Contra Costa Herald

News Of By and For The People of Contra Costa County, California

Contra Costa to lift masking requirements in some indoor settings on Nov. 1 

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Won’t lift all mask requirements until county reaches 80% fully vaccinated which includes kids ages 5-11 who aren’t yet eligible for vaccinations; figure also includes those under age 5

“This will allow vaccinated people to FEEL safe removing their masks” – Contra Costa County Health Officer Dr. Chris Farnitano (emphasis added)

By Contra Costa County Health Services

With COVID-19 cases and hospitalizations declining, Contra Costa County will lift masking requirements on Nov. 1 in certain indoor settings where everyone is fully vaccinated

Eligible settings are in controlled spaces not open to the general public, including offices, gyms and fitness centers, employee commuter vehicles, indoor college classes and organized gatherings in any other indoor setting, such as a religious gathering.

Under the order, participating businesses, organizations and hosts must verify that all patrons, employees and attendees are fully vaccinated before allowing people inside their facilities not to wear face coverings. There can be no more than 100 persons present at these facilities, and the group of those present must gather on a regular basis. Those present should also not have COVID-19 symptoms.

“This will allow vaccinated people to feel safe removing their masks at the office and when they’re working out at the gym,” said Dr. Chris Farnitano, health officer for Contra Costa County. “Of course, people in these places can keep wearing masks if that makes them feel more comfortable.”

Indoor-masking requirements would remain in effect for the time-being in public settings, such as bars, restaurants and retail stores until other targets are met. Masking would also still be required in indoor K-12 school settings.

San Francisco and Marin County recently issued similar orders easing masking requirements as COVID cases and hospitalizations have steadily declined since their peaks in the summer. In Contra Costa County, COVID-related hospitalizations are down to 69 from a summer high of 227 in August. Case rates in the county have seen a similar decline over the past two months.

Cases and hospitalizations spiked in the summer after the state relaxed restrictions and the highly contagious Delta variant swept through the country.

Dr. Farnitano said masking requirements had to be reinstated in the summer to blunt the impact of the Delta surge and keep hospitals from being overwhelmed. With the surge receding, Dr. Farnitano said it makes sense now to lift mask requirements in non-public places like offices and gyms for vaccinated people, who are less likely to get infected with COVID or transmit the virus.

“We’re in a safer place than we were two months ago,” Dr. Farnitano said. “My hope is that two months from now vaccinated people won’t have to wear masks in other places like restaurants, bars and retail stores. The way we get there is for those who remain unvaccinated to get immunized.”

The County will lift its indoor masking requirements for restaurants, bars and retails stores when certain criteria are met, including when 80% of residents are fully vaccinated. As of Thursday, 71.6% of all county residents were fully vaccinated.

CCC Vaccination Percentage as of 10:30 AM on Oct. 14, 2021. Source: Contra Costa Health Services COVID Vaccine Dashboard

Discrepancy in Fully Vaccinated Percentages Clarified

That 71.6% figure differs significantly from what is on the county’s COVID Vaccine Dashboard, which shows 82.5% of residents over age 12 are fully vaccinated, as of today, Oct. 14, 2021 at 11:30 a.m.

Health Services staff was asked, “which is the correct figure, the 82.5% as it shows on your Vaccine Dashboard, or 71.6%? Why the difference?”

Health Services spokesman Karl Fischer responded, “Both are actually correct. The higher percentage, found on our vaccination dashboard, refers to county residents who are vaccinated, and who are also 12 and older. (Younger people are not yet able to get vaccinate).

The other percentage, which we display on the front page, is our percentage of all county residents who are vaccinated, including those younger children who are not yet eligible for vaccine. We began displaying this metric last week, after we announced the criteria for lifting the county’s face covering requirement, because the percentage of the total population that is vaccinated is part of that criteria.”

The 80% requirement applies to the county’s total population, including all of those under age 12, both those ages 5-11 not yet eligible for vaccination as well as those under age 5. According to Fischer, the county uses California Department of Finance projections rather than the 2020 Census Data. Asked why, Fischer said he had to research that.

The statistic showing the percentage of total population fully vaccinated is not currently included on the county’s COVID Vaccine Dashboard. Fischer said he’d look into it and that it might already be in the works to add it.

Please check back later for any updates to this report.

Allen Payton contributed to this report.

