Childcare and pre-K facilities can all stay open. So will zoos and museums. I was going to wait until the 20th because my people mean that much to me," he explained. I recommend a peaceful protest for those who believe Faucis statement from Feb. 2020that masks dont work. Her reporting, essays, and opinion columns have been published in San Francisco Weekly, the Deseret News, the San Francisco Drop your shields immediately., Then die in ignorance. She's a Bay Area native and a San Jose State University journalism graduate. How safe is your neighborhood? YES!! The Oakland Zoo is worried too. MAP: CA counties that can, can't reopen under new rules, For a better experience, click here to view the full map in a new window. Some counties are choosing to shut down for longer than that. It reported 167 COVID-related deaths. Even so, theyll have to close Monday and remain closed until at least Jan. 4. Sending shock waves through those industries, health officers from Alameda, Contra Costa, San Francisco, Santa Clara and Marin counties, and the city of Berkeley, on Friday announced theyll shut down over the next few days. Bay Area health officials speed up stay-home, Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to email a link to a friend (Opens in new window), Click to share on Reddit (Opens in new window), Bay Area weather: After thunderstorms and hail, snow could be on the way this weekend, Coronavirus lockdown: Bay Area health officials speed up new statewide restrictions, Opinion: Newsoms budget cuts threaten public health investment, Oakland airport passenger traffic shows steady post-COVID rebound, China dismisses FBI statement that COVID-19 likely leaked from Wuhan lab, Despite new state law, Antioch ends remote option for council meetings, Zoom chops nearly 200 jobs in Bay Area as tech layoffs mount. It limits travel to critical services and restricts outdoor activities for exercise. I can waste no more time on you. (Worf and Captain KTemoc, The Emissary), THE BOTTOM LINE IS YOU CONTINUE WITH THAT ATTITUDE AND YOU ARE JUST LIKE A BLINDFOLDED PERSON WALKING TOWARDS A CLIFF, Stay home wrap Yourself up in plastic same With Cody from behind a podium ! The biggest relief is that theyve decided our operations are relatively safe, said Mulvihill, who is gearing up for critical holiday sales. // Sacramento Bee, How Newsoms proposed budget could help ports shore up supply chain, reduce pollution. Business is slow. Its been trending in that direction long before the shelter in place orders. There appears to be a lag regarding deaths, on December 31 there were 7 people died in Santa Clara County. Want to submit a guest commentary or reaction to an article we wrote? As a result, indoor dining will be suspended on the same day. Restaurants that have invested thousands of dollars building parklets, setting up tents and buying heaters to accommodate outdoor diners will have to close all tables and go back to takeout and delivery only. Earlier in her career she wrote about education for The Atlantic in Washington, D.C. She graduated from UC San Diego with a BA degree in political science with a minor in communication. // Daily News, San Diego Board of Supervisors chooses Nathan Fletcher to chair a second year. Take a look at the latest stories and videos about the coronavirus here. cancelling or postponing certain surgeries, with more than 62,000 students and staff testing positive for COVID, Troy Flint, spokesman for the California School Boards Association, backed off from a booster mandate for health care workers, a state-funded single-payer health care system, primed for a health care collision course, an investigation from CalMatters Jocelyn Wiener, Ashley Hoffman, a California Chamber of Commerce policy advocate, his priorities for spending Californias massive budget surplus, this super-fun Surplus Spender game created by CalMatters John Osborn DAgostino, argues Cris Steller, executive director of the California Artisanal Distillers Guild, writes Karen Pank, executive director of the Chief Probation Officers of California, Proudly powered by Newspack by Automattic, A proposal that would allow the city and county of Los Angeles, Oakland and the city and county of San Francisco to. More by Emily Hoeven, Long lines of people wait for more than two hours for a COVID-19 test at a testing site in the Boyle Heights neighborhood of Los Angeles on Jan. 5, 2022. How safe are those outdoor dining igloos and tents when it comes to COVID-19 transmission? CalMatters columnist Dan Walters: Californias school crisis gets short shrift in Newsoms budget proposal. Im ready to move on and deal with the