November 13, 2020
Eden Health District COVID-19 Bulletin
"People are exasperated with having to deal with Covid and want to still go about their lives. But unless there’s a general consistency from people who are consciously really trying to curb it, and following all those rules and guidelines, I think we’re going to continue to be challenged."
Dr. Gerard Jenkins, Chief medical officer at Oakland's Native American Health Center, 11/12/20 
81-year-old grandpa is Dunkin's sweetest customer
Gil Walker visits Concord’s Dunkin' Donuts every day to enjoy his usual coffee and maple donut bar. Employees affectionately call him "Grandpa."

"The kids were so friendly," Walker shares. "It's more than donuts and coffee," Dunkin' Donuts owner Matt Cobo adds. "This is a place where we connect with people."

When the Covid-19 pandemic hit, Walker was worried about the Concord-based store and its workers. "I was worried maybe that he was going to lose business or have to shut down," Walker explains.
As a result, Walker put $280 in an envelope and asked Cobo to hand it out to his employees.

"I just want them to know that I appreciate what they do and I want to help out a little bit," Walker reveals.

Source: ABC 7 News
By the Numbers
CONFIRMED CASES
Alameda County: 25,400

Contra Costa County: 20,868

Bay Area: 127,991

California: 1,006,160

U.S.: 10,675,820
REPORTED DEATHS
Alameda County: 486

Contra Costa County: 253

Bay Area: 1,872

California: 18,143

U.S.: 243,387
Bay Area News
KPIX 5 News, November 12, 2020
While Alameda County remains in the Orange Tier [moderate spread] of the state’s Covid-19 risk assessment, health officials on Thursday announced a pause to any reopening due to the recent spike in cases that will likely place the county back at the Red Tier [substantial spread].

“Alameda County is currently in the Orange Tier per the state’s Blueprint for a Safer Economy, but we anticipate moving into a more restrictive tier soon,” the statement announcing the pause said. “For this reason, we will not open additional activities and will likely need to close higher risk activities shortly. Earlier action will help us flatten the curve.” Health officials said Alameda County’s daily new Covid-19 cases per 100,000 people as calculated by the state has risen from a low of 3.4 to 4.9.


Contra Costa Health Services
Starting today, the following restrictions govern businesses and activities in Contra Costa County:

  • Retail stores that operate indoors must scale back their maximum occupancy to 50%. Grocery stores can operate at full capacity.
  • Indoor shopping malls must reduce their occupancy to 50% and reduce the occupancy of food courts to 25% or 100 people, whichever is fewer.
  • Office workspaces must operate remotely.
  • Higher education institutions must keep indoor lectures and student gatherings to 25% occupancy or 100 people, whichever is fewer.
  • Gyms and fitness centers must scale back their indoor occupancies to 10%.
  • Communal indoor pools must close.
  • Indoor family entertainment centers, such as bowling alleys, must close their indoor operations.
  • Amusement parks cannot operate.
  • Most live outdoor theatrical, musical or artistic performances are prohibited.
Reopening: List of Businesses and Activities

KQED, November 12, 2020
The Covid-19 pandemic has pushed the agency that runs the Golden Gate Bridge and its associated transit service into a fiscal corner where nearly all of the region’s public transportation operators may soon find themselves. Faced with a disastrous decline in fare and toll revenue because of coronavirus shelter-at-home orders, and with federal emergency relief finds drying up, the Golden Gate Bridge, Highway and Transportation District's board of directors will meet Friday to discuss a series of draconian proposals to close a projected $48 million deficit and keep transit services running.
Health News
STAT, November 12, 2020
The meteoric rise in U.S. Covid-19 cases and death is not another wave. Experts modeling the coronavirus pandemic may differ on details, but they agree that calling this a second or third wave is incorrect because there was never a significant trough before cases began mounting again. The outbreak that slammed New York in the spring — as well as cities like Boston, New Orleans, and Detroit — was never brought under control, and instead it’s been allowed to keep building.

