When the COVID-19 emerged in late 2019 it came as a complete surprise to many people. The devastation that it led to felt like a once in a lifetime experience. 

But was this really the case? 

How many pandemics have there been throughout history? How long did they last? How deadly has the COVID-19 pandemic been compared to the pandemics that came before it? Should we be expecting another pandemic within our lifetimes? 

Today, we are going to answer all of the questions by looking back through the history of pandemics, studying how deadly they were, how they ended, and where those diseases are today. We will also be exploring the concept of ‘Pandemic Influenza. 

We can learn a lot about pandemics from looking at their histories. While it does not make for very fun reading, you should take hope from the fact that some diseases that were once the deadliest in the world have now been wiped out. 

What Is A Pandemic

According to the Merriam-Webster dictionary, ‘pandemic’ was the 7th most sought after definition in 2020. 

A pandemic is defined as an outbreak of a disease that affects a whole country or the whole world. Since 2002 there have been 5 major pandemics. 

It is possible to have a pandemic that only affects one nation or continent. An example of this is the 2014 Ebola epidemic that affected vast areas of Africa but had little to no effect in Europe and America. 

How Many Pandemics Were There In History 

We do not have records of the whole of history (sadly), so there is no way to know officially how many pandemics there have ever been. 

However, we have pretty extensive records of life in the Common Era (CE, formally AD), so we have a fairly good understanding of everything that has happened during that time. 

During the Common Era we have a record of 20 disease outbreaks that meet the pandemic criteria. 5 of which have happened in the last 20 years. 

We will be going through each of these pandemics later in this article. 

It is worth noting that our records of the earlier pandemics will not be as accurate as of the newer ones. There are many reasons for this. 

Firstly, an accurate diagnosis was near impossible until about 70 years ago. Until then, there was no cocreate way to prove what somebody had died from. There may have been many people who died without being diagnosed or people who happened to die during a pandemic but not because of it.  

Secondly, there were no accurate population counts for many thousands of years. We can only make guesses at population numbers and how many people were killed by these diseases. 

Finally, communication was poor up until the early 20th century. In the dark ages, communicating between villages was difficult, let alone communication between continents. Studying the earlier pandemics is like putting together a very tricky puzzle. 

Difference Between A Pandemic And An Epidemic

Throughout history, there have been thousands of Epidemics, but only 20 pandemics? What is the difference between the two? And what makes a pandemic different? 

It can be difficult for the average person to understand the differences between the two, as doctors and politicians will often misuse these worlds on purpose to make their points seem more valid. 

There are four ways to categories a disease outbreak: 

ENDEMIC – an endemic is a level of disease that is near constant in a country or area. An example of this is Malaria in Central Africa. 

OUTBREAK – an outbreak is an endemic that has spread in higher numbers or a new location when it wasn’t expected to. An example of this is the recent outbreak of Dengue fever in Hawaii. 

EPIDEMIC – an epidemic is an outbreak that develops to affect a serious percentage of a specific population (a town, a city, a continent). Most countries have a yearly Flu epidemic. 

PANDEMIC – a pandemic is an epidemic that has traveled to somewhere it was not expected to. Pandemics are cross border problems, and with the development in intercontinental travel, they have become global issues. COVID-19 is an example of a pandemic.  

List Of Pandemics Throughout The History

Below is a list of the 20 pandemics that we have records for that took place during the Common Era. 

Antonine Plague (165 CE) 

This is the earliest Pandemic that we have a record of. Based on the surviving records of the physician Galen this was believed to be a disease that was relaxed to Small Pox or Measles. It was believed to have wiped out over 5-10 million Romans, Gauls, and Germans.  

This pandemic was believed to have been brought into the Roman Empire with troops that were returning from Egypt or Turkey (the Near East). The first records we have of it come from Galen, who described witnessing the disease while sacking the Mesopotamian city of Seleucia. 

The Romans then spread this disease along the shores of the Rhine (Germany) and into the Gaul territories (now France). The disease destroyed many villages and nearly wiped out the Roman army. It was even believed to have killed an Emperor – Lucius Verus the co-regent of Marcus Aurelius, in 169. 

Plague of Justinian (541 CE) 

The Plague of Justinian was caused by the bacteria Yersinia Pestis and was the second of the Old World Pandemics that we have records of. This stand of the plague is often referred to as The First Plague by historians. 