 

In spite of opposition Contra Costa Supervisors approve COVID-19 vaccine anti-misinformation resolution

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“The Board…declares that COVID-19 health misinformation is an urgent public health crisis” – from resolution

“You are spreading misinformation that the vaccine is the be all and end all…” – county resident Carolyn Stream

“We are going to be as loud as we can be and as visible as we can be to put out information that is correct…” – Supervisor John Gioia

County might enter the less health restrictive yellow ranking by the end of October, currently has less than 75 COVID-19 patients hospitalized in county hospitals. – Contra Costa Health Officer, Dr. Chris Farnitano

Discuss $110 million Measure X half-cent sales tax revenue wish list

By Daniel Borsuk

The Contra Costa County Board of Supervisors, on a 5-0 vote, approved a resolution aimed at turning around rising public skepticism against the COVID-19 vaccines during their regular, weekly meeting on Tuesday. It is entitled “Declaring COVID-19 Misinformation as a Public Health Crisis”. (See resolution and below)

Supervisors listened to 50 speakers, mostly opposed to the resolution that “declares COVID-19 health misinformation is an urgent public health crisis affecting our entire community and the County of Contra Costa commits to combating health misinformation is an urgent public health crisis affecting our entire community and County of Contra Costa commits to combating health misinformation and curbing the spread of falsehoods that threaten the health and safety of our residents.”

“We are going to be as loud as we can be and as visible as we can be to put out information that is correct, science-based and corrects the general misinformation that’s out there,” resolution-co-author District 1 Supervisor John Gioia said.

“We are not making any judgement against anyone,” said co-author Supervisor Karen Mitchoff of Pleasant Hill. “We’re not infringing on anyone’s free speech rights.  This is not the case.  We are calling out the misinformation that leads some to not be vaccinated.”

One message in the resolution states: “The Board of Supervisors and County of Contra Costa is troubled by and actively discourages the spread of COVID-19 misinformation as it is a dangerous threat to public health.”

“There are ae people who don’t believe in public officials,” said District 2 Supervisor Candace Andersen of Danville. “I will support this resolution because it conveys prudent decisions based on scientifically based information.”

District 5 Supervisor Federal Glover went right to the point. “Get your shot and protect yourself and your loved ones.”

But supervisors got an earful of criticism from the 50 speakers who viewed the supervisors’ resolution as a move in the wrong direction, a direction towards infringements of freedom of speech, “freedom of medical choice,” and “freedom of medical information.”

One such speaker, Lucy Busto of Oakley bristled at the supervisors for considering a resolution that would “infringe on our medical freedom of choice.”  She said, “We have no idea what the long-term effects of these vaccines are.”

“You are spreading misinformation that the vaccine is the be all and end all when there are many unanswered questions about the vaccine,” said another speaker, Carolyn Stream.

But retired nurse Mary Schreiber urged supervisors to adopt the resolution saying, “This is really supported by our health care professionals.”

Contra Costa County Health Officer Dr. Chris Farnitano, who also reported the county might enter the less health restrictive yellow ranking by the end of October, currently has less than 75 COVID-19 patients hospitalized in county hospitals.

“You are infringing on our rights to medical information,” said Lucy Busto of Oakley. “We have no idea what the long-term effects of these vaccines are”

“You are spreading misinformation that the vaccine is the be all end all”, said resolution opponent Carolyn Strum.  “We should have the freedom for information. No one should have the right to control information.”

Supervisors’ Measure X Wish List

With the county expect to plow in $110 million in Measure X sales tax revenues, $23 million more than initially estimated prior to vote passage last November, supervisors began to reveal their funding priorities with the additional money that the county officials expect to flow into county coffers.

During a presentation from Measure X Community Advisory Board Chair Mariana Moore, supervisors indicated what county operations should receive Measure X funding priority for the upcoming 2022-2023 fiscal year.

Initially county officials expected the Measure X tax would drive in $87 million in revenues, but higher than expected consumer retail sales has pumped up the initial projection.

Code enforcement, transit, fire services, sheriff response and patrols were top Measure X priorities Supervisor Mitchoff listed. Mitchoff will serve as board chair next year, her final year in office.

Board vice chair Glover rattled off the office of racial justice and equity, the northern waterfront planning project, animal services, youth services center, and mental got top billing.

Trails and public transit were on District 2 Supervisor Candace Andersen’s Measure X list.

District 1 Supervisor John Gioia said county hospital, health clinics, transitionary housing and fire services especially in East County were on his Measure X list.

Improving fire services in East County, especially with the proposed consolidation for the Contra Costa County Fire District with the East Contra Costa County Fire District, was Chair Diane Burgis’ chief funding priority.

