SACRAMENTO — On Tuesday, June 30, 2020 California Governor Gavin Newsom issued an executive order extending authorization for local governments to halt evictions for renters impacted by the COVID-19 pandemic, through September 30. Currently Contra Costa County’s urgency ordinance preventing evictions and rent increases expires on July 15.

The order also addresses a variety of issues in response to the pandemic, by extending provisions in earlier orders which allow adults to obtain marriage licenses via videoconferencing rather than in-person during the pandemic; waive eligibility re-determinations for Californians who participate in Medi-Cal, to ensure they maintain their health coverage; suspend face-to-face visits for eligibility for foster care; and permit In-Home Supportive Services (IHSS) program caseworkers to continue caring for older adults and individuals with disabilities through video-conferencing assessments.

The order also extends waivers temporarily broadening the capability of counties to enroll persons into the California Work Opportunity and Responsibility to Kids (CalWORKs) program, allowing for self-attestation of pregnancy and conditions of eligibility, and waiving in-person identification requirements.

In addition, the order extends provisions allowing for mail-in renewals of driver’s licenses and identification cards, to limit in-person transactions at the Department of Motor Vehicles, and extends timeframes related to the payment of real estate license application and renewal fees and continuing education requirements for licensees.

The text of the Governor’s executive order can be found here and a copy can be found here.

Decision on bars made Sunday; gyms, nail salons, bowling alleys, arcades, hotels, museums, plus massage, body waxing and tattoo businesses will also remain closed

As Contra Costa Health Services (CCHS) warned the public of the possibility on Friday, they have decided to delay the opening of businesses and activities previously planned for July 1 until the COVID-19 outbreak in Contra Costa is better contained.

The county is closely monitoring recent data showing COVID-19 activity increasing in the community, as it is statewide and throughout the country.

On Sunday, Gov. Gavin Newsom recommended that Contra Costa County, along with several other counties in the state, not reopen bars. Contra Costa is one of 15 counties on the state’s County Monitoring List. The county’s timeline had previously cleared bars (with or without food), gyms, fitness centers, personal training, massage, nail salons, tattoo, body waxing and other personal services not involving the face, indoor dining, limited indoor leisure (arcades, billiards, bowling alleys, etc.), indoor museums and hotels for tourism & individual travel to reopen July 1.

When asked Sunday about the impact of Newsom’s recommendations, Kim McCarl, Communications Assistant for Contra Costa Health Services responded, “As you know, we released a statement on Friday indicating that we would make an announcement about our timeline going forward on Monday. That is still our plan.  Bars are not currently open in Contra Costa County. We appreciate the governor’s recommendation and will certainly take it into consideration as we determine next steps. We’ll have more tomorrow.”

However, Board of Supervisors Chair Candace Andersen told KPIX5 CBS News, on Sunday that “We were slated to open them on July 1, but given the governor’s announcement, we will definitely not be opening bars on July 1st,” citing contact tracing as one of the biggest challenges. “It is very difficult in a bar where you have lots of people interacting,” she continued. “Whereas in other settings, a workplace, even a hair salon where you know who’s coming, who’s going, where you can then alert them when they have been exposed to someone with COVID-19.”

Asked if she and the board had the authority to make that decision or if it was still in the hands of County Health Director Dr. Chris Farnitano and why it wasn’t shared with all the media, yesterday, Andersen responded, “I spoke with Dr. Farnitano yesterday and he told me that while we were not making a determination about the other July 1 activities until today, he was going to recommend that we follow the Governor’s guidelines regarding not opening bars. Based upon that information, I responded to the media inquiries received.”

With the sharp rise in community spread and hospitalizations, it does not make sense at this time to open additional business sectors that could further accelerate community transmission. These businesses and activities will remain closed in Contra Costa until county data indicate that the spread of the virus has slowed, as measured by at least a week of stable case numbers, hospitalizations and percent of tests that are positive. Trends will be monitored and evaluated daily.

Decision Based on Statistics

The seven-day average number of COVID-19 patients in hospitals in the county has increased by 75% from June 15 to June 29.