The Plague of Justinian was the first and largest outbreak of The First Plague. It was named after the Byzantine emperor in Constantinople, Justinian I – who caught and recovered from the plague according to Procopius, the court historian at the time.  

Turkey, Egypt, most of mainland Europe, and the Mediterranean Basin were affected by this pandemic. And it is thought to be one of the deadliest pandemics of all time. 

Japanese Smallpox Epidemic  (735 CE) 

This pandemic was short lived but incredibly deadly. The outbreak lasted for just two years, but in this time it was believed to have killed a third of the people living in Japan at the time. 

It was believed that a group of fishermen contracted this strain of Smallpox in Korea before bringing it back to the island nation. 

The disease killed peasants and nobles alike, with many of the most powerful families losing entire generations to the disease. So many farmers were killed by this outbreak that rice farming was affected for two decades afterward. 

Black Death (1347 CE) 

The Black Death was a Bubonic Plague outbreak that was the deadliest pandemic of all time. It is possible that this disease killed over 200 million people. The Bubonic Plague is also referred to as The Second Plague by historians. 

The entirety of Europe as well as Northern and Central Africa was affected by this plague. The outbreak began in Central Africa but was first recorded in Crimea. Fleas infected with the disease then travel throughout Europe on the back of rats causing havoc wherever they went. 

Bubonic Plague is also caused by Yersinia pestis but is not directly related to The First Plague. 

Smallpox (1520 CE) 

In 1520 CE the Spanish landed in South America and introduced Smallpox into the indigenous population. 

This pandemic aided the Spanish’s conquest of the region, as the population had never been exposed to it before. Some records suggest that Smallpox wiped out 40% of the Aztec population in a year. 

This outbreak also killed the  Incan ruler, Huayna Capac, and 200,000 others in his kingdom. 

Other studies suggest that Smallpox and other European diseases contributed to the deaths of 56 million natives in both North and South America. 

Italian Plague (1629 CE) 

This outbreak was the second wave of The Second Plague (Bubonic Plague) to hit Italy – a country that had been completely devastated by the first wave (The Black Death). 

This pandemic was believed to have killed around 1 million people across Italy. Which accounted for 25% of the county’s population at the time. 

Vancian soldiers returning from the 30 Year’s War were believed to have brought the Plague back to Italy. 

Verona was the hardest hit city and lost around 60% of its population to the Plague. 

Great Plague of London (1665 CE) 

In 1665 London was hit with a new wave of the Second Plague (Bubonic Plague), and the outbreak lasted for around 18 months. 

The outbreak killed around a quarter of London’s population, 100,000 people. This was the hardest time England was hit by the Bubonic plague during its entire history.

The outbreak was so bad that the King and his Royal court were moved out of the city. 

Another disaster brought an end to the Plague in 1666. It is believed that enough of the rats and fleas in the city were killed by The Great Fire of London to put a stop to the outbreak.

Cholera Pandemics (1817 CE) 

This pandemic originated in a small village outside of Calcutta before spreading across India, Asia, East Africa, and as far north as the Mediterranean. It was one of the first pandemics to affect nearly every country in Asia. 

The actual death rate of this pandemic is unknown as records at the time were poor. India reported nearly 9 million deaths across the whole of the pandemic, but many believe this to be over exaggerated. 

We do know that one of the worst affected places was the island of Java who lost over 100,000 people to the disease. 

Third Plague (1885 CE)

Although this pandemic started in 1885, WHO did not consider this pandemic to have finished until the 1960s. This was the third major outbreak of a Bubonic plague strain (the first being the Plague of Justinian, and the second being the Black Death). Many of the following pandemics we are going to cover were further outbreaks of the Third Plague. 

The Third Plague began in China and killed over 2 million people in that country alone. This outbreak was mostly contained in Asia but eventually spread to every inhabited continent in the world. 

Yellow Fever (late 1800s CE)

In the late 18th century and early 19th century, America and the Caribbean were hit by a Yellow Fever pandemic. 

The disease is believed to have originated in Central Africa, but it caused devastation when it arrived in America via the Caribbean. 

Philadelphia was the first city to get hit by the disease, and over 7 years around 20% of its population (10,000 people) were killed. 

The disease also spread to Haiti, Georgia, Bermuda, New Orleans, Virginia, Texas, and the Panama Canal.  Due to a lack of records, it is hard to get an idea of the total death rates of this disease in the Americas, but it could be over 1 million. 

