Updated Directives from Sacramento County Public Health – March 17, 2020

Facts about COVID-19:

  • As we have had more extensive experience with COVID-19, it is clear that a significant majority of those infected have no or only mild symptoms.
  • With additional testing the number of cases of COVID-19 are growing.
  • The vast majority of these cases are now the result of community spread.
  • Public health team efforts have been focused on identifying persons with COVID-19, separating them from others, and tracking down persons who were exposed to the infected person. This containment strategy helped to slow the introduction of the virus, but has to be redirected to address the larger number of cases in the region.
  • Public health staff have shifted their efforts to community mitigation measures to slow the spread of COVID-19 and protect those who are most vulnerable to severe illness.
  • Although community mitigation measures can be disruptive, these recommendations are to protect the public’s health.

In summary, Sacramento County public health officials direct, effectively immediately until further notice, the following:

  • Workplaces: 
    • Workplaces and businesses should implement telecommuting and teleconferencing for their employees, where appropriate and feasible.
    • Only those employees performing essential duties that cannot be performed by telecommuting should physically come to work
  • Vulnerable Populations: This guidance exempts individuals who work in essential services, such as hospital and health care workers, pharmacists, peace officers, firefighters, staff at skilled nursing facilities and residential care facilities for the elderly, and other essential workers​
    • Those aged 65 and older and/or those with chronic health conditions such as cardiovascular disease, cancer, heart disease, or lung diseases such as COPD, as well as those with severely weakened immune systems are at highest risk of complications.
    • People at higher risk should stay home and away from gatherings of un-related individuals
    • Those in the vulnerable populations can go outside (to walk ​the dog, go on walks or go to the park) provided they are at least six feet from others
  • Less Vulnerable Populations:
    • All those at lower risk should stay home to the maximum extent possible except when going to essential sites
  • ​​Essential sites include but are not limited to:
    • Health Care Facilities
    • Grocery stores
    • Pharmacies
    • Hardware stores/plumbers/electricians for emergency services
    • Businesses that provide food, shelter and social services, and other necessities of life for economically disadvantaged or otherwise needy individuals
    • Newspapers, television, radio and other media services
    • Gas Stations and auto supply, auto repair and related facilities
    • Banks and related financial institutions
    • Plumbers, electricians, exterminators and others who provide services that are necessary to maintaining the safety, sanitation and essential operation of residences
    • Airlines, taxis and other private transportation providers
  • Gathering Places:
    • No gatherings in any formal setting
    • All bars, wineries and brew-pubs should be closed
    • All in-dining at restaurants should cease; take out and home delivery (with social distancing) may continue
    • All gyms should be closed
    • All bingo halls and card rooms should be closed
  • Schools:
    • All Sacramento schools are closed
  • Sick Persons: 
    • Everyone should stay home if they are sick until they have had no fever, cough or other respiratory symptoms for at least 72 hours after symptoms resolve, or 7 days from when symptoms began, whichever is longer.
    • Anyone who lives with someone who tests positive for COVID-19 should stay home for 14 days.
    • Those with cold-like symptoms who can manage their symptoms at home with over-the-counter-drugs, should do so, regardless of whether they have a cold, the flu, or COVID-19.
      • If, however, difficulty breathing and lethargy develops, or symptoms were better and then got worse, they should call their healthcare provider, or urgent care center ahead so they can prepare to take care of them.
      • People should only call 911 or go to an emergency department if they believe that they are extremely sick or their life is in imminent danger. Other emergencies are still occurring, and emergency resources must be available to address all of them, not just COVID-19
  • Masks: Follow CDC’s recommendations for using a facemask.
    • CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory diseases, including COVID-19.
    • Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a healthcare facility).

Frequently Asked Questions About Area Code Changes

On February 10, 2018 the Sacramento Region experienced a change to the phone system.  You will need to dial the 916 area code to make a local call.  If you are calling from a landline you will need to dial 1 before the 916.

In the 916 area code, the California Public Utilities Commission (CPUC) will add a new 279 area code for new phone lines starting March 10. Current 916 Area Code customers will keep their existing 916 numbers.

