Tag Archives: Coronavirus COVID 19

Solano County COVID numbers on Tuesday Feb. 9: fewer new infections, but 6 new deaths


By Roger Straw, Tuesday, February 9, 2021

COVID is still spreading and dangerous in Solano County – stay safe!

Tuesday, February 9: 46 new Solano cases overnight, 6 new deaths.  Since February 2020: 29,040 cases, over 850 hospitalized, 140 deaths.Compare previous report, Monday, February 8:Summary

[From Solano County Public Health and others, see sources below.  For a running archive of daily County updates, see my Excel ARCHIVE
    • CASES – Solano County reported 46 new cases overnight, a total of 29,040 cases since the outbreak started.  In the month of January, Solano added 8,495 new cases, for an average of 274 new cases per day.  Today’s single-day increase of only 46 is the lowest since October 28 of last year.  But according to the Fairfield Daily Republic, “Dr. Bela Matyas, the county public health officer, said the number is likely a reporting glitch from the state.”
    • DEATHS – the County reported 6 new deaths overnight, a total of 140 Solano deaths since the pandemic began.  18 Solano County COVID deaths have been reported in the first 10 days of February, and in the month of January, Solano recorded 24 coronavirus deaths.  While many other COVID stats are improving, the recent surge in deaths is no doubt the final sad result of our holiday surge.
    • ACTIVE cases – Solano reported 134 fewer active cases today, a total of 765 active casesCompare: Solano’s average number of Active Cases during October was 284, average in November was 650, in December 1,658, in January 2,185 – and TODAY we are back down to 765.  Much better, but still, is the County equipped to contact trace so many infected persons?  My guess is we just sit back and wait for a voluntary 10 day quarantine to expire.  Who knows?  To my knowledge, Solano has offered no reports on contact tracing.
    • HOSPITALIZATIONS – (See expanding ICU capacity and ventilator availability below.)  Today, Solano reported 3 fewer currently hospitalized cases, total of 86.  However, in the number of hospitalizations among age groups, the county reported an increase of 6 new hospitalizations, 3 aged 50-64 and 3 over age 65, for a total of 855 hospitalized in all age groups since the pandemic began.) Even then, accuracy cannot be certain – note>>  In a Dec. 31 Fairfield Daily Republic article, reporter Todd Hanson wrote, “Since the start of the pandemic, and as of Wednesday, 9,486 residents have been hospitalized.”  This startling number is far and away above the number of residents hospitalized as indicated in the County’s count of age group hospitalizations, and not available anywhere on the County’s COVID-19 dashboard.  Asked about his source, Hanson replied that Solano Public Health “had to do a little research on my behalf.”  It would be good if the County could add Total Hospitalized to its daily Dashboard update.  [For the numbers used in my manual calculation of total hospitalizations, see age group stats belowFor COVID19-CA.GOV numbers, see BenIndy page, COVID-19 Hospitalizations Daily Update for Solano County.]
    • ICU BEDS – In late January, Solano hospitals expanded their ICU capacity [see BenIndy, Jan. 25]  Even with the expanded ICU capacity, Solano County remained in the YELLOW DANGER ZONE until yesterday’s encouraging GREEN ZONE report.  But today the County went YELLOW again, reporting 30% available today, down from 34% yesterday.  The State’s COVID19-CA.GOV reports that Solano County had 15 AVAILABLE ICU BEDS as of yesterday, February 8(For COVID19-CA.GOV info see BenIndy page, COVID-19 Hospitalizations Daily Update for Solano County, and for REGIONAL data see COVID-19 ICU Bed Availability by REGION.)
    • VENTILATORS available – Today Solano hospitals have 58% of ventilators available, up from yesterday’s 55% but down substantially from last summer’s reports of 82-94% available.
Positive Test Rate – SOLANO TEST RATE of 10.2% – STILL HIGH, VIRUS STILL SPREADING, STAY SAFE!

