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These immediate actions will help reduce community spread, protect individuals at higher risk of severe illness or death from COVID-19, and prevent the state's health care delivery system from becoming overwhelmed. Reducing movement and mixing of individual Californians is critical to decreasing transmission, hospitalizations, and deaths.
Therefore, as the State Public Health Officer, I am issuing a Limited Stay at Home order, effective in counties under Tier One (Purple) of California's Blueprint for a Safer Economy, requiring that all gatherings with members of other households and all activities conducted outside the residence, lodging, or temporary accommodation with members of other households cease between 10:00pm PST and 5:00am PST, except for those activities associated with the operation, maintenance, or usage of critical infrastructure or required by law. This order does not apply to persons experiencing homelessness. Nothing in this order prevents any number of persons from the same household from leaving their residence, lodging, or temporary accommodation, as long as they do not engage in any interaction with (or otherwise gather with) any number of persons from any other household, except as specifically permitted herein.
This Limited Stay at Home Order will reduce opportunities for disease transmission with the goal of decreasing the number of hours individuals are in the community and mixing with individuals outside of their household. Every intervention to decrease mixing of households is critical during this unparalleled increase in case rate rise of about 50 percent during the first week in November. In particular, activities conducted during 10:00pm to 5:00am are often non-essential and more likely related to social activities and gatherings that have a higher likelihood of leading to reduced inhibition and reduced likelihood to adhere to COVID-19 preventive measures (e.g., wearing face coverings and maintaining physical distance).
This order shall take effect on November 21, 2020, at 10:00pm PST.
For counties that move into Tier One (Purple) after the effective date of this Order, the terms of this Order shall apply at 10:00pm PST on day two after the county is assigned to Tier One (Purple). For the purpose of counting days, day one shall be the first full day following the date of the tier assignment.
This order remains in effect until 5:00am PST on December 21, 2020, and may be extended or revised as needed.
This order is issued pursuant to Health and Safety Code sections 120125, 120130(c), 120135, 120140, 120145, 120175,120195 and 131080; EO N-60-20, N-25-20, and other authority provided for under the Emergency Services Act; and other applicable law.
Erica S. Pan, MD, MPH
Acting State Public Health Officer
California Department of Public Health
 See the COVID19.ca.gov Essential Workforce web page for full list of California's Critical Infrastructure workforce.
California Health and Human Services Agency Director Mark Ghaly has announced that forty-one counties in California, including San Joaquin County have reached the Purple Tier meaning businesses and organizations must be more restrictive. This move by CDPH is one of many they are implementing to help slow the recent rise in cases statewide. In addition, CDPH is moving counties back more than one tier at a time, giving counties less time to implement their new tier restrictions (24 hours versus the previous 72 hours), and will be less likely to approve adjudications. San Joaquin County’s adjusted case rate is now 16.4 cases per day per 100,000 people, well above the requirements to remain in the Red Tier, and positivity rate is 6.5%. “The swift rise in cases is concerning. Our community has heard the message for several months now to wash hands, practice physical distancing, and wear a mask properly,” says Dr. Maggie Park, San Joaquin County Public Health Officer. “Nobody wants to see business rollback or close, but now, more than ever, we need San Joaquin County residents to step up and take these actions seriously.” A return to the Purple Tier drastically impacts many local businesses that will now have to close indoor business operations or reduce capacity. Effective November 17, the following businesses will have these restrictions:
Personal care services, nail salons, hair salons and barber shops can still remain open indoors with modifications in the Purple Tier and must follow the State’s industry guidance. Any schools that have reopened for in-person learning while San Joaquin County was in the Red Tier, or with an approved waiver, are not required to close and can remain open. Schools that have not yet opened will need to receive a waiver to reopen under the Purple Tier or wait until San Joaquin County has moved back into the Red Tier. Due to the current case rate, San Joaquin County does not meet the stipulations to accept school waiver applications at this time. Additionally, to slow the spread of COVID-19, State officials announced a revised Gathering Guidance, Face Covering Guidelines and a Travel Advisory. The Gathering Guidance replaces the October 9, 2020 guidance to mandate gatherings that occur outdoors and are limited to three households or less. The Face Covering Guidance mandates that a face covering is required at all times when outside of the home, with some exceptions. The Travel Advisory recommends that those traveling into California from other states and countries self-quarantine for 14 days and Californians to remain at home or in their region and avoid non-essential travel to other states or countries. Help slow the spread by following the Health Orders and guidelines, wearing a mask, washing your hands regularly, practicing physical distancing, being tested, and limiting mixing with people outside your household. Free testing is available at many locations in San Joaquin County. To find testing locations, more information, or report violations, visit SJReady.org. For additional information about the State’s Blueprint for a Safer Economy, Industry Guidance, or to find out what is open, visit https://covid19.ca.gov. Follow San Joaquin County on Facebook at: www.facebook.com/SJCOES or Twitter at: https://twitter.com/SJC_OES.
