Category Archives: CDC

San Mateo County Data Dashboard.

By Michael G. Stogner

How does San Mateo County Government tell you that on July 30, 2020 there were 64 New Cases. Where does that data come from? It should come from LAB TESTING DATA. When you look at LTD you’ll see there is NO DATA for July 30, 2020.

 

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64 New Cases July 30, 2020

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Last date of Data is July 29, 2020

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Last date of Data is July 29, 2020

 

7 Day Average Positivity Rate from July 22-28, 2020 is 8.614%

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San Mateo County Finally on State Watchlist.

By Michael G. Stogner

There was ZERO benefit for not being on this Watchlist since July 15, 2020. It’s difficult to find politicians who are not conflicted with the normal powers that get people elected. The Red Flags are simple to spot in a Pandemic when at first they are for protecting the residents and then the shift occurs to “We have got to get back to Work”

  • San Mateo County (has variance) is experiencing an elevated case rate that exceeds the State threshold. The County sees roots of community transmission related to social gatherings without sufficient physical distancing and wearing of facial coverings, as well as higher exposure for residents performing work that involves person-to-person contact and crowded housing conditions that make home isolation difficult.  Key actions to address the increase include: 1) expanding the case and contact investigation team that is following up on every COVID-19 positive case and related contacts to assure safe quarantine and isolation in order to break the chain of transmission; 2) developing strategies to strengthen support for those facing barriers in safely isolating or quarantining; 3) continuing to work with hospital system partners and our Medi-Cal managed care plan partner to monitor and understand hospitalizations, support effective pathways to appropriate levels of care and prepare for surge, 4) continuing to provide infection prevention expertise and specimen collection and test processing support to assist skilled nursing facilities and other congregate care facilities in protecting all residents and staff; 5) continuing to analyze the epidemiology of local spread to inform additional prevention strategies; 6) reinforcing community-wide messaging about the importance of key behaviors individuals can take (wearing facial coverings, maintaining physical distance, avoiding gatherings, washing hands and not touching one’s face) to keep themselves and the community safe; and 7) tailoring communication and outreach to the most impacted populations and communities to strengthen trust and engagement in case and contact investigation. The County continues to partner with cities, schools and community-based organizations and leaders to advocate for the longer-term policy changes that can prevent COVID-19 from exacerbating the burdens shouldered by the lowest income residents and populations of color.  San Mateo County also continues to work with the State’s decisions regarding reduced testing capacity at the Project Baseline sites and revised testing prioritization criteria that contribute to an increased positivity rate.  (Date added to CDM List: July 29, 2020) 

 

Congratulations and Stay Safe

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Thank You LATIMES, State Inspectors Not Tested.

By Michael G. Stogner

Everybody should be thanking the LATIMES for their work. Government doesn’t always get it right. Protect yourself and those you love.

LATIMES Article today.

Inspectors of nursing homes were not tested
Gov. Newsom says the state is ‘raising our standards’ after Times reported on gap in COVID screenings.
DR. MICHAEL WASSERMAN was “blown away” that workers who visit multiple facilities went unscreened. (Al Seib Los Angeles Times)
By Jack Dolan and Brittny Mejia

