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Dozens of patients file suit against former OB-GYN and Cedars-Sinai, alleging misconduct

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Dozens of patients file suit against former OB-GYN and Cedars-Sinai, alleging misconduct

Thirty-five women are suing a Beverly Hills obstetrician-gynecologist, Cedars-Sinai Medical Center and other medical practices where the doctor worked, alleging decades of sexual and medical misconduct that the health facilities enabled and concealed.

The lawsuit, filed late Monday in Los Angeles County Superior Court, alleges that Dr. Barry Brock had, for years, made lewd and unsettling comments to patients; groped their breasts and genitals during medically unnecessary exams, sometimes without gloves; and engaged in “female genital mutilation” by giving women unneeded sutures, among other reported misconduct.

The suit also alleges the longtime physician denied caesarean sections to patients who needed them.

Brock has repeatedly denied any wrongdoing or sexual misconduct, saying he had never touched a patient inappropriately or made sexually suggestive or harassing remarks.

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The longtime OB-GYN said in a statement Tuesday that the allegations in the lawsuit were false and outrageous, calling them “flat-out lies, made up events that never happened, exaggerated and fabricated statements, and worse.”

Attorneys “have made it seem as if I was grooming patients even by just speaking to them, insanely claiming that suturing a patient after childbirth is genital mutilation, and saying that my standard vaginal exams and pap smears were ‘sadistic,’” Brock said.

He said that patient records and witnesses “will help me prove the truth of what happened here.”

Cedars-Sinai said in a statement Tuesday that the kind of behavior alleged about Brock, who is no longer practicing medicine at its facilities, is “counter to Cedars-Sinai’s core values and the trust we strive to earn every day with our patients.”

“We recognize the legal process must now take its course, and we remain committed to Cedars-Sinai’s sacred healing mission and serving our community.”  

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The doctor is also facing an accusation before the Medical Board of California, where he is accused of committing “repeated negligent acts.” According to the official complaint, Brock failed to give a patient enough pain medication while treating her for a miscarriage, and failed to properly clear material from her uterus, among other accusations.

In a statement, Brock said the events outlined in the accusation were not an accurate description of his treatment of the patient and that some allegations were “completely inconsistent with my practices.”

For instance, Brock said he could not imagine refusing to address severe pain suffered by a patient. “Based on what I know of my care and treatment of this patient,” he said, “I will successfully defend my treatment as being within the standard of care.”

Brock, 74, said he had been an attending physician at Cedars-Sinai since the early 1980s, and had never before faced an accusation from the medical board.

He left its physician network in 2018 but retained hospital privileges at Cedars-Sinai while working in private practice at Rodeo Drive Women’s Health Center and Beverly Hills OB/GYN, which were also named as defendants in the lawsuit. Both organizations had yet to respond to requests for comment Tuesday.

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In July, Cedars-Sinai said it had suspended Brock’s hospital privileges after receiving “concerning complaints” from his former patients. A few months later, his hospital privileges were terminated.

At that time, a spokesperson for Cedars-Sinai said that privacy laws prohibited the medical center from confirming the existence of any patient complaints or disciplinary action taken against Brock before this year.

The lawsuit alleges that both patients and medical staff reported concerns about Brock to Cedars-Sinai long before the complaints that led to the termination of his hospital privileges.

Cedars-Sinai administrators received “ample and repeated warnings” about his misconduct and abuse of patients through past lawsuits, as well as complaints to the state medical board and to the health system itself, the lawsuit alleged. Yet the medical center and other defendants continued to “expose more unsuspecting female patients to a known serial sexual predator,” the suit alleged.

Plaintiffs are represented by a legal team that includes Anthony T. DiPietro, an attorney who has also represented patients of convicted sex offender Robert Hadden, formerly a gynecologist at Columbia University, and Mike Arias, who like DiPietro has represented patients of former USC gynecologist George Tyndall.