Russian Flu (1889 CE) 

The Russian Flu was the second major wave of the Third Plague. It was first reported within the Russian Empire. However, the Trans-Capsian railroad caused the plague by over 3200km in less than six months. The Russian Flu had reached America by late 1889. And it reached Mexico 2 months later. It was one of the first truly global epidemics. 

Russian Flu was believed to kill over 1 million people worldwide. With the majority of the deaths taking place in Russia and Europe. 

Spanish Flu – (1918 CE) 

The Spanish Flu was caused by the influenza A virus subtype H1N1. Despite its name, the Spanish Flu was first documented in the United States. However, false newspaper reports made it out that Spain had been badly hit by the virus, and it developed the name Spanish Flu.  

The disease spread from America to Europe as the American army entered World War 1. The continent was already buckling under the pressure of the war and therefore conditions for the virus to spread were perfect. 

Some historians believe that the high death rates caused by the virus lead to a peace treaty being drawn up and the war ending sooner than expected. 

Asian Flu – (1957 CE)

Asian Flu was caused by the influenza A virus subtype H2N2. The influenza originated in Guizhou in southern China. In the year that it was active Asian Flu was believed to have killed between 1-4 million people around the world. 

The pandemic slowly spread across Asia, hitting India particularly hard, before reaching the UK and the USA. 

An American biologist called Maurice Hilleman developed a vaccine for the virus that is thought to have saved hundreds of thousands of lives. Without the vaccine death rates in the US were predicted to top 1 million.   

Hong Kong Flu – (1968 CE) 

Hong Kong Flu was a second wave of Asian Flu that reared its head in Hong Kong in the late 1960s. 

Within 6 weeks, 15% of Hong Kong’s population became infected with this flu – that was 500,000 in infections in a month and a half. 

Later the flu spread across Europe with a much higher death rate. The team that had been involved in making the vaccine for Asian Flu also created a vaccine for Hong Kong Flu that was given to 9 million people. 

Without this vaccine, the death toll would have been much higher than the estimated 1-4 million people. 

HIVAIDS- (1981 CE) 

The HIV/AIDS pandemic has been killing millions since it first appeared in 1981. Today, over 38 million people are still living with HIV. And the virus still kills nearly 1 million people a year. 

HIV can be spread in three ways – through sexual contact, bodily fluids, and from mother to child. 90% of the children who have HIV had it passed into them by their mothers. There is still no cure for HIV or an effective vaccine.

HIV was first discovered in New York in 1981 and was initially spread by a group of drug users sharing needles.  

SARS – (2002 CE)

In 2002 there was an outbreak of severe acute respiratory syndrome (SARS). The virus spread across 29 countries and infected around 8000 people. It killed 774 people in total. 

41 of the SARS fatalities were healthcare professionals who treated patients for the virus – including 2 nurses and a doctor from Canada. 

SARS makes the pandemic not because of how many people it killed, but because of how far it spread. 

SARS has also been given this elevated rating because of its relationship to the COVID-19 virus (which is also known as SARS-COV-2). The strains are closely related and attack the body in a similar way. 

Swine Flu – (2009 CE)

Experts believe (because many sufferers were asymptomatic) that the number of people infected by Swine Flu falls between 700 million to 1.4 billion people (between 11-20% of the population at the time). 

Swine Flu was the third major wave of H1N1 influenza virus infections (the first being Russian Flu and the second Spanish Flu). The flu got its name because it first emerged in Mexican Pig farms before appearing in humans in the US, it was also unofficially referred to as Mexican Flu. 

The death toll of Swine flu is estimated to between 19,000 and 248,000 – with 18,449 lab confirmed deaths being officially reported.   

Ebola  – (2014 CE) 

This Ebola pandemic occurred in West Africa and mainly affected the nations of Guinea, Liberia, and Sierra Leone. It was the biggest outbreak of Ebola the world has ever seen. The pandemic lasted for 3 years before being contained. 

Cases of Ebola were also reported in Nigeria and Mali. Health workers returning to the United Kingdom and Spain also caught the disease. The UK was the only country outside of Africa to see a death during the pandemic. 

 During that time over 10,000 people were killed by the disease. 

MERS – (2015 CE) 

MERS has been endemic in the Middle East since its discovery in 2012. However, in 2015 a Korean businessman contracted the virus while visiting the Middle East and brought it back to South Korea with him. 

A total of 186 cases were reported with 38 deaths. Most of these cases were in Korea, but some cases were also reported in China. 