WHEREAS, Health misinformation has significantly undermined public health efforts and the unmitigated proliferation of health misinformation has created a culture of mistrust and has prolonged the COVID-19 pandemic, endangering the health and safety of all Contra Costa County residents and visitors; and

WHEREAS, The coronavirus (COVID-19) pandemic has resulted in over 95,000 cases and 921 deaths in Contra Costa County as of September 25, 2021; and

WHEREAS, The spread of COVID-19 has had a devastating impact on our health and safety, our regional economy, our elder residents, our communities of color, our mental health, the educational development of our children and every aspect of our lives; and

WHEREAS, In Contra Costa County, there are significantly lower vaccination rates for residents 20-29 years old, residents who identify themselves as White, Latinx (i.e. Latino/Hispanic), African-American, and more than one race/ethnicity, men, and in certain communities across the county and particularly in East and West County; and

WHEREAS, The COVID-19 vaccines have met the Food and Drug Administration’s (FDA) rigorous scientific standards for safety, effectiveness, and manufacturing quality and have been proven to be safe and effective; and WHEREAS, The Pfizer-BioNTech vaccine, brand name Comirnaty, has received full FDA approval and been proven to be highly effective in preventing serious disease, hospitalization and death from COVID-19 and that its benefits outweigh its risks; and

WHEREAS, The COVID-19 vaccine is available to everyone in Contra Costa County at no cost, regardless of income, residency within the county, health coverage or immigration status, and is administered by health professionals, like nurses and doctors; and

WHEREAS, misinformation has caused confusion and has led to eligible people declining COVID-19 vaccines, rejecting public health measures such as face coverings and physical distancing, and using unproven treatments; and

WHEREAS, On July 15, 2021, the United States Surgeon General issued his first advisory describing the “urgent threat” posed by the rise of false information of COVID-19 – one that continues to put “lives at risk” and prolong the pandemic; and

WHEREAS, Recent surges in infections and hospitalizations from COVID-19 in Contra Costa have highlighted the importance of clear and unequivocal communications from public officials that vaccines are the best protection against severe illness and hospitalizations; and

WHEREAS, Urgent action is needed to curb the spread of COVID-19 by combating misinformation, thereby supporting our healthcare system and saving lives; and

WHEREAS, There would be substantial detriment on Contra Costa County and its residents and visitors if not acted upon immediately; and

WHEREAS, Trusted community members, such as health professionals, faith leaders, educators, and leaders of Black, Indigenous, Latinx and other communities of color nationwide and in Contra Costa have spoken directly to their communities to address COVID-19 related questions by town halls, meetings, social media, and traditional media; and

WHEREAS, The Board of Supervisors and the County of Contra Costa is troubled by and actively discourages the spread of COVID-19 misinformation as it is a dangerous threat to public health; and

WHEREAS, Contra Costa Health Services continues to carry out its mission to care for and protect all Contra Costa County residents from COVID-19, especially our most vulnerable; and

WHEREAS, Contra Costa Health Services engages with our communities through building partnerships and trust with community organizations and residents, trusted messengers, and COVID-19 Ambassadors; and

WHEREAS, Contra Costa Health Services maintains a coronavirus website as a source of credible, up-to-date information regarding COVID-19 for Contra Costa residents at cchealth.org.

NOW, THEREFORE, BE IT RESOLVED, that the Board of Supervisors of Contra Costa County declares that COVID-19 health misinformation is an urgent public health crisis affecting our entire community and the County of Contra Costa commits to combating health misinformation and curbing the spread of falsehoods that threaten the health and safety of our residents; and

BE IT FURTHER RESOLVED the Board of Supervisors and the County of Contra Costa will develop and support policies and strategies that protect the health and safety of Contra Costa County residents through the promotion of evidence-based interventions, including face coverings and vaccination; and

BE IT FURTHER RESOLVED that Contra Costa Health Services will continue to share facts and scientific information about COVID-19, to correct misinformation including vaccine myths, to identify and give a platform to culturally relevant medical experts and trusted messengers, to respond to questions and requests for information on social media, and to work with our media and community partners to reach a broad audience with factual, timely information.

Allen Payton contributed to this report.

Pathways to Mental Health Services in Contra Costa County webinar October 21

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Contra Costa County and nonprofits are responding to the challenge of the growing emotional and mental health impacts of the pandemic. Learn about the pathways to mental health resources the county and nonprofits offer and the challenges to improve mental health outcomes as we seek to create a healthier community for everyone.

Join a Zoom webinar on October 21 from 4:00 p.m. to 5:30 p.m., where a panel will discuss the resources available.

Dr. Cindy Mataraso, Director of Clinical Services at Crestwood Behavioral Health, will moderate the panel.