Under the new requirements regarding private gatherings, up to three (3) households, can gather outside so long as they wear masks and follow other safety precautions. Gathering can be under awnings, roofs, or shade structures so long as at least three (3) sides are open to outdoor breezes. Gatherings should be two hours or less to reduce the risk of transmission. Guests who are not from the same household must wear masks when not eating or drinking, maintain social distancing, and food cannot be shared. Hand sanitizer or a place to wash hands must be available. Gathering organizers should keep track of who attended so they can notify them in case of an infection.
Also today, the California Department of Public Health (CDPH) released guidance on how to celebrate Halloween and Día de los Muertos in a safer way. San Joaquin County encourages all residents to follow that guidance. In the Holiday Guidance, CDPH strongly discourages trick-or-treating. It proposes safe, lower risk alternatives such as scary movie nights, online parties, car-based outings, or themed meals at home.
The more people from different households interact, the closer the physical interaction is, and the longer the interaction lasts, the higher the risk that a person with COVID-19 infection –symptomatic or asymptomatic -- may spread it to others. Participating in multiple gatherings with different households or groups is strongly discouraged. People who are sick or medically vulnerable should not attend public gatherings of any size. Any one that experiences COVID-19 like symptoms within 48 hours of a gathering should notify the organizer and others who attended.
San Joaquin County officials cannot be at every gathering, so residents are trusted to take every possible precaution to keep themselves and our community safe from COVID-19. The more individuals choose to protect others, the sooner that the County can move into a less restrictive tier and can continue to open more businesses and allow more activities. If anyone has questions about the new guidance, or believes someone is violating the Health Order visit SJReady.org.
Pursuant to the State’s Blueprint for reopening and current COVID-19 data, San Joaquin County is currently in the Red Tier (Substantial). The current case rate is 6.6, and the positivity rate is 4.1%. The positivity rate for the Equity Metric is 7.4%.
You can help the County move into a less restrictive tier by following the Health Orders and guidelines, wearing a mask when in public, washing your hands regularly, practicing physical distancing, getting tested, and limiting mixing with people outside your household. Free testing is still available at many locations in San Joaquin County. To find testing locations or to schedule appointments, utilize the links at SJReady.org.
“COVID-19 continues to pose a severe risk and requires all Californians to follow necessary precautions to keep themselves and their communities safe,” said Dr. Erica Pan, Acting State Public Health Officer. “As a parent I know the difficulty of explaining the need to modify annual traditions because of the COVID-19 pandemic, and that’s why the Department of Public Health is highlighting low-risk ways families can celebrate these holidays. Our ability to protect lives and limit the spread of COVID-19 depends on all of us taking the virus seriously. Wear a face covering, maintain physical distance and limit mixing with people outside your household.”
The guidance strongly discourages traditional trick-or-treating and encourages families to plan safer alternatives. Suggestions include a candy scavenger hunt at home, scheduling online activities like pumpkin carving and costume contests, and car-based tours of Halloween displays.