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The complaint details allegations from 35 former patients ranging in age from their 20s to their 60s. Some saw Brock only once and refused to see him again, while others were treated by him repeatedly over a period of years. The timing of their care ranges from the mid-1980s to this year, according to the complaint.

Nearly a dozen patients alleged unnecessary suturing or crude comments about it: Brock told several plaintiffs he inserted an “extra stitch” in their perineal areas to make them “tighter” after childbirth, the lawsuit said.

In one instance, according to the lawsuit, Brock said, “I’m going to sew her up virgin-tight” in front of a woman’s husband and parents after childbirth. In another, Brock told a woman that she had not suffered any tearing, but told her husband, “Don’t worry, dad, I’ll throw a stitch in there for you,” and proceeded to suture her without her consent, the lawsuit alleged.

Some suffered ongoing pain or urinary complications after “this barbaric and entirely unnecessary form of female genital mutilation,” the lawsuit said. Doctors for one patient described the stitching as “the equivalent of a female circumcision,” the lawsuit said.

Brock told The Times that he performed perineal suturing only if there was a laceration, and that if he did so, “there was always consent.”

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The lawsuit also included allegations of violent and threatening behavior. One former patient alleged that Brock “violently thrust” a speculum into her vagina, opened it and “proceeded to pump the instrument in and out of her, simulating intercourse.”

The woman said she reported the experience and other concerning encounters with Brock to an executive at Rodeo Drive Women’s Health Center, where Brock worked at the time. No action was taken against him, according to the lawsuit.

Brock told The Times that he had never forced in a speculum and called the claim about simulating intercourse “complete nonsense” that “appears to be a tricky lawyer way to make an appropriate medical exam seem like an assault.”

In the lawsuit, two women alleged that he forced them to feel his erection. One said he had “proceeded to rub his erect penis against her hand” while she was alone with him in an exam room, the lawsuit said.

Another alleged that while she was in labor, Brock walked in and put her foot on his erection, then grabbed her foot again when she tried to move it away.

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Brock, in his statement, said he had “NEVER NEVER told any patient to touch me in any way,” nor touched patients inappropriately, and had never had an erection during an exam.

The lawsuit also alleged that Brock forced patients to undergo sensitive physical exams even after they refused. A decision to do a pelvic or breast exam should be a shared one between a physician and a patient, the lawsuit said, and “such invasive procedures should never be performed without the patient’s knowledge, understanding, and consent.”

In one case, the lawsuit said, Brock pulled down the pants of a woman who refused a vaginal examination in front of her daughter and “was so aggressive that [the woman] immediately ran out of the room in tears.”

Brock, in his statement, denied ever pulling down the pants of a patient and said that if a woman wanted to refuse a Pap smear or pelvic examination, that would be her right. He also said he always wore gloves to protect himself and patients during pelvic exams.

Another patient alleged that Brock ignored her when she said a breast exam was unnecessary. Instead, the complaint alleges, he unhooked her bra, squeezed her breasts and told her, “You have perfect breasts. Does your husband tell you that?” She was one of five women who said he removed their bras without consent before touching their breasts, according to the complaint.

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Other patients alleged that Brock refused to leave the room as they undressed or denied their request for a hospital gown, requiring them to go through examinations naked.

Brock told The Times that he either leaves the room when a patient undresses or, if a patient in a hurry requests it, turns while they change behind a curtain, and “there never would be a case where a gown was not provided upon request.” He said if a patient turned down a breast exam, he would not perform one.

The doctor added that on a few occasions when a patient had not removed their bra before putting on a gown, he had assisted a patient in unclasping it for a breast exam. “This was not done for any improper purpose and was done that way so the patient did not need to take off the gown,” Brock said.

In the lawsuit, many patients described sexual remarks: One said Brock told her that her vagina looked “ripe” and peppered her with invasive questions, such as asking whether her partner would ejaculate on her body during sex, according to the lawsuit. Several patients noted that while examining the women’s genitals or breasts, Brock commented on how “lucky” or “happy” their partners must be, the suit said.

