Contra Costa Health (sample site)

To ensure continued timely response to true medical emergencies, Contra Costa Health (CCH) encourages residents to call 911 only if the need for care is truly an emergency.

Contra Costa County’s emergency medical system traditionally serves higher-than-usual numbers of patients this time of year, and this month healthcare providers and the agencies providing emergency ambulance service are especially impacted because of COVID, flu and other respiratory viruses.

Several hospitals in the community are reporting critically high level of patients occupying beds, with more than 1,200 inpatients reported throughout the county as of Friday. Hospital emergency departments are similarly impacted.

Calling 911 for your health emergency is recommended if it involves:

• Chest pain, difficulty breathing or a fast (120+ beats per minute) resting heartbeat
• Numbness or weakness in any part of the body, seizures, or difficulty speaking
• Fainting, unconsciousness, dizziness, sudden severe pain or headache, or confusion
• Sudden blindness or vision changes
• Heavy bleeding that will not stop with pressure, or broken bones
• Choking, drowning or near drowning
• Severe burns
• Poisoning or drug overdose
• Allergic reactions, especially if there is difficulty breathing
• Someone making a credible threat to harm themselves or someone else

There are other good reasons to call 911 as well. But to reduce strain on the county’s healthcare system, CCH asks anyone considering whether to seek emergency care if a 911 call is the best way to get the services they need, or if contacting an advice nurse or urgent care might be more appropriate.

When many people seek care through 911 at the same time, it reduces the number of emergency ambulances in circulation, ready to respond when someone in the county needs lifesaving care.

Based on a paramedic’s assessment of a patient’s condition and if the number of available emergency ambulances is very low, the paramedic may suggest a patient visit an urgent care on their own or call an advice nurse.

During the winter virus season, patients visiting emergency departments at hospitals in the county may also need to wait longer depending on circumstances at the time they arrive and the severity of their illness or injury.

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New Webpage Offers Tips, Insights to Help People Make Best Decisions

Battling the triple threat of COVID-19, influenza and respiratory syncytial virus (RSV) people of all ages are finding themselves sick as this "Tridemic" rages on. With emergency rooms and hospital beds filling up, Contra Costa Health and Kaiser Permanente have partnered to launch a public health education campaign to inform the community about simple self-care recovery tips and virtual treatment options for common illnesses.

"By partnering with Contra Costa Health, we bolster our efforts to disseminate critical health tips to our members and many others throughout the community," said Dr. Sharon Mowat, pediatrician and physician-in-chief for the Kaiser Permanente Diablo Service Area. "If we can help people safely recover from the comfort of their homes, we can also lessen the extremely long wait times that people are seeing in the overcrowded doctors' offices and emergency rooms throughout our community."

The two organizations created a webpage in English (www.coronavirus.cchealth.org/get-care) and Spanish (www.coronavirus.cchealth.org/get-care-es), with information and resources about how people can recover from illnesses and access care from the comfort of their homes. If people have urgent or immediate concerns, they are encouraged to call an advice nurse or doctor's office for guidance and virtual appointments by phone or video. Contra Costa Health Plan members and people who don't have health coverage can call the advice nurse at 877-661-6230. Kaiser Permanente members can call the advice nurse at 866-454-8855.

Hospitals and ambulances are especially impacted during the winter virus season, so Contra Costa Health and Kaiser Permanente caution people to only call 911 or go to the hospital if their need for care is truly an emergency.

"The good news is most people who get sick can safely recover from home," said Dr. Sofe' Mekuria, deputy health officer for Contra Costa Health. "We want people to know the home care options available to them and know how to prepare themselves so they can recover quickly and safely if they get sick."

Health recommendations include staying home when sick, getting lots of rest, drinking plenty of fluids and separating from others to avoid spreading illnesses. For peace of mind, people are encouraged to stock their medicine cabinets with items including over-the-counter cold/flu medicines to reduce fever and pain, saline spray or drops, cough syrups and lozenges, and COVID-19 home tests.