Solano County reported our 7-day average positive test rate of 10.2%, up from yesterday’s 9.6%, and still above the State’s purple tier threshold of 8%Average percent positive test rates are among the best metrics for measuring community spread of the virus.  COMPARE: The much lower and more stable California 7-day average test rate was 4.8% today, down from yesterday’s 5.0%(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 therefore also lags behind due to unknown recent test results.) 

By Age Group
  • Youth 17 and under – 4 new cases overnight, total of 3,367 cases, representing 11.6% of the 29,040 total cases.  No new hospitalizations were reported today among this age group, total of 18 since the outbreak began.  Thankfully, no deaths have ever been reported in Solano County in this age groupBut 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 at over 11% since September 30.  Youth are 22% of Solano’s general population, so this 11% may seem low.  The significance is this: youth are SERIOUSLY NOT IMMUNE (!) – in fact at least 18 of our youth have been hospitalized since the outbreak began.
  • Persons 18-49 years of age – 27 new cases overnight, total of 16,040 cases. This age group is 41% of the population in Solano, but represents 55.3% of the total cases, by far the highest percentage of all age groups.  The County reported no new hospitalizations among persons in this age group today.  A total of 243 are reported to have been hospitalized since the outbreak began.  Solano recorded no new deaths in this young group today, total of 9 deaths.  Some in this group are surely at high risk, as many are providing essential services among us, and some may be ignoring public health orders.  I expect this group is a major factor in the spread of the virus.
  • Persons 50-64 years of age – 7 new cases overnight, total of 6,078 cases.  This age group represents 20.9% of the 29,040 total cases.  The County reported 3 new hospitalizations among persons in this age group today, a total of 233 reported to have been hospitalized since the outbreak began.  2 new deaths were reported in this age group today, a total of 23 deaths.
  • Persons 65 years or older – 8 new cases overnight, total of 3,544, representing 12.2% of Solano’s 29,040 total cases.  The County reported 3 new hospitalizations among persons in this age group today, a total of 361 hospitalized since the outbreak began.
    4 new deaths were  reported in this age group today.  A total of 108 of our elders have died of COVID, accounting for 77% of Solano’s 140 total deaths.
City Data
  • Benicia added 2 new cases overnight, total of 827 cases since the outbreak began.
  • Dixon added 2 new cases overnight, total of 1,701 cases.
  • Fairfield added 15 new cases overnight, total of 7,921 cases.
  • Rio Vista remained steady today, total of 291 cases.
  • Suisun City added 6 new cases overnight, total of 1,965 cases.
  • Vacaville added 8 new cases overnight, total of 7,686 cases.
  • Vallejo added 13 new cases overnight, total of 8,563 cases.
  • Unincorporated areas remained steady today, total of 86 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 Latinx members of our communities.

  • Asian Americans are 14% of Solano’s population, and account for 12% of cases, 12% of hospitalizations, and 17% of deaths.
  • Black Americans are 14% of Solano’s population, and account for 11% of cases, but 17% of hospitalizations, and 21% of deaths.
  • Latinx Americans are 26% of Solano’s population, but account for 13% of cases, 21% of hospitalizations, and 13% of deaths.
  • Multi-race / Others are 7% of Solano’s population, but account for 35% of cases, 18% of hospitalizations, and 12% of deaths.
  • White Americans are 39% of the population in Solano County, but only account for 29% of cases, 31% of hospitalizations and 34% of deaths.

More…

The County’s 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 significant portions.  For more, check out the Dashboard at https://doitgis.maps.arcgis.com/apps/MapSeries/index.html?appid=055f81e9fe154da5860257e3f2489d67.

Source
Source: Solano County Coronavirus Dashboard (posted on the County website late today).  ALSO see important daily updates from the state of California at COVID19.CA.GOV, embedded here on the BenIndy at Cases and Deaths AND Hospitalizations AND ICU Beds by REGION.

