County Health Services using Remdesivir for COVID-19 patients; get glimpse of COVID-19 era libraries

By Daniel Borsuk

The Contra Costa County Board of Supervisors discussed possibly placing a half-cent sales tax measure to fund health and social services on the November ballot and approved hiring a pollster on a split vote. The tax measure would be in addition to a proposed Bay Area-wide half-cent sales tax measure for transportation expected to be on the November ballot, as well.

Approve Hiring Pollster for Half Cent Sales Tax Study

In response to the Contra Costa Needs Assessment from the county’s Sales Tax Working Group a countywide half-cent sales tax is being proposed “to shore up access to medical and behavioral health services, and bolster county safety-net programs.” BOS 052620 Contra Costa Needs Assessment

At least for now, it is uncertain if the board will move forward with a sales tax increase measure for the November ballot. Supervisors voted 4-1, with Board Chair Candace Andersen casting the lone, dissenting vote, to spend as much as $60,000 to hire a pollster to test whether voters would support one. But since the outbreak of COVID-19, public support for such a tax measure might have waned.

“We need further direction and getting results from a poll will help,” said Supervisor Karen Mitchoff. “Before COVID, support for a tax increase was optimistic, but with COVID it might be different.”

District 1 Supervisor John Gioia, a big booster of a sales tax increase, said it would cost $30,000 to $40,000 to poll 600,000 to 800,000 prospective voters. Mitchoff said a more realistic cost is $60,000.

Both Gioia and Mitchoff serve on the Potential Sales Tax Measure Ad Hoc Committee.

“Right now, is not the time to spend county funds for a poll,” said chair Andersen of Danville.

Extend Temporary Ban on Evictions and Residential Rent Increase Moratorium

With the supervisors’ month-old ordinance that imposed a temporary ban on evictions and a residential rent increase moratorium at the end of May, supervisors acted to extend the ordinance through July 15. Supervisors also imposed a one-year grace period and defined a commercial real property eligible for the ordinance “…as an independently owned and operated business that is not dominate in its field of operation, has its principal office in California, has 100 or fewer employees, and has average annual gross receipts of $15 million or less over the previous three years.”

Figuring the economy will not recover quickly to restore jobs, some speakers asked supervisors to extend the rent increase moratorium one year.

“Keep pace with Alameda County,” said Dick Offerman of Pleasant Hill. “See that no one is evicted in our county. Extend the moratorium one year.”

Mitchoff took time to warn landlords who are violating the county ordinance. “Landlords know about this ordinance. There are some bad actors who take advantage of people who speak English as a second language, this must stop,” she said.

County Health Uses Remdesivir for COVID-19 Patients

Contra Costa County Public Health Officer Dr. Christopher Farnitano informed supervisors that Contra Costa County Public Health has begun administering the anti-viral drug Remdesivir to COVID-19 patients. A total of 105 dosages were given last week, Dr. Farnitano said.

“The company that is making it (the drug) is giving this to the United States.” Dr. Farnitano said that the drug is “This drug is somewhat beneficial.”

Dr. Farnitano said there were as of Tuesday 13 COVID-19 patients in Contra Costa Medical Center, compared to 19 patients two weeks ago. Since the outbreak of the pandemic in March, 37 persons have died from COVID-19 in the county, four deaths occurred in the past week with one of the deaths in the person’s early 30’s, which is uncommon.

So far, the county is COVID-19 testing daily 95 people per 100,000 residents when the daily goal should be 200 people per 100,000 residents.

This drew Supervisor Mitchoff to question the testing.

“We’re about halfway there,” she said. “I did not want to test, but now I want to test in order to get our numbers up.”

Board Vice Chair Supervisor Diane Burgis of Brentwood asked why the COVID-19 test takers at county sites have to wait for results as long as 10 days when persons at three state sites get results within five days.

Contra Costa County Health Department Director Anna Roth said the average turnaround for COVID-19 results is three to five days, but it could be up to 10 days.

Get Glimpse of COVID-19 Era Libraries

took a glimpse of what the COVID-19 era might look like on Tuesday visualizing the 26 public libraries could offer some type of front door service for patrons to pick up checked out books in bags and when libraries do open doors possibly on June 15 seating capacity will be reduced 20 percent at each location right when outdoor temperatures are peaking above 100 degrees and libraries often serve as cooling centers for the public.