Historical hindsight will have to tell what shape the Covid-19 story will ultimately take, but maybe future modelers will call them humps, Nicholas Reich, a University of Massachusetts, Amherst, biostatistician, offered. Broadly speaking, the U.S. is heading toward a third hump while Europe is near its second. 


USA Today, November 13, 2020
No one knows how long the immune system can keep someone safe from Covid-19 after infection. Some diseases like measles are one and done. Once infected or vaccinated and the immune system typically provides protection forever. With other viruses, like the common cold, some of which are closely related to the coronavirus that causes Covid-19, protection might not last a year, or even a season.

The CDC said in a statement that it is investigating some possible reinfections but has not yet confirmed any. It only considers infections more than 90 days apart to be possible reinfections; otherwise, someone's illness is likely a lingering infection.

Associated Press, November 11, 2020
Temperature and Covid-19 symptom checks like the ones used at schools and doctor’s offices have again proved inadequate for spotting coronavirus infections and preventing outbreaks. A study of Marine recruits found that despite these measures and strict quarantines before they started training, the recruits spread the virus to others even though hardly any of them had symptoms. None of the infections were caught through symptom screening.

Kaiser Health News, November 13, 2020
Whether it’s strange rashes on the toes or blood clots in the brain, the widespread ravages of Covid-19 have increasingly led researchers to focus on how the novel coronavirus sabotages blood vessels.
US and California Data: Last 90 Days
Covid Tracking Project, 11/12/20 (bold lines are 7-day averages)
United States
California
California News
SF Chronicle, November 13, 2020
Anyone traveling to California or returning from out of state should quarantine for two weeks, Gov. Gavin Newsom said Friday, as the coronavirus surges to record levels across the country. In a travel advisory issued by the California Department of Public Health, state officials encouraged Californians to stay home and avoid nonessential travel to other states and countries.

The advisory is voluntary, not mandatory. Travelers arriving in California, including residents returning home from trips, should quarantine for 14 days, the state said. During that time, they should limit their interactions to their immediate households.

Mercury News, November 13, 2020
On the same day California recorded its millionth confirmed case of COVID-19, there were more new infections reported around the state than all but nine other days of the pandemic.

Counties around the state combined to report 10,520 new cases — the highest single-day total since Aug. 11 — and the daily average climbed to about 6,875 cases per day, nearly 60% higher than two weeks ago. California crossed the 1 million mark Thursday afternoon, with thousands more reported by the end of the day, for a total of 1,006,046 total cases of Covid-19. 


Sacramento Bee, November 12, 2020
With more cases expected this winter, the surge may soon pose the biggest pandemic challenge yet to the state’s emergency healthcare system, especially if people defy safety guidelines and gather in groups indoors during the holidays.
Statewide, virus patient numbers have steady climbed over the past four weeks, landing 3,224 people in hospitals. That’s about 1,000 more than in mid-October. The number of patients in intensive care has also increase dramatically to nearly 900.

Hospitals may face tougher capacity issues this winter. California Hospitals Association executive Carmela Coyle said hospitals may not be able to set up triage and intake tents in parking lots like they did in summer. If patient numbers mount, hospitals may have to call on the state to relax some regulations on staffing and patient movement. Coyle said hospitals have remained geared up since summer with personal protective equipment, but supply lines still are not as robust as desired. “Respirators, gowns, gloves are in short supply.”

CalMatters, November 12, 2020
Inundated with more than 15 million claims since March, the Employment Development Department is struggling to keep up. As of late last month, the agency’s backlog of unresolved claims totaled 890,000. 

In its latest blunder, EDD temporarily suspended more than 300,000 of the Bank of America debit cards it issued to claimants because of suspected fraud. But the aggressive anti-fraud measure caught thousands of innocent claimants in the crossfire, wiping out their only lifeline. The state’s miscues and slim benefits have spelled financial ruin for thousands across the state and forced tough decisions about what bills to forego or what meals to skip.

Orange County Register, November 12, 2020
California’s back rent is projected to reach nearly $1.7 billion by the end of the year, or almost a fourth of the total rental debt nationwide, a Federal Reserve study found. Under the state’s eviction moratorium, landlords can pursue that debt through small claims courts next spring if their tenants fail to repay it by then.