The seven-day average number of newly identified COVID-19 cases has increased from 38 a day to 87 a day. The percentage of COVID-19 tests that came back positive has also increased from 4% to 6%. This suggests the change is not simply due to more testing, but a true increase in community spread.

More Young People Testing Positive

We are also seeing a shift with more young people testing positive. In June, 55 percent of people testing positive in Contra Costa were 40 years and younger, compared to 38 percent for that group in April. It’s a sign that younger people are playing a major role in driving the increase in new cases and potentially infecting vulnerable individuals.

Many people who carry and spread the virus have no symptoms themselves. That is why it’s important for everyone to avoid social gatherings, observe physical distancing and wear masks or face coverings when around others.

Widespread testing is necessary to slow the spread of COVID-19 so we can safely reopen the economy. Testing is the only way to find out if you are carrying the virus and interrupt its spread. People can spread the virus without knowing they are sick.

While Contra Costa have seen an increase in the numbers of people being tested over the past several weeks, we highly encourage everyone who lives and works in the county to get tested, even if they have no symptoms.

This morning, CCHS opened its eighth community COVID-19 testing site at Kennedy High School in Richmond. To make an appointment for a fast, convenient, no-cost test at any site in Contra Costa, call 1-844-421-0804 or visit cchealth.org/coronavirus – online scheduling is available at most sites.

The following questions were sent to Board Chair Andersen and county health services communications staff immediately prior to publication time:

Can someone please ask Dr. Farnitano, with all the recent reopening and protests, in which many more than 100 people were in attendance and clearly not social distancing was not practiced, during the previous three weeks, wasn’t the increase in cases and percentages expected?

If so, then why punish everyone for the actions of a few?

Also, since the new cases aren’t overwhelming our hospitals and health care industry with only 38 hospitalized, today – which was the issue we were told from the beginning was the major concern in the need to flatten the curve – and we all know that cases will increase once more businesses are reopened and activities are allowed to resume, why the delay?

UPDATE: In response, McCarl wrote, “New cases are a precursor to increased hospitalizations. We’ve seen the number of people in hospital go up as the percent of tests coming back positive have gone up. The goal is to lower the percent of positive cases before they overwhelm the healthcare system. We do that by staying home, wearing face coverings, maintaining social distance and washing hands.

You are correct that we expect to see numbers go up. It’s the rate in which they are raising that concerns us. A month ago, the percent of positive tests was in the 2-3% range. As of this morning, it’s about 6%. Our goal was under 5%, the criteria for the state monitoring is 8%. The trend is concerning.

In the past three weeks, our contact tracers have identified only a very small number of people who attended any sort of large gathers. Small being low single digits. We are seeing it spread throughout the community so pointing to one group or activity gives others a false sense of security. We all have a part to play in stopping this trend.”

Allen Payton contributed to this report.

Timeline for July and August now contains qualifier

Friday, June 26, 2020 – Contra Costa Health Services (CCHS) is evaluating whether the county should continue its current reopening timeline, due to recent data showing COVID-19 activity is increasing in the community. The timeline for the reopening of businesses and activities scheduled for July 1st and 15th, as well as the school reopening scheduled for July and August include an asterisk and the following qualifier: “In light of rapidly increasing case numbers and hospitilizations, anticipated re-opening dates may need to be postponed. Our community’s actions are more important than ever to stop the spread.”

CCHS is closely monitoring key data indicators that show how the virus is spreading in the county and will announce a decision about the timeline Monday.

During the past seven days, the number of COVID-19 patients in hospitals in the county has increased 42%.

The seven-day average number of newly identified COVID-19 cases has increased from 39 a day to 68 a day. The positivity rate of test results – the percentage of COVID-19 tests that came back positive – has also increased. This suggests the change is not simply due to more testing, but indicates a true increase in community spread.

We are also seeing a shift with more young people testing positive. In June, 55% of cases were 40 years and under compared to 38% for that group in April. It’s a sign that younger people are playing a major role in driving the increase in new cases and potentially infecting vulnerable individuals. This highlights why it’s important for everyone to avoid social gatherings, observe physical distancing and wear masks or face coverings when around others.

CCHS encourages all residents to get tested. Increased testing for COVID-19 is a critical part of the community effort to slow local spread of the virus, and necessary to continue reopening in the future.

