Source: covid19.ca.gov

The State of California announced today that Contra Costa County will be able to move into the less restrictive Orange Tier of the State’s Blueprint for a Safer Economy on Wednesday, April 7.

Contra Costa County currently has a COVID case-rate of 4.9 cases per 100,000 people and an overall testing-rate positivity of 1.8% (and 3% for the health equity metric). COVID-related hospitalizations are down to their lowest point since October. Meanwhile, nearly 500,000 county residents are at least partially vaccinated.

It has been five months since the last time the county qualified for the Orange Tier.

“This is great news for our community,” said Diane Burgis, chair of the Contra Costa County Board of Supervisors. “The last few months have been difficult for everyone and it’s nice to see us make more progress in the fight against COVID.”

Contra Costa Health Officer Dr. Chris Farnitano said people should not let down their guard yet. He noted that case rates have plateaued recently, suggesting a slowdown in the recovery. “We are still in a pandemic and people should continue to act accordingly: Keep wearing masks in public and get vaccinated as soon as you can. I still strongly recommend people to avoid most indoor activities with people outside of their own household until they are fully vaccinated,” Dr. Farnitano said.

Last week, Contra Costa extended vaccine eligibility to everyone ages 16 and over who lives, works or goes to school in the county. Currently, people between the ages of 16-49 must schedule appointments through Contra Costa Health Services at cchealth.org/coronavirus or by calling 833-829-2626. Other healthcare providers, including the state’s MyTurn system, do not yet offer vaccine to people below the age of 50.

Starting Wednesday, April 7 several business sectors and community services can reopen or expand capacity:

• Places of worship: 50% maximum capacity
• Restaurants: 50% maximum capacity or 200 people, whichever is fewer
• Gyms, fitness centers and studios (including at hotels): 25% maximum capacity and indoor pools are permitted; Indoor hot tubs, saunas, and steam rooms continue to be closed
• Movie Theaters: 50% maximum capacity or 200 people, whichever is fewer encouraged
• Amusement parks: Overall park capacity and indoor capacity will be limited to 25%, including indoor dining.
• Bars: Outdoors with modifications; no meals required to be served
• Breweries, Distilleries, and Wineries: Indoors at 25% maximum capacity or 100 people, whichever is fewer; no meals required to be served
• Family entertainment centers: Indoors for naturally distanced activities like bowling, escape rooms, and billiards; 25% maximum capacity
• Outdoor sports and live performances with fans/attendees: Up to 33% and with advanced reservations only. Concession sales will be primarily in-seat (no concourse sales). Designated indoor seated dining area capacity will be limited to 25%. Attendance will be limited to in-state spectators and guests must attest their reserved seats are only for one household.
• Retail: Open indoors with modifications and food courts permitted with indoor dining restrictions

Contra Costa County must remain in the Orange Tier for at least three weeks before moving into the next, less restrictive yellow tier.

Schools can reopen without submitting a safety plan; county shows steady improvement since Winter COVID-19 spike

COVID-19 is spreading slower in Contra Costa than during a post-holiday peak a few weeks ago, allowing some business and community activities to resume in the county for the first time since November.

The average daily number of new cases in Contra Costa has fallen enough that California today moved the county from the purple tier to the red tier of its Blueprint for a Safer Economy, effective Sunday, March 14.

Contra Costa was poised to enter red tier on Wednesday next week, but will transition a few days earlier after the state met a goal of administering 2 million doses of COVID-19 vaccine in high-risk, economically disadvantaged communities on Friday. That triggered a relaxation of the blueprint’s requirements.

“It is encouraging to see our data moving in the right direction, and it’s a testament to the hard work Contra Costa residents have put in to slow the spread of COVID-19,” said Dr. Chris Farnitano, Contra Costa County’s health officer. “But it is important that we make healthy choices to keep up our momentum. This pandemic is not over yet.”

Contra Costa has more tools to protect against COVID-19 than it did last fall, including safe, effective vaccine. So far more than 250,000 county residents have received a dose – about one quarter of the population.

More groups of Californians will become eligible for vaccine on Monday, March 15, including public transit workers, people in congregate living situations and people who have health conditions that put them at high risk of serious illness from a COVID-19 infection. Visit covid19.ca.gov for more information.

Vaccine, along with physical distancing, face coverings, avoiding close contact with people who are not housemates, hand hygiene and regular testing are all healthy choices that protect against COVID-19 and that have helped reduce transmission of the virus since January.

In early January, nearly 50 new COVID-19 cases per 100,000 population were identified every day in Contra Costa, during the worst part of the most recent surge. On Friday, the county’s adjusted per-capita case rate was 6.7, qualifying for reduced state health order restrictions, including:

• Restaurants, gyms, dance studios and museums may resume indoor operation, following state health guidelines.
• Indoor retail stores and shopping malls may increase their maximum occupancy and grocery stores may operate at fully capacity.
• Small private gatherings may be held indoors, following state health guidance.
• Colleges and other higher education institutions may reopen indoor lectures, following state health guidance.
• Elementary and secondary schools can reopen for in-person learning without submitting a safety plan to Contra Costa Health Services.

For details and sector-specific health guidance, visit covid19.ca.gov. Contra Costa also updated its county health orders so they do not create additional restrictions to business or community activities.

Contra Costa met other state criteria for returning to the red tier weeks ago, with the average daily percentage of COVID-19 tests that return positive in the county below 8 percent (2.4 percent on Friday). The average daily percentage of positive tests in disproportionately impacted neighborhoods identified through the state’s health equity metric was 4.3 percent.