Panelists include:

  • Rebecca Bauer Kahan, Member, California State Assembly
  • SuSun Kim, Director of the Family Justice Center, Contra Costa County
  • Dr. Suzanne Tavano, Director of Behavioral Health Services, Contra Costa County
  • Gigi Crowder, Executive Director of National Alliance on Mental Illness, Contra Costa County

Register at https://tinyurl.com/lwv-mental-health

The program is co-sponsored by the League of Women Voters of Diablo Valley, the League of Women Voters of West Contra Costa County and the Contra Costa County Library.  The Library will provide closed captioning for this event.

The program will be recorded and posted on the following sites after the meeting:

LWVDV YouTube channel

Contra Costa County Library YouTube channel

For more information contact: programs@lwvdv.org

 

Getting ready for 2022 Medicare Annual Enrollment Oct. 15 to Dec. 7

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Tips for navigating plan options during the COVID-19

By Rick Beavin, Desert Pacific Medicare President at Humana

The annual Medicare Advantage and Medicare Prescription Drug Plan enrollment period is approaching. From October 15 to December 7, millions of people eligible for Medicare can sign up, switch or leave a health care plan to fit their coverage needs for 2022. Due to the ongoing COVID-19 pandemic, Medicare information and resources are available to help you choose the plan that’s right for you while staying safe. Websites, online educational events and one-on-one meetings with sales agents are all great ways to learn about your Medicare plan options. At the same time, it’s important to access Medicare resources online while protecting your personal information and avoiding fake offers and other scams.

Here are some tips for how to prepare for the Medicare annual enrollment period:

  1. Use an online tool

Go to the Medicare Plan Finder on Medicare.gov to compare plans, benefits and get an estimated cost for each plan based on an average member. If you are interested in Medicare Part D, which helps cover the cost of prescription medications, you can also enter the names of prescription medications you take to ensure those medications are covered by the plan you are considering.

On Medicare.gov, you can also learn about and enroll in Medicare Advantage plans, sometimes called Part C or MA Plans, and visit an insurance company’s website to understand more about what they offer. Insurance companies that offer Medicare Advantage plans can provide detailed information about their plans and services, plus prescription pricing information and other benefits. You can also check whether your primary care physician or other providers are in-network with the Medicare Advantage plan.

  1. Connect with experts

Many insurance companies are offering online workshops to review 2022 Medicare Advantage plan options. Also, check to see if you can schedule a one-on-one meeting with an insurance company sales agent in-person or by phone or video chat. Before you attend an education event or meeting, it’s a good idea to prepare a list of questions so that you can ensure you get the information you need. Does the plan include vision, hearing and dental coverage? Will telehealth services be covered? Is transportation to your medical appointments included?

  1. Protect yourself against Medicare scams

The federal Medicare agency has warned that scammers may try to use the pandemic to steal Medicare beneficiaries’ Medicare numbers, banking information or other personal data. Scammers may try to reach out to you by phone, email, text message, social media or by visiting your home. Only give your Medicare number to your doctor, pharmacist, hospital, health insurer or other trusted health care provider. Do not click links in text messages and emails from unknown sources, and hang up on unsolicited phone calls.

If you are not comfortable accessing plan information online, you will have the option to meet in-person with an agent this year. Or Medicare.gov has an option for setting up a phone call. To learn more, go to Medicare.gov or call 1-800-MEDICARE (800-633-4227).

 

Bay Area, Contra Costa health officers issue criteria for lifting indoor masking requirements

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Source: CCC COVID Dashboard 10/07/21

“with regional data showing that the surge is now receding, and with the Bay Area one of the most vaccinated regions in the country, the health officers agree it is time to plan for a transition.”

Total population includes residents under age 12 who are not yet eligible for vaccinations.

As decisions to vaccinate and wear face coverings indoors drive down COVID-19 case rates and hospitalizations, health officers for the nine Bay Area jurisdictions that require face coverings in most indoor public spaces today reached consensus on criteria to lift those health orders.

These health officers continue to work together across the Bay Area to protect public health with a consistent regional approach, and to plan for the next phase of response to COVID-19 as this wave of the pandemic ebbs.

The counties of Contra Costa, Alameda, Marin, Napa, San Francisco, San Mateo, Santa Clara, Sonoma and the City of Berkeley will lift the indoor masking requirement in public spaces not subject to state and federal masking rules when all the following occur:

1) The jurisdiction reaches the moderate (yellow) COVID-19 transmission tier, as defined by the Centers for Disease Control & Prevention (CDC), and remains there for at least three weeks

AND

2) COVID-19 hospitalizations in the jurisdiction are low and stable, in the judgment of the health officer

AND

3) 80% of the jurisdiction’s total population is fully vaccinated with two doses of Pfizer or Moderna or one dose of Johnson & Johnson (booster doses not considered) NOTE – Total population includes residents under age 12 who are not yet eligible for vaccinations.

