San Francisco Chronicle

State orders curfew amid soaring cases

10 p. m. 5 a. m. rule affects 6 Bay Area counties

- By Al Saracevic and Catherine Ho

California Gov. Gavin Newsom announced a stayathome order Thursday that will require nonessenti­al work and gatherings to stop between 10 p. m. and 5 a. m. in counties with high rates of coronaviru­s transmissi­on.

The order is slated to take effect Saturday at 10 p. m. for one month. It will apply to counties in the purple tier of the state’s reopening structure.

“The virus is spreading at a pace we haven’t seen since the start of this pandemic and the next several days and weeks will be critical to stop the surge,” Newsom said in a statement. “It is crucial that we act to decrease transmissi­on and slow hospitaliz­ations before the death count surges. We’ve done it before and we must do it again.”

In the Bay Area, the order will apply to the six counties that are currently in the purple tier, which are Sonoma, Napa, Solano, Contra Costa, Alameda and Santa Clara counties. The remaining three — San Mateo, Marin and San Francisco counties — are in the red tier.

Essential activities, such as going to the grocery store, picking up a takeout order or walking one’s dog will be allowed during the overnight curfew, said Dr. Mark Ghaly, secretary of the California Department of Health and Human Services. People going to and from essential jobs, including in health care and critical infrastruc­ture, will be allowed.

Ghaly said the order is enforceabl­e by the counties, but it’s unclear whether people or businesses violating the order will be fined or cited. Ghaly said the intention is not to target individual­s who may be returning home from a nonessenti­al gathering during the holidays, for example, who may be out slightly past 10 p. m. The order will mean that in counties in the purple tier, outdoor dining and bars should stop services at 10 p. m., Ghaly said.

The announceme­nt comes amid soaring infections, rising hospitaliz­ations and a looming holiday that has the nation on edge. Earlier in the day, the Centers for Disease Control and Prevention held a rare news conference to announce new guidelines recommendi­ng against holiday travel.

Statewide, California is seeing a recordhigh rate of new daily cases, averaging more than 10,000 cases per day over a sevenday period ending Wednesday. And the test positivity rate has increased from 3.3% in the 14 days leading up to Nov. 5 to 5% over the past two weeks, indicating that spread is quickly accelerati­ng.

Hospitaliz­ations in California have nearly doubled, from about 2,300 one month ago to 4,500 as of Wednesday, according to state data.

Experts say the science behind curfews during a pandemic is relatively scant. One French study found that a curfew that began Oct. 30 decreased spread among people older than 60, but did not impact spread among younger people.

“As far as I know the disease is just as deadly between 10 a. m. to 5 p. m. as it is from 10 p. m. to 5 a. m.,” San Mateo County Supervisor David Canepa said in a statement. “So, I cannot support this tactic since there is no scientific evidence that shows a curfew works. Stick to the science and wear your damn masks. The rules should be the same night or day. Period.”

While the Bay Area has fared better than most major U. S. metropolit­an areas, the region is seeing some concerning spikes that recently prompted local health officials to strongly urge residents against traveling for the Thanksgivi­ng holiday. On Thursday, officials with the CDC joined in that plea, holding a rare news conference to announce new guidelines recommendi­ng against holiday travel.

The nine Bay Area counties averaged more than 1,000 new cases per day last week, an increase of 36% over the previous week. Before recording 1,342 cases last Monday, it had been 67 days since the Bay Area reached 1,000 in a single day. For the week that ended Nov. 1, the average was less than 540 new cases per day. The average number of new cases per day in November has been 885 compared with 480 in October, which is nearly an 85% increase.

“We’re alarmed with the exponentia­l increase in cases, hospitaliz­ations and deaths,” CDC COVID19 Incident Manager Henry Walke said.

If people travel anyway, they should wear masks, stay 6 feet away from people not in their household, and frequently wash their hands with soap and water, the CDC recommends.

The health agency issued further, detailed guidelines, including the need to stay masked, avoid indoor spaces and retain proper distancing in public.

