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Orange County Coronavirus

OC Medical Association, Disease Experts Argue County Supervisors Should Have Kept Mask Order

JULIE LEOPO, Voice of OC

Two workers walk down Minnie St. in Santa Ana on May 23, 2020.

By Spencer Custodio Spencer Custodio | June 17, 2020
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Infectious disease experts and the Orange County’s Medical Association said Orange County Supervisors should’ve kept their public health-related mask order in place as more businesses are slated to reopen during the novel coronavirus pandemic.


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“I think there’s compelling evidence now that masks are important,” said Dr. Tom Cesario, a former medical school dean at the University of California. 

Cesario is also an infectious disease expert. 

OC officials said enacting a mandatory mask order would be the last line of defense against state officials again closing down large swaths of the economy if virus case counts see a dramatic spike. 

“We don’t have a vaccine, the treatments are marginally effective at best and in very short supply. We have to do the best we can to just prevent it — that means social distancing, masks, quarantine, contact tracing. That’s all we have to protect the majority of people, particularly the most vulnerable,” Cesario said. 

UCI epidemiologist Andrew Noymer has consistently echoed the same sentiment for weeks. 

“People should absolutely mask, that’s clear,” Noymer told Voice of OC earlier this month. “Mask, mask, mask, mask, mask.” 

Former Health Officer Dr. Nichole Quick issued a mask order late last month as dine-in restaurants and shopping centers were reopening. But she faced blowback from Supervisors and residents on the order. 

OC Health Care Agency Director, Dr. Clayton Chau, took over for Quick after she abruptly resigned following a series of threats, including one during a public meeting that Supervisor Michelle Steel deemed a death threat. 

Chau walked the mandatory mask order back last Thursday and masks are now a strong recommendation. 

The Orange County Medical Association condemned the County’s handling of the mask situation. 

“We think the mandate should have stayed in place and we came out very strongly the night after Dr. Quick resigned — understanding that she resigned because of the numerous personal threats on her and her family, which we find disgusting to say the least,” association executive director Jim Peterson said in a phone interview. 

“Our stance is that public health policy should be made by public health experts and that facts and science should override political considerations, even though we all know that is a reality,” Peterson said.  

The Buena Park-based United Food and Commercial Workers Union Local 324, which represents more than 22,000 grocery and other service employees, is calling on cities to require masks. 

“It is irresponsible to take such action as businesses start to reopen, and as COVID-19 cases continue to rise. It is a critical time and Orange County needs to take a stand for what is right for the sake of our communities. We will continue to call on our local cities to lead where the county won’t,” said local union president Andrea Zinder. 

A large concern has been centered around Disneyland’s phased reopening plans beginning next month. Disney’s two Anaheim theme parks, Disneyland and California Adventure, employ over 30,000 people. 

The multinational entertainment giant released updated health guidelines Monday, mandating all employees and customers are required to wear cloth masks inside the park. Everyone will have their temperatures checked before entering Disneyland or California Adventure. 

Because of all the business closures, Anaheim is facing a projected $75 million budget shortfall this upcoming fiscal year and is expected to make citywide cuts. 

“The shutdown has impacted so many workers and businesses. You can help by visiting your favorite Anaheim restaurant and store. And soon our theme parks and hotels. But we need to be safe and very responsible,” Anaheim Mayor Harry Sidhu said in a Facebook video. 

“We urge everyone to wear a face mask, keep social distance and do everything we need to do,” he said. 

Cesario said cases are on the rise in OC and the state. 

“My feeling is this. I got to tell you the epidemic has not gone away. You look at the California curve, it keeps going up. Orange County had the highest single day this weekend for new cases,” Cesario said. 

This past Sunday saw 299 new cases in OC, the highest daily increases recorded so far. 

Meanwhile, the virus has now killed 243 people out of 9,197 confirmed cases, according to Wednesday’s updated numbers from OC health officials. 

There are 300 people hospitalized, including 137 in intensive care units. 

Nearly 4,200 people have recovered so far, and just over 187,000 tests have been conducted throughout OC, which is home to roughly 3.2 million people. 

Cities with large working class neighborhoods, like Anaheim and Santa Ana have been hit hardest by the virus. 

Anaheim, OC’s largest city that’s home to nearly 360,000 people, has 1,754 confirmed cases. 

Santa Ana, which is home to roughly 337,700 residents, has 1,977 confirmed cases. 

Taken together, the two largest cities account for 40 percent of the total cases in OC. 

Some are questioning whether or not Disneyland is reopening too quickly. 

Nearly 40,000 people, and counting, have signed an online petition to halt Disneyland’s reopening. The petition, started by an anonymous group, cited concerns over the rising virus deaths, hospitalizations and confirmed cases. 

“We have to take into consideration the problem remains. I do understand that people have to get back to work,” Cesario said. “If that is the case, you have to make accommodations — which is social distancing. And if you can’t social distance you absolutely have to wear a mask. I think if they can’t do that, they shouldn’t let people in.” 

Disneyland employees have also reached out to Voice of OC, sharing similar concerns.

“I’m concerned about the training aspect, because it’ll be about four months since anyone’s touched an attraction,” one employee said. “I think we’re opening up too early.” 

They also said there’s been no communication from managers or the union on potential retraining employees for best practices during the pandemic. 

The union representing Disneyland employees, Teamsters Local 495, didn’t respond for comment. 

