Category Archives: California

Who’s dying in California from COVID-19?

Who’s dying in California from COVID-19?

Cal Matters, by Hannah Getahun, September 22, 2021
Emergency medical workers lift a patient onto a gurney in Placentia in January. The average age of people dying from COVID-19 in California has been declining in recent months. Photo by Jae C. Hong, AP Photo

IN SUMMARY…
California’s COVID-19 deaths are skewing younger, with the average age dropping seven years in September. And death rates are increasing for most racial groups, particularly Latinos. A by-the-numbers look at California’s COVID-19 deaths.

It’s been longer than a year and a half since COVID-19 first arrived in California, and the demographics of who is dying from the virus are changing.

So far, 67,628 people have died in California during the pandemic, more than in any other state. In recent months, those who are dying are younger on average. And, unsurprisingly, people of color are still among the most devastated by COVID-19, with the highest death rates among Native Hawaiians/Pacific Islanders and Black people.

Here’s a by-the-numbers look at COVID-19 deaths in California.

How much younger are they?

Since the beginning of the pandemic, the average age for Californians who died from COVID-19 is 73. But in April through September the average age dropped to 67, and in August and September, it dropped to 66, according to a California Department of Public Health analysis of state data.

“We are observing that it’s not the older populations that were first dominating a number of fatalities in the pandemic,” said Fresno County Interim Health Officer Dr. Rais Vohra. “It’s now skewing younger and younger in terms of who gets hospitalized and — unfortunately — who goes on to have a very tragic outcome of a fatality.”

A major reason? Older people are vaccinated at higher rates than younger residents. About 67% of Californians 18 to 49 are fully vaccinated, compared to 73% for people 65 and older.

Hospitalizations and infections are on the rise for Californians under 18. But old age — and the underlying conditions that come with it — will still be an important factor in death rates, said Dr. George Rutherford, a professor of epidemiology and biostatistics at the University of California, San Francisco.

What’s the racial breakdown? Has it changed?

Latinos are dying at a lower rate than white and Black people in California, according to the state’s data. However, Latinos have had the sharpest increase in the death rate in the last month, rising from 2.4 deaths per 100,000 people in August to 4 per 100,000 in September. That rate, however, is far eclipsed by the peak last January, when 11 Latinos died per 100,000.

For Black people, 7.4 per 100,000 people died from COVID-19 this month, up from six deaths per 100,000 in August yet down from 9.3 last January. Death rates in Asian American populations and white people also increased this monthAsian Americans currently have California’s second lowest death rate.

The culprit is most likely vaccine disparities: Latinos make up 39.4% of California’s vaccine eligible population but they’ve only received 29.5% of the doses. This means that, proportionally, not as many doses are finding their way into Latino communities as they should, health experts say. Black people also make up a higher share of the vaccine-eligible population than the doses they have received.

“The myths and the misgivings… are real for the communities who have suffered at the hands, historically, of a racist, systemic problem.”  – SARAH REYES, MANAGING DIRECTOR OF COMMUNICATIONS AT THE CALIFORNIA ENDOWMENT

A reason for these disparities could be the barriers that communities of color still face to accessing vaccines, including medical misinformation and hesitancy stemming from medical mistrust, according to Sarah Reyes, managing director of communications at the nonprofit California Endowment, which focuses on improving health care access in underserved communities.

“People have to understand that the myths and the misgivings of the medical community are real,” Reyes said. “They’re real for the communities who have suffered at the hands, historically, of a racist, systemic problem.”

Native Hawaiian and Pacific Islanders have died at the highest rate of any racial group. But some good news: The rate decreased from 18.4 deaths per 100,000 people in January to 17 in August and 11.8 in September.

Is there a growing gender gap?

Men are dying at a slightly higher rate than they were in the beginning of the pandemic, according to the state data.

In September of last year, 45.2% of deaths were female and 54.6% were male. But in August 2021, it was 41% female and 58.9% male, which shows that the gap is widening in favor of women.

In Long Beach, 70% of deaths since July 2021 have been males, compared to 58% from March 2020 through July 2021.

Before vaccine availability, males made up a slightly larger percentage of deaths than females. Now as the gap widens, vaccinations may play a role.

“I can’t help to think that some of that is due to failure to vaccinate — differential failure to vaccinate, meaning that women are more likely to vaccinate than men,” Rutherford said.

Women are more likely to be vaccinated than men in the state, and there is still a slight gap between the proportion of men who make up the state’s vaccine population and those who still need to get vaccinated.

How do deaths in California compare to other states?

California, as of this past week, has the lowest seven-day death rate nationally — at five people dying for every million residents — and the lowest rate since January, according to data from the Centers for Disease Control and Prevention.

However, what is happening in California is happening across the country: People 64 and under make up a larger share of deaths in 2021 than they did in 2020. National data also shows that the older you are, the more likely you are to be vaccinated.

How do counties compare?

The average age of Californians dying from COVID is skewing younger across the state.

In Fresno County, people 50 to 69 years old now make up a larger share of COVID-19 deaths than they previously did, while those 70 and older are a smaller share.