Contra Costa’s data are consistent with increases in COVID-19 activity now being experienced in communities across the state and the nation. To view the Contra Costa Health Services Coronavirus Dashboard for more statistics, click here.

There is concern that these increases may lead to a surge in very ill people that could overwhelm the local healthcare system. We realize many people are eager to resume normal activities. However, if we adjust the reopening timeline, it will be because we have a chance to prevent the pandemic from getting out of control in the county.

Any change to the timeline would immediately affect businesses and activities that are currently scheduled to resume July 1, including indoor dining, bars, gyms, hotels and some personal care services, including nail salons and tattoo parlors.

CCHS is releasing this information today to provide businesses and residents as much time as possible to prepare for a potential change to the timeline.

With the Fourth of July weekend approaching, CCHS also reminds everyone that it’s a healthy choice to observe physical distancing when outside the home – maintain six feet of space whenever possible – and to wear face coverings. Anyone who feels sick should stay home. People should also wash their hands frequently.

Allen Payton contributed to this report.

It’s time to get the care you’ve been waiting for at Antioch’s Sutter Delta Medical Center

By Monique Binkley Smith, Sutter Health News Bureau Communications Manager

ANTIOCH, CALIF. — California is slowly reopening, but like so many unknowns with COVID-19, it’s unclear how long the return to routine will last.

“A surge in virus spread and infected patients could occur this fall or winter,” says Bill Isenberg, M.D. chief quality and safety officer for Sutter Health. “If this happens, and overlaps with the normal flu season, there could be a significant strain on healthcare services.”

With this in mind, medical experts agree that if you had an appointment postponed or canceled due to COVID-19, now is the time to reschedule it.

Pittsburg resident Norma Lester-Atwood is a mammographer, so she knows the importance of catching breast cancer early. Lester-Atwood is typically right on schedule for her own mammogram, but this spring, shelter-in-place orders delayed her mammogram by two months. As soon as she could, she had the screening procedure and she’s glad she did, because her mammogram and a subsequent biopsy revealed a Stage 0 (non-invasive) tumor in one of her breasts. After a lumpectomy to remove the tumor, Lester-Atwood feels she is well on her way to recovery.

“As a mammographer, I tell my patients that it’s important to come in for a mammogram because I’ve seen patients who developed fast-growing tumors between screenings,” says Lester-Atwood.

As Lester-Atwood’s experience shows, timing is everything when it comes to staying healthy. Getting cancer screenings at the recommended intervals can help spot early signs of tumor growth before it turns into advanced cancer.

“Some women don’t realize that mammograms are needed regardless of your family history, because most women with breast cancer have no family history or other identifiable risk factors,” says Octavio De La Rosa, manager of Medical Imaging Services at Sutter Delta Medical Center in Antioch, part of the Sutter Health not-for-profit integrated network of care.

Screening for colorectal, prostate and lung cancers are also vital. “Simply put, screening saves lives,” says De La Rosa. “Delayed screenings can postpone detection of cancer, which may translate into needing more intensive treatment and a more difficult path for patients.”

Taking Steps to Protect Patients and Staff

Sutter Delta’s imaging center, located inside Sutter Delta Medical Center at 3901 Lone Tree Way, has resumed screening mammogram services and is taking steps to protect patients:

• Mandatory Masking – Staff, patients and visitors must wear masks at all times.
• Isolation – Anyone with COVID-19 symptoms is isolated from waiting areas, patient rooms, entrances and spaces the general population uses.
• Cleaning –Increased the frequency of cleaning and disinfecting in all spaces.
• Screening – Everyone is screened for symptoms of COVID-19 before entering.

Resources to Help with Health Insurance Disruption

Health insurance coverage can be disrupted by wage or job loss, but there are options available.

In California, the Every Woman Counts program covers mammograms and cervical cancer screening for women with no or limited insurance who meet other eligibility criteria. Call 1-800-511-2300.

Other options include extending employer-based coverage through COBRA and CalCOBRA, shopping for plans and applying for premium assistance through Covered California or Medi-Cal. Charity care and financial assistance may also be available.

