►
Description
Learn about local information concerning COVID-19 at an update given by Health and Human Services at the most recent Board of Commissioners' Briefing.
A
It
was
so.
Our
key
messages
today,
as
I
said,
are
to
go
over
the
current
situational
report
for
covid19
since
starting
to
use
our
metrics.
It's
going
to
look
a
little
different
today
with
less
of
the
charts
and
graphs
that
we've
been
traditionally
showing.
You
then
go
into
a
community
message
regarding
thanksgiving
and
holiday
recommendations,
continue
to
talk
through
the
social
distancing
pieces
and
also
flu
recommendations.
A
A
A
A
We
saw
an
increase
in
our
percent
positivity
in
the
last
week
and
so
just
a
reminder:
the
new
cases
per
100
000
population
per
week
last
week,
that
was
at
about
84
and,
as
I
said,
that
remained
stable
all
last
week,
ranging
from
about
80
to
90
on
average
and
then
that
changed
significantly
come
sunday
when
we
started
to
see
about
60
new
cases
per
day
in
our
local
health
department.
Workflow,
the
diagnostic
test
result
positivity
rate,
which
is
that
percent
positivity.
A
A
A
On
average,
the
death
per
100
000
remains
stable.
That
did
not
change,
and
our
hospital
data
remains
stable.
So
the
governor,
you
might
recall
that
when
we
started
to
introduce
this
metric
too,
we
talked
about.
If
we
have
certain
in
five
or
more
in
the
whole
table,
we
would
be
bringing
recommendations
to
you
if
we
had
three
or
more
and
that's
section,
one
we'd
be
bringing
recommendations
to
you
or
if
our
hospital
data
was
in
the
orange
or
red
we'd,
be
bringing
recommendations
to
you.
A
So,
given
that
the
governor
just
recently
reduced
the
indoor
mass
gathering
limit
to
10,
that
would
have
been
our
initial
recommendation
for
restrictions.
Given
the
metrics
that
you
are
seeing
and,
as
I
said,
the
governor
just
recently
did
that
that
reduction
in
gatherings
went
into
effect
november
13th
to
just
a
couple
of
days
ago.
A
Other
recommendations
that
I'll
be
talking
through
today
will
include
thanksgiving
festivities,
including
limiting
those
to
only
households
obtaining
testing
prior
to
attending
or
traveling
for
a
holiday
and
quarantining
self
quarantine.
Before
and
after
attending
a
gathering-
and
this
will
be
in
addition
to
our
regular
3w
recommendations
that
we
consistently
talk
through
and
just
wanted
to,
inform
you
that,
if
three
or
more
of
our
metrics
in
section
one
remain
red
or
orange,
or
if
we
have
additional
change,
additional
restrictions
may
be
needed
and
will
be
discussed
at
a
our
next
update.
So
watching
this
one.
A
Given
that
the
governor
has
already
reduced
that
indoor
gathering
I'd
like
to
go
into
more
detail
about
the
recommendations
for
the
holiday
festivities-
and
this
is
where
I
kind
of
like
to
change
the
style
a
little
bit
and
go
from
the
data
to
more
that
community
briefing
style.
If,
if
you,
if,
if
I
may,
and
I'd
like
to
deliver
that
community
briefing
type
of
address
for
the
community
as
a
whole,
and
so
just
to
summarize
for
folks.
A
Our
nation
and
our
state
have
been
experiencing
higher
rates
of
viral
transmission
in
the
last
week.
This
has
resulted
in
record
daily
case
counts
for
both
our
country
and
our
state.
To
date,
the
united
states
has
experienced
over
11
million
confirmed
cases
since
the
pandemic
start
and
almost
250
000
deaths
related
to
covid
19..
A
A
contact
tracing
locally
tells
us
that
family,
get-togethers
and
social
gatherings
and
places
of
work
are
sites
of
potential
spread
and
exposure,
and
so
I
just
want
to
remind
folks
that
please
remember
that
the
three
w's
must
be
followed
all
the
time
in
order
for
it
to
work.
This
means
with
your
family,
your
friends
and
your
coworkers,
which
means
also
at
dinner
with
neighbors
at
church
and
in
the
break
room.
A
C
A
Six
feet,
apart
with
anyone
outside
our
immediate
household,
and
that
means
people
we
know
but
who
are
not
in
our
household,
is
very
important
and
please
remember
to
get
the
flu
vaccine
protecting
ourselves
against
the
flu
means
helping
our
hospital
system
not
be
overwhelmed.
This
season,
and,
as
I
mentioned
thanksgiving,
is
an
important
holiday
for
many.