This MERS outbreak was treated as a pandemic in 2015 as the virus spread to a location it was not expected to, despite death rates being fairly low.  

COVID-19 – (2019 CE) 

Note – this pandemic is still going on at the time of writing. 

COVID-19 is a strain of coronavirus that is closely related to SARS. Cases were first reported in Wuhan in late 2019. By early 2020 it had spread across the world, partly due to businessmen returning from trips to China. 

It is also believed that if many governments had reacted faster to the threat, death rates would have been a lot lower. 

So far 4 variations of COVID-19 have been identified, the most recent one having originated in India. 

Multiple vaccines have been developed and a worldwide rollout is in progress. 

The Deadliest Pandemics

The Black Death

 75 – 200 million deaths

No other pandemic even comes close to the number of deaths the Black Death caused. And hopefully, no other pandemic ever will. 

The second plague decimated the populations of Europe and Northern Africa. It is believed that 45-50% of Europe’s population was wiped out during the Black Plague. 

London, Paris, and Hamburg all reported losing 50% of their populations during the pandemic. Florence’s tax records show that 80% of their population was killed in 4 months. 

A large part of Europe’s community of monks and nuns died during the pandemic as they traveled around treating the sick. 

Smallpox

56 million deaths

Mummies that showed evidence of Smallpox contraction over 3000 years ago have been found in Egypt. This disease caused many epidemics across the planet until it was eradicated in 1979. 

The number above refers to the number of natives that are believed to have been killed by Smallpox in the Americas. This disease was introduced by European colonists – some historians think intentionally in a few cases. 

Smallpox is one of two deadly diseases to have been eradicated. It is believed that in the 20th century alone Smallpox killed 500 million people. With case numbers peaking at 50 million new cases a year. 80% of children who caught smallpox were killed by it. 

Spanish Flu

45 million deaths

The death rates of the Spanish Flu are believed to have been anywhere between 45-100 million. We may never know as the world was war torn as the disease broke out and record keeping was lax. 

The most dangerous thing about the Spanish Flu was that it didn’t just kill the young and the old like other influenza, but it was also killing a lot of young adults. These young adults would have been unaffected by other strains of flu. 92% of the people who were killed by the Spanish Flu were under 65. 

An unusual fact about the Spanish Flu was that it killed far more men than women, and men were more likely to die if they caught it. 

Plague of Justinian

40 million deaths

This was the first outbreak of The First Plague, a disease that is believed to have killed up to 100 million people (around 60% of Europe’s population at the time) over the 250 years it was active. 

Records at the time suggested that the Plague of Justinian was killing 10,000 people a day at its peak – although there is no way of verifying these numbers. It is, however, believed that this pandemic killed 40% of the population of Constantinople at the time. 

 The strain of Yersinia Pestis that caused this plague seems to have evolved separately from the plagues that later afflicted Europe. 

HIV/AIDS

30 million deaths

HIV/AIDS is believed to have caused between 35-45 million deaths since 1981. 

The initial outbreak of aids was amongst the American gay community. However, most cases can now be found in Africa and South America. 

Despite still killing over 600,000+ people a year there is still no cure or vaccine for HIV/AIDS. One of the key ways to prevent the virus from spreading is to use protection during sex. 

However, there are many places in the world where the needed types of contraception are hard and/or to acquire. Many of the world’s major religions also preach against the use of contraception like condoms.  

The Third Plague

12 million deaths

The first two major outbreaks of the Third Plague were believed to have killed 12 million people. 2 million people in China, and 10 million people in India. Some experts suggest that these numbers were actually closer to 15 million people. 

The pandemic began in Yunnan, China in 1885 and spread across China and the Indian subcontinent. Like the previous two plagues, it is believed to be spread by infected fleas traveling on rats. 

This plague was killing 100s of people a year up until the mid 1960s. Some areas in China are still considered health risks for new plague outbreaks. 

Antonine Plague

5 million deaths

Conservative estimates put the death rates of the Antonine Plague at 5 million deaths. But some historians believe this could be as high as 10 million. The disease spread across most of the Roman empire, as well as spreading into Germany and Gaul territories. 

The Plague lasted for over 15 years, and in that time it nearly wiped out the whole of the Roman army. The Plague was estimated to have killed at least a third of the Roman Empire. One report from Cassius Dio stated that the plague killed 20,000 people in Rome in just one day. 

