will be targeted at regions of the state with diminished intensive care
unit capacity as the state attempts to slow its surge of new Covid-19 cases.
Counties with less than 15 percent of their ICU beds open and
available will be subject to the order, according to Newsom, requiring
the closure of nearly all nonessential businesses for at least three
Retail stores in areas affected by the order will be allowed to
remain open at 20 percent of their maximum indoor capacity while most
other nonessential businesses like hair and nail salons, restaurants,
wineries and fitness centers would be required to close both indoor and
Schools that have already reopened in-person classes will be allowed
to continue and such decisions will be left to county officials, Newsom
“We do not anticipate having to do this again, but we really all need
to step up, we need to meet this moment head-on and we need to do
everything we can to stem the tide, to bend the curve and give us the
time necessary … to get those vaccines in the hands of all
Californians,” Newsom said Thursday in a briefing announcing the new
The stay-at-home order will be enforced at a regional level rather
than by county, as the state’s pandemic-related health restrictions have
been enforced for much of the year.
The regions include the Bay Area, greater Sacramento, Northern
California, Southern California and the San Joaquin Valley. The counties
in each region will be placed in the appropriate tier of the state’s
pandemic reopening system, based on their case and test data, once they
have reduced their ICU patient populations.
Four of the five regions are likely to pass the 15 percent threshold
in the coming days, Newsom said, while the Bay Area is on pace to have
less than 15 percent of its intensive care unit beds available by
The formal details of the order come just days after Newsom and state
Health and Human Services Secretary Dr. Mark Ghaly said California’s
hospital and ICU systems were on track to be overwhelmed, and in some
cases entirely full, by Christmas.
Ghaly said Thursday that the state’s rate of transmission has
increased four-fold over the last six weeks and limiting movement and
social mixing and interaction throughout the state will be key to
curbing the current surge.
“It isn’t about single sector-by-sector and where is that spread
happening,” Ghaly said when asked why some businesses that may not be
responsible for spreading the virus will still be subject to closure
under the order.
“We know that by reducing our overall movement and mixing for a short
period of time, we can get the gains that we need to bend this curve,”
Newsom framed the order as part of the “final surge” of new
coronavirus cases as the statebegins to receive hundreds of thousands of
vaccine doses in the coming weeks.
The state is expected to receive its first shipment of roughly
327,000 vaccine doses from the pharmaceutical company Pfizer between
Dec. 12 and 15 with more doses of vaccines made by pharmaceutical and
biotechnology companies like Moderna and AstraZenica expected in the
first quarter of 2021, Newsom said.
Given that the state’s first tranche of vaccine doses amounts to
enough for less than 1 percent of California’s population, Newsom said
the state’s working group overseeing vaccine safety and distribution has
separated the first vaccine recipients into three tiers based on risk
of contracting the virus.
Hospital workers, nursing and assisted living facility workers,
paramedics and other emergency service personnel and dialysis center
employees will be in the first tier to receive the vaccine’s two doses,
according to Newsom.
The other two tiers include in-home health care workers, primary care
clinic workers, laboratory workers, dental health clinic employees and
pharmacy staff not working in higher-tier settings. Newsom said the
state will also make a concerted effort to ensure the vaccine is
available to every resident of the state, not just those with means.
“Help is on the way,” he said. “There is a light at the end of this tunnel.”