Science
A new coronavirus variant may be behind California's COVID rise
Coronavirus transmission is once again spiking in California entering the winter holiday season — and a new subvariant may be partly to blame, officials say.
This latest subvariant, JN.1, is now estimated to account for roughly 44% of COVID-19 cases nationally, according to the latest data from the U.S. Centers for Disease Control and Prevention.
That share is twice as high as any other identified subvariant, and a startling rise from the prior estimate of 21% for the two-week period that ended Dec. 9.
“We’re also seeing an increasing share of infections caused by JN.1 in travelers, wastewater and most regions around the globe,” the CDC said in a statement. “JN.1’s continued growth suggests that the variant is either more transmissible or better at evading our immune systems than other circulating variants.”
The World Health Organization this week classified JN.1 as a “variant of interest,” meaning it has potentially concerning characteristics — such as an ability to more easily infect individuals or avoid the protection afforded by vaccines and therapeutics.
Current vaccines, anti-COVID drugs and tests continue to work well against JN.1, the CDC said.
JN.1 is an offshoot of another Omicron subvariant, BA.2.86, which was unofficially nicknamed Pirola.
Pirola was already deemed worrisome because of its unusually high number of mutations, which might empower it to more easily infect those who haven’t received a recent COVID-19 vaccination. JN.1 has an additional mutation.
Experts say all those mutations mean it’s likely that people who have been relying on older vaccinations received more than a year ago, or a previous infection earlier this year, may not be protected enough to avoid a new run-in with the coronavirus this winter.
“It is possible that at least part of the local increase in transmission is driven by new COVID-19 strains gaining dominance in Los Angeles County, including JN.1,” the county Department of Public Health said in a statement.
Doctors say the rise of JN.1 is another reason why people — especially those who are older — should get the latest COVID-19 vaccination that became available in September.
Coronavirus transmission and COVID-19 hospitalizations, though undoubtedly on the rise, aren’t at the levels seen at this same time last year.
But the increase has been sharp. For the week ending Dec. 16, there were 2,924 new coronavirus-positive hospital admissions in California, up nearly 50% from a month earlier.
And it’s not just COVID-19. Clinics in Southern California report being busy with other viral illnesses, too — namely flu and respiratory syncytial virus, or RSV.
“Definitely, we’re seeing more people that are coming through the door, especially the younger and the older,” said Dr. Daisy Dodd, an infectious disease specialist with Kaiser Permanente Orange County. People with underlying medical issues, such as diabetes and asthma, she added, are “much more symptomatic.”
In L.A. County, about 18% of specimens tested at sentinel labs are coming back positive for flu, as are 12% of specimens tested for RSV and 11% tested for the coronavirus. The test positive rates of flu and the coronavirus are continuing to grow, while the rate for RSV has plateaued at a high level.
Coronavirus levels recorded in L.A. County’s wastewater have doubled over the last month. For the week ending Dec. 9, the most recent data available, viral levels in sewage were at 39% of the peak seen last winter, the most recent major spike for the region.
But the increase in infections, to this point, has not translated into a surge of people needing intensive care, Dodd said.
At UC San Francisco, there are now 27 coronavirus-positive patients who are currently hospitalized, up from around 20 a few weeks ago. Earlier in November, that census was in the 10s, said Dr. Peter Chin-Hong, an infectious disease specialist there.
“That is probably fueled by this new variant, JN.1,” Chin-Hong said. “It’s not that the variant causes people to be sicker. It’s just that if a lot of people are infected, a proportion of them will go to the hospital. And the more people that get infected, that number is higher.”
Notably, COVID-19, flu and RSV seem to be all “colliding this year,” Chin-Hong said. “Last year, RSV would have gone down by now.”
Other factors in the spread of COVID-19, which have been seen consistently this time of year since the pandemic began, are holiday travel and gatherings indoors. And in the first holiday season since the end of COVID’s emergency phase, people are perhaps not being as cautious as they once were in terms of testing or staying at home if they are sick.
