At noon last Sunday, officials from six Bay Area counties joined a call, and began by reviewing data from the outbreak in the region. The growth in COVID-19 cases didn’t reflect the whole picture. Because testing in the region, as well as in the state and the country, was severely limited, untold hundreds or thousands of cases were going undetected.
Still, the numbers showed that Santa Clara County was about two weeks behind reaching levels seen in Italy. And the other counties were just a few days or so behind Santa Clara County.
If nothing was done, officials feared for the most vulnerable populations: the elderly or people with underlying medical issues that would require intensive medical treatment…Most concerning were the number of ICU beds, respirators and other supplies that were needed to confront the crisis without any preventive action, said Jeffrey V. Smith, the Santa Clara County executive.
The need for bolder action was clear: The six counties and Berkeley decided to stand together instead of focusing on “county-by-county” measures…Within an hour, they agreed to take the boldest and most stringent action in the nation to confront the spread of coronavirus: requiring nearly 6.7 million people to shelter in place, with only essential activity and travel allowed.
The directive from Bay Area public health officials caused a domino effect throughout California. By Thursday, nearly 21 million people in the state were under shelter-in-place orders issued by their public health departments. That evening, Gov. Gavin Newsom declared a stay-at-home order for the entire state until further notice.