consequences forget everyone else. I the last 3 months we lost nearly 200 people. "Is this happening again? Yet, in Santa Clara County, people can still shop for perfumes, phones and clothes at the mall. Fridays announcement did not include health officers from San Mateo, Napa, Sonoma, Solano, Santa Cruz or Monterey counties. Eliminating sit-down service likely will force some restaurants into temporary hibernation, while others close permanently, according to Laurie Thomas, executive director of San Franciscos Golden Gate Restaurant Association, which represents hundreds of restaurants in the city. The first time the pandemic closed her restaurant, Nguyen sold her jewelry to survive. AND THE STATE OF CALIFORNIA IS GOING TO BE FORCED TO EXTEND MORATORIUMS AND UNEMPLOYMENT INSURANCE AGAIN. Another shutdown will be terrible for the business, she said. RELATED: Major reopening rollback ordered in CA in attempt to control rampant coronavirus spread, "We're back to square one. Some counties are also moving ahead of the state's timeline and shutting down voluntarily. "Something like what New York City is doing, where people are required to provide proof of vaccination.". COVID-19 Diaries: Personal stories of Bay Area residents during novel coronavirus pandemic, Coronavirus Doctor's Note: Dr. Alok Patel gives his insight into COVID-19 pandemic. Dont blame Covid for our vacant downtown. Here's how shelter in place, stay at home orders can slow spread of COVID-19, Coronavirus Timeline: Tracking major moments of COVID-19 pandemic in San Francisco Bay Area, Coronavirus Doctor's Note: Dr. Alok Patel gives his insight into COVID-19 pandemic. The new restrictions will remain in place until Jan. 4. WATCH: 'Your Mental Health: A Bay AreaConversation' virtual town hall addressing COVID-19 impact on mental health, Symptoms, prevention, and how to prepare for a COVID-19 outbreak in the US, Here's a look at some of history's worst pandemics that have killed millions, - and shopping malls are being ordered to close. We have to pay our rent. As a result, indoor dining will be suspended on the same day. And were here to provide it. All Rights Reserved. Get the latest news, information and videos about the novel coronavirus pandemic here, Storm timeline: Here's how much more rain is expected, Another freight train derails in Ohio, prompting shelter-in-place, At least 13 people are dead as severe storms sweep across US. // San Francisco Chronicle. // Los Angeles Times, Firing upheld for California police who played video game during holdup. A city of 8.5 million people, New York City announced Tuesday that it will require vaccination proof for most indoors settingsa move that San Francisco officials are also considering, according to news reports. In early 2019, Santa Clara County officials ordered Ngo to shut down The Dragon Mountain, citing dozens of building and land use violations such as lacking permits to build a driveway and. ", INTERACTIVE MAP: Here's what's open, closed in the San Francisco Bay Area. The coronavirus bottom line:As of Monday, California had6,086,557 confirmed cases (+2.4% from previous day)and76,564 deaths (+0.02% from previous day), according tostate data. Some counties are choosing to shut down for longer than that. Every county in blue is under a stay-at-home order. With regards to the state the 7 day average of new cases is 74,709 from yesterdays 74,599 and the state 7 day average is 78 deaths per day (it decreased 20 in 2 days) which means if stays that way 2,340 people WILL DIE!. Although both Gov. Santa Clara shuts down sports . Except for the fact that the ICU beds will be long gone. Emily DeRuy is the Bay Area News Group's housing and economy editor overseeing coverage for The Mercury News and East Bay Times. The majority of restaurants simply cannot make it financially on takeout alone, she said in a statement. 12/14/2022. "I wanted to make sure I paid attention to what was going on with the trends. Meanwhile, students and teachers in both Oakland and San Francisco Unified are threatening sickouts, saying they wont show up to school without heightened health and safety protocols. Shutting down again: New COVID orders pose a, Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to email a link to a friend (Opens in new window), Click to share on Reddit (Opens in new window), Bay Area weather: After thunderstorms and hail, snow could be on the way this weekend, Shutting down again: New COVID orders pose a major threat to Bay Area businesses, Opinion: Newsoms budget cuts threaten public health investment, Oakland airport passenger traffic shows steady post-COVID rebound, China