November 4, 2020
Eden Health District COVID-19 Bulletin
"Yesterday the virus wasn't distracted a bit when it took the lives of over 1,100 Americans, . . . put over 50,000 people in the hospital and infected over 90,000. Similar numbers expected today. We've got to get this [virus] under control."
Dr. Eric Topol, Director of the Scripps Research Translational Institute, 11/4/20
San Francisco reporter, laid off due to pandemic, starts newspaper for Chinese American community
If the printed newspaper is a relic of the past, as we've been told many times, it seems someone forgot to tell Portia Li.

Or, maybe they did, and she chooses to believe very differently.

Newspaper reporting has been Li's life for more than half her life. She covered the San Francisco crime beat for more than 30 years for a national Chinese language publication. Until she got a phone call this spring.

Pandemic-induced cutbacks had cost Li her job. "When I got that phone call, I couldn't believe it," Lis said.

The very next phone calls were from Li's former colleagues, saying her voice in San Francisco's Chinese American community was too valuable to lose. They said she should start her own newspaper.
Li thought that was a good idea.

"I thought it was not that hard. I thought it was easy," Li said. "No, of course not! It's so difficult."
It is so hard, in part, because Li is not just a reporter anymore. She is the publisher, editor, sales manager, and, yes, delivery woman of the brand new Wind Newspaper. On a recent Tuesday, Li was personally delivering 3,000 copies of Wind's seventh edition to stores and restaurants around San Francisco's Chinatown.

But why go to all this trouble for a venture in which she hopes, at best, to break even?
Part of it is that Li loves being a journalist, but that's not all.

"It's more than just myself learning something new every day. You can make a difference for so many people," Li said.

And for some, particularly seniors, Li feels like she can make that difference only with a free, hard copy newspaper. No money, no smartphone, no internet is needed to be informed about the issues related directly to their lives.

Source: NBC Bay Area
By the Numbers
CONFIRMED CASES
Alameda County: 24,162

Contra Costa County: 19,517

Bay Area: 120,370

California: 948,474

U.S.: 9,454,704
REPORTED DEATHS
Alameda County: 466

Contra Costa County: 248

Bay Area: 1,797

California: 17,781

U.S.: 233,356
Bay Area News
SF Chronicle, November 4, 2020
Bay Area health officers are considering issuing an advisory that would urge people who travel to places where the coronavirus is spreading widely to either quarantine for two weeks after they return home or get a negative test result before going back to work or school.

No decision has yet been made about the advisory, and it may not apply to all of the Bay Area. The public health officials involved in the discussion are from the six “core” counties — Alameda, Contra Costa, Marin, San Francisco, San Mateo and Santa Clara — that issued the first shelter-in-place orders in March, said Dr. Matt Willis, the Marin County health officer. The travel advisory would likely be a recommendation, not an order, Willis said. He first revealed details of the proposal during a virtual meeting with the Marin County office of Education to discuss schools reopening.


Press Release, November 4, 2020
With data from the past week showing a marked increase in Covid-19 cases and hospitalizations in Contra Costa County, health officials are taking steps to protect the community with modest changes to local health orders.If the trend continues, the county is at risk of moving backward into the more-restrictive red tier of the state's reopening plan as soon as next week.

In the meantime, Contra Costa has amended its health orders to rein in some of the riskier indoor activities permitted under the orange tier in hopes of preventing outbreaks and keeping the county out of the red.

Contra Costa County's health officer issued new orders today limiting the number of spectators allowed at professional and collegiate sporting events, while also reimposing restrictions on other high-risk activities.

NBC Bay Area, November 3, 2020
A California judge Monday ordered a San Jose church to stop holding weekly indoor services for hundreds of people, granting county officials a restraining order against the church that has accrued more than $350,000 in fines for violating coronavirus shutdown orders.