In Long Beach, which has its own health department, the average age of COVID death since August 2021 is 59 years old, 13 years younger than March 2020 through July 2021. In Long Beach, 99% of people 65 and older are vaccinated.

In Riverside County, people under 45 made up 4.1% of total deaths between Jan. and March. Between June and Aug., that number jumped to 16.1%. Among adults, people under 45 have the lowest vaccination rates.

Eleven people died in Riverside County on Sept. 20 and five of those people were under 40, said Jose Arballo, senior public information specialist at Riverside University Health System-Public Health.

Were most of the people who died unvaccinated?

Vaccinated people make up a small fraction of the deaths — approximately 500. “Far and away without any doubt, without any question, 95% of (stopping deaths) is vaccines,” Rutherford said.

Although there’s still the potential for breakthrough cases, vaccination makes it much less likely that serious illness will develop.

So if the best way to prevent deaths is the vaccine, how do health officials get younger people to get the jab? It’s complicated, but mandates — like proof of vaccination to go to restaurants or work in certain places — can help, Rutherford said. Fear can be a motivator, too.

“People are scared of the Delta variant — as they should be,” Rutherford said.

Solano County reports postdating of huge recent increase in COVID cases

By Roger Straw, September 7, 2021

Dr. Matyas reports glitch in information received from State – recent spike of 1,000+ actually dates back into July

Fairfield Daily Republic, by Todd Hansen, September 3, 2021

FAIRFIELD — The state has figured out why coronavirus reporting has been so off-track during this recent Covid surge – a glitch that on Wednesday added 1,044 cases to Solano County’s total.

However, the cases date back into July, with only 160 cases since Monday’s update – taking the full count to 41,521, the county reported.

Sill, that reflects a daily average of 80 new cases in those two days, and the 10-day average remained at 110.

“Almost all of (the delayed reports) are from Kaiser Northern California,” Dr. Bela Matyas, the Solano County public health officer, said in a phone interview. The reporting glitch was just recently discovered.

Kaiser Permanente said in a statement released Thursday that the company is working with its technology vendor to ensure that the situation is resolved. The company said in the statement that it has made the data available through an alternate means while the situation was occurring, but did not include in the statement details about the alternate reporting.

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California Launches New Digital Tool Giving Residents Convenient Access to Their COVID-19 Vaccine Record

NEWS RELEASE, June 18, 2021

Digital COVID-19 Vaccine Record offers private and secure access to vaccination information

Users receive a QR code to maintain privacy, security, and ease of access to COVID-19 vaccine record
Media Contact CDPH: CDPHpress@cdph.ca.gov
Media Contact CDT: Newsroom@state.ca.gov

SACRAMENTO – On June 18, the California Department of Public Health and California Department of Technology announced a new Digital COVID-19 Vaccine Record for Californians, available at myvaccinerecord.cdph.ca.gov. The tool is a convenient option for Californians who received a COVID-19 vaccination to access their record from the state’s immunization registry systems.

“While CDPH recommends that vaccinated Californians keep their paper CDC card in a safe and secure place, we recognize that some people might prefer an electronic version,” said California State Epidemiologist Dr. Erica Pan. “And if one of the state’s nearly 20 million vaccinated Californians misplaces their paper card, the Digital COVID-19 Vaccine Record provides a convenient backup.”

California’s Digital COVID-19 Vaccine Record follows national standards for security and privacy, is built by the state, and provides Californians a way to view and save their vaccine record.

“We worked with CDPH, tech industry leaders, and consulted with California’s top businesses, service and event purveyors to create a system that works well for all sectors,” said Amy Tong, State CIO and Director of the California Department of Technology. “We achieved our goal to quickly produce an intuitive portal that offers Californians another way, and an easier way, to access their own COVID-19 immunization history.”

The Digital COVID-19 Vaccine Record is easy to use: a person enters their name, date of birth, and an email or mobile phone number associated with their vaccine record. After creating a 4-digit PIN, the user receives a link to their vaccine record that will open upon re-entry of the PIN.

The record shows the same information as the paper CDC vaccine card: name, date of birth, date of vaccinations, and vaccine manufacturer. It also includes a QR code that makes these same details readable by a QR scanner. Once the digital record is received, individuals are encouraged to screenshot the information and save it to their phone files or camera roll.

By embracing the open-source SMART Health Card Framework, California joins a growing consortium of public and private organizations – like UC Health, EPIC, and Cerner – empowering individuals to access official copies of their immunization data records. The VCI.org coalition is dedicated to improving privacy and security of patient information, making medical records portable and reducing healthcare fraud. Businesses that incorporate QR scanning into their own systems must adhere to the SMART Health Card Framework developed by VCI™.

“Empowering all individuals with the opportunity and choice of managing their personal vaccination records securely and conveniently is the hallmark of the VCI coalition and The SMART Health Card Framework,” said Dr. Brian Anderson, Chief Digital Physician at MITRE and a Co-founder of VCI. “The framework allows individuals to control their personal health information and how they share that record.”