COVID-19

3.9 million deaths (as of 28/06/2021)

Note – this pandemic is still going on at the time of writing. 

There have currently been 3.93 million recorded COVID-19 deaths. The UK, USA, and India being some of the hardest hit nations. 

182 million cases have been recorded across the world. There have been two waves of the virus, with a third one believed to be approaching. 4 new COVID-19 variants have been recorded (as of writing). 

Vaccinations against the virus began in the UK in December 2020. WHO is planning a worldwide vaccine rollout with the aim of vaccinating the majority of the world by the start of 2023. 

What Is a Pandemic Influenza

Pandemic Influenza is a pandemic caused by a strain of influenza.  

Many of the early pandemics were caused by strains of plague and smallpox. However, smallpox has since been eradicated and bubonic plague numbers are low. Now, the major cause of pandemics is influenza strains. Some experts believe they will become more frequent. 

Influenza are highly effective viruses because they mutate too quickly for medical science to keep up with them. New flu vaccines are being developed every year, but the dominant strain of flu can change multiple times during the season. 

We have seen with COVID-19 that influenza can easily evolve into something more infectious. An example of this is the Delta variant which is believed to be 70% more infectious than the original Alpha strain that emerged in late 2019. 

Luckily, COVID-19 vaccines have been effective against all of the variants so far. 

Summary

Looking through the history of pandemics, there is much for us to learn today. 

The success of Asian and Hong Kong Flu vaccines suggests that vaccination is the best weapon against pandemics. Particularly in a world where intercontinental travel is so common, and it is much easier for viruses and diseases to spread. 

We can also look to the eradication of Smallpox as a sign of a brighter future. Where, hopefully, today’s deadliest diseases will also be eradicated. 

We should also be very grateful that we haven’t had to live through an outbreak of the Bubonic Plague. Yet… 

Every disease that we encounter as a species pushes science further forward. Each pandemic helps us to prepare better for the next one and will help us to prevent more deaths.

mybiosource.com • Contributed

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The U.S. has entered a tricky phase of the COVID-19 vaccination effort as providers try to ramp up the number of people getting first shots while also ensuring a growing number of others get second doses just when millions more Americans are becoming eligible to receive vaccines.

The need to give each person two doses a few weeks apart vastly complicates the country’s biggest-ever vaccination campaign. And persistent uncertainty about future vaccine supplies fuels worries that some people will not be able to get their second shots in time.

In some cases, local health departments and providers have said they must temporarily curb or even cancel appointments for first doses to ensure there are enough second doses for people who need them.

Nola Rudolph said she struggled to book appointments for her 71-year-old father and 68-year-old mother, who live in rural upstate New York. Everywhere she looked within driving distance was booked.

“Seeing they were eligible, I was elated,” she said. “Seeing they were in a dead zone, I went from very hopeful to hopeless again.”

She was able to arrange a second dose for her father but has not yet been able to find a slot for her mother. “It’s like going around in a circle.”

For about the past month, the U.S. has administered an average of 900,000 first doses each day, according to data from the Centers for Disease Control and Prevention analyzed by The Associated Press. Now many of those people are due for second doses, and the average number of Americans getting second shots hit an all-time high Tuesday — 539,000 per day over the past week.

The increasing demand for second doses comes as the Biden administration is taking steps to boost the supply of doses.

White House COVID-19 coordinator Jeff Zients announced Tuesday that states will see their allocation of doses rise to 11 million per week beginning next week, up more than 2 million weekly doses since President Joe Biden took office.

Since the vaccine was authorized in late December, about 33 million people in the U.S. have received shots.

“It’s really important and critical to recognize that there are still not enough doses to go around,” said Dr. Nirav Shah, director of the Maine Center for Disease Control and Prevention.

So far, about 10% of the U.S. population has received at least one dose of the vaccine. About 3% has received both doses, the AP analysis showed.

Across Los Angeles County, health officials say limited supplies mean the majority of vaccinations this week will be for second doses. In the state’s Napa County, some appointments for first doses were canceled last week to ensure there would be enough for second doses.

“We’re getting a lot of the questions from community members asking, ‘Is my second dose in jeopardy?’ And right now, we don’t have an answer because it’s all dependent on the inventory that comes in from the state,” said Alfredo Pedroza, a county supervisor.