In addition to changing your dialing procedures, automatic dialing equipment and other types of equipment that are programmed with a 7-digit number may need to be reprogrammed to use the new dialing procedures. Some examples are life safety systems, medical monitoring devices, speed dialers, etc. Contact the service provider to find out if the device needs to be reprogramed with the new dialing procedures.

For additional general information regarding the new area code overlay, please review the CPUC Frequently Asked Questions About Area Code Changes or visit the CPUC website.



Choose to Share the Love with Vulnerable Older Adults

Exciting news! For the tenth year running, the Meals on Wheels network is participating in the Subaru Share the Love Event. In the past nine years, Subaru of America has donated over $12 million to Meals on Wheels—that’s the equivalent of more than 1.7 million meals to older adults across the country!

Why does Subaru support Meals on Wheels? Because too many older adults are struggling to stay independent and healthy. Ten million seniors in America face the threat of hunger, and millions more live alone in isolation. This is simply unacceptable, which is why Agency on Aging/Area 4 provides the nutritious meals to the older adults of Yuba and Sutter counties. This vital support keeps seniors in their own homes, where they want to be.  We appreciate the generous donation that Subaru made to Yuba Sutter Meals on Wheels last year of over $15,000.  We hope to continue this wonderful relationship.

We’re incredibly grateful to Subaru and its retailers for supporting our organization and the older adults we serve. With that in mind, I thought you might want to learn a little bit more about the Share the Love Event.


November 16, 2017, through January 2, 2018, for every new Subaru vehicle leased or sold, Subaru will donate $250 to the customer’s choice of participating charities. Meals on Wheels America is one of four national participating charities and has been since the inception of the event. Through this campaign, as a Member of Meals on Wheels America, Agency on Aging/Area 4 will receive a share of the revenue earned in California.

If you’re in the market for a new car, please look into the Share the Love Event to learn more. If you’re not shopping for a new vehicle, you can still help by spreading the word to your family and friends. A few quick and easy ways to do that:

And remember – this holiday season, you can ensure our older adult neighbors are not forgotten when you buy or lease a new Subaru and select Meals on Wheels America as your charity of choice.

November is Diabetes Awareness Month

November is Diabetes Awareness Month.

Did you know that diabetes disproportionately affects older adults? Approximately 25% of Americans over the age of 60 years have diabetes, and aging of the U.S. population is widely acknowledged as one of the drivers of the diabetes epidemic.

Although the burden of diabetes is often described in terms of its impact on working-aged adults, the disease also affects longevity, functional status, and risk of institutionalization for older patients.

High blood pressure, high LDL cholesterol and triglycerides, decreased mentation, symptoms and feelings of depression, and decline in ability to perform activities of daily living are all health factors that cause problems for the elderly with diabetes. In a study of older adults with diabetes, a full one-third of patients over age 70 showed signs of dementia that was correlated with high blood sugars.

It is shown that the elderly with diabetes die younger, and have more falls related to low blood sugars that cause a decrease in mobility and lead to a decline in the quality of life for this population. They are more likely to utilize assistive aids, such as canes, walkers, bedside commodes, and the like.

The elderly with diabetes are at an even greater risk of forgetting to eat regular meals and snacks, being unable to afford food that fits into their diabetes plan, or unable to cook their own meals at home. They are at greater risk of being unable to afford their medications.

Here are some recommendations for older adults with diabetes:

  • Depression screening for older adults with diabetes is of great importance, as they may experience more isolation, less support and more feeling of hopelessness.
  • Avoiding low blood sugar is of paramount importance, and A1C and blood sugar goals should be adjusted along with careful pharmaceutical management.
  • Older adults with diabetes who are capable of handling their own activities of daily living without assistance, and who have no cognitive impairment should have A1C and blood sugar goals similar to that of a younger person.
  • Treat cardiovascular factors, such as high blood pressure, increased lipids and cholesterol, and treat with aspirin if not contraindicated.

In early 2018, AAA4 will provide help to older adults with diabetes through DEEP (Diabetes Empowerment and Education Program).  The program will be held in Sacramento.  Classes will be posted on our website.