It’s troubling, though not surprising, to see covid-19 cases spiking across the American South and Southwest, where public officials delayed lockdowns, rushed to reopen businesses, or refused to require people to wear masks.
But what’s the matter with California? The nation’s most populous state was the first to enact statewide shelter-in-place rules, took decisive steps to build up the recommended testing and case tracing capacity, and has hammered the public health message on social distancing and masks.
Yet new cases are rising sharply in pockets throughout the sprawling state, even as they’re flat or falling across much of the East Coast. Positive tests over the last seven-day period have risen 45%, regularly topping 5,000 a day, Governor Gavin Newsom said during a press conference on Monday. Hospitalizations and intensive care unit admissions are both up around 40% over the past few weeks as well, threatening to overwhelm health-care systems.
In turn, Newsom has pressed Imperial County—the southernmost part of the state, where skyrocketing case loads have forced officials to move hundreds of patients to hospitals in neighboring areas—to fully reinstate stay-at-home orders. He’s also recommended or required that more than a dozen counties shut down their bars, including Los Angeles and Santa Clara, the home of Silicon Valley. Meanwhile, San Francisco’s mayor halted the city’s reopening plan on Friday.
So what’s driving the outbreaks in a state that supposedly did things right? Why weren’t its ambitious testing and contact tracing programs adequate to prevent the recent surge in cases?
…
But pretty much all of this has been known from the start. Californians need to recognize that the dangers haven’t passed, even as regions relax certain rules. Everyone still has to maintain their distance from others, vigorously wash their hands, and abide by the one public health decree that may help the most.
“Wear masks,” UCSF’s Rutherford says.