January 8, 2021
Eden Health District COVID-19 Bulletin
"The United States was traumatized in 2020, not only by a novel virus but also by the bitterness and division that marked our response. We can’t get it wrong again."
Dr. Robert Wachter & Dr. Ashish Jha, 1/7/21
UC Berkeley lab develops free positive affirmation texting program
As Covid-19 cases increase statewide, UC Berkeley’s Digital Health Equity and Access Lab, or dHEAL, created a free supportive text message program to help manage the stress and uncertainties of the Covid-19 pandemic.

The texting program, StayWell at Home, was initially developed in April 2020 during the beginning of the pandemic, according to postdoctoral scholar Caroline Figueroa. A newer version of the text message program launched in late December in response to the increase of stay-at-home orders and the stress that comes along with it.

The messages, in English and Spanish, are based on the techniques of cognitive behavioral therapy, Figueroa noted, which aims to change thinking behaviors. “The goal of this is to give people a free service that can help them deal with the stress of Covid-19. If you have simple tools like this that can support people, then that can be a really durable way of providing that kind of support.”
Those who opt in to the program receive text messages that encourage positive reflection and actions such as, “You are a human doing the best you can in a difficult situation. What are three things you are grateful for?”

Figueroa said the team decided to use text messages as the vessel for these positive affirmations in order to be accessible. Although the program is available to all, Figueroa said the team hopes to reach immigrant populations in particular.

“The program is based on tips to help restructure your negative thoughts,” Figueroa said. “Everyone’s feeling very stressed about the pandemic, but try and identify a few silver linings.”

By the Numbers
Bay Area: 292,962

California: 2,575,042

U.S.: 21,717,216
Alameda County

Cases: 57,921

Deaths: 713

Adjusted Cases per Day: 31.6

Test Positivity: 9.4%

Hospitalized Patients: 493

ICU Beds Available: 72
Bay Area: 2,863

California: 28,599

U.S.: 367,143
Contra Costa County

Cases: 44,967

Deaths: 371

Adjusted Cases per Day: 43

Test Positivity: 12.1%

Hospitalized Patients: 307

ICU Beds Available: 33
Bay Area ICU Capacity: 3.0%

Sources: Johns Hopkins UniversitySF Chronicle, and dashboards for California and Alameda and Contra Costa Counties
Adjusted cases per day is per 100,000 residents. Test positivity is based on a 14-day average. Hospitalized patients refers to patients with confirmed and suspected Covid-19.
California Vaccine Distribution Plan Update
California is loosening its vaccine protocol in an effort to avoid wasting Covid-19 vaccines. The state Health Department has expanded its definition of health care workers. It now includes community health care workers, public health field staff members, and people who work at primary care clinics, specialty clinics and dental clinics, as well as lab workers and pharmacy staff.

The state aims to immunize 1 million people within the next 10 days, state epidemiologist Dr. Erica Pan said. If extra vaccines remain or doses are on the verge of expiring, people who work in education, child care, emergency services and food agriculture will also be eligible, the state said.

According to a New York Times database, California has received 2.3 million vaccine doses. However, only 1.3 percent of the state’s population — 528,173 people — has received a shot. The state wants to administer vaccines to a million more people over the next 10 days.

California remains in Phase 1A of its vaccine distribution plan. As shown in the image below from a January 7, 2021 update by Contra Costa Health Services, vaccination of persons age 75 and older - the first tier of Phase 1B - in the county has not commenced and is unlikely to do so this month.
"It is unclear when exactly this next phase, known as Phase 1b of the vaccine rollout, will start," the San Francisco Chronicle reports. "Some Bay Area counties estimate it will begin in late January or early February. Others do not have a projected timeline. Counties and hospitals are largely still vaccinating people in Phase 1a, who are health care workers and residents of long-term care facilities."
Bay Area News
SF Chronicle, January 7, 2021
Intensive care availability at Bay Area hospitals fell to the lowest levels yet, dropping from 7.4% to just 3.5% as of Wednesday, according to state data.

Statewide, intensive care unit capacity remained at 0%, including in the two hardest hit regions, Southern California and San Joaquin Valley. ICU capacity fell in the Sacramento region from 11.1% to 9.2%, and ticked up slightly in the Northern California region from 24.4% to 25.4%.

The Bay Area will remain under the regional stay-at-home order until at least Friday, and the order may be extended depending on what ICU capacity projections for the next four weeks. Those projections will be announced Saturday.