In all, nearly 240,000 renter households in the state have fallen behind on rent, with an average debt of $6,953 per household, the study by the Federal Reserve Bank of Philadelphia found. The Fed analysis suggests thousands of tenants face the risk of eviction after a national CDC moratorium ends Dec. 31.

SF Chronicle, November 12, 2020
Coronavirus cases are starting to surge again in California nursing homes. The spike is reigniting worries that accelerating community spread is spilling over to settings where residents are most vulnerable to dying from Covid-19.

The number of new daily coronavirus cases at the state’s skilled nursing facilities has more than doubled since the start of November — from 42 on Nov. 1 to 101 on Nov. 10 — after a relatively steady decrease since August, according to state data. The figures are seven-day averages of new daily cases.

Capital Public Radio, November 12, 2020
While many counties were successful in moving to less restrictive tiers at the start of the pandemic, several have been backsliding in the past few weeks. Last week, only one county moved forward a tier. This week, none moved forward and 11 moved backward.

After the state has determined a county must move back a tier, it allows county health departments to submit requests for readjudication if the county feels there’s been a data discrepancy, or if the county believes its rates don’t accurately reflect its current situation due to other outstanding circumstances.

The tiers mostly place restrictions on how bars, restaurants, entertainment centers, gyms and other businesses can operate. But many counties say COVID-19 isn’t being spread in those locations, and most of their cases are traced to home gatherings, workplaces and congregate care facilities. Yet most requests have been denied.
US News
NY Times, November 13, 2020
The coronavirus pandemic is spreading with frightening speed throughout the United States, shattering records on a daily basis, stretching medical resources to the breaking point and once again prompting states, counties and cities to consider economically devastating lockdowns.

On Thursday, public health officials recorded more than 150,000 new cases in a day for the first time — more than 160,000, in fact. It was only eight days earlier that the country had its first 100,000-case day. Six of the last nine days have set records, and with colder weather driving people indoors, there is little reason to expect a respite soon.

Hospitalizations for Covid-19 also set a national record on Thursday for the third-straight day, reaching 67,096, according to the Covid Tracking Project. That figure has doubled in just five weeks.

NY Times, November 13, 2020
Dr. Anthony S. Fauci, the nation’s top infectious disease expert, pleaded with Americans on Friday to take seriously the skyrocketing coronavirus case numbers across the country, warning the danger is elevated as families prepare to celebrate Thanksgiving. In an appearance on “CBS This Morning,” he noted that the baseline number of infections never decreased to controllable levels, allowing the virus to spread like wildfire as the weather cooled and life moved indoors.

If people do gather, masks should be kept on when not eating and drinking, even in a small group, Fauci said. If everyone at a gathering has recently received a negative result on a virus test or quarantined, the risks would be substantially lessened.

Editor's Note: See below for links to CDC and public health officers guidance on how to safely celebrate over the holidays.

Washington Post, November 12, 2020
Covid’s long, dark winter has already arrived in the Upper Midwest, as cases and deaths surge, snatching lives, overwhelming hospitals, exhausting health-care providers and raising fears that the region’s medical system will be completely overwhelmed in the coming days.

Experts say that cases are surging in the region as the weather has turned colder and more people are forced inside — into more poorly ventilated indoor spaces where transmission thrives — with the virus arriving even in remote areas in largely conservative states where Republican leaders have resisted mask mandates or business closures, asking their residents to rely instead on personal responsibility.

Reuters, November 12, 2020
Chicago’s mayor issued a month-long stay-at-home advisory on Thursday, and Detroit’s public schools called a halt to in-person instruction to curb the spread of the coronavirus as more than a dozen U.S. states reported a doubling of new Covid-19 cases in the last two weeks.

The two Midwestern cities became the latest in a growing number of states and metropolitan areas - including New York, California and Iowa - moving this week to re-impose public health restrictions that had been eased in recent months. The measures were driven by surging numbers of daily infections, rising hospitalizations and ominous spikes in the rate of Covid-19 diagnostic tests coming back positive. The onset of winter, with people more likely to congregate indoors, will only worsen the trends, experts say.