Supervisors unanimously approved the Contra Costa County Library Pandemic Preparedness Plan presented by County Librarian Melinda Cervantes that promotes hygiene, social distancing, and reduced seating. BOS 052620 CCCL Pandemic Preparedness Plan Draft Final

“We plan to begin service as soon as possible,” Cervantes told supervisors during the teleconferenced board meeting.

During the presentation, supervisors learned 36 library accounting positions might be eliminated because of COVID-19 related revenue losses. The potential loss of the library jobs will undermine library book purchasing.

“We need to get through the state budget,” responded county administrator David Twa, who said the 36 library accounting jobs are “potential job layoffs” and are subject to the meet and confer process. The state budget will be unveiled in mid-June.

Approve Purchase of DA’s Office Mobile Forensic Vehicle

In other action, the supervisors approved the District Attorney’s Office request to execute an agreement with the City of San Jose for the expenditure of up to $200,000 to procure a mobile forensic vehicle for the Silicon Valley Internet Crimes Against Children Task Force. The vehicle is expected to cost $48,285.

By Allen Payton

As of this morning, Friday, May 22, 2020 at 11:30 a.m. Contra Costa Health Services (CCHS) is reporting a total of 1,259 cases of COVID-19/coronavirus, and a total of 36 deaths in the county. A total of 1,056 have recovered, which is 83.9%, consistent with the previously reported number of those who have tested positive for the virus and recovered.

There were 25 new cases reported in the past 24 hours, but only 9 people diagnosed with the virus currently hospitalized.

A total of 27,874 people have been tested for the virus in the county.

To see the all the statistics provided by CCHS, click here.

The Clerk-Recorder is now offering marriage licenses and civil marriage ceremonies online for County residents. Clerk-Recorder staff perform the civil ceremonies using Zoom or FaceTime.

“June is traditionally a month of many weddings,” Deborah Cooper, County Clerk-Recorder said. “We are pleased to offer our constituents a creative new method to be married during this crisis.”

California Governor Gavin Newsom recently issued an Executive Order permitting the issuance of marriage licenses and the conduct of remote civil wedding ceremonies via teleconferencing technologies.

At least one of the parties to the marriage must be a Contra Costa County resident. The couple must appear together on the video and be physically present within the State of California. Invited guests may join in to view the ceremony. No additional software is required for the license or the ceremony, but the couple must complete the forms in advance of the ceremony. A computer, tablet, or cell phone with a microphone/camera and an internet connection is required.

Marriage service appointments are currently available Tuesday through Thursday, during the month of June. If couples would like more information or to schedule an appointment, email marriages@cr.cccounty.us or call (925) 335-7900.

Out of 1,089 cases in the county 919 have recovered; death toll increases to 33; 75 on staff for contact tracing

As of this morning, Thursday, May 14, 2020 there were 1,089 people who had tested positive for COVID-19 in the county, but 919 have recovered according to a new statistic being provided on the county health services’ Coronavirus Dashboard. There was one more death as of Tuesday, bringing the total to 33.

Health Officer Dr. Chris Farnitano also issued orders extending the amount of time people must remain in isolation from 7 to 10 days after the onset of symptoms or a positive test for those without symptoms.

Dr. Farnitano said the change is being done based on new guidance from the Centers for Disease Control and Prevention (CDC) about how long COVID-19 patients remain infectious.

“We’re learning more and more about the virus every day,” Dr. Farnitano said. “Based on our latest understanding, we want people with COVID to remain isolated a little bit longer in order to reduce the chance of infecting others.”

However, those who have been exposed but haven’t tested positive, yet are to quarantine for 14 days, according to Contra Costa Health Services spokesman Will Harper.

The updated isolation and quarantine orders also define the infectious period for asymptomatic people with the virus as beginning 48 hours prior to being tested for COVID-19. Public Health staff will identify close contacts during this 48-hour period.

The orders also expand the definition of close contacts to include individuals who were within six feet of a case for at least 15 minutes during the infectious period.

On April 3, the health officer issued a mass order for residents with COVID-19 and their close contacts to isolate and quarantine themselves. The mass orders were issued so public health staff wouldn’t have to individually serve isolation orders to those who tested positive as COVID-19 cases steadily grew.

The order also requires those who test positive to notify those they have recently had close contact with.

Contra Costa has increased the number of staff dedicated to disease or “contact tracing” investigation from pre-COVID number of 14 to 75 since the emergence of COVID-19 in the county. The state recently allocated $800,000 to the county to hire even more disease investigators.

The ability to do widespread contact tracing is one the County’s five indicators for reopening.