Zero ICU availability does not mean there are no beds, but that many hospitals have run out of licensed ICU beds and have activated what they call surge plans. That involves using other beds or areas of the hospital to care for ICU patients and bringing in additional staff.

Note: Bay Area ICU availability is now 3.0%

SF Chronicle, January 6, 2021
“The E.R. is full,” said Dr. Jeffrey Chien, the director of the emergency department at the Santa Clara Valley Medical Center in San Jose. “Folks are waiting for beds — we’re getting really creative with places to seat patients.”
The dire warning came after some hospitals in Santa Clara County reported waits of up to seven hours to put patients in beds.

Before Thanksgiving, the county was averaging about five cases per 100,000 people. Now, it’s 50 per 100,000, according to Dr. Kamal, the county’s COVID-19 director. “This is 10 times worse than we’ve had before,” he said. “As awful as it is, it can get worse.”

East Bay Times, January 8, 2021
As multiple agencies investigate the source of the coronavirus outbreak among at least 60 Kaiser Permanente San Jose workers that has now led to a $43,000 fine against the hospital, everyone wants to know: could all this suffering really have been caused by one employee in a Christmas costume trying to spread holiday cheer?

Numerous questions remain — including why Kaiser didn’t immediately notify the Santa Clara County Health Department of the outbreak. The department said Thursday that it found out after Kaiser issued a news release Jan. 3. The hospital has been fined $1,000 for each of the initial cases, County Executive Jeff Smith said Thursday. “There are reports that people felt symptoms very early in the process — it’s a little surprising to hear that,” Smith said, noting that some hospital workers felt sick beginning Dec. 27 and a hospital receptionist died a week later. “It’s also a question mark that if everyone was wearing PPE, why did it spread so fast?”

Note: The county said it has determined that the outbreak at Kaiser San Jose was not caused by the virus variant first identified in the UK.

East Bay Times, January 8, 2021
A Danville restaurant that was one of many that defied local health orders, was ordered to close after repeated violations. Contra Costa County health officials confirmed Incontro Ristorante on Hartz Avenue in Danville was cited seven times for violations of the county health order that currently does not allow outdoor dining, and had their health permit suspended last week. After the county shut down the restaurant last week, on Tuesday, the permit was reinstated and the restaurant was allowed to reopen but only for takeout and delivery.
Vaccine & Health News
Reuters, January 8, 2021
Pfizer's Covid-19 vaccine appears able to protect against a key mutation in the highly transmissible new variants of the coronavirus discovered in Britain and South Africa, according to a laboratory study conducted by the U.S. drugmaker.

The study by Pfizer and scientists from the University of Texas Medical Branch, which has not yet been peer-reviewed, indicated the vaccine was effective in neutralizing variants with the so-called N501Y mutation, situated on a portion of the virus that it uses to enter and infect cells. The Pfizer study was conducted on blood taken from people who had been given the vaccine. Its findings are limited because it does not look at the full set of mutations found in either of the new variants of the rapidly spreading virus.

NY Times, January 8, 2021
President-Elect Biden plans to release nearly all available coronavirus vaccine doses “to ensure the Americans who need it most get it as soon as possible,” a sharp break from the Trump administration’s practice of holding back some of the vaccine, the Biden transition team said Friday. Because both of the vaccines that have emergency approval require two doses, the Trump administration has been holding back roughly half of its supply to ensure those already vaccinated receive the booster dose.

Reuters, January 8, 2021
The CDC said phases of vaccinating priority groups against Covid-19 may overlap, clarifying guidance that many states are already applying as a way to get shots to as many Americans as possible.The CDC had recommended that healthcare workers and nursing home residents should have priority for vaccines, to be followed by people over 75 and essential workers.

On Friday, the CDC changed its website to underscore that these phases may overlap, essentially greenlighting what many states are already doing. Every state has its own plan for vaccine distribution, with little oversight and involvement from the federal government. This week, U.S. Health and Human Services Secretary Alex Azar said the CDC’s priority recommendations were just that, and should not get in the way of getting shots to Americans.

Washington Post, January 7, 2021
The human body typically retains a robust immune response to the coronavirus for at least eight months after an infection, and potentially much longer, researchers said in a study published in the journal Science. About 90 percent of the patients studied showed lingering, stable immunity, the study found.