Salon, November 12, 2020
New Jersey's largest city has become ground zero in the next wave for the coronavirus pandemic that's now raging across the country and setting new records every day. On Monday, Newark Mayor Ras Baraka did his best to sound the alarm on Facebook, confirming that Newark's overall coronavirus infection rate had hit 19 percent, more than twice New Jersey's infection rate of 7.74%. In the targeted zip code zones, all businesses were directed to close by 9 p.m. on weekdays and 10 p.m. over the weekend.

Associated Press, November 12, 2020
Federal health officials have reached an agreement with pharmacies across the U.S. to distribute free coronavirus vaccines after they are approved and become available to the public. The goal eventually is to make getting a Covid-19 vaccine like getting a flu shot.

Thursday’s agreement with major chain drug stores, grocery market pharmacies and other chains and networks covers about 3 in 5 pharmacies in all 50 states and U.S. territories such as Puerto Rico. It looks ahead to a time next spring when yet-to-be-approved vaccines will start to become available beyond priority groups such as health care workers and nursing home residents.

Washington Post, November 13, 2020
More than 130 Secret Service officers who help protect the White House and the president when he travels have recently been ordered to isolate or quarantine because they tested positive for the coronavirus or had close contact with infected co-workers, according to 3 people familiar with agency staffing.

The spread of the coronavirus — which has sidelined roughly 10% of the agency’s core security team — is believed to be partly linked to a series of campaign rallies that President Trump held in the weeks before the Nov. 3 election, according to the people, who, like others interviewed for this report, spoke on the condition of anonymity to describe the situation.
CA Education News
LA Times, November 13, 2020
Campuses at public and private schools in Los Angeles County could once again be forced to shut down completely for in-person instruction if the current Covid-19 spike continues to worsen, health officials warned school leaders Thursday.

Officials in the county’s 80 public school districts, which serve more than 1.43 million students, had hoped to open campuses for general instruction by January, if not sooner. Even in the best-case scenario, it would be extremely unlikely that campuses could reopen to all students for at least six weeks, based on state health guidelines, said Los Angeles County Public Health Director Barbara Ferrer.

Brown University researchers have said that so far, the danger of transmission on campus appears minimal — provided that a school is following recommended safety precautions. However, that research has critics and even Brown’s expert said it might be unwise to reopen a campus in an area with widespread community transmission of Covid-19.

Mercury News, November 13, 2020
The California Interscholastic Federation should abandon any notion of allowing high schools to start football practice Dec. 14 with the intent of playing games in January. The latest Covid-19 surge in the Bay Area and throughout the state makes the risk far too great for players, coaches and their families.

It’s one thing for the NFL to proceed with its schedule. The players are all adults, the minimum salary is $610,000, each team is spending about $1.5 million for daily tests, and players have the resources to readily quarantine themselves if necessary.
But college and high school football are different.

Sacramento Bee, November 12, 2020
Folsom Cordova Unified is the largest school system in Sacramento County moving forward with in-person learning. Students in grades TK to fifth are returning to campus 4 days a week, while those who choose to continue distance learning through the district’s virtual academy may do so. Sacramento County was downgraded to the state’s purple tier on Tuesday, but the Sacramento County Public Health Department allowed schools that had reopening plans in place to continue with those plans this week.

Capital Public Radio, November 12, 2020
UC Davis Health is now giving some patients a 20-minute test that can determine whether they have Covid-19, the flu or both. Point-of-care tests can produce results immediately after a screening. Doctors at UC Davis Health started using them last week in the emergency room and in some clinics, but only for patients showing symptoms. Covid-19 and the flu can present similarly.
US & International Education News
Associated Press, November 13, 2020
Facing grim conditions, school systems around the U.S. and abroad are taking tough action. Boston, Detroit, Indianapolis and Philadelphia are among those that are closing classrooms or abandoning plans to offer in-person classes later in the school year, and New York City may be next.

