Coronavirus: California could see 89% increase in hospitalizations next month, health official warns

Dr. Mark Ghaly flagged “early signs” that state’s progress has shifted slightly: hospitalizations could rise from 2,578 patients now to 4,864 by late October

Dr. Mark Ghaly, Secretary of California’s Health and Human Services Department, addressed the state’s COVID-19 response in a Zoom broadcast Tuesday. (YouTube. July 21, 2020)

Vallejo Times-Herald, By Fiona Kelliher, September 25, 2020

California could see an 89% increase in COVID-19 hospitalizations by the next month if coronavirus infections continue apace, a top state health official warned Friday.

Short-term forecasts indicate that hospitalizations could skyrocket from the 2,578 patients now hospitalized to 4,864 by this time in October, said California Health and Human Services Secretary Dr. Mark Ghaly during a Friday press briefing — a signal that Californians should stay vigilant as more parts of the economy open up.

“As we see these trend lines, which have been coming down and flattening, look like they’re coming up … we want to sound that bell for all of you,” Ghaly said. “We want to see us respond as a state to those slight increases.”

Although Ghaly praised the state’s “significant progress” in infection and hospitalization rates since mid-July — when a peak 7,170 COVID-19 patients were hospitalized — he flagged early signs that the state’s progress has begun to shift. Starting in mid-September, Ghaly said, infection rates have risen slightly across the state, while coronavirus-related emergency room visits have also climbed.

Although overall lower case rates have allowed many counties to reopen businesses within Gov. Gavin Newsom’s reopening system, the virus’ reproduction number has surpassed 1.0 in some regions, Ghaly said. Twenty-five of California’s 58 counties remain in the red or “widespread” tier, with another 19, including most of the Bay Area, in the purple or “substantial” tier, allowing for movie theaters and restaurants to welcome customers indoors at limited capacity.

Keeping case rates low means that the virus’ reproductive value has less of a dramatic effect on potential hospitalizations, Ghaly said — especially with the double whammy of flu season looming. But with more cases overall, “you can see how quickly case rates go up and how quickly that creates additional pressure on our hospitals,” he added.

Statewide, however, there was little change in the seven-day average of new infections and fatalities reported as of Friday. Both figures remained lower than where they were two weeks ago and significantly below their respective peaks. The 3,274 new cases and 85 deaths reported by county health departments Thursday kept each seven-day average about even — just over 3,500 cases and just below 84 deaths per day over the past week, according to data compiled by this news organization.

Ghaly’s hospitalization projection, meanwhile, would put the state on par with its Aug. 19 hospitalizations, when 4,890 people were hospitalized with COVID-19 — more than 2,000 people fewer than the state’s peak a month earlier.

“As Californians we’ve done a good job to avoid those situations, and we want to keep our guard up,” Ghaly said.

Evan Webeck contributed to this report.

Solano COVID report on Fri. Sept 25: 31 new cases, 5 new hospitalizations, no new deaths


[For a complete archive of day by day data, see my Excel ARCHIVE – R.S.] [Please note that some of the numbers of new deaths and hospitalizations this past week may not actually be new.  The Fairfield Daily Reporter, quoting Dr. Matyas, is reported that some of the deaths reported Wednesday were updating discrepancies in reporting from last summer.  Dr. Matyas confirmed in an email to me on Thursday that some of the spike in hospitalizations are also adjustments rather than new hospitalizations.  No information as yet as to how many are new and how many are old.  Regardless, these illnesses and deaths are still serious, sad and disturbing…  – R.S.]

Friday, September 25: 31 new cases overnight, 5 hospitalizations, no deaths.  Since the outbreak began: 6,309 cases, 389 hospitalized, 63 deaths.Compare previous report, Thursday, Sept 24:Summary

  • Solano County reported 31 new cases today, total of 6,309 cases since the outbreak started.  Over the last 7 days, Solano reported 224 new cases, average of 32 per day.
  • Deaths – RECENT SPIKE: 3 new deaths reported yesterday, 3 the day before, and another 2 the day before that, total of 63 Solano deaths.  Thankfully, no new deaths reported today.
  • Active cases – Solano reported 7 fewer ACTIVE cases today, total of 269.  Note that only 21 of these 269 people are hospitalized, so there are a lot of infected folks out among us, hopefully quarantined.  Is the County equipped to contact trace so many infected persons?  Who knows?  To my knowledge, Solano County has offered no reports on contact tracing.
  • Hospitalizations – the number of currently hospitalized persons remained at 21 today.  However, the total number hospitalized since the outbreak started increased by 5 today, total of 389, an increase of 73 in just the last week. (see age group hospitalization stats below).
  • ICU BedsThe County reported 50% of ICU beds available, same as yesterday and down from 56% a  week ago Monday.  (After 7 weeks, still no information about availability of ventilators.)
  • Testing – The County reports today that 591 residents were tested today, new total of 86,789.  Solano has a long way to go: only 19.4% of Solano County’s 447,643 residents (2019) have been tested.