For Contra Costa data and COVID-19 health information, visit cchealth.org/coronavirus.

In coordination with other Bay Ara counties

If the current restrictions don’t work “we are prepared for further restrictions” – Dr. Chris Farnitano, Contra Costa Health Officer during Friday afternoon press conference

On Thursday, California reached the unfortunate milestone of 1 million COVID cases statewide. With transmission and hospitalizations on the rise, health officers representing counties across the Bay Area are tightening local rules for high-risk indoor activities where the virus can spread more easily.

Contra Costa Health Services today issued an order to close, effective Tuesday, Nov. 17 at 8 a.m.:

• Indoor dining
• Indoor fitness centers
• Concession stands at movie theaters

Dine-in restaurant and gyms reopened at reduced capacities when the county entered the state’s red tier in late September. But recent increases in COVID cases and hospitalizations make the closures necessary to help contain spread of the virus.

“Indoor interactions at restaurants, movie theaters, and indoor gyms and fitness centers are high-risk activities,” said Dr. Chris Farnitano, Contra Costa County Health Officer. “And given what we’re seeing happen across the country and the region, we must act now.”

Diners at restaurants remove their masks to eat or drink, as do movie patrons when snacking on food from concession stands. People also breathe heavily while they exercise at indoor gyms, increasing the risk of droplet and aerosol transmission of COVID-19, which can be only partially reduced by wearing a face covering.

Contra Costa recently moved from the state’s orange tier to the more restrictive red tier because of an increasing number of cases in the county. Meanwhile, hospitalizations in Contra Costa have returned to levels not seen in several weeks. On Nov. 11, 50 people with COVID were hospitalized in the county – the highest number since September.

“I’ve said this many times before, but it’s so important I can’t repeat it enough: The best way to protect against COVID-19 is to wear a face covering whenever you are near people who do not live with you, and whenever you go in a building that is not your home,” said Dr. Farnitano.

Health officials are especially worried about people gathering indoors with the holidays coming up and may consider other closures in the days and weeks ahead. Contra Costa County, which is now in the red tier, could move into the state’s most restrictive tier, the purple tier, within the coming weeks. If the county moves into the purple tier, schools that haven’t reopened will have to remain closed until the county moves back into the red tier or until they receive a waiver from the state.

“Our hope is that this new health order will slow down the spread of COVID so schools will have a better chance to reopen,” Dr. Farnitano said.

Screenshot of Dr. Chris Farnitano during press conference on Friday, Nov. 13, 2020

Dr. Farnitano Press Conference

During a Zoom press conference Friday afternoon Farnitano was asked by the Herald, “Is this decision based on what’s actually happening in our county, or what’s happening in other Bay Area counties and elsewhere?” he responded, “We’re really looking at all of it.”

Where people are getting COVID, “many if not most cannot pinpoint any specific locations,” Farnitano explained. “But where we can identify, restaurants, gyms we are imposing restrictions.”

“Why can’t we just protect the vulnerable and allow the rest of us get back to living our lives?” the Herald asked.

“That would be an ideal strategy if it can work. But it can’t. The vulnerable can’t live in a bubble,” Farnitano stated. “We see it in our nursing homes. Those who work there go home, go shopping, and are with their families where they can be exposed.”

“To protect the most vulnerable in our society we need to keep the overall transmission to a minimum,” he added.

“What is the basis for closing indoor fitness centers and not other indoor activities,” he was asked.

“We have seen looking across the country and across the state there have been outbreaks in gyms and fitness centers,” Farnitano said during a press conference Friday afternoon. “People can exercise outside or at home. Outdoor fitness operations are still allowed. This current order doesn’t have an endpoint. When our hospital case rates come down…then we can reconsider these orders.

“Masks does not provide the same level of protection when youre around someone breathing heavily and exercising,” he added.

The actions are “due to the rapidly rising of rates in our community,” Farnitano explained.

One person asked about the county “moving the goal posts instead of enforcing existing rules”.

“The enforcement efforts have not proven sufficient,” Farnitano responded. “The more we can wear our masks and stay away from others outside of our households the sooner we can get past this upsurge.”

“Our case rate in the past seven days are already in the Purple Tier. We are testing at higher levels than state averages. Our adjusted case rate is even in the Purple Tier,” he said. “We have seen the case rate increase in the last several days in our hospitals.”

The county is issuing these orders, now so, “We can hope to blunt that wave, blunt that surge…to get us through a winter surge quicker and with less harm to the community as far as illness and death,” Farnitano explained.

“Are church services impacted further,” he was asked.

“Not at this point,” Farnitano responded. “We implemented restrictions on churches last week for the Red Tier. We are prepared to add additional restrictions in the future if our hospitalizations rise, in advance of state restrictions.”

“We are looking at all of our health care systems and how we can get through the latest wave,” he explained.

“Will it be enough? I am not sure. We will have to watch the data and see,” said Farnitano. “We all have to do our part, wear our masks, six feet of social distancing.

“But if it doesn’t we are prepared for further restrictions,” Farnitano added. “The state could move us into Purple the day after Thanksgiving.”

“Why don’t you believe in herd immunity,” he was asked.

“Herd immunity would take an enormous toll on the community and lead to enormous deaths, more than we’ve seen,” Farnitano responded. “We would need 70 to 80% levels of herd immunity. It would take uncontrollable disease for months and months and months and that would be too high of a toll for the community.”

Allen Payton contributed to this report.