The review of blood samples from nearly 200 patients also saw that multiple elements of the immune system — not just antibodies — continued to be effective at recognizing and responding to the virus. The human body appears to retain a memory of the invader and is poised to generate a coordinated counterattack of antibodies and killer T cells quickly if exposed again.

Seattle Times, January 7, 2021
People with no symptoms transmit more than half of all cases of the novel coronavirus, according to a new model developed by CDC researchers. Fifty-nine percent of transmission came from people without symptoms in the model’s baseline scenario. That includes 35% of new cases from people who infect others before they show symptoms and 24% that come from people who never developed symptoms.
US and California Data: Last 90 Days
Covid Tracking Project, 1/7/21 (bold lines are 7-day averages)
United States
California News
East Bay Times, January 8, 2021
California on Thursday reported more than 500 lives lost to the virus, yet the state’s average daily death toll decreased after the final tally was complete. Average daily fatalities from COVID-19 have been skyrocketing for over a month in California but fell slightly Thursday from their highest point of the pandemic to about 369 per day over the past week, after county health departments combined to report 508 deaths around the state, according to data compiled by this news organization.

After a post-Christmas lull, the state’s case count ticked up slightly again to about 39,700 per day over the past week, after there were another 40,196 reported around the state Thursday.
The virus has killed more than 1,000 Californians in the past 48 hours, the state’s deadliest two-day period of the pandemic. However, no single day has topped New Year’s Eve, when 571 deaths were recorded, which was replaced in the seven-day average calculation by the 508 reported on Thursday, causing it to drop.

Still, more than 2,500 Californians lost their lives to the virus just since the new year began, a weekly total exceeding that of some months earlier in the pandemic, the equivalent of a death every four minutes.

LA Times, January 8, 2021
Gov. Gavin Newsom sent a budget to the California Legislature on Friday that calls for a swift and expansive boost in the state government’s response to the COVID-19 pandemic, earmarking much of an unallocated tax revenue windfall for efforts to help workers and businesses, boost public health and speed up the reopening of public school classrooms.

In all, the proposal dedicates more than $14 billion to coronavirus relief efforts in healthcare, economic stimulus and education programs. Newsom urged lawmakers to take action on the most pressing issues — including an extension of the state’s moratorium on evictions and funding for California’s COVID-19 vaccination efforts — by the end of the month.

LA Times, January 8, 2021
Stretched to the breaking point by a deluge of Covid-19 patients, Los Angeles County’s four public hospitals are preparing to take the extraordinary step of rationing care, with a team of “triage officers” set to decide which patients can benefit from continued treatment and which are beyond saving and should be allowed to die.

The county’s top health officials have not yet declared a shift to a crisis level of care, which would trigger the rationing system, but the leader of the public hospitals acknowledged in a letter reviewed by The Times this week that “there will likely come a point when we simply don’t have sufficient staffing or critical supplies to care for all our patients in the way we normally would.”

LA Times, January 7, 2021
The intensity of the pandemic continues to worsen, with the rising Covid-19 death toll overwhelming funeral homes and causing state officials to send refrigerated trucks across California to hold corpses.
The National Guard has been called to LA County to help with the temporary storage of bodies at the county medical examiner-coroner’s office, relieving pressure on hospital morgues and private mortuaries that have run out of storage space for bodies. Earlier this week, L.A. County exceeded 11,000 Covid-19 deaths.

LA Times, January 7, 2021
The coronavirus test being provided daily to tens of thousands of residents in LA and other parts of California may be producing inaccurate results. The guidance from the FDA warns healthcare providers and patients that the test made by Curative, a year-old start-up founded in Silicon Valley that supplies the oral swab tests at LA’s 10 drive-through testing sites, carries a “risk of false results, particularly false negative results.”
US News
Associated Press, January 8, 2021
The U.S. has topped 4,000 daily deaths from the coronavirus for the first time, breaking a record set just one day earlier. The tally from Johns Hopkins University shows the U.S. had 4,085 deaths Thursday. The U.S. had nearly 275,000 new coronavirus cases as well.

The numbers are another reminder of the worsening situation following travel for holidays and family gatherings, along with more time indoors during the winter months. There’s been a surge in cases and deaths in California, Arizona, Texas and Florida. More than 365,000 Americans have died from the coronavirus.

NY Times, January 8, 2021
Dr. Anthony S. Fauci, the top infectious disease expert in the United States, predicted on Thursday that the daily death toll from the coronavirus would continue to rise for weeks to come, and counseled patience with the vaccination program gearing up across the nation.

