Authorities in Santa Clara County on Thursday announced that a Sunnyvale man might be California’s second death connected to the coronavirus.
The Sunnyvale Department of Public Safety said a 72-year-old man who had been on a cruise where others contracted the coronavirus was found unresponsive Thursday at his home and officers performed CPR. He later died.
“It was later learned the patient had recently been on a cruise with two passengers were suspected of having COVID-19,” the agency said in a statement.
“We don’t yet know if the patient had COVID-19,” said Phan Ngo, chief of the Sunnyvale Department of Public Safety. The officers, who did not perform mouth to mouth resuscitation, were quarantined at home, he said.
Santa Clara County has seen at least 20 coronavirus cases, and health officials Thursday issued more stringent recommendations meant to slow the spread of the virus. Guidelines urge residents to postpone large gatherings and cancel large events. Employers should also take steps to make it more feasible for employees to work in ways that minimize large groups and contact with others.
New cases were reported in several areas of California, while Nevada reported its first case, in Las Vegas.
The Las Vegas case was a man in his 50s who had recently traveled to Washington state; he is hospitalized in isolation, officials said.
San Francisco reported its first cases. The two patients are not related and have no travel history to areas where the coronavirus has spread, officials said.
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“We do not know at this point how they were exposed to the virus, which suggests it is spreading in the community,” Dr. Grant Colfax, San Francisco’s director of health, said in a statement. Santa Clara and Solano counties also have reported so-called community spread cases.
Both San Francisco patients were tested by the city’s Department of Public Health lab Wednesday, officials said. They are being treated under isolation at separate San Francisco hospitals.
One patient is a man in his 90s who has underlying health conditions and is in serious condition, officials said. The other patient is a woman in her 40s who is in fair condition.
The Grand Princess cruise ship was being kept offshore amid concerns that more people onboard might be sick after it was announced that a 75-year-old male passenger on an earlier voyage had fallen ill and died this week of the virus.
Sonoma County health officials confirmed Thursday that a second passenger on the cruise tested positive after announcing another positive result earlier in the week. Both patients were in isolation rooms at a hospital.
Health officials said they had a list of Sonoma County residents who were on the cruise, as well as the shuttle to and from the ship, and were continuing to contact passengers to make them aware of the possibility they may have contracted the virus.
In California, COVID-19 has been reported in 12 counties and sickened at least 60 people.
Additional cases were announced elsewhere in the state Thursday, including four patients in Los Angeles County who had recently returned from a group trip to northern Italy. Health officials had announced Wednesday that three travelers in that same group tested positive for the virus.
Santa Clara County announced Thursday that the number of cases there had grown to 20 from 14. Of the county’s 20 cases, four are related to travel, nine had contacts with other confirmed COVID-19 cases and seven were believed to have caught it in the community.
Of the six new cases — three men and three women — four are at home and two are hospitalized, officials said.
“Our cases to date indicate to us that the risk of exposure to the virus in our community is increasing,” Dr. Sara Cody, health officer for Santa Clara County and director of the Santa Clara County Public Health Department, said Thursday.
County health officials are calling on employers to suspend nonessential employee travel, cancel large in-person meetings and conferences, and consider using telecommuting options and staggering start and end times to reduce large numbers of people gathering.
Health officials aren’t recommending that schools be closed but said they’ll consider such closures on a case-by-case basis if a school staffer or student is confirmed to have COVID-19.
The San Diego area reported its third case when an employee of an AT&T retail store in Chula Vista tested positive for the virus, the company said Thursday in a statement. Six stores were closed and deep-cleaned “out of an abundance of caution,” the company said.
The employee, who had recently traveled to a region considered at high risk for the coronavirus, went to work Monday but went home sick later that day and notified the company, spokesman Fletcher Cook said. AT&T received notice Tuesday that the employee had tested positive for the virus, he said.
As the virus continues to spread, the U.S. Senate voted 96 to 1 on Thursday to approve $8.3 billion in emergency aid to help fight the outbreak. The measure next goes to President Trump, who is expected to sign it. The funding package will be spent on helping develop a vaccine, with millions going directly to states and cities grappling with the disease.
The hardest hit state so far is Washington, where the number of confirmed cases jumped to 70 and 11 people have died. In total, 51 cases have been reported in King County, 18 in Snohomish County and one in Grant County.
Visiting Washington state Thursday afternoon, Vice President Mike Pence acknowledged that the federal government still has not been able to get enough coronavirus tests to hospitals, clinics and health departments around the country.
“We still have a ways to go,” Pence said. But he again promised millions would be on the way soon, predicting that 4 million tests would be distributed by the end of next week. Pence and other Trump administration officials had promised that 1 million would be distributed by the end of this week, but there has been no verification that this has occurred.
The Grand Princess cruise passenger is the first person to die in California from the illness. After the man’s death, the cruise line said it was notified by the federal Centers for Disease Control and Prevention that the agency was investigating a small cluster of coronavirus cases in Northern California related to the cruise.
