Category Archives: Public Health

Coronavirus, Covid 19, Economy, Public Health, Re-opening, Solano County CA

Solano County Public Health allows some businesses to reopen today (May 8)

“In Solano County, there is a great deal of confusion about what is actually happening.”

Coronavirus Bay Area: Solano County to reopen some retail stores for Phase 2

ABC7 News, By J.R. Stone, Thursday, May 7, 2020 11:00PM

SOLANO COUNTY, Calif. (KGO) — Some Solano County businesses will reopen on Friday. The county public health officer gave the go-ahead just after 8 p.m. Thursday night. The order is similar to that of the Governor’s that takes effect Friday across the state.

Solano is one of just four local counties that are loosening restrictions. Napa, Sonoma, and Santa Cruz Counties are also taking action to make changes.

In Solano County, there is a great deal of confusion about what is actually happening.

“I asked what businesses over here gonna open up?” That question came from Bertha Thomas and every single other person we talked with on Thursday in Solano County. The health officer here is allowing low risk businesses that include clothing retail stores, pet grooming, florists, offices and parks.

Currently some businesses like Michaels are doing curbside service but the health officer says he fears curbside, which is part of the state recommendations, could be more dangerous due to the already long lines.

Because of that, businesses can open inside providing they have social distancing policies and post their plan so customers can see it.

“Yeah it’s confusing but you have to just deal with it,” says Timothy Payne of Vallejo.

And some are ready to deal with it. Especially the youngsters.

“We’re tired of being in the house,” says 14-year-old Lavita Johnson. She says this is a very tough time for kids and teens, especially ones who are in bad situations at home, “even if it’s just 20-30 minutes it’s a way to get away from all the problems.”

The number of cases here in Solano County continues to rise and there have been seven COVID-19 related deaths. Many we spoke with are now even more fearful.

“Imagine you go into a store there’s lots of people hardly any air circulating think of the people that you’re going to get infected,” says Manny Espinoza who is usually a wine country tour guide but is currently out of work.

But while the businesses may be opening, it’s uncertain if and when the customers will come back.

“So you’ll definitely start going out a little more? Oh no she’s not gonna let me but if I could I would,” says Johnson referring to her grandmother’s strict policies.

This change in Solano County does not include in-house dining at restaurants. We talked with the health officer about this and he tells us that is unlikely to happen even next week.

California, Coronavirus, Covid 19, Public Health, Testing

Testing chaos undermines California coronavirus response

San Francisco Chronicle Editorial Board, April 7, 2020
A health care worker speaks with a driver at a drive-thru coronavirus testing site in a parking lot of the old California Pacific Medical Center on California Street in San Francisco, Calif. on Thursday, April 2, 2020. The appointment only tests were provided for employees and staff of CPMC and Brown and Toland physicians.
A health care worker speaks with a driver at a drive-thru coronavirus testing site in a parking lot of the old California Pacific Medical Center on California Street in San Francisco, Calif. on Thursday, April 2, 2020. The appointment only tests were provided for employees and staff of CPMC and Brown and Toland physicians. Photo: Paul Chinn / The Chronicle

California has so far escaped an exponential coronavirus outbreak on the order of New York’s thanks to nation-leading social-distancing measures, particularly in the Bay Area. But the state has lagged in testing for the virus, undermining a relatively encouraging trajectory and threatening its ability to combat the contagion over the long term.

While federal failures have plagued coronavirus testing across the country, California’s capacity to identify the disease it’s fighting has been particularly poor. About 126,000 Californians had been tested for the novel coronavirus as of Saturday, Gov. Gavin Newsom said, or 0.3% of the population. That’s only about half the per capita rate nationwide in a country that has been a global underachiever in tracking the pandemic, ranking 42nd among the states according to one analysis. New York, with about half the population, has tested more than 300,000.

Extraordinary delays in processing those tests that have been conducted exacerbated California’s shortfall. At one point last week, results were still pending for more than 60% of tests. Some patients reported waiting well over a week to find out whether they tested positive, defeating any attempt to quickly identify and contain infections.

