Dr. Brian C. Richardson

By Anita Creamer, Sutter Health

For decades, February—Black History Month—has been a time to remember battles won and hurdles overcome. A crucial hurdle remains: Because of traditional disparities in delivery and access to healthcare, stroke continues to have a disproportionate effect on the African American community.

That’s why Brian C. Richardson, M.D., neurologist and medical director of Stroke Service at Alta Bates Summit Medical Center, a Sutter Health affiliate, thinks February presents an opportunity to raise awareness of stroke and stroke prevention for Black Americans.

“Stroke can be prevented in Black Americans,” he says. “We need greater access to healthcare and treatment of underlying medical conditions. Getting better access to healthcare and managing risk factors for stroke can mitigate the risk of stroke dramatically for African Americans.”

Statistics are startling. According to the U.S. Department of Health and Human Services’ Office of Minority Health, African Americans are 50 percent more likely to have a stroke—a “brain attack,” in which blood stops bringing oxygen to the brain—than white adults, and Black men are 70 percent more likely to die from stroke.

Along with the higher prevalence of stroke and highest death rate from stroke than any other group, says Dr. Richardson, African Americans are predisposed to a range of underlying conditions that can contribute to stroke, including hypertension, or high blood pressure, hyperlipidemia and diabetes.

“Identifying and treating high blood pressure would have a significant effect in decreasing the prevalence of stroke in Black Americans,” he says. “If we can treat hypertension, we can reduce stroke in the African American community.”

Lowering the diastolic blood pressure (the lower number on the reading) by 5 mmHg can reduce the risk of stroke by up to 35%, he says.

And in general, living a healthy lifestyle—eating fresh foods, exercising, consuming less salt, not smoking and drinking less—can help prevent up to 80 percent of strokes.

“If people can consume five servings of fruits and vegetables a day, they’ll reduce their stroke risk by 30%,” Dr. Richardson says. “For Black Americans, that means we need to be able to find healthy, fresh food in our neighborhoods. Fast food isn’t the means to good health.”

To learn more about stroke prevention, risk factors and types of stroke, visit the American Stroke Association.

Matching state’s order one day prior; order comes one day after Contra Costa Supervisors appoint new county health officer; state continues to require masking in K-12 school settings

In alignment with the State, the Bay Area counties of Contra Costa, Alameda, Marin, Monterey, Napa, San Francisco, San Mateo, Solano, Sonoma, the City of Berkeley, and Santa Cruz County will lift universal mask requirements for vaccinated individuals in most indoor public settings beginning Wednesday, February 16. The change comes one day after Contra Costa Supervisors appointed Dr. Orli Tzvieli as the county’s new health officer. (See related article)

The change aligns with the California Department of Public Health’s (CDPH) decision to let expire the statewide indoor mask requirement, which was instated on December 15 during the latest COVID-19 surge, in spite of scientific evidence masks don’t work in preventing the spread of the virus. That’s because the size of the COVID molecule is much smaller than the gaps in the fabric of most if not all masks being used. In addition, a 2021 study (that has not yet been peer-reviewed), conducted using data from the CDC covering multiple seasons, reports that “mask mandates and use are not associated with lower SARS-CoV-2 spread among US states.” That study also shows “case growth was not significantly different between mandate and non-mandate states at low or high transmission rates, and surges were equivocal.”

Yet, unvaccinated individuals over age 2 will continue to be required to wear masks in all indoor public settings. Businesses, venue operators and hosts may determine their own paths forward to protect staff and patrons and may choose to require all patrons to wear masks.

Plus, indoor masking is still required by the State for everyone, regardless of vaccination status, in public transportation; health care settings; congregate settings like correctional facilities and homeless shelters; long term care facilities; and in K-12 schools and childcare settings.

Bay Area health officers, in alignment with CDPH, continue to strongly recommend masks be used as an effective tool to prevent the spread of the virus especially when case rates are high, or when additional personal protection is needed. Continuing to mask in indoor public settings, especially crowded or poorly ventilated spaces, remains the safest choice for an individual and protects those who are medically vulnerable or are not able to get vaccinated, like our youngest children. As evidence continues to show, vaccinations and boosters remain the best defense against the virus.

