San Bernardino County Reports 20 New Coronavirus Deaths – San Bernardino Sun

San Bernardino County reports 20 new coronavirus deaths – San Bernardino Sun

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LOCAL NEWS • News San Bernardino County reports 20 new coronavirus deaths

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By JENNIFER IYER | [email protected] | Redlands Daily Facts  PUBLISHED: September 1, 2020 at 4:20 p.m. | UPDATED: September 1, 2020 at 4:25 p.m.

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Twenty more people have died from complications related to COVID-19, according to data released by San Bernardino County on Tuesday, Sept. 1.

The number of deaths had remained at 716 since Friday, Aug. 28.

Tuesday’s data also show 237 more people have been confirmed positive and the number tested has gone up by 9,236, the fifth highest one-day total since the pandemic began. The high number of new tests is below Monday’s total, which was the result of a state backlog.

Here are the latest numbers, according to county and state public health officials. https://www.sbsun.com/...avirus-deaths/?utm_medium=social&utm_content=tw-sbsun&utm_campaign=socialflow&utm_source=twitter.com[9/2/2020 10:04:02 AM] San Bernardino County reports 20 new coronavirus deaths – San Bernardino Sun

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4 things to do in Temecula Valley Wine Country S during California Wine Month READ MORE 42

M San Bernardino County

Confirmed cases: 47,879, up from 47,642 Monday, Aug. 31

Deaths: 736, up from 716 Monday

Hospitalizations: 292 confirmed patients Monday, up from 283 Sunday, Aug. 30; 63 suspected patients Monday, up from 54 Sunday

Intensive-care unit: 98 confirmed patients Monday, down RELATED ARTICLES from 99 Sunday; 7 suspected patients Monday, same as

4 things to do in Temecula Valley Wine Sunday Country during California Wine Month People tested: 488,750, up from 479,514 Monday Coronavirus state tracker: 140 new deaths in California on Sept. 1

https://www.sbsun.com/...avirus-deaths/?utm_medium=social&utm_content=tw-sbsun&utm_campaign=socialflow&utm_source=twitter.com[9/2/2020 10:04:02 AM] San Bernardino County reports 20 new coronavirus deaths – San Bernardino Sun

Malls in Riverside, San Bernardino counties reopen with coronavirus safety measures

Drive-thru skills perfected in his idle moments during pandemic

Augustine Casino changes coronavirus mask requirements

Recoveries (estimated): 41,211, up from 41,163 Monday

To see a map and list of cases, deaths and per-capita rates by community, click here.

Here is a look at how the county’s numbers have changed each day:

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https://www.sbsun.com/...avirus-deaths/?utm_medium=social&utm_content=tw-sbsun&utm_campaign=socialflow&utm_source=twitter.com[9/2/2020 10:04:02 AM] 1 restaurant reopens after coronavirus tragedy; others told to follow COVID-19 guidelines – Press Enterprise

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THINGS TO DORESTAURANT FOOD AND DRINK • News 1 restaurant reopens after coronavirus tragedy; others told to follow COVID-19 guidelines

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https://www.pe.com/...idelines/?utm_medium=social&utm_content=tw-pressenterprise&utm_campaign=socialflow&utm_source=twitter.com[9/2/2020 10:04:27 AM] 1 restaurant reopens after coronavirus tragedy; others told to follow COVID-19 guidelines – Press Enterprise

Cheliz Restaurant in Redlands has reopened following the death of owner Leticia Silverio. (Photo by Fielding Buck, The Press- Enterprise/SCNG)

By FIELDING BUCK | [email protected] | The Press-Enterprise  PUBLISHED: September 1, 2020 at 12:50 p.m. | UPDATED: September 1, 2020 at 12:50 p.m.

This week saw one Inland Empire diner reopen after a COVID-19 tragedy, while others were cited during restaurant inspections for not following state guidelines to combat the novel coronavirus that causes the disease.

Here are notable recent occurrences related to the pandemic.

Riverside County S

Corky’s Kitchen & Bakery: This diner at 3150 Case Road in Perris was cited by Riverside County

T health officials for allowing indoor dining during a routine inspection. The report also noted a staff member was not wearing a mask. By

How are current events impacting local restaurants? Sign up for our weekly food newsletter The Eat Index and find out about the latest restaurant and brewery happenings in the Inland Empire. M Subscribe here.

Mr. China Express: This Riverside restaurant was cited during a routine Riverside County health inspection for members of the kitchen staff working without wearing masks.

San Bernardino County RELATED LINKS Cheliz Restaurant: This Redlands restaurant reopened 1 more Inland Empire winery temporarily Sept. 1 for takeout and outdoor dining after a two-month closes amid the novel coronavirus closure. Leticia “Letty” Silverio, who owned the restaurant pandemic with husband Jose-Luis Salazar, was stricken with the disease, along with several family members. She died on 1 Temecula area winery closes and reopens due to novel coronavirus; 4 other July 22. Cheliz is open 8 a.m.-2 p.m. serving breakfast, restaurants reopen lunch and Mexican favorites, according to a Facebook post. It is at 800 E. Lugonia Ave. Suite D2. chelizrestaurant.com 1 Inland restaurant closes due to a coronavirus death; 2 others reopen Lee’s Donuts: This Adelanto shop was closed for cockroach infestation by San Bernardino County officials. 1 more Inland restaurant temporarily Their inspection also uncovered a lack of a workplace closes because of coronavirus concerns

specific COVID-19 plan. 4 more Inland Empire restaurants close temporarily because of coronavirus A sandwich shop at 9760 Baseline Road in Subway: concerns; 3 reopen Rancho Cucamonga was written up by San Bernardino County health officials during an on-site inspection for allowing customers to use a self-service beverage machine and not having a site-specific plan for employee training and screening; cleaning and disinfecting; and physical distancing.

https://www.pe.com/...idelines/?utm_medium=social&utm_content=tw-pressenterprise&utm_campaign=socialflow&utm_source=twitter.com[9/2/2020 10:04:27 AM] Malls in Riverside, San Bernardino counties reopen with coronavirus safety measures – Press Enterprise

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LOCAL NEWS • News Malls in Riverside, San Bernardino counties reopen with coronavirus safety measures 'We're excited to have everybody back. It was a little scary for a while,' Temecula mall manager says

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https://www.pe.com/...easures/?utm_medium=social&utm_campaign=socialflow&utm_content=tw-pressenterprise&utm_source=twitter.com[9/2/2020 10:03:12 AM] Malls in Riverside, San Bernardino counties reopen with coronavirus safety measures – Press Enterprise

The Galleria at Tyler echoes with some shoppers in Riverside on Tuesday, Sept. 1, 2020. Some shops, however, remained closed. (Photo by Cindy Yamanaka, The Press-Enterprise/SCNG)

By BRIAN WHITEHEAD | [email protected] | San Bernardino Sun  PUBLISHED: September 1, 2020 at 6:11 p.m. | UPDATED: September 1, 2020 at 6:13 p.m.

Closed for nearly two months this summer due to surging coronavirus cases and hospitalizations, indoor malls up and down the state got the green light to reopen Monday, Aug. 31, under California’s new color-coded reopening plan to prevent further spread of the disease.

Eager to welcome shoppers back inside for the first time since May, Inland malls such as Inland Center in San Bernardino, the Galleria at Tyler in Riverside and Ontario Mills reopened this week at S 25% capacity and with myriad safety precautions in place.