Both COVID-19 vaccines being distributed in the U.S. require two shots a few weeks apart to maximize protection. For Pfizer, the doses are supposed to be three weeks apart. For Moderna, it’s four weeks. But if needed, the booster be delayed for up to six weeks, according to the CDC, which updated its guidance late last month.

State and local health officials now emphasize that extended time frame in public messaging to alleviate worries that people might not get their second shots on time.

Federal officials have said they are confident there will be enough doses to ensure people get their second shots.

Fueling the concerns in some places is the difficulty of booking the second dose. Although many places schedule the booster when the first shot is given, others ask people to schedule them later on because of logistical issues.

Tanny O’Haley is 64 and has Parkinson’s, but he isn’t eligible for the COVID-19 vaccine in Los Angeles County, where he lives. He was able to get a first dose when he accompanied his 69-year-old wife to her vaccination because the site had a leftover shot.

O’Haley has not been able to schedule his second dose despite numerous calls to local officials and the county health department. He plans to try again when he brings his wife to her second appointment on Wednesday.

“The whole experience was pretty awful,” O’Haley said.

In New Hampshire, officials are ditching the current scheduling system after thousands of people struggled to book their boosters within the recommended time — with some being given appointments for two months later. People will now get appointments for their second shots when they get their first.

New Hampshire is one of several local jurisdictions that had signed up to use the CDC’s Vaccine Administration Management System, or VAMS.

At the Las Vegas Convention Center in Nevada, another type of scheduling problem popped up last week when the site opened as a clinic dedicated only to second doses. When appointments were made available online, people eager for their first doses snapped up slots.

“We had enough vaccine — we just need to control the crowd somehow,” said JoAnn Rupiper of the Southern Nevada Health District.

People who scheduled a first dose at the site had their appointments canceled, Rupiper said. To ensure eligible people who had trouble scoring appointments online get their second shots, the convention center is allowing walk-ins.

Despite the scheduling confusion, health officials and providers say their main challenge remains the limited supplies and the variability in how many doses are distributed from week to week. Even with the increase in shipments announced by President Joe Biden’s administration, local officials and providers say they do not have enough doses to meet demand.

The shortage is one reason why Dr. Anthony Fauci, the country’s top infectious disease expert, has noted the potential value of the one-shot vaccine by Johnson & Johnson, which recently filed for emergency use authorization. That shot is also less expensive to produce and easier to ship.

Pedroza said the cancellations last week in California’s Napa County happened after a spike in shipments a few weeks ago led the county to think it would continue getting at least as many doses. But the spike turned out to be a one-time windfall, Pedroza said.

In Seattle, UW Medicine temporarily stopped taking new appointments in late January due to limited supplies, combined with the need to give others their second doses.

“If there was more supply, we would be happy to be doing more first-dose appointments,” said Cynthia Dold, associate vice president of clinical operations at UW Medicine.

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Waiters and bartenders are being thrown out of work – again – as governors and local officials shut down indoor dining and drinking establishments to combat the nationwide surge in coronavirus infections that is overwhelming hospitals and dashing hopes for a quick economic recovery.

And the timing, just before the holidays, couldn’t be worse.

Restaurant owner Greg Morena in Los Angeles County was trying to figure out his next step after county officials banned in-person dining for at least three weeks, beginning Wednesday. But he was mainly dreading having to notify his employees.

“To tell you, ‘I can’t employ you during the holidays’ to staff that has family and kids, I haven’t figured that part out yet. It’s the heaviest weight that I carry,” said Morena, who had to close one restaurant earlier in the year and has two in operation at the Santa Monica Pier.

Randine Karnitz, a server in Elk River, Minnesota, said her boss laid her off last week after Minnesota Gov. Tim Walz announced that bars, restaurants and gyms would close for four weeks as infections spiked to an all-time high and pushed hospitals to the breaking point.

“‘Well, your last day is tomorrow. You don’t have a job. You can thank your governor for that,” Karnitz said her boss told her. She said her husband’s hours also have been cut at his manufacturing job, forcing the family to postpone house repairs.

Karnitz, though, said that she supports a shutdown and that people who didn’t take the virus seriously bear much of the blame.

“I just think that if we all would’ve done our part to begin with, we wouldn’t be in this predicament,” she said. “Things are only going to get worse for the service industry before it gets better, unfortunately.”

Louisiana Gov. John Bel Edwards on Tuesday said he is limiting the number of customers in restaurants, gyms, salons, casinos, malls and other nonessential businesses to 50% of capacity as the state sees a third spike in coronavirus cases and hospitalizations. Most bars will be restricted to takeout, delivery and outside seating.