Positive Test Rate

Solano County reported today that our 7-day average test rate remained steady today at 3.9%.  Our supposedly smooth 7-day moving average has jumped all over the place recently (see note about delayed adjustments below).  For the record, just two weeks ago we saw Solano rates above 7% for the first time since we peaked at 9.3% on July 22.  Week before last we bottomed out at 2.7%.  The County’s line graph for positive test rate looks like a flat line and tells us absolutely nothing, not worth posting here.  Health officials and news reports focus on percent positive test rates as one of the best metrics for measuring the spread of the virus.  The much more stable California’s relatively stable 7-day test rate remained at it’s lowest point, 2.8% for the 5th consecutive day today(Note that Solano County displays past weeks and months in a 7-day test positivity line graph which also shows daily results.  However, the chart does not display an accurate number of cases for the most recent days, as there is a lag time in receiving test results.  The 7-day curve also lags behind current unknown results.) 

By Age Group

  • Youth 17 and under – 5 new cases today, total of 701 cases, representing 11.1% of the 6,309 total cases.  No new hospitalizations among this age group today, a total of 6 hospitalizations since the outbreak began.  Thankfully, no deathsIn recent weeks it seems too many youth are ignoring public health orders.  Cases among Solano youth rose steadily over the summer, from 5.6% of total cases on June 8 to 11% on August 31 and has remained around 11% since then.  Youth are 22% of Solano’s general population, so this 11% may seem low.  The significance is this: 1) youth numbers have increased steadily and at a faster rate than the other age groups, and 2) youth are SERIOUSLY NOT IMMUNE (!) – in fact 6 youth have now been hospitalized.
  • Persons 18-49 years of age – 20 new cases today, total of 3,783 cases. This age group is 41% of the population in Solano, but represents 60% of the total cases, by far the highest percentage of all age groups.  The County reported 2 new hospitalizations in this age group today, total of 129 hospitalized since the outbreak began.  No new deaths in this young age group today, total of 5 deaths.  Some in this group are surely ignoring public health orders, and many are providing essential services among us.  I expect his group is a major factor in the spread of the virus.
  • Persons 50-64 years of age – 3 new cases today, total of 1,197 cases.  This age group represents 19% of the 6,309 total cases.
    No new hospitalizations today, total of 104 hospitalized since the outbreak began.  No new deaths in this age group today, a total of 13 deaths.
  • Persons 65 years or older – Today the County reported 3 new cases, total of 627, 3 new hospitalizations, total of 150.  Thankfully, no new deaths, total of 45 of our elders who died of COVID.  Much of the recent spike in this age group may be related to an outbreak at the Parkrose Gardens Alzheimer’s and Dementia care facility in Fairfield, where 31 patients and 8 staff were reported on September 15 to have tested positive.  This age group’s 627 cases represent 9.9% of the 6,309 total cases.  In this older age group, 23.9% of cases required hospitalization at one time.  This group accounts for 45 of the 63 deaths, or 71%.

City Data

  • Benicia remained steady today, total of 165 cases since the outbreak began.
  • Dixon remained steady today, total of 413 cases.
  • Fairfield added 5 new cases today, total of 2,056 cases.
  • Rio Vista remained steady today, total of 48 cases.
  • Suisun City added 3 new cases today, total of 461 cases.
  • Vacaville added 4 new cases today, total of 1,056 cases.
  • Vallejo added 19 new cases today, total of 2,090 cases.
  • Unincorporated areas remained steady today, total of 20 cases.

Race / Ethnicity

The County report on race / ethnicity includes case numbers, hospitalizations, deaths and Solano population statistics.  This information is discouragingly similar to national reports that indicate significantly worse outcomes among black and brown Americans.  Note that all of this data surely undercounts Latinx Americans, as there is a large group of “Multirace / Others” which likely is composed mostly of Latinex members of our communities.

  • Asian Americans are 14% of Solano’s population, and account for 9% of cases, 11% of hospitalizations, and 19% of deaths.
  • Black Americans are 14% of Solano’s population, and account for 11% of cases, but 18% of hospitalizations, and 24% of deaths.
  • Latinx Americans are 26% of Solano’s population, but account for 31% of cases, 30% of hospitalizations, and 21% of deaths.
  • White Americans are 39% of the population in Solano County, but only account for 21% of cases, 26% of hospitalizations and 25% of deaths.

More…

The County’s new and improved Coronavirus Dashboard is full of much more information, too extensive to cover here on a daily basis.  The Benicia Independent will continue to summarize daily and highlight a report or two.  Check out the Dashboard at https://doitgis.maps.arcgis.com/apps/MapSeries/index.html?appid=055f81e9fe154da5860257e3f2489d67.