dismisses FBI statement that COVID-19 likely leaked from Wuhan lab, Despite new state law, Antioch ends remote option for council meetings, Zoom chops nearly 200 jobs in Bay Area as tech layoffs mount. Data provided by the county showed more than 6,500 cases on Monday. Prior to that, she covered COVID, politics, housing and the city of San Jose. THE FACT WAS OPERATION WARP SPEED BY TRUMP DID NOT ACTUALLY ARRANGE AN ONGOING VACCINE PROGRAM, IT RELIED ON A PROTOTYPE VACCINATION PRODUCED BY PFIZER AND MODERNA. To adapt, they're created virtual-only brands with special menus to attract customers for takeout. Economy | Health | Comment Policy (updated 11/1/2021): We reserve the right to delete comments or ban users who engage in personal attacks, hate speech, excess profanity or make verifiably false statements. Opinion: Newsoms budget cuts threaten public health investment California coronavirus shutdown will last through Christmas as deaths explode past 20,000 Kelsy Tasem, 11, left, and sister Mackenzi, 14, have their socially distanced photo taken with Santa,. Now given that there are 1,928,000 people in Santa Clara County some would argue that 56,734 is nothing to be concerned about. Starting today, Sonoma County is banning large gatherings for the next month. Santa Clara County is also maintaining most of its own stricter rules announced last weekend banning contact sports, including college and pro football, requiring a two-week quarantine for travelers from more than 150 miles away and limiting retail capacity. When asked about enforcement, the California Department of Public Health said, "All Californians are being asked to follow this order to protect themselves, their families, and their communities.". Tax (or dont) Californians as you like, and pour money into whatever pot you want just remember that the state cant run a deficit! "But there's a difference between infection and disease.". And again, if only 5% require any hospitalization it will come to 5,087 people needing medical attention. I am hoping for a positive 2022 Padmemic is over. Now, some arent sure theyll survive another closure. Whats next for the former Frys HQ in San Jose? 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List: Where can I get tested for COVID-19 in the Bay Area? Cody said that orders retail capacity limit of 10% now will be increased to 20% to align with the state limit. Data provided by the county showed more than 6,500 cases on Monday. Santa Clara County is locking down again. 1 Stop $235. CalMatters is now available in Spanish onTwitter,FacebookandRSS. The state prison system on Saturday suspended in-person visits as COVID surges among employees and inmates. She previously covered startups and venture capital for the Bay Area News Group and prior to that court cases for The Recorder in San Francisco. The strain is also driving a surge across the nation, accounting for 93% of all new cases, according to federal data. And once you finish your plan, compare it to those created by others and share it on social media. That was a nasty surprise to some business owners who, after hearing Gov. So please relax with your Trumpist calls for violence; just get your @$$ vaccinated!!! // Sacramento Bee, Off-duty LAPD officer is fatally shot in South Los Angeles. Just understand this fact if it stays the same for 30 days here is the real problem, the new cases in Santa Clara county will be 30 times (13,328/7) or 56,734 cases. Not sure about others but I am tired of living my life being told what to do and how to feel because people refuse to be vaccinated, refuse to be housed, and refuse to follow laws. document.getElementById( "ak_js_4" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_5" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_6" ).setAttribute( "value", ( new Date() ).getTime() ); San Jos residents deserve a trusted source for unbiased, independent political news. COVID-19 has put many on an emotional and financial roller coaster that no one was prepared for. I UNDERSTAND YOU FEELINGS, BUT NO ONE EVER LEVELED WITH THE PEOPLE TO SAY THERE IS NO SHORT CUT FROM A PANDEMIC. Restaurants are also shuttering across the state, and the mayors of Los Angeles, San Francisco, Oakland and San Rafael recently joined 21 others across the country in begging Congress to provide emergency relief to stave off permanent closures and catastrophic economic impacts. Santa Clara County goes into full lockdown on Sunday night, San Mateo County doesn't December 4, 2020 3:01 pm The Palo Alto Creamery at 566 Emerson St. will hvae to close its outdoor operations after Sunday night due to Santa Clara