All posts by Roger Straw

Editor, owner, publisher of The Benicia Independent

Younger adults are large percentage of COVID 19 hospitalizations in U.S., according to new CDC data

Millennials warned they are not immune.

Washington Post, By Ariana Eunjung Cha, March 19, 2020 5:55am PDT


The deadly coronavirus has been met with a bit of a shrug among some in the under-50 set in the United States. Even as public health officials repeatedly urged social distancing, the young and hip spilled out of bars on Bourbon Street in New Orleans. They gleefully hopped on flights, tweeting about the rock-bottom airfares. And they gathered in packs on beaches.

Their attitudes were based in part on early data from China, which suggested that covid-19 might seriously sicken or kill the elderly — but spare the young.

Stark new data from the United States and Europe suggests otherwise.

A Centers for Disease Control and Prevention analysis of U.S. cases from Feb. 12 to March 16 released Wednesday shows that 38 percent of those sick enough to be hospitalized were younger than 55.

Earlier this week, French health ministry official Jérome Salomon said half of the 300 to 400 coronavirus patients treated in intensive care units in Paris were younger than 65, and, according to numbers presented at a seminar of intensive care specialists, half the ICU patients in the Netherlands were younger than 50.

At a White House news conference on Wednesday, Deborah Birx, the response coordinator of the nation’s coronavirus task force, warned about the concerning reports from France — and Italy, too — about “young people getting seriously ill and very seriously ill in the ICUs.”

She called out younger generations in particular, for not taking the virus seriously, and warned of “disproportional number of infections among that group.”

Coronavirus looks different in kids than in adults

President Trump reinforced her warning, saying: “We don’t want them gathering, and I see they do gather, including on beaches and in restaurants, young people. They don’t realize, and they’re feeling invincible.”

The CDC report looked at 4,226 covid-19 cases, with much of the data coming from the outbreaks among older adults in assisted living facilities. As in China, the highest percentage of severe outcomes were among the elderly. About 80 percent of people who died were older than 65.

A group of young women walk past New Orleans police officers on Bourbon Street after midnight when the police department enforced a statewide shutdown of bars and restaurants ordered by Louisiana Gov. John Bel Edwards on Mar. 16. (Max Becherer/The Advocate via AP) (Staff Photo By Max Becherer/AP)

However, the percentage with more moderate or severe disease requiring hospitalization is more evenly distributed between the old and the young, with 53 percent of those in ICUs and 45 percent of those hospitalized age 65 and older.

“These preliminary data also demonstrate that severe illness leading to hospitalization, including ICU admission and death, can occur in adults of any age with COVID-19,” researchers wrote.

Severe outcomes among patients with covid-19.

There was more encouraging news about children in the United States. Those age 19 and younger who were tested appear to have milder illness with almost no hospitalizations. A much larger sample of children in China, as detailed in the journal Pediatrics this week, found that most children had mild to moderate illness.

The CDC report did not specify whether the younger patients had underlying conditions that might make them more vulnerable, but Anthony S. Fauci, the head of the National Institute of Allergy and Infectious Diseases, commented on CNN on Wednesday night that some did.

One younger adult, a University of Utah genetics researcher, Clement Chow, has been tweeting about his experiences. “Important point: we really don’t know much about his virus. I’m young and not high risk, yet I am in the ICU with a very severe case,” he wrote. He said he was facing respiratory failure and put on oxygen.

Public health experts say it’s difficult to compare coronavirus numbers by age across countries at this stage due to the limited numbers tested and that differences may be due to the environment, lifestyle, demographics or something about the virus itself.

There may be a high percentages of young smokers in some areas of France, for example. Or “the high proportion of critically ill young people in the Netherlands may reflect the relatively younger population,” the Dutch news service NRC, surmised.

Maybe some young people who were tested happen to be in cities or industrial areas with a lot of pollution that might impact their susceptibility to serious respiratory illness. Or the bar for admission to the hospital and the quality of treatments may vary enough by country that it impacts the course of the illness.