Allen Payton contributed to this report.

ALL COURT LOCATIONS WILL REOPEN TO THE PUBLIC ON MAY 26, 2020 AT 8:00 A.M.

• IF YOU ARE SICK, DO NOT COME TO THE COURT. NO ONE WHO IS SICK OR WHO IS EXHIBITING COVID-19 SYMPTOMS WILL BE PERMITTED TO ENTER ANY COURT FACILITY.
• YOU MUST WEAR A MASK OR FACE COVERING TO ENTER ANY COURT FACILITY AND AT ALL TIMES WHILE INSIDE.
• ANYONE ENTERING ANY COURT FACILITY WILL HAVE THEIR TEMPERATURE TAKEN. IF YOU HAVE A TEMPERATURE OF 100 DEGREES OR HIGHER, YOU WILL BE DENIED ENTRY FOR THAT DAY.
• PLEASE EXPECT LONG LINES AND LONG WAIT TIMES. THE COURT WILL FOLLOW SOCIAL DISTANCING REQUIREMENTS AND BUILDING ACCESS WILL BE LIMITED. PLEASE OBEY ALL SIGNS. YOUR PATIENCE IS APPRECIATED.
• CLERK’S OFFICES ARE OPEN 8:00 A.M. – 2:00 P.M., WITH PHONE HOURS FROM 10:00 A.M. – 2:00 P.M., UNTIL FURTHER NOTICE.
• THE MARTINEZ COURT RECORDS OFFICE REMAINS CLOSED. SEE BELOW FOR INFORMATION CONCERNING RECORDS ACCESS.
• PLEASE READ THE REMAINDER OF THIS RELEASE FOR INFORMATION ABOUT SPECIFIC OPERATIONS.

Entrances and Exits. All buildings will operate a single entry/exit point. Please follow all signs carefully. The Court Street entrance for the Wakefield Taylor building in Martinez will not be open; use the Main Street entrance only.

No Nonessential Parties. Due to social distancing limitations, individuals who are not essential to Court matters should not accompany parties to Court for any matter or case type.

Drop Box Filings. Drop boxes will still be available from 9 A.M. – 3 P.M. (one hour after clerk’s office closure). Because clerk’s offices will experience high demand and significant wait times, the Court encourages you to file items by drop box. Items placed in the drop box before 3:00 p.m. will be file-stamped that day. Drop box locations are:

• Civil: Main Street entrance of the Wakefield Taylor Courthouse in Martinez.
• Criminal: Main Street entrance of the Wakefield Taylor Courthouse in Martinez.
• Family: Main entrance of Family Law building in Martinez.
• Juvenile: Main entrance of the Walnut Creek Courthouse.
• Probate: Main Street entrance of the Wakefield Taylor Courthouse in Martinez.
• Pittsburg and Richmond courthouses: These drop boxes are available only for filings in case types heard at those locations.

Jury Service. Jury service will resume. Be assured that we are working with the County Health Department to ensure your safety. Those summoned must follow the rules above for access to the Court, including wearing masks. To obey social distancing requirements, jurors will be called in two-hour blocks. See your jury summons for call-in information. No more than 50 jurors will be present in a jury assembly room at any time. If you are sick, exhibiting COVID-19 symptoms, or are a high-risk individual (e.g., over 60 years of age, immunocompromised, etc.), the Court will excuse you from service upon proof. Please call 925-608-1000 and follow the prompts for Jury Services.

Emergency Local Rules. All Emergency Local Rules remain in effect unless otherwise noted or as superseded by effect of the Court’s reopening. Rules are available at: http://www.cc-courts.org/local-rules/local-rules.aspx

Filing Holidays. The Court is open for filing as of May 26, 2020. Filing holidays under this Court’s Implementation Orders and/or Emergency Local Rules expire as of the Court’s reopening. Judicial Council Emergency Rules of Court and/or orders of the Chief Justice, available on the Court’s website, may further extend filing holidays in certain cases. Review these carefully.

Records. The Court Records office in Martinez remains closed. The Court will only accept records requests and requests for background checks via drop box or mail, subject to all legal confidentiality exceptions. Do not wait in line or come to a clerk’s window with a records request.

Request forms may be downloaded from the appropriate Court Records webpage:

• For Criminal matters and background checks: http://www.cc-courts.org/criminal/records.aspx. Submit by mail or use the Criminal drop box.
• For any other matters: http://www.cc-courts.org/civil/records.aspx. Submit by mail or use the drop box for the appropriate case type.

