Los Angeles Times

West Coast bears brunt of outbreak

New COVID-19 cases in Northern California bring the total in the state to nearly 50.

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New cases of coronaviru­s in Northern California bring the total in the state to nearly 50 people.

Several California counties reported new coronaviru­s cases Monday, as the nation’s death toll from the virus rose and the West Coast continued to bear the brunt of illnesses in the United States.

Washington state officials confirmed Monday that six people have died from the disease known as COVID-19, most of whom were linked to a nursing home outbreak in a Seattle suburb. No deaths have been reported elsewhere in the U.S. Nationwide, about 100 people have been infected with the virus.

At least five Northern California counties reported new cases of COVID-19, bringing the total in California to nearly 50. Sonoma County declared a state of emergency in response to the outbreak.

Though the flurry of positive test results in recent days does reveal the virus is circulatin­g within the United States, experts advised the public to avoid reading too much into those numbers.

Until late last week, federal officials were not allowing widespread testing for the virus, so many people who were already sick are only now being diagnosed, Harvard epidemiolo­gy professor Marc Lipsitch said.

“Some of the numbers are changing because new things are happening, but a lot of the numbers are changing because we’re discoverin­g things that have already happened,” Lipsitch said in a forum Monday hosted by Harvard’s public health school. “It’s really important to distinguis­h ‘Oh, goodness, there’s a new cluster’ from ‘Oh, goodness, we just discovered that there’s a cluster that’s been there for some time.’ ”

Worldwide, more than

90,000 people have been infected and 3,000 have died from the virus that originated in China late last year. However, World Health Organizati­on officials declined to declare the outbreak a pandemic on Monday because they said the virus was still severely affecting only a handful of countries.

Despite growing case counts in some parts of the world, there is still an opportunit­y to contain the virus, World Health Organizati­on Director-General Tedros Adhanom Ghebreyesu­s said.

“Our message to all countries is this is not a one-way street — we can push this back,” Tedros said. “Our actions now will determine the course of this outbreak.”

Sonoma County declared a public health emergency after announcing two people had been diagnosed with the virus. One infected person returned from a cruise to Mexico 10 days ago and is hospitaliz­ed, but the case “is a cause for concern,” said county health officer Dr. Celeste Philip.

Declaring a state of emergency will allow the county to respond properly to the outbreak as well as “work in tandem with our cities and healthcare providers to ensure we are prepared to combat an outbreak of COVID-19 in our communitie­s,” Philip said in a statement.

Meanwhile, two new COVID-19 cases were reported in Santa Clara County, bringing its total to nine, the most of any California county. Both individual­s are under home isolation, officials said.

Many initial reports of COVID-19 have been in healthcare workers, who are among the most likely to encounter sick patients. Hundreds of healthcare workers in California have already been asked to stay home because of contact with patients diagnosed with the disease in the last few weeks.

On Monday, Placer County reported a confirmed case of COVID-19 in a healthcare worker at NorthBay VacaValley Hospital in Vacaville, where a COVID-19 patient had been admitted. County spokeswoma­n Katie Combs Prichard said the medical worker came into contact with that patient and was likely infected by her.

Strategies such as quarantini­ng people who may have been exposed to a virus can help stop it from spreading, experts say. The World Health Organizati­on said the COVID-19 virus is unusual because though it is a respirator­y pathogen that can spread widely in the community, it also appears possible to contain.

The flu cannot be as easily contained, said Mike Ryan, who runs the agency’s emergencie­s program.

“That offers us a glimmer, a chink of life that this virus can be suppressed and contained,” Ryan said at a briefing Monday.

In Orange County, firefighte­rs from Engine Co. 20 have been placed in isolation “out of an abundance of caution” after they encountere­d a patient who had traveled internatio­nally and was showing symptoms similar to coronaviru­s, authoritie­s said Monday.

The crew members, who were placed in isolation Saturday, will remain at a fire station in Irvine until the patient’s test results come back, said Colleen Windsor, the Orange County Fire Authority’s director of communicat­ions.

This isn’t the first time first responders have been exposed to the disease. In Seattle, more than 25 firefighte­rs have been quarantine­d after visiting a nursing home that is at the center of a coronaviru­s outbreak, according to the Internatio­nal Assn. of Fire Fighters.

Paul Biddinger, director of emergency preparedne­ss research at Harvard’s public health school, said that first responders such as firefighte­rs need to remember to take basic measures such as washing their hands and avoiding touching their face.

“I understand when you’re out on an ambulance how hard it is to talk about hand hygiene or protection, but it’s extremely important,” Biddinger said during the Harvard forum.

Biddinger, who said he began his career working in emergency medical services, said protocols for when to wear a mask or a gown will vary depending on where people are based. Local health officials need to collaborat­e with firefighte­rs and other first responders to determine when donning such gear is appropriat­e, he said.

 ?? David Ryder Getty Images By Colleen Shalby, Hannah Fry and Soumya Karlamangl­a ?? HEALTHCARE WORKERS load a patient into an ambulance at Life Care Center in Kirkland, Wash. Six people in the state have died from the coronaviru­s.
David Ryder Getty Images By Colleen Shalby, Hannah Fry and Soumya Karlamangl­a HEALTHCARE WORKERS load a patient into an ambulance at Life Care Center in Kirkland, Wash. Six people in the state have died from the coronaviru­s.
 ?? Jason Armond Los Angeles TImes ?? A PEDESTRIAN wears a protective mask near 7th and Figueroa streets in downtown L.A. Many initial reports of COVID-19 have been in healthcare workers, who are among the most likely to encounter sick patients.
Jason Armond Los Angeles TImes A PEDESTRIAN wears a protective mask near 7th and Figueroa streets in downtown L.A. Many initial reports of COVID-19 have been in healthcare workers, who are among the most likely to encounter sick patients.

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