Since early in the COVID-19 pandemic, California health officials have required nursing homes to bar entry to outsiders who might bring the coronavirus in with them and trigger a deadly outbreak among the elderly, vulnerable residents.
As a result, aging parents haven’t seen their families in months. Many have died without a final embrace from the people they loved.
But despite requiring routine testing of residents and employees , there’s one group California health officials have knowingly sent from nursing home to nursing home without first testing them for the lethal virus: state inspectors.
Interviews with eight registered nurses working as inspectors for the California Department of Public Health — all of whom spoke on condition of anonymity for fear of retaliation — revealed that the department has not provided coronavirus testing for the very people it is sending to make sure facilities comply with rules on infection control.
The inspectors said they are exposed to the virus on an almost daily basis and could easily be spreading the disease. One said she came down with a bad cough and tested positive for COVID-19 soon after visiting more than a dozen nursing homes in two days.
Public health officials said they had sent about 500 inspectors to the state’s roughly 1,200 skilled nursing facilities. Some with the worst outbreaks were visited multiple times. California was inspecting homes at triple the rate of other states, officials said.
“For them to send us in without testing or screening is unconscionable,” said an inspector in Southern California. “I think nursing homes shouldn’t let us in.”
Most of the inspectors interviewed also said they have not been provided with properly fitting personal protective equipment. One inspector said she refuses to spend more than a few minutes in a nursing home’s “red zone,” the quarantine wing reserved for COVID-positive residents, because every time she exhales wearing her ill-fitting masks, her glasses fog up.
In a brief email response to questions from The Times, California Department of Public Health Deputy Director Heidi Steinecker wrote, “We do supply our staff with proper PPE, and testing; our staff’s safety is important to us.” She did not respond to further questions.
Tony Owens, vice president of the union that represents nursing inspectors, said he was outraged at the claim that the department was providing his members with tests and adequate protective equipment.
“It doesn’t square with what we hear from the field, from the nurses themselves,” he said.
Later, health department spokeswoman Kate Folmar acknowledged that the department had not provided systematic testing but had encouraged inspectors to use their personal health insurance to seek testing on their own.
On Friday, hours after this article was published online, Gov. Gavin Newsom announced that the state would launch an aggressive testing regime for nursing home inspectors.
“We’re raising our standards,” Newsom said at a news conference, adding that nursing home inspectors will be held to the same testing standards the state requires of nursing home employees. Homes are required to test 25% of their staff every week and ensure that all employees are tested at least once a month.
The failure to provide reliable, systematic testing for inspectors is “crazy, just really alarming,” said David Grabowski, a professor of healthcare policy at Harvard Medical School. “It makes basically no sense that we’ve locked these facilities down since March, keeping families out, only to learn inspectors have been moving from facility to facility without being tested.”
Inspectors told The Times they have faced serious obstacles when they tried to get tested on their own — just like the general public. In some cases, their primary care physicians told them they didn’t meet the criteria for testing. In others, their doctors said there weren’t enough tests available.
“Why is the testing not coming to us?” one inspector asked. “We’re government employees. We’re doing this infection control … for the government.”
Nursing homes have been ground zero for the pandemic in the United States, suffering a staggering proportion of the deaths from COVID-19.
As of Monday, nearly 3,000 nursing home residents and more than 100 staff had died of COVID-19 in California, accounting for nearly 40% of the deaths statewide.
Many nursing home outbreaks are believed to have been sparked by “asymptomatic spread,” in which people who do not know they have the virus unwittingly infect others.
Some nursing home officials said they were shocked by the state’s lack of a comprehensive testing regime and worry that inspectors could be dangerously efficient spreaders of the disease.
“I’m blown away,” said Dr. Michael Wasserman, medical director of the Eisenberg Village nursing home in Reseda and president of the California Assn. of Long Term Care Medicine, which represents doctors, nurses and others working in nursing homes. “So you have inspectors going around to different facilities who haven’t been tested? It just makes no sense.”
Wasserman is not alone.
When nursing home administrators find out the inspectors haven’t been tested, “they are absolutely, visibly shocked,” an inspector from Southern California told The Times. “They only let us in because we’re the state; they’re scared to say no.”
An inspector working in Central California added: “We’re missing the whole point of public health 101, and we’re the public health department.”
The lack of testing for nursing home inspectors marks the latest failure by California health officials to take the necessary measures to prevent the coronavirus from spreading to some of the state’s most vulnerable institutions.
Last month , a Times review of inspection records found that state health inspectors had carried out more than 1,700 “COVID Focused Surveys” at skilled nursing facilities but had issued just 14 infection-control citations as a result of those visits.
Time and again, inspectors sent to assess nursing homes’ ability to contain the virus found no deficiencies at facilities that were in the midst of deadly outbreaks or about to endure one.
In early April, for example, state inspectors completed a survey of Magnolia Rehabilitation and Nursing Center in Riverside and found nothing wrong.
The next day, a fleet of ambulances lined up outside the home to evacuate all 83 residents after the staff refused to show up for work, terrified of the deadly infection already spreading within the facility.
In addition to nursing homes, the untested state inspectors have been regularly visiting a wide range of healthcare facilities, including hospitals, surgery centers, dialysis clinics and home health centers.
State health officials said they are not aware of any outbreaks that have been caused by an inspector introducing the virus.
Folmar said the department knows of six inspectors who have tested positive since the beginning of the pandemic.
“Through contact tracing questions, we learned none had recently been in a facility and were working off-site at home,” she said.
But contact tracing has been spotty.
Despite coming and going from buildings with outbreaks on an almost daily basis, none of the inspectors who talked to The Times said they had been interviewed by a contact tracer since the beginning of the pandemic.
Internal emails reviewed by The Times indicate that officials at the Department of Public Health have been aware for months of complaints from inspectors about unsafe working conditions.
In early July, department officials took part in a formal exchange with SEIU Local 1000, the union that represents inspectors. Among the questions presented by the union was whether inspectors would finally get tested, noting, “This is a big concern for nurses.”
In response, a public health management representative acknowledged that everyone else working in the health facilities visited by the inspectors is required to be tested, so failing to test the inspectors creates “an inconsistency.” The representative said there was no final plan to begin testing the inspectors.
The documents also discuss a myriad of problems with personal protective equipment, including distribution issues and the lack of fit-testing of medical-grade masks, known as N95s, which are recommended for people working indoors surrounded by COVID-19 patients.
Several of the inspectors interviewed by The Times said they have attended staff meetings in which their colleagues openly discussed the possibility that they are spreading the disease to nursing homes.
“We’re the public health department; we should be testing our people,” one of them told The Times. “If it was my family in that nursing home, would I want a nurse to come in, and she’s not tested? I don’t think so.”
Times staff writer Phil Willon contributed to this report.