Brock denied making such remarks. “I have never spoken those words,” he said.

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The lawsuit alleges that Cedars-Sinai was repeatedly informed about concerns with Brock. One patient who saw him between 2011 and 2013 reported his behavior to office staff and asked to switch to a different doctor, according to the lawsuit. Another who saw him in 2018 and 2019 informed her regular physician, who was also affiliated with Cedars-Sinai, about his actions, the suit said.

Another former patient, herself an employee of Cedars-Sinai at the time, filed a formal complaint with the medical center after a 2017 prenatal appointment in which Brock allegedly groped her breasts “under the guise of medical care” and made inappropriate comments to her and her husband, according to the suit.

Though she was told there would be consequences for Brock — who was in Cedars-Sinai’s physician network at the time — she heard nothing more from the medical center, the complaint states.

The lawsuit said another patient who tried to report misconduct to Cedars-Sinai earlier this year was initially told that the medical center wouldn’t take action because the doctor was in private practice.

She then contacted Beverly Hills OB-GYN, which had referred her to Brock after her usual physician was unavailable. When she received no response after sharing her experience, the woman lodged a formal, written complaint with Cedars-Sinai by email, according to the suit. It was only then, the lawsuit said, that her complaint was taken seriously and Brock had his hospital privileges suspended.

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A Cedars-Sinai spokesperson told The Times in September that the hospital system had terminated clinical privileges for Brock after an investigation and reported the matter to the state medical board.

Brock, however, said he had surrendered his privileges without any “fact finding” or “hearing on the merits” of the allegations under investigation. In August, he had informed patients he would retire at the end of the month due to the “uncertainty of how long this process will take.”

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A retired teacher found some seahorses off Long Beach. Then he built a secret world for them

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A retired teacher found some seahorses off Long Beach. Then he built a secret world for them

Rog Hanson emerges from the coastal waters, pulls a diving regulator out of his mouth and pushes a scuba mask down around his neck.

“Did you see her?” he says. “Did you see Bathsheba?”

On this quiet Wednesday morning, a paddle boarder glides silently through the surf off Long Beach. Two stick-legged whimbrels plunge their long curved beaks into the sand, hunting for crabs.

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But Hanson, 68, is enchanted by what lies hidden beneath the water. Today he took a visitor on a tour of the secret world he built from palm fronds and pine branches at the bottom of the bay: his very own seahorse city.

The visitor confirms that she did see Bathsheba, an 11-inch-long orange Pacific seahorse, and a grin spreads across Hanson’s broad face.

“Isn’t she beautiful?” he says. “She’s our supermodel.”

If you get Hanson talking about his seahorses, he’ll tell you exactly how many times he’s seen them (997), who is dating whom, and describe their personalities with intimate familiarity. Bathsheba is stoic, Daphne a runner. Deep Blue is chill.

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He will also tell you that getting to know these strange, almost mythical beings has profoundly affected his life.

“I swear, it has made me a better human being,” he says. “On land I’m very C-minus, but underwater, I’m Mensa.”

Hanson is a retired schoolteacher, not a scientist, but experts say he probably has spent more time with Pacific seahorses, also known as Hippocampus ingens, than anyone on Earth.

“To my knowledge, he is the only person tracking ingens directly,” says Amanda Vincent, a professor at the University of British Columbia and director of the marine conservation group Project Seahorse. “Many people love seahorses, but Roger’s absorption with them is definitely distinctive. There’s a degree of warm obsession there, perhaps.”

Rog Hanson posing in his gear on the beach.

Rog Hanson keeps watch over a small colony of Pacific seahorses.

(Carolyn Cole / Los Angeles Times)

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Over the last three years, Hanson has made the two-hour trek from his home in Moreno Valley to the industrial shoreline of Long Beach to visit his “kids” about every five days. To avoid traffic, he often leaves at 2 a.m. and then sleeps in his car when he arrives.

