East Bay Getting to Zero
SARS-CoV-2 scanning electron microscope image from NIAID
The SARS-CoV-2 virus (in yellow), NIAID

We are working together to slow the spread of the novel coronavirus 2019 (COVID-19). Below are this week’s East Bay COVID updates, including new resources for people living with HIV and HIV providers. East Bay HIV service organizations are providing services by phone and/or video chats.

Click on these links for guidance on prevention, testing and wellness, resources and links, and archived weekly updates.

Updates for this week:

As of April 9, 2020 at 6 pm there were 713 confirmed reported cases of COVID-19 and 17 deaths reported in Alameda County, 484 cases and 8 deaths in Contra Costa County, and 115 cases and 3 deaths in Solano County for a total of 1,312 confirmed cases and 28 deaths in the 3 East Bay counties. As of April 7 at 2 pm in the state of California, there were ~177,600 tests conducted, 18,309 positive cases and 492 deaths.

Top new resources:

East Bay COVID and surge planning updates (additional details):

  • Alameda County and Contra Costa County Health Officers have issued blanket isolation orders that will apply to all persons diagnosed with suspected or confirmed COVID-19 and blanket quarantine orders that will apply to close contacts of cases. Effective April 3, 2020, health care providers are to disseminate blanket orders to all patients being tested for COVID-19 or who are presumptively diagnosed with COVID-19 without testing BEFORE they leave the health care facility. To download the PDF orders, click for: Alameda County orders in English or Spanish, or Contra Costa County in English or Spanish. On April 8, Dr. Erica Pan at ACPHD reported that ACPHD will be addressing concerns about prolonged isolation and quarantines for essential health care workers and determining when exceptions may be.

All models above assume physical distancing measures in place through the end of May. The 26% reduction in physical contact is a conservative estimate; cell phone data suggests that Alameda County has approximately 40% reduction in physical contact (a.k.a “social distancing”), which would result more optimistically in fewer cases and a later peak. As more data becomes available, the models will become more accurate, and the predictions will change.    

  • Alameda and Contra Costa Counties are identifying and preparing additional hospital bed surge capacity: Based on the CHIME and SURF predictions, there is a 3,000 hospital bed shortage between what is available now and the total of what may be needed for the predicted surge peak. Alameda County is working with CA state to set up a field hospital with 250+ beds, identifying hotels and other local overflow facilities to be available as early as next week, and working with other Bay Area counties to secure Seton Hospital in Daly City as a regional overflow hospital facility. Contra Costa County is working with Federal (National Guard) and CA state to convert the Craneway Pavilion in Richmond into a 250-bed medical station for COVID-19 patients

COVID-19 research studies open to Bay Area community members:

  • COVID-19 Citizen Science Study: UCSF researchers are launching a world-wide study to track COVID-19 symptoms, infections, risk factors and behaviors that might impact spread.  The study, called the COVID-19 Citizen Science Study, uses daily surveys to track risk factors, symptoms, exposures and COVID-19 diagnoses as well as geolocation to understand the impact of people’s movement on the containment of the disease.  To participate or to refer others to participate, go to https://covid19.eurekaplatform.org. You may also text “COVID” to 41411 for more information.
  • COVID-19 Pregnancy Registry:  A National Priority: PRIORITY(Pregnancy CoRonavIrus Outcomes RegIsTrY) is a UCSF and UCLA led nationwide registry for pregnant and postpartum women with suspected or confirmed diagnosis of COVID-19.  The goal is to provide information that informs and improves patient care during this pandemic. To Refer a Patient:  Please ask the patient if she is willing to have her contact information shared with the research team. If yes, you can click here to Refer a Patient, or call/text 415-754-3749, or email at PRIORITYCOVID19@ucsf.edu. The patient can also contact the research team herself For Patients: Enroll in PRIORITY. The team will then reach out directly to her to consent, enroll, and begin data collection. For more information about the project or to donate to support the project, go to Crowdfunding to support PRIORITY.
  • COVID Post Exposure Prophylaxis Clinical Trial: The University of Minnesota is conducting an open trial investigating hydroxychloroquine for post-exposure prophylaxis for healthcare or household COVID-19 exposures. It is open to anyone in the U.S. who meets criteria and is internet based. Those who may qualify can email covid19@umn.edu to inquire. Full information at this link. Please note: This study is not being performed at UCSF, but anyone can inquire.

Public Charge and immigrant rights during the COVID outbreak:

National and International HIV COVID updates, resources and links:

Have COVID symptoms and looking for testing?

  • Please call your provider first to find out if you are eligible for testing with the latest criteria and the testing location before you leave your home/shelter/camp/car.
  • If you don’t have a provider and have COVID symptoms: In Alameda County, call Alameda Health System 510-437-8500 for a phone screen and guidance. In Contra Costa County, call 844-729-8410. In Solano County, the county COVID warmline is 707-784-8988.
  • If you’re having difficulty breathing and unstable, please go to your nearest emergency room.