OR

Eight weeks have passed since a COVID-19 vaccine has been authorized for emergency use by federal and state authorities for 5- to 11-year-olds.

Most Bay Area health departments issued the masking requirements for their respective jurisdictions on August 3, following a summer surge in cases, hospitalizations and deaths.

But with regional data showing that the surge is now receding, and with the Bay Area one of the most vaccinated regions in the country, the health officers agree it is time to plan for a transition.

“It is no accident that transmission is slowing in Contra Costa County. Public health interventions, including the masking requirement, are working,” said Dr. Chris Farnitano, Contra Costa’s health officer. “We believe that health orders, along with vaccination, outreach and education are all adding layers of protection against COVID-19 in our community – and saving lives.”

Lifting a local indoor mask mandate would not prevent businesses, nonprofits, churches or others with public indoor spaces from imposing their own requirements. As COVID-19 easily spreads through airborne droplets, face coverings remain highly powerful in preventing its spread.

Each jurisdiction will rescind its order when criteria are met in that respective county or city. The criteria were developed to assist in determining the safest time to lift the indoor masking orders, based on regional scientific and medical consensus. The criteria also provide safety for school children, ages 5-11, who need the added protection of masks in the community to keep case rates low so they can remain in school until they can be vaccinated.

“Contra Costa is coming back strong, thanks to so many of our residents making healthy choices, such as getting vaccinated, or doing the courteous thing and wearing masks in places where the risk of transmission is a little higher,” said Diane Burgis, chair of the Contra Costa County Board of Supervisors. “I’m thankful for every resident who has done their part.”

California’s health guidance for the use of face coverings will remain in effect after local masking requirements are lifted, meaning that people who are not fully vaccinated for COVID-19 must continue to wear masks in businesses and indoor public spaces.

The state also requires face coverings for everyone, regardless of vaccination status, in healthcare facilities, public transit and adult and senior care facilities. California’s masking guidelines in K-12 schools would also not be affected by changes to local health orders.

An FDA advisory committee is scheduled to consider an application from Pfizer-BioNTech to grant emergency use of its COVID-19 vaccine for 5- to 11-year-olds on October 26.

Visit cchealth.org/coronavirus for local information about COVID-19 and Contra Costa County’s emergency response to the pandemic.

Allen Payton contributed to this report.

Glover takes one year pass on gavel, hands chair to Mitchoff in her final year on Contra Costa Board of Supervisors

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New Contra Costa County Board of Supervisors Chair Karen Mitchoff and Vice Chair Federal Glover. Photos: CCC

County public meetings to continue online for 30 more days; COVID cases decrease by 27.9% over past two weeks

By Daniel Borsuk

In a show of respect for her 34 years of public service, retiring Contra Costa County Board of Supervisor Karen Mitchoff will manage the board’s gavel in 2022, a year when vice chair Federal Glover would have taken over the board leadership duties from current chair Diane Burgis of Brentwood.

Vice chair Glover of Pittsburg, who would have customarily been automatically approved by his supervisorial colleagues as chair for 2022, made the motion to transfer the board chair duties to Mitchoff as an act of respect for her public service dating back to 1981 in the office of late Contra Costa Sherriff-Coroner Richard Rainey as his executive secretary.

Glover, who represents District 5 on the board, will continue to serve as vice chair in 2022 and assume the chair duties in 2023.

Mitchoff of Pleasant Hill has served as District IV Supervisor since January 2011.

Supervisor Mitchoff had initially announced her candidacy for the position of Contra Costa County Recorder-Clerk when former officer holder Joe Canciamilla resigned and sentenced for violating Fair Political Practices Commission laws by spending more than $130,000 in campaign funds for personal uses. Mitchoff eventually stepped away from actively pursuing the County Recorder-Clerk post when Assistant Recorder-Clerk Debbi Cooper announced her candidacy and eventually won the supervisors’ approval to accept the top post.

“I talked to Supervisor Mitchoff, who plans to not run for reelection after next year, to serve as our chairperson as an honor,” said Supervisor Glover. “Therefore, I would make a motion to nominate Karen Mitchoff as chair for 2022 and Glover serve as vice chair for 2022.”

Glover’s motion passed on a 5-0 vote.

“I want to thank Mr. Glover to allow me to serve as board chair in my final year on the board,” said Mitchoff. “It shows how wonderful it is to be on this board. We are always respectful and kind.”

Mitchoff’s eventual departure raises the question of who might run for her position.