He keeps three tanks of air and his scuba gear in the trunk of his 2009 Kia Rio. A toothbrush and a pair of pink leopard print reading glasses rest on the dash.

Hanson makes careful notes after all his dives in a colorful handmade log book he stores in a three-ring binder. On this Wednesday he dutifully records the water temperature (62 degrees), the length of the dive (58 minutes), the greatest depth (15 feet) and visibility (3 feet), as well as the precise location of each seahorse. His notes also include phase of the moon, the tidal currents and the strength of the UV rays.

“Scientists will tell you that sunlight is an important statistic to keep down,” he says.

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He has given each of his four seahorses a unique logo that he draws with markers in his log book. Bathsheba’s is a purple star outlined in red, Daphne’s is a brown striped star in a yellow circle.

A detailed log of seahorse sightings written in a notebook with colorful inks.

Rog Hanson makes careful notes after all his dives. He has given each of his four seahorses a unique logo.

(Carolyn Cole / Los Angeles Times)

He’s learned that the seahorses don’t like it when he hovers nearby for too long. Now he limits his interactions with them to 15 to 30 seconds at a time.

“At first I bugged them too much,” he says. “I was the paparazzi swimming around.”

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Hanson traces the origins of his seahorse story back nearly two decades to the early morning of Dec. 30, 2000.

He was diving solo off Shaw’s Cove in Laguna Beach when a slow-moving giant emerged from the abyss. It was a gray whale whose 40-foot frame cast Hanson in shadow.

The whale could have killed him with a flick of its tail, Hanson says, but he felt no fear. The two made eye contact and, as Hanson tells it, he felt the whale’s gaze peering directly into his soul.

It was all over in 10 seconds, but Hanson was altered. He had always wanted to live at the beach, but after this encounter, he vowed to make it happen. It took years —15, in fact — but he finally got a job as a special education teacher in the Long Beach public school system. He bought a van and parked it on Ocean Boulevard. He lived at the beach and dived every day for 3½ months before moving to Moreno Valley.

To amuse himself while he lived at the beach, he built an underwater city he called Littleville out of discarded toys he found at the bottom of the bay.

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Hanson saw his first seahorse in January 2016 while checking on Littleville. It was bright orange, just 4.5 inches long, and Hanson, who had logged over a thousand dives in the area, knew it didn’t belong there.

A red seahorse surrounded by sealife under water.

Daphne is one of the seahorses that Rog Hanson is studying in Alamitos Bay.

(Carolyn Cole / Los Angeles Times)

The range of the Pacific seahorse is generally thought to extend from Peru to as far north as San Diego. This seahorse ended up about 100 miles north of that.

Scientists said the seahorse and others that joined her had probably ridden an unusual pulse of warm water up the coast, along with other animals generally found in southern waters.

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“We were getting a lot of weird sightings in the fall of 2015,” says Sandy Trautwein, vice president of husbandry at the Aquarium of the Pacific. “There was a yellow-bellied sea snake, bluefin tuna, marlin, whale sharks — a lot of animals associated with warm water.”

Most of these animals eventually left after ocean temperatures returned to normal, but Hanson’s seahorses stayed.

That may be because Hanson had built them a home.

It happened like this: In June 2016 he watched in horror as more than 100 high school football players splashed in the shallow waters, right where his seahorses usually hung out.

“I thought, I gotta do something, I gotta do something,” he says.

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“On land I’m very C-minus, but underwater, I’m Mensa.”

— Rog Hanson

Then he remembered that, back in the Midwest where he grew up, he used to help the city park service make “fish cribs.” In early spring they would use brush and twigs to build what looked like a miniature log cabin with no roof on an ice-covered lake. When the ice melted, the cribs would fall to the bottom, creating a habitat for fish and other animals.

“So I said to myself, build them a city that’s deeper, where feet can’t get to it even at low tide,” Hanson says.

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And he did.

