California Weighs Order Canceling Elective Surgeries as COVID Cases Surge Across State

As a third of hospitals report critical staffing shortages, California’s health department is considering issuing an order postponing many elective surgeries. Many procedures, including a lung transplant, already have been canceled.

In Los Angeles, a severely ill patient has to wait for a new lung after his transplant, scheduled for last Friday, was canceled.

In San Diego, brain surgery to ease the chronic pain of a 7-year-old girl was called off last week.

In Arcadia, as many as 60 patients will likely have their surgeries canceled this week. In Folsom, at least 11 operations already were scrapped last week. And at one hospital in Anaheim, a patient waited on a gurney for back surgery for three hours before he was sent home because of lack of staff.

Throughout California, as COVID-19 infections deplete their staff of nurses, anesthesiologists and other essential workers, hospitals are canceling or postponing so-called “elective” surgeries to repair injured knees and aching back, remove kidney or bladder stones, and repair cataracts or hernias, among other procedures.

Alarmed by a growing shortage of specialized health care workers, the California Department of Public Health is evaluating whether to issue an order to hospitals statewide to suspend elective surgeries in cases in which patients wouldn’t be immediately harmed.

For now, the decision is voluntary for hospitals. But the state health department’s chief deputy director, Susan Fanelli, told a meeting of county health officers last week, “We know (a directive on elective surgeries) has to be on the table.” Officials with the public health department did not respond to CalMatters’ requests for more information.

“Elective” means a surgery is not an emergency and can be scheduled in advance; it does not mean it’s optional.  Waiting in some cases can be life-threatening.

Hospitals are carefully weighing which surgeries can be delayed, executives say. A cataract surgery or knee replacement might be canceled, for example, but not heart surgery or a breast cancer biopsy.

In response to the shortages, the state health department on Saturday issued controversial new guidance to hospitals and skilled nursing facilities. Workers who are infected with COVID-19 but have no symptoms may immediately return to work without isolation or additional testing. Exposed health care workers may also work. The new guidelines remain in effect until Feb. 1.

Health workers immediately attacked the new policy.

SEIU-United Healthcare Workers member Gabe Montoya, an emergency room technician in Downey, called the policy dangerous and disappointing.”

“No patient wants to be cared for by someone who has COVID-19 or was just exposed to it,” he said.

Many surgeries already scrapped

On Jan.7, a scheduled lung transplant at a University of Southern California hospital had to be delayed for lack of specialized staff, according to Michael Simonton, a USC intensive care unit nurse. Further details were unavailable.

On the same day at a Kaiser Permanente hospital in Anaheim, Joe Sanders, a 74-year-old retiree from La Habra, waited on a gurney for three hours after being prepped for surgery to treat serious lower back pain. He dozed until his surgeon appeared at his bedside.

“I have some bad news for you,” the surgeon told Sanders. There wasn’t enough staff for the operating room so the long-awaited procedure, scheduled two months earlier, would have to be postponed several days, Sanders told CalMatters.

“I was disappointed, my wife and I were looking forward to this. I’m in pain all the time,” Sanders said. “But I knew the pandemic was raging and we hadn’t reached the zenith of this thing. I knew it was going to be touch and go.”

At Methodist Hospital in Arcadia, east of Los Angeles, nearly a tenth of nurses were out sick or isolating last week. Only 17 of its 40 licensed intensive care beds could be staffed – and all of them were full, Clifford Daniels, senior vice president and chief strategy officer, told CalMatters on Friday.

Starting this week, the 348-bed hospital is cancellingl elective procedures such as gallbladder surgeries, joint replacements and colonoscopies, but not cancer treatments, Daniels said.

“We’re using every resource we can possibly find, including traveler and registry nurses at extraordinary costs,” he said.

In the Sacramento region, at least 11 elective procedures at Mercy Hospital of Folsom had to be postponed last week because of staffing shortages, said Dr. Brian Evans, CEO of the Folsom facility and Mercy General Hospital in Sacramento. Evans could not provide details about the types of procedures that will be canceled.