South Africa coronavirus variant that reduces vaccine efficacy found in two Bay Area counties

A worker is seen at a coronavirus testing site in San Francisco in November. The city has had no known cases of the South Africa variant, but elsewhere in the Bay Area two cases have been recorded.
A worker is seen at a coronavirus testing site in San Francisco in November. The city has had no known cases of the South Africa variant, but elsewhere in the Bay Area two cases have been recorded. Lea Suzuki / The Chronicle 2020
San Francisco Chronicle, by Erin Allday, Feb. 10, 2021

Two cases of a coronavirus variant first found in South Africa that reduces the effectiveness of some vaccines have been identified in the Bay Area, in Alameda and Santa Clara counties, Gov. Gavin Newsom said Wednesday.

They are the first two cases of this variant, called B.1.351, to be found in California. They were identified by scientists at the Stanford Clinical Virology Laboratory Tuesday night and reported to the state Wednesday morning.

Variants that are more infectious or reduce vaccine effectiveness pose a threat to the state’s ability to control and quickly end the pandemic, public health officials have said. More than 150 cases of a variant first identified in the United Kingdom that is known to be more infectious have been found in California, including Alameda and San Mateo counties.

Another pair of closely related variants identified in California have been spreading quickly in the Bay Area and Southern California. Scientists believe those variants respond to vaccines but they are running tests now to determine if they reduce effectiveness. They’re also studying whether the variants are more infectious.

The variant from South Africa is considered particularly concerning because studies have found that it is able to partially evade the body’s immune response, whether it’s generated from a vaccine or previous infection with the coronavirus. So far the vaccines appear to prevent severe disease and death from the variant.

“The British variant, it’s still susceptible to vaccines and it’s going to spread anyway. But let’s get this one back in the box,” said Dr. George Rutherford, an infectious disease expert at UCSF.

As of Tuesday, nine cases of the variant from South African had been identified in three states, according to the Centers for Disease Control and Prevention. That number did not include the new California cases.

“These variants are here,” Dr. Nicholas Moss, the Alameda County health officer, said at a press event on Wednesday. “We should prepare and plan accordingly.” Because relatively few coronavirus cases are genomically sequenced, he said, “we only have a very limited picture of their spread locally.”

Dr. Benjamin Pinsky, who heads the Stanford lab that found the variants, said they are identified through a process that first screens positive coronavirus samples for specific mutations. Samples that have those mutations then go through genomic sequencing to confirm the variant.

The two cases announced on Wednesday were from samples sent to the lab about a week to ten days ago, Pinsky said. His lab also identified the first cases of the variant from the United Kingdom found in the Bay Area.

The two vaccines currently available in the United States, made by Pfizer and Moderna, provide some protection against B.1.351, but perhaps less than the initial virus from China for which they were designed.

The Moderna vaccine induced an immune response six times lower against the variant from South African compared to earlier variants, the company said in late January after conducting a small study. But even this lower level of immune response, or neutralizing antibodies, is likely enough to protect against COVID-19, the company said.

Still, Moderna is testing a booster vaccine to see if it can provide more immunity.

Similarly, the Pfizer vaccine also induced a slightly lower level of neutralizing antibodies against the variant but it should still be enough to protect against COVID-19, according to studies by Pfizer and the University of Texas Medical Branch. The difference is “unlikely to lead to a significant reduction in the effectiveness of the vaccine,” Pfizer said.

Pfizer and Moderna are both made using messenger RNA, a type of technology that allows vaccine manufacturers to tweak vaccines quickly to account for variants. So the companies could essentially “plug in” a slightly adjusted genetic sequence into the vaccine. This could still be concerning, though, because even though the vaccine itself could be tweaked fast, it would take time to produce and distribute.

Also concerning is whether other vaccines in the pipeline, particularly one made by AstraZeneca and Oxford University, will work against emerging variants. South Africa recently stopped using the AstraZeneca vaccine because of reduced effectiveness. That vaccine is not yet approved for use in the United States. South Africa switched to the Johnson & Johnson vaccine, which has yet to be authorized in any country but in clinical studies was shown to be 57% effective at preventing moderate to severe disease caused by B.1.351.

Scientists in South Africa also have said that people who were previously infected with other coronavirus variants appear to be susceptible to reinfection with the new one.

