Category Archives: Hospitalizations

90-year old Fairfield man Solano County’s latest COVID-19 death

Solano placed on state’s Covid watch list as hospitalizations rise

Fairfield Daily Republic, by Todd R. Hansen, June 30, 2020
Dr. Bela Matyas, Solano County Health Officer

FAIRFIELD — A local man in his 90s became the 24th person to die in Solano County because of Covid-19, the Public Health Division reported on Monday.

He contracted the disease from his family, Dr. Bela Matyas, the county public health officer, said in a phone interview.

“It’s not linked to any of the outbreaks in the county,”said Matyas, adding the man had been in the hospital for nearly a month.

Solano also became the 16th county to be placed on the state’s watch list because of a jump in hospitalizations, which if prolonged, could mean the forced closure of bars.

The county reported a jump of 13 hospitalizations since Friday afternoon’s report, bringing the total to 38.

The number of new cases, however, only went up by eight to 1,116, despite testing numbers going up by 2,504 to 29,620, the county reported. The number of active cases also saw a significant decrease from 250 to 70.

“Most of those cases are from the past and we finally caught up to them,” said Matyas, explaining that many are from the 80 or so farm laborers who work in the Sonoma and Napa vineyards, but spread the disease primarily because of their close living conditions in Fairfield and Dixon.

Graduation parties and Memorial Day weekend activities were also primary causes to why the active case numbers climbed, and now that those infectious periods are over and the county reporting has caught up, the numbers fell.

Matyas remains concerned about another spike because of the Fourth of July weekend.

And that could have a significant impact on Solano bars.

While Matyas said there is a “disconnect” between bar patronage and the actual cause of Covid-19 cases in Solano – again, due mostly to family gatherings – he understands why Gov. Gavin Newsom has to send some kind of message to county residents to ease their social practices.

Matyas said if the numbers continue to linger at the higher level, or go up over a three-day period, then the state will issue a recommendation that the bars be closed.

If the trend continues for 14 days, the state will order the bars closed, Matyas said.

Of the eight new cases reported, three were in Fairfield, bringing the city’s count to 363. Vallejo added two more to take its total to 462, and Vacaville also had two more cases for a tally of 152. The final new case was reported in Dixon, which now has 39 confirmed cases.

Suisun City (70), Benicia (25) and the combination of Rio Vista and the unincorporated area of the county (15) stayed the same.

KQED: Solano County on State’s COVID-19 Watch List after Spike in Hospitalizations

[Editor: See July 1 update: Solano County among 19 California counties ordered to close bars, indoors restaurant seating and more.  – R.S.]
KQED Coronavirus Updates, June 29, 2020

A recent increase in COVID-19 hospitalizations has landed Solano County on the state of California’s list for “targeted engagement,” to slow further spread of the coronavirus, Gov. Gavin Newsom announced on Monday.

While cases of the coronavirus and hospitalizations are on the rise throughout California, the state is zeroing in on counties experiencing the most acute spikes.

“Being on the county monitoring list brings with it additional attention and focus, additional assistance, some additional resources at the state level,” said Mark Ghaly, secretary of California’s Health and Human Services Agency.

Ghaly hopes the designation “really galvanizes the response at the county level in order to … make sure that spread does not increase so rapidly.”

Nineteen counties have been placed under increased monitoring by the state, covering nearly three quarters of California’s population. On Monday, Glenn, Merced and Orange counties were added along with Solano.

In Solano County, hospitals have seen a 23% increase in their three-day average of COVID-19 patients. The spike has been attributed in part to a jump in infections among dozens of North Bay farmworkers, many of whom work in Napa and Sonoma, but reside in Solano County.

State and county health officials have identified a list of steps to improve virus mitigation, including working with vineyard management companies to implement physical distancing measures and enlisting Spanish interpreters to educate workers on public health guidelines.