The two hospitals, both owned by Dignity Health, had about 54 patients admitted specifically for COVID-19 on Jan. 7, but “we’re seeing many of our workers and health providers getting sick as well. We expect next week to be worse,” Evans said.

More than twice as many California hospitals reported critical staffing shortages last week than last summer — although not as many as a year ago.

Stanford Medical Center in Palo Alto has about 5% of its total workforce out sick, spokeswoman Julie Greicius said Saturday. “We have seen a doubling of nurses calling off per shift, reporting that they are ill,” Greicius said.

California ranks fifth in the nation in the percentage of hospitals reporting severe labor shortages. Hospitals in Florida, New Jersey and Missouri have canceled surgeries, and Massachusetts state health officials last month directed hospitals to postpone all elective surgeries if they have less than 15% capacity.

A year ago, during the last surge, the state health officer directed hospitals for about one month to cancel certain procedures if their intensive care capacity was less than 10%.

Since then, the highly contagious omicron variant has transformed California’s COVID-19 landscape and hospitals’ decision-making. Omicron appears to cause less severe disease, but it’s more likely to infect vaccinated people than the original novel coronavirus and the delta variant. As a result, even though about 71% of eligible Californians are vaccinated and 38% of them are boosted, more people – including health care workers – are becoming infected, many with mild or no symptoms.

“This is not about beds, this is about the staff to care for the patients in those beds,” said Kiyomi Burchill, group vice president of policy for the California Hospital Association.

Exacerbating the problem: labor strife and an exodus of nurses and other hospital staffers who have quit or retired, citing burnout and lack of protections on the job.

Fanelli told county health officers last week that the state is working on other measures to support hospitals as they cope with yet another surge. The state health department predicts as many as 53,000 hospitalizations a day in the coming weeks.

 A $614 million funding proposal

In response, the state plans to send up to 1,500 health care workers to hospitals with staffing shortages and has stockpiled oxygen, saline and other supplies ahead of the surge. Officials also are working with hospitals to help them adapt spaces to triage patients and more quickly find placements for patients ready to be discharged, she said.

Gov. Gavin Newsom’s new proposed emergency funding package, revealed Saturday, includes $614 million to help hospitals and other health facilities augment their staff.

“The bottom line is that we are worried about the…level of staff infections and the need for isolation and quarantine among the staff,” California Health and Human Services Secretary Dr. Mark Ghaly told reporters last week.

Many hospital emergency rooms also are packed with patients, some of whom arrived for other reasons than COVID-19 but happened to test positive upon arrival. Those patients then have to be isolated to protect other patients and hospital staff.

And intensive care beds already are in short supply around the state.

In 27 counties, fewer than five ICU beds remained available as of Jan. 5, according to state data. Statewide the number of available intensive care beds has dropped by about 10 percent since Jan. 1.

A dearth of COVID tests also means only patients who come to Methodist’s emergency room with COVID-19 symptoms will be tested, Daniels said. Those who aren’t symptomatic who come in for other reasons won’t get a test, and people coming to the ER just for tests will be sent to Los Angeles County testing sites.

Michael Simonton, an intensive care unit nurse at the 60-bed USC Norris Comprehensive Cancer Center in Los Angeles, said he’s been working without breaks and lunches; some of his colleagues are working 18-hour shifts to care for a flood of patients.

“People are having to stay over(time) because there’s no one else to relieve them,” Simonton said.

A member of the California Nurses Association, a union that represents some 1,400 USC nurses, Simonton places some blame on hospital administrators for the staffing shortage.

“This is a crisis that’s basically been manufactured by the hospital,” Simonton said. “They were choosing temp workers rather than investing in (permanent employees) who are committed to their workplace, and now patients are paying the price.”