The highly contagious Omicron variant brought on a new stage of the pandemic with a high number of new infections, but significantly fewer cases of life-threatening illnesses, especially for those who are vaccinated and boosted. While relaxing indoor masking requirements is part of a population-level shift toward a “new normal” of living with the disease, the Health Officers recognize that essential workers and communities of color continue to be highly impacted by COVID-19 and will need additional support to limit widening health disparities. Changes to health orders and recommendations may be updated as Health Officers follow the science and the data to evaluate whether additional protective measures may be needed as the virus evolves and if future surges occur.

People should continue to choose layered prevention strategies, such as wearing well-fitted masks (N95 or double layer cloth over surgical are best); staying home and testing when symptomatic; testing before gatherings; and improving indoor ventilation in situations where these strategies can add protection for themselves and others. Staying “up to date” on vaccinations, meaning primary series and boosters when eligible, remains the most important way to prevent severe illness, hospitalization, and death.

After reaching a high on January 9 of 2,835 new cases per day, Contra Costa’s case rates have rapidly declined to a 7-day average of 958 on February 1 and continue to drop. Meanwhile, hospitalizations, a lagging indicator of disease, have begun to drop and never exceeded local capacity during this latest surge because of the county’s overall high rates of vaccinations (80%) and boosters (49% of those eligible). Contra Costa’s universal mask mandate has been in place since August 2 when cases began climbing from the Delta variant.

A combination of preventative strategies, along with the community’s cooperation helped get the Bay Area through this last surge together as a stronger community.

“We are able to take this next major step of removing the universal indoor mask requirement because we have laid a strong foundation in good public health protections…and know we can reduce severe illness, hospitalizations and deaths,” said Dr. Ori Tzvieli, health officer for Contra Costa County.

By aligning with the state masking rules, the participating Bay Area counties will not need to meet previously established criteria for lifting local masking orders, which were devised at a different point in the pandemic.

CDPH continues to require masking in K-12 school settings but has indicated adjustments to the state’s policies will be shared in the coming weeks. In the meantime, there is work to be done in closing the remaining gaps in vaccinations and boosters among children with a particular focus on equity gaps within the most highly impacted communities.

For early education programs, such as preschool and childcare settings, CDPH continues to require masking for children older than age two. Vaccinations for children under 5 are currently undergoing federal review. Workplaces will continue to follow the COVID-19 prevention standards set by CalOSHA.

Some people may understandably feel anxious about these changes to masking requirements in the county. People can continue to choose to wear face coverings around others whether it’s mandated or not and should respect people’s choices around their health. Community members who are vaccinated and choose not to mask should respect the choices of those who continue to mask. Officials ask residents and visitors to be kind and respectful as people evaluate their risks and make choices to protect themselves and those around them.

Allen D. Payton contributed to this report.

Dr. Ori Tzvieli during a Jan. 22, 2021 online press conference. Source: Screenshot of CCHealth Services YouTube video

Farnitano retiring next month; Tzvieli will also hold title and role of county’s Director of Public Health

The Contra Costa Board of Supervisors today appointed Dr. Ori Tzvieli as the county’s new Health Officer.

Dr. Tzvieli has helped to lead the county’s response to the COVID-19 pandemic for the past two years as a deputy health officer.

He fills a vacancy left by Dr. Chris Farnitano, who has stepped down from the role in preparation for retirement after more than 30 years caring for Contra Costa County residents.

“Dr. Farnitano will be missed. We are glad Dr. Tzvieli is ready to step into a role that is so crucial for the health and safety of our county residents during the pandemic,” said Board of Supervisors Chair Karen Mitchoff. “Over the past two years, both of them have contributed to one of the finest local responses to the COVID-19 pandemic in California.”

Each county in California appoints a health officer who has broad authority under state Health & Safety Code and are responsible for protecting the health of residents within their jurisdictions.

“Dr. Tzvieli has helped to lead our county’s emergency response since the beginning. We are fortunate to have someone with his experience and community knowledge ready to step up,” Contra Costa Health Director Anna Roth said. “I am very confident that he will help to continue our strong efforts to combat the spread of COVID-19 in Contra Costa County.”

Dr. Tzvieli joined Contra Costa Health (CCH) as a family medicine resident at Contra Costa Regional Medical Center (CCRMC) in 2000, launching a career in the county’s healthcare delivery system that has led to several leadership roles, including Medical Staff President, Ambulatory Care Medical Director, Public Health Medical Director and now Director of Public Health, serving under Director Roth.