County's new lockdown order. In fact, unions.ALL unions.take money away in the form of dues. Santa Clara County, which reported 362 new cases on Friday, is expected to move back into the red tier as soon as next Tuesday. Rain breaks records, more expected. Let us exercise the freedoms we have, stretch those freedom muscles and walk into stores and restaurants without a mask, be kind to people if they offer a mask and keep pushing gently against the tyranny. In Santa Clara County, 78.5% of eligible residents, or 1.3 million people, are fully vaccinated. I the last 3 months we lost nearly 200 people. With Respiratory Viruses Circulating, 12 Bay Area Health Officials Recommend Actions To Stay Healthy for the Holidays. But if these people can be PREVENTED from being infected, WHY NOT? Tuesday was a big day for the Assembly Health Committee, which pushed forward three controversial bills that failed to advance last year. All Access Digital offer for just 99 cents! Photo by Ramona Giwargis. End of an era: San Jose antique shops could disappear, Robes, candles and chants: South Bay official in hot water over religious ceremony, UPDATE: East San Jose school district chooses a new trustee. Whats next for the former Frys HQ in San Jose? The state requires the stay-at-home order to last at least three weeks. Restaurants will be limited to take-out and delivery. If you have a question or comment about the coronavirus pandemic, submit yours via the form below or here. This is your newsroom. Officials expect to be added to that list on Wednesday. THE POLITICIANS ARE TERRIFIED THAT PROLONGED COVID IS GOING TO LEAD TO MASSIVE DISRUPTION, THAT UNEMPLOYED WORKERS AND THOSE FACING HOMELESSNESS WILL RIOT AT LEVELS YOU HAVENT EVEN DREAMED ABOUT. Businesses hire people; unions dont hire anyone. Since there are 1,900,000 that will be 5.3% of the county, or about 1 out of 19 will be infected at the end of January. All Rights Reserved. Following the county's lead, San Jose announced this week it will impose a similar requirement. Hair salons, barbershops, nail salons and other personal care services all have to cease operations, both indoors and outdoors. But if these people can be PREVENTED from being infected, WHY NOT? News Releases . In March, the region adopted a first-in-the-country lockdown that came days before Newsom announced his statewide stay-home order, also a national first in the pandemic. As of 01/07/2022 there was 15,909 cases total NEW CASES for the week starting 12/31/2021 (2,000 more cases than yesterday) all variants in Santa Clara County AND there are only 30 ICU beds out of 3800 (4 beds less than yesterday) . Get your trump vaccine you b****made libs lmfao. Indoor and outdoor dining are both banned. Just understand this fact if it stays the same for 30 days here is the real problem, the new cases in Santa Clara county will be 30 times 3,157 or 117,039 NEW CASES, now given we have only 1,900,000 people in the county the likelihood is that at this point 1 out of 20 people in the county is going to get infected. The new orders include the region's. On the day that gyms, hair-and-nail salons and churches were allowed to reopen, Santa Clara county officials said Monday that they will likely be ordered to shut down again in two days. "We have three pergolas pushed together, they have rain gutters, so we have a nice warm environment now that's considering outdoor dining which will be safe for all of our customers and all of our employees," said Musterer. Will state resurrect COVID sick leave? With regards to the state the 7 day average of new cases is 74,577 from yesterdays 62,094 (an increase of nearly 12,100) and the state 7 day average is 77 deaths per day (it decreased 20 in 2 days) which means if stays that way 2,310 people WILL DIE!. Except for the fact that the ICU beds will be long gone. Schools that have already received a waiver to reopen before the stay-at-home order can continue to do in-person learning. John Woolfolk is a reporter for the Bay Area News Group, based at The Mercury News. Were partnering with you the readers to make it happen. What is a COVID-19 genetic, antigen and antibody test? Dr. Anthony Fauci, director of the U.S. National Institute of Allergy and Infectious Diseases, alsosaid this week that he doesn't expect the nation to return to lockdown, despite the concerning surge in positive infections. click here to view the full map in a new window. Instead, he'semphasized the importance of getting vaccinated. Receive a free briefing on your state every day. Adhering to strict capacity limits, the zoo had yet to report any COVID outbreaks. Alameda, Contra Costa, Marin, San