Barbara Feder Ostro is a reporter with CalMatters. Reporter Kristen Hwang contributed to this story

 

18 Comments

  1. CA, NY = Permanent Pandemic Panic Pushers…
    ..
    Driving some Folks to Hysterical Fear-Mongering.
    ..
    ————— Freedom Vs Oppression… ——————
    ..
    States ranked by COVID-19 death rates:
    Jan. 13, 2022
    Avg Daily COVID-19 Deaths & COVID-19 Deaths per 100,000 over the last 7 days:
    FLORIDA: Deaths per 100K: 0.18 / Daily avg deaths: 39.6
    CAlifornia: Deaths per 100K: 0.23 / Daily avg deaths: 89.7
    NY State: Deaths per 100K: 0.85 / Daily avg deaths: 164.7
    Wash DC: Deaths per 100K: 0.36 / Daily avg deaths: 2.6
    ..
    CA & NY are the most Locked-Down & Mandated states in the nation.
    Washington DC as a “Most Locked-Down” region.
    ————————————————
    Cold-Like Omicron..~ 95% of all detected cases now…
    CDC Walensky – Study Shows:
    “Omicron variant of COVID-19 has a lower risk of severe illness and death compared with the Delta variant.”
    ..
    ————————-
    — “CDC’s Walensky- study shows Omicron has 91% Lower Risk of Death than Delta” (Jan12th 2022 YahooNews) —-

    SOCAL Study: “…noted substantially reduced risk of severe clinical outcomes in patients who are infected with the omicron variant compared with delta.”

    “No patients with Omicron Required Mechanical Ventilation. ”

    “When compared to delta, infections with omicron were associated with:
    – 53% reduction in adjusted risk of Symptomatic Hospitalization
    – 74% reduction in adjusted risk of ICU Admission,
    – 91% reduction in adjusted risk of Mortality…”
    – 70% shorter hospital stay (1.5 days vs 5 days).
    ..
    “…study found that those infected with Omicron who were hospitalized had a Shorter Duration of hospital stay compared to those with Delta.
    ..”…70% shorter, with the median of stays being 1.5 days for omicron compared to about 5 days for delta.”
    ..
    Of “all Omicron hospital admissions, 90% of patients were expected to be discharged from the hospital in 3 days or less. ”
    ..
    “…this study remained consistent with what we are seeing from omicron in other countries, including South Africa & the UK, and provides some understanding of what we can expect over the coming weeks, as cases are predicted to peak in this country.”

  2. Not Him,

    Unfortunately, we have a CONTINUALLY mutating virus, which means you cannot Vaccinate it away. Masks are a means to keep it from spreading if they are used and they are really the right ones. Unfortunately the KN95 masks are not as good as N95 masks and many sold are fake. So, this is not the only tool we have to use. What we need to do is starve the virus to death, which means to cut off ALL infections for at least 6 months WORLDWIDE. But as we have seen we cannot even get the county let alone the world to work as a team, can we?

    Ca Patriot,

    Unfortunately, the report you are quoting is coming from a single hospital, and that news was not PEER REVIEWED to be scientifically significant. But what it did report also was this:

    “The U.S. reported a pandemic record of almost 1.5 million new Covid infections on Monday with an average of about 750,000 new daily infections over the last week, according to CNBC analysis of data compiled by Johns Hopkins University. That compares with a seven-day average of about 252,000 new cases a day a year ago.

    HOSPITALIZATIONS ARE ALSO HIGHER THAN LAST WINTER’S PEAK — BEFORE THE WIDESPREAD DISTRIBUTION OF VACCINES — AND CONTINUE TO RISE. MORE THAN 152,000 PEOPLE IN THE U.S. WERE HOSPITALIZED WITH COVID AS OF WEDNESDAY, UP 18% OVER THE LAST WEEK, ACCORDING TO DATA TRACKED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES.”

