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June 8, 2020 Update

The County Update is now publishing three days a week (Monday, Wednesday and Friday) and also as needed, in order to share important news and resources in our battle against COVID-19 and to keep our economy running. We remain here for you. #SBCountyTogether

For latest Statistics and link to our COVID-19 Community Testing page, scroll to the bottom of today’s Update

Preparation Guidance Issued for Gyms, Bars, Museums, and Other Businesses and Activities

California will allow schools, campgrounds, RV parks, bars, gyms and other sectors to begin reopening this Friday, June 12. These are among several new businesses and activities the State Department of Public Health on Friday announced can reopen in those counties that have met certain thresholds on the number of cases, testing and preparedness.

The state on Friday issued new guidance documents for these new sectors, giving each business or activity adequate time to create reopening plans. The following are the sectors that will be allowed to reopen next Friday:

-Bars and wineries https://covid19.ca.gov/pdf/guidance-restaurants-bars.pdf

-Family entertainment centers https://covid19.ca.gov/pdf/guidance-family-entertainment.pdf

-Museums, galleries and zoos https://covid19.ca.gov/pdf/guidance-zoos-museums.pdf

-Fitness facilities https://covid19.ca.gov/pdf/guidance-fitness.pdf

-Campgrounds https://covid19.ca.gov/pdf/guidance-campgrounds.pdf

-Hotels https://covid19.ca.gov/pdf/guidance-hotels-lodging-rentals.pdf

-Satellite wagering facilities https://covid19.ca.gov/pdf/guidance-cardrooms-racetracks.pdf

Not included in Friday’s announcement were nail salons, tattoo studios, movie theaters, performance venues and youth sports, which are not authorized to reopen. Most of the new businesses are part of “Stage 3” on the State’s 4-Stage Reopening Plan.

Critical to the success of reopening all our businesses is a strict adherence to COVID-19 safety protocols. This specifically means using the State guidance documents to create an operational plan that strives to keep both employees and patrons safe, by requiring face coverings around strangers, safe distancing and frequent hand washing. A surge in cases or hospitalization may prompt the State to reverse course on reopenings.

County Expands Contact Tracing Capabilities

Among the critical indicators used to determine the health of our county and the continuing reopening of our businesses is testing and contact tracing.

San Bernardino County, which has been steadily expanding testing capacity for weeks, is also significantly enhancing its contact tracing capabilities in preparation for an increase in cases following relaxation of stay-at-home orders.

What is Contact Tracing?

Contact tracing is one of the oldest public health tactics, dating back centuries. It involves public health staff calling infected patients and helping them recall everyone with whom they were in close contact during the period when they were likely infectious. The staff then quickly notifies those individuals (contacts) of their potential exposure and advises them on steps they should take to protect themselves and others.

Since these contacted individuals may have been infected (symptoms typically don’t appear for five to six days and sometimes as long as 14 days after exposure), they are asked to “self-quarantine” and minimize their exposure to others. For example, they are encouraged to call in sick if they are still working outside their homes.

These potentially infected individuals then receive a daily, automated text message asking if they have exhibited any of the symptoms common to coronavirus infection. Individuals who don’t show symptoms are monitored for 14 days after the last known exposure, after which they can exit quarantine.

Self-Isolation for Those with Symptoms

However, if the individual has experienced such symptoms, the public health representative then asks them to “self-isolate,” that is, remain at home and strictly minimize contact with others — even those within their own households. Those asked to self-isolate are given guidelines to help them in this effort, and asked whether they require additional assistance. They also are provided the phone number of a nursing hotline they can call for further clinical guidance.

“People trying to self-isolate face a variety of challenges, and the County tries to do everything we can to help them overcome them,” said Diana Ibrahim, the Communicable Disease Controller in the County Department of Public Health. “That often includes referring them to support services that can assist them with such things as procuring food, preparing meals, doing laundry, or taking care of children or older people.”

Training Contact Tracers

Ibrahim noted that staffers responsible for contacting potentially infected individuals are extensively trained to ensure their ability to gather critical information while communicating with appropriate sensitivity and discretion. The County now has nearly 400 trained staff members that can be activated when a resident tests positive for COVID-19.

