Once a model, California now struggles to tame COVID-19

LOS ANGELES (AP) — Ambulances waited hours for openings to offload coronavirus patients. Overflow patients were moved to hospital hallways and gift shops, even a cafeteria. Refrigerated trucks were on standby, ready to store the dead.

For months, California did many of the right things to avoid a catastrophic surge from the pandemic. But by the time Gov. Gavin Newsom said on Dec. 15 that 5,000 body bags were being distributed, it was clear that the nation's most populous state had entered a new phase of the COVID-19 crisis.

Now infections have been racing out of control for weeks, and California has routinely set new records for infections and deaths. It remains at or near the top of the list of states with the most new cases per capita.

Experts say a variety of factors combined to wipe out the past efforts, which for much of the year held the virus to manageable levels. Cramped housing, travel and Thanksgiving gatherings contributed to the spread, along with the public's fatigue amid regulations that closed many schools and businesses and encouraged — or required — an isolated lifestyle.

Another factor could be a more contagious variant of the virus detected in Southern California, although it's not clear yet how widespread that may be.

California's woes have helped fuel the year-end U.S. infection spike and added urgency to the attempts to beat back the scourge that has killed more than 340,000 Americans. Even with vaccines becoming available, cases are almost certain to continue growing, and yet another surge is expected in the weeks after Christmas and New Year’s.

The southern half of the state has seen the worst effects, from the agricultural San Joaquin Valley to the Mexico border. Hospitals are swamped with patients, and intensive care units have no...