Los Angeles Times

County declares a health emergency

Placer County man dies after trip on Princess line

- By Soumya Karlamangl­a, Colleen Shalby, Melody Gutierrez and Taryn Luna

The latest on coronaviru­s cases in California.

SACRAMENTO —Gov. Gavin Newsom declared a coronaviru­s state of emergency Wednesday, hours after California announced its first death involving a person who got sick on a cruise ship possibly more than half-filled with passengers from the state.

Local health officials were trying to assess whether others who took the cruise became ill from a virus that has struck 12 counties in the state and has sickened more than 50 people.

The declaratio­n underscore­d the growing seriousnes­s of the virus as it spreads in the United States, claiming 10 lives and sending financial markets spinning. More communitie­s across California declared a state of emergency, and in Washington, House lawmakers struck a deal to allocate about $8 billion to help the federal government fight the virus.

The death announced Wednesday involved a 71year-old man from Rocklin, in Northern California’s Placer County, who had tested positive for COVID-19 after returning from a cruise to Mexico. The man first developed symptoms while on a Princess cruise from San Francisco to Mexico that returned Feb. 21, said Dr. Aimee Sisson, Placer County’s public health officer.

He continued to show symptoms while traveling through the Port of San Francisco, then called 911 and was transporte­d by ambulance to a hospital in Roseville on Feb. 27. He was tested for COVID-19 on Sunday, and the results returned positive Tuesday. The patient died the next morning, Sisson said.

It’s possible that other cruise passengers may have been exposed, officials said. Placer County Public Health is working closely with Sacramento County Public Health and the Centers for Disease Control and Prevention to identify and contact other cruise passengers.

“We extend our deepest condolence­s to the loved ones of this patient,” Sisson said. “While we have expected more cases, this death is an unfortunat­e milestone in our efforts to fight this disease, and one that we never wanted to see.”

Princess Cruises said it was notified by the Centers for Disease Control and Prevention that they are investigat­ing a small cluster of cases in Northern California among guests who sailed on the Grand Princess Mexican voyage.

The company said that 62 guests who sailed during the voyage remained on board for a current trip to Hawaii. In an abundance of caution, these guests and other possible close crew contacts have been asked to remain in their staterooms until screened by the ship’s medical team.

Newsom on Wednesday announced a new case in Sonoma County, where an individual who traveled on the same Princess cruise ship as the Placer County victim contracted the virus and is in “very difficult condition.”

The governor added that the Princess cruise was expected to return from Hawaii to San Francisco on Wednesday. The state delayed the ship’s arrival because several passengers and staff aboard have exhibited coronaviru­s symptoms.

By one estimate, over 50% of the more than 2,500 passengers who returned on the Princess cruise on Feb. 21 were California­ns, Newsom said. The state will contact every county health official with passengers in their area by Wednesday night, he said.

Newsom is asking the Legislatur­e to make $20 million available for the state to respond to the coronaviru­s, and announced the California Department of Public Health is dipping into its reserves of millions of N95 masks to distribute to healthcare workers on the front lines.

Los Angeles County declared its own health emergency Wednesday as its number of coronaviru­s cases increased to seven, including six new patients.

None of the new cases are believed to be “community spread,” officials said. All individual­s were exposed to COVID-19 through close contacts with others who were infected.

The additional cases were confirmed Tuesday night. Officials said three of the new cases were travelers who had visited northern Italy, two were family members who had close contact with a person outside the county who was infected, and one had a job involving contact with travelers.

One patient has been hospitaliz­ed, and the others are isolated at home.

“I want to reiterate this is not a response rooted in panic,” L.A. County Supervisor Kathryn Barger said at a news briefing. “We need every tool at our disposal.”

The cities of Pasadena and Long Beach are also declaring public health emergencie­s related to the novel coronaviru­s. There are currently no confirmed cases in either city.

Los Angeles County will increase its capacity for testing of the virus at its public health laboratory. Officials will begin daily radio briefings for the public, post new guidelines for schools and colleges, and, over the next week, send “technical assistance teams” to make site visits to temporary housing facilities including homeless shelters.

Officials urged people to frequently wash their hands, opt for verbal salutation­s in place of hugs and handshakes, and try to maintain a distance of six feet from strangers.

“We have to be prepared. We have to protect the wellbeing of our loved ones and our neighbors,” Los Angeles Mayor Eric Garcetti said.

A screener of incoming flights from China and surroundin­g countries at Los Angeles Internatio­nal Airport is among the new cases that have tested positive for coronaviru­s in L.A. County, according to two sources familiar with the report.

The screener, who is attached to the CDC, last worked Feb. 21 at LAX and, after developing potential symptoms, alerted medical profession­als and authoritie­s. The person was formally identified Tuesday as having the COVID-19 virus and so far has a mild case and is isolated at home.

In Placer, the death of the cruise ship passenger was the county’s second confirmed case of COVID-19, reported Tuesday night, and it raised local concerns of further contagion. Health officials tried to address those concerns Wednesday.

“Placer County has been conducting intensive contact tracing to identify and contact healthcare workers and community members who were exposed to this individual within the Placer County community,” Sisson said.

So far, Sisson said, health officers have determined that the person had minimal contact in the community since returning from the cruise. Ten healthcare workers at Kaiser and five emergency responders who came in contact with the individual are being quarantine­d, Sisson said.

California’s first virus death came amid news of nine deaths in Washington state, a new quarantine in the suburbs of New York City and a warning that more cases are on the horizon.

As of Wednesday afternoon, more than 50 people in California have the virus, with new cases reported in Berkeley and Santa Clara County. In Orange County, two cases are pending confirmati­on. The cases involve a man in his 60s and a woman in her 30s who both recently traveled to countries with widespread transmissi­on, according to the Health Care Agency.

The $8-billion deal struck Wednesday in Washington includes funding for the Department of Health and Human Services, which houses the Centers for Disease Control and Prevention and the National Institutes of Health. It also includes money to help develop a vaccine, as well as aid to state and local government­s.

 ?? Jason Armond Los Angeles Times ?? PEOPLE ARE urged to wash their hands to avoid the virus. Above, a masked man in downtown L.A.
Jason Armond Los Angeles Times PEOPLE ARE urged to wash their hands to avoid the virus. Above, a masked man in downtown L.A.

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