Officials Discuss Cost and Timeline of Reopening Businesses

Officials Discuss Cost and Timeline of Reopening Businesses title=
Officials Discuss Cost and Timeline of Reopening Businesses
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Governor Gavin Newsom leading a press conference (Photo: Office of the Governor)

By Lauren Bray, edhat staff

Santa Barbara County Supervisor Gregg Hart discussed the financial constraints of reopening businesses on Governor Newsom's framework.

Earlier this week Gov. Newsom announced six indicators that are needed to modify the stay-at-home order. The first one being the ability to monitor and protect communities through testing, contact tracing, isolating, and supporting those who are positive or exposed.

During Thursday afternoon's local press conference, Hart explained this is beyond our current testing capabilities. Local governments and healthcare providers will need more financial assistance from state and federal governments to take on the new responsibilities required to make the transition work, he said. 

Hart stated the county will take a $37-40 million dollar economic hit due to the coronavirus (COVID-19). He estimated the county has already incurred $7-10 million for its COVID-19 response, most of which include the cost of opening and staffing the Emergency Operations Center. 

Approximately $30 million is related to revenue declines in sales and transient occupancy taxes ($3.7 million), local public safety sales tax ($4.8 million), state public safety realignment funds ($7.9 million), and health and human services realignment funds ($13.3 million).

On March 27, the third supplemental response package to the COVID-19 pandemic called “The CARES Act” was signed into law. The act directs $150 billion to be divided among the 50 states, the District of Columbia, the territories, and tribal governments. Within a state, only “units of local governments” with populations that exceed 500,000 are eligible to receive direct funding from the federal government as a portion of the State’s allocation. Santa Barbara County falls below the 500,000 population threshold, and therefore will not receive such funding.

"Now more than ever we will need even more assistance to help us get the financial resources necessary to implement the Governor's COVID-19 transition framework and get our community back to work, This is the critical first step to making that happen," said Hart. 

Newsom has made it clear there is not a precise timeline for modifying the stay-at-home order, but the six indicators will serve as the framework for making that decision. 

During a national press conference on Thursday evening, President Trump announced guidelines for opening states and left the decision up to governors. State leaders were provided with a phased list of criteria to lift social distancing restrictions.

The guidelines suggest states should see a decrease in confirmed COVID-19 cases over a 14-day period. This falls in line with Newsom's statement that California will not reopen until there is a decline in the number of deaths, hospitalizations, and patients requiring care in ICU beds.

The White House guidance also states that hospitals should be able to “treat all patients without crisis care” and have a “robust testing system in place for at-risk health care workers” before proceeding to a phased reopening.

Newsom stated since the pandemic began, the number of patients who have tested positive for COVID-19 in California hospitals declined. He said the number of patients in ICUs statewide increased by 1.4 percent to 1,191, but isn’t drastically different than the 1,175 patients who tested positive in ICUs throughout the state on Monday.

“You have successfully bent and arguably flattened the curve in the state of California,” said Newsom. “We continue to need to maintain our vigilance, guided not by political decision-making, guided by data, guided by facts, guided by science, guided by health professionals all throughout the state of California.”

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a-1587381586 Apr 20, 2020 04:19 AM
Officials Discuss Cost and Timeline of Reopening Businesses

NY Times Monday 4/20: =========================== Antibody testing is problematic, officials say
Saying that the coronavirus pandemic requires an urgent response, the Food and Drug Administration has allowed about 90 companies, many based in China, to sell antibody tests that are intended to indicate whether people may have built immunity to the coronavirus but that haven’t been vetted by the government.
The agency has since warned that some of those businesses are making false claims about their products, and health officials in the U.S. and abroad have found other tests to be deeply flawed.
Officials fear a repeat of the earlier launch of Covid-19 diagnostic tests that failed to monitor which Americans, and how many, had been infected. ===================================================================================== https://www.nytimes.com/2020/04/19/us/coronavirus-antibody-tests.html?campaign_id=9&emc=edit_NN_p_20200420&instance_id=17786&nl=morning-briefing&regi_id=78822370&section=topNews&segment_id=25550&te=1&user_id=cbfb792000a61325f4177436cfe9e79f

a-1587381825 Apr 20, 2020 04:23 AM
Officials Discuss Cost and Timeline of Reopening Businesses

I worked in admin at a medical clinic & learned a lot about CLIA. False info, bad info is probably more dangerous than no info. Please, citizens, those working on the front lines, clinically and with patients, Need. More. Time.

a-1587379923 Apr 20, 2020 03:52 AM
Officials Discuss Cost and Timeline of Reopening Businesses