Among some of the potential candidates are Ken Carlson, a gay retired Concord police officer who serves on the Pleasant Hill City Council. Concord City Councilmember Edi Birsan has also frequently said he would run for the supervisorial post.

Mitchoff, a Portland, OR native, is a Cal State East Bay B.A. graduate in Human Development and has an elected and appointed public service record that includes election to the Pleasant Hill City Council in 2008 and service as mayor in 2010. She was appointed to the Pleasant Hill Recreation and Park District Board of Directors in 2003 and election to the Board of Directors in 2004 and 2006. From 1992 to 1996 she served on the Pleasant Hill Planning Commission.

Online Meetings for 30 More Days

The return of in person public meetings, especially at the Contra Costa County Board of Supervisors’ brand new $100 million county administration building in downtown Martinez, will be on hold for at least another 30 days because of Gov. Gavin Newsom’s signing of Assembly Bill 361. The law now allows public meeting to be held onlin through January 31, 2022. At least through November the supervisors and all county commissions and advisory panels – the Assessment Appeals Board, Merit Board, Planning Commission, and Measure X Advisory Commission – will continue to conduct meetings remotely.

The supervisor’s resolution states:

“The Board of Supervisors finds that in person meetings of the Board of Supervisors would present risks to the health or safety of the public, staff and officials attending meetings, in light of the high case rate of COVID-19 infections in the county.

“As authorized by Assembly Bill 361, effective immediately and for the next 30 days the Board of Supervisors, acting in all its capacities and all its subcommittees, will use teleconferencing for meetings with the provisions of Government Code section 54953e.”

County COVID-19 Cases and Vaccinations

In the meantime, the Contra Costa Health Services reported there were 1,532 COVID-19 cases reported in the past two weeks, for a 36.8 percent decrease. Seventy-three COVID-19 patients were hospitalized, a 27.9 decrease over the past two weeks, department records show.

The Contra Costa County Health Services also reported the county’s vaccination rate for residents ages 12 and older, who have received at least one dose of the COVID-19 vaccine, is 86.3 percent compared to a 75.9 percent national rate.

 

Feinstein introduces bill requiring COVID-19 vaccine, negative test or recovery documentation for domestic air travel

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U.S. Senator Dianne Feinstein. Official photo

Washington—Senator Dianne Feinstein (D-Calif.), on Wednesday, introduced the U.S. Air Travel Public Safety Act, a bill that would require all passengers on domestic airline flights to either be fully vaccinated, have recently tested negative for COVID-19 or have fully recovered from COVID-19.

The bill would require the Secretary of Health and Human Services, in consultation with the Federal Aviation Administration, to develop national vaccination standards and procedures related to COVID-19 and domestic air travel in order to prevent future outbreaks of the disease.

The bill would also require the CDC’s Advisory Committee on Immunization Practices to make recommendations for COVID-19 vaccine use in health care settings and among health care personnel in other settings.

The legislation builds on a current CDC requirement that all air passengers traveling to the United States from a foreign country must provide proof of a negative COVID-19 test result or documentation of recovery from COVID-19. Last week, the Biden administration announced it will work with airlines to implement additional protocols to prevent the spread of COVID-19 on international flights.

“We know that air travel during the 2020 holiday season contributed to last winter’s devastating COVID-19 surge. We simply cannot allow that to happen again,” Feinstein said.

“Ensuring that air travelers protect themselves and their destination communities from this disease is critical to prevent the next surge, particularly if we confront new, more virulent variants of COVID-19. This bill complements similar travel requirements already in place for all air passengers – including Americans – who fly to the United States from foreign countries. This includes flights from foreign countries with lower COVID-19 rates than many U.S. states.

“It only makes sense that we also ensure the millions of airline passengers that crisscross our country aren’t contributing to further transmission, especially as young children remain ineligible to be vaccinated.”

The bill is supported by the Infectious Diseases Society of America and the American Public Health Association.

Dr. Barbara D. Alexander, president of the Infectious Diseases Society of America and professor of medicine and pathology at Duke University School of Medicine said: “Vaccination is a critical strategy to end the COVID-19 pandemic, and vaccination requirements in multiple settings are an important mechanism to boost vaccination rates, prevent infections and hospitalizations and save lives. The Infectious Diseases Society of America supports Senator Feinstein’s legislation to require vaccination for domestic air travel as part of our nation’s broader COVID-19 vaccination strategy.”

