By Allen Payton

As of Tuesday, April 7, 2020 at 11:30 a.m. Contra Costa Health Services (CCHS) is reporting a total of 442 cases of COVID-19/coronavirus, and two more deaths for a total of 7 in the county. There are 29 people diagnosed with the virus currently hospitalized, a decrease of three since Friday.

A total of 5,831 people have been tested for the virus. To see the all the statistics provided by CCHS, click here.

Latest county stats: 4,929 tested, 353 cases, 31 currently hospitalized, 5 deaths as of Saturday morning, April 4

“Our resources are stretched extremely thin and business as usual is not an option.” – Health Officer Dr. Chris Farnitano

From Contra Costa Health Services

Contra Costa County Health Officer Dr. Chris Farnitano announced Friday evening that the county is issuing a mass order for residents with COVID-19 and their close contacts to isolate and quarantine themselves.

The mass order is being issued to help slow COVID-19’s spread, protect vulnerable individuals, and prevent the healthcare system in the County from being overwhelmed. The county’s public health staff no longer have the capacity to individually notify and track everyone with COVID-19 and their close contacts who may have been exposed to the virus.  

As of Friday, 307 county residents have tested positive for COVID-19 and five people have died from the virus. Contra Costa County had no local cases at the beginning of March.

“We’ve reached a critical point in the COVID-19 crisis here in Contra Costa,” Dr. Farnitano said. “Our resources are stretched extremely thin and business as usual is not an option. We believe this mass order is a creative and effective way of getting the job done to keep the sick isolated from others.”

Residents must isolate themselves in their home or another residence if they test positive for COVID-19. They may not leave their home except to receive necessary medical care or during an emergency that requires evacuation.  

COVID-positive individuals without symptoms must isolate for 7 days from the date of a positive test. Those with symptoms must isolate at least 7 days have passed since their symptoms started. Initially symptomatic people must also wait at least 72 hours have passed since after symptoms go away. Symptoms of COVID-19 include fever, coughing and shortness of breath.

County residents who test positive for COVID-19 will now be required to tell their close contacts that they need to quarantine themselves if they may have been exposed. Close contacts must then remain at home or another residence for 14 days from the last date that they were in contact with the person infected or with COVID-19.

People considered “close contacts” are persons who, during the sick individual’s infectious period, live in, or have stayed overnight, at the individual’s residence; are intimate sexual partners of the individual; or provided care to the individual without wearing a mask, gown, and gloves.

People can access instructions on how to isolate and quarantine themselves at cchealth.org/coronavirus.

A county staff member addresses the members of the Board of Supervisors during their now, virtual weekly meeting, on Tuesday, March 31, 2020. Video screenshot.

Three deaths in county from 212 cases, so far

By Daniel Borsuk

Since the last time the Contra Costa County Board of Supervisors met two weeks ago, the number of Contra Costa residents with COVID-19 symptoms have tripled, Contra Costa County Health Services Director Anna Roth told Supervisors during a live-streamed meeting Tuesday.

Roth told supervisors the county had 212 cases of patients with COVID-19 symptoms and there had been three deaths. Two weeks ago, there 70 patients had COVID-19 symptoms and one patient had died from the virus.

In the meantime, county medical professionals are barely treading water in providing life-saving ventilators for COVID-19 stricken patients. County Health Officer Dr. Christopher Farnitano said hospitals have 76 ventilators in use and 100 more ventilators are on order, but over time additional equipment will be need.

“We are not going to save most of our patients who will need to be on ventilators. We will have 1,000 patients or more who will need to be on ventilators. Most will die. We need to reduce the number of people coming down with COVID-19 symptoms,” said Dr. Farnitano.

Dr. Farnitano said an alternate health care site is scheduled to open at the Antioch Fair Grounds next week to help accommodate additional COVID-19 patients.

County Administrator David Twa, who will retire at the end of the year, said rising health costs stemming from COVID-19 will force the county to plug up funding holes totaling $43 million a year for the next three years. The rising medical costs stem from recently signed labor agreements for hospital professionals and in-home care attendant workers.

Twa projected an 11 percent decline in property values will trigger a $27 million decrease in property tax revenue at least for the upcoming 2020/2021 fiscal year.

That projection from Twa caused District 4 Supervisor Karen Mitchoff of Pleasant Hill to warn her colleagues, “We may need to reduce the work force. We could be facing difficult times.”

Supervisors will get a better picture of the proposed 2020-2021 budget on April 21 when it is presented publicly. The budget will be formally adopted on May 12.