Santa Clara County last week filed for a restraining order against Calvary Chapel San Jose and Pastor Mike McClure over the weekly services that attract about 600 people who don’t wear masks or social distance. Under the county health order, indoor gatherings for religious or any other purposes are limited to 100 people, face coverings must be worn, and social distancing requirements must be followed. The San Jose-based church has been hosting weekly indoor church services with approximately 600 people who do not wear face coverings or socially distance from one another.

SF Chronicle, November 2, 2020
San Francisco’s coronavirus contact tracing team reached more than 80% of patients and their close contacts in the spring as the program was just getting started, but fewer than half of those contacts were tested at the time, according to a study published Monday.

The paper is among the first detailed analyses of a contact tracing program in the United States. It identifies both the relative success of the San Francisco model in the early months of the pandemic and critical shortcomings, including access to testing and time lags in reaching individuals at risk of infection.

East Bay Times, November 4, 2020
In an effort to help businesses ride the ebbs and flows of the pandemic, San Jose is extending a new program allowing businesses to operate in public and private outdoor spaces through next spring and summer.

Under the city’s Al Fresco program, downtown businesses can now stay open until midnight. The program, which launched earlier this summer as a way to help businesses struggling from the economic fallout of forced closures and reduced operations, previously required businesses operating in public and private spaces outside of their establishments to close at 10 p.m.
Health News
Bloomberg, November 3, 2020
A crucial type of defensive blood cell persists for at least six months in people after Covid-19, even in those who had no symptoms, in a new study that may ease concern about waning immunity and its implications for a vaccine.

The research on 100 people shows that all had T-cell responses against a range of the coronavirus’s proteins, including the spike protein used as a marker in many vaccine studies, after half a year. Those who experienced symptoms had levels that were at least 50% higher than those who didn’t.

The study, from the a group of immunologists from 17 universities called the U.K. Coronavirus Immunology Consortium, has not yet been peer reviewed. It may be the first to show that a robust cellular memory against the virus persists for this long, the authors said.

NY Times, November 3, 2020
A new study casts doubt on whether rapid tests perform as promised under real-world conditions, especially when used in people without symptoms. In a head-to-head comparison, researchers at the University of Arizona found that, in symptomatic peoplea rapid test made by Quidel could detect more than 80 percent of coronavirus infections found by a slower, lab-based P.C.R. test. But when the rapid test was used instead to randomly screen students and staff members who did not feel sick, it detected only 32 percent of the positive cases identified by the P.C.R. test.


CNN Health, November 3, 2020
If you think a negative test result means you don't have coronavirus, you could be wrong. It can take days before a new infection shows up on a Covid-19 test. "People sort of feel like if you test (negative), you're out of the woods. And you're kind of not," said Dr. Rochelle Walensky, chief of the infectious diseases division at Massachusetts General Hospital.

For people who get sick with Covid-19, symptoms can take up to two weeks to appear, but the average time is about five days, Walensky said. "It's generally thought that you're most infectious the two days before that day and the two days after that," she said. One reason why this virus spreads so easily is because people can be infectious without any symptoms. The CDC estimates 40% of infections are asymptomatic, and 50% of transmissions happen before symptoms begin.

Washington Post, November 3, 2020
If you have embraced being outdoors as a way to deal with pandemic stress and are dreading the arrival of winter, you might consider cultivating two things: a new attitude and a better cold-weather wardrobe. Altering one’s mind-set about winter is key to getting through it, says clinical psychologist Roseann Capanna-Hodge. “The first part of managing stress and building resiliency in these trying times is changing how you view things,” she says. “You are in control. Instead of saying you dread winter, shift the dialogue to, ‘I’m looking forward to winter.’ ”

Kaiser Health News, November 3, 2020
Older adults in all kinds of circumstances are deliberating what to do as days and nights turn chilly and coronavirus cases rise across the country. Some are forming “bubbles” or “pods”: small groups that agree on pandemic precautions and will see one another in person in the months ahead.

