Contra Costa Herald

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

County health officer suspends intakes, orders social distancing at homeless shelters

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ORDER OF THE HEALTH OFFICER OF THE COUNTY OF CONTRA COSTA

No. HO-COVID19-07

SUSPENDING INTAKES AT HOMELESS SHELTERS

SOCIAL DISTANCING AT HOMELESS SHELTERS

DATE OF ORDER: April 14, 2020   Please read this Order carefully. Violation of or failure to comply with this Order is a misdemeanor punishable by fine, imprisonment, or both. (California Health and Safety Code, § 120295.)

SUMMARY OF THE ORDER California is in a State of Emergency because of the Coronavirus Disease 2019 (COVID-19) pandemic. The spread of the novel coronavirus that causes COVID-19 is a substantial danger to the health of the public within the County of Contra Costa (“County”). COVID-19 can easily spread between people who are in close contact with one another. This Order is issued based on scientific evidence and best practices as currently known and available to protect vulnerable members of the public from avoidable risk of serious illness or death resulting from exposure to COVID-19. The age, condition, and health of a significant portion of the population of the County place it at risk for serious health complications, including death, from COVID-19. There is growing evidence of transmission risk from infected persons before the onset of symptoms. Thus, all individuals who contract COVID-19, regardless of their level of symptoms (none, mild or severe), may place other vulnerable members of the public at significant risk. Currently, there is no vaccine available to protect against COVID-19 and no specific treatment. The Health Officer of the County of Contra Costa has determined that there is an increased risk of COVID-19 among persons living in large homeless shelters, and that the shelters must be depopulated temporarily to help slow COVID-19’s spread and prevent the healthcare system in the County from being overwhelmed. On April 14, 2020, the depopulation of Bay Area Rescue Mission located at 200 Macdonald Avenue, Richmond CA 94801 (“the Shelter”), will commence.

UNDER THE AUTHORITY OF SECTIONS 101040 AND 120175 OF THE CALIFORNIA HEALTH AND SAFETY CODE, THE HEALTH OFFICER OF THE COUNTY OF CONTRA COSTA (“HEALTH OFFICER”) ORDERS:

  1. Commencing on April 14, 2020 at 2:00 p.m., the owner and operator of the Shelter (collectively “Shelter Operator”) and all staff members and volunteers who work in the Shelter shall suspend the intake of persons to reside at the Shelter, including but not limited to accepting applications, conducting interviews and background checks, or otherwise authorizing any person to stay overnight at the Shelter if the person is not a resident of the Shelter as of the time and date set forth above.
  2. To the extent that the Shelter Operator currently provides or arranges for services to be provided to residents of the Shelter or other homeless persons, other than providing space for overnight stays, those services may continue to be offered, but only on the condition that all participants practice social distancing as set forth in Paragraph 3.
  3. All residents of and other persons who enter the Shelter shall practice social distancing by remaining at least 6 feet away from all other persons while in the Shelter.
  4. This Order shall become effective at 2:00 p.m. on April 14, 2020 and will continue to be in effect until it is extended, rescinded, superseded, or amended in writing by the Health Officer.
  5. Copies of this Order shall promptly be: (1) made available at the Office of the Director of Contra Costa Health Services, 1220 Morello Avenue, Suite 200, Martinez, CA 94553; (2) posted on the Contra Costa Health Services website (https://www.cchealth.org); and (3) provided to any member of the public requesting a copy.
  6. If any provision of this Order or its application to any person or circumstance is held to be invalid, then the reminder of the Order, including the application of such part or provision to other persons or circumstances, shall not be affected and shall continue in full force and effect. To this end, the provisions of this Order are severable.
  7. Questions or comments regarding this Order may be directed to Contra Costa Health Services at (844) 729-8410.

IT IS SO ORDERED:

Chris Farnitano, M.D. Health Officer of the County of Contra Costa   Dated: April 14, 2020

Gov. Newsom unveils six indicators he will consider before modifying stay-at-home order

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SACRAMENTO (April 14, 2020) – Governor Gavin Newsom today unveiled six key indicators that will guide California’s thinking for when and how to modify the stay-at-home and other orders during the COVID-19 pandemic. (View presentation here)

The Governor noted that the progress in flattening the curve, increased preparedness of our health care delivery system and the effects of other COVID-19 interventions have yielded positive results. However, these actions have also impacted the economy, poverty and overall health care in California. Any consideration of modifying the stay-at-home order must be done using a gradual, science-based and data-driven framework.

