COVID cases dip in state; more in hospitals
For the first time since July, California hospitals have topped daily totals of 5,000 patients with COVID, an alarming sign as cases continue to spike from Thanksgiving with the next round of holiday gatherings on the horizon.
Hospitalizations are one of the most significant indicators of the virus’ impact, because fewer people are reporting positive tests in this third winter of the pandemic. Across the Golden State, hospitals are now just a few dozen beds shy of the peak of 5,181 from this summer’s surge, despite the official COVID case rate registering at just half of this summer’s peak.
But with cases continuing to rise, hospitals are bracing for a further influx of new patients — and not just from COVID. Hospitals also are dealing with one of the worst flu seasons in five years, and the respiratory illness RSV has been overwhelming pediatric wards.
“Last year we were dealing with an explosion of one disease,” said Dr. John Swartzberg, clinical professor emeritus of infectious diseases and vaccinology at UC Berkeley’s School of Public Health. “This year we’re dealing with a surge of three.”
Swartzberg said hospitals already are stressed, “and we have not yet seen the full effect of Thanksgiving, we haven’t seen any effect of the Christmas parties, much less Christmas, much less the New Year.” He thinks it is “highly likely” hospitalizations will continue to rise over the course of the month, and influenza hospitalizations are rising quickly, too.
Public health professionals in Santa Cruz County have also been sounding the alarm as its hospitals are experiencing a “surge” of patients with respiratory illness in recent weeks, including COVID-19.
As of Dec. 8, there were 27 hospitalized patients in the county that were COVID-19 positive, according to state hospitalization data. That number was as high as 36 less than a week ago and matches levels that haven’t been seen since the surge last summer.
On Thursday, much of California entered the CDC’s high transmission level for COVID-19. Now, all of the Bay Area, the Central Valley and Southern California have reached that level. In addition, eight of the 58 counties — Santa Clara, San Benito, Santa Cruz, Tuolumne, Kings, Los Angeles, San Bernardino and Imperial — are in the high community risk level, which reflects the COVID-19 impact on local hospitals. L.A. reached a benchmark that could trigger a return to an indoor mask mandate. Other counties have not considered a return to masking yet.
The good news: Three years in, and the pandemic hasn’t ended, but the risk of getting severely ill and dying from a COVID infection has dropped dramatically, thanks to vaccinations and therapeutics.
So why are more patients ending up in the hospital now?
The real culprit? There’s a lot of COVID out there, even though the state’s official case rates don’t fully reflect it.
“We were counting better this summer,” Swartzberg said, but now we are catching fewer real-life COVID cases in our official COVID counts. That’s happening primarily because of the prevalence of home testing, which rarely gets reported to tracking agencies.
Even so, the official tallies say that cases across California have nearly tripled since late October, with the case rate topping 22 daily cases per 100,000 residents last week, according to Thursday’s update by California Department of Public Health.
Amid the surge, public health officials have been encouraging people to get the most recent COVID booster and to get their annual flu shots. The Food and Drug Administration on Thursday authorized both the Pfizer and Moderna COVID-19 booster shot updated for omicron variants of the virus for children as young as 6 months, paving the way for the shots to be available to infants, toddlers and preschoolers if the Centers for Disease Control and Preventions recommends them.