Newsom issues regional stay-at-home order based on ICU capacity to battle record Covid surge in California


Millions of Californians will likely find themselves under a regional stay-at-home order once again under new restrictions announced Thursday by Gov. Gavin Newsom.



a group of people in a room: FILE - In this Nov. 19, 2020, file photo, medical personnel prone a COVID-19 patient at Providence Holy Cross Medical Center in the Mission Hills section of Los Angeles. The raging coronavirus pandemic has prompted Los Angeles County to impose a lockdown to prevent the caseload from spiraling into a hospital crisis but the order stops short of a full business shutdown that could cripple the holiday sale season. (AP Photo/Jae C. Hong, File)


© Jae C. Hong/AP
FILE – In this Nov. 19, 2020, file photo, medical personnel prone a COVID-19 patient at Providence Holy Cross Medical Center in the Mission Hills section of Los Angeles. The raging coronavirus pandemic has prompted Los Angeles County to impose a lockdown to prevent the caseload from spiraling into a hospital crisis but the order stops short of a full business shutdown that could cripple the holiday sale season. (AP Photo/Jae C. Hong, File)

The new order will take hold in regions where hospitals are feeling the squeeze on capacity to treat the incoming surge of Covid-19 patients. A strict stay-at home order will go into effect 48 hours after hospital intensive care unit capacity drops below 15% in one of five regions

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Health-care workers will be vaccinated first. For now, they’re handling a surge in hospitalizations.


Until then, an influx of new covid-19 patients could lead to hard decisions in the worst-hit hospitals about how to allocate medical resources and care.

Tom Moore, an infectious-disease doctor in Wichita, said cases had been rising steadily throughout the summer because of outbreaks at meatpacking plants. But over the past few days, the number of positive cases has reached shocking levels. Now, his hospital is “maxed out,” Moore said, and it has stopped taking transfers from rural areas that routinely sent their most critically ill patients to the city. Earlier this year, Moore was managing 40 to 50 patients at a time. Today, that number is closer to 90.

The burden has become increasingly visible. Moore described a nurse in the intensive care unit breaking down crying on a recent day. Other workers are burned out.

“We’re all at our breaking points,” he said. “It’s unmanageable.”

And local officials,

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Superbug Spread In New Jersey Hospital Amid COVID-19 Surge


KEY POINTS

  • A New Jersey hospital reported a CRAB cluster in May
  • It recorded 34 cases in a few months
  • At the time, the hospital had to make changes to infection prevention practices because of rising COVID-19 cases

A hospital in New Jersey battled an increase in superbug cases amid a surge in COVID-19 admissions in the spring. The Centers for Disease Control and Prevention (CDC) says this highlights how hospitals can be vulnerable to such outbreaks when they get overwhelmed because of COVID-19.

COVID-19 and CRAB outbreak

In a report, published Tuesday, CDC said an unnamed New Jersey hospital reported a cluster of Carbapenem-resistant Acinetobacter baumannii (CRAB) infections on May 28, when there was a surge in COVID-19 hospitalizations. CRAB is a multidrug-resistant pathogen known to spread in hospitals. Calling the superbug “opportunistic,” the CDC said CRAB is a “threat in healthcare” as it can cause outbreaks in hospitals

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Rhode Island opens field hospitals as hospitalizations surge


PROVIDENCE, R.I. (AP) — Rhode Island has opened two field hospitals that combined have more than 900 beds as the number of people hospitalized with COVID-19 in the state reached a new high.

There were 410 patients in the state’s hospitals with the disease as of Sunday, the most recent date for which the information was available, the state Department of Health reported Tuesday. That is the highest number of people hospitalized with the disease on a single day since the pandemic began.

Care New England opened a field hospital with more than 300 beds in Cranston on Monday, the same day the state sent an emergency alert saying conventional hospitals had reached their coronavirus capacity.


A facility with nearly 600 beds opened Tuesday at the Rhode Island Convention Center in Providence. It is run by Lifespan, the state’s largest hospital group.

The Lifespan facility expects to admit 24 to

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Nevada Virus Surge Threatens Hospital Capacity Statewide | Nevada News


By SAM METZ, AP/Report for America

CARSON CITY, Nev. (AP) — Nevada health officials reported 1,642 new coronavirus cases and eight additional deaths on Monday, warning that the statewide surge shows few signs of slowing as the worst month of the pandemic comes to a close.

Nevada has reported 152,169 confirmed cases and 2,144 deaths since the start of the pandemic. Officials said the positivity rate, as measured by dividing new cases reported over the last 14 days by test encounters, had reached a record-high of 17.3% on Monday. Hospitalizations also peaked with 1,545 confirmed and suspected COVID-19 patients undergoing treatment.