Dr. Rafael Montalvo — chair of the urgent care department for the Facey Medical Group, which oversees clinics in Burbank, Mission Hills and Valencia — said some patients who are sick have been fairly nonchalant about their illness and are eager to work or remain out and about. Healthcare workers, he said, take care to try to convince patients to stay home when they’re ill.
“They’re actually pretty surprised when they [found out they’ve] come down with COVID,” Montalvo said. Unlike before, when people might have known where they picked up the coronavirus, “now, they’re not aware of any direct exposures.”
For the week ending Dec. 16, there were an average of 601 coronavirus-positive people in L.A. County’s hospitals, up about 66% from the prior month.
The burden COVID is posing on L.A. County’s health system is still relatively low, however. For the week that ended Dec. 9, L.A. County was reporting 6.5 new coronavirus-positive hospital admissions for every 100,000 residents, which is considered a low level as defined by the CDC.
Still, there may be some warning signs. There were 24 new COVID outbreaks in skilled nursing facilities for the week that ended Tuesday, which represents a medium level of concern in the county’s established rubric. And for the week that ended Sunday, 5% of emergency department encounters in L.A. County were classified as related to the coronavirus, also enough to warrant a medium level of concern.
In Santa Clara County, Northern California’s most populous, coronavirus levels in the San Jose area’s sewage are at 62% of last winter’s peak.
Hospital conditions are worse elsewhere. Fresno County, which like the wider Central Valley has been particularly hard hit throughout the pandemic, said its hospitals are reporting “severely impacted conditions … due to a historic number of admitted patients and people accessing the emergency department with non-urgent medical problems.”
Fresno County’s hospitals are operating at least 20% to 40% over capacity, and “are holding admitted patients in their emergency department for up to four days and are using conference rooms and non-patient areas to hold patients,” the local Department of Public Health said in a statement. Emergency room waiting times are now routinely exceeding 10 hours for some patients.
“We need everyone’s help to slow down the number of people using the emergency room for non-emergency medical issues,” Dan Lynch, the county’s emergency medical services director, said in a statement.
The CDC recommends that virtually everyone age 6 months and older get a fresh COVID-19 and flu vaccination this winter. RSV vaccinations are also available for babies, those age 60 and older, and those who are pregnant.
Uptake of the most recent COVID-19 vaccination has been lackluster, however. Across California as of Nov. 30, 27% of seniors age 65 and up have received the latest shot. That rate is 21% in L.A. County, 25% in Orange County, and 27% in San Diego and Ventura counties; but less than 20% in the Inland Empire.
In the San Francisco Bay Area’s most populous counties, around 40% of seniors have received the latest COVID-19 vaccination.
As of Dec. 9, just 42% of adults nationwide had received a flu shot, 18% had received an updated COVID-19 vaccine, and 17% of those age 60 and up had received an RSV vaccine, according to reports published this week by the CDC. Notably, just one in three nursing home residents were up to date with their COVID-19 vaccinations.
“Many adults who had not received the vaccines reported being open to vaccination,” one of the reports said.
The public health risk posed by JN.1 is similar to other subvariants in the sprawling Omicron family, the first version of which emerged a little more than two years ago. While these variants don’t pose the same threat as years prior, given a degree of immunity from past infections and immunizations, people who haven’t received a recent COVID-19 vaccination — particularly the new formula — are at greater risk.
“JN.1 [and other coronavirus variants] continue to cause disease and too many are falling ill, requiring hospitalizations or advanced clinical care, are dying, and developing long COVID,” Maria Van Kerkhove, WHO’s technical lead on COVID-19, wrote in a social media post. Nationally, about 1,000 coronavirus-infected people a week are dying.
Health officials have also urged people and healthcare providers to utilize anti-COVID drugs like Paxlovid when possible.