A
A
A
Please
ask
guests
to
quarantine
prior
to
attending
the
gathering,
to
reduce
risk
to
you
and
others,
and
please
consider
getting
tested
three
to
four
days
prior
to
travel
or
attending
a
holiday
get
together.
This
is
different
guidance
than
usual,
so
this
is
a
harm
reduction
guidance
that
we
are
recommending.
A
Knowing
your
status
ahead
of
time
may
mean
that
you
can
protect
your
members.
The
members
of
your
family,
who
are
at
highest
risk
for
serious
illness,
but
please
remember
a
negative
test
does
not
does
not
mean
that
you
are
out
of
the
woods
that
doesn't
mean
you
can't
or
shouldn't
be
doing
the
three
w's.
A
We
are
an
awesome
place
to
visit,
but
frequenting
spaces
like
restaurants
and
bars
pose
greater
risk
for
exposure
and
spread.
This
may
mean
that
you
are
spreading
virus
to
your
friends
and
family,
some
of
whom
might
be
at
higher
risk,
and
then
please
also
consider
after
attending
a
thanksgiving
get-together.
A
A
Please
help
us
stop
the
spread
this
holiday
and
every
day
after,
please
practice
the
three
w's
every
day.
Every
time
please
limit
your
interactions,
this
holiday
and
consider
alternatives
to
your
traditional
activities,
limit
your
travel
and
follow
the
mass
gathering
guidance
of
no
more
than
10
people
at
an
indoor
get
together.
A
A
If
you
have
concerns
about
establishments
that
are
not
following
current
executive
orders,
you
can
call
the
ready
team
to
log
in
your
complaints
and
health
and
human
services
as
well,
is
offering
a
walk-up
flu
shot
clinic
on
november
18th
from
1
to
4
at
40
cox.
And
lastly,
I
just
want
to
say
that
buncombe,
county
health
and
human
services
will
be
pushing
out
this
thanksgiving
guide,
with
further
information
on
how
to
reduce
your
risk
during
the
holidays.
D
I'd
like
to
ask
the
question:
if
I
could
yeah
about
the
cluster
at
the
prism,
so
you
said
that
our
number
is
increasing.
There
is
that
cluster,
but
not
it's
not
the
big
cause
of
it
going
up,
but
those
guys
the
people
in
the
prison
do
we
count
them
toward
our
numbers
or
do
they
go
toward
because
they're
in
here
they
don't
go
to
their
county.
That
they're
from.
E
D
E
A
So
the
119
is
a
metric
based
on
all
the
cases
that
came
in
that
week.
So
over
the
last
three
days,
we've
had
an
average
of
60
new
cases
per
day
since
sunday,
I
think
sunday
it
was
a
little.
It
was
about
64
monday,
another
60,
and
then
today,
60
new
cases
per
day.
The
the
current
cluster
at
the
prison
is
roughly
40.
A
B
So
I
guess
one
other
question
I
have
is:
these
are
pretty
steep
increases
in
our
in
our
numbers
of
the
last
week.
You
know
we're
still
below
the
5
positivity
rate,
which
is
good.
We've
been
below
five
percent
throughout
most
of
this
whole
process,
and
I
guess
I
just
you
know
understanding,
there's
a
couple
of
of
these
hot
spots,
but
any
you
know
across
the
country,
just
the
growth
in
numbers
have
just
been
like.
B
B
A
It's
a
great
question,
so
forecasting
is
really
hard
because
most
of
the
metrics
are
based
on
real-time
data.
So
the
best
that
you
can
do
is
start
to
look
at
what
we
do
here,
which
is
monitor
it
daily
through
the
public
health
department,
set
up
key
metrics
that
you're
following
and
looking
for
any
spikes
or
any
types
of
trends
that
show
you
accelerating
in
one
way
or
another
and
beyond
that,
it's
quite
hard
to
predict
other
than
to
say
that
we
knew,
as
we
entered
colder
months,
that
folks
would
be
spending
more
time
indoors.
E
When
I
look
at
the
map,
if
you
blow
the
map
up
and
you
see
in
that
little
corner
of
north
carolina,
you
see
the
light
color,
which
I
keep
saying
this
and
I'm
going
to
keep
saying
it.
It's
a
testament
to
the
people
that
live
here
that
are
listening
that
are
doing
the
right
things
that
are
not.
You
know
panicking
during
this
time.
They
want
to
be
able
to
spend
time
with
their
family
and
friends,
but
they
can
do
it
in
a
way.
E
E
A
D
A
We
don't
have
any
current
clusters
due
to
that,
so
you
know
it's
not
uncommon,
to
have
a
onesie
twozy
type
of
case.
