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COVID is surging again. Why the San Francisco Bay Area isn't doing mandates. – SFGATE

Amid a surge in COVID-19 cases, county health officers across the San Francisco Bay Area issued a statement Friday, recommending that people take safety precautions including wearing masks in indoor public places, testing and keeping up with vaccinations.

Health officers issued the recommendation as opposed to a mandate (as they have done in past surges) because while cases are skyrocketing, hospitalizations remain relatively low. The region is well protected from serious illness and death due to immunity from vaccinations and past infection, more so than it was before the emergence of the omicron variant.

“I think we’re recognizing that there’s something in between a mandate and a world where nobody is covering their faces,” Marin County Health Officer Dr. Matt Willis told SFGATE of the guidance. “Our hope is we can achieve a middle ground where people can recognize the value of face coverings. The Bay Area is clearly seeing a surge in COVID activity, and people need to recognize that and take that into account when they’re out and about, and a mask is a helpful way to prevent infection.”

“People who are at high risk of severe illness, or who are in close contact with someone at high risk should be especially vigilant as we get through this current swell in cases,” San Francisco Health Officer Dr. Susan Philip said in a news release.


The recommendation was endorsed by all counties in the San Francisco Bay Area except Solano.

Willis said that people who want to avoid infection should wear a higher quality mask such as a N95 and KN95 rather than a cloth face covering. 

“Our residents at the highest risk for serious infection should know if they go to a public place right now, there’s a high likelihood someone in that room is infected,” Willis said. 

COVID-19 cases have been increasing in California since early April, and the greater San Francisco Bay Area is reporting more new cases per day than most other areas in the state. San Francisco’s seven-day average went from 79 new cases a day on March 13 to 343 new cases a day on May 5. At the January peak, the city was reporting an average of 2,377 cases a day.

Willis noted that case numbers are even higher than what’s being reported since so many people are using home tests. 

“I estimate that at least half of the cases aren’t being detected right now” he said. “It’s everywhere.”

As of May 9, there were 61 COVID-19 patients in acute and intensive care in San Francisco compared to 286 people at the January peak. “In San Francisco, hospitalizations are increasing but remain relatively low compared to previous surges and well within the capacity of the hospital system,” the city’s public health department said in a statement. The emergence of the omicron variant has led hospitals to recognize the issue of “incidental positives,” where hospitalization numbers are overcounted due to patients in the hospital for other reasons testing positive for COVID-19 and being counted as COVID-19 patients.

Omicron subvariants — especially the new BA.2.12.1 — are driving the swell in cases. While the U.S. Centers for Disease Control and Prevention has said preliminary data suggest that BA.2.12.1 does not cause more serious disease, it is more transmissible than its predecessors.

“BA.2.12.1 is thought to be 25% more transmissible than BA.2, which is itself 30% to 80% more transmissible than BA.1, which is itself 200% more transmissible than delta,” UCSF infectious diseases expert Dr. Peter Chin-Hong told SFGATE for a story published earlier this week on why cases are climbing in the Bay Area.

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