“More than ever, people are ready to safely get back to the places and activities they’ve been missing Le

and we are excited to be a big part of this,” Terri Relf, senior marketing manager for Inland Center By Mall owner Macerich, said Monday in a news release. “All of us are committed to ensuring our property can get back to making major contributions to our local economy through jobs, sales taxes and more.” M

1 of 11 Shoppers leave Ontario Mills with their purchases Tuesday afternoon Sept. 1, 2020. Malls, barber shops and salons were allowed to open for indoor  operations Monday following a lengthy closure due to the COVID-19 pandemic. (Photo by Will Lester, Inland Valley Daily Bulletin/SCNG)

While the temporary shuttering of indoor malls and other nonessential businesses in March helped stem the virus’ spread at the outset of the pandemic, the move also cost Inland cities millions of dollars in sales tax revenue toward the tail end of the previous fiscal year.

As a result, most cities in the region had to cut costs and use reserves this summer to balance their books.

Gov. Gavin Newsom’s stay-at-home orders lasted through early June, at which time the state, under its original four-stage reopening plan, began allowing a broad range of businesses in certain counties to reopen with guidelines for safe operation.

Indoor malls welcomed shoppers back shortly thereafter, signaling as much a return to normalcy as possible during unprecedented times.

Yet, as malls, gyms, casinos, bars, restaurants and other nonessential businesses unlocked their doors, coronavirus cases and hospitalizations spiked, even with safety precautions in place, prompting Newsom to shut down most indoor operations in July.

The past two months, certain stores at indoor malls have offered curbside pick-up, while restaurants with outdoor seating served guests there.

Announced Friday, the state’s new four-tier reopening system allowed such shopping centers, hair salons and barbershops to reopen safely.

MALLS REOPENING

Galleria at Tyler: Open 11 a.m. to 7 p.m. Monday-Saturday, noon to 6 p.m. Sunday

Inland Center: Open 11 a.m. to 7 p.m. Monday-Saturday, noon to 6 p.m. Sunday

Montclair Place: Opens Friday, Sept. 4. Hours are 10 a.m. to 8:30 p.m. Monday- Saturday, 11 a.m. to 7 p.m. Sunday

Ontario Mills: Open 11 a.m. to 7 p.m. Monday-Saturday, noon to 6 p.m. Sunday

Temecula Promenade: Open 11 a.m. to 7 p.m. Monday-Saturday, noon to 6 p.m. Sunday

Victoria Gardens: Open 11 a.m. to 7 p.m. Monday-Saturday, noon to 6 p.m. Sunday

As they did earlier this summer, mall managers put in place numerous safeguards this past weekend for returning shoppers.

Inland Center ownership, for example, has enhanced cleaning and sanitation protocols, Relf said, with a focus on main touchpoints. An advanced filter in the air conditioning system will further protect guests, Relf added. Montclair Place, which plans to reopen Friday, Sept. 4, also has installed new air filters.

Floor markings encourage shoppers in malls from San Bernardino to Temecula to maintain safe distances, and automatic hand sanitizer stations have become omnipresent.

Montclair Place will require face coverings when indoors, and all drinking fountains have been disabled.

Not every business at the Galleria at Tyler was shut down two months ago, general manager Jim Fuson said Tuesday, and about half of the Riverside mall’s tenants already are open, even with the relatively short notice.

“We were extremely excited on Friday with the governor’s announcement,” Fuson added, “but I think a few of our retailers need a few days to get things reopened safely.”

Foot traffic still is slow at Glow Up, a blow out bar in Promenade Temecula that reopened Monday with heightened sanitation procedures, according to general manager Becky Herrera.

The same is true for 2% Chop at Victoria Gardens, which RELATED ARTICLES relied heavily on walk-in traffic, but for the time being, only

is taking appointments. 4 things to do in Temecula Valley Wine Country during California Wine Month Subhi Koudsi’s barbershop at Rancho Cucamonga’s popular outdoor mall reopened Monday after enduring the Carl Love: It’s day 30 of my coronavirus spring and summer closures. Increased cleaning and fight, but I still feel ‘awful’ sanitation protocols mean the shop is seeing fewer Riverside opens parks to gyms, churches customers per day, Koudsi said, putting the salon on less- during coronavirus pandemic secure financial footing than it was before the pandemic. Coronavirus state tracker: 140 new Still, despite seeing fewer clients amid the pandemic, deaths in California on Sept. 1 Koudsi remains optimistic about the future, based on how Drive-thru skills perfected in his idle things went when the shop reopened earlier this summer. moments during pandemic “No one got sick at our shop that we know of,” he said, “so we just feel like the way we’ve been doing with our masks, our social distancing and cleaning, we’ve been stopping (the spread of) the virus.”

Added Herrera: “We’re excited to have everybody back. It was a little scary for a while.”

Staff writers Beau Yarbrough and Steve Scauzillo contributed to this report.

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Brian Whitehead | Reporter Brian Whitehead is a reporter for The San Bernardino Sun, covering Colton, Fontana, Grand Terrace, Rialto and San Bernardino. He previously covered prep sports and the cities of Buena Park, Fullerton and La Palma for The Orange County Register. A Grand Terrace native and Riverside Notre Dame alumnus, he earned his journalism degree from Cal State Fullerton in 2010. Since joining The Sun in late 2017, he has reported on development, education, homelessness, marijuana, political strife and the myriad issues facing San Bernardino post-bankruptcy.

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 Follow Brian Whitehead @bwhitehead3

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https://www.pe.com/...easures/?utm_medium=social&utm_campaign=socialflow&utm_content=tw-pressenterprise&utm_source=twitter.com[9/2/2020 10:03:12 AM] Riverside County confirms rare coronavirus-related syndrome in child – Press Enterprise

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LOCAL NEWS • News Riverside County confirms rare coronavirus- related syndrome in child

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By JEFF HORSEMAN | [email protected] | The Press-Enterprise  PUBLISHED: September 1, 2020 at 12:17 p.m. | UPDATED: September 2, 2020 at 12:07 a.m.

A western Riverside County youth under age 15 is the first confirmed case of a rare inflammatory syndrome associated with the coronavirus, the county’s public health officer said Tuesday, Sept. 1.

A second probable case of Multisystem Inflammatory Syndrome in Children, or MIS-C, is in the Coachella Valley, Dr. Cameron Kaiser told the Board of Supervisors. The confirmed case is not known to be linked to any school, he said.

MIS-C affects those under 21 who may have had COVID-19 or been exposed to the virus. The syndrome can cause inflammation in the heart, lungs, kidneys, brain, skin, eyes and gastrointestinal organs and lead to lifelong health impacts.

California has 47 confirmed cases of the syndrome, Kaiser told supervisors.

“While most children are only minimally sickened by COVID-19, they can get it just as easily as adults, and an unlucky few will have serious complications,” Kaiser said in a news release.

https://www.pe.com/...in-child/?utm_content=tw-pressenterprise&utm_campaign=socialflow&utm_medium=social&utm_source=twitter.com[9/2/2020 10:04:38 AM] Riverside County confirms rare coronavirus-related syndrome in child – Press Enterprise

The confirmed case of the syndrome, he added, is “a reminder we need to pay attention to COVID-19 in kids and its potential long- and short-term effects.”

Parents of children displaying MIS-C symptoms — fever, abdominal pain, vomiting, diarrhea, neck pain, rash, bloodshot eyes, or feeling extra tired — should contact their doctor. The county public health department is advising physicians to consider the possibility of the syndrome in children and to notify the department of any cases.

Also Tuesday, supervisors expressed frustration with the state’s standards for reopening businesses shuttered by COVID-19 restrictions.

Currently, Riverside County is in the purple, or most restrictive, tier of the color-coded, four-tier reopening scale unveiled by Gov. Gavin Newsom last week. Hair salons and indoor malls can now reopen — malls are restricted to 25% capacity — but the county will have to show progress in its COVID-19 case rate and positive test rate before more restrictions are lifted.