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SMC has 3 ICU Beds and Staff Available

By Michael G. Stogner

That number is supposed to be 13 not 3.

San Mateo County has consitantly had 67 ICU Beds and Staff until July 21, 2020. On that day the County’s Data Base showed 82 ICU Beds and Staff. I asked County Manager Mike Callagy which Hospital/s had the Beds and Staff. His response is below. Today the County says they have 64 Total ICU Beds and Staff. Why?

20% Availability of 67 ICU Beds and Staff equals 13, with the exception being 7/21/2020 16

According to the data published by San Mateo County for the last 10 days the County has not maintained the 20% availability of ICU Beds and Staff.

Below you will see ICU Beds Available 3. Remember they are supposed to have 13.

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The above chart leaves blank (Gray) July 23-24 Staffed & Available Beds. Why?

Michael Callagy <mcallagy@smcgov.org>
To:Michael Stogner
Wed, Jul 22 at 4:48 PM
Michael,
I don’t know specifically, but I do know many hospitals now are able to easily convert rooms to ICU… it is not like the ICU wards they use to have.  Most rooms now are set up to convert to ICU.
Mike

From: Michael Stogner <michaelgstogner@yahoo.com>
Sent: Wednesday, July 22, 2020 3:30:40 PM
To: Michael Callagy <MCallagy@smcgov.org>
Cc: Jeff Regan <jeff@ssv.com>; Ian MacDougall <ian.michael.macdougall@gmail.com>
Subject: Increased 15 ICU Beds and Staff

CAUTION: This email originated from outside of San Mateo County. Unless you recognize the sender’s email address and know the content is safe, do not click links, open attachments or reply.

Hello Mike,
Can you tell me which hospital/s added 15 more ICU beds and Staff today?
The County has had 67 ICU Beds and Staff from the beginning to yesterday, today you have 82.
Thank You
Michael G. Stogner
San Mateo County News.com

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Good News & Bad News

By Michael G. Stogner

The Good News July 20, 2020, No New Cases.

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The Bad News July 20, 2020, 130 New Cases

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More Good News San Mateo County has Added 15 ICU Beds and Staff somewhere. I’ve asked San Mateo County Manager Mike Callagy to tell me which Hospital/s they are at. Up until today SMC has had 67 ICU Beds and Staff.