That
is
part
of
a
work
site
that
happens
to
be
a
restaurant
or
happens
to
be
a
bar,
but
overwhelming
like
when
we
look
at
the
contact
tracing
and
when,
when
our
when
our
communicable
disease,
nurses
are
doing
the
case,
investigation
and
contact
tracing
pieces.
What
we
find
about
the
spread
and
the
exposure
it
tends
to
be
family
get
togethers,
it
tends
to
be
neighborhood
types
of
things
work.
B
So
when
of
the
number
of
cases
that
are
documented
as
positive
cases
in
our
region,
can
you
tell
us-
and
if
you
don't
have
the
exact
number
I
understand,
but
just
what
percentage
of
the
positive
cases
that
are
documented
through
testing?
Are
we
able
to
with
high
confidence
identify
where
the
person
contracted
covet.
A
That's
a
great
question,
so
I
don't.
I
can
give
you
a
general
answer.
I
do
not
have
a
specific
sort
of
like
concrete.
What
does
it
look
like
here?
I
can
tell
you
early
on
that
was
much
easier.
When
community
spread
was
less
transmission
was
less.
It
was
much
easier
to
track
exactly
where
or
exactly
what
person
gave
you
coronavirus
right.
That
becomes
harder,
not
completely
difficult.
A
I
mean
not
completely
that
you
can't
do
it,
but
it
becomes
harder,
as
we've
moved
through
our
phases
as
we've
interacted
more
and
that
we
may
be
in
lots
of
different
places
that
we
weren't
necessarily
in
say
in
march
and
april
and
again
I
know
I
sound
like
a
broken
record,
but
that's
why
it
isn't.
It
is
so
important
that
we
continue
to
do
the
three
w's,
even
with
people
we
know.
A
We
don't
wear
our
face
covering
we
don't
wash
our
hands,
and
so
it's
very
important
for
folks
to
remember
that
those
three
w's
have
to
be
all
the
time
every
time.
Even
if
you
have
known
that
person
for
the
last
20
years
of
your
life,
you
have
no
idea
where
they
went
the
last
three
or
four
days
of
that
week.
B
Is
would
it
be
possible?
I
mean
because
this
is
all
we
do
keep
track
of
this
right,
like
they're
in
the
course
of
the
pandemic
like
when
we
do
tracing
where
it
is
possible
to
identify
what
the
source
we
with
some
level
of
confidence.
Believe
it
was,
I
mean,
would
it
be
possible
to
try
to
summarize
that
data
in
some
way,
because
I
mean
this
is
sort
of
one
of
the
things
throughout
this
whole
process?
I've
really.
B
I
want
to
understand,
I
mean
I
understand.
Look,
I
mean
it's
as
your
as
you
point
out,
anytime,
you're
spending
more
than
a
few
minutes
in
close
proximity
to
someone
else.
There's
some
chance,
like
it's
just
a
statistical
chance
right
that
you
could
be
transmitting
or
getting
infected
with
covid.
So
it's
it's
a
any
kind
of
you
know,
especially
indoor.
B
A
Yeah,
so
that
that
data
exists
somewhat,
and
so
in
a
in
a
weekly
report
that
is
published
by
north
carolina
dhhs.
The
cluster
report
is
an
aggregate
report,
so
you
have
three
different
types
of
cluster
reports
or
outbreak
reports
that
the
state
does.
As
for
you
know,
as
all
100
counties,
one
is
schools
and
child
care.
Centers
one
is
long-term
care
facilities,
nursing
facility
types
and
then
the
third
one
is
the
cluster.
A
The
aggregate
cluster
report,
which
is
all
those
other
types
of
spaces
that
aren't
necessarily
regulated
by
the
state
like
a
school
or
child
care
center
or
a
long-term
care
facility,
and
so
that
cluster,
that
cluster
report
pulls
all
of
the
reports
that
each
one
of
our
health
departments
is
pushing
it
putting
into
the
state
system
and
creates
exactly
what
you're
talking
about
those
themes.
Those
trends
and
you
can
watch
that
over
time
and
so
I'll
be
glad
to
share
that
with
you.
B
So
I'm
all
for
that
and
urge
people
to
you
know
listen,
but
I
also
just
wonder
like
when
we
say
that
most
of
the
growth
of
the
spread
is
in
small
family
gatherings.
I
mean
how
do
you?
How
do
you
know
that
I
mean
if
you
don't,
if
you
don't
know
what
percentage
came
from
people
eating
in
indoor
restaurants,
which
seems
like
a
perfect
environment,
you
know
people
have
people,
can't
wear
a
mask
and
sit
in
a
restaurant
and
eat,
and
even
if
you
spread
the
tables
out,
some
there's
many
studies
that
show
you.
B
A
So
that's
through
the
case
investigation
piece.