Solano County details from Gov. Newsom’s Watch List, June 29 2020

By Roger Straw, June 30, 2020
See July 1 update: Solano County among 19 California counties ordered to close bars, indoors restaurant seating and more

First below is an excerpt from the CA Dept. of Public Health’s Watch List, detailing recent increasing hospitalizations in Solano County and “key action steps” that Solano is taking in coordination with the State.

Below that is a detail from the State’s County Data Chart, showing Solano County among those counties with increasing hospitalization rate of >10%.  On June 29, Solano shows a 23% increase in 3-day avg COVID+ hospitalized patients.

[See also coverage in the SF Chronicle: Coronavirus cases climb, Bay Area counties pause reopening. Also on KQED: Solano County on State’s COVID-19 Watch List after Spike in Hospitalizations.]


County Data Monitoring

Step 2: Targeted Engagement with CDPH
County Data Chart
California Department of Public Health, June 29, 2020

Solano County (has variance) is increasing hospitalization. Drivers include a large outbreak among farm workers in the vineyards in Sonoma and Napa who are residing in Solano, as well as an ongoing surge in cases related to family gatherings and other social gatherings on the weekends.  The farm worker cases total many dozens over the past one to two weeks, and the close-contact cases appear to have begun with weekend activities in early May and are continuing to the present.  The large number of such cases overall is resulting in an increase in hospitalized cases.  These cases are not at present resulting in a strain on the hospitals or in ICU admissions but the county is monitoring this closely.  County reports that hospitals in their jurisdiction have multiple levels of surge capacity for hospitalizations and for ICU admissions, if these become necessary. Key action steps include: working with the neighboring counties and with the vineyard management companies to implement social distancing measures; 2) educating the workers themselves (using Spanish interpreters) on social distancing measures; 3) providing appropriate cautionary messages through social media and the press about the risks of gatherings, not social distancing and not using personal protection measures.


County Data Monitoring

County Data Chart
June 29, 2020

Elevated Disease Transmission Increasing Hospitalization Limited Hospital Capacity
Threshold <150 Case Rate >100
OR
Case Rate >25 AND Positivity >8%
>10% Increase <20% ICU Beds Available
OR
<25% Ventilators Available
County Avg # tests per day (per 100,000 population) (7 day average with a 7 day lag) Case rate per 100,000 (14 days) Testing positivity (%) (7 day average with a 7 day lag) % Change in 3-day avg COVID+ hospitalized patients % ICU beds currently available % Ventilators currently available
Solano 185.4  ✔ 23.5

 

Solano County COVID-19 UPDATE: 9 new hospitalizations


Friday, May 29:  8 new positive cases, no new deaths. Total now 517 cases, 22 deaths.

Source: Solano County Coronavirus Information & Resources

Solano County Coronavirus Disease 2019 (COVID-19) Updates and Resources.  Check out basic information in this screenshot.  IMPORTANT: The County’s interactive page has more.  On the County website, you can hover your mouse over the charts at right for detailed information.
Previous report, Thursday, May 28

Summary

  • Solano County reported 8 new positive cases today, total of 517.
  • No new deaths today, total of 22.
  • The County reports an increase of 9 hospitalizations since the outbreak began, but only 1 new active hospitalization.  Correcting old errors, perhaps, adding some that weren’t reported previously?
  • The County reported 21 new cases among our youth in the last 17 days, having reported only 6 over the 5 weeks prior.  (See table below).