“We expect an increase in positive cases as people emerge from stay-at-home directives, and we are expanding our capabilities in preparation for a potential surge as high as 300%,” she said. “There’s a good chance we won’t experience such growth in infections, but we’re taking a ‘better safe than sorry’ approach.”

Morongo Basin Healthcare District Approves Funding for Local Food Distribution Agencies

The Morongo Basin Healthcare District has approved spending up to $500,000 for local hunger relief, with plans to provide funding assistance of up to $5,000 to local Morongo Basin food pantries and other food distribution agencies.

In subsequent phases, the District also plans on rolling out drive-through food distribution events, as well as a Hunger Help Line so that homebound residents can call to have food boxes delivered directly to their home.

According to Director of Communications Karen Graley, this is the first time the Morongo Basin Healthcare District has spearheaded a local hunger relief program. She said the district looks forward to providing support to families and community members in dire need during these challenging times.

The district is inviting active, 501c3 food distribution organizations to apply for funding assistance by downloading and completing an application available on the district website at http://www.mbhdistrict.org/FoodProject.php. Applications must be received by 5 p.m. July 1, 2020.

Mental Health Monday with Dr. Veronica Kelley

The pandemic has caused stress and anxiety for many. Dr. Veronica Kelley shares a wellness update including how to address the upcoming wave of mental health impacts stemming from the pandemic.

https://youtu.be/ZuGW5k128BU

Four Additional County Jail Inmates Test Positive; One Sheriff’s Employee Assigned to Corrections

Four additional County jail inmates have tested positive for COVID-19. One inmate is at the High Desert Detention Center in Adelanto, one is at the West Valley Detention Center in Rancho Cucamonga, one is at the Glen Helen Rehabilitation Center, and one is at the Central Detention Center in San Bernardino.

A total of 81 County jail inmates have tested positive for COVID-19. Many of the inmates are only experiencing minor symptoms of the virus. Sixteen inmates have recovered from the illness.  The infected inmates are in isolation, being monitored around the clock, and are being provided with medical treatment. Federal patient privacy guidelines restrict the release of additional information regarding the identity of the inmates or their medical treatment.

All inmates continue to be provided with face coverings, cleaning supplies, soap, and are urged to wash their hands repeatedly throughout the day. They are routinely reminded of the need to practice social distancing to slow the spread of COVID-19.

One department employee has tested positive for COVID-19, a deputy assigned to corrections. The deputy is self-isolating from home.  A total of 23 department employees have tested positive for COVID-19. Thirteen employees have recovered from the virus; other employees are expected to return to work in the next few weeks.

Latest Stats

6,247 Confirmed Cases                  (up 2.2% from the previous day)
221 Deaths                                         (up 0% from the previous day)
76,643 Tested                                   (up 4.7% from the previous day)

For more statistics from the COVID-19 Surveillance Dashboard, click the desktop or mobile tab on the County’s sbcovid19.com website.

For all COVID-19 related information, including case statistics, FAQs, guidelines and resources, visit the County’s COVID-19 webpage at http://sbcovid19.com/.  Residents of San Bernardino County may also call the COVID-19 helpline at (909) 387-3911 for general information and resources about the virus. The phone line is NOT for medical calls and is available Monday through Friday, from 9 a.m. to 5 p.m. If you have questions about social services, please call 211.

Actualización del 8 de junio de 2020

La Actualización del Condado ahora está publicando tres días a la semana (lunes, miércoles y viernes) y también según sea necesario, con el fin de compartir noticias y recursos importantes en nuestra batalla contra COVID-19 y para mantener nuestra economía funcionando. Nos quedamos aquí para usted.  #SBCountyTogether

Para obtener las estadísticas más recientes y enlace a nuestra página de pruebas de la comunidad COVID-19, desplácese hasta la parte inferior de la actualización de hoy

Orientación de preparación emitida para gimnasios, bares, museos y otros negocios y actividades

California permitirá que escuelas, terrenos del campamento, parques de autocaravanas, bares, gimnasios y otros sectores comiencen a reabrirse este viernes 12 de junio. Estas son algunas de las nuevas empresas y actividades que el Departamento de Salud Pública del Estado anunció hoy que pueden reabrirse en aquellos condados que han alcanzado ciertos umbrales en el número de casos, pruebas y preparación.