In the new system, “the goal posts have been moved once again — quite frankly, it seems like they’ve been moved even further away,” Supervisor V. Manuel Perez said, describing the impression he got from a meeting of leaders from cities in the desert, which he represents.

Supervisor Karen Spiegel questioned the state’s reasoning RELATED ARTICLES for allowing some businesses to open while forcing others

4 things to do in Temecula Valley Wine to close. Country during California Wine Month “I can’t find the data on which it’s all being traced back to. Carl Love: It’s day 30 of my coronavirus And that to me is critical when decisions are being made,” fight, but I still feel ‘awful’ she said. “I can’t find anything with real detail on the state website … I really think that we do need to move forward https://www.pe.com/...in-child/?utm_content=tw-pressenterprise&utm_campaign=socialflow&utm_medium=social&utm_source=twitter.com[9/2/2020 10:04:38 AM] Riverside County confirms rare coronavirus-related syndrome in child – Press Enterprise

Riverside opens parks to gyms, churches during coronavirus pandemic into looking at how long we can continue. In another month or two, we’re gonna have so many businesses that will not Coronavirus state tracker: 140 new be reopened.” deaths in California on Sept. 1 In a newsletter emailed to constituents Tuesday, Malls in Riverside, San Bernardino Supervisor Kevin Jeffries said the new tier system “places counties reopen with coronavirus safety measures the burden directly onto the shoulders of the citizens and businesses of California to meet a new tier of standards.”

“In short, if new overall COVID infection rates and testing positivity rates don’t fall, counties, including Riverside, will be stuck in holding patterns that will prevent currently closed businesses from reopening,” he said, adding the county “must convince more and more residents” to follow social distancing and other COVID-19 guidelines.

“With so many residents expressing their skepticism over COVID testing, test results and cause of death labeling, this will be a Herculean task for many of the 58 counties,” Jeffries said.

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Jeff Horseman | Reporter Jeff Horseman grew up in Vermont and honed his interviewing skills as a supermarket cashier by asking Bernie Sanders “Paper or plastic?” After graduating from Syracuse University in 1999, Jeff began his journalistic odyssey at The Watertown Daily Times in upstate New York, where he impressed then-U.S. Senate candidate Hillary Clinton so much she called him “John” at the end of an interview. From there, he went to Annapolis, Maryland, where he covered city, county and state government at The Capital newspaper before love and the quest for snowless winters took him in 2007 to Southern California, where he started out covering Temecula for The Press-Enterprise. Today, Jeff writes about Riverside County government and regional politics. Along the way, Jeff has covered wildfires, a tropical storm, 9/11 and the Dec. 2 terror attack in San Bernardino. If you have a question or story idea about politics or the inner workings of government, please let Jeff know.

[email protected]

https://www.pe.com/...in-child/?utm_content=tw-pressenterprise&utm_campaign=socialflow&utm_medium=social&utm_source=twitter.com[9/2/2020 10:04:38 AM] L.A. County weighs indoor reopening of hair salons, malls - Los Angeles Times

Sections Los Angeles Times

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L.A. County weighs indoor reopening of hair salons and shopping malls

https://www.latimes.com/california/story/2020-09-01/l-a-county-weighs-indoor-reopening-of-hair-salons-shopping-malls[9/2/2020 10:11:39 AM] L.A. County weighs indoor reopening of hair salons, malls - Los Angeles Times

Nader Salameh, left, and his son, Gavyn, 9, center, from Lawndale, get their hair cut by barbers Anthony Ho, left and Christian Mikhail, center, in the parking lot of Press Box Barber Shop in Lawndale. (Jay L. Clendenin / Los Angeles Times)

By COLLEEN SHALBY | STAFF WRITER

SEP. 1, 2020 | 12:44 PM UPDATED 6:18 PM

Los Angeles County officials are weighing whether to allow the reopening of indoor shopping centers, retail shops and hair salons in accordance with the state’s new guidelines, which permit counties — no matter their COVID-19 status — to reopen such businesses under certain conditions.

If county officials decide to lift the restrictions ahead of Labor Day weekend, the businesses would be allowed to operate at 25% capacity, as well as indoor modified operations at hair salons and barbershops.

Public Health Director Barbara Ferrer and the Board of Supervisors met Tuesday to discuss the new guidance, but no decision was made. Any change to the county’s guidelines will be announced Wednesday afternoon, according to the county’s Department of Public Health.

In a statement, Ferrer suggested that current conditions still don’t allow for an immediate reopening.

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“There is a lot at stake. Increased numbers of people being around one another can result in more transmission of COVID-19, at a time where we need to be doubling down on our efforts to slow the spread,” she said. “Our past weekend inspections demonstrated that 20% of restaurants and 17% of markets are still not in compliance with the Health Officer Orders. This does not help us get our numbers down.”

The county announced 45 new deaths related to COVID-19 on Tuesday and 840 new infections.

Gov. Gavin Newsom announced the new guidelines Friday, and counties across the state have taken different directions, with some, like San Francisco, adopting a cautious approach that doesn’t allow barbershops and nail salons to open indoor operations until late September.

In Los Angeles, where the unemployment rate hit 20% over the last few months, county supervisors have been deluged with calls from concerned business owners who have been unable to work for months.

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The timing of the reopening, coming ahead of a major holiday weekend, Labor Day, recalls the last major reopening strategy, which took place shortly before and after Memorial Day weekend.

Following test results dust-up, California to unveil a new COVID-19 reporting system in October

What followed after Memorial Day was a surge in cases and hospitalizations that have only subsided in recent weeks. It’s unclear how the upcoming Labor Day weekend may be affecting county officials’ decision to allow for indoor operations at shuttered businesses.

The state has placed L.A. County, along with 37 other counties, on Tier 1 of its reopening plan for having widespread risk of the virus. The county has recorded more than 242,000 cases and over 5,800 deaths. In recent weeks, those numbers have declined and stabilized, but August stands as the county’s deadliest month since the pandemic hit.

Most nonessential businesses in Tier 1 counties, such as L.A., are closed. As a county moves through the tiers, more businesses are allowed to reopen. State Health and Human Services Director Dr. Mark Ghaly said Tuesday that the updates, particularly a focus on a seven-day average instead of a 14-day one, are more in keeping with the data analysis of other states and countries around the world. The tiers are:

Tier 1, widespread transmission: Counties have more than seven daily COVID-19 cases per 100,000 people and a test positivity rate of more than 8%. Tier 2, substantial transmission: Counties have four to seven daily COVID-19 cases per 100,000 and a test positivity rate of 5% to 8%. Tier 3, moderate transmission: Counties have 1-3.9 daily COVID-19 cases per 100,000 people and a test positivity rate of 2% to 4.9%. Tier 4, minimal transmission: Counties have less than one daily COVID case per 100,000 and a test positivity rate of less than 2%.

San Francisco County is on Tier 2 of the state’s reopening plans. Under the guidelines, the county could reopen restaurants for in-person dining with restrictions and immediately allow hairdressers and barbers to work inside.

But in the city of San Francisco, plans announced Tuesday by Mayor London Breed and Public Health Director Dr. Grant Colfax reflect a more cautious approach in the decision to lift certain restrictions.

The city reopened outdoor pools, indoor malls, outdoor hair salons and barbershops and outdoor personal services with some restrictions on Monday. But indoor operations at barbershops and hair salons may not reopen until late September. Nail salons may reopen for indoor services, with modifications, at that point as well as indoor church services, with 25% of capacity for a maximum of 25 people.

Currently, Alpine and Modoc counties are the only two in the state that are on Tier 4. Most businesses are allowed to reopen in this tier, albeit with some limitations. Concert venues, convention centers, live theaters, nightclubs and theme parks remain closed statewide.

