California’s reopening: See what’s open and what’s still shut down by county

San Francisco Chronicle, by CHRONICLE DIGITAL TEAM | LAST UPDATED:  June 24, 2020 9:36 AM

California developed a four-stage approach to reopening from shelter-in-place orders designed to slow the coronavirus outbreak. The state as a whole is in Stage 2, but most counties have filed attestations to overall preparedness and have been approved for advanced reopening though some are being monitored by the state as cases are surging again. Gov. Gavin Newsom has even said reopening could be reversed if the surge continues. Those counties with permission to move at their own pace into Stage 3 can open higher-risk businesses depending on local conditions. Only four counties — San Francisco, Alameda and Santa Clara in the Bay Area plus Imperial in Southern California — have not been approved to move forward.

How shelter-in-place orders are loosening

All Bay Area counties have relaxed some restrictions and moved at least into limited Stage 2 reopening. Contra Costa, San Mateo, Marin, Napa, Solano and Sonoma have been approved for advanced reopening, though Contra Costa is taking a more gradual approach. Marin will open some Stage 3 businesses on June 29 with more guidance coming soon. San Francisco officials set a series of dates, beginning June 1, as targets to reopen and recently moved up the target date by two weeks for several businesses.

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Where Bay Area counties stand:

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Is the Bay Area reaching its goals?

Officials for six Bay Area counties established their own set of indicators they are using to help decide when to ease shelter-in-place orders (this is an evolving checklist and the criteria are subject to change). All six report they are doing well in terms of hospitalization rates and hospital capacity. A recent spike in coronavirus cases across the Bay Area led four of the six counties to change their status to currently not meeting goals for flat or decreasing new cases. Testing remains a hurdle, with only two of the counties currently reaching their goal of 200 daily tests per 100,000 residents.

Cases by county during reopening

The 5-day trailing average of daily confirmed cases per 100,000 residents and a marker indicating when these Bay Area counties moved into a new stage of reopening.

Checklist: How Bay Area counties are measuring progress

This chart will be updated weekly with information reported by the county officials. Last updated June 19, 2020 10:30 a.m. [BenIndy Editor: unfortunately, Solano County is not included in this “Bay Area counties” chart.  This is not the first time Solano has been overlooked.]

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For more information on new cases and trends, visit The Chronicle’s virus tracker

Sources: California Department of Public Health, county public health departments, exclusive Chronicle reporting(1) Numbers of cases: The total number of cases in the community and the number of hospitalizations must flatten or decrease. County officials determine whether this goal is being met. (2) Hospitalizations: Number must flatten or decrease for 14 consecutive days. (3) Hospital capacity: For at least a week, no more than 50% of patients in staffed hospital beds not added as part of pandemic-surge planning can be coronavirus-positive. In the above chart, hospitalizations represent all confirmed COVID-19 patients, including those in ICU, on a given day. (4) Testing: At least 200 coronavirus-detection tests must be conducted per 100,000 residents per day. In the above chart, tests per 100,000 people is the average daily tests reported for the previous week, due to reporting delays. (5) Investigation and contact tracing: Public officials must be able to design a system that reaches at least 90% of confirmed cases and identifies their contacts; ensures that 90% of the cases reached can safely isolate; reaches at least 90% of all contacts identified; and ensures that at least 90% of identified contacts can safely quarantine. (6) Personal protective equipment: All acute care hospitals, outpatient clinics, skilled nursing facilities, and medical first responders must have a 30-day supply of PPE on hand.* San Mateo is using the state standard of a 14-day supply of PPE on hand, not the 30-day supply used by the other Bay Area counties, to determine if it is meeting that goal.