In addition to the webpage, a communications toolkit with digital graphics and handouts is also available for local schools, businesses and community organizations to share with their members. To learn more about getting better when you're sick, visit www.coronavirus.cchealth.org/get-care.

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Contra Costa County seeks community volunteers for a committee to oversee an independent investigation and risk assessment of the Nov. 24-25 release of heavy metals into the surrounding community by Martinez Refining Company (MRC).

The oversight committee will advise the Contra Costa Board of Supervisors and Contra Costa Health’s (CCH) Hazardous Materials Program on the hiring of contractors to probe the cause of the release, and separately the impact that it had on community health and the environment. The committee will review and direct the work as it proceeds and is ultimately reported to the Board and the public.

The Ad Hoc Committee for the Industrial Safety Ordinance and Community Warning System, a subcommittee of the Board of Supervisors, directed CCH at its Jan. 12 meeting to lead the community-involved investigation and risk assessment, parallel to the investigation MRC is legally required to conduct.

The nine-member oversight committee will be chaired by a Hazardous Materials Program staff member and include representatives from the City of Martinez, MRC, the labor organizations representing MRC workers, and five at-large members from Martinez, Pacheco, or other communities near the refinery.

From about 9:30 p.m. Nov. 24, 2022, to the early hours of Nov. 25, MRC inadvertently showered surrounding neighborhoods with more than 20 tons of spent catalyst, a dust-like substance that CCH later determined to contain elevated levels of aluminum, barium, chromium, nickel, vanadium and zinc.

MRC did not report the release via the county Community Warning System or directly to CCH as required by the county’s notification policy, preventing an immediate regulatory response or prompt safety messaging to affected neighbors. CCH has referred that matter to the Contra Costa District Attorney’s Office for consideration of legal action.

To apply for an at-large seat on the committee, fill out the online form at cchealth.org/hazmat or send an email to hazmat.arpteam@cchealth.org including your name, address, and a brief statement about why you wish to participate, or phone 925-655-3200 for assistance.

Community members who are 18 or older and who live near Martinez, Pacheco, and surrounding unincorporated areas will be considered. Committee members will be selected by Supervisor Federal Glover’s office. The deadline to apply is Friday, Jan. 27.

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On Wednesday, Contra Costa Health (CCH) formally requested that the District Attorney consider taking legal action against the Martinez Refining Company (MRC) for not notifying the County after the refinery released more than 20 tons of metal-laden dust into the community over the Thanksgiving holiday.

The accidental release of "spent catalyst" from the refinery began around 9:30 p.m. on Nov. 24 (Thanksgiving Day) and continued into the early hours of Nov. 25, showering the surrounding community in the dust-like substance. Samples of the dust taken later showed it had elevated levels of aluminum and other metals, which could have potentially caused respiratory symptoms in people who breathed it. Prolonged exposure to these metals can lead to health concerns.

MRC did not report the release via the county's Community Warning System or directly to CCH, as required by the county's notification policy. CCH learned about the release from media accounts two days after it began. Had MRC followed the notification policy, the Community Warning System would have been activated to notify the community about the hazard at the time of the accident.

"It is unacceptable that the refinery did not notify County Health Services of their chemical release and that the County learned about it through the media," said John Gioia, Chair of the Contra Costa County Board of Supervisors. "By failing to notify the County in a timely manner, the refinery delayed an emergency response that could have reduced harm to the surrounding community."

"We rely on our industrial businesses to follow the rules and be good neighbors – and most of the time, they are. But when an industrial facility doesn't follow the rules and possibly puts its neighbors in harm's way, as in this case, then they must be held accountable," said Supervisor Federal Glover, whose district includes the Martinez refinery.

The District Attorney's Office has approximately 30 days to decide whether to accept the enforcement case referral from CCH.

In a separate but related move, CCH is also recommending an independent investigation and risk assessment be done of the accidental release of spent catalyst from the refinery. The Contra Costa Industrial Safety Ordinance (ISO) Ad Hoc Committee, which is appointed by the County Board of Supervisors, will consider that recommendation at its Jan. 12 meeting at 1 p.m., which is open to the public.