In an interview with NPR, Dr. Fauci said the high toll was likely to continue, and was probably a reflection of increased travel and gatherings over the holidays. “We believe things will get worse as we get into January,” he said. He stressed that it was still possible to “blunt that acceleration” by strictly adhering to public health measures like social distancing and mask wearing.

ABC News, January 7, 2021
Arizona has become "the hottest hot spot" for Covid-19, as the state experiences the highest case rates in the world and record hospitalizations -- and health officials warn the numbers are only going to get worse due to holiday gatherings. Arizona has the worst rates of COVID-19 cases globally, according to 91-divoc.com, a Covid-19 tracker. The state currently has the highest seven-day average of Covid-19 infections per capita of any region in the world, based on Johns Hopkins University data.

NPR, January 8, 2021
U.S. employers cut 140,000 jobs in December as the runaway coronavirus pandemic continued to weigh on the U.S. labor market. It was the first monthly job loss in eight months. The unemployment rate held steady at 6.7%. With thousands of Americans dying from Covid-19 each day, businesses that depend on in-person contact have struggled.

The job market is not likely to improve much, so long as coronavirus infections continue to spread rapidly. But with the arrival of new vaccines, forecasters say business conditions should begin to recover, once the shots are more widely distributed.

NPR, January 7, 2021
So far, West Virginia is outpacing the rest of the country. Having delivered vaccine to health workers and completed a first round of shots at all its long-term care facilities, the state is now administering second doses and moving on to other populations, including people age 80 and over, and teachers who are 50 and older. Meanwhile, many other states are still struggling with the complex logistics of distributing the lifesaving medicines.

Associated Press, January 8, 2021
The desperately awaited vaccination drive against the coronavirus in the U.S. is running into resistance from an unlikely quarter: Surprising numbers of health care workers who have seen firsthand the death and misery inflicted by Covid-19 are refusing shots. It is happening in nursing homes and, to a lesser degree, in hospitals, with employees expressing what experts say are unfounded fears of side effects from vaccines that were developed at record speed. More than three weeks into the campaign, some places are seeing as much as 80% of the staff holding back.
CA Education News
EdSource, January 8, 2021
Upgrading ventilation systems is a key way schools can reduce the spread of the coronavirus when campuses reopen, but some districts in California are finding the cost of those upgrades to be insurmountable. Few funding streams are guaranteed, and they may not be sufficient to cover the regular inspections and filter replacements that HVAC systems require.

LA Times, January 7, 2021
Los Angeles County Public Health Director Barbara Ferrer on Thursday called for all K-12 campuses to shut down through January amid the raging coronavirus surge, but stopped short of ordering them to close. Ferrer said the danger is too great to continue to provide in-person services and instruction on campuses except in rare cases where it is absolutely necessary.

LA Times, January 7, 2021
With 1 in 3 students testing positive for the coronavirus in some Los Angeles neighborhoods, Gov. Gavin Newsom’s push to reopen campuses is clashing with the reality of a raging pandemic as many school districts opt for January shutdowns and superintendents call for clearer guidance on when it will be safe to unlock their campus doors.
US Education News
Atlanta Journal Constitution, January 7, 2021
A new CDC study found counties with large universities experienced a 56% increase in Covid-19 when the campuses opened with in-person instruction. Conversely, counties with major universities that opened with remote learning showed a 17.9% decrease in incidences of Covid-19. A comparison of the 21-day periods before and after campuses started classes revealed that face-to-face courses were linked to higher Covid rates and the occurrence of hot spots in the communities.

WGN, January 7, 2021
All schools in Illinois’ Glen Ellyn Elementary District 41 returned to hybrid instruction Thursday, thanks in large part to an innovative Covid-19 testing program which administrators say helps them make smart decisions amid a pandemic.

The west suburban school district’s voluntary program provides take-home saliva test kits to students and staff which are then sent by the district to a local laboratory for results in just 24 hours.
Administrators say the program allows them to bring students back into the classroom for 2.5 hours a day so kids can get the vital face-to-face instruction from teachers that they so desperately need.
Woman who survived 1918 flu pandemic gets Covid-19 vaccine
When Jane Smith was born on June 22, 1918, in Syracuse, New York, a new and deadly influenza virus had begun to create panic around the world.

Her mother, Catherine Will, fell ill with the flu in August, and 2-month-old Jane started having symptoms of the disease, presumably transmitted by her mother’s breast milk. Smith survived the flu, but Catherine did not. She died at the age of 25 in November 1918.

