Los Angeles Times

COVID- 19 death toll nears 17,000 in California

- By Luke Money

While the number of daily COVID- 19 deaths has fallen dramatical­ly in California in the last few months, the state’s death toll has become the third- highest in the nation, with nearly 17,000 lives lost.

California ranks behind only New York and Texas in total deaths linked to the coronaviru­s, with 16,980 as of 5: 19 p. m. Monday, according to data compiled by The Times.

When adjusted for population, however, the state is in the middle of the pack nationally. Twenty- six other

states have seen more COVID- 19 deaths per 100,000 residents than California, including North Dakota, Delaware, Rhode Island, Louisiana and Iowa.

California averaged 57 daily deaths over the last week, a far cry from late July and early August, when the daily death toll at times exceeded 150.

As the number of conf irmed coronaviru­s cases worldwide topped 40 million Monday, California continues to lead the U. S. in case count, with more than 875,000.

But in a sign that the virus may have plateaued in the state, the seven- day average of new cases has dropped below 3,000, according to the latest state data, and the positivity rate — the percentage of those tested who are found to be infected — has been at a relatively low 2.5% for the last two weeks. This is the f irst time the seven- day average has been fewer than 3,000 since mid- June, according to Times data.

Despite the somewhat promising data points, officials say there are concerning trends. One is the number of COVID- 19 patients who are becoming sick enough to be hospitaliz­ed. Although the raw number of hospitaliz­ations continues to decline, the rate of de

crease has slowed. Over the last 14 days, the state has seen a 4% decrease in hospitaliz­ations — from 2,344 to 2,241 — and a 3% decline in intensive care admissions, from 681 to 660. But in the last week, both those figures have ticked up, Gov. Gavin Newsom said.

“Each and every ICU admission is precious and, obviously, a point of real concern as it relates to quality care and timely care,” he said Monday.

As California marks seven months since Newsom’s original stay- at- home order, officials and residents alike f ind themselves balancing the desire to return to wider normality with the fear that doing too much too quickly could force a fallback to more stringent restrictio­ns on businesses and activities.

Those discussion­s and debates are taking place as other states contend with new surges in infections.

“This is what we anticipate­d, moving into the colder season, moving into

the season where more of us are moving inside, moving into a season where more of us begin to mix and come back ... for the holidays,” Newsom said. “This is an area of obvious and real concern, and that’s why we’re being very sober and, forgive me, stubborn about some industries in the state.”

Of particular concern now are Halloween and Día de los Muertos. Such celebratio­ns typically entail interactio­ns among numerous households, which health officials say could worsen the virus’ spread.

In light of the risks, some areas, such as Beverly Hills, have decided to prohibit house- to- house trick- ortreating and car- based “trunk- or- treating ” this year. Neither the state nor Los Angeles County has gone that far, though both recommend against such activities.

Public health officials continue to emphasize that personal responsibi­lity, perhaps more than any policy

decision, will chart the future of the pandemic.

L. A. County Public Health Director Barbara Ferrer said Monday that private gatherings — which are allowed on a limited basis — remain a troubling potential source of infections. That’s especially the case for those who may feel a “false sense of security” mingling with people they know and trust, so they don’t adhere to required infection prevention measures such as physical distancing and face coverings.

“We’re not out of the woods at all,” Ferrer said. “We still have widespread community transmissi­on. That means it’s easy for people to get infected when they are gathering, even in small groups.”

More than 288,000 coronaviru­s infections have been confirmed in L. A. County to date, and almost 6,900 people have died. Ferrer on Monday announced one additional death and 923 new cases but said those

numbers likely reflect a data reporting lag from the weekend.

The county remains in the strictest category of the state’s four- tier reopening system — Tier 1, or purple — because it continues to report more than seven cases per 100,000 residents each day. That means many businesses and public facilities either cannot operate indoors or can do so only at a strictly limited capacity.

Though residents, businesses and some politician­s may be clamoring to lift restrictio­ns and move closer to something resembling normality, Ferrer emphasized that circumstan­ces remain far from that.

“There are ways for us to actually do activities that we love, but we have to do them differentl­y than we’ve done them in the past, and we have to be mindful that we are living through a pandemic,” she said. “There’s nothing normal about this. This is a very dangerous virus that can infect lots of people very rapidly.”

L. A. is one of 10 California counties in the most restrictiv­e reopening tier; the others are San Bernardino, Imperial, Tulare, Monterey, Madera, Sonoma, Mendocino, Glenn and Tehama. Officials recently cautioned that the case rate for San Diego County is trending in the wrong direction — putting it at risk of backslidin­g into the category too.

“We must bring our numbers down, and the only way to do that is to limit our contact with people outside our households,” Dr. Wilma Wooten, the San Diego County public health officer, said in a statement. “San Diegans who need to be out in public should wear a mask and maintain their distance from people outside their household. Avoid large crowds or gatherings to prevent getting or passing the virus.”

The state will update its tier assignment­s Tuesday.

With the pandemic still far from over, some have cast their gaze toward a hopeful horizon: the potential that a vaccine could be publicly available before the end of the year.

But Newsom on Monday dismissed the idea of a quick rollout, saying that supplies of any vaccine will be limited to start and that deploying doses to millions of residents throughout the state and nation will present significan­t logistical hurdles that will take time to clear.

“Don’t anticipate or expect that you can go down to the local pharmacy any time in this calendar year and likely get a vaccinatio­n,” he said. “We hope that’s the case, but based upon all the evidence, all the data that we have been provided ... it is simply unrealisti­c to expect that. These limited doses will be for a limited number of people, and we don’t anticipate mass availabili­ty until 2021.

“The question for all of us: Is that the f irst quarter, second or third quarter of 2021?”

 ?? JESSICA GARCIA Mel Melcon Los Angeles Times ?? administer­s a swab test for the coronaviru­s to Laura Duggan in Calabasas. Gov. Gavin Newsom warned California­ns on Monday about the dangers of gathering during the holiday season.
JESSICA GARCIA Mel Melcon Los Angeles Times administer­s a swab test for the coronaviru­s to Laura Duggan in Calabasas. Gov. Gavin Newsom warned California­ns on Monday about the dangers of gathering during the holiday season.

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