Francisco and Santa Clara counties, for example, are enforcing stay-at-home orders through Jan. 4, 2021. End of an era: San Jose antique shops could disappear, Robes, candles and chants: South Bay official in hot water over religious ceremony, Proposed tax law threatens billions in San Jose funding. With regards to the state since Jan 1st we have had 1,185,642 cases and the 7 day average of new cases is 100,653 from yesterdays 74,709 (a difference of 25,944) and if you add the moving average for the rest of the month there will be a total of 3,299,355 and since the population of California is 39,510,000 that means by the end of the month about 8.3% of the state will be infected. Track progress on 6 key metrics to reopening here, Reopening California: What's opening and when in the Bay Area, Everything we know about CA businesses opening and what comes next, Life after COVID-19: Here's what restaurants, gyms will look like, Here's everything allowed to open in CA (and what we're still waiting on). West Contra Costa Unified, which reopened Tuesday after closing for two days with no instruction, is now requiring employees to wear KN95 masks and students to wear surgical masks. Grocery stores can operate at a slightly higher capacity: 35%. Copyright 2023 KGO-TV. My last report of complete data for the previous week of 12/31/2021 to 01/06/2022 was 15,909 (an increase of 11,400 all variants in Santa Clara County in only 2 days) AND there are only 42 ICU beds out of 3800 . (Campgrounds won't allow overnight stays.) Although it is not clear yet whether this variant is more dangerous than the Delta now threatening populations in many countries, senior researcher Kei Sato of the University of Tokyo believes Lambda can be a potential threat to the human society., THIRD MRNA DOSE MAY BOOST ANTIBODY QUANTITY, BUT NOT QUALITY. Across the Bay Area region, were seeing COVID-19 cases surge and hospitalizations on steep rise again, particularly among the unvaccinated, said Contra Costa County Health Officer Chris Farnitano on Monday. WHERE ARE THESE PEOPLE GOING TO GO? Adalberto "Aldo" Toledo is a Bay Area News Group reporter who covers government on the Peninsula for The Mercury News and East Bay Times. AND MOST HERE JUST SAY TO LET THE PEOPLE OF CALIFORNIA JUMP INTO THE COVID SHARK TANK AND HOPE THE SHARKS DO NOT KILL OR MAME YOU? Most of them will be fine. (Karl Mondon/Bay Area News Group), OAKLAND, CA - DECEMBER 2: Jessica, no last names provided, and her kids Cruz P. Left, and Elliott P. 3, of Oakland, walk down the stairs after their visit to the Land of the Lost section which is part of the new exhibit Glowfari at Oakland Zoo in Oakland, Calif., on Wednesday, Nov. 2, 2020. If say only 5% of these cases end up needing ICU beds, that would come to a new need of 795 ICU beds, but since there are only 30 available you would have 765 people die due to no place to go. I HATE TO SAY THIS BUT YOU ALL BETTER GET A GRIP AND GET READY FOR A VERY BAD WINTER. How long will California be able to avoid shutdowns of schools, health care facilities and businesses if the omicron wave doesnt peak soon? Gov. IT IS GETTING WORSE AND NOT BETTER BECAUSE THE COVID STATUS IS NOT IMPROVING. Lets be a people and not a sheeple who exhibit virtue by DOING GOOD and not LOOKING VIRTUOUS. Again if you take my 5% requiring hospitalization you will need 164,968 beds and if only 10% of those need ICUS then you will need 16,497 ICU beds. Restaurants can only stay open for takeout or delivery. document.getElementById( "ak_js_4" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_5" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_6" ).setAttribute( "value", ( new Date() ).getTime() ); San Jos residents deserve a trusted source for unbiased, independent political news. I believe it is crucial to invest in a free, just and unbiased press, especially in California when all three aspects are in peril. Now, 48-hours after a four-month shut down, Maddox is still trying to make sense of it all. Among fully vaccinated people who never had COVID-19, getting a third dose of an mRNA vaccine from Pfizer (PFE.N)/BioNTech or Moderna (MRNA.O) would likely increase levels of antibodies, but not antibodies that are better able to neutralize new virus variants, Rockefeller University researchers reported on Thursday on bioRxiv ahead of peer review. (Ray Chavez/Bay Area News Group), OAKLAND, CA - DECEMBER 2: Visitors have fun as they step on the colorful stars at the Blue Planet section which is part of the new exhibit Glowfari at Oakland Zoo in Oakland, Calif., on Wednesday, Nov. 2, 2020. Gain of function and the weaponization of