ABC News, November 3, 2020
They're images that are hard to reconcile -- Covid-19 cases surging to record levels and maskless Americans flouting social distancing rules and recommendations. One message that Dr. Claude Mellins has been conveying to her faculty at Columbia University is one of resiliency and hope. "We're gonna get through this," she said. "That's the first message of any disaster. It doesn't mean we're not going to be unchanged, but we will get through it."
US and California Data: Last 90 Days
Covid Tracking Project, 11/4/20 (bold lines are 7-day averages)
United States
California
California News
Mercury News, November 4, 2020
The number of new Covid-19 cases in California continued to tick slightly higher in the latest reporting numbers for the past 7 days, and hospitals are gradually becoming more crowded, too.
The seven-day average of new cases statewide increased for the third straight day to 4,380 through Tuesday’s reporting. That number has gone up for 11 of the past 15 days.

Hospitalizations throughout the state also are going up, with 3,241 patients overall and 823 in the intensive-care unit. Locally, Contra Costa County has been hit hard, with its patient count increasing by 10 to 52 since Oct.29. Santa Clara County is back in the triple-digits again, with its patient list up to 100.

Sacramento Bee, November 3, 2020
Nearly 100 combined residents and staff at Alderson Convalescent Hospital in Woodland have tested positive for Covid-19 in two waves of infection occurring three months apart, according to Yolo County health officials. After the first wave, in July, was mitigated, the county in mid-October announced another outbreak, first reported at 14 residents and 4 employees. Less than 3 weeks later, the outbreak has almost quadrupled in size, reaching 57 residents and 13 staff. At least 8 residents have died in this wave, the county said Monday. 

NBC, November 2, 2020
A judge on Monday preliminarily ordered Gov. Newsom to stop issuing directives related to the coronavirus that might interfere with state law.
Sutter County Superior Court Judge Sarah Heckman tentatively ruled that one of the dozens of executive orders Newsom has issued overstepped his authority and was “an unconstitutional exercise of legislative power.” She more broadly barred him “from exercising any power under the California Emergency Services Act which amends, alters, or changes existing statutory law or makes new statutory law or legislative policy.”

Mercury News, November 4, 2020
Three airlines are resuming flights that connect San Jose with multiple islands in Hawaii, airport officials said Tuesday.
Southwest Airlines, Hawaiian Airlines, and Alaska Airlines are resuming flights between San Jose and the Pacific Ocean island chain.

LA Times, November 3, 2020
Though the state usually releases a new tier report every Tuesday, that will not be the case this week. Because Tuesday was election day, the California Department of Public Health confirmed Monday afternoon that it would delay the document’s release until Wednesday. According to coronavirus testing data available Monday, the day the state usually pulls information to make its weekly tier calculations, San Diego County’s unadjusted case rate for the 7-day period from Oct. 18 through 24 is 8.7 cases per 100,000 residents, significantly above the limit of 7 that marks the boundary between its current reopening tier, color-coded red, and the state’s most-restrictive tier, purple. It takes two consecutive weeks, however, with purple scores for any county to fall a tier. So a second purple score in next week’s report would be required for consequences to occur.

Editor's Note: As of today, November 4, 2020, San Diego County's adjusted case rate stands at 7.4%.

LA Times, November 4, 2020
In March, Jacob Appelsmith, the now-retired director of California’s Department of Alcoholic Beverage Control, pushed hard to allow stills to be repurposed to make much-needed hand sanitizer, giving distillers a new product they could sell quickly. Another allowance granted by the ABC was to streamline the approval process for turning distillery tasting rooms into restaurants. As long as they served a proper meal, craft distillers could sell cocktails.
US News
CNN, November 4, 2020
The US recorded 91,530 new Covid-19 infections on the day many Americans cast their ballots, adding to a series of staggering case numbers reported within just the past week.

The country's five highest days of coronavirus cases have all been recorded since October 29, affirming experts' warnings another surge is well on its way and will only get worse. The nationwide 7-day average of new cases now stands at about 86,363 -- more than double what it was on September 4. And while doctors have stressed basic public health measures like masks and social distancing can turn things around, such measures remain a point of contention in some parts of the US.

