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State extends stay-at-home order in Southern California


#Southern #California will remain under a stay-at-home order from the state, as another holiday-induced surge is expected to further overwhelm the region’s healthcare systems in early #January.

The extension of the order means that all businesses, aside from critical infrastructure and retail, will remain closed and restaurants will only be able to serve food for pickup or delivery. #No deadline has been set for its lifting; #That depends on whether the region can recover from a crisis in intensive care beds.

#In his weekly update from the #California #Health and #Human #Services #Agency on hospital capacity and the COVID-19 situation in every county in the state, #Secretary #Dr. #Mark #Ghaly urged the community to avoid unsafe gathering to celebrate #New #Years #Eve.

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“#This concept of a wave upon a wave – or exposure upon exposure – is real,” #Ghaly said. “The #Christmas gatherings and infection are amplified a little more exponentially in the #New #Years celebrations, and we could see the worst in early #January, and frankly, many of the hospital leaders that I have spoken to in southern #California is preparing for exactly that. “

#His request comes in light of concerns about the growing spread in the community, as well as the increased risk of travel at celebrations, where some may have contracted the virus at a #Christmas gathering before unknowingly transmitting it to others this coming #Weekend.

#At this time, most hospitals in the state are operating under contingency standards rather than the conventional or usual level of care.

#This means that post and preoperative beds are being used to care for coronavirus patients; single rooms can be converted into doubles; staff are working longer shifts, often under new settings or supervision; and supplies are being conserved or reused when they would normally only be used once. #Care can also be delayed, as in the case of the ambulance diversion that occurred in #San #Diego #County this month.

#Like a rubber band, hospital care can only be stretched to the breaking point, #Ghaly said, and medical care could become a crisis zone. #If that happens, patients can be cared for on cots instead of beds, supplies and therapies can be rationed, and doctors will have to make tough decisions.

“There may be situations where staffing is very limited and not all patients receive the level of care that we expect them to receive in conventional or contingency care situations,” said #Ghaly. “#For crisis levels of care, you may have to do a triage of medical care, decide how other scarce resources are going to be used.”

The state is trying to do everything it can to prevent hospitals from falling into crisis care mode, but it is still possible that it will happen before the pandemic ends.

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#California #Department of #Aging #Director #Kim #McCoy #Wade said medical decisions cannot be based on anything other than the probability of short-term survival. #That means that care decisions cannot be based on a myriad of issues such as race, gender, age, immigration status, chronic medical decisions, or insurance status, among other things.

The decision to keep #Southern #California under the state’s stay-at-home order is due in large part to an expected increase in holidays as hospitals continue to see an increase in hospitalizations and the need for beds in nursing homes. intensive (ICU). The state’s decision is made based on its four-week projection, which considers current ICU bed capacity, 7-day case average, transmission rate, and ICU admissions rate.

ICU capacity for both the #Southern #California region that includes #San #Diego #County and the #San #Joaquin region is at zero percent. #Although not all beds within those regions are occupied, when ICU capacity for COVID-19 patients exceeds 30 percent, the facility is considered poorly prepared to serve those who need urgent and emergency care for trauma problems such as heart attacks and strokes.

“#We must continue to work to make sure that hospitals have the opportunity to provide that care to all #Californians who need it,” #Ghaly said.

#Regions will not be released from state stay-at-home restrictions until ICU bed capacity reaches or exceeds 15 percent.

The state also announced #Tuesday that #Humboldt #County is moving from purple or more restrictive level to red or second most restrictive level. There are still 54 at the purple state level, three at red, and one at orange.

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#San #Diego #County reported 2,534 new cases of the virus #Tuesday, an increase of 44.7 percent compared to #Monday’s report of 1,751 new cases. The report also shows that there were 44 new hospital admissions and 11 new ICU admissions on #Monday. #This brings the total number of coronavirus hospitalizations to 1,562 with 388 patients in the county’s ICU beds.

#So far, 1,435 people have died from the new coronavirus in #San #Diego #County, including the 31 new cases reported #Monday.

#In the past seven days, there have been 57 confirmed community outbreaks in the county.





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https://www.sandiegouniontribune.com/en-espanol/noticias/salud/articulo/2020-12-30/el-estado-extiende-el-orden-para-quedarse-en-casa-en-el-sur-de-california

##State #extends #stayathome #order ##Southern ##California

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