Specific Matters

• Restraining Orders. The Court continues to accept applications for domestic violence, civil harassment, and gun violence restraining orders. For civil restraining orders, please review the Civil Emergency Local Rules. For domestic violence restraining orders and emergency protective orders, please review the Family Emergency Local Rules.
• Traffic. The Court is in the process of rescheduling all traffic matters and you will receive a notice of new dates. Read your notice carefully: The location of your matter may differ from your original notice. All traffic matters have been granted a 120-day extension which also applies to payment deadlines as well as deadlines for traffic school and community service completion.
• Small Claims. The Court will reschedule all small claims matters and provide notice of new dates. Read your notice carefully: The location of your matter may differ from your original notice.
• Unlawful Detainer. The Judicial Council’s Emergency Rules of Court prohibit the Court from issuing a summons on any new unlawful detainer complaints, with limited exceptions for urgent public health and safety matters. For matters involving violence, threats of violence, and/or health and safety issues, parties should provide documents with the filing, such as a declaration under oath, relating facts supporting the urgency on those grounds.
• Civil Limited and Unlimited.

1. Hearings and filings will proceed under the Civil Emergency Local Rules. Hearings from May 18, 2020 through May 27, 2020, will go forward on fully-briefed matters. Briefs for hearings on May 28, 2020, or thereafter must be filed under normal statutory timeframes even if that requires a filing during the closure period. Review the Civil Emergency Local Rules for further information.
2. The CourtCall process in the Civil Emergency Local Rules will be used for all hearings until further notice. Do not come to Court for your hearings.
3. Review the Complex Emergency Local Rules for procedures for Complex cases.

• Probate. All matters should be submitted via drop box. The Probate File Examiner Office will not be open to accept ex parte submissions until further notice. Review the Probate Emergency Local Rules for information on hearings and use of remote technology. The Probate department will be providing additional guidance separately.
• Criminal Virtual and Emergency Courtrooms. These courtrooms will close as of May 26, 2020, except by written stipulation of the parties approved by the Presiding Judge.

By Allen Payton

As of this morning, Tuesday, May 12, 2020 at 11:30 a.m. Contra Costa Health Services (CCHS) is reporting a total of 1,066 cases of COVID-19/coronavirus, and a total of 32 deaths in the county. There are only 18 people diagnosed with the virus currently hospitalized.

There were 14 new cases reported in the past 24 hours, 3 more on Sunday and 12 more cases reported on Saturday.

A total of 19,176 people have been tested for the virus in the county.

To see the all the statistics provided by CCHS, click here.

Continuing to coordinate with other Bay Area counties to determine when more loosening will occur; “Contra Costa is not an island” – Dr. Chris Farnitano

By Allen Payton

In light of Governor Newsom’s recent loosening of the rules on some businesses, including allowing florists to reopen as of today, Friday, May 8, 2020, Contra Costa Health Officer Dr. Chris Farnitano was asked several questions about what appears to be a positive trend and therefore why he’s not following the state’s lead.

The number of cases of those with COVID-19 in hospitals in the county peaked around April 14 at 47 and has continued to drop to just 16 as of today. Other statistics on the Contra Costa Health Services Coronavirus Dashboard also show decreases in almost all of the statistics tracked. The only statistic that continues to increase is the number of new cases, which is currently at 1,015. But, the dashboard doesn’t currently show how many of the 1,017 people who have tested positive in our county have recovered. The total number of deaths is currently at 29 and hasn’t increased since Monday, May 4.

Q: How many have recovered? When will we see that statistic on the Contra Costa Health website?

Dr. Farnitano: We’re waiting for the state and the CDC for a definition. Most people recover within 14 days. So, we’re working on a definition that if It’s been 14 days, you’re not in the hospital, and not dead, you’ve recovered. The data team that works on the website, we’re hoping to next week have that statistic on the website. Marin County is using something similar to that.

Q: With the continued reduction in numbers of those with the virus in the hospital in our county, do you see we are heading in the right direction?

Dr. Farnitano: We are definitely heading in the right direction. It’s both decreasing hospital numbers and decreasing the number of new cases. That gave us confidence in allowing all construction and all outdoor and most outdoor recreation, this past Monday. It takes two or three weeks to see after things are loosened up if cases don’t start to increase, again. So, there’s a little bit of a lag. We really haven’t seen the effects of the health order change on May 3^rd.”