Only 5 states are trending in the right direction -- Alabama, Hawaii, Louisiana, Tennessee and Vermont -- while at least 36 are reporting more new cases than the previous week.

SF Chronicle, November 2, 2020
A record 61,000 children in the United States tested positive for the coronavirus last week, medical professionals said, a troubling sign as the nation grapples with increased infection rates among all age groups and a potential third wave of the virus in the year’s cooler months.

The number represents the highest number of new child cases of coronavirus since the pandemic began, according to a report from the American Academy of Pediatrics and Children’s Hospital Association.
Although children do not typically experience serious complications from the virus, researchers noted that the long-term effects and complications on those who become ill are not yet known. Plus, children can spread the virus even if they don’t become seriously ill, said Dr. Yvonne Maldonado, an epidemiologist and infectious disease specialist at Stanford University School of Medicine.

Wall Street Journal, November 4, 2020
A surge of Covid-19 cases and stockpiling of N95 masks in much of the country have put fresh strains on the supply of critical protective gear, manufacturers and health officials say. While the national supply of protective equipment has improved since the first months of the pandemic, levels at some health-care facilities remain well below what regulators recommend. Many health-care facilities continue to ration and reuse masks, even as manufacturers have raised production, and some state health departments said they expect supplies to tighten further. 

Dr. Francis Collins, NIH Director, November 3, 2020
Dr. Francis Collins, the director of the National Institutes of Health, highlighted a recent study that said if 95% of people in the U.S. wore masks in public, the COVID-19 death toll in the country would drop from the projected 510,000 to about 380,000 by March. “In other words, if most Americans pulled together to do the right thing and wore a mask in public, this simple, selfless act would save more than 130,000 lives in the next few months alone, he wrote in a blog post. Collins, who is Dr. Anthony Fauci’s boss, said wearing face coverings is similar to wearing seat belts, “a minor inconvenience that can save lives.”

Buzzfeed News, November 3, 2020
The US shattered all records for gun sales in 2020, spiking in the early months of the pandemic and during the summer’s racial justice protests, and continuing at historically high levels right up to an election mired by fears of growing unrest.
CA Education News
EdSource, November 3, 2020
Seven urban California school districts, including the state’s four largest, have called on Gov. Newsom to adopt and pay for more stringent, uniform health and safety requirements they say should be in place before bringing students back to school during the pandemic.

“It will take collective action and additional funding to bring students, teachers and staff back to schools in the way that is as safe as possible and sustainable for the long-term,” they said in a Nov. 2 letter organized by Los Angeles Unified Superintendent Austin Beutner and signed by the superintendents of San Diego, Long Beach, Fresno, Santa Ana, Sacramento and Oakland unified school districts. Adopting their recommendations would mark a shift from local control toward more rigorous state control over school reopenings.
None of the districts plans to bring students back to regular classes before January.

EdSource, November 3, 2020
While many high schools and middle schools adopted pass-fail grading at the start of the pandemic in order to hold students harmless as they adjusted to distance learning, districts have largely reverted back to the traditional A-to-F system.

But now that students are receiving their fall progress reports, it appears as though in at least some districts, many students’ grades are slipping. Los Angeles Unified Superintendent Austin Beutner announced Monday that the number of middle school and high school students receiving Ds and Fs so far this year has increased compared to last year. In Sonoma County, the number of high school students failing classes is so much higher than previous years that Steven Herrington, the county schools superintendent, convened a summit of district leaders last week to discuss the issue, and will meet again this Thursday.

CalMatters, November 2, 2020
As more California public schools get set to reopen their campuses to students and teachers with a rhythm unseen in previous months, the pool of schools that have reopened so far have largely avoided triggering coronavirus outbreaks. Most of the school districts in the state that have physically reopened have implemented hybrid schedules where kids split time learning in classrooms and remotely from home. Several others have transitioned or plan to transition to in-person learning in phases, beginning with younger students.

