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A
So
I
just
wanted
to
those
are
the
housekeeping
items
and
these
will
be
available
for
the
coven
19
community
updates
ongoing.
B
B
As
I
said,
the
two
dashboards
essentially
have
the
same
data
on
them,
and
so
this
will
allow
our
team
to
now
put
those
duplicative
efforts
toward
other
efforts
here
locally,
including
the
support
of
our
case
management
or
our
case.
Investigation,
contact,
tracing
testing
access
and
other
future
coveted
response
plans
that
we
have.
B
And
so,
first
up
for
us
here
in
buncombe
county.
As
of
this
afternoon,
there
are
a
total
of
3
800
confirmed
cases.
The
majority
of
these
cases
about
41
of
them
have
been
have
occurred
in
25
to
49
year
olds,
and
you
will
see
here
by
using
the
north
carolina
dhhs
dashboard,
there's
additional
information
that
they
have,
that
our
local
dashboard
doesn't,
which
is
not
only
the
pcr
molecular
confirmed
cases,
but
also
the
antigen
we've
also
experienced
98
covid
related
deaths.
B
B
So
when
we
do
our
case
investigation,
that's
what
we
are
commonly
finding,
and
so
you
know
I'd
again
take
the
opportunity
to
let
everybody
know
that
it
is
very
important
for
our
community
members
to
remember
that
if
they
have
symptoms
that
are
associated
with
covid,
we
want
them
to
stay
home,
not
to
interact
to
contact
their
providers
for
assessment
and
testing
if
necessary,
and
then
speaking
of
testing.
We
also
want
to
remind
everyone
that
testing
is
available
at
several
different
community
sites,
including
community
partners
like
our
fqhcs.
B
Our
urgent
cares
our
pharmacies
and
also
at
our
own
community
testing
sites.
We
are
currently
scheduling
our
fixed
sites
and
our
pop-up
sites
into
november
and
folks
can
visit
buncomberready.org
and
if
you
scroll,
if
you
choose
the
testing
function,
you'll
see
a
calendar
or
a
list
of
testing
options
at
the
bottom
into
from
this
month
and
and
then
beyond,
and
I
just
want
to.
As
I
said
since
our
case,
investigations
are
showing
that
folks
are
moving
about
with
symptoms.
I
want
to
say
symptoms
or
no
symptoms.
B
B
So
just
to
reiterate
that
when
we
don't
adhere
to
the
guidance
of
the
three
w's,
we
are
actually
helping
the
virus
spread,
and
that
is
not
what
we
want
that
we
want
folks
to
adhere
to
the
three
w's
so
that
we
reduce
the
risk
of
infecting
our
neighbors,
our
friends,
our
families
and
others
in
our
community.
B
B
The
state's
current
percent
positivity
has
increased
from
6.4
from
the
last
time.
I
spoke
to
you
all
to
about
7.4
percent
today
and
again,
while
our
percent
positivity
is
less
than
the
desired
five
percent,
which
is
good,
it
has
increased
since
september
and
in
order
to
reduce
the
spread
of
irs,
I
can't
say
it
enough.
It
is
very
important
for
all
of
us
to
use
the
precautions
that
we
have
in
place,
which
is
to
limit
our
interactions,
we're
face
covering
wash
our
hands
and
keep
six
feet
apart.
Those
are
our
best
defenses
right
now.
B
B
But
one
of
the
things
to
note
here
is
that
across
the
state
in
each
of
the
regions,
we
are
seeing
an
uptick
in
that
covet-like
illness,
and
so
this
is
a
good
time
to
turn
it
over
and
to
turn
it
over
to
our
guest.
Dr
bill
hathaway
senior,
vice
president
and
chief
medical
officer
for
mission
hospital
to
talk
more
about
hospital
and
health
system.
C
Thank
you
stacy,
it's
a
pleasure
to
be
here
again.