The company said that 62 guests who had made the same Mexico voyage the man who died was on remained aboard the Grand Princess for a subsequent trip to Hawaii. That trip was cut short, and guests and crew members who might have come in close contact with the passenger who died were asked to remain in their cabins until they could be screened.
Those people and any others experiencing flu-like symptoms or other respiratory distress were tested on Thursday, according to the cruise line.
The U.S. Coast Guard delivered kits via helicopter Thursday morning so the ship’s medical team could administer the tests. The samples then were flown to a lab in Richmond, Calif., for processing, Princess Cruises said.
The ship, which is currently off the coast of San Francisco, will not be allowed to dock until those test results are back, Gov. Gavin Newsom said at a news conference Wednesday.
Princess Cruises spokeswoman Negin Kamali said she had no information on when results are expected or when the ship might return to port.
A passenger said that she had been told results may come tomorrow.
Passengers on the vessel — both current and those who may have been exposed earlier — told the Los Angeles Times that the response to the outbreak by the company and health officials had been filled with missteps. In particular, passengers said that Princess Cruises was lax on health screening protocols prior to boarding and withheld information about the risks they faced, even as the ship’s condition became international news.
Thursday afternoon, two passengers aboard the Grand Princess said all passengers had been confined to their quarters, with public activities canceled. Meals are being delivered by room service beginning this evening, a passenger said.
Kamali confirmed that the CDC had “recommended that guests should remain in their staterooms for the remainder of the cruise.”
Placer County was asking any other individuals who were on the cruise to Mexico to self-quarantine. County officials on Tuesday declared a local emergency in response to the outbreak.
The ship was supposed to depart for another cruise to Hawaii on Saturday, but that trip was canceled and the cruise line said all guests would receive a full refund.
Newsom, who declared a health emergency Wednesday, said he felt confident that the state could prevent the virus from being spread by passengers on the cruise who already had returned to California.
“We have the resources,” Newsom said. “We have the capacity. By this evening, we will have contacted every county health official that has someone who came off this cruise. They will have their contact information and begin a process to contact those individuals.”
Officials were trying to locate hundreds of other Californians who disembarked from the Grand Princess in San Francisco last month after the trip to Mexico to determine whether they also might have contracted the virus.
Officials in Nevada County, just north of Placer County, joined Los Angeles County and other areas of the state in declaring a local emergency amid the spread of the virus. Unlike L.A. County, which reported six new cases Wednesday, including a screener at Los Angeles International Airport, Nevada County has had no confirmed cases of COVID-19.
“These declarations enhance Nevada County’s ability to proactively respond to local needs if or when a confirmed coronavirus case happens in Nevada County,” Jill Blake, the county’s public health director, said in a statement.
World Health Organization officials emphasized Thursday that it is not too late to beat back the spread of the virus.
Worldwide, there have been 95,265 cases reported globally and 3,281 deaths. Parts of China — where the outbreak originated — have brought their daily new infection numbers down to the single digits, health officials said. Eight provinces have not reported any new cases in the last 14 days.
“This is a time for pulling out all the stops,” WHO director Tedros Adhanom Ghebreyesus said. “If we take the approach that there is nothing we can do, that will quickly become a self-fulfilling prophecy. It’s in our hands.
“Ultimately, how deadly this virus is will depend not only on the virus itself but how we respond to it,” he said.
At a news conference Thursday, WHO officials were asked about a prediction that 40% to 70% of the world will ultimately contract the coronavirus. Officials said they take all predictions into account, but China’s progress in containing the virus and lowering case numbers makes that seem increasingly unlikely, said Mike Ryan, who heads the agency’s emergencies program.
“There are obvious real things happening in the real world that contradict that,” he said. “That’s flying in the face of that prediction.
“We need to fight. We need to fight now,” he said. “Our [direst] predictions will come true if we do nothing.”
Officials emphasized that tried-and-true public health measures, like testing and isolation, are working to control the virus. Countries need to take proactive steps, said Dr. Maria Van Kerkhove, the WHO’s acting head of emerging diseases.
“You need to look for all of your cases aggressively,” she said.
Tedros said he was concerned that some countries have not taken the epidemic seriously enough or have decided there is nothing they can do about it. He said some countries’ political commitment does not seem to match the level of threat faced globally. There must be strong leadership from the top, he said.
“This epidemic can be pushed back — but only with a collected, coordinated and comprehensive approach that engages the entire machinery of government,” Tedros said. “We’re calling on every county to act with speed, scale and clear-minded determination.”
Chabria reported from Sacramento and Karlamangla and Wigglesworth reported from Los Angeles.
Times staff writers Colleen Shalby in Los Angeles, Taryn Luna and Melody Gutierrez in Sacramento, Noam Levey and Sarah D. Wire in Washington, and San Diego Union-Tribune staff writer Deborah Sullivan Brennan contributed to this report.