The number of COVID-19 cases in San Diego County passed 20,000 Monday as health officials prepared for major changes in the way the region will handle the pandemic.
The number of cases is now at 20,348 and the death toll remains at 422 countywide. Of the 6,542 tests reported Monday, 6% returned positive, in line with the 14-day rolling average.
Following Gov. Gavin Newsom's updated health order Monday, all indoor operations in gyms, houses of worship, non-critical office businesses, hair salons and barber shops, indoor malls and personal care services such as massage businesses and tattoo parlors will need to cease at midnight Tuesday.
Additionally, the smoke from the fire on the USS Bonhomme Richard at Naval Base San Diego could cause potential health problems for those most susceptible to COVID-19, including the elderly and those with heart or lung conditions, health officials said. Supervisor Nathan Fletcher asked residents who smell smoke or experience eye irritation to remain indoors with doors and windows closed and to avoid strenuous exercise.
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Nick Macchione, San Diego County's director of the Health and Human Services Agency offered some more bad news Monday when he reported the county's COVID-19 testing capacity was stretched to its limit. Local biotechnology company Helix did announce a partnership with the county to provide 2,000 tests a day with a 24-hour turnaround for the foreseeable future, but supplies both locally and nationally remain critically low.
"I'll be clear and frank, it's not a testing windfall," Macchione said of the partnership.
Although the county has averaged more than 8,000 tests per day over the last week, a shortage in testing supplies has stretched supply lines to the limit, County Supervisor Greg Cox said.
Before the partnership with Helix, Macchione said the county was seriously considering doing what some other jurisdictions in the country have done and close state- or county-run testing sites to better consolidate resources. For now, the county can keep all testing sites open and all existing appointments for tests on the books, but both Macchione and San Diego County Public Health Officer Dr. Wilma Wooten explained the county would shift testing priorities back to those showing symptoms and those most at risk for the illness, including the elderly, first responders and those with underlying health conditions.
Of the total positive cases, 2,052 or 10.1% have been hospitalized and 538 or 2.6% of cases have been admitted to an intensive care unit.
No new community outbreaks were reported Monday, but the weekly total — 17 — is still well above the county's metric of no more than seven in a one-week span.
About 137 of every 100,000 San Diegans are testing positive for the illness, well above the state's criterion of 100 per 100,000. Total COVID-19 hospitalizations have inched up over the last several weeks and now sit at 467, 159 of which are in intensive care units.