Adolfo Garcia-Sastre, the director of Global Health and Emerging Pathogens Institute at the Icahn School of Medicine at Mount Sinai in New York City, said the numbers are difficult to interpret because there are so few people who have been tested. He said some populations may be overrepresented due to public health officials focusing on testing of clusters of people who live together and may be of similar ages.

However, Garcia-Sastre said, the numbers show it’s clear “everybody has risk. Even in young people there is a percentage that has serious infection.”


Read more:

Hospital workers battling coronavirus turn to bandannas, sports goggles and homemade face shields amid shortages

Spiking U.S. coronavirus cases could force rationing decisions similar to those made in Italy, China

Largest study to date suggests infants may be vulnerable to critical illness after all — and that children may play a ‘major role’ in spread of pathogen

Solano County issues formal Coronavirus “Shelter at home” Order and Directive

Just before 5:30pm on Wednesday, March 18, Solano County issued a countywide Shelter at Home Health Order and Directive.  The order begins with a lengthy title that goes into some detail and follows with a warning that “Violation of or failure to comply with this Order is a misdemeanor punishable by fine, imprisonment, or both.”

Order of the Solano County Health Officer directing individuals to shelter at home except that they may leave to provide or receive certain essential services or engage in certain essential activities and work for essential businesses and essential governmental services; exempting individuals experiencing homelessness from this order but urging them to find shelter and government agencies to provide it; directing all businesses and governmental agencies to cease non-essential operations at physical locations in the county; prohibiting all non-essential gatherings of any number of individuals; and prohibiting all non-essential travel

Please read this Order carefully. Violation of or failure to comply with this Order is a misdemeanor punishable by fine, imprisonment, or both. (California Health and Safety Code § 120295, et seq.)

Here is page 1 of 5.  Click to view the complete document on the Solano County website.

Solano County Alert Email: Shelter At Home Order

[EDITOR’S NOTE: The County’s email alert differs from the official “Stay At Home” Order.  The County’s official order begins with a lengthy legal summary, some exceptions, and a warning that “Violation of or failure to comply with this Order is a misdemeanor punishable by fine, imprisonment, or both.”  – R.S.]


Solano County Email Alert: “Shelter At Home Order,” March 18, 2020, 5:25 PM

This is an important message from Alert Solano

Solano County issues shelter at home health order and directive to clarify social distancing and self-isolation measures
March 18, 2020

SOLANO COUNTY – Solano County has issued a countywide Shelter at Home Health Order and Directive to continue protecting the health and safety of our community, clarify directive guidance in accordance with the Governor, and ensure consistent compliance across the County with social distancing and self-isolation measures. These mitigation measures are disruptive, but critical to curb the growing number of cases resulting from community spread, particularly given that most those infected show mild symptoms or no symptoms at all.

Effective immediately and will continue to be in effect until 11:59 p.m. on April 7, 2020, or until it is extended, rescinded, superseded, or amended in writing by the Solano County Public Health Officer, the Order directs the public to implement the following:

– Gatherings of any size that do not allow for participants to maintain six feet of distance apart are strongly prohibited unless they are for “essential activities” as defined in the Order.

– Establishments serving alcohol such as bars, wineries, nightclubs and breweries must close. Movie theaters must also close.

– Establishments serving food may remain open with takeout and delivery options only. Dine-in operations must cease.

– All health clubs, tanning facilities, gyms and spas must close.

– Prohibits non-essential travel.

– Employers are required to ensure compliance with social distancing guidelines and should implement teleworking where appropriate and feasible. Only employees performing essential duties that are not able to be done remotely should physically come to work.

– Employers that require a doctor’s note for a leave of absence due to illness must suspend those policies. Employers are strongly encouraged to allow employees flexible use of paid time off/sick leave.