At a recent legislative hearing in Sacramento, one of the state’s top public-health leaders said it’s “encouraging” that school reopenings as of Oct. 25 have resulted in only two outbreaks — defined as three or more linked positive cases — which combined led to 17 cases. Officials did not say where in the state the two outbreaks occurred.
US Education News
SF Chronicle, November 3, 2020
The full extent of online cheating inspired by the pandemic — illicit Googling, friends texting answers to each other or sharing screen shots of exam questions in advance — can’t be measured, despite the new popularity of camera-monitoring, online proctoring and artificial intelligence to track students’ computer moves. But it’s clear from the available data, and from conversations with students, that the temptation to cheat is stronger than ever among test-takers far removed from classroom norms and professors’ eyes.

To many universities and ethicists, that’s a cause for concern. Students Googling answers on tests have an unfair advantage over students who don’t do it. And the same behavior by, say, medical students or apprentice pilots has even deeper consequences, potentially placing others in jeopardy, ethicists say. As the surging pandemic keeps classes and exams mainly online, much is at stake. 

NY Times, November 4, 2020
As American colleges have become a major source of outbreaks, with at least 214,000 cases linked to campuses, student journalists have found themselves playing a vital role in the pandemic, reporting stories of national importance and holding their administrators and fellow students accountable.

Even before the coronavirus shut down campuses this spring, disrupting student life to a degree not seen since the Vietnam War, college publications had found themselves playing an increasingly vital part in their communities. The crisis in local journalism, which has forced more than 1,800 U.S. newspapers to close or merge since 2004, has left some of them as the sole remaining daily paper in college towns.

Kaiser Health News, November 3, 2020
At Colorado State University, Lori Lynn, co-chair of the school’s pandemic response team, said initially the school was paying $93 a pop to test students using the usual nose swab method.
“We quickly spent several million dollars on testing,” said Lynn, who added that cost is just one limiting factor. “We can’t test everybody in the community, you know, weekly or twice a week.”

Instead, Mark Zabel, a CSU molecular biologist and immunologist who typically studies neurodegenerative diseases, said his group recently figured out how to screen saliva for less than $20 a person. It involves pooling drool samples in a strategic way reminiscent of the children’s game Battleship. Emerging research suggests infected people start shedding the coronavirus in their poop early in their infection, and possibly days before they begin shedding it from their mouths and noses. “It means that we can catch them before they’re actually spreading the infection,” she said.
Covid survivor walks 100 miles for veterans, children
The American Legion’s 100 Miles for Hope challenge came along at just the right time for Air Force veteran Wes Singletary.

“I was walking a lot with the new puppy I got in July,” Singletary said of his 5-month-old dog, Copper, a Catahoula leopard hound. “They need a lot of exercise. I thought this would be a good opportunity to get him out there and exercise by walking with him every day.”

So Singletary, a member of American Legion Post 13 in Tallahassee, Fla., was among the early registrants for the campaign that challenged participants to walk, run, cycle or cover the distance any way they choose in the 100 days leading up to Veterans Day. Proceeds benefit The American Legion’s Veterans & Children Foundation.

However, about 20 miles into their quest, he came down with Covid. Singletary, who has asthma, recalled his temperature hitting 102 degrees the first day. He quarantined at home for about 10 days. But when his oxygen levels dipped into the 70s, he finally went to the hospital.

“That Covid, it really knocked me down,” said Singletary, who spent 2 weeks in the hospital. "I had Covid, pneumonia and myocardial edema, which is fluid on the heart. I even had a urinary tract infection.”
After being discharged, Singletary was only able to go about a half mile as he rebuilt his strength. Now, he’s up to 3 to 4 miles daily. His doctor has credited his regular walking for his improvement.

Even though Singletary is still coughing frequently, recent X-rays have shown “incremental improvement,” according to his doctor. “It’s going to be a long, slow haul.”

Singletary and Copper have now covered more than 120 miles total.

