BREAKING: Bexar County joins San Antonio in declaring health emergency, ordering coronavirus evacuees to stay in quarantine
Sig Christenson and Lauren Caruba March 2, 2020 Updated: March 2, 2020 5:30 p.m.
City and county officials on Monday afternoon each declared a local state of disaster and public health emergency to keep more than 120 coronavirus evacuees at Joint Base San Antonio-Lackland — and forbid the influx of new evacuees.
The 122 evacuees from the Diamond Princess cruise ship were to be released Monday, having completed a federally mandated two-week quarantine.
Mayor Ron Nirenberg was the first to declare an emergency, with Bexar County Judge Nelson Wolff following suit hours later.
“I, Mayor Ron Nirenberg, declare that ingress into and travel through the City of San Antonio from Lackland by those persons that have been quarantined in the facility is not permitted,” the city’s emergency declaration said. “No previously quarantined person shall be permitted to enter the City of San Antonio until further notice.”
The declarations could compel the evacuees, who have not tested positive for the virus, to stay in quarantine for at least a week longer under state law, possibly pitting local and federal officials against each other over the handling of the passengers. It also outlined the city’s authority to use private property to house the evacuees and “take any actions necessary to promote health and suppress disease.”
Read the health emergency from the mayor
Mayor declares public health emergency
On ExpressNews.com: CDC: Coronavirus patient released in San Antonio later turned up positive for infection
Earlier in the day, Nirenberg and Wolff had called on federal officials to extend the quarantine of the remaining evacuees at Lackland until they could be tested once more for the coronavirus.
Their expected release had been thrown into question after an incident over the weekend, during which another evacuee from Wuhan, China, was discharged from a hospital after appearing to recover from the coronavirus, only to later test positive again.
It is unclear whether the woman is still actively contagious to others.
However, it’s a scenario that local officials said they don’t want repeated with any other evacuees. Nirenberg said it was “totally unacceptable” that the Centers for Disease Control and Prevention, which is in charge of the quarantined evacuees, had released a coronavirus patient “prior to receiving all test results,” potentially exposing the public to harm.
Gov. Greg Abbott and state health officials had also urged the CDC to not allow any evacuees to depart until further testing can be conducted and requested that federal officials provide a written rationale before releasing anyone.
Federal officials have yet to respond to local and state officials’ request to keep the evacuees in quarantine. As of early afternoon, the evacuees’ release had been put on hold, one quarantined person told the San Antonio Express-News.
Sig Christenson is a senior reporter who covers the military for the San Antonio Express-News. He is currently reporting on the coronavirus evacuee situation at Joint Base San Antonio-Lackland.
Video: San Antonio Express-News
The CDC did not respond to requests for comment Monday. The agency abruptly canceled a national briefing with reporters that was scheduled for late in the morning.
More Information
Timeline: Coronavirus-positive evacuee’s movements in San Antonio
Saturday, Feb. 29
2:53 p.m.: After being released from the Texas Center for Infectious Disease, the Wuhan evacuee is dropped off at the Holiday Inn Express near San Antonio International Airport by a third-party driver. She enters her room at 3:11 p.m.
5:13 p.m.: She returns to the hotel lobby and requests a shuttle to the mall, which arrives at 5:23 p.m.
5:30 p.m.: The evacuee visits North Star Mall, including the food court, where she orders Chinese food and eats alone. She visits a number of stores, including Dillard’s, Swarovski and Talbot’s.
7:30 p.m.: She returns to the hotel on the shuttle, reentering her room about five minutes later.
Sunday, March 1
2 a.m.: The evacuee is transported back to TCID in a specialized ambulance, accompanied by medical personnel outfitted in personal protective equipment.
Information courtesy of the city of San Antonio.
Read More
On ExpressNews.com: Two more Diamond Princess evacuees at Lackland test positive for coronavirus, bringing confirmed cases to 8
The Wuhan evacuee, who was in isolation for several weeks at two area hospitals, was released Saturday afternoon after twice testing negative. The results of a third test that same evening came back as a “weakly” positive for the virus, forcing federal authorities to track the woman down Sunday afternoon at the Holiday Inn Express, near San Antonio International Airport. By then, she had also visited North Star Mall.
