California Today: Another winter coronavirus surge?

After falling since late summer, coronavirus cases in the state have begun to tick up.
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By Soumya Karlamangla

California Today, Writer

It's Monday. Officials fear that rising coronavirus cases portend a deadly winter wave. Plus, California gas prices on Sunday reached a high.

Sleep Train Arena was converted into a 400-bed emergency field hospital to help deal with the surge of coronavirus cases last year in Sacramento.Rich Pedroncelli/Associated Press

As you probably remember, the winter coronavirus surge in California last year was nothing short of catastrophic.

Emergency rooms were so full that ambulances often had nowhere to drop off patients desperate for treatment. Hospitals needed refrigerated trucks to manage the overflow of bodies in their morgues. In less than three months, California's death toll from Covid-19 more than doubled.

So, with our second pandemic winter nearly upon us, will disaster strike again?

Coronavirus cases in California have been ticking up since late October. The state is preparing for the possibility of a winter surge — what Gov. Gavin Newsom last week called his "biggest anxiety."

But unlike last year, 76 percent of Californians have gotten at least one dose of a coronavirus vaccine. That means that while the holiday season may again lead to more transmission of the virus, the consequences will be less ruinous, experts say.

"I don't think we'll have the same huge peak we had last winter, but I do think we will see another peak," Dr. Timothy Brewer, an infectious-disease expert at the University of California, Los Angeles, told me. "And the big difference will be because of the large number of people vaccinated."

Why numbers will keep climbing

Getting your Covid-19 shots remains the best way to protect against serious illness. And as of last week, all Californians can now receive booster doses to enhance immunity.

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But the fact remains that some 9.5 million Californians are totally unvaccinated against the coronavirus. And that's where things get tricky.

Even in a place like San Francisco, which has one of the highest vaccination rates in the state, tens of thousands of people — roughly a quarter of the city's population — aren't fully vaccinated, according to a New York Times vaccination tracker. And some residents who have gotten their shots may have had their immunity wane in recent months.

"From an individual perspective, I feel really safe," said Dr. Kirsten Bibbins-Domingo, an epidemiologist at the University of California, San Francisco, who added that she and her family had gotten their boosters. "But I don't feel like the city where I live, the state where I live, will be out of the woods. That I don't feel confident about."

Bibbins-Domingo and others worry that hospitals could still be overloaded, mostly by unvaccinated individuals, as the virus takes off this winter. Unvaccinated Californians are nearly 10 times more likely to be hospitalized with Covid-19 as those who are fully immunized.

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The next few months concern epidemiologists because the coronavirus appears to follow a seasonal pattern — similar to how the flu proliferates in the winter — that causes a peak in California in the summer and a bigger one around the end of the year.

Plus, the arrival of chillier weather pushes people to socialize indoors, where it's easier for the virus to spread. And during the Thanksgiving and winter holidays, families and friends from multiple households tend to congregate, further increasing the chances of coronavirus transmission.

These conditions could mean that regions with large numbers of unvaccinated people, such as the Central Valley and far Northern California, could see disastrous overflows in their hospitals, experts say. (Already, these regions have the highest level of transmission in the state.)

Thanksgiving last year in Los Angeles.Isadora Kosofsky for The New York Times

Adjusting to living with the coronavirus

Still, even if California logs as many new coronavirus cases as it did last winter (which seems unlikely), the death toll won't approach the same heights because so many people have protection conferred by the vaccines.

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In recent days, some experts have been calling for California to focus on hospitalizations instead of case numbers, since most people who become infected won't also become seriously ill.

Brewer, the U.C.L.A. physician, recommended that vaccinated Californians think about holiday precautions differently than they did last year, when officials asked everyone to stay home.

He instead suggested figuring out what Covid-19 precautions can make your gatherings safer. The most important thing, he said, is to make sure that everyone you spend time with is vaccinated. Then perhaps consider avoiding parties with hundreds of people.

"I think what people need to realize is that this virus is not going away," Brewer told me. "So going into the holidays, people need to recognize that the coronavirus will be out there. There will be transmission. There will be cases, and the question just is: What is your comfort level in terms of trying to go on with your life?"

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A Glock-style ghost gun at the San Francisco district attorney's office. Homemade firearms now account for a significant portion of shootings in California. Kelsey McClellan for The New York Times

If you read one story, make it this

The proliferation of untraceable firearms known as "ghost guns" has reached epidemic proportions in California.

Nurses and workers staged an informational picket outside the Kaiser Permanente San Francisco Medical Center last week.Justin Sullivan/Getty Images

The rest of the news

SOUTHERN CALIFORNIA
  • High school football: Two Los Angeles County high schools, St. John Bosco and Santa Ana Mater Dei, are making high school football look increasingly like the Division I college game.
CENTRAL CALIFORNIA
  • Kern River protest: About 30 people walked the length of the Kern River bed to protest the river's lack of water, The Bakersfield Californian reports.
  • Astroworld memorial: Family and friends of Axel Acosta held a memorial service for Acosta, 21, who was killed at the Astroworld Festival in Houston, ABC 13 reports.
NORTHERN CALIFORNIA
  • Weather warning: Strong winds and possible rain are expected in Lassen, Plumas and Sierra Counties starting Monday.
  • U.C. Davis hazing: A report from the University of California, Davis, said that the school's baseball team hazed new players, The Associated Press reports.

