LAKE COUNTY, Calif. — The Board of Supervisors on Tuesday approved an urgency ordinance to once again require masking in county facilities and also passed an updated workplace protocol as Lake County’s COVID-19 case rate continues to climb.
Supervisor Jessica Pyska, who last month presented a resolution urging Lake County residents to mask in indoor public settings as the case rate started to rise, brought the urgency ordinance requiring masking in county-run facilities, regardless of vaccination status.
Pyska, the newest member of the board, also helped start the meeting by asking the community to contemplate how to work through fears, anxieties and anger and come together to fight the COVID-19 battle on a united front as a prelude to the board’s moment of silence.
Before taking up the urgency ordinance, the supervisors got a COVID-19 situational update from Dr. Gary Pace, formerly the county Public Health officer, and epidemiologist Sarah Marikos.
Pace, who left his position with the county in the spring, is now back in clinical practice. He gave the update as Dr. Charlie Evans, the acting county Public Health officer, traveled to Kenya this week to work at a clinic he helped found there.
Pace, now sporting a full white beard, said the situation in Lake County right now is “very concerning.”
The state COVID-19 case statistics dashboard on Tuesday showed Lake County continued to lead California for its cases per 100,000. For a seven-day average, the county is now at 57 cases per 100,000. That rate has tripled over the last three weeks.
It was also reported on Tuesday that both hospital intensive care units were full, with the Sutter emergency room having more COVID-19 patients than ER beds.
The concerns were further explained in Mariko’s report, which noted that Lake County has had its 66th death over the past week, the third in the past month. She said Lake County also had the highest COVID-19 case rate statewide for all of July.
As of July 31, there were 13 Lake County residents hospitalized for COVID-19, numbers that Marikos said are reaching the county’s winter surge. Those numbers, she added, don’t cover patients transported out of the county.
At the same time, she said only about 53% of eligible Lake County residents are vaccinated.
However, Marikos noted some good news — indications are that vaccinations are increasing across Lake County and California as a whole.
Pace said the situation is worrisome, with a lot of vulnerable, unvaccinated people.
“The most important thing to remember is that the vaccine continues to be very protective against serious illness and death. This is really a blessing,” said Pace.
He said the situation has become more confusing for the public because some vaccinated people are getting the virus.
Pace said the data is very clear that 90% of people in hospitals are unvaccinated and tend to be younger, ranging from those in their 20s to 40s. At the same time, the Delta variant appears to be much more contagious than originally believed, so vaccinated people can get and spread it.
Masking discussions are the result, with Pace saying that vaccination is not adequate to stop the spread. He suggested that had the county not had the vaccination push over the last several months, the hospitals would probably be overwhelmed.
Pace said many Bay Area health departments are making indoor masking mandatory now, with businesses responsible for enforcing the mandates. He added he thinks indoor masking is only common sense.
Looking ahead to September and October, Pace said it should be expected to get worse.
He said new things are being learned everyday about the virus. “This virus is changing, the guidance is evolving and we’re probably not going to be reaching herd immunity anytime soon.”
As such, Pace said we’ll be dealing with COVID-19 for awhile, and eventually our immune systems will get used to it, like flu or the common cold. “Right now our immune systems have not seen this thing before and we’re struggling to keep up with it.”
Pace encouraged everyone to take the situation very seriously, noting the community is now in a new phase and things are becoming more complicated.
Supervisor Tina Scott asked about putting back up barriers. Pace said he thinks barriers help, however, they primarily prevent droplet spread. That doesn’t address the aerosol component, the tiny particles that stay in the air and circulate. “The mask is preferable. The mask is better.”
“We’re clearly in a dangerous place right now,” said Pyska, noting her worries for people and the economy.
Three people have died this month. “That is real,” she said, and she said connecting those statistics to faces might convince people that the pandemic is a reality.
“Ultimately we have to come together and we have to work through this as a community,” and that’s difficult when so much disinformation swirling around us, said Pyska.
Board discusses urgency ordinance, workplace rulesIn introducing the urgency ordinance, which was added as an extra item to the Tuesday agenda, Pyska said it was time for the board to make the difficult position to return to masking in county facilities, just like the
Superior Court had done on the courthouse’s fourth floor.
She said the county is having outbreaks within its ranks, with staff out and quarantining or recovering, and they can’t risk productivity.
“This is a temporary Band-Aid fix until more of our county can become vaccinated and we can begin to move out of this pandemic together. We’ve done this before and we can do this again,” said Pyska.
County Administrative Officer Carol Huchingson said she polled more than 20 department heads on the urgency ordinance and got 18 responses. Of those, 17 supported the masking proposal and one said they would uphold it if the board passed it. The president of the county’s largest employee union also offered her support.
Board Chair Bruno Sabatier said he wanted a trigger for when masking would no longer be necessary.
Huchingson said the ordinance language had a trigger — that masking must be observed while the present COVID-19 State of Emergency continues to exist, or until otherwise ordered by the Board of Supervisors. However, Sabatier wanted something more specific, like a case number threshold, pointing out that the county has been in an emergency for 18 months.
Sheriff Brian Martin said he also supported it, but like Sabatier he wanted a trigger.
County Counsel Anita Grant said some care should be taken to determine a trigger, explaining that another set of circumstances could arise that could make it a good idea to continue the urgency ordinance.
County Librarian Christopher Veach told the board he agreed with requiring everyone to mask.
Veach explained that the honor system with regard to requiring unvaccinated visitors to mask isn’t working. He said many people are entering the libraries unmasked who are likely unvaccinated, such as children.
As a result, Veach said he’s heard from library patrons or staff who are concerned about CVOID-19 and who feel that the library is not a safe place.
Pyska offered the urgency ordinance, which the board approved 5-0. It went into effect immediately and will remain in effect for 45 days unless the board decides to end it earlier or extend it.
Also on Tuesday, Human Resources Director Pam Samac presented an updated county COVID-19 workplace protocol that, in anticipation of the masking urgency ordinance’s approval, required staff and the public entering the building to immediately begin masking.
The board voted unanimously to add that item as an extra item as Huchingson said it was necessary to keep the protocol in line with the urgency ordinance.
Sabatier raised his concerns about exceptions in the updated protocol, such as allowing staff to drink and eat together unmasked in break rooms.
Sheriff Martin also raised questions about exceptions, noting challenges his dispatchers had with masking.
Huchingson said county staff had managed masking for months, and questioned why it couldn't now be managed.
To help clarify the situation, and to ensure the protocol was properly in line with the ordinance, at Grant’s suggestion the board voted to reopen the urgency ordinance discussion, adding a line that said the board directed the Count Administrative Office to prepare protocols to carry out the mandate in a manner reasonable for county employees, subject to board approval.
The board approved the urgency ordinance with those changes and then returned to the workplace protocol discussion, approving it unanimously.
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