Health officials say two people died with the coronavirus in California weeks before the first reported death from the disease.
Santa Clara County officials said Tuesday the people died at home Feb. 6 and Feb. 17. Before this, the first U.S. death from the virus had been reported on Feb. 29 in Kirkland, Washington. The Medical Examiner-Coroner received confirmation Tuesday that tissue samples sent to the U.S. Centers for Disease Control and Prevention tested positive for the virus, officials said.
The announcement came after California Gov. Gavin Newsom promised a "deep dive" update Wednesday of the state's ability to test for the coronavirus and to track and isolate people who have it, one of the six indicators he says is key to lifting a "stay-at-home" order that has slowed the spread of the disease while forcing millions of people to file for unemployment benefits.
"This will go to the obvious questions and queries that all of us are asking: When? ... When do you see a little bit of a release in the valve so that we can let out a little of this pressure," Newsom said Tuesday, teasing what he says will be the first of regular weekly updates on the state's progress toward reopening.
Newsom says the state is testing an average of 14,500 people per day, up from just 2,000 tests per day at the beginning of April. Still, in a state of nearly 40 million people, that's not enough for public health officials to know for sure the reach of the highly contagious virus that is still causing outbreaks across the state in nursing homes and homeless shelters.
Newsom said he wants the state to test at least 25,000 people per day by the end of April.
Over the weekend, the California Department of Public Health issued new testing guidance that, for the first time, recommends testing for people in high-risk settings even if they do not have symptoms. The new advice is aimed at hospitals, jails and homeless shelters — three places where physical distancing is difficult.
California has more than 35,600 confirmed coronavirus cases and 1,300 deaths, according to data compiled by Johns Hopkins University.
For most people, the new coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia and death.
California has been under a mandatory, statewide stay-at-home order for more than a month. Last week, Newsom said he won't consider loosening that order until hospitalizations, particularly those in intensive care units, flatten and start to decline for at least two weeks. Tuesday, Newsom announced intensive care hospitalizations rose 3.8%.
Other indicators Newsom says he is monitoring include whether the state has adequate protective gear for health care workers, better treatment for the disease and expanded testing.
Some local governments are already loosening their stay-at-home orders. Officials in Riverside County, east of Los Angeles, have allowed public and private golf courses to reopen while limiting play to foursomes, requiring physical distancing and face coverings and banning caddies, gatherings and dining in clubhouses.
At Van Buren Golf Center in Riverside, supervisor Angel Zabala said business was steady when the nine-hole course reopened Tuesday.
"A lot of people are happy," Zabala said. "People have expressed relief as far as we're finally open."
Newsom said his administration is getting calls from local governments around the state with questions about how they might gradually loosen their stay-at-home orders.
"Everybody has a different timeline. So that's the challenge," Newsom said.
Newsom's news conference, scheduled for noon Wednesday, will be watched closely by business groups who are clamoring to reopen so they can start paying their workers again.
"We just hope (Wednesday) we might hear of some additional steps from the governor that small businesses will be able to take towards opening their doors and turning their lights on," said John Kabateck, state director of the National Federation of Independent Business.
Restaurants were some of the first businesses ordered to close because of the virus outbreak, and they have suffered some of the heaviest job losses. A survey of restaurant operators conducted by the National Restaurant Association found more than 1 million workers had either lost their jobs or been furloughed since March — at least 70% of all restaurant employees that were working in February.
But like most industries, restaurant operators are torn between the desire to get back to work and not wanting to rush back too soon and risk setting off another deadly outbreak of the disease, said Jot Condie, CEO of the California Restaurant Association.
"We're hopeful that we get this right the first time," he said.