Category Archives: Solano County Health Department

COVID-19 testing for Vallejo homeless – agencies don’t include Solano County Public Health?

[Editor – I am impressed and heartened to read in today’s Vallejo Times-Herald that the City of Vallejo, Touro University and other local agencies are teaming up with Solano County Behavioral Health department to test and house the city’s homeless.  I have been raising alarms about the poor number of COVID-19 tests being reported daily by the Solano County Public Health department.  Why is our Public Health department missing from this report?  Surely the spread of coronavirus among the homeless isn’t simply a mental health problem.  Was Behavioral Health working with Public Health to supply and administer tests on this project?  – R.S.]

Vallejo, Touro University, others partnering to help homeless get tested for coronavirus

La Clinica administering the tests, while Avellino Labs processing results

Vallejo Times Herald, by Thomas Gase, April 30, 2020 at 11:29 a.m.
A homeless man pulls his carts in front of the Walmart Neighborhood Market on Sereno Drive. The new Project Room Key will focus on testing and recovery for homeless who possibly have COVID-19 in Vallejo. (Chris Riley—Times-Herald)

Vallejo is doing its best to make sure anyone who needs testing for COVID-19 gets it, and that includes the homeless population.

The City of Vallejo has combined with Touro University, Solano County Behavioral Health, Solano Resource Connect, Meals on Wheels and Fighting Back Partnership to help the homeless get tested as part of Project Roomkey.

Project Roomkey is a first-in-the-nation initiative to secure hotel and motel rooms to protect homeless individuals from COVID-19. The initiative has secured Federal Emergency Management Agency approval for 75 percent federal cost-share for this mission. Its initial goal is to secure up to 15,000 rooms for this purpose — with county partners moving 869 homeless individuals most vulnerable to COVID-19 off the street, out of shelters, and into isolation.

La Clinica will administer the testing, while Avellino Labs out of Menlo Park will process the results. On Tuesday the Vallejo City Council approved 3,334 tests that cost $250,000. Vallejo expects to get a reimbursement eventually from FEMA for the tests.

Housing and Community Development Division Manager Judy Shepard-Hall will be leading the cause in the city. She has had plenty of help from Homeless Services Coordinator Racheal Frederick-Vijay.

“Not long after the state announced the shelter-in-place, efforts were made to find out what we were doing with the homeless,” Vallejo assistant city manager Anne Cardwell said. “Judy and Rachael have been very busy with this and have hit the ground running. You have to give them a lot of credit for what they’ve done.”

Cardwell said that when La Clinica administers the tests they will be looking for one of three priorities.

“The first is people that test positive,” Cardwell said. “The second is people who believe that have been exposed and have symptoms and last but not least the third priority will be the vulnerable, such as people over the age of 65 with underlying health conditions.”

As early as March 16, Shepard-Hall said homeless were contacted through a database that had their last cell phone numbers. Shepard-Hall said between 700 and 800 people have replied to the calls and were in the stage of being vulnerable.

“Yes, it’s a little surprising how many homeless people still have a cell phone,” Shepard-Hall said. “But it’s more than just phone outreach. Eventually we well have to go out into the field and try to find some of the individuals, wherever they were known to be sleeping last.”

Early testing was done by La Clinica on Saturday to essential employees at the Cal Maritime Anchor Center on Georgia Street. Touro University is scheduled to begin outreach and wellness checks on Monday to those who responded by cellphone.

“The outreach teams will be deciding soon what areas to hit and as quickly as possible,” Cardwell said. “Whether the tests are administered on the site of the homeless camps or somewhere else still hasn’t been decided.”

Cardwell and Vallejo Public Information Officer Christina Lee said if a homeless person agreed to be tested, they would then be sheltered at Vallejo’s Hampton Inn and Rodeway Inn. Many homeless people, however, won’t leave without their belongings — something the many groups have taken into consideration.

“Occupants are allowed to bring their pets, which we’re guessing will mostly be dogs,” Cardwell said. “We have crates for them as well as food. The occupants can keep some personal belongings with them in the room, but not a huge amount. The rest of their items will be stored on site at the hotels.”

Cardwell and Lee said the testing results, done by Avellino Labs, could take five to six hours, but will likely be a once-a-day routine due to the labs being located in Menlo Park.

While occupants are at the hotel, Touro University would then get involved. Volunteer students would contribute by giving wellness checks and helping with food distribution.

“When COVID-19 started we had a lot of requests to partner with our student volunteers,” said Lisa Norton, Touro’s Dean of College of Education & Health Sciences. “Michele Bunker-Alberts, an assistant professor at Touro, is leading this team. She does a lot of street medicine projects and runs One Love, a nonprofit in Oakland.”