“I know everybody wants to know what to do for Thanksgivi­ng, and the basic answer — to be the Grinch who stole Thanksgivi­ng — is not to do it,” Dr. George Rutherford, an infectious disease expert at UCSF, told The Chronicle this week.

Public health officials are worried for good reason. Case counts have exploded across the country, particular­ly in the Midwest. That surge is now spreading across the country, even into California, which had managed to keep cases at a relatively stable level for much of the past two months.

But the highly anticipate­d winter surge is clearly spreading the virus now at a rapid pace, most everywhere.

As of Thursday night, more than 1,900 Bay Area residents had died of COVID19, according to county data. Hospitaliz­ations for COVID19 across the Bay Area have increased 69% since the beginning of November. Nearly 500 people with COVID19 were hospitaliz­ed in the region as of Wednesday — the highest number since midSeptemb­er.

Nationally, the United States has reported more deaths ( more than 252,000) and cases ( more than 11.7 million) than any other country in the world, by a wide margin.

COVID19 deaths across the country are expected to increase in the coming weeks, with 7,300 to 16,000 fatalities likely to be reported in the week ending Dec. 12, the CDC said Thursday. The agency’s compilatio­n of national models predicts that a total of 276,000 to 298,000 COVID19 deaths, counted since the start of the pandemic, will be recorded in the U. S. by that date.

Despite those stark numbers, the politiciza­tion of the disease remains evident across the country, with some people downplayin­g its danger.

Dr. Anthony Fauci, the nation’s top infectious disease expert, said his frustratio­n “borders on pain” that people deny the hard facts of the virus surge worsening across the nation.

“Flu doesn’t even come close” to the more than 250,000 U. S. COVID19 deaths so far, he said; the United States typically reports roughly 40,000 flu deaths each year. “Either people don’t want to look at the data or they look at the data and they say it’s fake. No, it isn’t fake. … This is a global issue,” he said in a USA Today interview. “I mean, let’s go, folks. What about that don’t you understand?”

Without mentioning President Trump, who downplays the virus, Fauci said, “Enough is enough with this political divisivene­ss, with this claiming that people are making things up. Get rid of these ridiculous conspiracy theories and realize this is a public health crisis.”

Fauci said there’s no need to “shut down as a nation” but people need to get on board with wearing masks and following distancing and refrain from gathering indoors.

Despite all the warnings, many Americans are still planning to get together with family over the Thanksgivi­ng holiday. Some believe getting tested will help them stay safe, although most public health officials say the lag times between testing and results make this strategy an inexact science and a bad practice.

Those seeking coronaviru­s tests ahead of holiday travel are experienci­ng lengthier lines, including in parts of the Bay Area. Longer waiting times for results complicate efforts to slow the pandemic as people try to get tested ahead of family gatherings. Testing sites from New York to Wisconsin to Oregon are reporting lines stretching three to four hours, with results taking as long as five days, the Washington Post reports.

The nation is seeing something of a “split screen” with the virus, with increasing­ly grim news of deaths and hospitaliz­ations happening at the same time promising developmen­ts in vaccines and treatments are emerging, Dr. Robert Wachter, chair of the UCSF Department of Medicine, said during a virtual meeting Thursday.

“We’re seeing a horror movie of epic proportion­s, of a quartermil­lion dead in the U. S., hospitals filling up and some beginning to become overwhelme­d,” he said. “One half of the split screen is incredibly distressin­g, and the other half feels like a rom com.”

The recent news that two experiment­al coronaviru­s vaccines are more than 90% effective, according to early data announced by the vaccine developers Pfizer and Moderna, is “quite remarkable, almost beyond the dreams we might’ve had a few months ago,” he said.

 ?? Jessica Christian / The Chronicle ?? Workers Alexis Balomaga ( left), Anita Eng and Patricia Ruiz direct cars between administer­ing nose swabs for coronaviru­s tests at the Alemany Farmers’ Market in San Francisco.
Jessica Christian / The Chronicle Workers Alexis Balomaga ( left), Anita Eng and Patricia Ruiz direct cars between administer­ing nose swabs for coronaviru­s tests at the Alemany Farmers’ Market in San Francisco.

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