Such decisions are complicated by a host of conflicting concerns — namely, safety versus the potential educational and economic damage from schooling children at home, in front of computers, under their parents’ supervision.


NPR, November 13, 2020
Across Europe, schools and childcare centers are staying open even as much of the continent reports rising coronavirus cases, and even as many businesses and gathering places are shut or restricted.

Countries like France, the UK, Germany and Italy appear to be following the emerging evidence that schools have not been major centers of transmission of the virus, especially for young children. And experts say these nations are also demonstrating a commitment to avoiding the impacts of the pandemic on children.

The U.S. has taken a different approach. As new cases climb above 100,000 per day, there are very few places in the U.S. where classrooms have remained full even as restaurants and bars are empty. In cities like Boston and Washington, D.C., schools are remote but indoor dining is allowed. This week, Detroit announced it was closing its schools through January, while indoor dining and bars there remain open at 50% capacity. Meanwhile, in states like Florida and Texas, schools, along with most businesses, have stayed open, even with very high and rising case rates.

NY Times, November 13, 2020
In Robeson County, N.C., about 20,000 of the county’s homes, or 43 percent of all households, have no internet connection. The technology gap has prompted teachers to upload lessons on flash drives and send them home to dozens of students every other week. Some children spend school nights crashing at more-connected relatives’ homes so they can get online for classes the next day.

About nine million K-12 students lived in households without adequate online connectivity or remote devices in 2018, according to a study of federal data by Common Sense Media, an education nonprofit that tracks children’s media use.

Wall Street Journal, November 12, 2020
The Ivy League called off winter sports on Thursday, becoming the first Division I conference to abandon competition in the coming season amid the intensifying global pandemic.
Covid survivor wants others to learn from her experience
When a mother of seven got the word she tested positive for COVID-19, fear coursed through her veins. She never imagined she or her kids would ever contract the highly contagious virus.

“I felt scared when I first tested positive,” she said, requesting anonymity. “I found out my kids were positive too. That’s when I had to tell myself, ‘OK, as a family we can get through this.’”

It was in September when Sage Memorial Hospital told her she had caught the virus. A single mother, she was occupied with helping her younger kids with online schooling, which was already challenging because connectivity was usually slow.

When her father began coughing and getting feverish and was unusually tired, she knew he had the coronavirus. Soon after, she also started feeling feverish. “I had the symptoms and it started with a headache then getting chills,” she said.

“Man, it was ugly – feeling achy, body aching, and aching joints and muscles, headache all the time. I also did not want to eat and I had a hard time sleeping.” She also lost her sense of taste and smell, which is one of the common symptoms. “It was not good,” she said. “People go crazy without those two senses.”

While she and her 15-year-old son got the worst of the sickness, her younger children, ages 1 to 10, did not show any signs. The only thing she noticed about them, she said, was they had headaches and did not eat as much as usual.
She remembered feeling helpless because she was not able to cook for her family due to her illness.

Luckily, her mom pitched in to help care for them. Another thing she said that helped them fight COVID was drinking natural herbs, drinking hot Navajo tea, eating hot food, and taking walks. They live in a secluded area and did not worry about running into other people.

More than a month later, she said everyone, including her father, were healthy again. She says the family is more careful than ever and she does not allow her children to travel with her when she needs to get necessities for them.

“I’m very strict about wearing masks and washing your hands and social distancing,” she said. “And staying home is the only thing that rules in the house.”

“Please think about your loved ones,” she said. “Life is so precious, please take care of you and your loved ones.”

She admits she never believed the virus would affect her family, but now that it is has, she can’t be stubborn about the pandemic anymore. “Most people don’t listen and are very stubborn. They just want to learn the hard way,” she said. “Now is not the time for that.”

Source: Navajo Times
"The good news is that the turnaround in Europe's 2nd wave has started, owing to aggressive mitigation action in many countries."
Dr. Eric Topol, 11/13/20
International News
Bloomberg, November 13, 2020
Coronavirus infections in the U.K. continue to rise but at a slower rate than previous weeks, according to government scientists. The reproduction factor of the virus -- the so-called R rate -- is between 1.0 and 1.2 across the U.K., according to official figures published Friday. That means every 10 infected people spread the virus to another 10 to 12 people. The rate is lower than last week’s estimate of 1.1-1.3.