Los Angeles County currently has a 5.1% seven-day average for positive infections and a seven-day average of 12.4 cases per every 100,000 people. By comparison, the state’s average positivity rate during the same time frame is currently 5.9% and its average case rate per 100,000 people is 10.2.

Which California counties are reopening?

A county must show progress in its positivity rate and case count over a three-week period before moving to a new tier. If a county has a case count and positivity rate that fall on two different tiers, the more stringent rules would apply. Such updates will take place on Tuesdays following the state’s review of a county’s metric.

https://www.latimes.com/california/story/2020-09-01/l-a-county-weighs-indoor-reopening-of-hair-salons-shopping-malls[9/2/2020 10:11:39 AM] LA County gears up for flu season; official warns of ‘twindemic’ – Daily Bulletin

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NEWS LA County gears up for flu season; official warns of ‘twindemic’ If enough residents get vaccinated, it will help decrease the stress on the county's health care system as it works to support patients fighting either COVID-19 or influenza.

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By CITY NEWS SERVICE | [email protected] |  PUBLISHED: September 1, 2020 at 5:34 p.m. | UPDATED: September 1, 2020 at 5:36 p.m.

LOS ANGELES — Los Angeles County is gearing up for the coming flu season, with the county’s top public health official saying today that residents should get vaccinated, even given the continuing threat of COVID-19.

“We are positive that we will have both influenza and COVID-19 circulating at the same time,” Public Health Director Barbara Ferrer told the Board of Supervisors. “While we don’t have a vaccination for COVID-19 at this time, we do have a vaccination for influenza.”

Immunization is recommended for everyone over the age of RELATED LINKS 6 months. Vaccines are already available at some doctors’

offices, clinics and pharmacies, and Ferrer said the county Hair salons, barbershops nervously await should have its own stocks available next week. LA County’s word on indoor clientele

https://www.dailybulletin.com/...tm_content=tw-ivdailybulletin&utm_campaign=socialflow&utm_medium=social&utm_source=twitter.com[9/2/2020 10:03:29 AM] LA County gears up for flu season; official warns of ‘twindemic’ – Daily Bulletin

If enough residents get vaccinated, it will help decrease the LA commits $50 million to help workers stress on the county’s health care system as it works to infected with COVID-19 stay home support patients fighting either COVID-19 or influenza, LA County reports 45 more coronavirus which have similar symptoms, Ferrer told the board. deaths as hair salons wait word on reopening

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Supervisor Janice Hahn said she was starting to hear the term “twindemic” to describe the possibility M of a dual health crisis this fall. By As the county considers reopening certain sectors of the economy, taking precautions against both COVID-19 and the flu will be even more important, Hahn said.

Supervisor Hilda Solis said people, especially those at high-risk for COVID-19, may be reluctant to M visit clinics or doctor’s offices to get immunized. She called for a formal vote to ask the Los Angeles County Department of Public Health to implement its plan for flu season, which includes a multilingual campaign encouraging residents to get a flu shot. Solis also urged the department to establish drive-in vaccination sites.

The board’s vote in support of the department’s plan was unanimous.

https://www.dailybulletin.com/...tm_content=tw-ivdailybulletin&utm_campaign=socialflow&utm_medium=social&utm_source=twitter.com[9/2/2020 10:03:29 AM] LA County reports 45 more coronavirus deaths as hair salons wait word on reopening – Daily Bulletin

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NEWS • News LA County reports 45 more coronavirus deaths as hair salons wait word on reopening

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https://www.dailybulletin.com/...tm_source=twitter.com&utm_medium=social&utm_campaign=socialflow&utm_content=tw-ivdailybulletin[9/2/2020 10:03:38 AM] LA County reports 45 more coronavirus deaths as hair salons wait word on reopening – Daily Bulletin

With Supervisor Kathryn Barger at her side, LA County Health Director Barbara Ferrer speaks Wednesday at the county’s daily coronavirus briefing. Photo: Screengrab

By DAVID ROSENFELD | [email protected] | The Daily Breeze  PUBLISHED: September 1, 2020 at 5:16 p.m. | UPDATED: September 1, 2020 at 5:17 p.m.

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Los Angeles County reported another 840 cases of the coronavirus and 45 deaths related to the virus S on Tuesday, Sept. 1, a day when officials remained silent on plans to reopen certain businesses the state now allows to resume operations. 17 https://www.dailybulletin.com/...tm_source=twitter.com&utm_medium=social&utm_campaign=socialflow&utm_content=tw-ivdailybulletin[9/2/2020 10:03:38 AM] LA County reports 45 more coronavirus deaths as hair salons wait word on reopening – Daily Bulletin

Indoor hair and nail salons, indoor malls and outdoor card rooms were among the businesses capable By of reopening under new state guidelines issued Friday, but county officials have yet to give the go- ahead. Discretion ultimately comes down to the local health officer in coordination with the Los Angeles County Board of Supervisors. M

The five-member board was expected to discuss the county’s plans for reopening certain businesses with Public Health Director Barbara Ferrer on Tuesday, board Chair Kathryn Barger said during a Monday briefing.

“We recognize the state has allowed us to open and we want to do it in a very thoughtful process,” Barger said, “so tomorrow we’ll be discussing and will make an announcement hopefully tomorrow afternoon.”

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A spokesperson for the county Public Health Department said early Tuesday evening that an announcement was now expected at Wednesday’s 1 p.m. briefing.

Based on a newly created four-tiered system, Los Angeles County falls in the highest level of restrictions. That still allows for barber shops, nail salons and indoor malls, among other businesses, to reopen under the new state guidelines.

Hair salons and barber shops waited nervously on Monday to learn whether they could soon reopen. But news was not forthcoming then either. Despite the restrictions, some Southern California barber shops and nail salons have defied the orders rather than face the grim prospects of going bankrupt.

In recent weeks, positive signs indicate the pandemic is waning in Los Angeles County, but officials have warned against letting up on prevention measures, including social distancing and wearing face coverings when out. Public health officials have been especially mindful of reopening carefully as opposed to what some perceived as a rush to reopen in July when cases soon surged again.

In all, 5,829 people have died from complications related to the virus in L.A. County since the pandemic began, and 242,521 cases have been identified. Average daily cases over the past week in L.A. County were 1,300.

Tuesday’s numbers did not include updated tallies from Long Beach and Pasadena, which operate their own health departments.

Long Beach reported one more death and 150 new cases on Tuesday, bringing its totals to 10,674 cases and 217 deaths. Pasadena reported 11 new cases and no new deaths on Tuesday, making 2,387 total cases confirmed in that city and 111 deaths.

Public health officials on Tuesday stepped up warnings RELATED ARTICLES against large gathering over the upcoming Labor Day

4 things to do in Temecula Valley Wine weekend, with the logic being that it could potentially be the Country during California Wine Month type of holiday that sets the county back from the gains

made over the past month. Coronavirus state tracker: 140 new deaths in California on Sept. 1 Among the types of gatherings that remain banned, according to the Health Department, are baby showers, Malls in Riverside, San Bernardino counties reopen with coronavirus safety barbecues with friends, hosting a study group, having measures dinner with extended family members or meeting friends at the beach, which will likely be especially tempting given the LA County gears up for flu season; official roughly 90 degree temperatures predicted for Sunday. warns of ‘twindemic’ Residents from 30 to 49 years old continue comprising the Drive-thru skills perfected in his idle moments during pandemic highest number of new cases among all age groups, representing 35% of new cases reported Tuesday. Children under 11 years old represented 6% of new cases Tuesday.

Hospitalizations continued a precipitous decline, though, now down to 1,057 people admitted, 33% of which were in intensive care units.