Restaurant owners — most of whom underwent shutdowns in the spring and summer — are finding the new round of closings challenging as colder weather sets in. Many are offering curbside pickup but also trying to hold outdoor dining, even if it means setting up shelters or heaters.

But in Los Angeles County, restaurants and bars are prohibited from providing outdoor dining beginning Wednesday. They will be limited to takeout and delivery.

Some are challenging shutdown orders in court, with little success.

On Tuesday, a judge rejected a request from a restaurant industry group to block the Los Angeles County outdoor dining ban. A day earlier, a California judge refused to temporarily restore indoor service at restaurants and gyms in San Diego County that were forced to move operations outside, saying there is scientific evidence to support Gov. Gavin Newsom’s sweeping public health orders.

A federal judge last week declined to halt a three-week ban on indoor dining in Michigan after an industry association complained that restaurants were being treated unfairly. The judge noted that restaurants are unlike other businesses in that their customers have to remove their masks to eat or drink.

The U.S. has seen more than 12.4 million confirmed infections and over 258,000 deaths from the coronavirus. Almost 86,000 people — an all-time high — were in the hospital in the U.S. with COVID-19 as of Monday.

The infections have led to a shortage of hospital beds and health care workers, and they threaten non-COVID-19-related surgeries and other care.

On average, the U.S. is recording over 172,000 new cases per day. It is seeing more than 1,500 deaths per day on average — the highest level since May.

Restaurant owners in Los Angeles County contend infections are more likely to be coming from private gatherings where rules about masks and spaced-apart seating aren’t in force.

“The same people desperate to go to bars are going to party in their houses,” said Brittney Valles, owner of Guerrilla Tacos in Los Angeles. “You will never see them until they’re spreading coronavirus around willy-nilly. It’s insane.”

Valles said she broke down Saturday as she realized it could be the last time — at least for a while — that she would see some of her employees. It will be the third time she has had to furlough employees, and she was working Monday to develop a plan to keep as many employed as possible.

She has already opened a coffee shop that offers breakfast burritos. She plans to expand those hours, continue to operate the taco business for lunch takeout and open a burger joint at night that would deliver meals and offer food to go.

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Despite the challenges to make sure the tournament could be held safely while still offering an enjoyable experience for the golfers, the event was a total success. Ten local nonprofits had previously been chosen to each receive $10,000 for their respective programs. They were: Boxing for Christ, Cops 4 Kids & Communities, Friends of Valley-Wide Foundation, Grandfathers for Golf, Historic Hemet Theatre Foundation, Hemet Unified School District’s SAILS ATP Program, Natives in Recovery, Ramona Humane Society, San Jacinto Unified School District and T.H.E. Center Inc.

“It was great hearing from everyone that they were glad we found a way to have the tournament,” Soboba Tribal Council Chairman and Tournament Director Isaiah Vivanco said. “We know these organizations need these funds now more than ever before, so we were happy to be able to find a way to make it work, even if it was a little different this year.”

In the past, volunteers from the tournament’s beneficiaries helped with all aspects of the event. This year, most volunteers were Tribal Members and their families who worked with staff to make sure things ran smoothly.

Also different was a contactless drive-through registration process as well as curbside pickup of raffle prizes. Winners of each drawing were notified via an app that was developed specifically for the event. It also provided constant contact between players and event organizers. Face masks were required to be worn and pre-packaged breakfast and lunch to-go meals were provided to all players.

Since there was no end-of-play banquet held for all participants as in the past, organizations were asked to send one or two representatives to the Soboba Foundation’s board meeting on Sept. 14 to receive their checks. Visits were scheduled in 10-minute intervals to allow for proper social distancing.

Jeff Penn, Executive Director of Cops 4 Kids & Communities, said his group was honored and grateful to be among the groups that were selected this year.

“My guess is most nonprofit organizations globally have been negatively impacted by COVID-19. Unfortunately, we are no different from them,” he said. “One of the main challenges is the financial health of our organization that has been significantly impacted due to not being able to have our fundraising events (Battle of the Badges, etc.) with COVID-19 looming around every corner. As always, the incredible Soboba Foundation is there to help our community, especially in these uncertain times.”

As a first-time recipient of funding made possible by the charity golf tournament, Penn said that the generous gift will make a meaningful difference for his organization.

