Milwaukee Journal Sentinel

California marks 2 million virus cases

- John Antczak and Don Thompson

LOS ANGELES – California became the first state to record 2 million confirmed coronaviru­s cases, reaching the milestone on Christmas Eve as nearly the entire state was under a strict stayat-home order and hospitals were flooded with the largest crush of cases since the pandemic began.

A tally by Johns Hopkins University showed the nation’s most populous state has recorded 2,010,157 infections since January. At least 23,635 people have died from the virus.

The first COVID-19 case in California was confirmed Jan. 25. It took 292 days to get to 1 million infections on Nov. 11. Just 44 days later, the number topped 2 million.

The California Department of Public Health separately tallied 2,003,146 cases, a one-day bump of 39,070 infections but down from the one-day peak of nearly 54,000 cases at midmonth. The state’s death toll climbed by 351, also down from the record high set last week. Another 427 people were hospitaliz­ed, raising the total to 18,875. The 3,962 in intensive care units was a record high, as is the number of those hospitaliz­ed.

California’s infection rate – in terms of the number of cases per 100,000 people – is lower than the U.S. average. But its nearly 40 million residents mean the outbreak outpaces other states in sheer numbers.

The grim milestone comes as the COVID-19 crisis strains the state’s medical system well beyond its normal capacity, prompting hospitals to put emergency room patients in tents and treat others in offices and auditorium­s, while filling many of its intensive care units to overflowing.

“In most hospitals about half of all of the beds are filled with COVID patients and half of all the ICU beds are filled with COVID patients, and twothirds of these patients are suffocating due to the inflammation that’s in their lungs that’s caused by the virus,” said Dr. Christina Ghaly, director of the Los Angeles County Department of Health Services.

“They’re suffocating to the point that they can no longer breathe on their own, and they have to have someone put a tube down their throat, in order to oxygenate their organs. Many of these people will not live to be in 2021.”

The state has seen its number of cases climb exponentia­lly in recent weeks, fueled largely by people who ignored warnings and held traditiona­l Thanksgivi­ng gatherings, health officials say.

The milestone prompted new warnings that the state’s medical system will be overwhelme­d and unable to provide proper care if people ignore increasing­ly urgent warnings to avoid gathering for the holidays, or at least take precaution­s like meeting outside in masks and at a safe distance, or opening windows and turning on fans if they meet indoors.

“Two million COVID-19 cases in California is a regrettabl­e milestone, and it means that thousands of California­ns will spend this holiday season in a hospital,” said Carmela Coyle, president and CEO of the California Hospital Associatio­n. “On Christmas Eve, California­ns can still make a choice to avoid unnecessar­y travel and gatherings on Christmas Day. We all must do what we can to slow the relentless spread of this virus.”

In a rare ray of hope, a statistica­l model that state officials have been using to project hospitaliz­ations predicts more than 71,000 patients in one month’s time – still an unsustaina­ble four times the current number of patients but roughly 40,000 fewer than the same model had been projecting just days ago.

The transmissi­on rate – the number of people that one infected person will in turn infect – has been slowing for nearly two weeks, and it is nearing the point that would bring fewer infections from each person who contracts the virus.

In addition, the rate of positive cases reached a new high of 12.4% over a twoweek period, but it was starting to trend downward over the last seven days from a peak of 13.3% to 12.6%. The seven day rate was 12.1% on Thursday.

Gov. Gavin Newsom on Wednesday called the slowing growth rates “a modest indication of a possible sign of some good news.” He credited stay-home orders for nearly the entire state that imposed an overnight curfew, shuttered many businesses and restricted most retail to 20% capacity. Restaurant­s may only serve takeout.

Pleas to avoid social gatherings for the Christmas and New Year’s holidays rang with special desperatio­n in Southern California. Los Angeles County is leading the surge, accounting for onethird of the state’s COVID-19 cases and nearly 40% of deaths.

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