Like in so many places across the U.S., the coronavirus pandemic crept up on the San Joaquin Valley. Some of the region’s first official cases were linked to outbreaks on cruise ships that came into port in March, but as we later learned, the virus was already circulating long beforehand.

Even though COVID-19 has been the dominant public health threat for a year, first with a summer surge, then a winter surge, and now with the rollout of much-anticipated vaccines, other public health problems haven’t just disappeared.

Slowly and steadily, COVID-19 is loosening its grip on the San Joaquin Valley. New cases are dropping, intensive care units are becoming less impacted, and every day, thousands more people are being vaccinated against the virus.

Ever since the COVID-19 vaccine rollout began, every week has brought news of extremes, with success stories followed by supply problems and other hiccups in access and distribution. This week was no different, and included supply disruptions due to winter storms as well as an unexpected boost from the governor.

Early on in the pandemic, the state of California put an emphasis on equity in its pandemic response, requiring specific levels of testing and outreach in disadvantaged census tracts in order for counties to advance through the state’s reopening blueprint.

When Governor Gavin Newsom stopped in Fresno earlier this week, he was widely anticipated to announce that Fresno would be the site of the state’s newest mass COVID-19 vaccination clinic. The clinic, which he had alluded to earlier in the week, is expected to be run in partnership between the state and the Federal Emergency Management Agency, and it would bring in thousands of vaccine doses each day beyond what the county already receives from the state.

So far, San Joaquin Valley residents have received nearly 200,000 doses of the COVID-19 vaccine—a sum that may sound high, but falls far short of the average per capita rate reported elsewhere in California. Plus, for the second week in a row, a low vaccine supply has kept many of the Valley’s mass vaccination clinics either open far below capacity, or closed entirely to people seeking to receive their first dose.

In a surprise move this week, Governor Gavin Newsom lifted shelter-in-place orders for our part of the state, even as San Joaquin Valley residents continue to die of COVID-19 by the hundreds each week. The decision came as a surprise to health officials in at least Fresno County, who said they appreciate that case numbers are finally trending in the right direction but warned against reckless behavior that could drive them back up again.

Today, more people are eligible to receive the COVID-19 vaccine than ever, and county health departments across the San Joaquin Valley have been building up the infrastructure at fairgrounds, schools, clinics and other sites in order to offer thousands of vaccinations each day.

In the months since the pandemic began, COVID-19 has taken a tremendous toll on hospitals, wherebedspace is at a minimum andstaff are overworked, and prisons, where tight living quarters and mixed enforcement of safety precautionshave left incarcerated people vulnerable to soaring infections.