For more information about the Digital COVID-19 Vaccine Record, visit covid19.ca.gov. Californians can correct or update their immunization record at cdph.ca.gov/covidvaccinerecord.

COVID: What will California’s vaccine verification system look like

California businesses will be able to require vaccine verification

Vallejo Times-Herald, by Emily Deruy & Solomon Moore, June 18, 2021
Gov. Gavin Newsom speaks during a press conference at Tommy’s Mexican Restaurant on Geary Boulevard in San Francisco, Calif., on Thursday, June 3, 2021. Newsom outlined the state’s ongoing support for restaurants and bars as California fully reopens the economy this month. (Jane Tyska — Bay Area News Group)
Gov. Gavin Newsom speaks during a press conference at Tommy’s Mexican Restaurant on Geary Boulevard in San Francisco, Calif., on Thursday, June 3, 2021. Newsom outlined the state’s ongoing support for restaurants and bars as California fully reopens the economy this month. (Jane Tyska — Bay Area News Group)

Don’t call it a “vaccine passport,” Gov. Gavin Newsom insists. But California is poised to roll out some sort of electronic vaccine verification system to help residents show businesses and others that they are inoculated against the coronavirus.

Promising more details in the coming days, Newsom earlier this week touted that the state is working on a digital version of the official paper immunization cards that people received when they got their shots. How the system will work, who will have access to it, and when it will launch are among the critical questions that the governor’s office did not respond to Wednesday.

But the growing anticipation comes as dozens of competing efforts for everything from personalized apps to unique registries are stirring up confusion and privacy concerns as California sheds its pandemic restrictions and fully reopens this week.

While details remain scarce about how the state’s vaccine verification system will fit in, a couple of things are clear.

For one, people won’t be required to use the system, Newsom said. But if you want to, say, attend a concert or book a flight, businesses will be able to require verification in the same way they can continue to require masks even though the state, with a few exceptions, no longer mandates them.

“Businesses have freedom of choice across the spectrum,” Newsom said Monday.

California would not be the first to unveil a statewide verification system. In March, New York Gov. Andrew Cuomo launched the Excelsior Pass, a digital pass developed with the help of IBM that lets residents share their vaccination status or COVID-19 test results. Businesses can verify the information but don’t have access to personal health data.

Advocates of vaccine passports and verification systems say they can help residents and businesses get back to normal safely. They could ease access to concerts, baseball games, university campuses and other places where vaccination status matters.

“I think it makes sense on every level,” said John Swartzberg, an infectious disease expert and professor emeritus at UC Berkeley, who has been consulting with businesses.

“They would very much like to use a vaccine passport, but they don’t want to make the decision to do it,” Swartzberg said, acknowledging that the issue “is a political hot potato for them.”

Opponents of vaccine passports and verification systems have raised privacy and discrimination concerns. Florida Gov. Ron DeSantis signed an order banning the use of vaccine passports, and Texas has also banned state agencies and organizations that receive public money from requiring people to prove they’ve been jabbed.

The federal government has said it will not create a nationwide system or passport, leaving states, local governments and the private sector to choose whether to tackle vaccine verification, with a number of options emerging.

ID2020, a San Francisco-based collaborative of international civil society organizations and multinational travel, financial and technology companies, has been seeking to link digital identities with vaccine distribution since its founding in September 2019, before the coronavirus hit. Earlier this month, the group published a white paper called the Good Health Pass Interoperability Blueprint that is intended to standardize the cacophony of vaccine credentialing systems being built across the planet.

The collaborative, whose supporters include Microsoft, IBM, Salesforce, the Rockefeller Foundation, Deloitte and others, are advocating for systems that are digital, interoperable across platforms and jurisdictions, and secure. Other principles at the core of the effort include a commitment to making health passes consensual and flexible enough to accommodate a range of solutions, including mobile and secure physical documentation of vaccinations.

“We’ve seen more than 70 systems that have been proposed, globally,” said Pam Dixon, executive director of World Privacy Forum, an Oregon-based research organization. “I don’t know which system will win, but I do think that the International Air Transport Association system — which is the system that airlines are going to use — may win.”

But Dixon said she is concerned that the speed with which vaccine credential systems are being developed has precluded any transparent process for public involvement in their designs. Dixon also said she is concerned that any digital platforms for vaccine credentialing would put individuals’ privacy at risk because identities will be linked to health data or behaviors that could be exploited by unscrupulous companies and governments.

It’s unclear exactly which verification systems will be put to use where. But for now, in the current absence of a California-wide system, some residents have been showing their physical vaccination cards, photos of the cards or vaccine records on apps such as the CVS Pharmacy app to enter places such as the fully vaccinated sections at San Francisco Giants games at Oracle Park, nursing homes for visits and more. The cards are easy to damage or lose, though, and proponents of a vaccine verification system say the current situation needs to be improved.

“I think it’s unfortunate we don’t have more political leadership doing this,” Swartzberg said. “Ideally it’s an activity the state should take on.”