the flu.. what cracks me up is all the ppl who thought man if I just take the jab, the tyrants will leave me alone haha think again. San Mateo County is not locking down now with the rest of the Bay Area but likely will be forced to later this month under Newsoms statewide order. Donate now. Were partnering with you the readers to make it happen. Join our mailing list to receive the latest news and updates from our team. ABC7 News visited with businesses finally able to reopen, on Monday morning. Yep start it up again spotlight leave it to these guys Sick of this crap Shut off the news!! Santa Clara County has opted for stricter rules, resulting in the 49ers temporarily moving to Arizona to play their games. While critics have blamed Bay Area health officials for being too aggressive over the course of the pandemic, many health experts say they have taken the right measures at the right time to slow the spread of the virus. What could reparations mean for Black residents of Alameda County? Zoom chops nearly 200 jobs in Bay Area as tech layoffs mount Now, Nguyen's bracing as Santa Clara County shuts down outdoor dining Sunday night. If youre going to get the public health benefit, you have to do it now.. We're left out here," Blossom Nail Spa owner, Linda Do said through tears. But schools already open for in-person learning may continue to stay open under the state restrictions, retailers may operate at 20% capacity, and places of worship can continue outdoor services. Hospital beds statewide filled to their highest point of the pandemic, with 8,831 patients currently hospitalized, including 2,066 of them in intensive care. | All donations are tax-deductible. Health | // Alta Online, Endangered salmon are appearing in Marin where they havent been in years. Bay Area health officers Friday said they are already seeing indications that Thanksgiving gatherings are driving new infections. After losing $2 million a month during the earlier shutdown and facing potential permanent closure, the zoo reopened in July. Newsom's announcement means for every Bay Area county, According to a release by the Public Health Department: "The State confirmed this afternoon that it will require sectors closed for indoor operations in counties on the monitoring list to close in Santa Clara County effective Wednesday, July 15, 2020 at 12:01 a.m.". It lists Greater Sacramento at 22.2%, Southern California at 20.6%, the San Joaquin Valley at 19.7% and Northern California at 18.6%. NO DOCTOR SAID THE ENTIRE COUNTY IS 95% PROTECTED, AND MOST DOCTORS EVEN THE ONES FROM PFIZER ARE CONCEDING THAT THEIR VACCINE WAS ONLY 64% EFFECTIVE REGARDING DELTA VARIANT. Contact Tran Nguyen at[emailprotected]or follow@nguyenntrannon Twitter. INTERACTIVE TIMELINE: How close was CA to becoming a NY-level crisis? Santa Clara County on Monday backed off from a booster mandate for health care workers at the request of already strained hospitals. Published November 28, 2020. . I, for one, am no longer willing to be governed in this manner. China dismisses FBI statement that COVID-19 likely leaked from Wuhan lab He is a graduate of the UC Berkeley School of Journalism and has been a journalist since 1990, covering cities, counties, law enforcement, courts and other general news. Despite new state law, Antioch ends remote option for council meetings Movie theaters, museums, zoos, bars, wineries, cardrooms, amusement parks and family entertainment services (like bowling alleys, laser tag, mini golf, etc.) Still, restaurant owners reacted with alarm to the quicker timeline for closing on-site dining. CalMatters is also trackingcoronavirus hospitalizations by county. Then you can, and now you can't again. // Mercury News, The true story behind the West Coasts only native oyster. All Rights Reserved. The stay-at-home order is admittedly confusing, so we're doing our best to clear it up for you. READ FROM HERE https://public.tableau.com/views/COVID-19HospitalsDashboard/Hospitals?:embed=y&:showVizHome=no. AND THIS ONE IS SIGNIFICANTLY RESISTANT TO THE VACCINES AS REPORTED HERE (https://www.reuters.com/business/healthcare-pharmaceuticals/delta-infections-among-vaccinated-likely-contagious-lambda-variant-shows-vaccine-2021-08-02/): The Lambda variant of the coronavirus, first identified in Peru and now spreading in South America, is highly infectious and more resistant to vaccines than the original version of the virus the emerged from Wuhan, China, Japanese researchers have found. Theyd nearly sold out of tickets for their evening Glowfari event, which was set to run through Jan. 17 and features illuminated lanterns shaped like zoo animals.