Some have been reluctant to take or prescribe the drug after reading last year of a purported “post-Paxlovid rebound,” in which COVID-19 symptoms reappear after having seemingly resolved. However, doctors have also long noted that COVID rebound can happen without taking Paxlovid. And a new study published this week by the CDC reaffirmed that COVID rebound can happen regardless of whether one takes anti-COVID drugs like Paxlovid or molnupiravir.
“Rebound should not deter providers from prescribing lifesaving antiviral treatments when indicated to prevent morbidity and mortality from COVID-19,” the report said.
CDC Director Dr. Mandy Cohen and others have urged people to take non-pharmaceutical precautions, such as wearing a mask in public settings, moving gatherings outdoors and improving ventilation, staying home when sick and avoiding people who are ill.
Other now-familiar measures include using hand sanitizer or regularly washing your hands, especially before eating, after sneezing or coughing, or while in public, the L.A. County Department of Public Health said.
“Consider talking with friends and family so they know to be cautious about gathering if they show signs of infection,” such as having a sore throat or a fever, the agency said. “Event hosts may want to consider asking their guests to test for COVID-19 before celebrations, especially if older or immunocompromised people will be present.”
California continues to require most insurers to reimburse covered people for the costs of up to eight at-home COVID tests per month, although people may need to obtain the tests through an “in-network” provider for the tests to remain free.
People who test positive for the coronavirus should isolate for at least five days following onset of symptoms or their first positive test result, whichever came first. The day a person starts having symptoms or had their first positive test is considered Day Zero, and the earliest a patient can exit isolation is by the end of Day 5.
According to the L.A. County Department of Public Health, infected people can end isolation after Day 5 if they have been fever free for 24 hours without using fever-reducing medications, and don’t have any other symptoms, or their symptoms are mild and improving.
The agency strongly recommends people get a negative rapid test result before ending isolation between Days 6 and 10. Isolation can generally end after Day 10 without needing a negative test result, unless you still have a fever.
Infected people are encouraged to wear a mask around others for a full 10 day-period following onset of symptoms or their first positive test. But the agency says that people who meet the criteria to end isolation after Day 5 can stop wearing a mask, too, if they have two consecutive negative coronavirus test results taken at least one day apart.
Science
Diablo Canyon clears last California permit hurdle to keep running
Central Coast Water authorities approved waste discharge permits for Diablo Canyon nuclear plant Thursday, making it nearly certain it will remain running through 2030, and potentially through 2045.
The Pacific Gas & Electric-owned plant was originally supposed to shut down in 2025, but lawmakers extended that deadline by five years in 2022, fearing power shortages if a plant that provides about 9 percent the state’s electricity were to shut off.
In December, Diablo Canyon received a key permit from the California Coastal Commission through an agreement that involved PG&E giving up about 12,000 acres of nearby land for conservation in exchange for the loss of marine life caused by the plant’s operations.
Today’s 6-0 vote by the Central Coast Regional Water Board approved PG&E’s plans to limit discharges of pollutants into the water and continue to run its “once-through cooling system.” The cooling technology flushes ocean water through the plant to absorb heat and discharges it, killing what the Coastal Commission estimated to be two billion fish each year.
The board also granted the plant a certification under the Clean Water Act, the last state regulatory hurdle the facility needed to clear before the federal Nuclear Regulatory Commission (NRC) is allowed to renew its permit through 2045.
The new regional water board permit made several changes since the last one was issued in 1990. One was a first-time limit on the chemical tributyltin-10, a toxic, internationally-banned compound added to paint to prevent organisms from growing on ship hulls.
Additional changes stemmed from a 2025 Supreme Court ruling that said if pollutant permits like this one impose specific water quality requirements, they must also specify how to meet them.
The plant’s biggest water quality impact is the heated water it discharges into the ocean, and that part of the permit remains unchanged. Radioactive waste from the plant is regulated not by the state but by the NRC.
California state law only allows the plant to remain open to 2030, but some lawmakers and regulators have already expressed interest in another extension given growing electricity demand and the plant’s role in providing carbon-free power to the grid.