Background

  • According to a study by the Centers for Disease Control and Prevention, COVID-19 vaccines continued to offer strong protection after the Delta variant became predominant over the summer. People who were fully vaccinated were five times less likely to be infected and more than 10 times less likely to be admitted to the hospital or die compared to those who were unvaccinated.
  • According to the American Academy of Pediatrics, the United States is seeing its highest weekly totals of pediatric COVID-19 cases since the pandemic began. The CDC also found that in August, emergency department visits and hospital admissions among children were higher in states with lower vaccine rates and lower in states with higher vaccine rates.
  • According to a study published in the Proceedings of the National Academy of Sciences, people traveling to other counties or states last year contributed to higher COVID-19 case numbers in their destination communities. Authors of the study later observed that this was especially true during the 2020 summer and winter holidays.
  • According to a Mayo Clinic Proceedings study, COVID-19 testing requirements for airline passengers could have a meaningful effect on detecting active infections either immediately before or after a flight.
  • According to a poll by the Kaiser Family Foundation, about three in 10 people surveyed who were waiting to be vaccinated said they would be more likely to get vaccinated if airlines required passengers to be vaccinated. This number increased to about four in 10 among unvaccinated individuals who said they would only get the vaccine if required.

To contact the senator’s office, visit Contact – United States Senator for California (senate.gov).

Contra Costa health data show COVID cases were on decline before new health orders issued

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7-Day Rolling Average Number of New Cases in Contra Costa County April 1 – Sept. 19, 2021. Source: CC Health Services

“Case Rates for unvaccinated people in the county…peaked on Sept. 13, one day before the new health orders were issued.”

“…we are a long way from the levels of community transmission we experienced in spring…” – Contra Costa Health Services spokesman

By Allen Payton

The statistics on the Contra Costa Health Services (CCHS) Coronavirus Dashboard show COVID hospitalizations and cases in the county were already declining before the new health orders by county health officer, Dr. Chris Farnitano, issued them on Sept. 14. While the data trails the report by seven days, as the dashboard states, “data from the last 7 days is still being reported”, all the COVID-related stats continued to decline before the orders went into effect last Wednesday, Sept. 22.

The press release from CCHS on Sept. 15 read, “While the peak of the surge seems to have passed.” But the statistics showed it had passed. (See related article)

Total Contra Costa County Hospitalizations of COVID patients and percentage of all patients Aug. 28-Sept. 26, 2021. Source: CCHS

Hospital Bed Utilization

The 7-Day Average COVID-19 Inpatient Bed Utilization in the county decreased from 11.5% on Sept. 8 to 9.9% by the time the orders were issued on the Sept. 15. That continued to decrease to 8.1% on Sept. 22. They have continued to decrease through Sunday to 7.3% and were on the decrease since Aug. 28 when the percentages were first included in the stats, from 13.6%. CCC COVID Hospitalization stats

The statistics also show the percentage of COVID inpatient beds to Contra Costa Total Hospitalizations has decreased from a high of 19.4% on Sept. 6 to 10.7% on Sunday, Sept. 26.

In addition, of all the inpatient ICU beds in the county, about one-third have been filled by COVID patients has decreased from a high of 46% to 29% between Aug. 28 and Sept. 26.

New Cases

The Seven Day Rolling Average number of new COVID cases in the county peaked on Sept. 10 at 217.3, almost two weeks before the new health orders went into effect on Wed., Sept. 22.

Contra Costa County Case Rates per 100,000 vaccinated vs unvaccinated April 1 – Sept. 19, 2021. Source: CC Health Services

Case Rates

The Case Rates for unvaccinated people in the county at 40 per 100,000 population and fully vaccinated people at 8.7 peaked on Sept. 13, one day before the new health orders were issued. Both continued to decline through Sept. 19 to 29.6 and 7.4 respectively, three days before the orders went into effect.

Questions for Farnitano & Health Services Staff

In light of that information, Farnitano and health services staff were asked the following questions via email Monday evening: “Why are the latest orders still in place? Are you willing to lift them, now? If not, what else must occur for that to happen?”

Karl Fischer, Contra Costa Health Services spokesman responded, “For the past few weeks Contra Costa County’s COVID-19 transmission data have been trending in the right direction after a severe, sudden spike in new cases, hospitalizations and deaths earlier this summer.  

It’s also true that county data remain elevated since that spike, far above where they were when California relaxed its health orders in mid-June. As the press release you quoted correctly points out, our average daily case rate is similar to what we were recording in February, on the downslope of another severe spike. That information is also available on the dashboard.  

It is no accident that our county is now trending in the right direction.  

COVID-related public health measures, including recent health orders requiring people to wear masks when visiting indoor public spaces and show proof of vaccination or a recent, negative test result to enter the indoor parts of some high-risk public establishments, are helping to reduce transmission of the virus in our county.  