The guidance also covers Día de los Muertos, a Mexican tradition celebrated in the Latino community honoring the deceased. Día de los Muertos celebrations often include gatherings of extended family as well as cemetery visits. Families are encouraged to place traditional indoor alters outside so others can view them from a safe distance, create virtual altars online and keep cemetery visits short in duration and limited to people within the same household.
Families and individuals are also urged to be check in with their counties so they are aware of any local guidance that applies to both holiday celebrations.
For more information about what Californians can do to prevent the spread of COVID-19, visit covid19.ca.gov.
Many individuals who are blind, visually impaired or print impaired do not realize that thousands of participating pharmacies throughout the U.S. and Canada offer FREE accessible prescription labels. This is why Community Center for the Blind and Visually Impaired is stepping up to devote some time and resources to spreading the word through Medication Safety Awareness for the Blind (MSAB).
Together we can make a difference. One of the most popular types of accessible prescription labels is ScripTalk talking medication labels. Through this program, the pharmacist places a small electronic tag on the prescription package. A patient can then receive a FREE talking prescription reader, or download a free mobile App that will read all their prescription label information out loud, including: drug name, dosage, instructions, instructions, warnings, pharmacy information, doctor name, prescription number and date.
Many of us just don’t stop to think how important it is that we can read the information on our prescription labels. Those who cannot read this small print need to know that accessible labels exist and that they can help ensure medication safety and independence. Medication Safety Awareness for the Blind can make an immediate positive impact on the community.
To learn more about MSAB and how to participate, visit https://mailchi.mp/envisionamerica/msab.
The University of the Pacific Thomas J. Long School of Pharmacy and Health Sciences will host a series of ‘virtual’ Medicare Health Fairs this year.
During this year’s events we will again help to reevaluate beneficiaries’ Part D plan to make sure they are not paying more than they have to for their prescription drugs. Plans change every year so it is important that every Medicare beneficiary with a Part D plan reevaluate plan offerings and structure during the Medicare Open Enrollment Period (Oct 15- Dec 7). Over the past 13 years of hosting our Medicare Health Fairs we have found that ~75% of beneficiaries could save money (average of $1,009/person per year) by switching to a different Part D plan in the upcoming year.
We will also be performing a comprehensive review of all (prescription and over-the-counter) of a patient’s medications to make sure they are safe and effective to take together. As part of this service, we will create a personalized medication record for them and share our findings of severe medication-related problems with their prescriber(s).
To take advantage of these services please call as soon as possible as appointments will be REQUIRED. Since we will not be meeting in person this year, the Part D and medication review interventions will be conducted via Zoom, WebEx, or a regular phone call (for those who do not have a computer, tablet or phone with a video camera).
If you have questions about our events or anything related to our Medicare program please call us at 209-910-DRUG (3784).
Finally, given the virtual nature of our events this year we can assist anyone regardless of where they live so we hope to broaden our reach. And finally if you are not familiar with our program, all of our services are FREE to community and part of our community outreach program!
HEALTH FAIR EVENT CALENDAR
10 virtual events this year
If you want help with your Medicare Part D drug plan and/or a complete drug review, PLEASE MAKE AN APPOINTMENT as they are NOW REQUIRED!
Please call the phone number provided below each event to schedule your appointment.