During his time with CCH, Dr. Tzvieli has championed collaborative efforts to address opioid addiction and cared for some of the county’s most vulnerable residents as medical director of the Health Care for the Homeless program.

Dr. Farnitano will formally retire in March after a celebrated career at CCH. He became Contra Costa County Health Officer in July 2018, after previously serving as Ambulatory Care Medical Director at CCRMC and Family Medicine Department Chair, among other roles.

Allen D. Payton contributed to this report.

Photo source: CDC

Retiring Health Officer, staff never showed percentage of COVID cases that originated at those businesses, but still issued order in September

Average daily number of new cases have likely peaked, countywide hospitalizations due to COVID-19 have also in decline

With 80% of all county residents now fully vaccinated, Contra Costa Health Services (CCHS) on Friday, Feb. 4, 2022, lifted its health order requiring certain businesses, including restaurants, gyms, bars and theaters, to verify the vaccination status or recent negative test results of customers. So, there is no longer a need to show your papers at those businesses. (For details see the Rescinding Order)

Although neither former county Health Officer Dr. Chris Farnitano nor county health staff could ever provide documentation showing the percentage of COVID cases in the county from patrons of restaurants, bars, gyms or theaters, he issued an order as of Sept.  22, 2021 requiring those businesses to verify that indoor customers were fully vaccinated, or had tested negative for COVID-19 within the previous three days. His order also included a requirement for workers in indoor areas of those businesses to show proof of full vaccination or test weekly. (See related article)

Farnitano is retiring from his position, next month and Contra Costa County Director of Public Health Dr. Ori Tzvieli is now serving as acting county health officer, as part of the transition.

Testing data show COVID-19 transmission, fueled by the highly contagious omicron variant, remains high in Contra Costa, but that the average daily number of new cases have likely peaked, and countywide hospitalizations due to COVID-19 have also begun to decline.

“We believe now is the right time to loosen a requirement that made a lot of sense last summer, when a different variant of COVID-19 was dominant and there was less community immunity,” said Dr. Ori Tzvieli, acting Contra Costa County Health Officer. “But by no means are we back to normal. There are still many more cases of COVID-19 in our community now than there were in mid-December, so we need to continue to take precautions when we go out.”

The best protection against COVID-19 infections, and serious illness from infections, is to be fully vaccinated and up to date with a booster dose whenever eligible.

“We deeply appreciate everyone who has chosen to vaccinate. You have made yourselves, your loved ones, and the entire community safer,” Contra Costa Health Director Anna Roth said. “If you are eligible and you have not gotten your booster, it is really important that you get one. People who get boosted are significantly safer from serious COVID-19.”

County data show that the daily COVID-19 case rate for Contra Costa residents who received booster doses is more than three times lower than that of unvaccinated people, and about nine times more effective at preventing hospitalization due to the virus.

On Thursday, Contra Costa reached a new milestone, with 80% of all county residents now fully vaccinated. So far, 48.4% of eligible residents have received booster doses.

The verification order, which took effect last September, applied to businesses where people remove face coverings to eat or drink indoors, such as restaurants, bars and entertainment venues, and to gyms and other indoor fitness facilities, including yoga and dance studios, where patrons breathe more heavily due to exercise.

The order required these businesses to verify that indoor customers were fully vaccinated, or had tested negative for COVID-19 within the past three days. It also included a requirement for workers in indoor areas of these businesses to show proof of full vaccination or test weekly.

Though the county requirement may be lifted, private businesses may choose to implement their own verification requirements to better protect customers and staff, and CCHS encourages them to consider doing so as a safest practice during the pandemic.

Other state and countywide health orders remain in effect, including workplace vaccine verification requirements for healthcare workers, first responders and congregate care workers, and a requirement for most people to wear face coverings in most indoor public spaces.

Current state health orders still require proof of vaccination or a recent, negative test result in certain situations, including when visiting hospitals or long-term care facilities, or attending indoor “mega events” of 500 or more people.

Visit cchealth.org/coronavirus for updates regarding Contra Costa County health orders and the county’s emergency response to the COVID-19 pandemic.

Allen Payton contributed to this report.

Entitled “Anyone, Anywhere, Anytime” (A3) – The service will be accessed through 911 and the Miles Hall Community Crisis Hub

WHEN: 4 to 5:30 p.m. Wednesday, January 12, 2022

WHERE: The A3 Community Crisis Initiative Event will be held via Zoom. Everyone is welcome to attend and participate using this link. The event will also be broadcast on Contra Costa TV.