“While Californians have stepped up in a big way to flatten the curve and buy us time to prepare to fight the virus, at some point in the future we will need to modify our stay-at-home order,” said Governor Newsom. “As we contemplate reopening parts of our state, we must be guided by science and data, and we must understand that things will look different than before.”

Until we build immunity, our actions will be aligned to achieve the following:

  • Ensure our ability to care for the sick within our hospitals;
  • Prevent infection in people who are at high risk for severe disease;
  • Build the capacity to protect the health and well-being of the public; and
  • Reduce social, emotional and economic disruptions

California’s six indicators for modifying the stay-at-home order are:

  • The ability to monitor and protect our communities through testing, contact tracing, isolating, and supporting those who are positive or exposed;
  • The ability to prevent infection in people who are at risk for more severe COVID-19;
  • The ability of the hospital and health systems to handle surges;
  • The ability to develop therapeutics to meet the demand;
  • The ability for businesses, schools, and childcare facilities to support physical distancing; and
  • The ability to determine when to reinstitute certain measures, such as the stay-at-home orders, if necessary.

The Governor said there is not a precise timeline for modifying the stay-at-home order, but that these six indicators will serve as the framework for making that decision.

He also noted that things will look different as California makes modifications. For example, restaurants will have fewer tables and classrooms will be reconfigured.

For more information on California’s response, visit covid19.ca.gov.

Newsom, Oregon and Washington governors announce western states pact for reopening economies

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States agree region will move toward reopening based on health outcomes

Gov. Newsom makes remarks. Photo: Office of the California Governor.

SACRAMENTO (April 13, 2020) — Today, California Governor Gavin Newsom, Oregon Governor Kate Brown and Washington Governor Jay Inslee announced an agreement on a shared vision for reopening their economies and controlling COVID-19 into the future.

Joint statement from the Governors:

“COVID-19 has preyed upon our interconnectedness. In the coming weeks, the West Coast will flip the script on COVID-19 – with our states acting in close coordination and collaboration to ensure the virus can never spread wildly in our communities.

We are announcing that California, Oregon and Washington have agreed to work together on a shared approach for reopening our economies – one that identifies clear indicators for communities to restart public life and business.

While each state is building a state-specific plan, our states have agreed to the following principles as we build out a West Coast framework:

–Our residents’ health comes first. As home to one in six Americans and gateway to the rest of the world, the West Coast has an outsized stake in controlling and ultimately defeating COVID-19.

–Health outcomes and science – not politics – will guide these decisions. Modifications to our states’ stay at home orders must be made based off our understanding of the total health impacts of COVID-19, including: the direct impact of the disease on our communities; the health impact of measures introduced to control the spread in communities —particularly felt by those already experiencing social disadvantage prior to COVID-19; and our health care systems’ ability to ensure care for those who may become sick with COVID-19 and other conditions. This effort will be guided by data. We need to see a decline in the rate of spread of the virus before large-scale reopening, and we will be working in coordination to identify the best metrics to guide this.

–Our states will only be effective by working together. Each state will work with its local leaders and communities within its borders to understand what’s happening on the ground and adhere to our agreed upon approach.

Through quick and decisive action, each of our states has made significant progress in flattening the curve and slowing the spread of COVID-19 among the broader public. Now, our public health leaders will focus on four goals that will be critical for controlling the virus in the future.

  • Protecting vulnerable populations at risk for severe disease if infected. This includes a concerted effort to prevent and fight outbreaks in nursing homes and other long-term care facilities.
  • Ensuring an ability to care for those who may become sick with COVID-19 and other conditions. This will require adequate hospital surge capacity and supplies of personal protective equipment.
  • Mitigating the non-direct COVID-19 health impacts, particularly on disadvantaged communities.
  • Protecting the general public by ensuring any successful lifting of interventions includes the development of a system for testing, tracking and isolating. The states will work together to share best practices.

COVID-19 doesn’t follow state or national boundaries. It will take every level of government, working together, and a full picture of what’s happening on the ground.

In the coming days the governors, their staff and health officials will continue conversations about this regional pact to recovery.”

Contra Costa Health order requires masks, temperature checks for health facility visitors

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By Kim McCarl, Assistant to the Director, Communications, Contra Costa Health Services

Residential care and other licensed healthcare facilities in Contra Costa County must screen all staff and visitors for signs of illness and adhere to a strict masking policy, according to a new health officer order that begins Tuesday.

