Riverside County health officials have reported 388 newly confirmed coronavirus cases and two additional virus-related deaths as the number of hospitalizations and active cases also ticked up.

The aggregate number of COVID-19 infections recorded since the public health documentation period began in early March is 65,056, compared to 64,668 on Tuesday, according to Riverside University Health System. The agency said the number of deaths believed to be tied to COVID-19 stands at 1,275, two more than the day before.

There are now 167 people hospitalized for virus-related treatment countywide, an increase of 10 since Tuesday. The figure includes 37 intensive care unit patients — five fewer than the previous day. All COVID-19 hospitalization counts are currently at or below levels reported in April.

The number of known active cases countywide is 5,323, an increase of 164 since Tuesday. The active count is derived by subtracting deaths and recoveries from the current total — 65,056 — according to the county Executive Office. The number of verified patient recoveries is 58,458.

County health officials announced Tuesday that the California Department of Public Health had downgraded Riverside County back to the purple, or most restrictive, tier under the governor’s color-coded coronavirus regulatory system, meaning some businesses that had reopened in recent weeks will have to close again.

Gyms, restaurants, movie theaters and places of worship must move their operations back outside within 72 hours of the Tuesday announcement, officials said.

The move drew the ire of several supervisors during Tuesday’s Board of Supervisors meeting.

“Enough is enough,” Supervisor Karen Spiegel said after hearing the county had been reclassified. “Our kids are suffering. Our businesses are suffering. We’ve got to find a way to step forward without hurting people. This is not OK.”

According to RUHS staff, CDPH administrators decided that, based largely on low testing volumes, the county should be reduced from the red tier to the purple tier for at least three weeks. The county has been in the red tier for a month, permitting many businesses to reopen with limited capacities.

Kim Saruwatari, the director of the county’s public health department, said the county’s testing rate is currently 195.5 per 100,000 population. The state’s threshold for large counties is 239.1 per 100,000. The other criterion for red tier status is a daily COVID-19 case rate of 7 per 100,000 or less. The county is at 8.4 per 100,000, with an adjusted rate of 9.1 per 100,000, which was applied because the county testing threshold was deemed unsatisfactory.

Gov. Gavin Newsom’s recently announced “equity” metric, which requires addressing testing and positivity rates in specific communities, is also weighing on the tier designation.

The county’s overall testing positivity rate is 5.2%, which is down seven-tenths of a percentage point compared to two weeks ago and well within red tier criteria, according to RUHS.

The board previously approved a self-directed reopening plan spearheaded by Supervisor Jeff Hewitt on Oct. 6, but the timetable that the supervisor requested for allowing businesses to fully open was removed on a 4-1 vote because it would have conflicted with state mandates. The plan adheres to CDPH health safety parameters.

County CEO George Johnson was authorized to implement reopening policies outside of the state’s schedule, but Johnson said more than $100 million in relief grants from the state would be at risk if the county moved independently.

According to county Emergency Management Director Bruce Barton, hospitalizations related to COVID-19 have been going “up and down,” and there has been a slight upward trend in the last two weeks, which he attributed partly to infected state prisoners being hospitalized locally.

“There is no surge,” Barton said. “No hospitals are asking for support.”

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