El Estado emitió el viernes nuevos documentos de orientación para estos nuevos sectores dando a cada negocio o actividad tiempo suficiente para crear planes de reapertura. Los siguientes son los sectores a los que se permitirá reabrir el próximo viernes:

-Bares y bodegas https://covid19.ca.gov/pdf/guidance-restaurants-bars.pdf

-Centros de entretenimiento familiar https://covid19.ca.gov/pdf/guidance-family-entertainment.pdf

-Museos, galerías y zoológicos https://covid19.ca.gov/pdf/guidance-zoos-museums.pdf

-Instalaciones de gimnasios https://covid19.ca.gov/pdf/guidance-fitness.pdf

-Terrenos de campamentos https://covid19.ca.gov/pdf/guidance-campgrounds.pdf

-Hoteles https://covid19.ca.gov/pdf/guidance-hotels-lodging-rentals.pdf

-Instalaciones de apuestas por satélite https://covid19.ca.gov/pdf/guidance-cardrooms-racetracks.pdf

No se incluyeron en el anuncio del viernes salones de uñas, estudios de tatuajes, cines, lugares de espectáculos y deportes juveniles, que no están autorizados a reabrir. La mayoría de los nuevos negocios forman parte de la “Etapa 3” en el Plan de Reapertura de las 4 Etapas del Estado.

Fundamental para el éxito de la reapertura de todos nuestros negocios es una estricta adhesión a los protocolos de seguridad COVID-19. Esto significa específicamente utilizar los documentos de orientación del Estado para crear un plan operativo que se esfuerza por mantener seguros tanto a los empleados como a los clientes, al requerir coberturas faciales alrededor de extraños, distanciamiento seguro y lavado frecuente de manos. Un aumento de los casos u hospitalización puede incitar al Estado a invertir el curso en las reaperturas.

El condado amplía las capacidades de rastreo de contactos

Entre los indicadores críticos utilizados para determinar la salud de nuestro condado y la reaertura continua de nuestros negocios está la prueba y el rastreo de contactos.

El condado de San Bernardino, que ha estado ampliando constantemente la capacidad de prueba durante semanas, también está mejorando significativamente sus capacidades de rastreo de contactos en preparación para un aumento en los casos después de la relajación de los pedidos de estancia en casa.

¿Qué es el seguimiento de contactos?

El rastreo de contactos es una de las tácticas de salud pública más antiguas, que data de siglos atrás. Se trata de que el personal de salud pública llame a los pacientes infectados y los ayude a recordar a todas las personas con las que estuvieron en estrecho contacto durante el período en que probablemente eran infecciosos. El personal notifica rápidamente a esas personas (contactos) de su exposición potencial y les aconseja sobre las medidas que deben tomar para protegerse a sí mismos y a los demás.

Dado que estas personas contactadas pueden haber sido infectadas (los síntomas generalmente no aparecen durante cinco a seis días y a veces hasta 14 días después de la exposición), se les pide que se “auto-cuarentena” y minimizar su exposición a los demás. Por ejemplo, se les alienta a llamar enfermos si siguen trabajando fuera de sus hogares.

Estas personas potencialmente infectadas reciben un mensaje de texto automático diario preguntando si han exhibido alguno de los síntomas comunes a la infección por coronavirus. Las personas que no muestran síntomas son monitoreadas durante 14 días después de la última exposición conocida, después de lo cual pueden salir de la cuarentena.

Autoaislado para personas con síntomas

Sin embargo, si la persona ha experimentado tales síntomas, el representante de salud pública le pide que se “aísle automáticamente”, es decir, permanezca en casa y minimice estrictamente el contacto con otros, incluso aquellos dentro de sus propios hogares. A los a quienes se les pide que se aíslen se les dan pautas para ayudarlos en este esfuerzo, y se les pregunta si requieren asistencia adicional. También se les proporciona el número de teléfono de una línea directa de enfermería que pueden llamar para obtener más orientación clínica.