It's
been
a
while,
since
I've
seen
many
of
you
or
at
least
in
this
venue-
and
I
appreciate
the
opportunity
to
come
back
and
address
you
and
the
community.
We
let's
see
if
I
can,
handle
the
challenges
here.
As
stacy
appropriately
pointed
out,
we
have
been
seeing
an
increase
and
I
think
we're
all
aware
of
covet
cases
across
the
united
states
and
covet
deaths
continue
to
occur.
C
The
shapes
of
these
curves
that
you'll
see
that
stacy
presented
and
I
presented
are
very,
very
similar,
meaning
that
what
is
happening
nationally
is
happening
locally,
and
we
all
need
to
be
very
aware
of
that.
We've
tragically
passed
8
million
cases
and
over
200
000
deaths
in
the
united
states,
and
most
of
us
are
well
aware
that
that's
very
disproportionate
to
our
population
admission.
I
wanted
to
provide
an
update
of
what
we've
seen
and
you'll
note
that
on
this
chart,
this
graph,
the
blue
curve,
represents
the
total
numbers
of
patients.
C
What
you
see
is
concerning
to
me
is:
we
are
approaching,
if
not
surpassing
our
peak
of
patients,
that
we
had
hospitalized
in
july
when
we
hit
our
first
peak
and
now
have
gone
up
again
very
steadily
to
the
current
values
of
about
35
to
45
patients
in
the
health
system
at
any.
Given
time.
Most
recently,
we've
had
31
patients
hospitalized
this
morning,
eight
of
whom
were
in
the
icu.
C
What
I
find
most
interesting,
however,
and
perhaps
slightly
encouraging,
despite
the
recent
rise
in
the
cases,
is
that
while
cases
have
risen,
the
numbers
of
patients
that
we've
seen
in
the
icu
is
remaining
flat
and
that's
encouraging
to
me.
I
don't
have
an
explanation
for
that
lots
of
proposed
explanations,
but
encouraging
to
me.
It
means
that
we
have
adequate
resources.
C
We
have
adequate
beds,
ventilators
testing
supplies
and
ppe
to
handle
the
surge
right
now
and
we
are
certainly
much
better
off
than
we
were
back
in
march
when
we
first
encountered
this
illness
and
had
very
much
limited
supplies.
So
I
want
to
echo
in
closing
my
comments
here.
What
stacy
said
is
that
our
best
defense
at
this
point
in
time
are
the
three
w's
wearing
a
mask
waiting
six
feet
apart
and
washing
our
hands
and
keeping
them
away
from
our
mouths
and
face.
C
We
anticipate
and
hope
for
a
vaccine.
The
vaccine
will
come.
We
just
don't
know
when
it
will
come.
Both
the
health
department
and
mission
health
system
are
in
the
process
of
coordinating
with
the
state
to
obtain
supplies
of
those
vaccines,
but
the
best
strategy
we
have
now
and
even
into
next
year
is
to
be
mindful
of
social
distancing.
I
think
we
can
do
that
safely
and
effectively
and
still
move
towards
protecting
each
other
and
getting
back
to
where
we
need
to
be
in
a
more
normal
state
for
our
community.
E
I
I
wondered
if,
if
you
could
share
with
us
sort
of
any
of
your
thinking
about,
if
there
are
threshold
levels
at
which
it
might
be
most
responsible
to
consider
re-implementing
some
of
the
policies
that
we
had
between
the
sort
of
march
and
august
time
frame,
I
think
obviously
no
one
wants
to
do
that.
E
But,
as
we
see
these
numbers
and
and
know
that
we're
approaching
sort
of
the
confluence
of
flu
season
and
covid
in
an
ongoing
way,
I'm
just
interested
in
sort
of
the
latest
thinking
on
what
we
need
to
when
we
go
into
sort
of
that
yellow
zone
when
we're
in
that
red
zone
and
and
any
thoughts
on
that.
