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R.S.V. Strains California Hospitals

California is dealing with a spike in coronavirus, flu and, recently, R.S.V. cases.Credit…Mark J. Terrill/Associated Press

The Covid-19 pandemic persists, we’re in the midst of flu season and now there’s a new threat to worry about: R.S.V.

Perhaps you’ve heard of the possibility of a “tripledemic,” an alarming sequel to last winter’s “twindemic” with the addition of respiratory syncytial virus, or R.S.V. It is by no means a new virus, but the number of children falling ill — and particularly the number becoming seriously ill — has climbed quickly this fall and remains significantly higher than usual across California and the U.S.

“R.S.V. has just surged: We keep thinking it’s peaked, but then it keeps on going up,” said Dr. Tami Hendriksz, a pediatrician and the dean of Touro University’s College of Osteopathic Medicine in Vallejo. “We still haven’t seen the top of this peak yet.”

Anyone can catch R.S.V., but it’s especially dangerous for infants, toddlers and older adults. In a typical year in the U.S., the virus kills about 14,000 adults 65 and older and up to 300 children under 5, as my colleague Emily Baumgaertner recently reported.

The virus clogs airways in the lungs, and the airways of young children are more easily blocked because they’re so small. In California, where rates of R.S.V. and hospitalizations are higher than they’ve been in years, at least two children have died from the virus since October, according to state data.

Unfortunately, this surge in California coincides with an uptick in coronavirus cases, as well as a large spike in flu cases. Only three states in the U.S. currently have more flu activity than California, according to data from the C.D.C.

On Nov. 14, California health officials reported the death of a child under 5 who was infected with both the flu and R.S.V. “This tragic event serves as a stark reminder that respiratory viruses can be deadly, especially in very young children and infants,” Dr. Tomás Aragón, the California Department of Public Health director, said in a statement.

Doctors suspect that children who ordinarily would have been exposed to R.S.V. over the last couple of years were not because of social distancing measures. “They’re all getting exposed for the very first time now, so we’re just seeing these frighteningly high levels of cases,” Hendriksz told me.

Hendriksz and other public health experts are encouraging parents to do whatever they can to protect their children’s health in other ways (like getting flu shots and Covid boosters) since there is no widely available vaccine for R.S.V.

In California, Orange County officials recently declared a health emergency because of record numbers of pediatric hospitalizations and emergency room visits, driven in part by growing numbers of R.S.V. cases. Officials in San Diego, Santa Clara, Los Angeles and several other counties have sounded similar alarms.

More on California

  • Jaywalking Law: California has had one of the strictest jaywalking laws in the nation. Starting Jan. 1, that will no longer be the case.
  • Remaking a River: Taming the Los Angeles River helped Los Angeles emerge as a global megalopolis, but it also left a gaping scar across the territory. Imagining the river’s future poses new challenges.
  • A Piece of Black History Destroyed: Lincoln Heights — a historically Black community in a predominantly white, rural county in Northern California — endured for decades. Then came the Mill fire.
  • Employee Strike: In one of the nation’s biggest strikes in recent years, teaching assistants, researchers and other workers across the University of California system walked off the job to demand higher pay.

“Every children’s hospital that I’m aware of is absolutely swamped,” Dr. Coleen Cunningham, the pediatrician in chief at Children’s Hospital of Orange County, told Emily. The R.S.V. surge has been so severe for pediatricians, another doctor said, that “this is our March 2020.”

For more:

  • How can you protect yourself from R.S.V.? Everything you need to know.

  • There may one day be an R.S.V. vaccine.

  • Scientists aren’t sure that boosters will prevent a winter Covid wave.


Two Southern California residents and their dog cooled off along the Whitewater River last year.Credit…Photo by Mario Tama/Getty Images

The rest of the news

  • Possible water cuts: Federal water managers on Monday warned California cities that receive water from the Central Valley Project to prepare for a fourth year of drought and a water supply that may be extremely limited, CNBC reports.

  • U.C. strike: Unions representing 48,000 academic workers across the University of California system entered their third strike week to protest pay and benefit levels, KABC reported.

  • Marijuana pardons: President Biden’s cannabis pardons help just a sliver of those who were swept up in the decades-long war on drugs.

  • California cooking: In her new cookbook, Tanya Holland, the acclaimed owner of Oakland’s Brown Sugar Kitchen, traces the Great Migration’s influence on West Coast cuisine.

SOUTHERN CALIFORNIA

  • Tragic scene: The police say a man killed three relatives of a Riverside teenager he met through online deception and then fled with her before he was shot dead by sheriff’s deputies, The Los Angeles Times reports.

  • Juvenile detention problems: Los Angeles County’s juvenile halls have become unsafe and chaotic over the past seven months, The Los Angeles Times reports.

  • Freezing temperatures: Cool air moving through the Southland this week is expected to deliver subfreezing temperatures and a potentially significant storm system by week’s end, The Los Angeles Times reports.

CENTRAL CALIFORNIA

  • Cal Poly SLO: The most selective university in the California State University system enrolled just 146 undergraduate Black students this fall. And it’s been that way for years, CalMatters reports.

NORTHERN CALIFORNIA

  • Musk and Twitter: In a series of tweets on Monday, Elon Musk accused Apple of threatening to pull Twitter from its App Store and of trying to censor speech.

  • Rain and snow: Temperatures across Northern California will plunge this week as multiple storm systems are expected to drop rain in Sacramento and dump snow on the Sierra Nevada, The Sacramento Bee reports.


Credit…Open Homes Photography

What you get

Homes for $1 million in New York, California and Minnesota.


Credit…Romulo Yanes for The New York Times.

What we’re eating

Creamy white bean and seaweed stew with Parmesan.

Great Basin bristlecone pines are known for their extraordinarily slow growth, expanding as little as one inch every 100 years.Credit…Adam Perez for The New York Times

Where we’re traveling

Today’s tip comes from Ted Bosley, who recommends “the Eastern Sierra, from Lone Pine to Mammoth Lakes, especially about this time of year when tourism has thinned and the fall colors are brilliant.” Ted writes:

Tell us about your favorite places to visit in California. Email your suggestions to [email protected] We’ll be sharing more in upcoming editions of the newsletter.


Tell us

Fall colors have made quite a showing in California this year, with gold and red leaves popping up in all parts of the state.

Send us your best fall foliage photos at [email protected] and we may share them in an upcoming newsletter. Please include your name and the city where you live.


The “Jeopardy!” host Ken Jennings with the contestant Amy Schneider.Credit…Tyler Golden/Jeopardy Productions, Inc., via Associated Press

And before you go, some good news

In case you missed it, three Californians squared off in the finals of the “Jeopardy!” tournament of champions last week.

Amy Schneider, a writer from Oakland, beat Andrew He, a software developer from San Francisco, and Sam Buttrey, an associate professor at the Naval Postgraduate School in Monterey.

“Any of the three of us really could have won if a very small number of things had gone differently,” Schneider told The Associated Press after her victory. Schneider’s 40-game winning streak remains the second longest in the game show’s history.


Thanks for reading. I’ll be back tomorrow. — Soumya

P.S. Here’s today’s Mini Crossword.

Jaevon Williams and Shivani Gonzalez contributed to California Today. You can reach the team at [email protected].

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