    And even though the LA Times reported what you quoted here

    “this study remained consistent with what we are seeing from omicron in other countries, including South Africa & the UK, and provides some understanding of what we can expect over the coming weeks, as cases are predicted to peak in this country”

    This does not mean we have a solid scientific proof of this. “Some understanding” is not scientific proof. Unfortunately, every time anyone indicates that the risk is manageable, you wind up with more infections. In fact EVERY TIME we relax infection controls we have more infections and more variants. But since the human race cannot practice self-discipline, this Pandemic is just one of more that WILL happen and yes, we are going to wind up going extinct because we cannot practice self-control

  3. Lots of asymptomatic and vaccinated people testing positive (difference between infection and disease) are sidelined due to routine and arbitrary testing of low-risk, vaccinated populations. Testing programs continue to cause fear and shut business down, as opposed to keeping them open. Cody stated earlier this week that deaths are low due to “vaccine rates being high.” So, canceling elective surgeries that people need will ensure the continuance of the hysteria around COVID, and cycle of arbitrary shut downs and policies when we already met the goal of minimizing deaths/severe disease. It’s time to move on!

    Stop testing asymptomatic and vaccinated/boosted low risk groups. The Delta waves, I am sure had just as many cases – but as the Feds said, we are currently or did test MORE people than ever before. So, it wasn’t more infections than before, we simply just tested more – and tested a lot of low-risk groups.

    The fact that my teenager’s school can’t go five minutes without jamming a q-tip up her nose, despite being vaccinated and not sick is taking away from ALL of the people, particularly parents with kids in daycare and the vulnerable, who actually need the tests. It’s nonsensical.

    Lastly, the Omicron has peaked, as discussed on the news this morning (KTVU) and the groups testing wastewater for disease levels described this, which should be front page news. Also, out of Southern CA, Kaiser Permanente put out a report citing 91% risk reductions in mortality rates. 75% risk reductions in ICU’s. Quote from the article below, and a link to the data. So, why is Inside and Spotlight and every other outlet focused on the negative, and not reporting on the very positive movement? Stop disrupting peoples healthcare access, school access, vital records access. The Bay Area has taken an extremely cowardice approach to mitigation of a pandemic that doesn’t exist here anymore.

    https://www.ny1.com/nyc/all-boroughs/health/2022/01/12/study–91–fewer-deaths-from-omicron-than-delta

    “The researchers analyzed the medical records of 69,279 patients at Kaiser Permanente of Southern California who tested positive for COVID-19 from Nov. 30 to Jan. 1. Three-quarters were infected with the highly transmissible omicron variant, and the rest by delta.

    The analysis found there was a 53% reduction in symptomatic hospitalization, a 74% reduction in admission into intensive care units and a 91% reduction in deaths — one from omicron compared to 14 from delta.

    No patients with omicron required mechanical ventilation, compared to 11 cases with delta infections. And those who were hospitalized with the omicron variant had shorter hospital stays — a median of 1.5 days versus five days.

    Reductions in disease severity were evident among both vaccinated and unvaccinated patients, the researchers found.”

  4. Maybe we can all follow one piece of sage advice from the Biden-Harris admin…and get on with our day…

    “It is time for us to do what we have been doing,
    and that time is every day.”
    – Kamala Harris
    “The Office” (of the VP)

  5. Time to be honest:

    First, the report from Kaiser is from only Nov 30 to Jan 1. That means that report is SEVERLY stale and out of date. Meaning it is not relelvant to today. Also if you notice it is only 69,000 patients which is not nearly a significant sample size given that during that time up to now there has been 1,429,380 cases in California just this month alone. That report stastically is is not even a good sample because your confidence interval is only a result of .36. In order for it to be of any decent value you need a percentage relaiablilty test of 95% which results in a confidence interval of .16 and to achieve it using this months data you need a test sample of 290,000. In effect this report was NOT PEER REVIEWED, nor published in an SCIENTIIFC JOURNAL because of this.

    All we have here is people unfortunately grasping at anything that appears to support them regarding ignoring any means to prevent infections

  6. The CDC is updating the MASK recommendations, (why they aren’t requirements is crazy) but it looks like the masks are going to need to be improved. Fortunately, my N95 masks are on the way and i should have a set for me and my neighbors in a few days.

    In any event my updated information has not arrived yet.

