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Newsom threatens regional stay-at-home order as COVID-19 hospitalizations hit record territory

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Gov. Gavin Newsom on Monday warned that California is once more on the point of a wider coronavirus stay-at-home order as public well being officers work desperately to shore up a state hospital system that’s contending with file numbers of COVID-19 sufferers.

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Ought to the current developments proceed, officers warn, there’s an opportunity that the viciously resurgent pandemic might overwhelm points of the state healthcare system.

Of specific concern is the state’s intensive care capability. Presently, about 75% of the state’s 7,733 ICU beds are occupied — with 1,812 of them crammed by coronavirus sufferers.

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Except issues change, the state might exhaust its present ICU capability by mid-December, in line with projections Newsom introduced.

“If these developments proceed, we’re going to must take rather more dramatic — arguably drastic — actions,” he stated throughout a briefing.

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These embrace “the potential for a stay-at-home order” for areas within the strictest purple tier of California’s coronavirus reopening street map, he stated. Of the state’s 58 counties, 51 are within the purple tier.

Officers have watched with rising alarm as a current record-setting flood of recent coronavirus circumstances has began to scrub over the state’s hospital system.

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There have been 7,787 coronavirus sufferers hospitalized statewide as of Sunday, in line with the latest available data. That’s the best quantity recorded in the course of the pandemic and a rise of roughly 89% from two weeks in the past.

Much more sobering is that the present figures largely don’t embrace the current deluge of infections — as COVID-19 hospitalizations mirror circumstances that had been recognized two to 3 weeks earlier, in line with Dr. Mark Ghaly, California’s well being and human providers secretary.

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The whole lot, Ghaly stated Monday, “is on the desk by way of contemplating how we successfully information the state by this,” although he stated California is “working with our native companions to verify what we do is each impactful and as time-limited as doable.”

The stakes for hospitals, like with intensive care items, are excessive. Newsom stated about 59% of California’s hospital beds are at the moment occupied by sufferers needing take care of all types of causes — however that might rise to 78% by Christmas Eve.

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Newsom emphasised that the alarming numbers would come to move if “we simply sit again and we’re are bystanders at this second and we don’t subsequently enhance upon our present efforts.”

“We intend to bend this proverbial curve and affect these statistics favorably,” he stated.

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The specter of further state-level restrictions comes as some counties are already taking further steps aimed toward tamping down transmission of the coronavirus.

Los Angeles County’s strictest rules in months went into impact Monday, whereas Santa Clara County has ordered a compulsory 14-day quarantine for virtually anyone coming into the county from greater than 150 miles away — with some exceptions, reminiscent of for individuals touring for medical therapy.

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Officers in each counties have warned that until they will halt the alarming coronavirus surge, which is unprecedented in its scope and scale, hospitals might run out of beds in weeks.

“We’ve got come to a spot the place our circumstances and our hospitalizations are so excessive that we should do one thing to settle issues down,” Dr. Sara Cody, the well being officer for Santa Clara County, stated Saturday. “We are actually at a essential inflection level.”

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In L.A. County, officers have rolled out what they confer with as a “focused safer-at-home order” — which closes public playgrounds; locations new capability limits on retail shops, out of doors museums, galleries, zoos and aquariums; and prohibits all gatherings amongst individuals from completely different households, aside from out of doors non secular providers and political demonstrations.

These limitations are on high of different restrictions that went into effect last week, together with a controversial renewed ban on out of doors eating.

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“We had been ready for a rise,” stated Barbara Ferrer, L.A. County’s public well being director. “None of us actually thought the rise can be so large throughout such a brief time period.”

Santa Clara County has restricted resorts to important journey solely or to individuals needing medical isolation or quarantine and additional capped capability at retail institutions.

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Authorities additionally suspended contact sports activities for skilled groups, forcing the San Francisco 49ers to look elsewhere to play their dwelling video games scheduled for December.

“This pandemic is sort of a high-speed practice, and our projections inform us that we’re on course to derail by across the third week of December if we don’t apply brakes, proper now, with all our collective may,” Cody stated. “We urge everybody to remain dwelling to the best extent that you would be able to. Please keep dwelling. Don’t exit until it’s for important causes or important functions.”

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Whereas acknowledging that the principles current additional challenges to companies already reeling from months of coronavirus-related limitations, officers have stated the restrictions, mixed with residents’ adherence to the practices that may assist hold them and their family members secure, will assist flip again the tide of recent infections.

“It’s our collective accountability, firstly, to forestall the pointless lack of extra lives,” L.A. County Supervisor Mark Ridley-Thomas stated. “We all know persons are fatigued and pissed off, however that is the time to sober as much as what might be a grim actuality if we don’t all do our half.”

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As of Monday morning, there had been more than 1.2 million confirmed coronavirus cases in California. However even that immense complete belies the severity of the present spike.

Earlier than mid-November, the state had surpassed 10,000 every day new coronavirus infections on 10 events all through the course of the pandemic. California has crested that threshold 13 occasions since Nov. 12, in line with data compiled by The Times.

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During the last week, California has averaged 13,937 circumstances per day, a virtually 75% improve from two weeks in the past.

That flood of recent circumstances is beginning to wash over hospitals.

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California posted a file variety of individuals hospitalized with COVID-19 — 7,415 — on Saturday, in line with the most recent out there information. That determine surpassed the previous record of seven,170 that was set in July.

Only a month in the past, 2,525 COVID-19 sufferers had been hospitalized statewide.

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The sustained and important surge threatens to emphasize healthcare methods past their capability. L.A. County well being officers have sounded the alarm that they’re on tempo to see a scarcity of beds — particularly in intensive care items — over the subsequent two to 4 weeks if these developments proceed.

“I don’t wish to reduce the gravity of the state of affairs or the necessity for individuals actually to take very severely their habits and what they’re doing that is likely to be contributing to the elevated transmission,” Dr. Christina Ghaly, the county’s director of well being providers, stated final week.

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Santa Clara County recorded its seventh consecutive day of file COVID-19 hospitalizations Saturday, with 263, in line with state information. That’s 34% greater than its earlier all-time peak, 196, which was recorded on the finish of July.

Well being officers and consultants have maintained that they count on the exponential jumps in infections and hospitalizations to ultimately result in a rise in deaths.

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Already, greater than 19,100 Californians had died from COVID-19.

The state has averaged roughly 61 every day deaths during the last week. Ought to that tempo maintain, California would file its 20,000th coronavirus-linked fatality by mid-December.

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The brand new wave of circumstances can also be affecting nursing properties. In keeping with The Occasions’ coronavirus nursing home tracker, common every day deaths have roughly doubled in current weeks, and common every day circumstances have tripled.

As a result of COVID-19 hospitalizations mirror circumstances that had been recognized two to 3 weeks earlier, officers count on these figures will proceed to extend within the coming weeks, given the continued crush of circumstances.

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Santa Clara Valley Medical Middle, the county’s flagship hospital, is so overwhelmed by COVID-19 sufferers that docs and nurses are working additional shifts to take care of them, stated Dr. Clifford Wang, chairman of the Division of Drugs.

“We’re heading into most likely one of many … hardest durations of the pandemic,” Wang stated. “We’re getting hit each with COVID and non-COVID circumstances. This is likely one of the busiest occasions of the 12 months.”

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