Moss of Alameda County expressed optimism about vaccines. But meanwhile, he said, “We have to stick with the things we know work for the time being. That means, face coverings, distancing, and limiting gatherings.”

“The most important thing with variants is to just limit the amount of COVID that is out there,” he added.


San Francisco Chronicle staff writers Aidin Vaziri and Catherine Ho contributed to this report.  Erin Allday is a San Francisco Chronicle staff writer.

Stacey Abrams: Our democracy faced a near-death experience. Here’s how to revive it.

Pro-Trump rioters storm the U.S. Capitol to contest the certification of the presidential election on Jan. 6. (Ahmed Gaber/Reuters) (Ahmed Gaber/Reuters)
The Washington Post, Opinion by Stacey Abrams, Feb. 7, 2021

Stacey Abrams, a Democrat, is a former minority leader of the Georgia House of Representatives and founder of the group Fair Fight.

The violent Jan. 6 insurrection at the U.S. Capitol, coupled with ongoing threats to election officials, election workers and lawmakers at all levels, represent unprecedented attacks on the foundations of our democracy. Certainly, President Donald Trump and others in his party who inspired the attacks must be held accountable through all available means. But accountability alone will not be nearly enough.

Only meaningful reforms can undo the damage done — and establish a government that is truly representative of the people. The next real test of our democracy comes now.

Make no mistake: Democracy may have survived this year, but President Biden and Vice President Harris were elected despite, not thanks to, weakened electoral systems. Together with the Democratic Congress, they now have the opportunity to implement reforms that reaffirm our nation’s promises that our country represents and works for everyone. We as Democrats must act before it is too late.

Our democratic system faces extraordinary threats today because of sustained attacks from Republican leaders who throw up roadblocks to voting and, among the worst actors, stoke the flames of white supremacy and hyper-nationalism to cling to power. There can be no clearer example than the covid-19 pandemic. The deaths of more than 450,000 people in the richest country in the world are symptomatic of a democracy in crisis and a political system that rewards cronyism over competence. Despite strong public support for the Centers for Disease Control’s work, the Affordable Care Act, and other economic justice and safety-net policies that could save lives, millions nevertheless continue to contract the disease without adequate access to health care.

No thinking person can deny that the communities of color disproportionately suffering and dying from this pandemic are also the people whose votes — and ability to hold failed leaders accountable — have been continuously suppressed.

The pandemic has been a collision of tragedy and corroded institutions, and the challenge is in how we respond. We can either engage in collective amnesia about what we have just lived through, and leave an unaccountable government in place, or we can rise to meet this moment by fixing the broken social compact. Defeating Trump was not enough. Meaningful progress on health care, racial justice and the economy requires aggressive action on voting rights, partisan gerrymandering and campaign finance.

One of the first steps must be an overhaul of the Senate filibuster, which has long been wielded as a cudgel against the needs of millions who struggle. Today, the parliamentary trick creates a more sinister threat to our nation: the ability of a minority of senators, who represent 41.5 million fewer people than the Senate majority, to block progress favored by most Americans.

Democrats in Congress must fully embrace their mandate to fast-track democracy reforms that give voters a fair fight, rather than allowing undemocratic systems to be used as tools and excuses to perpetuate that same system. This is a moment of both historic imperative and, with unified Democratic control of the White House and Congress, historic opportunity.

The agenda to restore democracy also includes passing the For the People Act to protect and expand voting rights, fight gerrymandering and reduce the influence of money in politics; the John Lewis Voting Rights Advancement Act to restore the full protections of the 1965 Voting Rights Act; and the Protecting Our Democracy Act to constrain the corruption of future presidents who deem themselves above the law. These landmark bills have broad-based support, and would have passed long ago were it not for obstructionist leaders who fear losing their own influence if the American people have more power of their own.

Further, fixing our democracy requires we finally allow our fellow Americans in D.C. and Puerto Rico, the vast majority of whom are people of color, to have full access to our democracy. That means D.C. statehood and binding self-determination for Puerto Rico. In the District, as white extremist mobs destroyed the Capitol, murdered a police officer, and threatened the lives of elected officials and residents, Washingtonians were left defenseless because D.C. is not a state and its chief executive had no authority to deploy the National Guard.