The order is intended to protect medically vulnerable patients and reduce the spread of COVID-19 within the facilities that care for them, Contra Costa Health Officer Dr. Chris Farnitano said.

“The age and health of many county residents, particularly those living in congregate care settings, places them at higher risk of serious health complications, including death, from COVID-19,” Farnitano said. “This order is another precaution we can take as a community to protect our vulnerable residents.”

The order applies to licensed residential care facilities, including nursing and senior care facilities, psychiatric facilities, group homes, residential recovery houses and homeless shelters.

Beginning Tuesday, April 14, anyone who is not a patient or resident at an applicable facility must submit to temperature and symptom screening, and facilities must exclude anyone who has had symptoms of respiratory illness or fever in the past seven days, or a temperature of 100 degrees Fahrenheit or higher.

The order does not apply to facility patients or residents, or people seeking care for their symptoms.

Facilities must now log screenings of staff and visitors, and staff and visitors must wear surgical masks, or cloth masks if surgical masks are not available, and practice physical distancing at the facility.

Facilities with known or suspected COVID-19 cases must notify emergency dispatchers and ambulance transporters of the presence of the virus at the facility, and the COVID-19 status of any patient transported to or from the facility.

Licensed care facilities are also now required to minimize the staffing of employees working at multiple facilities, and to keep records of any employees who worked at another healthcare facility during the previous 14 days.

Visit cchealth.org/coronavirus to read the order or for more information about COVID-19.

Union agreement with Kaiser will help healthcare workers treating COVID-19 patients

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80,000 workers who are members of the Coalition of Kaiser Permanente Unions covered by agreement

By Steve Trossman, Service Employees Union International

OAKLAND, Calif. – An agreement with healthcare giant Kaiser Permanente will ease some of the major burdens facing workers on the frontlines of the coronavirus pandemic, including assistance with childcare and temporary shelter, and extra leave for workers who are tested or diagnosed with COVID-19.

The measures provide support for 80,000 workers who are members of the Coalition of Kaiser Permanente Unions, more workers than covered by any such agreement in the nation. They apply to full-time, part-time and per-diem employees and can serve as a model for other hospitals and health systems to protect healthcare workers and the public.

“As healthcare workers in the middle of this pandemic, we know our duty is to our patients and the community, and we take that duty very seriously. But we can only give our best if we know our own lives and our families are protected as well,” said Juanita Kamhoot, who works in surgical survices at Kaiser Sunnyside Medical Center in Clackamas, OR. “This agreement will make a real difference at a time when we need every healthcare worker on the job and focused on taking care of COVID-19 patients.”

The agreement focuses on three key areas:

CHILD-CARE ASSISTANCE: With schools closed, many healthcare employees are having difficulty finding affordable childcare. Under the agreement, Kaiser employees who work 32 hours a week or more in a KP facility will be eligible for a grant of $300 per week to pay for childcare for children 14 or younger (and disabled, dependent children). It can be used to pay for their own caregiver (as long as they are not a spouse or domestic partner) or to find childcare outside of the home.

The stipend will last until May 31, 2020 and will be pro-rated for employees who work between 20 and 32 hours (including per-diem employees) with a minimum of $210 a week.

TEMPORARY SHELTER: Kaiser will work with several hotel chains to provide alternative shelter for employees who:

  • Test positive for COVID-19;
  • Work a double shift;
  • Work multiple 12-hour shifts;
  • Have fewer than 8 hours between shifts; or
  • Have a household member who either has COVID-19 or is in a CDC-defined vulnerable group.

Eligibility applies to all employees working at least 20 hours per week (including per-diem employees) at a KP facility between April 13 and May 31, 2020.

EIGHTY ADDITIONAL HOURS OF LEAVE FOR EMPLOYEES WHO TEST POSITIVE FOR COVID-19: Employees working at a KP facility more than 20 hours a week (including per-diem employees) who test positive for COVID-19 will receive up to 80 hours of administrative leave. This is above and beyond regularly accrued leave. Employees who are sent home from Kaiser and are awaiting a test result will also be covered.

The Coalition of Kaiser Permanente Unions comprises labor unions in California, Oregon, Washington, Colorado, Hawaii, Virginia, Maryland and the District of Columbia, representing more than 80,000 Kaiser caregivers. To learn more, visit https://www.unioncoalition.org/.