  7. CA, NY = Permanent Pandemic Panic Pushers…
    ..
    Driving some Folks to Unbalanced Fear-Mongering.
    ..
    ————— Freedom Vs Oppression… ——————
    ..
    States ranked by COVID-19 death rates:
    Jan. 14, 2022
    Avg Daily COVID-19 Deaths & COVID-19 Deaths per 100,000 over the last 7 days:
    FLORIDA: Deaths per 100K: 0.31 / Daily avg deaths: 65.6
    CAlifornia: Deaths per 100K: 0.29 / Daily avg deaths: 113.9
    NY State: Deaths per 100K: 0.91 / Daily avg deaths: 177.9
    Wash DC: Deaths per 100K: 0.4 / Daily avg deaths: 2.9
    ..
    CA & NY are the most Locked-Down & Mandated states in the nation.
    Washington DC as a “Most Locked-Down” region.
    ————————————————
    Cold-Like Omicron..~ 95% of all detected cases now…
    CDC Walensky – Study Shows:
    “Omicron variant of COVID-19 has a lower risk of severe illness and death compared with the Delta variant.”
    ..
    ————————-
    — “Has Omicron Crested in the Bay Area? Sewage samples seem to Say So” (Jan13th 2022 SFChron) —-

    “The county’s wastewater surveillance tool, which measures levels of COVID-19 genetic material in its sewage systems, has shown that levels of the Virus Peaked Jan. 6 –
    and have fallen dramatically since then.”

    “The county’s tool revealed similar curves among wastewater surveillance systems in Palo Alto, San Jose, Sunnyvale and Gilroy – …the Bay Area may have already reached its most troubling ridge of omicron infections.”

    “We didn’t know that (the data) was going to be such a great metric for infection when we started, but it turns out that it is,”
    “…a promising indication for the region at large, and one that mirrors data collected in cities such as Boston, where wastewater surveillance also measured a steep decline of COVID-19 after a sharp peak.”
    ..
    “The Cases now are a Less Reliable number than they used to be before. …
    We have to rely on other ways of getting a sense of how this virus is in the community.”
    UCSF Department of Medicine Chair said.
    ..
    “The Bay Area is still reporting high levels of infection, but that measurement is subject to distortion based on multiple factors, including testing delays, the high proportion of unreported home testing results, and the people who may get infected but not tested ”

    Based on data … the numbers will start to level off within a week or so.
    ..
    “According to the wastewater data…
    we should see clinical case counts declining in about 4 – 10 days.”

  8. — “Has Omicron Crested in the Bay Area? Sewage SAMPLES SEEM TO SAY SO” (Jan13th 2022 SFChron)

    As of yet so far no other figures actually support this. This is hopeful thinking but not solid evidence. Remember the terms used here are “relatively consistent” RELATIVE TO WHAT? The report still states:

    “The Bay Area is still reporting high levels of infection, but that measurement is subject to distortion based on multiple factors, including testing delays, the high proportion of unreported home testing results, and the people who may get infected but not tested, experts say.”

    Also:

    ““We’re still on the ASCENT PORTION OF THE CURVE RIGHT NOW,” said UC Berkeley infectious disease expert Dr. John Swartzberg. But “IF THE WASTEWATER DATA IS ACCURATE AND THE VIRUS IS GOING TO BEHAVE … much like it behaves in other parts of the country and internationally, then … the numbers will start to level off within a week or so.”

    That is NOT A PREDICTION OR A FORECAST, BE CAREFUL HOW YOU PRESENT THE INFORMATION! You wrote:

    “The county’s wastewater surveillance tool, which measures levels of COVID-19 genetic material in its sewage systems, has shown that levels of the Virus Peaked Jan. 6 –“

    and have fallen dramatically since then.”

    NO IT HASN’T THE TEND IS STILL HIGH AT THIS TIME!!! UNFORTUNATELY, THE NUMBERS HAVE NOT BEEN UPDATED ON THE SCC DASHBOARD YET FOR TODAY!!! The report did say this:

    “The county’s tool revealed similar curves among wastewater surveillance systems in Palo Alto, San Jose, Sunnyvale and Gilroy – …the Bay Area MAY HAVE ALREADY REACHED ITS MOST TROUBLING RIDGE OF OMICRON INFECTIONS.”