By July 2016 two pairs of seahorses had moved into the new habitat. Daphne, the runner, was named after the nymph from Greek mythology who flees Apollo, Kenny’s name came from the proprietor of a local kayaking company. “Bathsheba” was inspired by a Bible story, and her mate, Deep Blue, named after a dive shop that has helped sponsor Hanson’s work since he launched his seahorse study.

He’s seen Kenny’s and Deep Blue’s bellies swell with pregnancy and noted how their partners check in on them daily, frequently standing sentinel nearby. He’s visited the fish at odd hours to see how their behavior changes from morning to night. And he mourned when Kenny disappeared in January. He still hasn’t come back. (A new member, CD Street, arrived June 29.)

“It feels like I’m reading a book, the book of their life, and I can’t put it down,” he says.

He’s also reached out to seahorse scientists across the globe to compare notes. “I won’t say I know the most about seahorses in the world, but I know the people who do,” he says.

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Amanda Vincent, the director of Project Seahorse, says that seahorses spark an emotional reaction in almost everyone.

Daphne is one of the seahorses that Rog Hanson is studying in Alamitos Bay.

Daphne is one of the seahorses that Rog Hanson is studying in Alamitos Bay. Hanson and Ashley Arnold keep watch over a small colony of Pacific seahorses.

(Carolyn Cole / Los Angeles Times)

“Remember those books with three flaps where you can mix the head of a giraffe with the body of a snake and the tail of a monkey? That’s what we’ve got here,” she says. “They appeal to the sense of fancy and wonder in us.”

When Mark Showalter, a planetary astronomer at the SETI Institute, recently discovered a moon orbiting Neptune, he named it Hippocamp in part because of his love of seahorses.

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“I’ve seen them in the wild and they are marvelously strange and interesting,” he says. “It’s a fish, but it doesn’t look anything like a fish.”

Pacific seahorses are among the largest members of the seahorse family. Males can grow up to 14 inches long, while females generally top out at about 11. They come in a variety of colors, including orange, maroon, brown and yellow. They are talented camouflagers that can alter the color of their exoskeleton to blend into their environment.

“I won’t say I know the most about seahorses in the world, but I know the people who do.”

But perhaps their most distinguishing characteristic is that they are the only known species in the animal kingdom to exhibit a true male pregnancy. Females deposit up to 1,500 eggs in the male’s pouch. The males incubate the eggs, providing nutrition and oxygen for the growing embryos. When the larval seahorses are ready to be released, he goes into labor — scientists call it “jackknifing” — pushing his trunk toward his tail.

After three years of observation, Hanson has collected new evidence about seahorse mating practices. His research suggests that although most seahorses are monogamous, a female will mate with two males if there are no other female seahorses around.

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He also found that males, who are in an almost constant state of pregnancy, tend to stick to an area about the size of a king-size mattress, while the females roam up to 150 feet from their home during a typical day.

Eventually, he may be able to help scientists answer another long-standing question: What is the lifespan of Pacific seahorses in the wild? Some researchers say about five years; others think it could be up to 12.

“It will be interesting to see what Roger finds out,” Vincent says.

In June 2017, about one year after Hanson began formally tracking the seahorses, he took on a partner: a young scuba instructor named Ashley Arnold.

Arnold, who has short red hair and a jocular vibe, is a former Army staff sergeant who served in Iraq and Afghanistan. She learned to dive as part of a program the Salt Lake City Veterans Affairs hospital offered to female veterans suffering from post-traumatic stress disorder and military sexual trauma. Arnold suffered from both. Diving became her salvation.

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Dive instructor Ashley Arnold sitting at the bed of a truck.

Dive instructor Ashley Arnold is a former Army staff sergeant who says that diving at least twice a week helps her deal with PTSD and MST.

(Carolyn Cole / Los Angeles Times)

“All the irritation on the surface disappears when you go under the water,” she says. “It’s like, ‘What was I concerned about?’ You forget about everything else. Nothing else matters.”

She used her GI Bill to pay for a scuba instructor course and to set up her own business. Now, she finds that if she dives at least twice a week and has a dog, she does not need to take medication.