Some board members raised concerns about granting a certification that would allow the NRC to reauthorize the plant’s permits through 2045.
“There’s every reason to think the California entities responsible for making the decision about continuing operation, namely the California [Independent System Operator] and the Energy Commission, all of them are sort of leaning toward continuing to operate this facility,” said boardmember Dominic Roques. “I’d like us to be consistent with state law at least, and imply that we are consistent with ending operation at five years.”
Other board members noted that regulators could revisit the permits in five years or sooner if state and federal laws changes, and the board ultimately approved the permit.
Science
Deadly bird flu found in California elephant seals for the first time
The H5N1 bird flu virus that devastated South American elephant seal populations has been confirmed in seals at California’s Año Nuevo State Park, researchers from UC Davis and UC Santa Cruz announced Wednesday.
The virus has ravaged wild, commercial and domestic animals across the globe and was found last week in seven weaned pups. The confirmation came from the U.S. Department of Agriculture’s National Veterinary Services Laboratory in Ames, Iowa.
“This is exceptionally rapid detection of an outbreak in free-ranging marine mammals,” said Professor Christine Johnson, director of the Institute for Pandemic Insights at UC Davis’ Weill School of Veterinary Medicine. “We have most likely identified the very first cases here because of coordinated teams that have been on high alert with active surveillance for this disease for some time.”
Since last week, when researchers began noticing neurological and respoiratory signs of the disease in some animals, 30 seals have died, said Roxanne Beltran, a professor of ecology and evolutionary biology at UC Santa Cruz. Twenty-nine were weaned pups and the other was an adult male. The team has so far confirmed the virus in only seven of the dead pups.
Infected animals often have tremors convulsions, seizures and muscle weakness, Johnson said.
Beltran said teams from UC Santa Cruz, UC Davis and California State Parks monitor the animals 260 days of the year, “including every day from December 15 to March 1” when the animals typically come ashore to breed, give birth and nurse.
The concerning behavior and deaths were first noticed Feb. 19.
“This is one of the most well-studied elephant seal colonies on the planet,” she said. “We know the seals so well that it’s very obvious to us when something is abnormal. And so my team was out that morning and we observed abnormal behaviors in seals and increased mortality that we had not seen the day before in those exact same locations. So we were very confident that we caught the beginning of this outbreak.”
In late 2022, the virus decimated southern elephant seal populations in South America and several sub-Antarctic Islands. At some colonies in Argentina, 97% of pups died, while on South Georgia Island, researchers reported a 47% decline in breeding females between 2022 and 2024. Researchers believe tens of thousands of animals died.
More than 30,000 sea lions in Peru and Chile died between 2022 and 2024. In Argentina, roughly 1,300 sea lions and fur seals perished.
At the time, researchers were not sure why northern Pacific populations were not infected, but suspected previous or milder strains of the virus conferred some immunity.
The virus is better known in the U.S. for sweeping through the nation’s dairy herds, where it infected dozens of dairy workers, millions of cows and thousands of wild, feral and domestic mammals. It’s also been found in wild birds and killed millions of commercial chickens, geese and ducks.
Two Americans have died from the virus since 2024, and 71 have been infected. The vast majority were dairy or commercial poultry workers. One death was that of a Louisiana man who had underlying conditions and was believed to have been exposed via backyard poultry or wild birds.
Scientists at UC Santa Cruz and UC Davis increased their surveillance of the elephant seals in Año Nuevo in recent years. The catastrophic effect of the disease prompted worry that it would spread to California elephant seals, said Beltran, whose lab leads UC Santa Cruz’s northern elephant seal research program at Año Nuevo.
Johnson, the UC Davis researcher, said the team has been working with stranding networks across the Pacific region for several years — sampling the tissue of birds, elephant seals and other marine mammals. They have not seen the virus in other California marine mammals. Two previous outbreaks of bird flu in U.S. marine mammals occurred in Maine in 2022 and Washington in 2023, affecting gray and harbor seals.
The virus in the animals has not yet been fully sequenced, so it’s unclear how the animals were exposed.