Throughout the state, 76% of staffed hospital beds are occupied. In southern Nye County, all 25 staffed beds are occupied and in northern Churchill County, the hospital has 30 patients but only 28 beds.

Healthcare facilities in northern Nevada “are now showing signs of serious strain,” the Nevada Hospital

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Hopes For December Vaccines Get A Boost Despite ‘Surge On Surge’ Warning


Hopes for a first wave of vaccinations before the end of 2020 received a boost with US firm Moderna saying it was filing Monday for emergency authorization of its Covid-19 vaccine in the United States and Europe.

After top US scientists warned Americans to brace for a “surge upon a surge”, Moderna reported full results had confirmed a high vaccine efficacy estimated at 94.1 percent.

The first of Moderna's two doses could be injected into the arms of millions of Americans by the middle of December The first of Moderna’s two doses could be injected into the arms of millions of Americans by the middle of December Photo: AFP / JOEL SAGET

It was set to join American pharmaceuticals maker Pfizer and Germany’s BioNTech, which applied for similar approvals last week, and have predicted their vaccine could be greenlit in the US shortly after December 10.

If the US Food and Drug Administration agrees Moderna’s product is safe and effective, the first of the drug’s two doses could be injected into

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Fauci, Birx warn of huge surge in coronavirus cases


“It’s going to get worse over the next several weeks, but the actions that we take in the next several days will determine how bad it is or whether or not we continue to flatten our curve,” U.S. Surgeon General Jerome Adams said on Fox News on Sunday.

Deborah Birx, coordinator of the White House coronavirus task force, warned that the number of coronavirus cases is “three, four, and 10 times” as high as it was during the second surge after Memorial Day weekend.

“It looked like things were starting to improve in our northern plain states, and now with Thanksgiving, we’re worried that all of that will be reversed,” Birx said on CBS News’s Face the Nation, adding that people need to “take it upon yourself to be restrictive” even in states that do not have regulations in place to curb the spread of the virus.

The number of

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Americans Brace For Covid ‘Surge Upon A Surge’


America should prepare for a “surge upon a surge” in coronavirus cases as millions of travelers return home after the Thanksgiving holiday, top US scientist Anthony Fauci warned Sunday.

The United States is the world’s worst-affected country, with 266,831 Covid-19 deaths, and President Donald Trump’s administration has issued conflicting messages on mask-wearing, travel and the danger posed by the virus.

“There almost certainly is going to be an uptick because of what has happened with the travel,” Fauci told CNN’s “State of the Union.”

Anthony Fauci, director of the US National Institute of Allergy and Infectious Diseases, has warned of a 'surge upon a surge' of the virus after Thanksgiving travel Anthony Fauci, director of the US National Institute of Allergy and Infectious Diseases, has warned of a ‘surge upon a surge’ of the virus after Thanksgiving travel Photo: GETTY IMAGES NORTH AMERICA / TASOS KATOPODIS

Travel surrounding Thursday’s Thanksgiving holiday made this the busiest week in US airports since the pandemic began.

“We may see a surge upon a surge” in two or three weeks, Fauci

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US may see ‘surge upon surge’ of virus in weeks ahead


The nation’s top infectious disease expert said Sunday that the U.S. may see “surge upon a surge” of the coronavirus in the weeks after Thanksgiving, and he does not expect current recommendations around social distancing to be relaxed before Christmas.

Meanwhile, in a major reversal, New York City Mayor Bill DeBlasio said the nation’s largest school system will reopen to in-person learning and increase the number of days a week many children attend class. The announcement came just 11 days after the Democratic mayor said schools would shut down because of rising COVID-19 cases.

“We feel confident that we can keep schools safe,” he said.


Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, told ABC’s “This Week” that the level of infection in the U.S. would not “all of a sudden turn around.”

“So clearly in the next few weeks, we’re going to have the

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Hong Kong to close schools amid virus surge


HONG KONG — Hong Kong has reported 115 new coronavirus infections, the first time it has seen cases in the triple digits since Aug. 2.

The government on Sunday also announced that classes at kindergarten, primary and secondary schools will be shut for the rest of the year in light of the worsening coronavirus situation in the city.

Of the 115 infections reported Sunday, 24 were untraceable. Another 62 were linked to recent outbreaks in dance studios across the city, taking the total number of infections in that cluster to 479, health officials said.

Employees and recent guests at three restaurants in the city have also been ordered to undergo compulsory testing after multiple positive cases had been linked to the venues.


Hong Kong has reported 6,239 coronavirus infections since the pandemic began, with 109 deaths.

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HERE’S WHAT YOU NEED TO KNOW ABOUT THE VIRUS OUTBREAK:

— With no

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