“All the irritation on the surface disappears when you go under the water.”

— Ashley Arnold

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“That’s a pretty big statement in my opinion,” she says.

Arnold and Hanson met in June 2016 on a dive trip to Catalina. Hanson mentioned his seahorses. Arnold was intrigued, but still lived in Salt Lake City.

One year later, Arnold moved to Huntington Beach and gave Hanson a call.

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“I said, ‘Hey Roger, let’s chat. Any chance I could join you at the seahorses you talked about?’” she says. “And he decided I was acceptable.”

Now, Arnold and her boyfriend, Jake Fitzgerald, check in on the seahorses about once a week and help Roger rebuild the city he created for them.

Rog Hanson and Ashley Arnold posing in their gear on the beach.

Rog Hanson, 68, teamed up with dive instructor Ashley Arnold two years ago to keep watch over a small colony of Pacific seahorses.

(Carolyn Cole / Los Angeles Times)

“We call them our kids because we love them so much,” Arnold says.

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Hanson and Arnold are very protective of their seahorse family. They tell visitors to remove GPS tags from their photos. They swear them to secrecy.

There is little chance anyone would find Hanson’s seahorses without a guide. Also, diving in these waters off Long Beach can be a challenge.

The water is shallow. It’s hard to get your buoyancy right. A misplaced flipper kick can stir up blinding sand and silt.

But if Hanson wants to show you his underwater world, nothing will stop him. He will hold you firmly by the hand and guide you down to the forest he built at the bottom of the bay.

Rog Hanson rinses off Ashley Arnold in her gear on the beach.

Ashley Arnold, right, gets rinsed off with a hose by Rog Hanson after a dive Alamitos Bay.

(Carolyn Cole / Los Angeles Times)

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He will use a plastic tent stake, jabbing it into the bottom to propel himself — and you holding on — across the ocean floor. When he spots a seahorse he will use the stake as a pointer. Through the murky water you strain to see. Then it appears.

Orange and rigid. Thin snout. Bony plates. Stripes down the torso. Totally still.

And if you’ve never seen a seahorse in the wild before, you will feel honored and awed, as if you’ve just seen a unicorn beneath the sea.

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California’s summer COVID wave shows signs of waning. What are the numbers in your community?

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California’s summer COVID wave shows signs of waning. What are the numbers in your community?

There are some encouraging signs that California’s summer COVID wave might be leveling off.

That’s not to say the seasonal spike is in the rearview mirror just yet, however. Coronavirus levels in California’s wastewater remain “very high,” according to the U.S. Centers for Disease Control and Prevention, as they are in much of the country.

But while some COVID indicators are rising in the Golden State, others are starting to fall — a hint that the summer wave may soon start to decline.

Statewide, the rate at which coronavirus lab tests are coming back positive was 11.72% for the week that ended Sept. 6, the highest so far this season, and up from 10.8% the prior week. Still, viral levels in wastewater are significantly lower than during last summer’s peak.

The latest COVID hospital admission rate was 3.9 hospitalizations for every 100,000 residents. That’s a slight decline from 4.14 the prior week. Overall, COVID hospitalizations remain low statewide, particularly compared with earlier surges.

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The number of newly admitted COVID hospital patients has declined slightly in Los Angeles County and Santa Clara County, but ticked up slightly up in Orange County. In San Francisco, some doctors believe the summer COVID wave is cresting.

“There are a few more people in the hospitals, but I think it’s less than last summer,” said Dr. Peter Chin-Hong, a UC San Francisco infectious diseases expert. “I feel like we are at a plateau.”

Those who are being hospitalized tend to be older people who didn’t get immunized against COVID within the last year, Chin-Hong said, and some have a secondary infection known as superimposed bacterial pneumonia.

Los Angeles County

In L.A. County, there are hints that COVID activity is either peaking or starting to decline. Viral levels in local wastewater are still rising, but the test positivity rate is declining.