“We think the transmission is actually from dead and dying sea birds” living among the sea lions, Johnson said. “But we’ll certainly be investigating if there’s any mammal-to-mammal transmission.”
Genetic sequencing from southern elephant seal populations in Argentina suggested that version of the virus had acquired mutations that allowed it to pass between mammals.
The H5N1 virus was first detected in geese in China in 1996. Since then it has spread across the globe, reaching North America in 2021. The only continent where it has not been detected is Oceania.
Año Nuevo State Park, just north of Santa Cruz, is home to a colony of some 5,000 elephant seals during the winter breeding season. About 1,350 seals were on the beach when the outbreak began. Other large California colonies are located at Piedras Blancas and Point Reyes National Sea Shore. Most of those animals — roughly 900 — are weaned pups.
It’s “important to keep this in context. So far, avian influenza has affected only a small proportion of the weaned at this time, and there are still thousands of apparently healthy animals in the population,” Beltran said in a press conference.
Public access to the park has been closed and guided elephant seal tours canceled.
Health and wildlife officials urge beachgoers to keep a safe distance from wildlife and keep dogs leashed because the virus is contagious.
Science
When slowing down can save a life: Training L.A. law enforcement to understand autism
Kate Movius moved among a roomful of Los Angeles County sheriff’s deputies, passing out a pop trivia quiz and paper prism glasses.
She told them to put on the vision-distorting glasses, and to write with their nondominant hand. As they filled out the tests, Movius moved about the City of Industry classroom pounding abruptly on tables. Then came the cowbell. An aide flashed the overhead lights on and off at random. The goal was to help the deputies understand the feeling of sensory overwhelm, which many autistic people experience when incoming stimulation exceeds their capacity to process.
“So what can you do to assist somebody, or de-escalate somebody, or get information from someone who suffers from a sensory disorder?” Movius asked the rattled crowd afterward. “We can minimize sensory input. … That might be the difference between them being able to stay calm and them taking off.”
Movius, founder of the consultancy Autism Interaction Solutions, is one of a growing number of people around the U.S. working to teach law enforcement agencies to recognize autistic behaviors and ensure that encounters between neurodevelopmentally disabled people and law enforcement end safely.
She and City of Industry Mayor Cory Moss later passed out bags filled with tools donated by the city to aid interactions: a pair of noise-damping headphones to decrease auditory input, a whiteboard, a set of communication cards with words and images to point to, fidget toys to calm and distract.
“The thing about autistic behavior when it comes to law enforcement is a lot of it may look suspicious, and a lot of it may feel very disrespectful,” said Movius, who is also the parent of an autistic 25-year-old man. Responding officers, she said, “are not coming in thinking, ‘Could this be a developmentally disabled person?’ I would love for them to have that in the back of their minds.”
A sheriff’s deputy reads a pamphlet on autism during the training program.
(Genaro Molina / Los Angeles Times)
Autism spectrum disorder is a developmental condition that manifests differently in nearly every person who has it. Symptoms cluster around difficulties in communication, social interaction and sensory processing.
An autistic person stopped by police might hold the officer’s gaze intensely or not look at them at all. They may repeat a phrase from a movie, repeat the officer’s question or temporarily lose their ability to speak. They might flee.
All are common involuntary responses for an autistic person in a stressful situation, which a sudden encounter with law enforcement almost invariably is. To someone unfamiliar with the condition, all could be mistaken for intoxication, defiance or guilt.
Autism rates in the U.S. have increased nearly fivefold since the Centers for Disease Control began tracking diagnoses in 2000, a rise experts attribute to broadening diagnostic criteria and better efforts to identify children who have the condition.
The CDC now estimates that 1 in 31 U.S. 8-year-olds is autistic. In California, the rate is closer to 1 in 22 children.
As diverse as the autistic population is, people across the spectrum are more likely to be stopped by law enforcement than neurotypical peers.