“Simply put, without the kindness and generosity of the Soboba Foundation, we would be in a world of hurt,” Penn said. “During this turbulent and uncertain time, I am absolutely humbled by the compassion and generosity of the Soboba Foundation and all of their members. Because of the amazing people at Soboba, we are and will remain strong.”

San Jacinto Unified School District’s Communications & Emergency Preparedness Coordinator Dawn Lawrence said her district has been able to implement game-changing programs as a result of being beneficiaries of past tournaments. This year, the funds will be used to purchase Native American literature for every school library in the district. The idea was inspired by Joseph Ontiveros, Tribal Historic Preservation Officer at the Soboba Cultural Resource Department, when he presented to SJUSD teachers and administrators at the January 2020 Equity Conference.

“Now with the new school year underway, albeit distance learning only, school Library Media Technicians and the District Librarian will start planning for library additions with the help of the American Indian School, Family & Community Liaison before October,” Lawrence said.

Without the generosity of Soboba’s golf tournament, this project would have been shelved because so much of the district’s funds, both regular and emergency provided, have been directed specifically at accomplishing (electronic) distance learning and preparing for eventual return to in-person instruction with social distancing protection.

The money was also a boon for Hemet Unified’s LifeWorks (SAILS) Adult Transition Program who plan to use the money to help improve independent living and work opportunities for its adult students. The original intention was to use the money to meet transportation needs for students in the workability program receiving hands-on training.

“Our plans for the funds have changed somewhat since the pandemic,” said Christina Gallardo-Barrett, Program Specialist and LifeWorks Administrator. “Our program has a component of taking our students into the community. Since the pandemic, we have changed our focus to create similar opportunities for our students on-site without compromising learning opportunities.”

She said the pandemic has reframed the way everyone thinks and even though it’s been a challenge, they have discovered new ways of doing things that will improve their practices in the future.

“These funds allow us to fast-track our plans and better serve our students during these unprecedented times,” Gallardo-Barrett said. “The LifeWorks Adult Transition Program (SAILS) is extremely grateful for the generosity of the Soboba Foundation and for being a community partner to create positive outcomes for all.”

She appreciates that the Soboba Foundation pushed forward to hold this event that benefits so many great organizations and is grateful to be one of the recipients.

Jeff Sheppard is Ramona Humane Society’s President and CEO, which is dedicated to fostering the humane treatment of all animals. It implemented the Soboba C.A.R.E. (Community Animal Rehabilitation Effort) project to give homeless animals a better chance at adoption by providing treatment of their medical conditions. Many of the animals arrive at the shelter injured or ill as a result of abandonment or cruelty cases.

“The funds will be prudently used to pay for veterinary treatment at the Small Animal Care Center for injured or sick homeless animals. Our foster care network and our adoption partners will share in the recovery and rehabilitation of the animals receiving treatment,” Sheppard said. “This type of program is so important to continue our goals for becoming a no-kill facility, so we are always seeking funding.”

Tony Viola with Grandfathers for Golf said last year’s grant from the tournament enabled the program to expand and serve more children. This year’s funds are also earmarked for expansion, which will be possible by adding another golf course where they can teach the game. Unfortunately, that is currently on hold due to Riverside County restrictions amid the pandemic.

“We are (working from home) doing those things we can to benefit the kids such as going over the rules and teaching etiquette of the game,” Viola said. “The Soboba Foundation did a wonderful job under the circumstances. It appeared that a good time was had by all tournament participants.”

Boxing for Christ has been fortunate to have been chosen as a beneficiary at past tournaments, which has made a huge difference for their year-round program. Some of this year’s money will be used to buy gym equipment. With new restrictions in place due to COVID-19 requirements and the fact they can only meet outdoors and not inside their gym, there was a great need for equipment geared for outdoor use.

“Since Soboba Foundation has been helping Boxing for Christ, the program has grown to the point that we are outgrowing the building. We are now adding women’s classes and training 4-, 5- and 6-year-olds on Saturdays. We have reached 1,000 students that have gone through our program since it started in 2012,” Founder and CEO Sonia Ramos said. “Soboba Foundation has helped us get to national tournaments, where we have brought home national champs. Because of Soboba Foundation’s help, we have a boxer that made it to the 2020 Olympics as an alternate. It takes a whole community to raise these at-risk youth and Soboba Foundation has shown that they care about the youth. Boxing for Christ would like to thank Soboba Foundation for helping us make champions in our valley.”

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