Roughly 93% of all those who have died in L.A. County with the coronavirus had pre-existing medical conditions.

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https://www.dailybulletin.com/...tm_source=twitter.com&utm_medium=social&utm_campaign=socialflow&utm_content=tw-ivdailybulletin[9/2/2020 10:03:38 AM] Gov. Gavin Newsom’s third try on COVID-19 – San Bernardino Sun

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OPINION • Opinion Columnist Gov. Gavin Newsom’s third try on COVID-19

   

https://www.sbsun.com/...-on-covid-19/?utm_source=twitter.com&utm_campaign=socialflow&utm_content=tw-sbsun&utm_medium=social[9/2/2020 10:02:44 AM] Gov. Gavin Newsom’s third try on COVID-19 – San Bernardino Sun

FILE – In this June 26, 2020, file photo, California Gov. Gavin Newsom displays a face mask as he urges people to wear them to fight the spread of the coronavirus during a news conference in Rancho Cordova, Calif. Gov. Newsom announced a new, color-coded process Friday, Aug. 28, 2020, for reopening California businesses amid the coronavirus pandemic that is more gradual than the state’s current rules to guard against loosening restrictions too soon. Counties will move through the new, four-tier system based on their number of cases and percentage of positive tests. It will rely on those two metrics to determine a tier: case rates and the percentage of positive tests. (AP Photo/Rich Pedroncelli, Pool, File)

By DAN WALTERS |  PUBLISHED: September 2, 2020 at 8:29 a.m. | UPDATED: September 2, 2020 at 8:29 a.m.

Will the third time be the charm for Gov. Gavin Newsom and his somewhat erratic efforts to battle the COVID-19 pandemic while preventing irreparable damage to the state’s once-vibrant economy?

Newsom won widespread praise for his earliest efforts at preventing spread of the sometimes fatal coronavirus six months ago, ordering widespread shutdowns of consumer businesses such as restaurants and bars. It set California apart from other states, such as New York, that were experiencing sharp spikes in infections and deaths.

Newsom issued what appeared to be tight guidelines for reopening, but as the economy slowed and hundreds of thousands — later millions — of workers lost their jobs, Newsom felt the political heat and relented, allowing many of the shuttered businesses to reopen, even though infections were still increasing.

“We have to recognize you can’t be in a permanent state where people are locked away – for months and months and months and months on end — to see lives and livelihoods completely destroyed, without considering the health impact of those decisions as well,” Newsom rationalized.

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4 things to do in Temecula Valley Wine Country S during California Wine Month READ MORE 17

M In early July, Newsom reversed course again, citing alarming increases in infection rates and deaths. He closed bars, made wearing protective facemasks mandatory, reinstituted bans on indoor activities in 19 counties with high infection rates and threatened counties with a loss of state funds if they balked.

“We have conditioned $2.5 billion in our state budget on applying the spirit and the letter of the law as it relates to health directives at the county level,” Newsom said. “If local officials are unwilling to enforce and are being dismissive, we will condition the distribution of those dollars.”

Newsom’s health advisors instituted a “monitoring list” of counties based on a bewildering series of criteria that almost no one, save themselves, understood. Newsom’s frequent telecasts on COVID-19 were supposed to explain what was being done, but they were more confusing than elucidating.

Last week, two months after the second economic crackdown, Newsom announced still another approach, claiming — as he always does — that it’s driven by scientific advice on how best to balance fighting infection and minimizing economic damage.

“We’ve learned a lot over the last number of months,” Newsom said as he unveiled a color-coded map of the state’s 58 counties, each color denoting the level of a county’s infection. He also revealed a new state contract for infection tests he said would vastly expand access.

The new system appears to be top-down and rigid, removing much of the wiggle room for local officials.

Most of the counties and most of the state’s population are in the high infection category with the most restrictive curbs on economic activities. Counties must remain in their tiers for at least three weeks and can move to less restrictive tiers only if they meet their tighter criteria for two consecutive weeks. If a county’s numbers worsen for two weeks in a row, it will be moved to a more restrictive tier.

“We’re going to be more stubborn this time,” Newsom said. RELATED ARTICLES Managing a pandemic of unknown ferocity is obviously an Rosilicie Ochoa Bogh for Senate District extremely difficult task, one in which — as in war — tactical 23 decisions can have life and death consequences. That Time runs out on California’s legislative said, Newsom’s record reflects a certain hubris. He session. What did they do right, wrong? pronounced each major policy as if it was delivered from on high, certain to have the desired outcome, but each was California is back in black due to going green followed two months later by something sharply different.

The feds should bail out the states: Tom Newsom should hope that his third managerial attempt Campbell succeeds because he’s been burning his storehouse of credibility. Don’t allow police reform to slip out of our hands CalMatters is a public interest journalism venture committed to explaining how California’s state Capitol works and why it matters. For more stories by Dan Walters, go to calmatters.org/commentary

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https://www.sbsun.com/...-on-covid-19/?utm_source=twitter.com&utm_campaign=socialflow&utm_content=tw-sbsun&utm_medium=social[9/2/2020 10:02:44 AM] California to unveil new COVID-19 reporting system - Los Angeles Times

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Following test results dust-up, California to unveil a new COVID-19 reporting system in October

https://www.latimes.com/california/story/2020-09-01/california-new-covid-19-reporting-system-test-results[9/1/2020 3:53:18 PM] California to unveil new COVID-19 reporting system - Los Angeles Times

Cars line up at a COVID-19 test site at Dodger Stadium on Aug. 12 in Los Angeles. (Kent Nishimura / Los Angeles Times)

By PHIL WILLON | STAFF WRITER

SEP. 1, 2020 | 3:45 PM

SACRAMENTO — A month after a state public health computer database failure caused the distortion of COVID-19 test results across California and disrupted the state’s response to the pandemic, the Newsom administration on Tuesday announced that a new reporting system will be online in October.

The state signed a contract with software company OptumInsight Inc. for a database that will handle all COVID-19 testing results, replacing the troubled California Reportable Disease Information Exchange, or CalREDIE.

Because of a glitch in that system in late July, up to 300,000 test results had not been uploaded to the database, raising doubts about the effectiveness of the state‘s actions https://www.latimes.com/california/story/2020-09-01/california-new-covid-19-reporting-system-test-results[9/1/2020 3:53:18 PM] California to unveil new COVID-19 reporting system - Los Angeles Times

taken to stem the spread of the coronavirus.

Dr. Mark Ghaly, California’s health and human services director, said the new data repository will be “robust” enough to ensure that the state has the testing information necessary to adequately respond to the pandemic.

“Hopefully we close some of the information gaps that we have on demographic information,” Ghaly said in a Tuesday news conference. “Really enhancing the state’s ability to not just see where transmission is happening, but to understand some of the more detailed, nuanced pieces.”

The state Department of Public Health signed a six-month $15.3-million contract with OptumInsight to create the data system. The state used federal grant funds to pay for the contract.

Ghaly said the CalREDIE system was never designed to handle the tens of thousands of test results coming into the state every day. That database also receives all data on other reportable diseases filed by local public health officials.

Without an accurate picture of confirmed cases, many local officials who rely on the CalREDIE system had to conduct their own tallies to understand how the virus spread in their communities.

https://www.latimes.com/california/story/2020-09-01/california-new-covid-19-reporting-system-test-results[9/1/2020 3:53:18 PM] California to unveil new COVID-19 reporting system - Los Angeles Times

The caseload of COVID-19 testing results is expected to nearly double in the months ahead. Last week, Gov. Gavin Newsom announced a $1.6-billion contract with an East Coast medical diagnostics company to double the number of coronavirus tests that can be processed in the state, eventually expanding capacity to roughly a quarter-million tests per day.