– All people with fever, cough, or other respiratory symptoms should stay home until seven days after symptom onset. Self-management of these symptoms is encouraged, but if difficulty breathing and lethargy develop, or symptoms suddenly become worse, they should contact their healthcare provider or urgent care center immediately. Calling ahead is strongly encouraged.

– Childcare centers may remain open if they strictly follow social distancing protocols in accordance with the guidance distributed and posted on the Solano Public Health website.

– Nonessential personnel are prohibited from entering hospitals and long-term care facilities, including patient visitation. All essential personnel displaying symptoms of COVID-19 should self-isolate until seven days after symptom onset, and hospitals are urged to delay elective procedures.

– Populations with higher risk of complications from infection should stay home and away from all gatherings involving people outside of their immediate families. These populations include: people with chronic conditions such as cardiovascular disease, diabetes cancer, heart disease, lung disease, immuno-compromising conditions and those over 65 years of age. Pregnant individuals should also strongly consider self-isolating to the extent possible.

– All Solano County Residents, regardless of risk-level, should stay home to the extent possible, and continue practicing universal precautions of handwashing for at least 20 seconds, disinfecting commonly used surfaces, and covering coughs or sneezes with their elbow or tissue instead of hands.

“We are taking this health crisis seriously and trying to protect our community while still ensuring that the essential parts of our County can function and attempting to lessen the substantial burden placed on workers and businesses,” says Dr. Bela Matyas, M.D., M.P.H., County Public Health Officer.  “We trust our community to adhere to these directives, and we stress the importance of working together to get this through this difficult time.”

This is a rapidly evolving situation. For the latest updates about COVID-19, please visit cdc.gov/covid19. Solano Public Health will continue to provide up-to-date information about COVID-19 through their website at solanocounty.com/publichealth and on Facebook @SolanoCountyPH.

Instructions:

Effective immediately: Solano County Public Health has issued a shelter at home order for all residents. Visit https://bit.ly/2QqsC6L

For full details, view this message on the web.
Sent by Solano County, CA
530 Clay St, Fairfield, CA 94533

 

Benicia City Council adds “virtual meeting” Thurs 3/19, public can watch but cannot attend

UPDATE: An emergency “virtual” Benicia City Council meeting was held on March 19.  The procedings are available in audio only on the City’s website.

See below for how you can participate

The City of Benicia cancelled its regular meeting on Tuesday, March 17, and then called a special meeting for Thursday evening, March 19.  When the agenda was first made available to the public, it seemed that “virtual” attendance was optional, and that the Council chambers would be open for Council members and the public.  But a revised agenda makes clear that the meeting will not take place in any physical space:

BENICIA CITY COUNCIL
CITY COUNCIL SPECIAL MEETING AGENDA
REVISED AGENDA
Benicia City Hall, 250 East L Street
March 19, 2020 6:00 PM
Coronavirus (Covid-19) Advisory Notice

The Solano County Public Health Department has advised that non-essential gatherings should be canceled, postponed, or done remotely. Additional information is available at solanocounty.com/depts/ph/ncov.asp.

This meeting is necessary so that the City can continue to conduct its business and is considered an essential gathering. Consistent with Executive Orders No. 25-20 and No. 29-20 from the Executive
Department of the State of California, the meeting will not be physically open to the public. Members of the City Council and staff will participate in this meeting via teleconferencing as permitted under Executive Orders No. 25-20 and No. 29-20.

As always, the public may submit public comments in advance and may view the meeting from home.

Below is information on how to watch the meeting via cable and/or live stream and how to send in public comments that will be part of the public record.

How to Watch the Meeting:
1) Cable T.V. Broadcast on Channel 27
2) Livestream online at www.ci.benicia.ca.us/agendas.

How to Submit Public Comments:
Comments submitted by 3:00 p.m. prior to the commencement of the meeting will be presented to the City Council and included in the public record for the meeting. Comments can be submitted by email to lwolfe@ci.benicia.ca.us.

…THE ITEMIZED AGENDA FOLLOWS, HERE…