“I am blessed to be able to walk,” he concluded. “This Covid is not a joke. If you are blessed, you survive it. It kicked the hell out of me. I hadn’t been in the hospital since I got my tonsils out in third grade. Those people saved my life. I am truly blessed to be able to get out into the sunshine, walk my dog and build my health back up while at the same time helping a worthy cause through The American Legion.”

International News
Associated Press, November 4, 2020
Thirsty drinkers in England will be enjoying their final freshly poured pints in a pub for a month Wednesday while shoppers will get one last dose of retail therapy as the country prepares to join large swathes of Europe in lockdown as part of intensified efforts to contain the resurgent coronavirus.

Pubs, along with restaurants, hairdressers and other retailing outlets deemed to be selling non-essential items, such as books and sneakers, will have to close their doors Thursday until at least Dec. 2 following a sudden change of course last weekend by the British government. Prime Minister Boris Johnson had for weeks argued in favor of more regional strategies to contain the virus, but said he had to be “humble in the face of nature.”
British lawmakers are set to approve the latest lockdown measures later so they can take effect at midnight.

Science, November 2, 2020
With Covid-19 cases mounting and threatening to overwhelm health care capacity, much of Europe has taken measures to curb human contacts. Two months ago, as numbers began to creep up after a blissful summer lull, countries still held out hope that more limited, targeted measures could prevent a second wave. Now, that wave is here, with the force of a tsunami.

Europe has surpassed the United States in cases per capita; last week, it accounted for half of the more than 3 million cases reported to the World Health Organization (WHO). “Europe is at the epicenter of this pandemic once again,” WHO’s regional director for Europe, Hans Kluge, said on 29 October.

Most countries are reacting without a long-term plan, simply trying to avoid the worst. Officials differ about the best way to bring the numbers down again, and how low a level they should strive for. And no one knows what comes next. Short of vaccines to save the day, countries may face an exhausting series of lockdowns—a sawtooth pattern, “up and down and up and down,” that could wreck the economy, says Albert Osterhaus, a virologist at the University of Veterinary Medicine, Hanover. “There is no strategy in Europe,” he concludes.

Asia Times, November 4, 2020
Chinese state media is advancing a possible alternative explanation for the origin of the Covid-19 pandemic, one that claims that the contagion may have first arrived in China from abroad in imported frozen foods. 

Chinese officials quoted in the reports suggest “cold chain food contamination” could debunk the widely held belief that the novel coronavirus first emerged from a wet market in the Chinese city of Wuhan, from where it reputedly made its lethal global spread. Experts at China’s National Center for Disease Control and Prevention have said that recent smaller, quickly contained outbreaks of the disease in Beijing, Dalian, Qingdao and even Wuhan have likely arrived from overseas in frozen meat including salmon and chicken. 

The contaminated frozen food theory was first raised after a cluster of Covid-19 infections was discovered and quickly contained in June at the sprawling Xinfadi food distribution market in Beijing. 

Associated Press, November 2, 2020
Mexico’s usually ebullient and colorful Day of the Dead celebration was quieter and lonelier than usual, with many cemeteries closed to visits because of fears of spreading the coronavirus. But this year, most had to make do with the traditional home altars that bear a photograph of the deceased and their favorite food, along with candles and marigold petals. In a break with tradition, some altars of COVID-19 victims also included urns with their ashes.
Analysis/Opinion
Victoria Knight and Julie Appleby, Kaiser Health News, November 3, 2020
Assertions that Covid death counts are overstated have fueled conspiracy theories on Facebook and elsewhere that doctors and hospitals are fudging numbers to get paid more. They’ve also triggered anger from the medical community.

“The suggestion that doctors — in the midst of a public health crisis — are overcounting Covid-19 patients or lying to line their pockets is a malicious, outrageous, and completely misguided charge,” Dr. Susan R. Bailey, American Medical Association president, said in a press release.