This week, Smith, 102, was among the Palm Beach, Florida, residents to receive the Moderna Covid-19 vaccine. The injection didn’t hurt one bit, she said, adding that it was “much better than the flu shot.”

Smith said she considered it an honor to be receiving the vaccine. “I’m 102, so I said, ‘What the hell.'"
She doesn’t understand some people’s hesitation to get the Covid-19 vaccine. “I wish they had a vaccine in 1918. So many people wouldn’t have died, including my mother," Smith said.

Smith hopes others will get the vaccine. "Go for it, don’t be stupid. I’m very proud to put my arm out, get the vaccine and come home and play bridge. Once everyone has it, we can travel the world again and kiss our children and all the rest of it,” she said.

International News
The Economist, January 9, 2021 Edition
For there to be any vaccines, let alone a plethora of them, less than a year after the first cases of covid-19 were reported is an unprecedented achievement. It also brings new challenges. In rich countries, where most of the vaccine development went on and was paid for, these are primarily in manufacture and distribution: how to manage the logistical task of getting vaccines into the right people as fast as possible. Middle-income and poor countries face problems of acquisition. And everywhere disparities within and between countries are highlighting pre-existing inequalities and political dysfunction.

Politico, January 8, 2021
London Mayor Sadiq Khan declared a "major incident" in the capital Friday, warning that the spread of coronavirus was now "out of control" and the city's hospitals are "at risk of being overwhelmed."

London now has 35% more Covid patients in its hospitals than at the peak of the U.K. epidemic in April. Between December 30 and January 6 the number soared from 5,524 to 7,034 and could continue to rise, Khan said.
Khan made the announcement as chair of the London Resilience Forum which brings together NHS, public health, local council leaders and emergency services.

Associated Press, January 8, 2021
An explosion of end-of- year celebrations came just ahead of a pandemic milestone: Brazil passed 200,000 deaths Thursday, rising 1,524 in the previous 24 hours to a total of 200,498 for the pandemic, according to data released by Brazil’s health ministry. It has the world’s second highest death toll, behind the United States, according to Johns Hopkins University’s database.

Dozens of protesters gathered outside Brazil’s presidential palace on Friday with a banner blaming President Jair Bolsonaro for the grim landmark. They also carried signs urging congress to remove him from office.

Many Brazilians have been straining against quarantine for months, going to bars or small gatherings with friends, but massive blowouts had been few and far between since the pandemic began. Festivities kicked off after the Southern Hemisphere’s summer started on Dec. 21.

CNN, January 8, 2021
China has locked down a city of 11 million people in its northern province of Hebei, in an effort to contain the country's worst coronavirus flare-up in months. Residents of Shijiazhuang, a provincial capital close to Beijing, have been barred from leaving the city, as major highways were blocked, train and bus stations closed and flights canceled. The lockdown comes as a total of 117 Covid-19 infections -- including 67 asymptomatic cases -- were detected in Shijiazhuang on Wednesday.
Sarah Zhang, January 7, 2021
The initial vaccine rollout is simpler than the phases to come because it targets hospitals and long-term-care facilities, where the relatively small number of eligible people are already concentrated. Finding and scheduling them should be straightforward. “This is the easy part,” says Eric Toner, a senior scholar at the Johns Hopkins Center for Health Security. Finding and scheduling people in the next priority groups will bring a new tangle of logistics, for which the country is still not prepared.

In the coming months, state and local health departments will have to stand up mass-vaccination clinics that can handle hundreds or even thousands of people a day in the middle of a pandemic, when crowds are dangerous. Thousands of doctors’ offices and pharmacies across the country will also need to learn how to handle and administer unusually fragile vaccines. And eventually, as the pool of people eager to get a vaccine is exhausted, public-health officials will need to persuade the uninterested, the reluctant, and even the skeptical to get vaccinated, so that communities can reach the 70 to 90 percent necessary for herd immunity. The hardest work still lies ahead.

Dr. Robert Wachter and Dr. Ashish Jha, NY Times, January 7, 2021
In their well-meaning effort to achieve equity and fairness, [vaccine distribution] plans threaten to become excessively complex — and thus ripe for manipulation by the privileged, including myriad interest groups that are vying for a place at the front of the line. This would only sow distrust in the broader public.