Some info re: antibody testing: ----------------------------------------------------------------https://www.statnews.com/2020/04/20/everything-we-know-about-coronavirus-immunity-and-antibodies-and-plenty-we-still-dont/?utm_source=STAT+Newsletters&utm_campaign=87885314da-MR_COPY_01&utm_medium=email&utm_term=0_8cab1d7961-87885314da-150446729

a-1587376102 Apr 20, 2020 02:48 AM
Officials Discuss Cost and Timeline of Reopening Businesses

The false negative rate in testing, and the rate of asymptomatic carriers should be terrifying. Yes, it will drop the fatality rate. But the fall-out?! ---------------------------------
I truly don't think I'd make it through this illness, were I to get it. That's okay, I've had a DNR for years. Don't worry, I left the house once in Feb. and once in early March. That's because I can live without working. As I've said, anonymously, I've been intubated in the ER. And that illness was easy, as I only felt sick for about 14 hours -- aside from being hospitalized for a week. Believe me, you don't know how sick you can get. You don't want this. ----------------------------------------------------------------------------
I've nursed bed-ridden family through real influenza. And through various modes of dialysis, including in-home (thank the gods they're not alive now!) And through death at home, twice. (Support Visiting Nurses! https://vna.health/) ---------------------------- The damage from non-deaths is and will be huge, including months-long recuperations and possible lung damage. **I agree that shut-down orders are onerous.** But good gods, people, it's been less than two months! And if you do re-open, how many people are going to come to your business?! Not me. Not my friends. And Look at the polls. People will have to feel secure first. --------------------------------------------------------------- The damage has been done, and this shut-down will NOT be for a year or until we get a frigging vaccine. Please try to moderate your response to the situation.

a-1587379543 Apr 20, 2020 03:45 AM
Officials Discuss Cost and Timeline of Reopening Businesses

There's more than this quote. Just saying, it may be rare, but it may be your partner or child or parent. "Simple" pneumococcal pneumonia, the one WE HAVE A VACCINE FOR, almost killed me when I was 33, with no co-morbidites. Yes, we're going to lose lots of people in this pandemic. But reading about those with it helps us abide by and support social limitations.
---------------------------------------------------------------------------------------------
"Panton-Valentine leukocidin (PVL) is a cytotoxin produced by some strains of Staphylococcus aureus. These strains are responsible for primary skin infections and necrotizing pneumonia. This rare entity is mainly described in young immunocompetent patients with an influenza-like prodrome and has a high case-fatality rate (1,2). We report a case of necrotizing pneumonia induced by PVL-secreting methicillin-susceptible S. aureus in a patient infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and who had coronavirus disease (COVID-19).

In March 2020, during the SARS-CoV-2 outbreak in France, a man in his thirties who had no underlying conditions came to an emergency department because of fever, cough, and blood-streaked sputum that developed for 3 days. A diagnosis of pleuropneumonia was made, and antimicrobial therapy was initiated with cefotaxime plus metronidazole. Test results for Streptococcus pneumoniae and Legionella pneumophila serotype 1 urinary antigens were negative. A reverse transcription PCR specific for respiratory viruses also showed negative results.

The next day, further respiratory deterioration required transfer of the patient to an intensive care unit (ICU) for intubation, mechanical ventilation, and inotropic support. Spiramycin was added to the previous drug regimen. Chest computed tomography showed a parenchymal consolidation of the left upper lung without ground-glass opacities commonly described for COVID-19 (3).

Thumbnail of Chest computed tomography of a patient in France with Panton-Valentine leukocidin–secreting Staphylococcus aureus pneumonia complicating coronavirus disease, showing worsening of bilateral parenchymal damage with complete consolidation of the left lung, cavitary lesions suggestive of multiple abscesses, and appearance of areas of ground-glass opacities in the right lung
Figure. Chest computed tomography of a patient in France with Panton-Valentine leukocidin–secreting Staphylococcus aureus pneumonia complicating coronavirus disease, showing worsening of bilateral parenchymal damage with complete consolidation of the left lung, cavitary...

Four days after intubation, the condition of the patient had not improved. We performed a reverse transcription PCR specific for SARS-CoV-2 on an endotracheal aspirate by using the method developed by the National Reference Centre for Respiratory Viruses (Institut Pasteur, Paris, France). The PCR result was positive for SARS-CoV-2 (4). Chest computed tomography showed worsening of bilateral parenchymal damage with complete consolidation of the left lung, cavitary lesions suggestive of multiple abscesses, and appearance of areas of ground-glass opacities in the right lung (Figure). The chest radiograph also showed a left pleural effusion.

a-1587379194 Apr 20, 2020 03:39 AM
Officials Discuss Cost and Timeline of Reopening Businesses

scary, horrifying: https://wwwnc.cdc.gov/eid/article/26/8/20-1413_article?deliveryName=USCDC_333-DM26140&utm_source=STAT+Newsletters&utm_campaign=87885314da-MR_COPY_01&utm_medium=email&utm_term=0_8cab1d7961-87885314da-150446729

a-1587378065 Apr 20, 2020 03:21 AM
Officials Discuss Cost and Timeline of Reopening Businesses