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SMC Dr. Scott Morrow July 20, 2020

Health Officer Issues New Statement; Addresses Why COVID-19 is Spreading at Current Higher Level.

Why is the virus spreading here at its current higher level now? I don’t know exactly, but it appears to me that there are 3 major factors. In order to understand what’s going on completely with transmission risks, we don’t have the resources to do case-control studies. We don’t have the wherewithal to do case-control studies given the enormous burden on all the staff at the health department at this time, but we can take some educated guesses based on patterns that we are seeing here. 1. The virus appears remarkably, even surprisingly, transmissible. At pretty much every point over the last 6+ months, I’ve been surprised, and impressed, at how capable this virus is at moving itself between people. It spreads in households like wildfire and it spreads in other indoor environments too. It seems to be everywhere we look. I know this is hard, we’re all exhausted and frustrated by having to take precautions, but the implication of this fact is that you can’t let your guard down, or be careless, even once, especially if you are at high risk. 2. Fundamental structural failures of the US economy are being laid bare by the pandemic. These structural issues seem to be a major cause of the transmission we’re now seeing, at least in San Mateo County. Many elements of the US economy can be viewed as illogical, even immoral in my opinion, in that so many people are forced to live lives of economic desperation, live pay check to pay check, are not paid a living wage, live with no workplace safety nets, like healthcare, like paid sick leave, or other wage protection programs. While these structural issues are illogical in good times, they are downright inexplicable in times of a pandemic. These structural problems are at such a massive scale, they can not be ignored. A majority of people we are seeing infected now are front line workers (people who allow the rest of us to eat, and have electricity, and have our garbage picked up, etc), live in crowded multigenerational conditions, live with lack of trust in, and in fact have downright fear of, government. Remember to stem the spread of this very transmissible virus, people who are infected need to be separated from others (isolation and quarantine), not go out in public, and not go to work while they are infectious. Try getting compliance with isolation and quarantine when the infected person is the breadwinner for the family and the family will be out on the street if they don’t go to work. And when they go to work they will, perhaps, interact at that job with you. There is not enough enforcement capacity in the world to stop this from happening. The implication of this is that the current business focused restrictions will do little to stem the spread of the virus when the spread is exacerbated by these conditions. This requires rapid policy and systems changes at every level of both public and private sectors, from the feds on down, and from the largest corporations to the smallest business. We need to see much more work in this area, and we need to have less reliance on business sector closures and restrictions, beyond getting businesses to do the basic transmission control measures. Failure to fix some of these issues will prolong our collective pain. 3. Complacency is the other majority factor enabling spread. This is either born of belief systems (this is all a hoax, this isn’t that bad for me, let’s go to a party and get infected), or born of just not paying attention. Many, many of our infections are related to fairly small gatherings of family and friends. Birthday parties, picnics, eating at restaurants with mixed households, etc, without the basic precautions being taken. Most of these gatherings are innocent, no doubt, not intending to spread the virus, but they do spread it, and with far reaching implications. Please note, your seemingly innocuous get togethers are driving the spread and are a major reason why you can’t go to a restaurant, why you can’t go to the gym, why you can’t go get your hair cut, why kids can’t go to school. Until, or unless more people get this fact, we will continue to be stuck in the situation we are in. To get out of this situation depends on all of us. Our collective best course of action: No gatherings outside of immediate households, use facial coverings extensively, and social distancing. — Scott Morrow, MD, MPH, MBA San Mateo County Health Officer Please read or reread previous statements to get a better understanding of where we find ourselves today and actions you can take to protect yourselves and your family: https://www.smchealth.org/coronavirus-health-officer-updates.

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SMC 605 Covid-19 Tests per day Average.

By Michael G. Stogner

San Mateo County should have been on the State’s Watchlist several days ago.

July 12-18, 2020 San Mateo County Tested 4238 for a daily average of 605. Why? According to Louise Rogers of SMC Health the County is supposed to be testing 1500 people per day.

San Mateo County has a population of at least 750,000 residents.

It’s time for the local Mayors to provide the testing for their residents.