“Las personas que intentan autoaislarse enfrentan una variedad de desafíos, y el Condado trata de hacer todo lo posible para ayudarlos a superarlos”, dijo Diana Ibrahim, la Controladora de Enfermedades Transmisibles en el Departamento de Salud Pública del Condado. “Eso a menudo incluye referirlos a servicios de apoyo que pueden ayudarlos con cosas tales como la adquisición de alimentos, la preparación de comidas, la lavandería o el cuidado de niños o personas mayores”.

Entrenamiento de rastreadores de contacto

Ibrahim señaló que los empleados responsables de ponerse en contacto con personas potencialmente infectadas están ampliamente capacitados para garantizar su capacidad de recopilar información crítica mientras se comunican con la sensibilidad y discreción adecuadas. El Condado ahora tiene casi 400 miembros del personal capacitados que se pueden activar cuando un residente da positivo para COVID-19.

“Esperamos un aumento de los casos positivos a medida que las personas emergen de las directivas de permanecer en casa, y estamos ampliando nuestras capacidades en preparación para un aumento potencial de hasta el 300%”, dijo. “Hay una buena posibilidad de que no experimentemos ese crecimiento en las infecciones, pero estamos tomando un enfoque ‘mejor seguro que lo siento'”.

El Distrito de Salud de la Cuenca de Morongo aprueba fondos para agencias locales de distribución de alimentos

El Distrito de Salud de la Cuenca de Morongo ha aprobado gastar hasta $500,000 para el alivio del hambre local, con planes para proporcionar asistencia de financiamiento de hasta $5,000 a las despensas locales de alimentos de la Cuenca Morongo y otras agencias de distribución de alimentos.

En las fases subsiguientes, el Distrito también planea implementar eventos de distribución de alimentos en auto, así como una línea de ayuda para el hambre para que los residentes de origen puedan llamar para que las cajas de alimentos se entreguen directamente a su hogar.

Según la Directora de Comunicaciones Karen Graley, esta es la primera vez que el Distrito de Salud de la Cuenca de Morongo encabeza un programa local de ayuda contra el hambre. Dijo que el distrito espera brindar apoyo a las familias y miembros de la comunidad en una necesidad urgente durante estos tiempos difíciles.

El distrito está invitando a las organizaciones activas de distribución de alimentos 501c3 a solicitar asistencia de financiamiento descargando y completando una solicitud disponible en el sitio web del distrito en

http://www.mbhdistrict.org/FoodProject.php.  Las solicitudes deben recibirse antes del 5 p.m. del 1 de julio de 2020.

Lunes de Salud Mental con la Dra. Veronica Kelley

La pandemia ha causado estrés y ansiedad para muchos. La Dra. Veronica Kelley comparte una actualización de bienestar que incluye cómo abordar la próxima ola de impactos en la salud mental derivados de la pandemia.

https://youtu.be/ZuGW5k128BU

Cuatro presos adicionales de la cárcel del condado prueba positiva; un empleado del sheriff asignado a las correcciones

Cuatro presos adicionales de la cárcel del condado han dado positivo por COVID-19. Un preso está en el High Desert Detention Center en Adelanto, uno está en el Centro de Detención del Valle del Oeste en Rancho Cucamonga, uno está en el Centro de Rehabilitación Glen Helen, y uno está en el Centro Central de Detención en San Bernardino.

Un total de 81 presos de la cárcel del condado han dado positivo por COVID-19. Muchos de los presos sólo están experimentando síntomas menores del virus. Dieciséis presos se han recuperado de la enfermedad.  Los presos infectados están aislados, siendo monitoreados durante todo el día, y están recibiendo tratamiento médico. Las pautas federales de privacidad del paciente restringen la divulgación de información adicional sobre la identidad de los presos o su tratamiento médico.

A todos los presos se les siguen provistos de coberturas faciales, artículos de limpieza, jabón y se les insta a lavarse las manos repetidamente durante todo el día. Se les recuerda rutinariamente la necesidad de practicar el distanciamiento social para frenar la propagación de COVID-19.