By Allen Payton

In response to some concerns by county residents and questions to county Supervisor Candace Andersen and health services spokespeople, it was revealed this week that Contra Costa is accepting patients from hospitals as far away as Imperial County along the border with Mexico. That’s because our county has mutual aid agreements with that and other counties in the state.

In response to a resident’s question “is CCC getting patients from other counties that are overloaded (such as Imperial County, or other counties)?” Gayle Israel, Chief of Staff for Board of Supervisors Chair Candace Andersen, wrote in an email, “We have two patients in Contra Costa hospitals from Imperial County. Also have 15 Contra Costa residents in Alameda County Hospitals. Reporting shows hospitalizations by county where hospitalized, not by residency. So, we are +13 beyond what is reported on our hospitalized dashboard.”

Asked by the Herald why the patients from Imperial County are in Contra Costa, Will Harper, Communications Specialist for Contra Costa Health Services responded, “We took on these patients as part of a mutual aid agreement to provide relief to hospitals in Imperial County,”

Asked if there are patients transferred to hospitals in Contra Costa County from any other county in the state, he responded, “Yes. We have mutual aid agreements with counties and offer help when they become over capacity.”

In addition, the resident asked Supervisor Andersen, “how many of the hospitalizations are from the four active nursing home outbreaks, and how many of the deaths are from the nursing home outbreaks?”

Israel responded, “Ten of the 11 deaths since Friday were from congregate care facilities, nine from the same facility. Had a record number of cases over the weekend, but also hit target for first time for tests per day – higher amount of tests = higher cases. Health Officer says we have the data for # of hospitalizations from congregate care facilities, but he didn’t have at his fingertips. We are asking for that information – however, we have been told all along that those critically ill in skilled nursing facilities are not typically transferred to hospitals, so that number is likely low.”

As a result, communications staff for county health services were asked if a statistic can be included on the County Health Services’ Coronavirus Hospital Dashboard that shows in which other counties Contra Costa patients are located and which patients in Contra Costa hospitals are from other counties, Harper responded, “currently, there is not, though we are always working to expand the amount of data on our website and have added many dashboards over the past 1-2 months.”

Some county residents have expressed concern that people are crossing the border from Mexico, which for now is closed to non-essential travel, testing positive and filling up hospitals in California, and might be increasing the state’s Coronavirus statistics, resulting in a negative impact on decisions by government officials regarding reopening businesses, schools, sports and other activities. In addition, a video about what is happening in Riverside County, that COVID-19 patients are being flown in from Imperial County, raised questions about how the patients arrived in Contra Costa County.

The following additional questions were asked of county health services spokespeople.

People are wondering are those patients you referred to American citizens, or at least residents of Imperial County, or are they Mexican citizens or residents who have come across the border and entered the hospitals, there? Also, how did they arrive in Contra Costa? Do you know if they were flown, here to our county?

Please check back later for answers to the questions and any other updates to this report.

Will it affect the county’s planned Road Ahead reopenings?

By Allen Payton

Contra Costa County experienced the greatest one-day spike in COVID-19 cases since the beginning of the pandemic at 103 between Thursday, June 18 and Friday, June 19, 2020. According to CCHealth’s Coronavirus Dashboard, the number of cases increased from 2,146 on Thursday to 2,249 on Friday. There was another increase of 45 cases between Friday and Saturday for a total of 2,294 people who have tested positive for the virus in the county, to date.

That has some residents concerned that the county might pull back on some of the planned openings of businesses and activities that are scheduled for July 1st and 15th, as well as schools in July and August, as well. (See related article)

However, in addition to that statistic, the county had 2,457 residents get tested for the Coronavirus between Thursday, June 18 and Friday, June 19, which was also the greatest one-day statistic, in that category.

As of Sunday, June 21, 2020 at 11:30 a.m. there are currently 30 people in the hospital in the county who are infected. There have been a total of 62 deaths attributed to the Coronavirus, which is slightly more than one-tenth (1/10th) of one percent of those who have been tested in the county, which currently stands at 57,989. Also, of the 2,294 people who have tested positive, 1,734 have recovered or 75.6%. That means there are currently 468 people in the county with the virus who are quarantined at home.

