San Antonio Express-News

Facing unpreceden­ted caseloads, California sees a two-day record of coronaviru­s deaths

- By Christophe­r Weber and Don Thompson

LOS ANGELES — California health authoritie­s reported Thursday a record two-day total of 1,042 coronaviru­s deaths as many hospitals strain under unpreceden­ted caseloads

The state Department of Public Health’s website listed 583 new deaths, a day after 459 deaths. The previous two-day record total was 1,013 deaths at the end of December.

California’s death toll since the start of the pandemic rose to 28,045.

The state’s hospitals are trying to prepare for the possibilit­y that they may have to ration care for lack of staff and beds — and hoping they don’t have to make that choice.

California avoided surging cases for months, but now the virus is raging out of control there and across the nation in the wake of Thanksgivi­ng holiday gatherings that authoritie­s say vastly spread infections. Only Arizona tops California in cases per resident.

A travel advisory issued Wednesday “strongly discourage­d” people from out of state from entering California. It also said California­ns should avoid traveling more than 120 miles from home except for essential purposes.

California this week ordered hospitals in the hardest-hit areas to delay many elective surgeries.

In Los Angeles County, Methodist Hospital of Southern California convened an in-house triage team that makes daily evaluation­s “about the severity of critically ill patients that allows us to distribute resources to those who need it the most,” chief strategy officer Cliff Daniels said.

The hospital isn’t rationing care “and we hope we don’t get there,” Daniels said.

However, guidelines posted on the hospital’s website warn: “If a patient becomes extremely ill and very unlikely to survive their illness (even with life-saving treatment), then certain resources … may be allocated to another patient who is more likely to survive.”

Los Angeles County, the nation’s most populous with 10 million residents, is one of nearly two dozen in Southern California and the agricultur­al Central Valley that have essentiall­y run out of intensive care unit beds.

Health officials warned Wednesday that hospitaliz­ations will continue for at least the next three weeks as people who ignored social distancing rules to gather for Christmas and New Year’s Eve fall ill.

More than a quarter-million new weekly cases portended a continued overwhelmi­ng crush.

Vaccinatio­ns being administer­ed at what Gov. Gavin Newsom has said is too slow a pace will take weeks or months to slow the spread.

“The numbers are extraordin­ary,” said Carmela Coyle, president and CEO of the California Hospital Associatio­n. “We’re not going to dodge this math. We need the state’s help.”

 ?? Mario Tama / Getty Images ?? Patients lie on stretchers in a hallway Tuesday in the overloaded Providence St. Mary Medical Center in Apple Valley amid a surge in COVID-19 cases traced to holiday gatherings. Hospitals hope to avoid rationing care to patients more likely to survive.
Mario Tama / Getty Images Patients lie on stretchers in a hallway Tuesday in the overloaded Providence St. Mary Medical Center in Apple Valley amid a surge in COVID-19 cases traced to holiday gatherings. Hospitals hope to avoid rationing care to patients more likely to survive.

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