Homeless people are particularly vulnerable to the coronavirus. And — in a possible recipe for disaster — the new virus has hit hardest on the West Coast, where nearly all of the nation's.

The catastrophic potential is painful to consider: State models show that 60,000 homeless people could be hit by the novel coronavirus, with up to 20% of them needing hospitalization.That would mean California would need 12,000 hospital beds just for those living on the streets — a formidable task for a state that is already struggling to find extra capacity to manage the pandemic before it’s too late and.“That creates a deep point of anxiety for the existing population, but moreover for our healthcare delivery system,” Gov. Gavin Newsom said Wednesday evening.With 108,000 people living outdoors in California, many older, with weakened immune systems and preexisting conditions, Newsom and state health officials are dramatically stepping up efforts to curtail what was the state’s biggest crisis before the novel coronavirus hit: tens of thousands of people living in street encampments. Centers for Disease Control and Prevention and the Department of Housing and Urban Development have released guidelines for handling the coronavirus in encampments and shelters, but cities and counties have largely been slow to act.Health experts are worried about what effect the pandemic would have on healthcare systems if it expands into the homeless population. Some fear that if the coronavirus hits encampments or shelters, it could travel quickly and fiercely — as has been seen in other vulnerable populations, such as seniors living in nursing homes. With hospitals already bracing for overflow numbers of COVID-19 patients, an outbreak in an encampment could be devastating.

The state also is attempting to gain access to some of those properties on its own: On Tuesday, Newsom announced that two hotels near Oakland International Airport had been leased, providing a total of 393 rooms that would be under the control of Alameda County.“The governor’s action today provides a big boost to our urgent efforts to stop coronavirus from spreading among vulnerable members of our homeless population,” said Sacramento Mayor Darrell Steinberg, co-chair of Newsom’s statewide task force on homelessness. “We’ll use it to quickly expand our sheltering capacity, provide emergency services and isolate the sick.”Newsom also announced that the state had purchased more than 1,300 trailers from the federal government and private vendors to provide quarantine sites. Those trailers will be deployed to California’s largest urban centers if shelters are at capacity and have people who are sick or positive for the coronavirus.“California is deploying massive resources to get these vulnerable residents safely into shelter, removing regulatory barriers and securing trailers and hotels to provide immediate housing options for those most at risk,” Newsom said in a statement. The governor also signed an executive order Wednesday that streamlines how counties and cities can spend homeless dollars during the pandemic and suspends some regulations for building shelters and homeless facilities with the emergency funds.In a separate action Monday, he authorized local governments to halt evictions for renters and homeowners, slow foreclosures and protect against utility shutoffs for Californians affected by the outbreak and its economic effects.On Wednesday, L.A. Mayor Eric Garcetti announced a new plan to provide shelters for older homeless people, who are most at risk of dying of COVID-19. In addition, L.A. Has already moved to increase access to sanitation stations and supplies.

San Francisco has taken similar action.

Coronavirus explained Early cases of COVID-19 are believed to be linked to a live-animal market in Wuhan, China. Andrew Selsky/APAs more people across the United States test positive for the and, those experiencing homelessness are among the most vulnerable to contract the virus, experts say.Over 560,000 Americans were homeless on a single night in January 2019, according to the most recent point-time-count from the U.S. Department of Housing and Urban Development. About 63% of those people were in sheltered locations and about 37% were unsheltered, according to HUD. James O'Connell, the founding physician of the Boston Health Care for the Homeless Program thinks 'it's inevitable' that coronavirus will hit the homeless community.And without proper precautions and actions, the virus 'could spread like wildfire,' warned Dr.

Margot Kushel, director of the University of California, San Francisco Center for Vulnerable Populations.As of Wednesday, experts said there do not appear to be confirmed coronavirus cases among the homeless, but many could be infected and not tested.Tune into ABC News Live at noon ET every weekday for the latest news, context and analysis on the novel coronavirus, with the full ABC News team where we will try to answer your questions about the virus. The risksWeakened immune systemsPeople experiencing homelessness endure lack of sleep, poor nutrition and ' just to meet their daily needs,' all of which weaken the immune system, Bobby Watts, CEO of the National Health Care for the Homeless Council, told ABC News.Coupled with mental illness or substance abuse disorder, they're 'incredibly vulnerable to this virus,' said O'Connell. A homeless person sleeps as runners jog past during the Los Angeles Marathon, which was allowed to continue by health officials in spite of coronavirus, on March 8, 2020, in Los Angeles.

A homeless person sleeps as runners jog past during the Los Angeles Marathon, which was allowed to continue by health officials in spite of coronavirus, on March 8, 2020, in Los Angeles. Mario Tama/Getty ImagesClose proximity to others and lack of hygieneThe homeless are at extreme risk just from being in constant close proximity to others, added Barbara DiPietro, who holds a doctorate in public policy and is senior director of policy for the National Health Care for the Homeless Council. Whether at shelters, encampments or food pantries, homeless people are 'exposed to a lot more contaminants in our community,' she said. Anthony Aquiningos with the charity Alpha Project, provides some food and sanitation products to Norbert Alarcon, who sleeps in a tent in a wooded area of National City, Calif., March 4, 2020. Anthony Aquiningos with the charity Alpha Project, provides some food and sanitation products to Norbert Alarcon, who sleeps in a tent in a wooded area of National City, Calif., March 4, 2020. Eros Hoagland/The New York Times via ReduxAnd the more obvious: They may have trouble accessing hand sanitizer and hand-washing facilities.Not only do people experiencing homelessness have trouble accessing quality care, but DiPietro said the 'stigma and discrimination' they face often keep them isolated from the basic information they need from public health officials in this kind of emergency.Quarantine problemsThe homeless can't the way most Americans can if instructed by doctors, pointed out Kushel. Further, there's the risk that those struggling with substance abuse disorders would not follow quarantine instructions, Kushel said.'

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If we ask people, who let's say struggle with addictions, and we demand or ask them to go places that are separate - and then kick them out or don't allow some of their behaviors like alcohol and drugs. People are not gonna stay,' Kushel told ABC News. 'We need to be taking a very compassionate, harm-reduction approach, if and when we get to the point where we're asking people to stay in quarantine.'

A police officer who is part of a homeless outreach unit talks with a man sheltering in a covered aqueduct in National City, Calif., March 4, 2020. A police officer who is part of a homeless outreach unit talks with a man sheltering in a covered aqueduct in National City, Calif., March 4, 2020.

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Eros Hoagland/The New York Times via Redux'This is a population with extensive trauma' and 'reasons to not trust authority figures because of way they have been treated in the past,' she explained.More homelessnessKushel said she's worried that - from people losing out on jobs to those without paid sick leave - will force more people into homelessness. A resident of a homeless encampment in Pacoima, Calif., washes his hands in a portable washing station on Thursday, March 5, 2020. A resident of a homeless encampment in Pacoima, Calif., washes his hands in a portable washing station on Thursday, March 5, 2020. Orange County Register via ZUMA PressCommunicationWatts said it's important to convey the risks of coronavirus to people experiencing homelessness, 'but without inducing panic.' Editor's PicksShelter adjustmentsCDC officials said shelters should plan for an influx of people during the coronavirus outbreak and should come up with backup housing, like churches, if shelters get too full.'

The resources that we have available for homeless people are relatively limited,' O'Connell said. 'When an outbreak like this hits we have to readjust everything without a whole lot of extra empty beds or resources.' Watts said shelter staff should encourage those taking refuge there to sleep foot-to-foot to keep their heads further away from each other.He also recommended that shelters stagger mealtimes and intake times so not as many people are congregating at once.