County Treasurer-Tax Collector Russell Watts said his office anticipates an increase in the number of property owners to file online penalty cancellation requests on April 10 because of COVID-19. Watts told supervisors he would inform property owners if any of the hundreds of financial institutions holding $450 million in impound escrow funds miss depositing funds in the county treasury the financial institutions will be held accountable. He also will report to the board of supervisors if any financial institutions fail to submit impound funds to the county.

“This revenue is essential for keeping the county, our cities and schools, and other local government agencies running and providing vital services that the public relies on, especially in times like these,” said Watts in a press release.

Under the current stay-at-home orders, the county’s more than 177,000 K-12 public school students are coping under while the stringent shelter-in-place mandate stays in place, Contra Costa County Office of Education Superintendent Lynn Mackey told supervisors.

Students are learning via distance learning although students in some school districts fall through the technology gaps more than others, said Mackey. Noting that 42 percent of the county’s students qualify for the free lunch program, the county superintendent said, “We are making sure that students don’t fall through the cracks in providing the computers and resources for distance learning.”

District 1 Supervisor John Gioia of Richmond succeeded in getting Supervisors’ support to have Deputy County Counsel Mary Ann Mason prepare a comprehensive report on the feasibility of the Board adopting a moratorium on evictions, a ban that Alameda, San Francisco, San Mateo, and Santa Clara Counties have already adopted.

The proposed imposition of an eviction moratorium was one of major topics supervisors heard from 120 emailed letters from residents. Other issues citizens wrote about connected to the COVID-19 pandemic were: Imposition of a moratorium on rent, Depopulating the county jails, and Protecting county social workers.

Temporary Emergency Worker Classification Created

Citing the possibility, the County might need temporary emergency workers during the COVID-19 pandemic, Supervisors unanimously approved County Administrator David Twa’s request to establish the classification with a salary range of $12 an hour to $35 an hour.

Supervisors approved County Administrator Twa’s request on a   5-0 vote even though Twa said he did not have the time to consult with labor representatives about the creation of the classification.

“Due to the COVID-19 pandemic, the county will need to hire additional workers to be able to continue providing current essential services to county residents, as well as services to provide information, protect health and save lives,” Twa’s request stated. “The County Administrator is recommending establishing the hourly classification of Temporary Emergency Worker.”

In other business, Supervisors appointed Walnut Creek-based commercial and residential developer Ross Hillesheim to fill the At-Large 2 seat on the Contra Costa County Planning Commission. Other applicants for the position, a four-year appointment, recommended by the Internal Operations Committee were former City of Concord planning commissioner LaMar Anderson, journalist Daniel Borsuk of Pittsburg, and North Richmond Residential Leadership team member Johana Gurdian.

More time and additional restrictions needed to slow the spread and reduce future impact on local hospitals from COVID-19

Essential businesses expanded to include service providers that enable residential transactions (notaries, title companies, Realtors, etc.); funeral homes and cemeteries; moving companies, rental car companies and rideshare services that specifically enable essential activities

As of Tuesday, March 31, 2020, health officers in seven Bay Area jurisdictions, including Contra Costa County, are extending a previous stay-at-home order through May 3, 2020 in order to preserve critical hospital capacity across the region. 2020-0331-Health-Officer-Order-COVID19

The previous three-week order was set to expire on April 7. While the prior order has been effective in reducing the rate of transmission of the novel coronavirus (COVID-19), it is not enough. There has been a significant increase in the number of positive cases, hospitalization and deaths from COVID-19, which is beginning to strain healthcare resources.

The health officers have determined that more and stricter social distancing is needed to slow the rate of spread, prevent deaths, and stop the health care system from becoming overwhelmed.

“Extending the stay-at-home order should reduce the number of sick patients seeking care at one time, giving us time to acquire more medical supplies for providers who will be providing care to people sick with COVID-19. The extension will allow doctors and nurses to better treat those who do get sick, and save countless lives,” said Dr. Chris Farnitano, health officer for Contra Costa County.

The new stay-at-home order will supersede the previous order and go into effect at 11:59 p.m. on Tuesday, March 31. It is a complement to the indefinite statewide stay-at-home order issued by Gov. Gavin Newsom earlier this month.

Like the previous local order, the new order requires people to stay at home except for doing essential activities, such as grocery shopping, in six counties: Contra Costa, Alameda, Marin, San Francisco, San Mateo, and Santa Clara, as well as the city of Berkeley. Non-essential businesses will remain closed.