    MAY is not HAS, UNTIL WE ACTUALLY SEE THE REPORTS IMPROVE SIGNIFICANTLY, BACK TO OCTOBER 2021 NUMBERS< THIS IS NOTHING BUT AN OPINION THAT HAS NO EVIDENCE YET!!! You also stated:

    ““…A PROMISING INDICATION FOR THE REGION AT LARGE, and one that mirrors data collected in cities such as Boston, where wastewater surveillance also measured a steep decline of COVID-19 after a sharp peak.”

    THAT DOES NOT MEAN IT WILL, THIS VIRUS TENDS TO NOT BEHAVE IN THE WAY THESE PEOPLE PREDICT, AND AGAIN THERE IS A KNOWN NEW VARIANT AND OTHERS ON THE WAY!!! When you reported this:

    “We have to rely on other ways of getting a sense of how this virus is in the community.”

    WHAT WAYS ARE SCIENTIFICALLY PROVEN AS BETTER ALTERNATIVES? UNTIL THERE IS A SCIENTIFICALLY PROVEN METHOD WE MUST USE WHAT HAS BEEN SCIENTIFICALLY PROVEN TO BE THE MOST ACCURATE PROCESS!! In fact we are not getting the accurate picture as you pointed out here:

    “The Bay Area is still reporting high levels of infection, but that measurement is subject to distortion based on multiple factors, including testing delays, the high proportion of unreported home testing results, and the people who may get infected but not tested ”

    BUT THE NUMBERS WE HAVE THEN ARE LOW NUMBERS OR UNDERCOUNTING ALL THE TIME, NOT REALLY REFLECTING THE DANGER!!! You reported:

    “Based on data … the numbers will start to level off within a week or so.”

    BUT WHAT ABOUT ALL OF THE PEOPLE ALREADY INFECTED, ALREADY DEAD, ALREADY IMPAIRED FOR THE REST OF THEIR LIVES? ARE YOU SAYING YOU JUST EXPECT MORE AND SAY IT IS GOOD THAT THEY SACRIFICED THEMSELVES FOR YOU!!!

    This talk is irrational and unreasonable regarding public health.

  9. STICK TO THE SUBJECT:

    As of 01/14/2022 there was 25,017 cases total NEW CASES for the week starting 1/7/2022 all variants in Santa Clara County. As for the month the total cases come to 48,789 and in comparison, to the entire month of December 2021 which had 18,163 cases we have about 2.7 times more cases then the entire month of December. If we add the current amount to the MTD moving average we can expect to have 116,343 cases, the odd of infection are 1 out of 16, and if only 5% of that need medical care than we need 5,817 patients and if only 10% of that require ICU than we should get 582 ICU patients. Thae County has only 46 ICU beds open and the region only has 250 beds, which means for the region 331 patients will be out of luck

    With regards to the state, as of 01/14/2022 there was 823,921 cases total NEW CASES for the week starting 1/7/2022 all variants. As for the month the total cases come to 1,590,952. If we add the current amount to the MTD moving average we can expect to have 3,793,808 cases and out of 39,500,000 that is 9.3% or the odd of infection are 1 out of 11, and if only 5% of that need medical care than we need 189,690 patients and if only 10% of that require ICU than we should get 18,969 ICU patients. The State has only 1,513 beds available which means 17,456 patients will be out of luck.

    AND MOST HERE JUST SAY TO LET THE PEOPLE OF CALIFORNIA JUMP INTO THE COVID SHARK TANK AND HOPE THE SHARKS DO NOT KILL OR MAME YOU? THIS IS NOT A PUBLIC HEALTH POLICY IT IS A CRUEL METHOD OF ABUSING THE PEOPLE OF CALIFORNIA.

    AGAIN, ARE WE SAFE?

  10. California is driving even more people out of California. Can’t blame everyone for going to Texas or Florida to get the medical treatment they need. Sad days for California.

