Statewide test positivity and sewage markers are ticking up in California; health officials say hospitalizations remain low but vulnerable people should stay current on vaccines.

San José approved a $764,000 community paramedicine pilot to train firefighter‑paramedics to divert frequent 911 callers to care instead of the ER. The small team could hit the streets this fall if state sign‑off arrives.

State water regulators set manganese notification at 0.05 mg/L and response at 0.20 mg/L, citing infant health concerns. Public water systems must report exceedances and may need to act quickly.