I don't want to sound so un-receptive to those whose businesses are f... frigged. I have deep sympathy. This is happening globally. We're all trying to help, it's just so little. It's a horrible time. Plague time always is.

a-1587217423 Apr 18, 2020 06:43 AM
Officials Discuss Cost and Timeline of Reopening Businesses

Professor Luc Montagnier, 2008 Nobel Prize winner for Medicine, claims that SARS-CoV-2 is a manipulated virus that was accidentally released from a laboratory in Wuhan, China. Chinese researchers are said to have used coronaviruses in their work to develop an AIDS vaccine. HIV RNA fragments are believed to have been found in the SARS-CoV-2 genome.

a-1587370914 Apr 20, 2020 01:21 AM
Officials Discuss Cost and Timeline of Reopening Businesses

This is an old non-scientific hypothesis, also known as a conspiracy theory. Can you cite Dr. Montagnier? I hope he too would feel maligned by your association of him with such a theory. Hell, *I* even posted about this news months ago, but it was to question and expose it to the light of day!

macpuzl Apr 18, 2020 01:05 PM
Officials Discuss Cost and Timeline of Reopening Businesses

Great. Another fruitcake conspiracy theory. You will find it thoroughly debunked here:
==========================================================================
https://www.europeanscientist.com/en/big-data/no-sars-cov-2-does-not-contain-hiv-genetic-code/

a-1587233601 Apr 18, 2020 11:13 AM
Officials Discuss Cost and Timeline of Reopening Businesses

I believe it could have leaked from the Wuhan lab, but this theory is totally debunked. The guy is 87 years old and clearly losing it. https://www.europeanscientist.com/en/big-data/no-sars-cov-2-does-not-contain-hiv-genetic-code/

a-1587171347 Apr 17, 2020 05:55 PM
Officials Discuss Cost and Timeline of Reopening Businesses

The virus was spreading rapidly throughout the Bay Area Dec-Mar, 750,000 traveled from China to CA Nov-Jan! Highly contagious, do the math. Most didn't have symptons, or maybe got a bit sick, some went to the hospital. The big question, did the healthcare system melt down then? Is it melting down now? The TRUE mortality rate, when you re-do the numbers, is around 0.1% or even less, just as many of us were saying all along, yet we were slammed as 'deniers' or 'mass murderers' or something, simply because we know math_and_statistics and don't have a political agenda.

Pugluvr1912 Apr 18, 2020 03:32 PM
Officials Discuss Cost and Timeline of Reopening Businesses

https://www.google.com/amp/s/www.washingtonpost.com/health/as-officials-plan-to-reopen-the-economy-a-key-unknown-remains-how-deadly-is-the-coronavirus/2020/04/17/0bd2f938-7e49-11ea-a3ee-13e1ae0a3571_story.html%3foutputType=amp

Bird Apr 18, 2020 03:14 PM
Officials Discuss Cost and Timeline of Reopening Businesses

How do you figure that? There is no way of knowing the true fatality rate without knowing the true number of people infected --- and without universal testing we will not know. In the LAT this morning there is a story about how the numbers of those infected in the Bay Area are considerably higher than first thought, approximately, the size of the annual number of deaths from flu. There's a similar study underway in the LA area and they'll report the results on Monday.

macpuzl Apr 18, 2020 12:56 PM
Officials Discuss Cost and Timeline of Reopening Businesses

STD, your lack of knowledge certainly doesn't stop you from flaunting it. Those other vaccines also need to be boosted or repeated occasionally because antibodies may not persist. All vaccines potentially have a time limit as immunity wanes, especially if the pathogen is a virus that mutates rapidly, like HIV or influenza.
(And a flue is a way to get smoke out of your chimney.)

Sam The Dog Apr 18, 2020 10:50 AM
Officials Discuss Cost and Timeline of Reopening Businesses

The flu shot "vaccine" is different because the flue virus changes so frequently they make new vaccines on their best guest as the the type(s) of strains that will be prevalent in the coming year. The flue shot doesn't prevent you from getting the flue in the way the ones for smallpox, MMR, chicken pox, polio, etc. protect you for those.

macpuzl Apr 17, 2020 08:35 PM
Officials Discuss Cost and Timeline of Reopening Businesses

An article that has not passed peer review, and the same article cited by Shasta earlier. Is the state of antibody testing reliable enough to make those conclusions? And as one of the authors of the study is quoted in the article: "If 50 times more people have had the infection, the death rate could drop by that same factor, putting it "somewhere between 'little worse than the flu' to 'twice as bad as the flu' in terms of case fatality rate," Bhattacharya said.