Rapid Response Fund formed to bring emergency relief to county residents impacted by COVID-19

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Contra Costa Regional Health Foundation’s first round of grants will go to the Food Bank of Contra Costa and Solano, the Contra Costa Crisis Center, Shelter, Inc., Catholic Charities East Bay and White Pony Express

By Kim McCarl, Assistant to the Director, Communications, Contra Costa Health Services

MARTINEZ — Beyond its devastating health implications, COVID-19 is undermining basic living conditions for tens of thousands of people living in the Bay Area, especially those that are most vulnerable. The Contra Costa Regional Health Foundation (CCRHF) has established a COVID-19 Rapid Response Fund and has been selected as a lead partner organization in the newly formed COVID-19 Regional Response Fund supported by the Silicon Valley Community Foundation.  The COVID-19 Rapid Response Fund is also supported by the Chan Zuckerberg Initiative as well as individual donors.

The CCRHF Rapid Response Fund is moving quickly to help those individuals in desperate need. Locally, the Contra Costa Regional Health Foundation will play an important role in identifying highest risk populations and funding organizations to provide needed assistance.

“The economic impact of COVID-19 in the Bay Area is immense, with the biggest impact on people who have been living on the margins. These are families that can’t wait for government assistance in a few weeks, they are suffering and in jeopardy now,” explains CCRHF Chair Bette Felton. “Thanks to the amazing generosity of the Silicon Valley Community Foundation and the Chan Zuckerberg Initiative, as well as individual donors, we can now move rapidly, locate the organizations best suited to safeguard those people at high risk and make sure they have the funds and resources to help protect our communities.”

We understand this is a dynamic and changing situation.  Based on our understanding of the greatest needs at this time, the Fund is supporting four key areas: food distribution, financial assistance, shelter and emergency housing, and support for essential workers.

“Grants will be made on a timely basis to organizations best equipped to address these needs among the county’s most vulnerable populations. Given the urgency of the crisis, our priority is to find organizations with the proven capacity that can move quickly,” says Felton.

In light of that urgency, in its first round of funding, the CCRHF is extending grants to five organizations: the Food Bank of Contra Costa and Solano, the Contra Costa Crisis Center, Shelter, Inc., Catholic Charities East Bay and White Pony Express.  These initial grants will quickly amplify the impact these organizations are positioned to make.

Additional organizations will be considered in future funding cycles, based on:

  • the organization’s ability to reach populations most vulnerable to the economic or health risks posed by this public health crisis,
  • its capacity to move expeditiously and
  • the ability of the organization to deploy the funds expediently.

For additional information about the COVID-19 Rapid Response Fund and the Contra Costa Regional Health Foundation visit www.ccrhfcovid-19.org/

About the Contra Costa Regional Health Foundation

Established in 2003, the Contra Costa Regional Health Foundation is a 501 (c)3 non-profit organization that supports Contra Costa Health Services in its work to care for and improve the health of all the people in Contra Costa County with special attention to those who are the most vulnerable.

Contra Costa coronavirus Update: 2 more deaths for 11 total, 530 cases

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From CCHealth.org.

More cases in people ages 41-60 than any other age range

By Allen Payton

As of Saturday, April 11, 2020 at 11:30 a.m. Contra Costa Health Services (CCHS) is reporting a total of 530 cases of COVID-19/coronavirus, and two more deaths for a total of 11 in the county. There are 37 people diagnosed with the virus currently hospitalized.

A total of 6,938 people have been tested for the virus.

The majority of those who have been diagnosed are ages 41-60 with 195 cases, 165 cases for those ages 21-40, 126 cases among those ages 61-80, another 26 cases of those ages 81-100 and 17 cases of those age 20 and under.

To see the all the statistics provided by CCHS, click here.

Contra Costa Event Park in Antioch to be converted into potential care site for COVID-19 patients

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By Kim McCarl, Assistant to the Director, Communications, Contra Costa Health Services

Contra Costa County is preparing to use the Contra Costa Event Park in Antioch as a site to care for COVID-19 patients, should the need arise.

As part of local emergency preparations, the county has been exploring and preparing “alternate care sites” in preparation for the likely surge of patients in local hospitals who test positive for Coronavirus (COVID-19). The building, which is normally used as an exhibit hall during the annual county fair, is located in the Contra Costa Event Park at 1201 W. 10th Street and has capacity for 43 people who test positive for COVID-19 and need medical care, but do not need to be hospitalized.

“The fairgrounds alternate care site is a great example of state, county, city and non-profit agencies coming together to create increased capacity to care for patients needing fewer resources, which frees up critical hospital beds in our healthcare system to fight COVID-19,” said Federal Glover, District V Supervisor.