So
when
someone's
interviewed
they
tell
that
communicable
disease
nurse
all
the
places
they've
been.
Who
else
has
been
sick
around
them,
so
somebody
in
their
family
may
have
had
symptoms,
never
got
tested,
thought
it
was
a
cold
thought.
It
was
allergies
and
then
the
whole
house,
or
several
members
of
the
household
didn't
get
infected
right,
and
so,
when
they
get
tested
they
get
pot,
they
get
their
top
positive
result
back.
This
is
just
sort
of
a
theoretical
example,
but
communicable
disease
nurse
would
then
contact
them.
A
Do
the
case
investigation.
They
talk
through
everything,
that's
been
going
on,
they
say:
has
anybody
in
your
you
know?
Where
have
you
been?
What
places
have
you
gone
to,
because
that
helps
us
realize
too
like
where?
Where
else
do
we
need
to
look
to
tell
close
contacts
to
quarantine,
but
in
addition,
through
the
case
investigation,
you
learn
about
where
their
possible
modes
of
exposure
were
and
also
what
possible
modes
of
spread.
A
That
particular
case
may
be
responsible
for
as
well,
and
so
it's
usually
through
the
case
investigation
and
so
like
I
said
you
know
folks
may
mention
several
different
places.
But
when
we
hear
necessity
like
when
we
hear
in
a
case
investigation
interview,
someone
say
well:
yeah
I've
gone
to
hypothetically
I've
gone
to
went
to
indoor
dining
or
I
went
to
the
store
to
pick
up
groceries.
A
Oh
and
my
mom
has
had
a
cough
for
about
five
days,
and
so
you
know
there's
clearly
you
know,
or
we
went
to
my
aunt's
house
and
had
dinner
and
my
cousin
had
the
sniffles
and
and
was
coughing
a
lot.
So
there
are
some
of
those
types
of
things
where
we're
like
that.
That
could
be
what
we're
looking
at
right
and
so
over
time,
as
I
said
that
it's
a
little
bit
harder
to
pinpoint
exact
modes
of
train
of
exposure
because
of
the
folks
moving
around
so
much
in
the
earlier
days.
E
I
mean,
I,
I
think
it's
a
valid.
You
know,
question
sherman,
it's
one.
That's
kind
of
frustrated
me
a
little
bit
over
time
where
you
know
you're
trying
to
pinpoint-
and
I
mean
if
you
come
to
my
house
now
I
mean
we
got-
leaves
all
over
the
place.
So
if
I
did
end
up
getting
it,
I'm
probably
going
to
tell
you
that
everybody
in
my
house
is
coughing,
you
know,
but
I
don't
it's
not
code
related.
You
know,
I
know
specifically
what's
causing
that.
E
So
I
think
we
just
have
to
give
the
like
we're
doing.
Given
the
good
guidance
people
need
to
be
careful.
I
mean
I
mean
that's
what
I
hear
well
so,
and
so
was
it
I
mean
you,
you
traveled
or
you
went
to
a
neighbor's
house
and-
and
you
know
you,
you
know
we're
thinking,
we
got
it
from
them,
but
they
got
it
somewhere
else.
Where
did
they
get
it
from?
E
C
A
E
So
the
last
slide
you
had
you
know,
I'm
going
to
say
this
normal
hush,
but
it's
a
really
good
slide.
This
the
thanksgiving
2020
safety
tips.
I
mean,
if
you
look
at
the
this.
You
know
the
slide
before
where
you
were
talking
about.
You
know
self
quarantining
after
you,
you
know
you
have
a
thanksgiving
gathering,
you
know
and
I
would
read
that
and
I
would
think
okay.
Well
then
that
means
after
I
go
to
after
I
have
thanksgiving
dinner.
E
I
might
eat
enough
on
thanksgiving
where
I
might
have
to
do
that,
but
but
this,
if
you
read
all
of
these,
these
are
very
good
and
they
need
to
be
put
out
there.
I
mean,
because
these
are
very
common
sense
things
that
you
can
do
they're
not
fearful
at
all
they're,
very
common
sense
things,
low
risk,
medium
risks,
high
risk,
and
so
I
think
it'd
be.
E
A
Well,
thank
you
I
I
cannot
take
credit
for
it.
That
is
our
very
competent
and
incredible
communications
team
who
are
not
in
this
room
to
take
credit
for
that,
but
it
will
be
pushed
out.
I
believe
it's
going
to
be
pushed
out
today
after
this
briefing
and
will
be
on
our
website
for
folks
to
access
and
north
carolina
department
of
health
and
human
services
also
has
some
interim
thanksgiving
guidance
and
guidance
around
black
friday
shopping
as
well.