About 15% of all people in the U.S. ages 18 to 24 have been stopped by police at some point in their lives, according to federal data. While the government doesn’t track encounters for disabled people specifically, a separate study found that 20% of autistic people ages 21 to 25 have been stopped, often after a report or officer observation of a person behaving unusually.
Some of these encounters have ended in tragedy.
In 2021, Los Angeles County sheriff’s deputies shot and permanently paralyzed a deaf autistic man after family members called 911 for help getting him to a hospital.
Isaias Cervantes, 25, had become distressed about a shopping trip and started pushing his mother, his family’s attorney said at the time. He resisted as two deputies attempted to handcuff him and one of the deputies shot him, according to a county report.
In 2024, Ryan Gainer’s family called 911 for support when the 15-year-old became agitated. Responding San Bernardino County sheriff‘s deputies shot and killed him outside his Apple Valley home.
Last year, police in Pocatello, Idaho, shot Victor Perez, 17, through a chain-link fence after the nonspeaking teenager did not heed their shouted commands. He died from his injuries in April.
Sheriff’s deputies take a trivia quiz using their non-writing hands, while wearing vision-distorting glasses, as Kate Movius, standing left, and Industry Mayor Cory Moss, right, ring cowbells. The idea was to help them understand the sensory overwhelm some autistic people experience.
(Genaro Molina / Los Angeles Times)
As early as 2001, the FBI published a bulletin on police officers’ need to adjust their approach when interacting with autistic people.
“Officers should not interpret an autistic individual’s failure to respond to orders or questions as a lack of cooperation or as a reason for increased force,” the bulletin stated. “They also need to recognize that individuals with autism often confess to crimes that they did not commit or may respond to the last choice in a sequence presented in a question.”
But a review of multiple studies last year by Chapman University researchers found that while up to 60% of officers have been on a call involving an autistic person, only 5% to 40% had received any training on autism.
In response, universities, nonprofits and private consultants across the U.S. have developed curricula for law enforcement on how to recognize autistic behaviors and adapt accordingly.
The primary goal, Movius told deputies at November’s training session, is to slow interactions down to the greatest extent possible. Many autistic people require additional time to process auditory input and verbal responses, particularly in unfamiliar circumstances.
If at all possible, Movius said, wait 20 seconds for a response after asking a question. It may feel unnaturally long, she acknowledged. But every additional question or instruction fired in that time — what’s your name? Did you hear me? Look at me. What’s your name? — just decreases the likelihood that a person struggling to process will be able to respond at all.
Moss’ son, Brayden, then 17, was one of several teenagers and young adults with autism who spoke or wrote statements to be read to the deputies. The diversity of their speech patterns and physical mannerisms showed the breadth of the spectrum. Some were fluently verbal, while others communicated through signs and notes.
“This population is so diverse. It is so complicated. But if there’s anything that we can show [deputies] in here that will make them stop and think, ‘Hey, what if this is autism?’ … it is saving lives,” Moss said.
Mayor Cory Moss, left, and Kate Movius hug at the end of the training program last November. Movius started Autism Interaction Solutions after her son was born with profound autism.
(Genaro Molina / Los Angeles Times)
Some disability advocates cautioned that it takes more than isolated training sessions to ensure encounters end safely.
Judy Mark, co-founder and president of the nonprofit Disability Voices United, says she trained thousands of officers on safe autism interactions but stopped after Cervantes’ shooting. She now urges families concerned about an autistic child’s safety to call an ambulance rather than law enforcement.
“I have significant concern about these training sessions,” Mark said. “People get comfort from it, and the Sheriff’s Department can check the box.”
While not a panacea, supporters argue that a brief course is better than no preparation at all. Some years ago, Movius received a letter from a man whose profoundly autistic son slipped away as the family loaded their car at the beach. He opened the unlocked door of a police vehicle, climbed into the back and began to flail in distress.
Though surprised, the officer seated at the wheel de-escalated the situation and helped the young man find his family, the father wrote to Movius. He had just been to her training.
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