To Newsom’s credit, he took responsibility for the problem Saturday and vowed to increase testing “exponentially” by forming a testing task force and several diagnostic “hubs,” coordinating the distribution of supplies, and working with UC Davis and UC San Diego. The governor also reported significant progress on the testing backlog, which had fallen from nearly 60,000 awaiting results to around 13,000 as of last weekend.

Federal miscues early on put the entire country at a disadvantage in detecting the pandemic. Although the World Health Organization had distributed hundreds of thousands of working coronavirus tests by early February, the U.S. Centers for Disease Control and Prevention insisted on developing its own test only to discover flaws that made it largely unusable. The government nevertheless took weeks to relax regulations that prevented labs around the country from employing alternatives, finally doing so in late February.

Those difficulties were compounded in California thanks to shortages of testing supplies, a lack of coordination among dozens of public and private labs, and a huge backlog at one of them. Testing capacity has also been reduced by closures of about a quarter of the state’s public health labs over the past two decades.

If California’s relative success in slowing the spread of of the contagion continues, one likely consequence is that more of the population will remain unexposed and therefore vulnerable until a vaccine is developed, a process expected to take more than a year. A coherent testing regime will be that much more crucial to detecting and controlling any resurgence of the pandemic and beginning to restore a semblance of normalcy.

Coronavirus, Covid 19, Federal deregulation, Public Health

When you drown the government in the bathtub, people die

Washington Post, by Dana Milbank, April 10, 2020

A doctor wears a protective mask as he walks outside Mount Sinai Hospital in Manhattan on April 1. (Brendan Mcdermid/Reuters)

I had been expecting this for 21 years.

“It’s not a matter of ‘if,’ but ‘when,’” the legendary epidemiologist D.A. Henderson told me in 1999 when we discussed the likelihood of a biological event causing mass destruction.

In 2001, I wrote about experts urging a “medical Manhattan Project” for new vaccines, antibiotics and antivirals.

Reporting on a congressional briefing in 2005, I quoted public health experts predicting a pandemic that would overwhelm hospitals and exhaust respirator supplies. “I want to emphasize the certainty that a pandemic will occur,” the Mayo Clinic’s Gregory Poland said.

In 2009, during the swine flu scare, I relayed warnings about “the nation’s patchwork of a public health system” and the need for better “vaccine and public-health infrastructure before a more severe pandemic comes along.”

I repeat these things not to pretend I was prescient but to show that the nation’s top scientists and public health experts were shouting these warnings from the rooftops — deafeningly, unanimously and consistently. In the years after the 2001 terrorist attacks, the Bush and Obama administrations seemed to be listening.

But then came the tea party, the anti-government conservatism that infected the Republican Party in 2010 and triumphed with President Trump’s election. Perhaps the best articulation of its ideology came from the anti-tax activist Grover Norquist, who once said: “I don’t want to abolish government. I simply want to reduce it to the size where I can drag it into the bathroom and drown it in the bathtub.”

They got their wish. What you see today is your government, drowning — a government that couldn’t produce a rudimentary test for coronavirus, that couldn’t contain the pandemic as other countries have done, that couldn’t produce enough ventilators for the sick or even enough face masks and gowns for health-care workers.

Now it is time to drown this disastrous philosophy in the bathtub — and with it the poisonous attitude that the government is a harmful “beast” that must be “starved.” It is not an exaggeration to say that this ideology caused the current debacle with a deliberate strategy to sabotage government.

Overall, entitlement programs continued to grow, and the Pentagon’s many friends protected its budget. And Trump has abandoned responsible budgeting. But in one area, the tea party types, with their sequesters, debt-limit standoffs and other austerity schemes, did all too well. Between 2011 and 2018, nondefense discretionary spending fell by 12 percent — and, with it, the government’s already iffy ability to prevent and ameliorate public health emergencies unraveled.

John Auerbach, president of Trust for America’s Health, described for me the fallout: Over a dozen years, the Public Health Emergency Preparedness grants to state and local public health departments were cut by a third and the Hospital Preparedness Program cut in half, 60,000 jobs were lost at state and local public health departments, and similarly severe cuts were made to laboratories. A $15 billion grant program under the 2010 Affordable Care Act, the Prevention and Public Health Fund, was plundered for other purposes.