The new order adds some clarifying language around essential business and activities, as well as some new directives, including:

• Use of playgrounds, dog parks, public picnic areas, and similar recreational areas is prohibited. These areas must be closed to public use.
• Use of shared public recreational facilities such as golf courses, tennis and basketball courts, pools, and rock walls is prohibited. These facilities must be closed for recreational use.
• Sports requiring people to share a ball or other equipment must be limited to people in the same household
• Requires essential businesses to develop a social distancing protocol before April 3
• Most construction—residential and commercial—is prohibited
• Funerals limited to no more than 10 people attending
• Essential businesses expanded to include service providers that enable residential transactions (notaries, title companies, Realtors, etc.); funeral homes and cemeteries; moving companies, rental car companies and rideshare services that specifically enable essential activities
• Essential businesses that continue to operate facilities must scale down operations to their essential component only
• Social distancing is the most powerful tool to slow the spread of COVID-19, a virus so new that it has no approved medicines or vaccines.

“What we need now, for the health of all our communities, is for people to stay home,” said Dr. Grant Colfax, director of the San Francisco Department of Public Health. “Even though it has been difficult, the Bay Area has really stepped up to the challenge so far, and we need to reaffirm our commitment. We need more time to flatten the curve, to prepare our hospitals for a surge, and to do everything we can to minimize the harm that the virus causes to our communities.”

For more information about COVID-19 activities in these areas, visit the Contra Costa, Alameda, Marin, Santa Clara, San Francisco, San Mateo, or Berkeley COVID-19 websites.

What are the Major Changes this New Order (March 31, 2020) Makes to the County Health Officer’s Prior Shelter Order Issued on March 16?

The new Order extends the shelter in place requirements until 11:59 p.m. on May 3, 2020.

The new Order is also more restrictive in a number of ways. Major new restrictions include:

1. Social distancing requirements are mandatory. Unless strict compliance is explicitly waived, everyone must comply with the social distancing requirements at all times.
2. Before Friday, April 3, 2020, essential businesses that continue to operate facilities in the County must complete, post, and implement a social distancing protocol for each facility that remains open, using the template attached to the Order.
3. Essential businesses must maximize the number of employees who work from home, excepting only those employees who cannot perform their job duties from home.
4. Essential businesses that continue to operate facilities in the County must scale down operations to their essential component only.
5. Businesses that supply products needed for people to work from home are no longer essential businesses under the Order, and must cease operations (except minimum basic operations) at facilities in the County.
6. Use of playgrounds, dog parks, public picnic areas, and similar recreational areas is prohibited. These areas must be closed to public use.
7. Use of shared public recreational facilities such as golf courses, tennis and basketball courts, pools, and rock walls is prohibited. These facilities must be closed for recreational use.
8. Sports or activities that require use of shared equipment, like frisbees, basketballs, baseballs, and soccer balls, may only be engaged in by members of the same household.
9. Most construction—residential and commercial—is prohibited. Exceptions are made for healthcare facility construction directly related to the COVID-19 response; affordable housing; public works projects when designated as essential by the lead governmental agency; shelters and temporary housing; projects necessary to provide critical services to certain vulnerable individuals; construction necessary to secure an existing construction site; and limited essential residential or business repairs. The new Order also makes important clarifications. Major clarifications include:
10. Crowding at beaches, public parks, and open spaces has been a problem. The Health Officer, government, or entity that manages the space may adopt restrictions to reduce crowding and risk of COVID-19 transmission, including limiting number of entrants, restricting vehicular access, or complete closure.
11. Essential businesses must follow industry-specific guidance issued by the County Health Officer related to COVID-19.
12. Childcare facilities may only provide care to children or dependents of individuals working for essential businesses, providing essential governmental functions, or performing minimum basic operations for non-essential businesses.
13. Individuals may move residences only if it is not possible to wait until the Order expires, such as if a move is already planned or if it is necessary for safety or habitability.
14. Landscapers and similar service professionals may only provide services necessary to maintain the sanitation, habitability, or operation of residences or businesses, or for safety reasons. They may not provide services that are cosmetic or for general upkeep. For a complete list of significant changes, see the “Detailed Summary of Changes.” See page 3: 2020-0331-Summary-Superseding-Order-Changes

As of Sunday, March 29, 2020 at 1:00 p.m. Contra Costa Health Services is reporting a total of 168 cases of COVID-19 and three deaths from the virus in the county. The totals are updated daily and based on preliminary reporting. Numbers may change based on additional findings.

