Coronavirus in California: What You Need to Know

Thirty-three people in the state have tested positive for the virus, and at least 8,400 people who have returned from overseas are being monitored.

California officials said this week that they had bolstered efforts to confront the growing threat of the coronavirus, declaring that they were prepared and pursuing aggressive measures to thwart its spread.

Gov. Gavin Newsom said on Thursday that the state had pushed for improved and expanded testing, urging federal officials to alter a testing protocol that he considered “inadequate” to address the situation California faces. He also said officials were actively monitoring people who might have come into contact with the pathogen.UPDATE:Coronavirus in California: First death reported and more cases found in Los Angeles.

California has had more coronavirus cases than any other state and has also been the nucleus of quarantine efforts in the United States. The sense of concern became more heightened after officials confirmed what is believed to be the first documented case of community transmission, in Solano County.

The governor sought to strike a delicate note by quelling fears over the virus while acknowledging the seriousness of the situation. He told residents that the overall number of cases remained low and that the state government was well positioned to keep it that way.

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“We have been in constant contact with federal agencies,” Mr. Newsom, a Democrat, said in a news conference on Thursday. “We have history and expertise in this space. We are not overreacting, but nor are we underreacting to the understandable anxiety that many people have as it relates to this novel virus.”MILITARY CASE:U.S. military steps meant to stave off the virus may also compromise training and readiness

Mr. Newsom has resisted declaring a state of emergency, a step taken by some local officials largely in an effort to muster public health resources. But there are worries about the economic fallout, with events having already been changed or canceled. Both Facebook and Microsoft said they were pulling out of conferences scheduled for March and May.

Thirty-three people have tested positive for the virus in California, said Dr. Sonia Angell, the director of the California Department of Public Health. Out of that group, 24 were from repatriation flights, seven were related to the patients’ travel and one had contracted it from an infected spouse. The most recent case was the one involving community transmission, which was reported in Solano County.

Mr. Newsom said five people had moved out of the state after testing positive. In addition, at least 8,400 people who have returned from overseas are being monitored in 49 jurisdictions.Unexplained Coronavirus Cases in Three States Raise Specter of SpreadFeb. 28, 2020

One confirmed coronavirus case that cropped up in Solano County, between San Francisco and Sacramento, is especially worrisome to health officials. The patient had not had contact with anyone known to be infected, and had not traveled recently to a country where the virus is known to be in circulation.

The Centers for Disease Control and Prevention said it was the first such case reported in the United States, and it raised the possibility that someone who is asymptomatic may be carrying the virus and infecting others without knowing it.

The patient, a woman, became ill and was first treated in a hospital in Vacaville, then transferred to the UC Davis Medical Center. Doctors there suspected coronavirus and requested a test. But the C.D.C. did not perform the test for days, because it was restricting testing to sick people known to have been exposed to the virus. The day after her case was confirmed, the C.D.C. broadened its criteria to allow testing of people like her who appear to be ill from coronavirus but have no known point of exposure.

Solano County is also the location of Travis Air Force Base, where many Americans who were infected in Asia have been quarantined.

California officials said on Thursday that the C.D.C. had promised to vastly expand the state’s ability to test patients for the coronavirus. Mr. Newsom repeatedly said the previous system had been “inadequate” to keep the virus from spreading.

Mr. Newsom said the director of the C.D.C. had promised him that physicians would have a much greater ability to test patients who were showing symptoms of the infection, changes the governor said “can’t happen soon enough.”

“Testing protocols have been a point of frustration for many of us,” Mr. Newsom said, referring to health officials in California and governors of other states. State officials said California had just 200 testing kits left.

Even as the governor resisted declaring a statewide emergency, officials in San Francisco and Orange County announced they were taking that step. But officials in both places stressed that the move was less an acknowledgment of an active crisis and more about mobilizing the resources to prevent one.

“This declaration of emergency is all about preparedness,” San Francisco’s mayor, London Breed, told reporters on Wednesday.

Nichole Quick, the health officer for Orange County, said the formal declaration there would enable local officials to be “more nimble and flexible” in their response.

“This is a rapidly evolving situation,” Ms. Quick said on Wednesday, according to The Orange County Register, which reported that there had been one confirmed case of the virus in the county.

State officials planned to move people infected with the virus to a state-owned facility in Costa Mesa, a city of more than 100,000 in Orange County. But city leaders are fighting to keep them out.

The authorities in California selected the site after the Defense Department informed them that patients who tested positive for the virus could no longer stay at Travis Air Force Base.

Federal officials had planned to move the patients to a government facility in Alabama, court documents said, but officials in California thought that moving the group, most of them said to be residents of the state, would be detrimental to their health and well-being.

Instead, state officials said the people would be moved from the base in Solano County to the facility in Southern California, where they would remain in isolation while recovering.

But the decision touched off a legal fight with Costa Mesa. A federal judge issued a temporary restraining order to stop the move. The judge said she would reconsider the issue after state and federal authorities provide more details about how they plan to protect the health of the community, as well as the people with the coronavirus. The judge set a hearing for March 2.

“This is a new one in terms of claiming a right not to have infectious disease introduced into your community,” said Polly Price, a professor of law and global public health at Emory University. Although cities and towns once claimed “an absolute right” to guard against disease, she said, state-level control over isolation and quarantine has been the norm for more than a century.

SOURCE: https://www.nytimes.com/article/california-coronavirus.html

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