CALIFORNIA POLITICS CALIFORNIA LAW & POLITICS COVID-19 PANDEMIC

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Phil Willon covers Gov. Gavin Newsom and California politics for the Los Angeles Times. Willon grew up in Southern California and previously worked for the Tampa Tribune and the Capital in Annapolis, Md.

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456667687"9)"#" !" #$ ) &" '$ & ! ) #$ $ @@@A9 B4C# C4DEE Staying power of COVID-19 antibodies bodes well for vaccines - Los Angeles Times

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Staying power of coronavirus antibodies bodes well for COVID-19 vaccines, study says

https://www.latimes.com/science/story/2020-09-01/staying-power-of-coronavirus-antibodies-bodes-well-for-covid-19-vaccines-study-says[9/2/2020 10:03:01 AM] Staying power of COVID-19 antibodies bodes well for vaccines - Los Angeles Times

A woman has blood drawn for COVID-19 antibody testing. New research shows that coronavirus antibodies may last at least four months — a good sign that vaccines may be able to give long-lasting immunity. (Paul Sancya / Associated Press)

By ASSOCIATED PRESS

SEP. 1, 2020 | 3:39 PM

Antibodies that people produce to fight the new coronavirus last at least four months after diagnosis and do not fade quickly, as some earlier reports suggested, scientists have found.

The new report, from tests on more than 30,000 people in Iceland, is the most extensive work yet on the immune system’s response to the virus over time and is good news for efforts to develop vaccines.

If a vaccine can spur production of long-lasting antibodies, as natural infection seems to do, it gives hope that “immunity to this unpredictable and highly contagious virus may not be fleeting,” scientists from Harvard University and the U.S. National Institutes of Health wrote in a commentary with the study, published Tuesday in the New England Journal of Medicine.

One of the big mysteries of the pandemic is whether having had a coronavirus infection helps protect against future infections, and for how long. Some smaller studies previously suggested that antibodies may disappear quickly and that some people with few or no symptoms may not make many at all.

The new study was conducted by Reykjavik-based DeCode Genetics, a Get our free Coronavirus Today newsletter subsidiary of the U.S. biotech company Sign up for the latest news, best stories and what they Amgen, with several hospitals, mean for you, plus answers to your questions. universities and health officials in Iceland. The country has tested 15% of Enter Email Address its population since late February, when SIGN ME UP its first COVID-19 cases were detected, You may occasionally receive promotional content from the Los giving a solid base for comparisons. Angeles Times.

Scientists used two types of coronavirus testing: the kind from nose swabs or other samples that detect bits of the virus, indicating an active infection, and those that measure antibodies in the blood, which can show whether someone is infected or has been in the past.

Blood samples were analyzed from 30,576 people using various methods, and a person was counted as a case if at least two of the antibody tests were positive. These included a range of people, from those without symptoms to those hospitalized with signs of COVID- 19.

In a subgroup of people who tested positive, further testing found that antibodies rose for two months after the infection initially was diagnosed, then plateaued and remained stable for four months.

SCIENCE As the economy reopens, scientists still have a lot to learn about coronavirus immunity

June 12, 2020

Previous studies suggesting that antibodies faded quickly were mostly focused on the 28 days after diagnosis and may have been looking at just the first wave of antibodies the immune system produces in response to infection. A second wave of antibodies forms a month or two into infection, and this seems more stable and long-lasting, the researchers report.

The results of the study don’t necessarily mean that all countries’ populations will be the same, or that every person has this sort of response. Other scientists recently documented at least two cases where people seem to have been reinfected with the coronavirus months after their first bout.

Still, the news that natural antibodies don’t quickly disappear “will be encouraging for people working on vaccines,” said Dr. Derek Angus, critical care chief at the University of Pittsburgh Medical Center.

Other findings from the new study:

• Nearly a third of infections were in people who reported no symptoms.

• Testing through the bits-of-virus method that’s commonly done in community settings missed nearly half the people who were found to have had the virus by blood antibody testing. This means the blood tests are far more reliable and better for tracking spread of the disease in a region and for guiding decisions on returning to work or school, researchers say.

• Nearly 1% of Iceland’s population was infected in this first wave of the pandemic, meaning 99% are still vulnerable to the virus.

• The infection fatality rate was 0.3%. That’s about three times the fatality rate of seasonal flu and in keeping with other more recent estimates, Angus said.

Although many studies have been reporting death rates based on specific groups, such as hospitalized patients, the rate of death among all infected with the coronavirus has not been known.

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https://www.latimes.com/science/story/2020-09-01/staying-power-of-coronavirus-antibodies-bodes-well-for-covid-19-vaccines-study-says[9/2/2020 10:03:01 AM] Overwhelming results could end COVID-19 vaccine trials early - Los Angeles Times

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Overwhelmingly strong results could end COVID-19 vaccine trials early, Fauci says

https://www.latimes.com/science/story/2020-09-02/covid-19-vaccine-trials-could-end-early-if-results-are-overwhelming[9/2/2020 10:02:56 AM] Overwhelming results could end COVID-19 vaccine trials early - Los Angeles Times

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said a COVID-19 vaccine could be available earlier than expected if clinical trials produce overwhelmingly positive results. (Alex Wong / Getty Images)

By LIZ SZABO

SEP. 2, 2020 | 4 AM

A COVID-19 vaccine could be available earlier than expected if ongoing clinical trials produce overwhelmingly positive results, Dr. Anthony Fauci, the nation’s top infectious disease official, said this week.

Although two ongoing clinical trials of 30,000 volunteers are expected to conclude by the end of the year, Fauci said an independent board has the authority to end the trials weeks early if interim results are overwhelmingly positive or negative.

The Data and Safety Monitoring Board could say, “The data is so good right now that you can say it’s safe and effective,” Fauci said Tuesday. In that case, researchers would have “a moral obligation” to end the trial early and make the active vaccine available to everyone in the study, he said, including those who had been given placebos — and accelerate the process to give the vaccine to millions.

Fauci’s comments come at a time of growing concern about whether political pressure from the Trump administration could influence federal regulators and scientists overseeing the nation’s response to the COVID-19 pandemic, and erode shaky public confidence in vaccines. Prominent vaccine experts have said they fear that President Trump is pushing for an early vaccine approval to help win reelection.

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Fauci, the director of the National Institute of Allergy and Infectious Diseases, said he trusts the independent members of the Data and Safety Monitoring Board — who are not government employees — to hold vaccines to high standards without being influenced by politics. Members of the board are typically experts in vaccine science and biostatistics who teach at major medical schools.

“If you are making a decision about the vaccine, you’d better be sure you have very good evidence that it is both safe and effective,” Fauci said. “I’m not concerned about political pressure.”

The safety board periodically looks at data from a clinical trial to determine if it’s ethical to continue enrolling volunteers, who are randomly assigned to receive either an experimental vaccine or a placebo shot. Neither the volunteers nor the health workers who vaccinate them know which shot they’re receiving.

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Manufacturers are now testing three COVID-19 vaccines in large-scale U.S. trials. The first two studies — one led by Moderna and the National Institutes of Health and the other led by Pfizer and BioNTech — began in late July. Each study was designed to enroll 30,000 participants. Company officials have said both trials have enrolled about half that total.

AstraZeneca, which has been running large-scale clinical trials in Britain, Brazil and South Africa, launched another large-scale vaccine study this week in the U.S., involving 30,000 volunteers. Additional vaccine trials are expected to begin this month.

In trials of this size, researchers will know if a vaccine is effective after as few as 150 to 175 infections, said Dr. Robert Redfield, director of the U.S. Centers for Disease Control and Prevention.