England is currently under its second national lockdown, with non-essential shops, pubs and restaurants closed for four weeks until Dec. 2, in order to curb the spread of the virus.

New Zealand Herald, November 13, 2020
Masks will be mandatory for everyone traveling on domestic flights and for Aucklanders using public transport as early as Thursday. Until then, New Zealanders are being urged to act like face coverings are already compulsory despite the mystery lifting about the source of the latest community Covid-19 case.

Washington Post, November 12, 2020
The first cruise in the Caribbean since March has halted its journey after passengers tested for the coronavirus “returned assumptive positive results” on Wednesday, yachting company SeaDream said in a news release.

The cruising ship, the SeaDream I, returned to port in Barbados on Wednesday after administering rapid tests on all passengers as part of its routine testing protocol, which requires testing before and during the journey.
The reported outbreak is a major setback for the cruise industry, which has been touting testing as a path to the return to sea.

Mexico News Daily, November 12, 2020
Mexico City is close to regressing to “maximum” risk red on the federal government coronavirus stoplight system due to a further increase in hospitalizations, Mayor Claudia Sheinbaum said Thursday. The mayor told a virtual press conference that she will outline tighter coronavirus restrictions on Friday, although she said that an immediate switch to red is not in the cards.

Asked whether Mexico City is edging closer to red light status, Sheinbaum responded that it was, explaining that a recent increase in the hospitalization of coronavirus patients is concerning.

Associated Press, November 12, 2020
From Argentina to Zimbabwe, from the Vatican to the White House, the coronavirus has spread relentlessly. It’s been confirmed on every continent but one and in nearly every country. Yet a few places have yet to report even a single case of infection. Some have been genuinely spared so far, while others may be hiding the truth.

Tonga, Kiribati, Samoa, Micronesia and Tuvalu are among the small island nations yet to report a single case. They haven’t been spared from the pandemic’s effects, however.
Analysis/Opinion
Ed Yong, The Atlantic, November 13, 2020
Emergency rooms are starting to fill again with Covid-19 patients. Utah, where Nathan Hatton is a pulmonary specialist at the University of Utah Hospital, is currently reporting 2,500 confirmed cases a day, roughly four times its summer peak. Hatton says that his intensive-care unit is housing twice as many patients as it normally does. His shifts usually last 12 to 24 hours, but can stretch to 36. “There are times I’ll come in in the morning, see patients, work that night, work all the next day, and then go home,” he told me. I asked him how many such shifts he has had to do. “Too many,” he said.

Hospitals have put their pandemic plans into action, adding more beds and creating makeshift COVID-19 wards. But in the hardest-hit areas, there are simply not enough doctors, nurses, and other specialists to staff those beds.

Some health-care workers told me that Covid-19 patients are the sickest people they’ve ever cared for: They require twice as much attention as a typical intensive-care-unit patient, for three times the normal length of stay. “It was doable over the summer, but now it’s just too much,” says Whitney Neville, a nurse based in Iowa. “Last Monday we had 25 patients waiting in the emergency department. They had been admitted but there was no one to take care of them.”

Thomas Frieden, former CDC Director, The Atlantic, November 13, 2020
The announcement from Pfizer about its vaccine trial is very encouraging, but the vaccine’s safety and efficacy among groups such as the elderly are still unclear. Even with a vaccine that’s fully vetted and ready to go, it will take many months for enough people to receive it to provide population-wide protection. Until then, we need a one-two punch to knock the virus down and then keep it down.

The first action, closing parts of society, needs to be strategic. Timing matters. The initial widespread closure in the spring poisoned the well. Many parts of the country shut down too soon and for too long. An effective closure needs to be nuanced, specific, and tightened and loosened based on real-time data about where the virus is spreading.

Many clusters of cases come from people who go to work, school, or social get-togethers while ill. No testing, government, or health-care program can control Covid-19 if people continue this behavior. Government and businesses can help. No one should have to choose between feeding their family and keeping their co-workers safe. Paid sick leave reduces the spread of viral disease in workplaces. 