PLEASE REMEMBER to have the following items available during your appointment:
1. Your Medicare card
2. ALL of your medications
Saturday, October 17, 9:30 AM to 4 PM
Friday, October 23, 9:30 AM to 4 PM
Saturday, October 31, 9:30 AM to 4 PM
Friday, November 6, 9:30 AM to 4 PM
Saturday, November 7, 9:30 AM to 5:30 PM
Saturday, November 14, 9:30 AM to 4 PM
Saturday, November 21, 9:30 AM to 5:30 PM
Sunday, November 22, 9:30 AM to 4 PM
STOCKTON – Today, the Health and Human Services Secretary Mark Ghaly announced that San Joaquin County had met the two-week threshold necessary to move from Tier 1 (Widespread) to Tier 2 (Substantial) – Red Tier. After being in the Purple Tier for several weeks, this new designation will allow San Joaquin County to reopen several businesses for indoor operations as provided under the State’s Blueprint for a Safer Economy:
Businesses Operations Modified for Inside Operations: Business Indoor Modifications Other Modifications Gyms and Fitness Centers Capacity limited to 10% Movie Theaters Capacity limited to 25% or 100 people, whichever is less. Museums, Zoos, Aquariums Capacity limited to 25% Personal Care Services Indoors with modifications. Includes tattoo parlors, piercing studios, skin care and massage services. Places of Worship Capacity limited to 25% or 100 people, whichever is less. Restaurants Capacity limited to 25% or 100 people, whichever is less. Retail Capacity limited to 50%. Shopping Malls Capacity limited to 50%. Common areas closed, reduced capacity at food courts. Other Businesses that are OPEN for Inside Operations with Modifications: Hair salons and barbershops Nail Salons Other
Businesses that are OPEN for Outside Operations ONLY: Wineries Family Entertainment Centers
Businesses that are still NOT allowed to be open include: Bars, brewpubs, and pubs (except those that serve food) Public Schools In-Person Instruction:
Once San Joaquin County is in the Red Tier for two weeks, it is allowed to reopen schools for some in-person instruction following California School Sector Specific Guidelines, unless the school had previously received a waiver. “I want to thank all of the residents and the businesses for helping us to keep our cases low by getting tested, wearing masks, and keeping socially distant. If we continue to be vigilant, we can continue to move forward and reopen San Joaquin County,” said Dr. Maggie Park. “As we start to enter the fall season, it is more important than ever to continue to follow the rules by restricting gatherings, wearing face coverings, washing hands and social distancing, to not only prevent the spread of COVID-19 but to help with flu and other deadly diseases.” “This significant move to the red tier is certainly a step in the right direction,” said San Joaquin County Board of Supervisors Chair, Kathy Miller. “It shows that residents are following public health recommendations and their hard work is paying off and enabling the County to finally get the upper hand on COVID-19. While I’m cautiously optimistic, we must continue to be diligent in our daily safety routines in order to keep businesses open, get kids back inside schools and get lives back to normal.”
All residents of the County are authorized to leave their residences to engage with these businesses but must comply with the State requirement to wear a face covering, comply with social distancing, and wash hands frequently. Please also continue to get tested for COVID-19 and since it is the beginning of the flu season please get a flu shot. For more information on the businesses that are open please see www.sjready.org. You can also search which businesses are open on the State’s website at www.COVID-19.ca.gov.
The 6th annual Brain Health to Beat Stroke 5K will be a virtual experience this year. The event is dedicated to Ruby Long and Alva Louise Garibaldi.
Register at Healings In Motion, walk, run or roll any time between October 1 and October 24, submit your videos and join the virtual event and awards presentations on Saturday, October 24, 2020.
San Joaquin County Public Health Services’ Child Passenger Safety Program is once again offering in-person car seat fitting to help with the installation of your child’s car seat. Learn whether it's time for a change.
Car seat check-ups take place on Wednesdays, 10:00 a.m. to 2:00 p.m. at 420 South Wilson Way, Stockton, by appointment only. COVID-19 safety precautions will be followed. Call 209-468-8914 to schedule an appointment with a certified technician.
Stockton Host Lions Club will host its annual Lions Fall Classic Golf Tournament on Monday, October 26, 2020. Oakmoore Golf Course, 3737 North Wilson Way, Stockton, will serve as the venue for this fabulous event that benefits Community Center for the Blind and Visually Impaired and other Stockton Host Lions Club charities.
The day will begin with registration and brunch at 9:00 a.m., followed by a shotgun start at 10:00 a.m. Raffle and awards on the course will commence at 3:00 p.m. Tournament player entry costs $120.00 and includes golf, cart and lunch. Sponsor opportunities range from $100.00 to $2,500.00.
Contact Lion Ron Cutler to sponsor the event, obtain additional information or register.