Time is short. The forces standing against a democracy agenda seek to preserve and expand paths to power by shrinking the voting pool rather than winning voters over. In reaction to the historic turnout of 2020 and Democratic victories in places such as Georgia, already this year more than 100 bills have been put forward in state legislatures seeking to restrict voting access. Those efforts will not end without a fight.

We don’t know how many chances we will get to reverse our democracy’s near-death experience. We must not waste this one. We must go big — the future of democracy demands it.

308 Solano County residents got COVID over the weekend…


By Roger Straw, Monday, February 8, 2021

Over 100 of us each day… and that’s an improvement!  COVID is still spreading and dangerous in Solano County – stay safe!

Monday, February 8: 308 new Solano cases over the weekend, no new deaths.  Since February 2020: 28,994 cases, over 845 hospitalized, 134 deaths.Compare previous report, Friday, February 5:Summary

[From Solano County Public Health and others, see sources below.  For a running archive of daily County updates, see my Excel ARCHIVE
    • CASES – Solano County reported 308 new cases over the weekend, just over 100 per day, a total of 28,994 cases since the outbreak started.  In the month of January, Solano added 8,495 new cases, for an average of 274 new cases per day.
    • DEATHS – the County reported no new deaths over the weekend, a total of 134 Solano deaths since the pandemic began.  12 new COVID deaths were reported in the first 4 days of February, and in the month of January, Solano recorded 24 coronavirus deaths.  While many other COVID stats are improving, the recent surge in deaths is no doubt the final sad result of our holiday surge.
    • ACTIVE cases – Solano reported 202 fewer active cases today, a total of 899 active cases.  Compare: Solano’s average number of Active Cases during October was 284, average in November was 650, in December 1,658, in January 2,185 – and TODAY we are back down to 899.  Better, but still, is the County equipped to contact trace so many infected persons?  My guess is we just sit back and wait for a voluntary 10 day quarantine to expire.  Who knows?  To my knowledge, Solano has offered no reports on contact tracing.
    • HOSPITALIZATIONS – (See expanding ICU capacity and ventilator availability below.)  Today, Solano reported 8 fewer currently hospitalized cases, total of 89.  However, in the number of hospitalizations among age groups, the county reported an increase of 5 new hospitalizations, all over age 65, for a total of 849 hospitalized in all age groups since the pandemic began.) Even then, accuracy cannot be certain – note>>  In a Dec. 31 Fairfield Daily Republic article, reporter Todd Hanson wrote, “Since the start of the pandemic, and as of Wednesday, 9,486 residents have been hospitalized.”  This startling number is far and away above the number of residents hospitalized as indicated in the County’s count of age group hospitalizations, and not available anywhere on the County’s COVID-19 dashboard.  Asked about his source, Hanson replied that Solano Public Health “had to do a little research on my behalf.”  It would be good if the County could add Total Hospitalized to its daily Dashboard update.  [For the numbers used in my manual calculation of total hospitalizations, see age group stats belowFor COVID19-CA.GOV numbers, see BenIndy page, COVID-19 Hospitalizations Daily Update for Solano County.]
    • ICU BEDS – In late January, Solano hospitals expanded their ICU capacity [see BenIndy, Jan. 25]  Even with the expanded ICU capacity, Solano County remained in the YELLOW DANGER ZONE until today’s encouraging GREEN ZONE report.  The County reported 34% available today, up from 28% Friday.  The State’s COVID19-CA.GOV reports that Solano County had 16 AVAILABLE ICU BEDS as of yesterday, February 7(For COVID19-CA.GOV info see BenIndy page, COVID-19 Hospitalizations Daily Update for Solano County, and for REGIONAL data see COVID-19 ICU Bed Availability by REGION.)
    • VENTILATORS available – Today Solano hospitals have 55% of ventilators available, down from Friday’s 62% and down substantially from last summer’s reports of 82-94% available.
Positive Test Rate – SOLANO TEST RATE MUCH IMPROVED BUT STILL HIGH, 9.6% – VIRUS STILL SPREADING, STAY SAFE!