July 19, 2020 San Mateo County had 8 ICU Beds and Staff available. They are supposed to maintain a 20% availability which would be 13 beds. July 15,16,17 & 19 they had less than the 20%.

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SMC COVID-19 Positivity Rate 29.3%

By Michael G. Stogner

This screenshot is from the County Website at 7:45 AM today the data is for July 14, 2020.

Positivity Rate is 29.3% out of 41 Tested. Remember it’s supposed to be 1500 tested per day. I’m sure I could be reading/interpreting the numbers the wrong way.

What do you see?

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The black box from above.

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July 15, 2020 82 new cases.

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SMC FREE COVID-19 Testing sites expanded.

By Michael G. Stogner

Remember No Cure, No Treatment, No Vaccine

San Mateo County Expands COVID-19 Testing Sites to Include Daly City & East Palo Alto

The County of San Mateo is expanding the number of COVID-19 testing sites operated by Verily to include locations in East Palo Alto and Daly City on a rotating schedule. Verily will continue to operate its San Mateo County Event Center site on Mondays and Tuesdays, while adding the old Serramonte High School campus in Daly City on Wednesdays and Thursdays and the YMCA in East Palo Alto on Fridays and Saturdays. 

The new sites and schedule will begin operating on Monday, May 18. Testing is free and available without restriction to anyone, though an appointment is required in advance. 

To make an appointment, residents can visit Project Baseline’s website at https://bit.ly/2xk73OL. |
After being tested, residents will receive results and other information by email. San Mateo County Health will reach out to residents who test positive. The expanding of testing sites is part of the County’s strategy to bring more resources to more locations. The new sites, in the northern and southern parts of the county, will make it easier for residents to access free testing. 

The County is also planning to add a location on the Coastside. “We want everyone in San Mateo County who wants a COVID-19 test to be able to get one,” said County Manager Mike Callagy. “Testing is key to understanding the spread of the disease and to further opening our economy. We want to make sure that there are no barriers, including geography, that might prevent someone from seeking a test.” 

To meet State guidelines, San Mateo County needs to administer about 1,200 tests per day, through hospitals, private testing companies, and the free program available through Verily. 

The County can help residents who lack transportation to a test site. After being screened at the Project Baseline website and receiving an appointment time, individuals with no other means to reach the testing site can call (650) 779-9375 Monday through Friday, 9 AM to 4 PM to arrange free transportation. 

TESTING LOCATIONS & SCHEDULE 
Mondays & Tuesdays – San Mateo San Mateo County Event Center 1346 Saratoga Drive, San Mateo 9:00 AM – 4:00 PM 
Wednesdays & Thursdays – Daly City Serramonte High School 699 Serramonte Boulevard, Daly City 9:00 AM – 4:00 PM 
Fridays and Saturdays – East Palo Alto Lewis and Joan Platt East Palo Alto Family YMCA 550 Bell Street, East Palo Alto 9:00 AM – 4:00 PM Sundays Testing locations closed

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San Mateo County TESTING and Contact Tracing.

By Michael G, Stogner

Testing and Contact Tracing should be and should have been the Number One Priority of San Mateo County Supervisors.

When will San Mateo County have Testing for All Residents like L.A. County just announced?

Saving Lives, Shelter in Place, No Cure, No Treatment, No Vaccine, Critical Shortages of all PPE, are all important topics, none are more important than Testing and Contact Tracing.

San Mateo County has 771,000 residents, Since January 1, 2020 when BlueDot Inc. first warned of the Virus a total of 13,004 Residents have been tested. That’s 4 months to test 13,004. SMC has No Idea how many residents are infected as of today, How could they?

State officials said they are testing more than 20,000 people a day — a third of the minimal daily tests needed to reopen. The State of California has 40,000,000 residents. You do the math

Los Angeles Mayor Eric Garcetti announced Wednesday that all county residents can now get free coronavirus testing at city-run sites. Until now, only residents with symptoms, as well as essential workers and those in institutional settings such as nursing homes, could be tested.

Stay at Home, Save Lives until Testing and Contact Tracing comes to San Mateo County.

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