rest and recovery days throughout the spring 2021 semester. In-person instruction remains limited through the fall 2020.
- COVID-19:
- ‘Very dark couple of weeks’: Morgues and hospitals overflow - AP News (12.1.2020)
- Covid-19: Pfizer/BioNTech vaccine judged safe for use in UK - BBC News (11.2.2020)
- CDC experts voted: Here’s who should get the first COVID-19 vaccine doses. Frontline health workers and long-term care facility residents are first in line. - ARS Technica (12.1.2020)
- When to Quarantine: Stay home if you might have been exposed to COVID-19. For asymptomatic cases, quarantine should be 10 days or 7 days if you get a negative test. -CDC Updated (12.2.2020)
- San Diego Unified Update to Phase Two Reopening -SDUSD (12.1.2020)
đź“ŤOminous: @CDCDirector Redfield: “Dec-Feb are going to be rough times. I believe they’re going to be the most difficult time in public health history of this nation, largely because of the stress that it’s going to put on our health care system.” #COVID19 pic.twitter.com/s0NmLvKWIy
— Eric Feigl-Ding (@DrEricDing) December 3, 2020
- Political/News/Other Reading:
- The staggering cost of the Scott Atlas debacle Trump picked a coronavirus adviser because he liked his Fox hits, and now a lot of Americans are dead - Media Matters (12.1.2020)
- In 2020, AP photographers captured a world in distress - AP News (12.1.2020)
- The San Diego Foundation has more than $3million in Scholarships Available. One online application is available with a Feb 3 deadline.
- Improve San Dieguito’s Reopening Safety Plan So as to Not Endanger Its Community -Change.org
- Take Precautions, Be Prepared During Red Flag Conditions - County News Center
- Red Flag Warning for Wednesday 12/2/2020 6:00 PM to 12/5/2020 10:00 PM for San Diego County, CA. - County News Center (12.2.2020)
- Public spaces are essential – but not yet equal. Recognising that not everyone experiences public space in the same way, this environmental neuroscientist is working to create more equitable urban environments. - City Monitor (12.2.2020)
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