But he cautioned that the flu and coronavirus are still quite different. For one, we don't yet have a vaccine for Covid-19."

Chip of SB Apr 17, 2020 08:20 PM
Officials Discuss Cost and Timeline of Reopening Businesses

Below is a link to an article about the recent study in Santa Clara County. Antibody testing indicates the true number of cases is 50-85 times higher than the official confirmed case count. That also means the true fatality rate is 1/50th or 1/85th what is indicated based on the "confirmed" case count, in the neighborhood of 0.1%. That is comparable to the flu. https://www.msn.com/en-us/health/medical/covid-19-has-infected-up-to-85-times-more-people-in-santa-clara-california-than-reported-study-estimates/ar-BB12O5w8

a-1587370519 Apr 20, 2020 01:15 AM
Officials Discuss Cost and Timeline of Reopening Businesses

Still looking for transcript of his visit and talk at the CDC in March, was it? Weren't there to be 27 million or so tests available by the end of March? We can peruse these speeches:
https://factba.se/transcript/donald-trump-press-conference-emergency-coronavirus-march-13-2020

a-1587370154 Apr 20, 2020 01:09 AM
Officials Discuss Cost and Timeline of Reopening Businesses

Here's the WaPo article: https://www.washingtonpost.com/investigations/contamination-at-cdc-lab-delayed-rollout-of-coronavirus-tests/2020/04/18/fd7d3824-7139-11ea-aa80-c2470c6b2034_story.html

a-1587234293 Apr 18, 2020 11:24 AM
Officials Discuss Cost and Timeline of Reopening Businesses

The Washington Post separately confirmed that Food and Drug Administration officials concluded that the CDC violated its own laboratory standards in making the kits. The substandard practices exposed the kits to contamination.
The troubled segment of the test was not critical to detecting the novel coronavirus, experts said. But after the difficulty emerged, CDC officials took more than a month to remove the unnecessary step from the kits, exacerbating nationwide delays in testing, according to an examination of federal documents and interviews with more than 30 present and former federal scientists and others familiar with the events .

Coolio Apr 17, 2020 04:59 PM
Officials Discuss Cost and Timeline of Reopening Businesses

Remember early in March when Trump had the press briefing with all those CEO's? He said in very short order there would be drive-thru testing through out the nation in the parking lots of Walmart, CVS, Target, etc... He Google said was creating a website that would allow anyone with symptoms to enter some data and determine if they needed to be tested and if so where to get tested. Here we are over a month later and we still don't have it. Pathetic!

midair Apr 17, 2020 03:49 PM
Officials Discuss Cost and Timeline of Reopening Businesses

If it was your husband, wife, or child in ICU and it could have been prevented then I am sure you would think it was worth shutting down business for awhile so they could live. It's all hypothetical until it's not.

a-1587161564 Apr 17, 2020 03:12 PM
Officials Discuss Cost and Timeline of Reopening Businesses

The idea of herd immunity is simple: Once enough people in society are immune to a disease, if one person becomes infected, the chance they give it to someone else is less than one. It is estimated that 80% of the population would need to be immune to have true herd immunity. However, if we have even half that, we would slow the increase of the virus dramatically. This would make surveillance easier and decrease the chance that a second wave could overwhelm our health care system this fall.
In summary
Continued shutdowns threaten our economy, our health and even our healthcare system.
The state of our economy is not just a monetary risk, it is a health risk. When people lose their jobs, they typically lose their health insurance. The British Journal of Psychiatry found that there were more than 10,000 “economic suicides” as a result of the 2008 recession. Similarly, a 2016 study from The Lancet found that there were an excess 260,000 cancer deaths as a result of the recession. These statistics also fail to mention the increased domestic violence, increased child abuse and home loss when schools and businesses are closed.
In spite of the changing goalposts: The number of new cases is declining. The mortality is likely much lower than early estimates. Those who have been infected by the disease will most likely be immune for at least a year. Finally, the lives saved by starting the economy sooner vastly outnumber those that could be saved by extended shutdowns.

a-1587327382 Apr 19, 2020 01:16 PM
Officials Discuss Cost and Timeline of Reopening Businesses

Antibodies are produced in response in 7-11 days after SARS-COV-2 appears in the body. It does not mean that the virus has cleared, that is patently false. Where you are close to accurate is that this does not mean the people tested are currently carrying the virus. In fact, they may have had another variation of the coronavirus, like the common cold.

Regarding the conclusion of the article, the author is saying that there are more people who have been infected, and therefore infecting others, than we know. Without truly knowing what is going on, who is actually infected, we risk a second wave of infections, and we are locked down until September, which is not acceptable. Do you part, start isolated, and we'll be back in business by June 1.
Also, the antibody test given, which hasn't been approved by the FDA, has at best 50% accuracy levels .

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