What you get

Homeowners are trying to build disaster-proof houses.

Ryan Liebe for The New York Times

What we're eating

Where we're traveling

Today's travel tip comes Lori Silver, who recommends Paso Robles:

"It used to be a place to pass through, but it's become a wonderful place to stay. The wine tasting rooms have come to town, and that has changed the entire town. New restaurants have come in. Try the Alchemist's Garden for best cocktails and small bites. Go see a light installation a mile out of town called Sensorio.

We loved the art gallery of locally made high quality art and crafts. In April and October, the main plaza turns into an art event. The stores are charming. We come from Carmel to visit!"

Tell us about your favorite places to visit in California. Email your suggestions to CAtoday@nytimes.com. We'll be sharing more in upcoming editions of the newsletter.

Christian Arevalo

And before you go, some good news

In the summer of 2012, Audrey Han and Dong Frank Han had to sit next to each other at an internship in New York because the seats were assigned alphabetically.

The two hadn't known each other before and, despite sharing a last name, aren't related. They exchanged phone numbers at the end of the summer, but never bothered to call.

Five years later, the two had separately moved to San Francisco and saw each other on a dating app.

"Wow, she was gorgeous," he recalled.

"He was even more handsome than I remembered," she said.

The rest, as they say, is history. The couple married last month in front of 100 of their family and friends.

Thanks for reading. I'll be back tomorrow. — Soumya

P.S. Here's today's Mini Crossword, and a clue: Canyon reverberation (4 letters).

Mariel Wamsley contributed to California Today. You can reach the team at CAtoday@nytimes.com.

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Over-40s to be offered Covid booster jab as vaccination programme extended

Ambulance divert from Craigavon Hospital, for all but life-threatening emergencies, resumes this morning
 
 
     
   
     
  Nov 15, 2021  
     
 
Michael Cousins
 
Michael Cousins
Acting Managing Editor


Good morning

In the news today:

* An ambulance divert from Craigavon Hospital, for all but life-threatening emergencies, and which was stood down last night, has now resumed.

* The Covid-19 vaccine booster programme is to be extended to include healthy 40 to 49-year-olds, health officials have announced.

* Woman and four men arrested in probe into North Antrim UDA.

* Following a year when Remembrance services were stripped back to a bare minimum because of Covid restrictions, yesterday's events throughout the Province demonstrated another step on the road to normality.

* With only one month to go, Lyons urges 'spend it now, spend it all and spend it local'!

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  Over-40s to be offered Covid booster jab as vaccination programme extended  
     
  The Covid-19 vaccine booster programme is to be extended to include healthy 40 to 49-year-olds, health officials have said.  
     
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Woman and four men arrested in probe into North Antrim UDA
 
Officers from the Paramilitary Crime Task Force investigating a range of human rights abuses and violent criminal activity linked to the North Antrim UDA have arrested a woman, aged 52-years, and four men, aged 38-years, 43-years, 47-years and 50-years in the Ballymoney, Limavady and Coleraine areas on suspicion of a number of offences.
 
     
 
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Easing of restrictions helps with the act of remembering
 
Following a year when Remembrance services were stripped back to a bare minimum because of Covid restrictions, yesterday's events throughout the Province demonstrated another step on the road to normality.
 
     
 
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Concern for Queen as she misses Cenotaph
 
Unionists have sent their well wishes to the Queen after she was forced to cancel another event in her schedule due to ill health.
 
     
 
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An ambulance divert from Craigavon Hospital for all but life-threatening emergencies resumes this morning
 
An ambulance divert from Craigavon Hospital, for all but life-threatening emergencies, and which was stood down last night, has now resumed.
 
     
     
 
 
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Owen Polley: Woke theories on history, gender and race attract 'stormy applause'
 
In The Gulag Archipelago, the dissident Russian writer, Alexander Solzhenitsyn, described a tribute to Stalin that took place at a Communist Party conference in the Moscow district.
 
 
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Imposing Ulster Tower at Thiepval a fitting memorial to sacrifices of Somme
 
Historian GORDON LUCY on the tribute to the fallen on the Western Front that was unveiled a century ago
 
 
     
     
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  Steven Davis sad to see Steven Gerrard exit but backs 'top manager' to flourish  
     
  Steven Davis has backed Steven Gerrard to succeed at Aston Villa after admitting it was disappointing to see him leave the manager's role at Rangers last week.  
     
     
 
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Wilson Craig Racing looking ahead to 2022 with big hopes for Joey Thompson
 
Wilson Craig Racing team owner Darren Gilpin is looking ahead to a fuller calendar in 2022 after an encouraging first season at the helm of one of Northern Ireland's best-known road racing outfits.
 
 
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Northern Ireland boss Ian Baraclough expecting a 'spicy' clash with Italy
 
Northern Ireland manager Ian Baraclough expects Italy's need for victory at Windsor Park tonight to make for a 'spicy' match at Windsor Park as his side aim to end their World Cup qualifying campaign on a positive note.
 
 
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Johnny Sexton says famous All Blacks win must not be peak for Ireland
 
Johnny Sexton believes Ireland's statement victory over New Zealand provides a "lift to the country" but insists it cannot be the peak of the team's achievements.
 
 
     
     
   
     
     
     
   
 
 
   
 
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