BY AGE GROUP

  • No new cases were reported today among young persons under 19 years of age, total of 27 cases, increasing over the last two weeks to 5.3% of total confirmed cases(See table below.)
  • 5 of today’s new cases were persons 19-64 years of age, total of 365 cases, 71% of the total.   No new deaths in this age group today, total of 5.  Note that 49 of the 365 cases in this age group have been hospitalized at one time, 13% of total cases in the age group(It is unclear whether the 5 deaths were ever hospitalized.)
  • 2 of today’s new cases were persons 65 or older, total of 124 cases, 24% of the total.  No new deaths, total of 17.  Note that 34 of the 124 cases in this age group, an increase of 3, (27%) were hospitalized at one time, more than double the percentage in the mid-age group(It is unclear whether the 17 deaths in this age group were ever hospitalized.)
  • NOTE: The County reported 8 new cases overall today, but only 7 assigned to an age group.  This is likely to be corrected tomorrow.
Recent surge in positive cases among youth 18 and under
Date New cases Total
Frisday, May 29, 2020 0 27
Thursday, May 28, 2020 3 27
Wednesday, May 27, 2020 0 24
Tuesday, May 26, 2020 (3-day holiday weekend) 7 24
Friday, May 22, 2020 0 17
Thursday, May 21, 2020 3 17
Wednesday, May 20, 2020 0 14
Tuesday, May 19, 2020 0 14
Monday, May 18, 2020 1 14
Friday, May 15, 2020 2 13
Thursday, May 14, 2020 3 11
Wednesday, May 13, 2020 1 8
Tuesday, May 12, 2020 1 7
Monday, May 11, 2020 0 6
Friday, May 8, 2020 0 6
Thursday, May 7, 2020 0 6
Wednesday, May 6, 2020 0 6
Tuesday, May 5, 2020 0 6
Monday, May 4, 2020 0 6

CITY DATA

  • Vallejo added 4 of today’s new cases, total of  293.
  • Fairfield added 3 of today’s new cases, total of 101.
  • Vacaville added 1 of today’s new cases, total of 54.
  • Suisun City remained at 25 cases.
  • Benicia remained at 23 cases.
  • Dixon remained at 11 cases.
  • Rio Vista and “Unincorporated” are still not assigned numerical data: today both remain at <10 (less than 10).  The total numbers for other cities add up to 507, leaving 10 cases somewhere among the 2 locations in this “<10” category (same as last reported).  Residents and city officials have pressured County officials for city case counts.  Today’s data is welcome, but still incomplete.

UPWARD TREND IN HOSPITALIZATIONS?
84 of Solano’s 517 cases resulted in hospitalizations since the outbreak started, 9 more than yesterday.  This is an important stat to watch.  On May 1 there were 51 hospitalizations, and the daily increase has been relatively steady, adding 2 or less each day.  Exception: a week ago, on May 22, the County reported 4 new hospitalizations.  Now today’s increase of 9 new hospitalizations is sudden and unusual.  Stay tuned!

ACTIVE CASES:  69 of the 517 cases are currently active – 3 fewer than yesterday.  Note that the county does not report WHERE the active cases are.  Below you will see that only 19 are currently hospitalized, which leaves 50 of these 69 active cases out in our communities somewhere, and hopefully quarantined.

HOSPITAL IMPACT: The County shows 19 of the 84 hospitalized cases are CURRENTLY hospitalized, 1 fewer than yesterday.  Yesterday, 20 cases were active out of 75 total.   (How the County can report an increase of 9 cumulative hospitalizations on the same day they report 1 fewer actively hospitalized is a puzzle to me.  Someone should ask Dr. Matyas about this….)  The County’s count of ICU beds available and ventilator supply remains at “GOOD” at 31-100%. (No information is given on our supply of test kits, PPE and staff.)

TESTING: The County reports that 11,096 residents have been tested as of today, an increase of 257 residents tested since yesterday.
We still have a long way to go:
only 2.5% of Solano County’s 447,643 residents (2019) have been tested.  NOTE: State run testing sites in Vallejo and Vacaville are open to anyone.

Solano’s steady upward curve – as of May 29

This chart shows the infection’s steady upward trajectory in Solano County.  Our “curve” continues to creep up.  Our nursing homes, long-term care facilities and jails bear watching!

Still incredibly important – everyone stay home if you don’t need to go out, wear masks when you do go out (especially in enclosed spaces), wash hands, and be safe!