San Francisco Chronicle

Fall surge: California cases rise as U. S. tops 10 million

- By Peter Fimrite

The predicted fall surge in coronaviru­s infections is sweeping across the United States, topping 10 million total cases on Monday with almost a million California­ns getting sick since the pandemic began. Infections also appear to be rising even in the comparativ­ely composed Bay Area.

More than 237,000 of the 10 million infected Americans have died from COVID19 since the pandemic began. In California, the infection rate over the past two weeks went up 7.4% compared with the previous 14 days.

“This has to be concerning,” said Dr. George Rutherford, a UCSF epidemiolo­gist. “California is starting to look like the rest of the country when things took off in midSeptemb­er.”

In recent weeks and months, the Bay Area and

California have fared better than the rest of the country, which experience­d a huge uptick in coronaviru­s cases leading up to the presidenti­al election. With President Trump all but ignoring the crisis, the disease has been spreading almost unchecked throughout the country, according to health officials.

Since Nov. 1, almost 95,000 new cases have been recorded every day in the United States. That’s almost 20,000 more than the highest singleday total recorded during the summer surge. Daily infections have increased more than 60% in the past two weeks, said researcher­s at Johns Hopkins University.

Deaths nationwide have increased 18% over the past two weeks.

New coronaviru­s cases have also increased in California, albeit at a slower rate than the country as a whole. The state’s sevenday average for new cases has increased to 5,889, from 4,471 a week ago. That’s a 4.1% increase over the previous week, according to California health department officials.

In California, cases are rising fastest in Southern California, but all nine Bay Area counties had more cases in the past seven days than in the prior seven days.

Gov. Gavin Newsom said during a news conference Monday that there has also been a 28.6% increase in hospitaliz­ations and a 27.3% increase in intensive care admissions in the state over the past two weeks.

He said the real measure, though, is the positivity rate, which is the proportion of people tested who actually have the virus. It was 3.7% over the past 14 days compared with 2.5% on Oct. 19.

“In the past threeplus weeks we've seen not just the number of infected people go up, but the positivity rate go up,” Newsom said, adding that the state still has plenty of available beds, ventilator­s and staff available to handle the influx. “Obviously, its sobering, these numbers.”

The Bay Area has averaged more than 700 cases per day since Thursday. That’s compared with 529 per day for the past two months. Santa Clara

County appears to have caught the brunt of the surge, recording 358 new COVID19 cases on Sunday, second to its record of 385 cases reported on July 15.

The case load in Santa Clara, the Bay Area county hit hardest early in the pandemic, is a warning sign for Northern California. The county’s number of COVID19 cases is up 8.8% over the past 14 days. There have been 42 deaths, a 10.8% increase over the previous 14 days. Hospitaliz­ations in the county rose nearly 10% on Sunday alone.

“This surge in COVID19 cases is not what we want to see going into the fall and winter holiday season,” said Dr. Sara Cody, director of public health for Santa Clara County. “These trends serve as a stark reminder that COVID19 is all around us. Each and every one of us needs to redouble our efforts to keep our community safe.”

Rutherford said the sudden increase in the Bay Area may be an outgrowth of the national surge, with business travelers and vacationer­s spreading it around. Or it could just be what will happen whenever rules are relaxed.

“I could say the weather’s getting colder, but today’s the first day it’s been really cold,” said Rutherford, referring to the fact that winter temperatur­es tend to drive people indoors where the virus can spread more readily. “It may be partially this is some of the cost of reopening.”

In all, there have been 982,405 cases in California, including 18,005 deaths, since the pandemic began. In the Bay Area, there have been 125,192 cases, including at least 241 recorded on Monday. More than 1,842 California­ns have died since the virus was first detected.

Newsom attributed the sharp increase in coronaviru­s cases to people letting their guard down, being haphazard about wearing masks and lightening up on the social distancing.

“You’ve got to be careful,” Newsom said. “You've got to protect yourself and your loved ones.”

The governor suggested that several rural counties, including Shasta, Mono, Alpine and Kings counties, could be moved to more stringent tier under California’s system, which allows counties with lower coronaviru­s rates to reopen sectors of their economy more quickly.

Increased vigilance is necessary, Newsom said, because “a vaccine will come, but it will not come soon enough.” He said widespread public inoculatio­ns are unlikely until “well into the next year.”

 ?? Amy Osborne / Special to The Chronicle ?? People pass a coronaviru­s mural at Sutter Pacific Medical Foundation on Valencia Street in S. F. last month. All Bay Area counties’ infections rates are climbing.
Amy Osborne / Special to The Chronicle People pass a coronaviru­s mural at Sutter Pacific Medical Foundation on Valencia Street in S. F. last month. All Bay Area counties’ infections rates are climbing.
 ?? Paul Chinn / The Chronicle ?? A health care worker collects a sample from a resident for a coronaviru­s test at the Roots Community Health Center in Oakland in August. Cases in the Bay Area rose this week.
Paul Chinn / The Chronicle A health care worker collects a sample from a resident for a coronaviru­s test at the Roots Community Health Center in Oakland in August. Cases in the Bay Area rose this week.

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