Of those who have tested positive, 2.7% have died. That statistic, which has remained fairly constant and actually dropped by 1/10th of one percent in the last month, might alleviate the concerns by county health officials.

However, with residents wondering if the spike in cases could have been caused by all the people participating in protests in the county over the past few weeks, an email was sent Sunday to county health spokesperson, Kim McCarl asking that question. She was also asked if those who test positive are asked what activities they have participated in over the previous two weeks and if there are any concerns by County Health Officer Dr. Chris Farnitano and county health staff that the spike in cases could impact the Road Ahead schedule for reopening.

6/22/20 UPDATE: Will Harper, Media Relations Specialist for Contra Costa Health Services, responded, “We are closely monitoring recent increases in the number of COVID cases and hospitalizations in the county. We expected some increases as more businesses and activities reopened and as we expanded testing. Still, the upward trend is concerning and could affect our reopening timeline.

As people do venture outside their homes and back to normal social interactions, it’s important to do everything possible to reduce the risk for getting or spreading COVID-19. Wear a mask. Maintain six feet social distance. Wash your hands often. Stay home when you are sick.

Regarding the impact of protests: It is challenging to link cases to specific events, especially a gathering where you may not know anyone else who was there with you. We have a small number of reports tied to recent cases that did attend protests, but it is hard to attribute their presence at the protest with their infection versus other contacts they may have had in the past 14 days.”

Asked, again if people who get tested are asked about their activities over the previous 14 days, Harper responded “No, they don’t go back 14 days.” 6/24/20 UPDATE: He later clarified that statement writing, “we do contact investigation/tracing for contacts during the infectious period, which is defined as 2 days prior to symptom onset until patient is isolated (for symptomatic) and 2 days prior to COVID test date until patient is isolated (for asymptomatic).But we also ask where they may have been exposed 14 days from symptom onset/test date. This can be useful information, although keep in mind that we wouldn’t call people (ie close contacts) beyond the 48-hour infectious period mentioned above.”

Following are the businesses that will be allowed to reopen and the activities that will be allowed to resume based on Contra Costa County’s updated Road Ahead issued Wednesday, June 17, 2020.

July 1st – Personal services not involving the face (massage, nail salons, tattoo, body waxing, etc.) • Indoor dining • Bars (with or without food) • Indoor religious services • Gyms, fitness centers & personal training • Limited indoor leisure (arcades, billiards, bowling alleys, etc.) • Indoor museums • Hotels (for tourism & individual travel)

July 15th – • Personal services involving the face (skin care, permanent makeup, facial waxing, etc.) • Movie theaters

However, although “These openings are a direct response to your patience and observation of the health order” as is written on the new Road Ahead, and they “hope to continue opening up the county” the county health officer “may need to reconsider openings based on the course of the pandemic.”

Download a copy of the latest Road Ahead, here.

From Contra Costa Health Services

The State of California this week granted Contra Costa County a variance that allows more local control over when some activities restricted by the COVID-19 pandemic may resume.

The variance allows Contra Costa to move ahead with its road map for reopening at a pace that is appropriate for local conditions, which includes hair salons, indoor dining, gyms and schools in coming weeks.

“We are able to reopen more businesses and activities because the people of Contra Costa have diligently followed the health orders restricting our activities for many months,” said Candace Andersen, chair of the Contra Costa County Board of Supervisors. “We remain committed to a safe and careful reopening for our county.”

In an attestation filed to the state this week, Contra Costa Health Services (CCHS) outlined the progress at managing the spread of COVID-19 locally and how the local healthcare system is preparing in the event of a new surge in cases.

If safe to do so, hair salons and barber shops can reopen for business on June 17, according to a timeline released by CCHS. Indoor dining, bars, gyms and fitness centers, hotels and some indoor entertainment venues may follow July 1.

The county’s timeline could change if community health indicators worsen, such as an increase in the number of new cases or patients hospitalized with COVID-19.

Contra Costa is the first of six counties in the lower Bay Area to seek or receive a variance from the state COVID-19 health order, joining the North Bay counties of Napa, Solano and Sonoma.

Visit cchealth.org/coronavirus for more information about Contra Costa’s response to the COVID-19 pandemic.