Councilwoman Denise Barnes said the union should get involved and work with Disney to address employee concerns. 

“I’m no mind reader and if the cast members and employees need reassurance, then I would hope that their union and own company would give them that reassurance. And I would also look for the County to put their blessing on it also,” Barnes said. 

And Disneyland’s phased reopening, which the company hopes to begin July 9, also needs a blessing from state health officials before its official. 

Steel, at a news conference last week, said she’s lobbying state officials to allow OC’s theme parks — Disneyland, California Adventure and Knott’s Berry Farm — to reopen. 

Cesario said he understands the need to reopen Disneyland. 

“It would be better if we didn’t have to open it up, but with economic pressure, I understand the need to do that.” 

Peterson said other parts of the country have shown the dangers of reopening too quickly. 

“What we’re seeing right now in our country is the number of states and counties who, on Memorial Day, relaxed restrictions. And we’re seeing what’s happening there in Texas, Arkansas and Florida,” Peterson said. “They’re having to pull back because numbers are climbing, drastically. So they’re having to rethink these policies.” 

He said the same thing could happen in OC if safety measures go unchecked. 

“We’re a little considered from the physician community that we might have to do the same thing as well and that is going to be a very heavy lift in the community.” 

Here’s the latest on the virus numbers across Orange County from county data:

Spencer Custodio is a Voice of OC staff reporter. You can reach him at [email protected]. Follow him on Twitter @SpencerCustodio

How can I sign up for a vaccine?

For full details on the COVID-19 vaccine in Orange County view our Voice of OC vaccine page that is constantly updated and has links of where to register for an appointment: http://bit.ly/occovidvaccine.

What is COVID-19? Do I have it?

INFORMATION View the CDC website. View OC's website. View the latest OC case counts.

TRANSLATIONS See the county's guides in non-English languages. Learn key Coronavirus facts in Vietnamese and Spanish via VietRise. See VietRISE guides in Spanish and Vietnamese.

PROTECTION To limit exposure, the CDC recommends: wash your hands often, avoid close contact with others, cover your mouth and nose with a cloth mask when around others, cover coughs and sneezes, clean and disinfect frequently touched surfaces.

SYMPTOMS The CDC identifies these key symptoms that can occur any time between 2 and 14 days after exposure: Fever or chills, cough and shortness of breath or difficulty breathing, fatigue, muscle or body aches,  headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting or diarrhea. If you suspect Coronavirus, CALL your primary medical provider.

EMERGENCY SYMPTOMS If you display any of the following emergency warning signs, seek immediate medical attention: difficulty breathing or shortness of breath, persistent pain or pressure in the chest, new confusion or inability to arouse, or bluish lips or face.

RISK The CDC identifies people most at risk for serious illness: Older adults, and people who have serious chronic medical conditions such as heart disease, diabetes and lung disease.

What is open?

RESIDENTS The County of Orange offers a list of notices and news on what guidance is given for families and persons.

SCHOOLS The latest information for the county is available from the Orange County Board of Education.

STATE GUIDE TO WHAT IS OPEN A full list of statewide guidelines for what is open and what is closed.

SOCIAL DISTANCING Staying away from other people is called "social distancing." The aim is to SLOW the spread of Coronavirus so as to not overwhelm the nation's health care systems and so that people in need can get help. The Washington Post explains: "The spread (of COVID-19) can be slowed, public health professionals say, if people practice "social distancing" by avoiding public spaces and generally limiting their movement."

What support is available?

STRESS & ANXIETY Stress and anxiety can be triggered by the situation and resources are available to help from the Anxiety and Depression Association of America and from the American Psychology Association. Concern over this new virus can make children and families anxious, here are tips on talking with children about COVID-19.

MENTAL HEALTH The County of Orange offers a list of available mental health support services.

FIRST RESPONDERS The County of Orange offers these support services for first responders and health care workers.

BUSINESSES & ORGANIZATIONS The County of Orange offers a list of up-to-date guidelines for business and faith-based/community organizations.

FOOD ASSISTANCE Voice of OC offers a weekly list of available food pantries in Orange County. You can also apply for food benefits over the phone through the CalFresh program at 800-281-9799 or online.

PUBLIC TRANSPORTATION Buses and trains still offer service, but routes have been reduced so make sure to check your route ahead of time.

HOMELESSNESS The County of Orange offers a list of available shelter beds and other resources.

GENERAL FINANCIAL HELP Here are some services:

  •   • Find information on unemployment and disability benefits.
  •   • The Orange County Social Services Agency, despite closing its lobby, is processing online filings for assistance programs. This includes emergency cash assistance for immediate needs like rent or medical bills. The phone line has averaged a 30 minute wait time and offers a callback service, but people are encouraged to apply for benefits online.
  •   • Residents can apply for any of these programs by calling 800-281-9799.

RESTAURANT OWNERS & EMPLOYEES You can find a detailed list of resources available to restaurant owners and employees

How can I help?

VOLUNTEERING A statewide guide offers examples of ways to volunteer safely during Coronavirus. Options include, but are not limited to: donating plasma, making cloth face masks and supporting local food banks. Orange County's Second Harvest Food Bank lists support options online.

DONATIONS An Orange County Community Resilience Fund has been started through the OC Community Foundation to raise money for local nonprofits and volunteer organizations.

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