For the week that ended Sept. 6, 12.2% of wastewater samples tested for COVID in the county were positive, down from 15.9% the prior week.

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“Many indicators of COVID-19 activity in L.A. County declined in this week’s data,” the L.A. County Department of Public Health told The Times on Friday. “While it’s too early to know if we have passed the summer peak of COVID-19 activity this season, this suggests community transmission is slowing.”

Orange County

In Orange County, “we appear to be in the middle of a wave right now,” said Dr. Christopher Zimmerman, deputy medical director of the county’s Communicable Disease Control Division.

The test positivity rate has plateaued in recent weeks — it was 15.3% for the week that ended Sept. 6, up from 12.9% the prior week, but down from 17.9% the week before that.

COVID is still prompting people to seek urgent medical care, however. Countywide, 2.9% of emergency room visits were for COVID-like illness for the week that ended Sept. 6, the highest level this year, and up from 2.6% for the week that ended Aug. 30.

San Diego County

For the week that ended Sept. 6, 14.1% of coronavirus lab tests in San Diego County were positive for infection. That’s down from 15.5% the prior week, and 16.1% for the week that ended Aug. 23.

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Ventura County

COVID is also still sending people to the emergency room in Ventura County. Countywide, 1.73% of ER patients for the week that ended Sept. 12 were there to seek treatment for COVID, up from 1.46% the prior week.

San Francisco

In San Francisco, the test positivity rate was 7.5% for the week that ended Sept. 7, down from 8.4% for the week that ended Aug. 31.

“COVID-19 activity in San Francisco remains elevated, but not as high as the previous summer’s peaks,” the local Department of Public Health said.

Silicon Valley

In Santa Clara County, the coronavirus remains at a “high” level in the sewershed of San José and Palo Alto.

Roughly 1.3% of ER visits for the week that ended Sunday were attributed to COVID in Santa Clara County, down from the prior week’s figure of 2%.

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Early adopters of ‘zone zero’ fared better in L.A. County fires, insurance-backed investigation finds

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Early adopters of ‘zone zero’ fared better in L.A. County fires, insurance-backed investigation finds

As the Eaton and Palisades fires rapidly jumped between tightly packed houses, the proactive steps some residents took to retrofit their homes with fire-resistant building materials and to clear flammable brush became a significant indicator of a home’s fate.

Early adopters who cleared vegetation and flammable materials within the first five feet of their houses’ walls — in line with draft rules for the state’s hotly debated “zone zero” regulations — fared better than those who didn’t, an on-the-ground investigation from the Insurance Institute for Business and Home Safety published Wednesday found.

Over a week in January, while the fires were still burning, the insurance team inspected more than 250 damaged, destroyed and unscathed homes in Altadena and Pacific Palisades.

On properties where the majority of zone zero land was covered in vegetation and flammable materials, the fires destroyed 27% of homes; On properties with less than a quarter of zone zero covered, only 9% were destroyed.

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The Insurance Institute for Business and Home Safety, an independent research nonprofit funded by the insurance industry, performed similar investigations for Colorado’s 2012 Waldo Canyon fire, Hawaii’s 2023 Lahaina fire and California’s Tubbs, Camp and Woolsey fires of 2017 and 2018.

While a handful of recent studies have found homes with sparse vegetation in zone zero were more likely to survive fires, skeptics say it does not yet amount to a scientific consensus.

Travis Longcore, senior associate director and an adjunct professor at the UCLA Institute of the Environment and Sustainability, cautioned that the insurance nonprofit’s results are only exploratory: The team did not analyze whether other factors, such as the age of the homes, were influencing their zone zero analysis, and how the nonprofit characterizes zone zero for its report, he noted, does not exactly mirror California’s draft regulations.

Meanwhile, Michael Gollner, an associate professor of mechanical engineering at UC Berkeley who studies how wildfires destroy and damage homes, noted that the nonprofit’s sample does not perfectly represent the entire burn areas, since the group focused specifically on damaged properties and were constrained by the active firefight.