Q: Asked specifically about why he wouldn’t allow florists to reopen in time for Mother’s Day and what’s the difference if they use curbside delivery and everyone’s wearing their masks, he responded, “grocery stores are essential businesses, but florists are not. Essential businesses are allowed to sell non-essential items.”

Q: Why can’t you follow the lead of the governor?

Dr. Farnitano: We’re trying to work together (with the other Bay Area counties). Contra Costa is not an island and there’s lots of travel for work and shopping with Alameda County. What’s happening in Alameda County and San Francisco affects Contra Costa. The other counties’ statistics aren’t as good as Contra Costa County’s.

Q: If things are looking good in the next few weeks is it possible the shelter in place order can end on May 31^st?

Dr. Farnitano: If we keep trending in the right way we can have more loosening.

Q: Asked if he’s been adding new criteria and raising the bar or just being more specific about what was already in place?

Dr. Farnitano: Some of it’s being more specific. There’s got to be a lot of social distancing requirements to open back up the economy. Wearing masks and social distancing are going to be in place for quite a long time, in order to open back up shopping and dining.

Q: What about churches opening for services, again?

Dr. Farnitano: The state has more details for their phases. In-person church gatherings and other public gatherings, they have in their Phase Three. A local order can’t allow anything looser than the state.

Q: On a more personal note, did you ever think you would have to use your authority to deal with something other than a temporary shelter in place order for something such as a chemical release?

Dr. Farnitano: I actually became a deputy health officer about five years ago. One of the health officers at that time who trained me told me, “there are tremendous powers in the health officer. Try not to use them and use them very wisely.” One of the main purposes of the statutory authority is for outbreaks and diseases. This is such an overwhelming event that it’s much more than I did really ever sort of plan for or expect. Ever since the H1N1 we’ve had these pandemic outbreak plans and that these social distancing tools would be one of the most effective tools. We didn’t expect this to go on so long.

Farnitano has also been personally affected by the shelter-in-place order when he had to watch his middle son get married in Georgia via Facebook Live, last week.

“When Chris makes decisions that affect us, it weighs heavy on him,” shared Kim McCarl, Contra Costa Health Communications Officer.

With the increase in tests at eight different drive-up or walk-up sites, for anyone in the county who wants one, regardless if they are experiencing symptoms of the virus, “that will help us get the economy open quicker,” she said. (See related article).

For more statistical details about COVID-19 in Contra Costa County visit https://www.coronavirus.cchealth.org/.

Contra Costa is first county in Bay Area to offer testing to anyone even if they don’t have symptoms

Contra Costa County will now offer an appointment for COVID-19 testing to any resident who believes they need one, regardless of insurance, ability to pay or whether they have symptoms or not.

Residents can make an appointment to visit one of eight sites throughout the county. The county is operating five drive-through testing sites while the state provides walk-up testing locations at three additional locations. Testing is available by appointment only. Call 1-844-421-0804 from 8 a.m. to 3:30 p.m. daily for an appointment at any Contra Costa site.

The increased access to community testing will help Contra Costa County reach its goal for easing social restrictions in the current shelter-in-place order, which lasts through May. Previously, tests were only offered for patients with symptoms of illness.

“We need to test many more county residents to get a better sense of how widespread COVID-19 is in our community, and to help prevent its spread,” said Candace Andersen, chair of the Contra Costa Board of Supervisors. “Testing will also give us a better idea of when we can relax the current health orders.”

Between 300 and 400 patients are tested daily in the county. Contra Costa Health Services (CCHS) hopes to test about five times as many people.

All CCHS-run sites offer drive-through testing by appointment only. These sites are located in Antioch, Concord, Martinez, Pittsburg, San Pablo and San Ramon. Patients must visit these sites in their vehicles, as testing is done in the car.

Three new state-run sites also opened on Wednesday in Brentwood, Pinole and Walnut Creek, accepting walk-in patients by appointment only.

Appointments can be made by calling 1-844-421-0804. For appointments at county-run sites, a screener will take the information necessary to begin the process. Callers will then get a call back from a health professional during which an appointment will be scheduled.

There is no up-front cost for testing. County residents do not need medical insurance to get tested. However, if you have health insurance, your insurance will be billed.

While you don’t need symptoms to get tested, symptoms that may warrant a test include cough, shortness of breath, fever, chills, fatigue, muscle ache, sore throat, headache, vomiting, nausea, diarrhea, recent loss of taste or smell, or confusion, particularly in older adults.

Visit coronavirus.cchealth.org/testing for details about community testing, including site locations.