Un empleado del departamento ha dado positivo para COVID-19, un diputado asignado a correcciones. El ayudante se está autoaislando desde casa.  Un total de 23 empleados del departamento han dado positivo en COVID-19. Trece empleados se han recuperado del virus; se espera que otros empleados vuelvan al trabajo en las próximas semanas.

Estadísticas diarias

6.247 Casos Confirmados         (un 2,2 % más que el día anterior)

221 Muertes                              (un 0 % más que el día anterior)

76.643 Probados                      (un 4,7 % más que el día anterior)

Para obtener más estadísticas del Tablero de Vigilancia COVID-19, haga clic en la pestaña de escritorio o móvil en sbcovid19.com sitio web del Condado.

Para toda la información relacionada con COVID-19, incluyendo estadísticas de casos, preguntas frecuentes, pautas y recursos, visite la página web de COVID-19 del Condado en http://sbcovid19.com/.  Los residentes del Condado de San Bernardino también pueden llamar a la línea de ayuda COVID-19 al (909) 387-3911 para obtener información general y recursos sobre el virus. La línea telefónica NO es para llamadas médicas y está disponible de lunes a viernes, de 9 a.m. a 5 p.m. Si tiene preguntas sobre servicios sociales, llame al 211.

2 Responses to June 8, 2020 Update

  • If bars and other venues are allowed to reopen, why cant youth sports open where they will mostly be outside with the same social distancing for other venues? If you are worried about crowds, you have many protests that are not following social distancing. I do not see why youth sports cannot be played with some guidelines in place.

  • Dear San Bernardino County Health Department,

    Thank you very much for the updates. It’s helpful as we work towards the safe reopening of our county.

    It is exciting to see our county move to phase 3. After seeing the list of businesses allowed to reopen, I was extremely hopeful for youth sports. However after reading the June 8th post, it appears children and youth are still not allowed to train. Respectfully, this to me feels like an oversight that deserves further nuance and consideration. Let me begin by saying that I personally feel it is too soon for youth competition and youth sports with spectators. It seems clear that in our stage of the pandemic, that should not be allowed. That said, youth training falls into a different category and should be considered for phase 3 (or sooner) reopening.

    The CDC, in their publication on considerations for a returning to youth sports, assesses team training as risk level 2 out of 5. (Level 1 is individual training at home and 5 is full scale competition between teams out of a geographic region). Team based training, similar to daycare or childcare, involves the same players interacting. Compared to other places like a fitness gym for example—where different people are cross interacting—team based youth training is much less risky. If gyms are rightfully allowed to re-open on Friday 6/12, it seems very plausible that youth training, an arguably safer environment, be given permission to return immediately.

    Contra Costa County and our neighboring San Diego County has allowed sports camps and youth training to resume. Contra Costa over two months ago deemed youth sports camps as essential, because of the long-term damaging effects mentally, emotionally and physically on youth during this pandemic. (See March 31st CC Health Post). Most recently, San Diego County has followed suit. As of June 10, 2020, San Diego has 8837 positive cases, 1447 hospitalizations and 305 deaths out of a population of 3.3M. By contrast San Bernardino has 6,593 cases, and 225 death out of a population of 2.1M (I was unable to find the hospitalization number). While not exact, the percentages between the two counties seem comparable. Further considering that detention centers in our county might indeed be skewing figures, with the general population figures much lower, it is reasonable to consider the key COVID indicators between our two counties as even more comparable. The San Diego county health department has allowed youth sports camps to open—effective immediately with “stable youth groups” limiting group sizes to 12. (See Third District Supervisor, Kristin Gaspar’s posting on youth sports).

    SB County Health Department, please, please consider youth training, as separate from youth competition. Many of the over 200 families in our programs are “dying on the vine.” The students (and parents) are emotionally, mentally and physically taxed and in need of a return to sports. As a registered COVID Compliant organization with the county, we are committed to the safest possible return. And even if the San Diego group sizes of 12 is too much, allowing just four training teammates would go a long way for the youth and families of our organization and those of this beloved county.

    I look forward to your response. Thank you.

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