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As virus cases rise more of California shuts down AP NEWSTop StoriesTopicsVideoListen RADIOUpdate hourlySearch ADVERTISEMENThttps apnews com article virus-outbreak-san-francisco-san-diego-sacramento-california-c f fb e bf b cc d Click to copyhttps copyRelated topicsVirus OutbreakSan FranciscoSan DiegoSacramentoCaliforniaAs By DON THOMPSON November GMT FILE – In this May file photo diners sit at outside tables the Beach House Grill in San Diego County is one three x s largest counties among statewide that regressed on reopening businesses and other activities amid a resurgence coronavirus state officials said Tuesday Nov while Francisco imposed new restrictions including ban indoor dining bid slow spread there Photo Gregory Bull File SACRAMENTO Calif More areas must impose try curb has hospitalizations rising as they did June when mask requirement Three are with sufficiently high numbers infections trigger state-mandated limits business operations Meantime which lowest case rates major cities voluntarily ADVERTISEMENT Sacramento Contra Costa all moved backwards four-tiered system for based infection We certainly seeing almost across an upward trajectory Dr Mark Ghaly secretary health human services If trends don t ease by next week he over half will have into restrictive tier Every updates its progress toward The lower positivity rate fewer certain county Thirty-eight were most launched end August That number fell declined October but now four five Los Angeles Riverside Bernardino evening city issued highly unusual public safety emergency alert residents cellphones COVID- increasing it Please wear social distance It also urged people be tested if showed symptoms or might been exposed average daily intensive care began mid-October climbed from two weeks ago seven-day hadn seen test positivities above since early September nation first stay-home order March Cases plateaued spring then sharply after much economy was reopened Shutdowns ordered peaked mid-summer sharp decline until last month Hospitalizations risen past than where spike occurred far below high-water mark July Residents second populous million over-achiever large pandemic got lulled complacency Supervisor Nathan Fletcher Unfortunately doesn get complacent fatigued tired But not just population centers increases Rural Modoc Siskiyou Trinity Northern step back least categories bring increased dilemmas restaurants houses worship institutions keep wet windy cooler winter arrives Schools may continue remote instruction instead renewing in-person classes Health largely blame gatherings family friends While remains country whole fear trend accelerate relatives gather holidays re groups indoors coming close contact longer periods time Humboldt Deputy Officer Josh Ennis ve talking about confluence COVID colder weather months here problem worse adults who tend carpool work closer proximity little Stanislaus Public spokeswoman Kamlesh Kaur I cannot say clearly enough God sake stop gathering tweeted Mayor Darrell Steinberg his backslide Republican Assemblyman James Gallagher suing Gov Gavin Newsom Democrat shutdown orders criticized administration penalizing mainly blaming private completely arbitrary response shut small again already brink going out Small churches nail salons restaurant owners ends up practical matter getting start taken aggressive approach combatting announced halt starting Saturday food courts bars serve High schools yet able do so gyms movie theaters cut capacity Making decision support opening asking heartbreaking very unfortunate necessary London Breed Associated Press writers John Antczak Adam Beam Elliot Spagat Janie Har contributed report StoriesVideoContact UsCookie SettingsDownload NEWSConnect definitive source global local newsMore APap orgAP InsightsAP Definitive SourceAP Images SpotlightAP ExploreAP BooksFollow APThe PressAboutContactCustomer SupportCareersTerms amp ConditionsPrivacyAll contents copyright All rights reserved