CDC officials said Sunday that the woman was asymptomatic at the time of her initial release and met all agency criteria for release — resolution of any symptoms and two consecutive sets of negative test results, collected more than 24 hours apart.
“Following the patient’s release, results of a subsequent sample were received and determined to be weakly positive,” the agency said in a statement. “Out of an abundance of caution, CDC decided to bring the individual back into isolation at a local medical facility.”
The woman was taken around 2 a.m. on Sunday back to the Texas Center for Infectious Disease, a state hospital where 10 other coronavirus patients are being treated in isolation.
Her hotel room was closed off and disinfected, and at 2:50 p.m. Monday, North Star closed for 24 hours for further deep cleaning.
“Local health professionals, in whom I have the utmost confidence, are working very hard to prevent the spread of this virus here in San Antonio, and we simply cannot have a screwup like this from our federal partners,” Nirenberg said.
On ExpressNews.com: ‘Calm the panic’: With impending release of cruise ship evacuees, San Antonio health officials begin pivot to community coronavirus plan
After the mistake was realized, Metro Health officials began to retrace the woman’s steps and learned she had taken a hotel shuttle to one of the city’s busiest retail centers, where she stayed for about two hours on Saturday evening. She spent much of that time alone at the food court, eating Chinese food.
The exact number of people the woman had contact with, and possibly infected, is not known. Health officials conducted a investigation, reconstructing her contact with others, and assessed each person’s risk for contracting the highly contagious virus.
The investigation identified that 18 people at the hospital, where tuberculosis cases are typically treated, were potentially exposed to the virus. Most were deemed to be at a low risk, while two were found to be at “medium risk,” said Anita Kurian, who leads the communicable disease division at Metro Health.
Three people at the hotel, including the shuttle bus driver, also could have been exposed. Officials are confident that exposures there were “pretty confined and contained,” Kurian said.
“The investigation has revealed generally encouraging news, considering the circumstances,” Nirenberg said.
An unknown number of people at North Star came into contact with the woman, but officials said the potential exposure at the mall is believed to be low. When she did enter stores — including Dillard’s, Swarovski and Talbot’s — she browsed and did not spend a significant amount of time interacting with store cashiers, Kurian said.
“She did not stay in one place for longer than maybe two minutes, three minutes,” she said. “We certainly want folks to come forward and let us know if they think they’ve been exposed.”
Kurian said the relevant areas at the mall where the woman was have been disinfected, but the mall still voluntarily closed later Monday.
On ExpressNews.com: CDC: Quarantine lifted for first group of coronavirus evacuees at Lackland
The governor called the mistaken release “a case of negligence” on the part of CDC and said everyone the woman came into contact should be tested for the virus.
“What happened in San Antonio and what the CDC did is completely unacceptable,” he said. “I think they understand the magnitude of that error they made.”
The patient had isolated in San Antonio since Feb. 11, after being flown to the United States aboard a State Department-chartered plane. She arrived at Lackland with 90 other evacuees on Feb. 7.
The woman, who was the only person infected from that group, was initially treated at Methodist Hospital | Texsan and was later transferred to TCID when her health improved. The remaining Wuhan evacuees were released from quarantine Feb. 20.
Evacuees from the Diamond Princess cruise ship arrived at Lackland on Feb. 17. Of the 144 who were initially quarantined, seven have tested positive by the CDC. Three more tested positive before leaving Japan, where the ship was docked. They are awaiting confirmatory testing from the CDC.
Staff writer Andrea Zelinski contributed reporting from Austin.
Sig Christenson covers the military and its impact in the San Antonio and Bexar County area. To read more from Sig, become a subscriber.
sigc@express-news.net | Twitter: @saddamscribe | Lauren Caruba covers health care and medicine in the San Antonio and Bexar County area. Read her on our free site, mySA.com, and on our subscriber site, ExpressNews.com. |
lcaruba@express-news.net | Twitter: @LaurenCaruba"]