NY Times, November 13, 2020
In an interview, the science reporter Donald G. McNeil Jr. says that medical help is coming, but the fight is far from over.

McNeil states, "We’re basically stuck with masks and not eating or meeting indoors until the vaccines arrive. If people don’t do that, their hospitals get overwhelmed. When that happens, a virus that kills less than 1 percent of its victims suddenly kills 2 or 3 or 4 or 5 percent because people can’t get ventilators, can’t get ambulances, can’t even get oxygen."
East Bay Focus
Alameda County
Moderate (Orange)
  • 3.8 Adjusted case rate of new Covid-19 positive cases per day per 100,000 residents
  • 1.6% Positivity rate
  • 2.8% Health equity metric
Contra Costa County
Substantial (Red)
  • 5.3 Adjusted case rate of new Covid-19 positive cases per day per 100,000 residents
  • 2.3% Positivity rate
  • 4.1% Healthy equity metric
All California counties are assigned to a tier based on its test positivity and adjusted case rate. To move forward, a county must meet the next tier’s criteria for two consecutive weeks. If a county’s metrics worsen for two consecutive weeks, it will be assigned a more restrictive tier. The state updates the tier data every Tuesday, with the exception of this week when the data was updated today.

If the adjusted case rate of daily new cases per 100,000 residents rises and stays above 3.9 in Alameda County, it will enter the substantial (or red) tier later this month.
by day as of 11/12/20
by day as of 11/12/20
Over the last seven days, Alameda County officials have confirmed 1,030 new cases, which amounts to 63 cases per 100,000 residents.
Over the last seven days, Contra Costa County officials have confirmed 885 new cases, which amounts to 78 cases per 100,000 residents.
Top 10 Locations of Cases in Alameda County, as of 11/12/20. Alameda County does not publish cases per 100,000 in the last 14 days by city.
Oakland: 9,622

Hayward: 3,774

Fremont: 1,845

Eden MAC: 1,656

San Leandro: 1,455

Livermore: 1,099

Union City: 992

Berkeley: 861

Newark: 681

Castro Valley: 674
Top 10 Locations of Cases in Contra Costa County plus (in parentheses) cases per 100,000 in last 14 days, as of 11/13/20
Richmond: 3,871 (193)

Concord: 2,689 (98)

Antioch: 2,773 (187)

Pittsburgh: 2,256 (147)

San Pablo: 1,784 (356)

Bay Point: 1,049 (278)

Brentwood: 847 (130)

Walnut Creek: 745 (73)

Oakley: 653 (125)

San Ramon: 509 (85)
East Bay Resources


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.
Holiday Celebration Guidance
CDC website, November 12, 2020
The safest way to celebrate Thanksgiving this year is to celebrate with people in your household. If you do plan to spend Thanksgiving with people outside your household, the CDC offers steps to make your celebration safer.
Contra Costa Health Services website
Embracing gratefulness, connection, resiliency and hope are more important than ever, as is protecting the ones you care about and are thankful for. As you plan for and enjoy the holidays, Contra Costa Health Services provides guidance on how to keep yourself and others safe while enjoying traditions.
Osterholm Podcast
In the November 12, 2020, episode, Dr. Michael Osterholm and host Chris Dall discuss the pandemic's growing strain on healthcare systems across the US, limitations of modeling, the concept of paying to prevail, encouraging news in the vaccine world, and the implications of infected mink in Denmark.
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.
Public Education Covid-19 Flyers
Contra Costa County Health Services has recently published highly informative flyers addressing the risks of becoming infected in certain settings and activities.
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 Gordon Galvan, Chair, Mariellen Faria, Vice Chair, Roxann Lewis, Pam Russo and Thomas Lorentzen. 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.

Each bulletin includes a summary of the top health, Bay Area, California, national, education and international news on the pandemic plus links to a diverse range of commentary and analysis. We publish the Bulletin on Mondays, Wednesdays and Fridays, unless the day fall on a public holiday.

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