We suggest a more straightforward approach. By the end of January, we should be done vaccinating health care workers and long-term-care residents. Then we should vaccinate all people over 55, from oldest to youngest, a group of approximately 97 million that accounts for the vast majority of Covid-19 deaths. Then, to determine the order for the remaining 150 million or so American adults, use a lottery.

Clayton Dalton, The Guardian, January 8, 2021
All across the country, hospitals are beyond capacity and ICU beds are full. Hospital gift shops are being turned into makeshift patient rooms. But making room for new beds isn’t enough; you need nurses, environmental service workers, physicians and techs to staff those beds. And right now, all of those people are bone-tired and stretched thin. You can buy new beds, but training personnel takes time. We’re edging up to a hard limit on the number of patients we can take care of nationwide, and the virus is still finding thousands upon thousands of new hosts every day.

Covid Tracking Project, The Atlantic, January 7, 2021
With case numbers still wobbly after the recent holidays, hospitalizations are our best indicator of the movement of the pandemic, and they suggest a major resurgence of the virus in the South. Every single southern state has seen hospitalizations rise significantly since the middle of last month, and 13 states in the South set new records for Covid-19 hospitalizations in the past seven days.
We are proud to partner with the East Bay Community Foundation in publishing this bulletin. Through donations to its Covid-19 Response Fund, the EBCF provides grants to East Bay nonprofit organizations delivering essential services to those most impacted by the economic fallout from the pandemic.
East Bay Focus
by day as of 1/7/21
by day as of 1/7/21
Over the last seven days, Alameda County officials have reported 5,430 new coronavirus cases, which amounts to 330 cases per 100,000 residents.
Over the last seven days, Contra Costa County officials have reported 34,270 new coronavirus cases, which amounts to 377 cases per 100,000 residents.
Top 10 Locations of Cases in Alameda County, as of 1/7/21.
Oakland: 17,835

Hayward: 8,876

Fremont: 5,014

Eden MAC: 3,931

San Leandro: 3,547

Livermore: 2,956

Union City: 2,616

Berkeley: 2,090

Newark: 1,760

Castro Valley: 1,677
Top 10 Locations of Cases in Contra Costa County, as of 1/8/21
Richmond: 7,283

Antioch: 5,919

Concord: 5,430

Pittsburgh: 4,399

San Pablo: 3,595

Brentwood: 2,307

Bay Point: 1,850

Oakley: 1,841

Walnut Creek: 1,840

San Ramon: 1,368
East Bay Resources

Where to get a Covid-19 Test

Vaccine Distribution Process

Reopening: List of Businesses and Activities

Food Pantries
Mask On Eden Area
Working in collaboration with the Alameda County Public Health Department, the Cities of Hayward and San Leandro, and the Castro Valley and Eden Area Municipal Advisory Councils, the District has printed “Mask On” posters for each city and community in the Eden Health District area. The posters are free and intended for businesses, health clinics, schools, churches, public agencies and nonprofit organizations to display in their entrances.

“Wearing masks in public or any gatherings, including events with friends and extended families, is essential for slowing the spread of the virus,” stated Eden Health District Director Pam Russo. “While we are seeing signs of progress in California, Alameda County remains a Covid-19 'hot spot' in the Bay Area. Please wear a mask to protect yourself while protecting others.”
The public is welcome to download and print or share “Mask On” posters from the District’s website. Posters are available in English, Spanish and Chinese languages.

Posters may also be retrieved during business hours from the lobby of the Eden Health District office building located at 20400 Lake Chabot Road, Castro Valley. Posters for the City of Hayward are also available from the Hayward Chamber of Commerce located at 22561 Main Street, Hayward.
Eden Area Food Pantries
We have posted information on food pantries and food services in the cities of Hayward and San Leandro and unincorporated Alameda County including Castro Valley and San Lorenzo. You can access the information here on our website. Alameda County has also released an interactive map listing food distributions and other social services. 
Your feedback is welcome. Please share the Bulletin.
The Eden Health District Board of Directors are Mariellen Faria, Chair, Pam Russo, Vice Chair, Roxann Lewis, Treasurer, Gordon Galvan and Varsha Chauhan. The Chief Executive Officer is Mark Friedman.

The Eden Health District is committed to ensuring that policy makers and community members receive accurate and timely information to help make the best policy and personal choices to meet and overcome the challenges posed by the Covid-19 pandemic. We publish the Bulletin on Mondays, Wednesdays and Fridays, unless the day falls on a public holiday.

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We welcome your feedback on our bulletin. Please contact editor Stephen Cassidy.