Solano County reported our 7-day average positive test rate of 9.6%, down encouragingly from Friday’s 12.2%, but still above the State’s purple tier threshold of 8%Average percent positive test rates are among the best metrics for measuring community spread of the virus.  COMPARE: The much lower and more stable California 7-day average test rate was 5.0% today, down from Friday’s 5.8%(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 therefore also lags behind due to unknown recent test results.) 

By Age Group
  • Youth 17 and under – 54 new cases over the weekend, total of 3,363 cases, representing 11.6% of the 28,994 total cases.  No new hospitalizations were reported today among this age group, total of 18 since the outbreak began.  Thankfully, no deaths have ever been reported in Solano County in this age groupBut 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 at over 11% since September 30.  Youth are 22% of Solano’s general population, so this 11% may seem low.  The significance is this: youth are SERIOUSLY NOT IMMUNE (!) – in fact at least 18 of our youth have been hospitalized since the outbreak began.
  • Persons 18-49 years of age – 162 new cases over the weekend, total of 16,013 cases. This age group is 41% of the population in Solano, but represents 55.2% of the total cases, by far the highest percentage of all age groups.  The County reported no new hospitalizations among persons in this age group today.  A total of 243 are reported to have been hospitalized since the outbreak began.  Solano recorded no new deaths in this young group today, total of 9 deaths.  Some in this group are surely at high risk, as many are providing essential services among us, and some may be ignoring public health orders.  I expect this group is a major factor in the spread of the virus.
  • Persons 50-64 years of age – 60 new cases over the weekend, total of 6,071 cases.  This age group represents 20.9% of the 28,994 total cases.  The County reported no new hospitalizations among persons in this age group today.  A total of 230 are reported to have been hospitalized since the outbreak began.  No new deaths were reported in this age group today, a total of 21 deaths.
  • Persons 65 years or older – 32 new cases over the weekend, total of 3,536, representing 12.2% of Solano’s 28,994 total cases.  The County reported 5 new hospitalizations among persons in this age group today, a total of 358 hospitalized since the outbreak began.  No new deaths were  reported in this age group today.  A total of 104 of our elders have died of COVID, accounting for 78% of Solano’s 134 total deaths.
City Data
  • Benicia added 6 new cases over the weekend, total of 825 cases since the outbreak began.
  • Dixon added 6 new case over the weekend, total of 1,699 cases.
  • Fairfield added 62 new cases over the weekend, total of 7,906 cases.
  • Rio Vista added 13 new case over the weekend, total of 291 cases.
  • Suisun City added 34 new case over the weekend, total of 1,959 cases.
  • Vacaville added 92 new cases over the weekend, total of 7,678 cases.
  • Vallejo added 95 new cases over the weekend, total of 8,550 cases.
  • Unincorporated areas remained steady today, total of 86 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 Latinx members of our communities.

  • Asian Americans are 14% of Solano’s population, and account for 12% of cases, 12% of hospitalizations, and 17% of deaths.
  • Black Americans are 14% of Solano’s population, and account for 11% of cases, but 17% of hospitalizations, and 22% of deaths.
  • Latinx Americans are 26% of Solano’s population, but account for 13% of cases, 21% of hospitalizations, and 13% of deaths.
  • Multi-race / Others are 7% of Solano’s population, but account for 35% of cases, 18% of hospitalizations, and 12% of deaths.
  • White Americans are 39% of the population in Solano County, but only account for 29% of cases, 31% of hospitalizations and 33% of deaths.

More…

The County’s 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 significant portions.  For more, check out the Dashboard at https://doitgis.maps.arcgis.com/apps/MapSeries/index.html?appid=055f81e9fe154da5860257e3f2489d67.

Source
Source: Solano County Coronavirus Dashboard (posted on the County website late today).  ALSO see important daily updates from the state of California at COVID19.CA.GOV, embedded here on the BenIndy at Cases and Deaths AND Hospitalizations AND ICU Beds by REGION.