Contra Costa Health Services (CCHS), civic leaders and community advocates will deliver an online community update about Anyone, Anywhere, Anytime (A3), a new system for delivering safe, appropriate care to county residents who are experiencing behavioral health emergencies.

A3, developed in partnership with local government, first responders, mental health advocates, patients and families, will be implemented with funds from Contra Costa County’s Measure X sales tax. The program is intended to connect people in crisis with the care they need in the moment, and reduce intervention by local law enforcement where clinical expertise is more appropriate.

“Our community recognized an unmet health need and has come together in an unprecedented way,” Contra Costa Health Director Anna Roth said. “When fully implemented, A3 will ensure that everyone in our community can receive culturally and clinically appropriate crisis services whenever help is requested because of a behavioral health emergency.”

A3, currently a pilot program, will expand into a 24-hour service over the next 18 months that sends crisis response teams including behavioral health professionals directly to behavioral health emergency calls, in coordination with other first responders.

Source: CC Health Services

The service will be accessed through 911 and the Miles Hall Community Crisis Hub, a call center staffed by clinicians from CCHS who can triage calls, determine appropriate responses and dispatch crisis response teams. It is the central component of the model. Miles Hall was a local youth who was tragically killed by police while experiencing a mental health crisis in 2019 during a law enforcement encounter.

CCHS is now developing and hiring staff for the program, supported by a one-time allocation of $5 million in Measure X funds for infrastructure, and $20 million in ongoing funds to support operation of the program, including staffing. Rep. Mark DeSaulnier also submitted two requests for Community Project Funding for behavioral health in Contra Costa County. If approved, more than $2 million in federal funding would be used to expand these services.

Information about A3 can be found at https://cchealth.org/bhs/crisis-response/. This website will be updated throughout 2022.

People experiencing a behavioral health crisis or anyone who needs to obtain help for others can currently access services by calling 911, 211, or our mobile crisis response at 1-833-433-2672.

California National Guard personnel arrive at the Antioch Community Center testing site on Saturday, Jan. 8, 2022. Photo: Office of Governor Gavin Newsom

Four sent to help at Prewett Family Park site in unusual deployment of state’s military personnel

SACRAMENTO – Governor Gavin Newsom announced on Friday that he had activated the California National Guard to support local communities with additional testing facilities and capacity amid the national surge in COVID-19 cases driven by the Omicron variant. The California National Guard is part of the National Guard of the United States, a dual federal-state military reserve force. The CA National Guard has three components: the CA Army National Guard, CA Air National Guard, and CA State Guard.

According to their website, the California National Guard is “a community-based land force maintained at the optimum level of preparedness and readiness for service to the state and nation” that “organizes, trains, equips, and resources community-based land forces. On order, mobilizes to support state and/or federal authority.”

Under the control of the governor, National Guard functions range from limited actions during non-emergency situations to full scale law enforcement of martial law.

Residents stand in line in Antioch for a COVID test on Saturday, Jan. 8, 2022. Video screenshot. Source: Office of Governor Newsom

“California has led the country’s fight against COVID-19, implementing first-in-the-nation public health measures that have helped save tens of thousands of lives,” said Governor Newsom. “We continue to support communities in their response to COVID by bolstering testing capacity.”

The announcement comes as Omicron continues to spread rapidly across the globe, accounting for at least 80% of COVID-19 cases in California. The National Guard plan deployed over 200 Cal Guard members across 50 Optum Serve sites around the state, providing interim clinical staff while permanent staff are hired, adding capacity for walk-ins, assisting with crowd control and back-filling for staff absences – all in an effort to conduct more tests for more Californians. Additional members of the Guard are being deployed this week in similar capacities.

As part of the highly unusual deployment of the National Guard, four personnel were in Antioch at Prewett Family Park’s Community Center parking lot on Saturday. They made sure everyone was signed up for a test. In an ABC7 News report, Mayor Lamar Thorpe said, “We’re excited to have the National Guard show up and provide us support. In eastern Contra Costa County, we have some of the highest rates of COVID infection. I’m excited we’re working collaboratively to solve this pandemic.”

Click here for vido of California National Guard personnel assisting the Antioch Community Center testing site on Saturday, which doubled the number of testing windows and the number of appointments available per day.