Nonetheless, the nonprofit’s findings help tie together growing evidence of zone zero’s effectiveness from tests in the lab — aimed at identifying the pathways fire can use to enter a home — with the real-world analyses of which measures protected homes in wildfires, Gollner said.

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A recent study from Gollner looking at more than 47,000 structures in five major California fires (which did not include the Eaton and Palisades fires) found that of the properties that removed vegetation from zone zero, 37% survived, compared with 20% that did not.

Once a fire spills from the wildlands into an urban area, homes become the primary fuel. When a home catches fire, it increases the chance nearby homes burn, too. That is especially true when homes are tightly packed.

When looking at California Department of Forestry and Fire Protection data for the entirety of the two fires, the insurance team found that “hardened” homes in Altadena and the Palisades that had noncombustable roofs, fire-resistant siding, double-pane windows and closed eaves survived undamaged at least 66% of the time, if they were at least 20 feet away from other structures.

But when the distance was less than 10 feet, only 45% of the hardened homes escaped with no damage.

“The spacing between structures, it’s the most definitive way to differentiate what survives and what doesn’t,” said Roy Wright, president and chief executive of the Insurance Institute for Business and Home Safety. At the same time, said Wright, “it’s not feasible to change that.”

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Looking at steps that residents are more likely to be able to take, the insurance nonprofit found that the best approach is for homeowners to apply however many home hardening and defensible space measures that they can. Each one can shave a few percentage points off the risk of a home burning, and combined, the effect can be significant.

As for zone zero, the insurance team found a number of examples of how vegetation and flammable materials near a home could aid the destruction of a property.

At one home, embers appeared to have ignited some hedges a few feet away from the structure. That heat was enough to shatter a single pane window, creating the perfect opportunity for embers to enter and burn the house from the inside out. It miraculously survived.

At others, embers from the blazes landed on trash and recycling bins close to the houses, sometimes burning holes through the plastic lids and igniting the material inside. In one instance, the fire in the bin spread to a nearby garage door, but the house was spared.

Wooden decks and fences were also common accomplices that helped embers ignite a structure.

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California’s current zone zero draft regulations take some of those risks into account. They prohibit wooden fences within the first five feet of a home; the state’s zone zero committee is also considering whether to prohibit virtually all vegetation in the zone or to just limit it (regardless, well-maintained trees are allowed).

On the other hand, the draft regulations do not prohibit keeping trash bins in the zone, which the committee determined would be difficult to enforce. They also do not mandate homeowners replace wooden decks.

The controversy around the draft regulations center around the proposal to remove virtually all healthy vegetation, including shrubs and grasses, from the zone.

Critics argue that, given the financial burden zone zero would place on homeowners, the state should instead focus on measures with lower costs and a significant proven benefit.

“A focus on vegetation is misguided,” said David Lefkowith, president of the Mandeville Canyon Assn.

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At its most recent zone zero meeting, the Board of Forestry and Fire Protection directed staff to further research the draft regulations’ affordability.

“As the Board and subcommittee consider which set of options best balance safety, urgency, and public feasibility, we are also shifting our focus to implementation and looking to state leaders to identify resources for delivering on this first-in-the-nation regulation,” Tony Andersen, executive officer of the board, said in a statement. “The need is urgent, but we also want to invest the time necessary to get this right.”

Home hardening and defensible space are just two of many strategies used to protect lives and property. The insurance team suspects that many of the close calls they studied in the field — homes that almost burned but didn’t — ultimately survived thanks to firefighters who stepped in. Wildfire experts also recommend programs to prevent ignitions in the first place and to manage wildlands to prevent intense spread of a fire that does ignite.

For Wright, the report is a reminder of the importance of community. The fate of any individual home is tied to that of those nearby — it takes a whole neighborhood hardening their homes and maintaining their lawns to reach herd immunity protection against fire’s contagious spread.

“When there is collective action, it changes the outcomes,” Wright said. “Wildfire is insidious. It doesn’t stop at the fence line.”

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