“It may be surprising, but the number of events that need to occur is relatively small,” Redfield said.

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Right now, only the safety board has access to the trial data, said Paul Mango, deputy

chief of staff for policy at the Department of Health and Human Services. As for when trial results will be available, “we cannot determine if it will be the middle of October or December.”

Safety boards set “stopping rules” at the beginning of a study, making their criteria for ending a trial very clear, said Dr. Eric Topol, executive vice president for research at Scripps Research in San Diego and an expert on the use of data in medical research.

Although the safety board can recommend stopping a trial, the ultimate decision to halt a study is made by the scientists running the trial, Topol said.

A vaccine manufacturer could then apply to the Food and Drug Administration for an emergency use authorization, which can be granted quickly, or continue through the regular drug approval process, which requires more time and evidence.

Safety monitors also can stop a trial because of safety concerns, “if it looks like it’s actually harming people in the vaccine arm, due to a lot of adverse events,” Fauci said.

Fauci said people can trust the process, because all the data that outside monitors use to make their decisions would be made public.

“All of that has to be transparent,” Fauci said. “The only time you get concerned is if there is any pressure to terminate the trial before you have enough data on safety and efficacy.”

Topol and other scientists have sharply criticized the FDA in recent weeks, accusing Dr. Stephen Hahn, the agency’s commissioner, of bowing to political pressure from the Trump administration, which has pushed the agency to approve COVID-19 treatments faster.

Stopping trials early poses a number of risks, such as making a vaccine look more effective than it really is, Topol said.

“If you stop something early, you can get an exaggerated benefit that isn’t real,” because less positive evidence only emerges later, Topol said.

Stopping the studies early also could prevent researchers from recruiting more minority volunteers. So far, only about 1 in 5 trial participants are Black or Latino. Given that people

in these groups have been hit harder by the pandemic, it’s important that they make up a larger part of vaccine trials, Topol said.

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Ending vaccine trials early also carries safety risks, said Dr. Paul Offit, director of the Vaccine Education Center at Children’s Hospital of Philadelphia.

A smaller, shorter trial could fail to detect important vaccine side effects, which could become apparent only after millions of people have been immunized, said Offit, who serves on an National Institutes of Health advisory panel on COVID-19 vaccines and treatments.

Researchers will continue to follow vaccinated volunteers for a full year to look for long- term side effects, Redfield said.

And Fauci acknowledged that cutting a trial short could undermine public confidence in COVID-19 vaccines. One American in three is unwilling to get a COVID-19 vaccine, according to a recent Gallup Poll.

Liz Szabo writes for Kaiser Health News, a nonprofit news service covering health issues. It is an editorially independent program of the Kaiser Family Foundation that is not affiliated with Kaiser Permanente.

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https://www.latimes.com/science/story/2020-09-02/covid-19-vaccine-trials-could-end-early-if-results-are-overwhelming[9/2/2020 10:02:56 AM] COVID-19 Can Wreck Your Heart, Even if You Haven't Had Any Symptoms - Scientific American

THE BODY | OPINION COVID-19 Can Wreck Your Heart, Even if You Haven’t Had Any

Symptoms

A growing body of research is raising concerns about the cardiac consequences of the coronavirus

By Carolyn Barber on Augus 31, 2020

https://www.scientificamerican.com/...edium=social&utm_content=organic&utm_source=twitter&utm_campaign=SciAm_&sf237362741=1[9/2/2020 10:02:34 AM] COVID-19 Can Wreck Your Heart, Even if You Haven't Had Any Symptoms - Scientific American

Credit: Marco Di Lauro Getty Images

Beyond its scientifc backing, the notion that a COVID-19 patient might wind up with long-term lung scarring or breathing issues has the ring of truth. After all, we hear the stories, right? The

virus can leave survivors explaining how they struggled to breathe, or how it can feel, in the words of actress Alyssa Milano, “like an elephant is sitting on my chest.”

We’ve also known for a while that some COVID-19 patients’ hearts are taking a beating, too—but over the past few weeks, the evidence has strengthened that cardiac damage can happen even among people who have never displayed symptoms of coronavirus infection. And these frightening fndings help explain why college and professional sports leagues are proceeding with special caution as they make decisions about whether or not to play.

From an ofensive lineman at Indiana University dealing with possible heart issues to a University of Houston player opting out of the season because of “complications with my heart,” the news has been coming fast and furiously. More than a dozen athletes at Power Five conference schools have been identifed as having myocardial injury following coronavirus infection, according to

ESPN; two of the conferences—the Big Ten and the Pac-12—already have announced they are postponing all competitive sports until 2021. And in Major League Baseball, Boston Red Sox ace

pitcher Eduardo Rodriguez told reporters that he felt “100 years old” as a result of his bout with COVID, and of MLB’s shortened season because of myocarditis—an infammation of the heart

muscle, often triggered by a virus. Said Rodriguez: “That’s [the heart is] the most important part of your body, so when you hear that … I was kind of scared a little. Now that I know what it is, it’s still scary.”

Why are these athletes (and their leagues and conferences) taking such extreme precautions? It’s because of the stakes. Though it often resolves without incident, myocarditis can lead to severe complications such as abnormal heart rhythms, chronic heart failure and even sudden death. Just

a few weeks ago, a former Florida State basketball player, Michael Ojo, died of suspected heart complications just after recovering from a bout of COVID-19 in Serbia, where he was playing pro ball.

Here’s the background: Myocarditis appears to result from the direct infection of the virus

attacking the heart, or possibly as a consequence of the infammation triggered by the body’s overly aggressive immune response. And it is not age-specifc: In The Lancet, doctors recently reported on an 11-year-old child with multisystem infammatory syndrome (MIS-C)—a rare illness—who died of myocarditis and heart failure. At autopsy, pathologists were able to identify https://www.scientificamerican.com/...edium=social&utm_content=organic&utm_source=twitter&utm_campaign=SciAm_&sf237362741=1[9/2/2020 10:02:34 AM] COVID-19 Can Wreck Your Heart, Even if You Haven't Had Any Symptoms - Scientific American

coronavirus particles present in the child’s cardiac tissue, helping to explain the virus’ direct

involvement in her death. In fact, researchers are reporting the presence of viral protein in the actual heart muscle, of six deceased patients. Of note is the fact that these patients were

documented to have died of lung failure, having had neither clinical signs of heart involvement, nor a prior history of cardiac disease.

Ossama Samuel, associate chief of cardiology at Mount Sinai Beth Israel in New York, told me about a cluster of younger adults developing myocarditis, some of them a month or so after they had recovered from COVID-19. One patient, who developed myocarditis four weeks after believing he had recovered from the virus, responded to a course of steroid treatment only to develop a recurrence in the form of pericarditis (an infammation of the sac surrounding the heart). A second patient, in her 40s, now has reduced heart function from myocarditis, and a third—an athletic man in his 40s—is experiencing recurring and dangerous ventricular heart

rhythms, necessitating that he wear a LifeVest defbrillator for protection. His MRI also demonstrates fbrosis and scarring of his heart muscle, which may be permanent, and he may ultimately require placement of a permanent defbrillator.

This is an incredibly tricky diagnosis. Patients with myocarditis often experience symptoms like shortness of breath, chest pain, fever and fatigue—while some have no symptoms at all. J.N., a health care provider who asked that his full name not be used, told me that COVID-19 symptoms frst appeared in his case in late March. He ultimately was hospitalized at Mount Sinai Medical Center after developing unrelenting fevers spiking to 104 degrees, chest tightness, nausea, vomiting and diarrhea.