For example, on Aug. 3, the day our indoor masking health order took effect, the 7-day average number of daily new COVID-19 cases reported in our county was 412. One month later, on Sept. 3, that number had dropped to 245.9.

We hope to see similar improvement in coming weeks from the most recent health order, which took effect just last week. But, as I mentioned, we are a long way from the levels of community transmission we experienced in spring, when the state briefly seemed to be emerging from the pandemic.  

With winter approaching, a season where the spread of respiratory viruses such as COVID-19 is common, we are doing everything we can to prevent another severe surge, most importantly working to increase vaccination rates across our community – to save lives, keep our schools and businesses open, and our hospitals functioning.”

However, as the Dashboard shows, Contra Costa County was already trending in the right direction” two weeks before the new health orders went into effect.

Additional Questions

An additional question was sent late Wednesday afternoon, asking, “since Contra Costa was already significantly trending in the right direction through not just Sept. 3 but it continued through Sept. 22, with just the indoor mask-wearing order, why the need for the additional proof of vaccination or testing mandate? Is it an effort to pressure the unvaccinated to get vaccinated by taking away more of their freedoms?”

09/30/21 UPDATE: CCHS spokesman, Karl Fischer responded, “Contra Costa has made significant progress in lowering the number of new reported cases and hospitalizations in recent weeks. But, as I mentioned in my last response, our transmission data are still substantially far above the levels considered safe by the State of California when it lifted its health order on June 15.

I know you are aware of this information, as it is available on our public dashboard, but our 7-day rolling average number of daily new COVID-19 cases was 152.9 on Sept. 22, compared to 45.3 on June 15. Per capita, on June 15 we averaged 1.5 daily new hospital admissions due to COVID-19 for unvaccinated people, compared to 5.5 on Sept. 22. Contra Costa has a long way to go before it reaches the transmission levels the state considered just safe enough to reopen, just three months ago.

Contra Costa is committed to doing everything in its power to reduce COVID-19 transmission as quickly and effectively as possible – lives depend on it. That is why the county this month added a new, temporary requirement for patrons using the indoor areas of certain establishments where the virus is at high risk of spreading to show proof of vaccination at the door, or a recent, negative test result.

We believe this health order will help our community continue its progress reducing COVID-19 transmission, perhaps even accelerate it, and it may also help to head off another massive holiday surge in cases, hospitalizations and deaths, like the one we experienced last winter.

We encourage anyone who is eligible to get vaccinated. Our transmission data are now slowing down thanks to the 80%+ of county residents who have already chosen to get vaccinated, and the willingness of the majority to temporarily endure inconvenience so we all may eventually enjoy living in a community where there is no elevated risk of contracting a deadly but highly preventable disease.

Why No Recovery Documentation Option in Contra Costa?

On Wednesday, U.S. Senator Diane Feinstein (D-CA) on Wednesday, introduced the U.S. Air Travel Public Safety Act, a bill that would require all passengers on domestic airline flights to either be fully vaccinated, have recently tested negative for COVID-19 or have fully recovered from COVID-19. According to her office’s press release, “the legislation builds on a current CDC requirement that all air passengers traveling to the United States from a foreign country must provide proof of a negative COVID-19 test result or documentation of recovery from COVID-19.”

In response, the additional questions were sent to CCHS staff: “Why isn’t that last option, recovery documentation, being offered to people in Contra Costa to comply with the latest health orders if it’s allowed to be used for people traveling into our country? They aren’t even required to provide proof of vaccination. But we Americans do to participate in something that takes much less time than an international flight. Their plane trips are much longer than an hour which is usually the length of time it takes to have an indoor, sitdown meal. If that’s the science the federal government is following, why isn’t the CCHS also following it?”

Fischer replied, “Contra Costa Health Services did not include a provision for proof of prior infection in the Sept. 14 health order because, in our analysis of available research, we determined that the science remains unsettled around the efficacy or duration of natural immunity following a COVID-19 infection. We do have a better understanding of immunity provided by the available COVID-19 vaccines, thanks to the extensive clinical trials performed to ensure their safety and efficacy before they were made available to the public, and their performance in protecting millions of people worldwide this year.

While it’s true that someone who has COVID-19 must wait 90 days after their infection ends before testing again, they can receive COVID-19 vaccine as soon as their isolation period ends. So, in no case are patrons left without options for using the indoor portions of establishments affected by this order.”

Those who choose not to get the vaccine for one reason, or another will have to take a test and prove negative within three days each time they want to dine indoors at a restaurant, go to the gym, a bar, to the movies or another entertainment venue, such as a bowling alley.