Contra Costa and other Bay Area counties recently extended a regional stay-at-home order through May 3 hoping that continued physical-distancing measures will reduce the impact of COVID-19 on area hospitals.

“The Contra Costa Event Center, City of Antioch and the Red Cross really stepped up to help make this site happen,” said Diane Burgis, District III Supervisor. “This site would not be possible without their assistance.”

The Red Cross has shared expertise in standing up critical care sites for individuals displaced by emergency situations with County officials working on the Fairgrounds site.

“The Red Cross is proud to be working closely with our government and public health officials to support their efforts to keep our community safe with the planning and opening of the alternate care site in Antioch,” said Briana Taylor, Regional Disaster Chair for the American Red Cross Northern California Coastal Region. “It is impressive to see the whole community work together during this stressful time.”

The Craneway Pavilion in Richmond is equipped with 250 beds for COVID-positive patients who do not require hospitalization. Should a surge require the facility to open, COVID-positive patients are likely to be housed at the Craneway Pavilion first. (See related article) The Concord Shelter and Philip Doran Respite Center will house individuals who may not need hospitalization but require closer observation than provided at Craneway Pavilion. The county anticipates that Contra Costa Event Center will be the last facility to open.

“Although the City of Antioch did not request for the county to select a site within our city, we understand the gravity of the moment,” said Antioch Mayor Sean Wright. “In the fight to save lives, the world has been asked to step up and do more, Antioch is no exception to this reality. By working together, we will hopefully be able to minimize the number of lives lost to this horrible pandemic.”

The 23rd District Agricultural Association is home to the Contra Costa County Fair that has hosted hundreds of thousands of guests for over seventy-five years. The Event Park celebrates all that is best in Contra Costa County while preserving the agricultural heritage of the community.

“The Contra Costa Event Park is here to help the community during this time of need, and happy to work with the County of Contra Costa as we all work together to end this pandemic,” said Joe Brengle, chief executive officer of the Contra Costa Event Park.

“The county has been working in two of our buildings to prepare them should the need arise,” he told the Herald on Wednesday.

The Fair Board cancelled this year’s fair during their meeting on March 18. (See related article)

Contra Costa County and the Board of Supervisors continue to work in real time to respond to community needs while preparing to meet the challenges ahead.

Allen Payton contributed to this report.

Contra Costa Health Services reminds residents to observe religious practices at home this weekend – 9 deaths now reported in county

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Friday, April 10, 2020

Contra Costa Health Services (CCHS) reminds the public that county residents should observe their faiths at home while the health officer’s stay-at-home order remains in place, though this month is a time of significant religious activity for many people.

The health officer order, a measure to protect our community from the spread of COVID-19, requires Contra Costa residents to stay home except for essential trips, such as to find food, healthcare or to provide care for someone who cannot leave their home, or to go to and from an essential job.

The order lasts through May 3, a period that may affect important observances for many faiths, such as Good Friday, Holy Week, Orthodox Easter, Passover, Ramadan, and others.

“The COVID-19 pandemic has disrupted our lives, and we empathize with anyone who is unable to practice their religious traditions and celebrations as usual during this challenging time,” said Dr. Chris Farnitano, Contra Costa County Health Officer. “However, to protect everyone in the community, we must avoid gatherings outside of one’s immediate household to reduce the spread of the virus.”

CCHS thanks the county’s faith community for helping to keep their members safe from COVID-19 and urges faith leaders to continue to suspend in-person gatherings and not bring large groups of people together while the health order remains in place.

Suspending in-person gatherings does not mean suspending worship. Many organizations continue to observe together, through livestreaming or by watching recorded services online.

Learn more about COVID-19 in Contra Costa County, including how to protect yourself, at cchealth.org/coronavirus, or call the Contra Costa Coronavirus Call Center with questions at 1-844-729-8410. The call center is open daily from 8 a.m. to 5 p.m.

Coronavirus outbreak at senior care home in Pleasant Hill, 16 test positive, 3 hospitalized

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Carlton Senior Living facility in downtown Pleasant Hill. Video screenshot from their website.

By Allen Payton

According to the Contra Costa Health Services (CCHS) at the Carlton Senior Living facility in downtown Pleasant Hill, 5 residents and 11 staff have tested positive with COVID-19 as of Wednesday morning, April 8.

On Tuesday, CCHS staff investigated the COVID-19 outbreak at the care home and tested symptomatic people at the site. They were evaluating the feasibility of testing everyone who lives and works there.

Three residents were hospitalized as a result.