Benefits Auto-Issued for the Month of March

On Thursday evening, Governor Gavin Newsom announced a statewide shelter-in-place order for all Californians, except certain essential employees and residents acquiring necessities, such as food, prescriptions, and health care.

WIC provides healthy foods and support services to families.  If your income has been affected by recent events, and you are pregnant, recently had a baby, or have an infant or child under the age of five, you may be qualified to receive WIC services.  Applying is easy and quick.  You will receive your food benefits within a few days. You can apply online at cchealth.org/wic or call 1 (800) 414-4WIC.

WIC food benefits are considered an essential service. We will strive to continue to serve our community during this time under the governor’s and local Health Officer’s order.  Currently, we are providing all WIC services over the phone, including new enrollments.  To protect you and our WIC staff, all in-person appointments are suspended at this time.  Please stay at home.  The new WIC Card and WIC app make it easy for you to access your benefits electronically.

Community members should call their local WIC offices to enroll or certify, obtain future food benefits, reschedule, get breastfeeding help, or to get questions answered.

• Concord & Crossroad WIC: (925) 646-5370
• Brentwood WIC: (925) 513-6880
• Pittsburg WIC: (925) 431-2460
• San Pablo WIC: (510) 942-4000

Please note that California WIC started monthly auto issuance of benefits and extended some certifications for those who were eligible.  This means if you have a WIC card, you may already have your benefits pre-loaded.  You can check your California WIC app for benefits.

If you have any additional questions, please contact your local WIC program at 1 (800) 414-4WIC.  For further Covid-19-related information, please visit the county website at:  cchealth.org or CDPH website.

WIC and Contra Costa Health Services are committed to providing the individuals and communities we serve with high quality, comprehensive, community-directed care that is accessible to all and culturally and linguistically appropriate.

Please note that WIC is safe to use and does not affect immigration status for anyone who is currently in the U.S.  WIC is not considered a part of public charge.  We are here to help!

High Quality Data Essential for Combatting the Spread of COVID-19

Joint Press Release

Martinez, CA – Seven Bay Area jurisdictions are taking a unified, regional step to combat the spread of the novel coronavirus (COVID-19). On March 24, the Public Health Officers of Alameda, Contra Costa, Marin, San Francisco, San Mateo, and Santa Clara, with the City of Berkeley, announced an order with new reporting requirements for laboratories that test for the novel coronavirus. Laboratories must report results of tests for all residents of each jurisdiction to the ordering health care provider and the appropriate state and local health officials.

Currently, labs report only positive results, making it difficult for public health officials to know how many people are being tested overall. The new order requires laboratories to report all positive, negative, and inconclusive results, and information that allows health officials to better locate the person tested. The more comprehensive information will improve health officials’ understanding of the rates of infection and the location of possible infection clusters

Growing availability of testing through commercial and academic laboratories expands the overall testing capacity beyond small, specialized public health laboratories. The public health laboratory network offers only limited testing for emerging infections such as COVID-19 as other commercial and academic laboratory sectors come on-line. Because of the limited capacity of public health laboratories and the absence of further reporting requirements of private laboratories, the current percentage of cases that are detected through testing is important, but reflects only a small portion of the total number of people infected in our jurisdictions.

“This order will ensure public health officials regionally and across the state have access to the information we need to understand, predict, and combat the spread of COVID-19,” said Dr. Sara Cody, Santa Clara County Health Officer. “Commercial and academic laboratories are important partners in providing testing to our community. Receiving this critical information from those labs will help local health departments respond to COVID-19 during this unprecedented time.”

The laboratory reporting order follows new data of increasing local transmission of COVID-19, including 930 confirmed cases with 19 deaths shared by the seven jurisdictions. The Bay Area’s total count of 930 confirmed COVID-19 cases is more than half of California’s case count. This does not account for the rapidly increasing number of assumed cases of community transmission.

“Expanding reporting beyond positive results to include timely reporting of negative and inconclusive results allows local health officials to better understand whether there are areas of the community that are experiencing more intense transmission and project future trends in in the spread of the virus,” said Dr. Tomás Aragón, Health Officer, City & County of San Francisco. “By sharing high quality test result data at scale, state and local health authorities can better track COVID-19, predict its spread, and better focus public resources to end this global pandemic.”

For more information about COVID-19 activities in these areas, Alameda, Contra Costa, Marin, Santa Clara, San Francisco, San Mateo, or Berkeley COVID-19 websites.