You can VOTE in Benicia on Monday, Sept 28! Roger’s recommendations…

By Roger Straw, September 25, 2020
Roger Straw, The Benicia Independent

Voting starts earlier than ever this year – you can already cast your mail-in ballot next week!

It’s all new to me.  I have ALWAYS waited, and cast my ballot at the polling place on election day, but not this year.

Candidates for public office have had to change tactics.  I should know –  I’ve been involved in 7 local campaigns over the last 13 years.  We used to send out mailers and knock on doors in October, and there was always a big Get Out the Vote push on Monday before the election.  It all has to be done much earlier now.  And most of us will have already voted by early-, mid- or late-October this year.

So we are making up our minds now.  It’s not hard at all for most of us to know who would make the better President: Joe Biden, of course.  But who will we elect as the next Benicia Mayor?  Who for City Council?  And what about those pesky ballot measures?

For good guidance on ballot measures, check out ProgressiveDemocratsOfBenicia.org.  See their CANDIDATE ENDORSEMENTS page and their Recommendations on Ballot Measures.

Roger’s recommendations

Steve Young – for BENICIA MAYOR

Benicia Mayor: Steve Young.  I support Steve for his careful analysis of facts and his grounding in city administration.  Benicia will forever owe Steve a debt of gratitude for his intense and persuasive questioning of Valero and City staff during the long fight against Valero’s dirty and dangerous “Crude by Rail” proposal.  The entire Planning Commission and City Council deserve praise, but it was Steve whose star shined most brightly during those pivotal times.  By the way, those who know me are aware of my bias in favor of women candidates.  I’m a longtime male feminist, and usually I will lean left and go with a woman candidate.  But in this year’s race, with Mayor Patterson choosing not to run, I have to go with Steve Young.  More about Steve Young, or Donate and Volunteer.

Terry Scott – for BENICIA CITY COUNCIL

Benicia City Council: Terry Scott.  I support Terry for his vision and values, and for his leadership as Chair of Benicia’s Arts and Culture Commission.  More about Terry Scott, or Donate and Volunteer.

 

~ How and where to cast your mail-in ballot EARLY ~

Solano is mailing your ballot to you on Sept 26 – Benicia, Vallejo, Fairfield, Vacaville, Suisun City, Rio Vista, Dixon

By Roger Straw, Friday, September 25, 2020

When and how to VOTE EARLY!

In an email yesterday evening, Assistant Solano County Registrar of Voters John Gardner confirmed that “ballots are being mailed on Saturday 9/26.”  Gardner added, “All ballots will be delivered to the post office at the same time for delivery.”

In years past, we might then assume that our ballots would arrive in our mailboxes on Monday, September 28.  Given recent national stories about post office slow deliveries, we will have to watch and see.

Three ways to return your ballot early! (…and then there’s November 3)

  • Cast your ballot RIGHT AWAY: Mail it back on the same day you get it, maybe Monday or Tuesday, September 28 or 29.  Return it ANYTIME via US Postal Service (postage paid).
  • If you wait a week, you can drop it off in person beginning Monday, October 5: There are 15 NO CONTACT DROP BOXES (inside office buildings).  Here’s the list on the Solano County website, including City Clerks’ offices in all 7 Solano cities.
  • I hope you don’t wait until October 29, but if you do… There are 10 NO CONTACT CURBSIDE DROP-OFF LOCATIONS.  For 5 days before election day, beginning on Thursday October 29, and continuing on Oct. 30, 31, Nov. 2 and Nov. 3, you can drop off ballots “Curbside.”  (Stay in your car, hand ballot to pollworkers.)  Here’s the list of at least one in each city, on the County website.
  • And there’s 4 options on ELECTION DAY, Tuesday, November 3:
    1. NOT RECOMMENDED: It’s still possible to mail your ballot.  If (and that’s a big IF) the post office postmarks it on Nov. 3, it will be valid and counted.  Please DON’T do this!  I wouldn’t mail my ballot at all, but if you must, I’d say do it at least 2 weeks prior to election day – by October 20.
    2. The office building drop-off locations will still be available.  List of locations.
    3. The curbside drop-off locations will still be available.  List of locations.
    4. And there’s the good old In-Person voting at your local polling place.  Your polling place location will be printed on your ballot.  Note that some polling places may have changed since the last election.  To plan ahead, here is the County’s list of 100 polling placesBetter yet, to look up your location using your home address, go to this page on the County website: solanocounty.com/depts/rov/sample_ballot_polling_place_lookup.asp


Roger Straw, The Benicia Independent

Oh, and on a personal note… I am clearly encouraging everyone to vote for Joe Biden and Kamala Harris.  Donald Trump is unfit in so many ways, a disaster already, and a threat to our democracy if returned for another 4 years.  Dems, GOPs and Independents please unite and do the right thing – Trump and Trumpism have got to go in a landslide victory for Biden/Harris!