Experts say there is simply no evidence that physicians or hospitals are labeling patients as having Covid-19 simply to collect that additional payment. Rick Pollack, president and CEO of the American Hospital Association, wrote an opinion piece in September addressing what he called the “myths” surrounding the add-on payments. While many hospitals are struggling financially, he wrote, they are not inflating the number of cases — and there are serious disincentives to do so.

Wall Street Journal, November 4, 2020
Is travel rebounding? The numbers say no, not really.

There have been small improvements, which some analysts have touted as signs of recovery. But as the numbers show, any recovery has been in many ways inconsequential so far.
Losses will continue to grow from the pandemic and the magnitude of the industry financial hit will likely expand to more than twice as great as the hit from 9/11. U.S. airlines didn’t return to profitability until six years after the 2001 attacks.

New York has been harder hit than the rest of the country in terms of travel. With attractions like Broadway shows closed and restaurant options limited, vacationers have fewer reasons to visit. And there’s almost no business travel happening.

STAT, November 3, 2020
As voters went to the polls Tuesday across the country, they encountered an array of precautions meant to keep the presidential election from becoming a Covid-19 superspreader event.
Masks and hand sanitizer were ubiquitous, of course, as was grousing about masks. In New York, some polling places handed out individual pens for voting, while others cleaned off markers in between each use. In one Ohio county, each person was given a plastic glove to wear while handling their ballot. And in a number of states, people too afraid to get out of their cars and stand in a socially distanced line could vote curbside, as if they were picking up takeout.
STAT dispatched reporters to polling places in four states from coast to coast: New York, Ohio, Wisconsin, and California. Here’s what they observed Tuesday morning and during early voting over this past weekend.

Emily Baumgaertner, LA Times, November 2, 2020
Even before the coronavirus sunk in its teeth, the United States was deeply polarized. Facts mattered less than feelings and political parties acted like tribes.

The virus — a shared, microscopic enemy that demanded a unified response — offered the nation a chance to come together. But from face masks to shutdowns, the pandemic quickly became the main thing Americans were fighting over. As the death toll grew so did anxieties about who would win the presidency.
All of the issues that divided America before coronavirus have been eclipsed.
This is the pandemic election. And these are the stories of five voters.
East Bay Focus
Alameda County
Moderate (Orange)
  • 3.2 Adjusted case rate of new Covid-19 positive cases per day per 100,000 residents
  • 1.5% Positivity rate
  • 2.6% Health equity metric
Contra Costa County
Moderate (Orange)
  • 4.8 Adjusted case rate of new Covid-19 positive cases per day per 100,000 residents
  • 2.2% Positivity rate
  • 4.0% 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.

Contra Costa County is in danger of moving backwards to the red, or substantial spread, level next if its adjusted case rate remains above 4.0%.
by day as of 11/3/20
by day as of 11/3/20
Over the last seven days, Alameda County officials have confirmed 691 new cases, which amounts to 42 cases per 100,000 residents.
Over the last seven days, Contra Costa County officials have confirmed 591 new cases, which amounts to 52 cases per 100,000 residents.
Top 10 Locations of Cases in Alameda County, as of 11/4/20. Alameda County does not publish cases per 100,000 in the last 14 days by city.
Oakland: 9,273

Hayward: 3,565

Fremont: 1,700

Eden MAC: 1,552

San Leandro: 1,359

Livermore: 1,028

Union City: 929

Berkeley: 794

Newark: 640

Castro Valley: 637
Top 10 Locations of Cases in Contra Costa County plus (in parentheses) cases per 100,000 in last 14 days, as of 11/4/20
Richmond: 3,639 (113)

Concord: 2,571 (98)

Antioch: 2,586 (105)

Pittsburgh: 2,173 (132)

San Pablo: 1,663 (255)

Bay Point: 985 (128)

Brentwood: 1,004 (177)

Walnut Creek: 689 (54)

Oakley: 614 (113)

San Ramon: 450 (55)
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.
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.

Please share our bulletin with your contacts. Please click here to subscribe.

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