This new action is on top of the existing 6,000 testing sites that have been set up across the state, the recent demand-based expansion of hours at state-operated sites and the 9.6 million tests that the state has distributed to schools since early December.

According to the governor’s office, these measures will bolster California’s already robust testing program – the most extensive in the nation. Currently, 90% of Californians live within a 30-minute drive of a site. Amidst the surge, the state has been able to maintain a 48-hour turn around for PCR tests.

To date, California has administered almost 67 million vaccination doses and over 122.7 million tests. In recent months, Governor Newsom implemented a series of measures to slow the spread of COVID-19, including first-in-the-nation vaccine and masking measures requiring that workers in health care settings be fully vaccinated, announcing plans to add the COVID-19 vaccine to the list of vaccinations required to attend school in-person when fully approved, requiring masking in schools and implementing a standard that all school staff and all state workers either show proof of full vaccination or be tested. To help slow the spread of COVID-19, Californians are encouraged to get vaccinated, get boosted, wear a mask indoors and get tested if sick.

Allen Payton contributed to this report.

Photo Cutline – California National Guard personnel arrive at Antioch Community Center testing site on Saturday. Source: Office of Governor Gavin Newsom

Video screenshot

By Better Business Bureau

The US Food and Drug Administration is warning people of fraudulent coronavirus tests, vaccines, and treatments as the pandemic continues. According to the Centers for Disease Control, since the arrival of the Omicron variant, the increase of testing for COVID-19 has become a concern. Scarcity often leads to potential scams for a product that doesn’t exist, the compromise of personal identifiable information, or the increase of deceptive advertising.

The Federal Bureau of Investigation (FBI) issued a warning last year about potential fraud related to the antibody tests. Scammers are selling unapproved COVID-19 antibody tests, which can give inaccurate results. In doing so, they are also collecting personal information, such as Social Security numbers and dates of birth. They may also be stealing health insurance or Medicare information that can be used in future schemes.

How the scam works

Robocalls are sent out to consumers directing them to a website that looks like a clinic or medical supply company offering COVID-19 tests. These tests allegedly identify if a person has been infected with coronavirus – even if they’ve  recovered. Some even promise results in 10 minutes. However, to receive a test, a credit card or a form needs to be completed with personal information.

In some cases, the test involves an easy at-home testing kit. Other times, the tests are allegedly offered through a clinic. But in all versions, the person or website selling the test is short on details. They aren’t willing or able to provide any information about how the test works, where it is sourced, and what laboratory processes it.

Don’t fall for it! These tests are not US Food and Drug Administration approved and will not give accurate results. In fact, requestors may never even receive an actual test kit. Either way, scammers will have made off with the money and personal information.

In a new twist, Newsweek reports that scammers appeared at a testing site in Florida and conducted fake tests to people standing in line, as a ruse to get their personal information.

How to avoid fake coronavirus tests and related scams

• Want a test? Talk to your doctor. Reach out to your healthcare provider. They can help figure out if the test will be covered by insurance and where to find a legitimate clinic.  If you don’t have a primary care physician, check out the official website of your local health department for more information on testing availability.
• Research before buying. Scammers put pressure on people to buy or commit without giving them time to do further research. Before agreeing to anything, investigate first. Research any claims the company makes. Start with searching BBB.org to see they are BBB Accredited, have good reviews, and if there are complaints or scam reports associated with their business name. In addition, review the warnings on FBI, Federal Trade Commission, Attorney General’s office, and BBB ScamTracker.
• Understand all options: The Center for Disease Control and Prevention has a detailed guide to testing for COVID-19. Understand the different tests available.
• Never share your personal information with strangers. Only make purchases and share your personal information with people and companies you know and trust. Be wary of anyone approaching you in line; ask for credentials if necessary. If you suspect  your personal information has been compromised, report it to identitytheft.gov
• Check claims of FDA approval. Per the FBI, “Not all COVID-19 antibody tests have been approved by the U.S. Food and Drug Administration (FDA), and their efficacy has not been determined.” Check the FDA website for a list of approved tests and testing companies.

For More Information

BBB has additional tips for avoiding scams on BBB.org/spotascam and the BBB news feed.

If you’ve been the victim of a scam, please report it on the BBB.org/ScamTracker. Your report can help others to stay alert and avoid similar scams.