Now Americans are paying for this with their lives — and their livelihoods.

If the United States had more public health capacity, it “absolutely” would have been on par with Singapore, South Korea and Taiwan, which have far fewer cases, Auerbach said. South Korea has had 4 deaths per 1 million people, Singapore 1 death per million, and Taiwan 0.2 deaths per million. The United States: 39 per million — and rising fast.

To have mitigated the virus the way Singapore, South Korea and Taiwan did would have required spending about $4.5 billion a year on public health, Auerbach estimates. Instead, we’re spending trillions to rescue the economy.

Democrats aren’t blameless in pandemic preparedness. And some Republicans tried to be responsible — but the starve-the-beast crowd wouldn’t hear of it.

After Sen. Arlen Specter (R-Pa.) voted for the 2009 stimulus bill because he secured $10 billion for the National Institutes of Health, he was essentially forced out of the GOP. Rising in the party were people such as Rep. Jim Jordan (Ohio), whose far-right Republican Study Committee in 2011 proposed a plan, applauded by GOP leadership, to cut NIH funding by 40 percent.

In 2014, NIH chief Francis Collins said there likely would have been a vaccine for the Ebola outbreak if not for a 10 percent cut in NIH funding between 2010 and 2014 that included halving Ebola vaccine research. Republicans jeered.

In 2016, when President Barack Obama requested $1.9 billion to fight the Zika virus, Republicans in Congress sat on the request for seven months and then cut it nearly in half.

Since then, Trump has proposed cuts to the NIH and the Centers for Disease Control and Prevention so severe even congressional Republicans rejected them. And last month they fed the “beast” a $2.2 trillion feast to fight the pandemic.

Now they know: When you drown the government in the bathtub, people die.

Air monitors, Air pollution, Air Quality, Air quality violations, Benicia Emergency Operations Plan, Emergency Readiness & Response, Flaring, KQED, Public Health, Refinery shutdowns, Valero Benicia Refinery

KQED: Coverage of Valero Benicia Refinery emergency releases

Repost from KQED California Report

Problems at Valero’s Benicia Refinery Increase, Prompt Health Advisory

By Ted Goldberg, Mar 24, 2019, updated at 10:05am
Problems began at the refinery on March 11 when a malfunction involving one of the refinery’s units led to the release of petroleum coke dust. (Sasha Khokha/KQED)

Benicia city officials are urging residents with respiratory issues to stay inside because a two week old problem at the Valero refinery has intensified.

“Go inside your home, workplace, or the nearest building that appears to be reasonably airtight and stay there,” reads an advisory sent out by the city of Benicia Sunday morning.

The problem began on March 11 when a malfunction involving one of the refinery’s units led to the release of petroleum coke dust.

A Valero representative said then that refinery’s flue gas scrubber was “experiencing operational issues.”

The releases prompted local air regulators to issue seven notices of violation against the refinery. 

Those problems eased after a few days but continued intermittently, air district officials said.

On Saturday several Benicia residents posted comments on the social media site, Nextdoor, expressing concerns about what appeared to be more black smoke coming from Valero’s stacks.

On Sunday that intensified.

“(The) City of Benicia has issued (an) advisory notice for all residents with respiratory issues due to particulate matter from an ongoing incident at the Valero Benicia Refinery,” the city’s statement reads.

City officials are telling local residents with weakened respiratory systems to close all doors, windows and fireplace dampers, urging them to put tape or damp towels around doors and windows to seal them.

The advisory also recommends that healthy people limit their outdoor activity.

“The concentration of particulate matter has become significantly higher over the past day. The emissions contain coke, a by-product of the refining process that is made up primarily of carbon particles,” the city’s statement says.

Benicia officials said testing of the coke dust released so far did not show heavy metals at harmful levels but warned that breathing in air from the releases could worsen underlying respiratory conditions like asthma.

In a statement, the Bay Area Air Quality Management District said inspectors are at the refinery investigating the cause of this heavy smoke. The Air District also deployed a monitoring van to drive throughout Benicia to “gather ground level emissions data.”