“Even the Advil and acetaminophen wouldn’t help my fevers,” said J.N. Just 34 years old, he was diagnosed with COVID-induced myocarditis and severe heart failure. Doctors admitted him to the intensive care unit and placed him on a lifesaving intra-aortic balloon pump due to the very poor function of his heart. He spent two weeks in the hospital, has sufered recurrences since his discharge, and now says, “I’m very careful. I’m very concerned about the length of time I’ve been feeling sick, and if these symptoms are lifelong or will go away anytime soon.” J.N. said that everyday activities, like carrying his one-year-old daughter up a fight of stairs, leave him feeling winded and fatigued. He has been unable to work since March.

According to some reports, as many as 7 percent of deaths from COVID-19 may result from myocarditis. (Others feel that estimate is too high.) The arrhythmia that sometimes accompanies

it is also worrisome, and researchers have found that to be fairly common among COVID-19 patients. In J.N.’s case, he noticed his heart racing on several occasions into the 130 beats per minute range. And while the prevalence of this in virus patients is not known exactly, a study

found that ventricular arrhythmias occurred in 78 percent of patients without COVID-19, with up to 30 percent of them experiencing serious arrhythmias 27 months later.

Experts estimate that half of myocarditis cases resolve without a chronic complication, but several studies suggest that COVID-19 patients show signs of the condition months after

contracting the virus. One non–peer reviewed study, involving 139 health care workers who developed coronavirus infection and recovered, found that about 10 weeks after their initial

symptoms, 37 percent of them were diagnosed with myocarditis or myopericarditis—and fewer than half of those had showed symptoms at the time of their scans.

Any such cardiac sequelae lingering weeks to months after the fact is clearly concerning, and

we’re seeing more evidence of it. A German study found that 78 percent of recovered COVID-19 patients, the majority of whom had only mild to moderate symptoms, demonstrated cardiac involvement more than two months after their initial diagnoses. Six in 10 were found to have persistent myocardial infammation. While emphasizing that individual patients need not be nervous, lead investigator Elike Nagel added in an e-mail, “My personal take is that COVID will increase the incidence of heart failure over the next decades.”

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Taking on myocarditis is a chore. Thankfully, some acute cases resolve on their own, requiring

only hospital monitoring and possibly some heart medications. We’ve learned that steroids and immunoglobulins—useful elsewhere—aren’t efective in acute viral myocarditis, although Samuel said there may be a role for steroids in younger COVID-19 patients who seem to present with more of an autoimmune type of the condition. And, of course, an efective vaccine could help prevent cases in the frst place.

Samuel called it “extremely dangerous” for athletes diagnosed with myocarditis to play

competitive sports for at least three to six months, because of the risk of serious arrhythmia or sudden death, and several athletes already have made the decision to heed those dire warnings. We’ll likely see more such decisions in the very near future, as each sport enters its peak season.

And for the rest of us? Wear a mask, social distance, avoid large gatherings, and spend more time in the great outdoors. I would echo the advice of J.N.: “Be careful. Just don’t get the virus in the beginning.” As of today, it’s still the best defense we’ve got.

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Carolyn Barber

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1 @A BA!"!( 77! 7!"#7377'(7212377"7#7 67CCDEE$"2F1G(2G1 DCC Rudy Favila, former Ontario City Council member, dies at age 69 – Daily Bulletin

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LOCAL NEWS • News Rudy Favila, former Ontario City Council member, dies at age 69 Favila served on the City Council from 1992-1996

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By STEVE SCAUZILLO | [email protected] | San Gabriel Valley Tribune  PUBLISHED: September 1, 2020 at 5:16 p.m. | UPDATED: September 1, 2020 at 5:30 p.m.

Former Ontario City Council member Rodolfo “Rudy” Favila, one of the first Latinos elected to the council who later became an outspoken critic of the city’s governance, has died.

Favila had a heart attack at his Ontario home on Aug. 10 from which he did not recover, according to social media posts. He was 69.

“I am heart broken by the suddenness of his passing. Rudy was the love of my life, my partner and I will miss him every day,” posted his wife, Claudia Favila, on Facebook on Aug. 10.

He is survived by his wife and daughters, Colleen and Cristel; his son-in-law Mark; grandchildren Isabela and Elijah, his mother, Lidubina and nine brothers and sisters.

https://www.dailybulletin.com/...tm_content=tw-ivdailybulletin&utm_campaign=socialflow&utm_medium=social&utm_source=twitter.com[9/2/2020 10:03:47 AM] Rudy Favila, former Ontario City Council member, dies at age 69 – Daily Bulletin

Rodolfo G. Favila Top Articles

Favila served one term on the City Council, from 1992-1996. He was the subject of an unsuccessful recall campaign. In November 1996, he lost in the general election to Gary Ovitt and Ray Wiltsey in a S crowded field. 17 In 2000, Favila ran for Congress in the 41st District but lost to Rep. Gary Miller. He also ran for mayor of Ontario several times. In November 2018, after a 22-year absence from Ontario City Hall, he ran for By mayor again, losing to incumbent Mayor Paul Leon.

Favila, who grew up in Sacramento, had a stake in his family farm which produced Sacacuento M Mezcal. Mezcal is a spirit distilled from a type of agave plant. In recent Facebook posts, he was pleased to see the brand being sold at Whole Foods.

He was often known as the Mezcal King, his family said in his obituary.

Favila was a retired peace officer. He worked as a health RELATED ARTICLES and safety officer for the California Youth Authority for 25

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Bruce Flanders, voice of the Long Beach Grand Prix, dies at 75 A celebration of his life will be held at a later date when COVID-19 restrictions are lessened, according to the obituary. Today, condolences can be made to [email protected].

Memorial trees may be planted in his memory. For more information, go to the Sympathy Store.

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Tags: city council, city-government, Foothill Cities, Inland Empire, obituary, Top Stories IVDB

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https://www.dailybulletin.com/...tm_content=tw-ivdailybulletin&utm_campaign=socialflow&utm_medium=social&utm_source=twitter.com[9/2/2020 10:03:47 AM] Suspect in double homicide in Redlands still on the loose; victims identified – Daily Bulletin

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NEWSCRIME AND PUBLIC SAFETY • News Suspect in double homicide in Redlands still on the loose; victims identified

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https://www.dailybulletin.com/...tm_content=tw-ivdailybulletin&utm_campaign=socialflow&utm_medium=social&utm_source=twitter.com[9/2/2020 10:03:20 AM] Suspect in double homicide in Redlands still on the loose; victims identified – Daily Bulletin

Redlands police are looking for Eric Otto White, 57, in connection with the slaying of Kenneth Allen Lee, 54, and Kavina Madison Brooks, 39, on Aug. 26, 2020. (Courtesy of Redlands Police Department)

By BRIAN ROKOS | [email protected] | The Press-Enterprise  PUBLISHED: September 1, 2020 at 6:19 p.m. | UPDATED: September 1, 2020 at 11:53 p.m.

The man believed to have slain two people at a house in Redlands remained at large Tuesday, Sept. 1, although police said they have recovered his car.

Also, the victims’ identities have been announced.

Kenneth Allen Lee, 54, of Compton, was pronounced dead at the scene of the Aug. 26 shooting, a house in the 900 block of Carlson Avenue. Kavina Madison Brooks, 39, of Redlands, who neighbors say lived there, was pronounced dead at Redlands Community Hospital early Aug. 27, the San S Bernardino County Coroner’s Office said.

A second woman was hospitalized. Information on her condition was unavailable Tuesday. 17 https://www.dailybulletin.com/...tm_content=tw-ivdailybulletin&utm_campaign=socialflow&utm_medium=social&utm_source=twitter.com[9/2/2020 10:03:20 AM] Suspect in double homicide in Redlands still on the loose; victims identified – Daily Bulletin