Screenshot of Contra Costa County Board of Supervisors virtual, online meeting on Tuesday, March 24, 2020.

Hold online, virtual meeting; homeless population increases 43% in county

County staff stay six feet apart in the Board meeting room speak with members of the board during the virtual meeting. Video screenshot.

By Daniel Borsuk

Forced to meet remotely in an inaugural teleconference board meeting Tuesday, Contra Costal County Board of Supervisors learned the county is lean on supplies to combat the rising COVID-19 pandemic.

Circumstances are getting so dire, Contra Costa Health Services officials have put out the call for donations from the public for surgical protective equipment and supplies for healthcare providers as concerns emerge the county cannot deliver an adequate amount of medical gear and supplies for emergency workers to be adequately protected while treating those potentially affected by COVID-19.

As of Tuesday, Contra Costa Health Services Director Anna Roth told supervisors 71 county residents now have contracted COVID-19 and one person has died, an increase from 10 COVID-19 cases when Roth released her initial report to the Supervisors 21 days ago on March 3. Twenty-two persons are currently waiting for lab test results, reported Roth.

When Supervisors individually met via teleconference, Contra Costa Health Services along with six other Bay Area medical entities had earlier announced a unified, regional program designed to combat the spread of COVID-19 by ordering laboratories testing for COVID-19 to report comprehensive testing data to local and state authorities.

In addition, the county is stepping up the wide gap in procuring medical supplies and gear for health care workers. “We are making preparations for more people to become sick,” said Dr. Chris Farnitano, Contra Costa County Health Officer.

County Health Officer Dr. Chris Farnitano, speaks with Board Chair Candace Andersen during the virtual meeting. Video screenshot.

A call has gone out to the public from Contra Costa Health Services to donate protective medical supplies for health care workers. Those supplies include eye protection including goggles and face shields, antibacterial and disinfecting wipes, typically alcohol or bleach based, excluding baby wipes. The county also needs N-95 and surgical masks in unopened containers, and disposable medical gowns.

The county has designated three donation centers that will be open Monday through Friday, 10 a.m. to 2 p.m. The donation centers are at West County, 151 Linus Pauling Dr., Hercules; Central County, 1750 Oak Park Blvd., Pleasant Hill; and East County, 4545 Delta Fair Blvd., Antioch.

County Administrator David Twa said the County has started to buy motel rooms nearby medical work sites so tired and overworked emergency workers can get sleep and avoid having to travel home during the nationwide health emergency.

“Some people say this COVID-19 pandemic is going to dip into our reserves. Well, we have already seen COVID-19 dip into our reserves,” said Supervisor Karen Mitchoff of Pleasant Hill who was frustrated with the likely fiscal impact as well as the technical problems that flared up during the two-hour supervisors’ teleconference meeting. Mitchoff requested that a better teleconference program replace the current program.

Supervisors are expected to begin their review of the proposed 2020-2021 fiscal year budget via teleconference at next week’s board meeting.

Homeless Population Increases 43 Percent

In other business, Lavonna Martin, director of the Contra Costa County Health, Housing and Homeless Services, informed supervisors that the county’s homeless population in 2019 increased 43 percent in two years. Based on a department survey there were 2,295 homeless persons counted in 2019 in comparison to 1,607 in 2017. In 2018, there were 2,234 homeless persons.

The 2019 report indicates 1,398 persons are in the 25 to 54-year-old age bracket. The survey found that 165 persons were 62 years old or older.

Sixty-three percent of the families that are homeless can be served by available shelters with 201 beds, but only 28 percent of the single adults can be served by shelters, according to the study.

Psychiatric Emergency Service Project

Supervisors gave the go ahead for the Public Health Commission to conduct public hearings on the proposed remodel project for the Contra Costa Regional Medical Center’s over-used Psychiatric Emergency Services – PES – located in the Contra Costa Regional Medical Center in Martinez.

Current conditions at the PES are deemed to be a danger to patients, to the general public.

The objectives of the PES project are to separate children, ages 7 through 12, and adolescents, ages 13 through 17 years, from adult patients, and provide a larger dedicated space more conducive to a therapeutic environment to better support youth and their families, the addition of a confidential triage space at the entrance of the PES, and expansion of treatment space for adults.

Supervisors were shown three project options. Option 1 would cost $3.7 million and add 2,101 square feet to the existing 5,370 square foot facility. Option 2, the recommended option, would cost $4,920,968 and would add 2,265 square feet to the current facility, and Option 3 would cost $8,332.471 to add 3,499 square feet to the existing facility.