San Francisco Chronicle

State looks for answers as new cases keep rising

- By Catherine Ho and Alexei Koseff

Coronaviru­s infections and hospitaliz­ations continued to climb in California and many parts of the Bay Area over the weekend, as the state that found early success in containing the virus is now scrambling to tamp down outbreaks in prisons and spiking new cases among young people.

Statewide, the average number of new cases per day doubled from just under 2,000 in May to 4,000 in June. That number jumped to a daily average of 6,700 new cases the first four days of July alone, according to Chronicle data.

“The damage that COVID19 can do — this pandemic — is still in front of us,” Gov. Gavin Newsom said Monday. “It continues to spread at rates we have not experience­d here in

the state of California since the beginning of this pandemic.”

The number of people hospitaliz­ed with COVID19 in California hit a record high, 5,690, for the 17th consecutiv­e day. As of July 5, according to Chronicle data, the Bay Area had 494 patients hospitaliz­ed, down from its alltime high of 508 on July 3. Prior to the recent spike in cases, the Bay Area had reached a high of 471 hospitaliz­ations on April 7.

The rate of positive tests has also climbed to 6.8% — up from 5.6% last week. It had been holding steady at 4.9% the previous several weeks, and its steady climb indicates the infection is spreading more quickly now than before.

Deaths, however, are declining statewide and in the Bay Area — from an average of 69 per day in May to 64 per day in June in California. The average number of deaths went from 4.8 to 4.5 in the Bay Area during the same period. That may be because more young people are getting diagnosed and hospitaliz­ed, but the severity of disease among younger patients is not as acute as it is in older patients, Newsom said.

In the Bay Area, the average number of new cases per day spiked 114%, from 182 in May to 390 in June, and 800 the first four days of July. The Bay

Area reported a recordhigh 1,010 new cases Thursday — the first time the region has surpassed 1,000 new cases a day since the pandemic began.

As of Monday evening, there were 2.9 million confirmed cases in the United States, including 130,284 deaths. California reported 273,482 cases, including 6,456 deaths.

Much of the recent increase has come from large clusters of infections at prisons and nursing homes, as well as community transmissi­on among members of the public as counties have reopened restaurant­s and businesses over the last several weeks.

Marin County on Sunday said it will suspend indoor dining for at least three weeks, after previously allowing it. Marin is one of 23 counties on a state watch list of counties that are showing warning signs of coronaviru­s spreading at concerning rates.

The outbreak at San Quentin State Prison in Marin County, where nearly 1,400 inmates have tested positive for the coronaviru­s, is putting new strain on hospitals that are admitting the patients — in particular at nearby Marin General, Newsom said. The prison is now also sending inmates to Saint Francis Memorial Hospital in San Francisco and Seton Medical Center in Daly City so those hospitals can help share the responsibi­lity of caring for the patients, Newsom said.

The San Quentin outbreak accounts for more than half of the 2,445 cases that have emerged inside state prisons.

The state over the weekend rejected Santa Clara County’s applicatio­n to move faster toward reopening. A July 2 county order that allows some activities to resume — including outdoor gatherings of up to 60 people and indoor gatherings of up to 20 people, with some restrictio­ns — is scheduled to take effect on July 13 or when the county gets state approval, whichever date comes later.

Over the holiday weekend, state regulators visited nearly 6,000 bars and restaurant­s and issued just 52 citations for violations of coronaviru­s safety guidelines. Newsom said it was an encouragin­g sign that most California­ns are doing the right thing as the state struggles to reopen amid a surging caseload.

After ordering bars and indoor dining closed in most of the state last week, Newsom said that agents with the Department of Alcohol Beverage Control stepped up their enforcemen­t during the Fourth of July weekend out of concern that more people would be out celebratin­g and visited 5,986 businesses between Thursday and Sunday.

The governor said his administra­tion sent enforcemen­t teams to six key regions across the state with known violators or highrisk workplaces, though he did not specify where those were. He said the effort was more about educat

“The damage that COVID19 can do — this pandemic — is still in front of us.”

Gov. Gavin Newsom

ing business owners, and state regulators cited only those who were unwilling or unable to make changes to their operations.

“There were only a handful of citations because the overwhelmi­ng majority of people were doing the right thing,” Newsom said at a news conference. “I was very encouraged by the team that came back and said that even if people were out of compliance, the engagement got people back into compliance very quickly.”

California is trying to control a coronaviru­s outbreak that has taken a turn for the worse in recent weeks, following a loosening of restrictio­ns on businesses and public life.

The state is closely monitoring 23 of California’s 58 counties, including Contra Costa, Marin and Solano in the Bay Area, because of their high rate of new infections, positive tests or increasing hospitaliz­ations. Of the 20 most populous counties in the state, all but five — Alameda, San Francisco, San Mateo, Santa Clara and Sonoma — are on the watch list. Napa County is also not being monitored.

Santa Clara County, which was previously flagged for an accelerati­ng rise in hospitaliz­ations, fell off the list over the weekend. After being removed late last week, Contra Costa County was added back.

Counties that have been on the list for three consecutiv­e days must close bars and indoor dining, wineries, tasting rooms, family entertainm­ent centers, movie theaters, museums, zoos and card rooms for at least three weeks.

 ?? Santiago Mejia / The Chronicle ?? People celebrate the Fourth of July at Dolores Park in San Francisco. The state has averaged 6,700 new virus cases a day for the first four days of July, 800 of them in the Bay Area.
Santiago Mejia / The Chronicle People celebrate the Fourth of July at Dolores Park in San Francisco. The state has averaged 6,700 new virus cases a day for the first four days of July, 800 of them in the Bay Area.
 ?? Preston Gannaway / Special to The Chronicle ?? Revelers float down the Russian River to cool off during the holiday weekend in Forestvill­e in Sonoma County.
Preston Gannaway / Special to The Chronicle Revelers float down the Russian River to cool off during the holiday weekend in Forestvill­e in Sonoma County.

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