A meeting was then held with an oversight committee last Friday. Norton said there are approximately 200 student volunteers, but all may not want to help.

“We just posted it on campus and we’ve targeted 30, but have 12 volunteers so far,” Norton said on Monday. “The results, once we posted them, were mixed. Some of our 200 volunteers we have for a variety of issues said they preferred to work from home and in safer conditions. Some in the college of medicine are just chomping at the bit to get out there and help people. Of course, we’re also accessing for risk. If these volunteers are living with someone that is elderly and have any kind of health care concerns, we’re asking for them to stay at home.”

Norton said that the students are being promised the best Personal Protective Equipment, but most of the wellness checks would be non-touch. She said that she’s gotten a lot of community requests to help out, but this project is strictly for the nursing students.

Still, she’s proud Touro is involved.

“I’m part of Vallejo Together, and I think a lot of people who live here, want to help out,” Norton said. “Touro is all about play space and social justice and really helping out the community you’ve been placed in. A lot of people come to Touro because of their huge passion in that area and it’s incredible to see here. It really shows off our mission and what we as a faculty and staff are involved in. Personally, I think it’s the right thing to do to help out the unhoused and make sure they are doing OK.”

Shepard-Hall said the most difficult part of the process has been funding, but there are also rewarding parts of the project.

“Funding is always an issue, because we’re not San Francisco County or Los Angeles County,” Shepard-Hall said. “So we’ve had to pull together with all our resources and I think we’ve done a good job at that. The most rewarding thing is the possibility, although it hasn’t happened yet, of having the homeless go back to wherever they were living and removing fear for them and getting them healthy.”

At least 18 infected at nursing facility in Vallejo

Health care workers are potentially in danger as well

Vallejo Times-Herald, By John Glidden, April 29, 2020
A healthcare worker takes a moment to get some fresh air at the Windsor Vallejo Care Center where at least 18residents have tested positive for COVID-19. CHRIS RILEY — TIMES-HERALD

Eighteen residents at the Windsor Vallejo Nursing and Rehabilitation Center have tested positive for COVID-19, according to the California Department of Health.

The skilled nursing facility also reported that health care workers at the facility have been infected as well.

Vallejo spokeswoman Christina Lee said on Tuesday that the Solano County Public Health Department and the county’s epidemiology team are overseeing operations at the facility after being notified of the infections last Friday.

“At that time, the confirmed number of cases was 12 residents with positive tests and four staff members with positive tests,” Lee wrote. “It’s not known how the virus reached this facility.”

That number increased to 18 residents infected on Monday in what officials are calling a cluster outbreak.

Solano County Public Health Administrator Jayleen Richards said Tuesday that the county is taking the cluster outbreak very seriously.

“We’ve been testing the staff and residents there,” she said. “We will be checking in with the facility each day.”

Richards said this is the county’s first cluster outbreak of COVID- 19.

Josh Sable, general counsel for Windsor Healthcare, told the Times-Herald Tuesday that there have been no deaths associated with the cluster outbreak at the care facility.

Sable didn’t respond to requests from this newspaper to provide the number of total infected residents and health care workers at the Vallejo facility.

“Windsor Vallejo Care Center has experienced a slight increase in the number of residents diagnosed with COVID-19, but a decrease in the number of infected employees,” he wrote in a prepared statement to this newspaper. “Rest assured, since the onset of this pandemic, Windsor’s clinical team has been collaborating closely with local, state and federal authorities, as well as the facility’s medical director. Nothing is more important to us than providing a safe environment for our residents and team members.”

Lee said the facility has created an isolation wing for residents who have been confirmed positive.

“They are placed in a specific wing of the facility to receive care from nurses/staff that do not provide care to patients in the other wings of the facility to help slow the spread,” she explained.

Sable said employees are screened at the start of each shift for symptoms of COVID-19, “including daily temperature checks and completion of a Centers for Disease Control and Prevention (CDC)-compliant screening questionnaire. Employees who show signs of illness are asked to leave immediately and isolate at home.”

He also stated that visits to the facility have been restricted, while staff have increased sanitation “of frequently-touched surfaces.”

“We have ample supplies of personal protective equipment,” Sable said.

According to the state, eight other Solano County care facilities have reported no COVID-19 infections of residents or staff members.

Contact reporter John Glidden at 707-553-6832.

