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First published on Thu 4 Feb 2021 06.00 EST California officials have signaled optimism that the latest, most deadly wave of the pandemic is starting to abate as the most populous US state doles out vaccinations. But healthcare workers in Fresno county said their emergency rooms and intensive care departments are still inundated with patients. “Sure, if your hospital goes from 200% capacity to 150%, of course they’ll say it’s looking better,” said Amy Arlund, an ICU nurse at the Kaiser Fresno hospital. “But in my entire 20-year career, I’ve not seen this many people, this sick.” Amy Arlund, an ICU nurse at Kaiser medical center in Fresno, California. Photograph: Courtesy Amy Arlund

Central valleyUnited statesImelda valdiviaKenny banhAmy arlundJoe bidenJoe pradoVicente reyesDiana tellefson torresBrian pachecoKaiser fresnoUniversity of californiaUnited farm worker foundationCommunity regionalUnited farm workers foundationUnited farm workers