Thousands Of OC Residents Hospitalized, 500 Admitted To ICU

ORANGE COUNTY, CA — Orange County has broken another record for hospitalized COVID-19 patients with 2,178, including 500 in intensive care, just one shy of the record set on Saturday, the Orange County Health Care Agency reported. The county reports 8,990 new coronavirus diagnoses, reflecting at least two days of cases since the last reporting date of Saturday, and 25 additional fatalities.

No numbers were released Sunday due to scheduled maintenance with the California Department of Public Health.

The OCHCA reported 33,817 COVID-19 tests on Monday, for a total of 2,110,313. There have been 170,579 documented recoveries.

The county's state-adjusted ICU bed availability remained at zero, and the unadjusted figure rose from 6%. The state created the adjusted metric to reflect the difference in beds available for COVID-19 patients and non-coronavirus patients.

The Southern California region is at zero ICU capacity.

Orange County has 33% of its ventilators available, according to the agency.

All of the county's metrics remain within the state's most- restrictive, purple tier of the four-tier coronavirus monitoring system.

Orange County's adjusted daily case rate per 100,000 -- released on Tuesdays -- increased from 51.8 last week to 53.5 this week. The positivity rate rose from 15.2% to 16.9%.

The county's Health Equity Quartile Positivity Rate, which measures the cases in highly affected, needier parts of the county, rose from 22.7% last week to 24.2%.

Orange County CEO Frank Kim said earlier there was the hope of a cresting of the Thanksgiving wave, thanks to the recently declining testing positivity rate. But that rate actually rose slightly on Thursday, reaching 16.9%.

Health officials are bracing for a post-Christmas surge, followed by a potential New Year's wave. Experts say it takes five to 10 days for a surge to take shape.

UC Irvine Medical Center activated its mobile field hospital with 40 additional beds on Wednesday.

Andrew Noymer, a UC Irvine associate professor of population health and disease prevention, said it's hard to say if the county has reached its peak from Thanksgiving. Still, even so, it's likely a Christmas surge is coming.

"We saw with Thanksgiving it took a while to build," Noymer said. "I'm expecting January to be severe. We haven't seen the worst yet. But nobody can predict the future of this."

Noymer noted that the county's positivity rate has been "highly volatile."

With hospitalizations at such a high level, officials want to use the Fairview Developmental Center in Costa Mesa, but only six patients are currently being treated there. A total of 51 have been treated at the state facility, Kim said. He said some of the obstacles to treating patients at Fairview include a shortage of staff needed for the beds there.

Outbreaks at the county's skilled nursing facilities and elderly assisted living facilities -- defined as two or more cases within 14 days -- are an ongoing problem for the county.

"We need to hurry up and inoculate those individuals and staff working with those individuals," Kim said. "The virus is coming in through the employees, so we need to get those employees vaccinated quickly."

Transportation Security Administration figures for security screenings nationally reflect more traveling over Christmas than Thanksgiving. On the day before Christmas Eve, nearly 1.2 million screenings were done at U.S. airports, compared with 1.9 million on the same date in 2019.

Preliminary data indicate that traffic at John Wayne Airport was down during Christmas compared with Thanksgiving.

From Nov. 24 through Nov. 30, 64,947 passengers passed through the Orange County airport for a daily average of 9,278. From Dec. 20-26, 60,193 passengers went through the airport for an average of 8,599 a day.

Noymer said he is not as concerned about travelers contracting coronavirus at the airport or on a plane.

"More people pass through South Coast Plaza than the TSA checkpoint at John Wayne (Airport)," Noymer said. "But we're churning the whole country, moving people around from college kids from Overland, Ohio, going back to home and people going to see in-laws or grandmothers, or whatever. That's moving the virus around, increasing the motion and commotion of people and therefore of the virus, and it's not what the doctor ordered."

While it is generally understood that COVID-19 poses the greatest risk of fatality to elderly patients, Noymer pointed out that in Orange County, 25% of the deaths are residents younger than 65. Most of those deaths are in the 55 to 64 age group, he added.

The county also reports 1,364 coronavirus cases in schools, including 714 in elementary and middle schools, 375 in high schools, 50 in combined K-12 schools, and 225 in colleges or vocational schools. Of those cases, 859 are students, 291 are teachers, and 214 are other staff.

City News Service, Patch Editor Ashley Ludwig contributed to this report.