Solano County COVID-19 drive-through testing relocates to Fairfield

Solano County announcement on Facebook, April 21, 2020
Image may contain: possible text that says 'DRIVE-THRU TESTING UPDATE New Site: 2101 Courage Dr, Fairfield Available for symptomatic Solano residents who are in any of these groups: 65 and above mmune-compromised Individuals with chronic disease Essential workers who live or work in Solano, including healthcare workers and first responders 707-784-8655 TO MAKE AN APPOINTMENT solanocounty.com/covid 707-784-8988 GETHER SOLANO PUBLIC WE CAN HEALTH'
Facebook: https://www.facebook.com/SolanoCountyPH/ Website: http://www.solanocounty.com/depts/ph/coronavirus_links/faq___drive_through_testing.asp

The Solano County COVID-19 drive-through testing site will now be located at 2101 Courage Dr, Fairfield and will be available for symptomatic older adults who are 65 years & older, individuals who are immune-compromised, individuals with chronic diseases, and essential workers. Individuals must have symptoms consistent with COVID-19 (such as fever, cough, chills, and body aches). Individuals must also live or work in Solano County. Testing is not available for those who do not have COVID-19 symptoms at this time.

Examples of chronic diseases include, but are not limited to:
• Heart disease
• Stroke
• High blood pressure
• Chronic obstructive pulmonary disease (COPD)
• Alzheimer’s disease
• Chronic kidney disease
• Cancer
• Diabetes

Testing is by appointment only and a valid ID or verification of ID is needed. You can call (707) 784-8655 to make an appointment. The phone line is open from 9am to 4:30pm Monday through Friday, or until all appointment slots are filled. Solano County will test individuals who meet the criteria above regardless of insurance or immigration status. There is no cost for this testing. Testing consists of a self-administered nasal swab, and results can be expected in 1-3 days.

This testing site continues to remain open to healthcare workers, first responders, and essential employees.

Please call the Solano Public Health COVID-19 warm line at (707) 784-8988 or email COVID19@SolanoCounty.com with any questions.
______________________________

No photo description available.

Clarification: Solano County COVID-19 curve rising? Or flattening?

By Roger Straw, April 9, 2020

I’m confused.

The Solano County Health department reports out daily Mon-Fri with an excellent accounting of COVID-19 updates.  Here’s a screenshot of their most recent report:

In my daily coverage, I’ve highlighted the daily increase in Total Confirmed Cases (112 above).  I’ve also paid a lot of attention to the dramatic rise in the yellow curve shown in the graph at bottom, center, “Cumulative number of cases on the date reported to Solano Public Health”.

My daily observation has been, “Our coronavirus curve is on a steep uphill climb!  Everyone stay home and be safe!

Here’s the problem: Yesterday our Benicia City Manager, Lorie Tinfow, echoed the Solano County Public Health Officer, Dr. Bela Matyas, beginning her otherwise excellent press release with these words: “As we see the curve of new COVID-19 cases begin to flatten,…”

Stop.  What?  The curve is flattening?  I have been critical of our County Health department, but I trust our Benicia City Manager.  What does she know that I don’t know?

I wrote to Ms. Tinfow pointing out the apparent contradiction, and copied my email to Benicia Mayor Elizabeth Patterson, another public official whom I trust.  The Mayor was quick to reply, writing, “I think they might be referring to “active” cases.  The number of cases is increasing for the most part because of delayed test results (up to 12 days).  We have 35 active cases and the hospitalization and ICU rates are not increasing rapidly.  Overall, there is a less than 4% increase in active [cases], hospitalization and ICU.  So the message, I think, is sheltering at home is working and don’t blow its by mingling for Easter and Passover.”

This MIGHT make sense.  I wanted to see for myself, so I created the following chart.  You will notice the red columns track the DAILY CHANGES.There are indeed differences in the daily change rates shown in the columns above.  While total confirmed cases and new cases have been increasing, the change in the daily number of active cases has remained relatively stable.  Similarly, the change in hospitalizations doesn’t vary much from day to day.

So… to clarify, I guess…  Solano County is continuing to see daily increases in the disease among us, but it may not be rising as fast as the little yellow line in the graph would suggest.

The data is still pretty young.  That is, the sample in my chart above only covers a period of just over 2 weeks.  If the experts say the curve is flattening here in Solano County, well, ok.

There are two extremely important take-aways, though:

    1. We have a long way to go – social distancing is incredibly important.  Stay at home!
    2. When any community hits the curve’s apex, it’s far from over.  As one tv doctor put it, the day after the apex is still the second worst day of the crisis!  Be prepared for more cases, and possibly more deaths here in Solano County.