  11. JOE SMITH wrote:

    “California is driving even more people out of California. Can’t blame everyone for going to Texas or Florida to get the medical treatment they need. Sad days for California.”

    Interesting that in Texas for January they have had 897,150 cases and it is reported by the HHS that Texas has 6,381 beds occupied with a total of 6,931 available beds, leaving a difference of 550 open beds. Also there case numbers are now 3.6 times the cases they had in December 2021. That means if you are thinking that people can just fly to Texas to get care GOOD LUCK!!! It is expected that Texas will reach 1,854,110 cases by the end of January, if 5% need hospitalization they will need 92,706 beds and if only 10% of that needs an ICU then they will need 9,270 ICU beds when it is reported they have only 550 which means that 8,720 Texans are out of luck

    Interesting that in Florida for January they have had 875,526 cases and it is reported by the HHS that Florida has 5,498 beds occupied with a total of 6,515 available beds, leaving a difference of 1,017 open beds and it is widely reported that they as a state 85% of all ICU beds are used in fact that was only a total of 1,017 open beds. Also, there case numbers are now 3.5 times the cases they had in December 2021. That means if you are thinking that people can just fly to Florida to get care GOOD LUCK!!! It is expected that Florida will reach 1,809,420 cases by the end of January, if 5% need hospitalization they will need 90,471 beds and if only 10% of that needs an ICU then they will need 9,047 ICU beds when it is reported they have only 1,017 which means that 8,030 Floridians are out of luck

    You are making assumptions with no data to process, All I had to do is google and get the numbers. Be more careful next time!

  12. Where else (now that Cuomo isn’t running New York) would state government actually but in to what’s specific to various local facilities?

    At least nobody is telling Biden the feds should issue such an order.

  13. Not suckered,

    Trying to change the subject, but not discussing it either here? Unfortunately no new data from Santa Clara County since the 13th.

  14. Just another perspective here

    in October 2021 we had only 4,437 cases reported, a small average of 143 cases a day. Compare that to the current count of 48,789 not counting the days of the 14,15, or 16, where the average cases are 3,753. That means our case load went up 26 times from WHEN IT WAS DEEMED TO BE SAFE TO GO INDOORS!!!

    Why is it that people cannot see that extreme change in viral problems regarding COVID in the county? Are people here saying that it should be acceptable to have this dramtic a rise in infections?

  15. STICK TO THE SUBJECT:

    As of 01/18/2022, so far no updated data directly from the Santa Clara County public health, but the N Y Times reported 21,000 new cases since Jan 14. Which means that for the month we have had 4,106 cases a day and if we add the existing 69,814 to the daily average times 14 we are likely to have 127,310 cases for the month of January. As for the month the total cases come to 69,814 and in comparison, to the entire month of December 2021 which had 18,163 cases we have about 3.8 TIMES more cases then the entire month of December. now given that maybe only 5% need hospitals, that would come to 6,365 hospital bed demand and if only 10% of that needed ICU than we would have 636 new ICU bed cases, but we have only 59 Beds in Santa Clara County which means 577 people are out of luck. And as far as the region goes there are only 286 which means for Santa Clara County alone the region is short 292 people

    With regards to the state, as of 01/18/2022 there was 829,489 cases total NEW CASES for the week starting 1/11/2022 all variants. As for the month the total cases come to 1,625,131. If we add the current amount to the MTD moving average we can expect to have 3,345,858 cases and out of 39,500,000 that is 8.4% or the odd of infection are 1 out of 11, and if only 5% of that need medical care than we need 167,292 patients and if only 10% of that require ICU than we should get 16,730 ICU patients. The State has only 1,497 beds available which means 15,232 patients will be out of luck.

    AND MOST HERE JUST SAY TO LET THE PEOPLE OF CALIFORNIA JUMP INTO THE COVID SHARK TANK AND HOPE THE SHARKS DO NOT KILL OR MAME YOU? THIS IS NOT A PUBLIC HEALTH POLICY IT IS A CRUEL METHOD OF ABUSING THE PEOPLE OF CALIFORNIA.

    AGAIN, ARE WE SAFE?

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