B
Yeah
thanks
so
much
for
the
question,
and
so
one
thing
I'll
first
say:
is
that
not
only
do
not
only
am
I
looking
at
these
every
day,
but
every
week
we
are
looking
at
these
through
are
still
still
our
command
center
and
monitoring
these
trends
over
time
to
see.
If
there's
any,
you
know
other
decisions
that
we
need
to
be
making
as
to
you
know
true
demarcations
of
thresholds,
I
would
say
the
things
that
we
look
at
the
most
would
be.
What
are
the
new
cases
per
day
coming
in?
B
How
steep
is
that
curve
going
and
percent
positivity,
because
that
is
one
of
our
best
indicators
of
community
transmission,
and
so
one
of
the
other
things
that
we
look
at
too,
as
I
said,
is
that
anecdotal
type
of
data
that
we
get
from
case
investigation,
which
is,
are
we
seeing
something
within
our
community
that
needs
us
to
take
action
and
right
now?
What
I
can
tell
you,
through
those
case
investigations,
is
it's
that
individual
behavior
of
we
have
to
remember
that
that
six
feet
is
really
important.
We
have
to
remember
that
mass
are
really
important.
B
There's
growing
evidence
about
how
important
mass
are
right
now
and
then,
of
course,
we
would
be
looking
toward
our
hospital
partners
too,
and
just
as
dr
hathaway
stated,
you
know
looking
at
what
the
hospitalization
rates
are.
What
are
the
icu?
Are
we
reaching
a
capacity
and
right
now,
as
you
heard,
dr
hathaway
say
that
there's
still
capacity
within
our
hospital
at
this
point
so
but
it
is
monitored
daily
for
some
of
us
and
then
most
certainly
every
week
we
are
discussing
that
in
our
command
center.
Thank
you.
D
I
have
a
couple
questions.
One
is
looking
ahead
to
the
fall
and
winter.
You
know
there's
long,
there's
long
been
concerned
that
case
in
cases
would
increase
in
the
fall
and
winter
as
people
have
less
opportunities
to
do
things
outdoors
and
there's
just
more
happening
indoors.
People
are,
you
know
indoors
in
close
proximity
and
and
that's
obviously
a
lot
more
favorable
environment
for
transmission
than
when
people
are
outside.
D
So
is
there.
You
know,
based
on
everything
that
we've
learned
so
far
and
the
the
trends
we
have
right
now.
Is
there
any
way
to
kind
of
fork?
You
know,
do
forecasts
for
our
community
around
what
we
think
the
fall
and
winter
might
look
like.
I
realize
you
know
this
is
such
an
unprecedented
situation.
It's
all
kind
of
asking
you
to
talk
about
looking
into
a
crystal
ball,
but
nevertheless
I
guess
I'd
like
to
hear
your
thoughts
about
what
the
best
thinking
is
on
that
based
on
the
learned
experience
we've
had
so
far.
C
It's
a
really
good
question,
commissioner
newman,
I
appreciate
you
bringing
it
up,
obviously
we're
concerned
about
the
confluence
of
the
influenza
season
and
the
ongoing
covid
season,
as
it
were.
Some
have
referred
to
it
as
a
possible
twindemic.
C
C
I
I'm
not
sure
I
completely
buy
that
it's
interesting.
It
may
be
that
there's
some
reporting
issues
related
to
the
pandemic.
It
may
be
related
to
the
fact
that
we're
all
masking
anyway,
so
flu
season
is
down
it's
hard
to
know,
but
I
think
I'm
hopeful,
I
do
know
it's
going
to
get
worse.
Okay,
because,
as
you
pointed
out
as
we
move
inside
and
as
we
have
the
behaviors
we've
see,
we
see
it
every
year
that
respiratory
illnesses
rise
in
the
winter
and
fade
away
in
the
summer.
C
That
will
happen
here
too,
but
I'm
hopeful
that,
based
on
the
southern
hemisphere,
experience
that
we'll
be
okay,
it
harkens
us
all
to
remember
that
the
flu
vaccine
is
recommended.
We
have
a
vaccine
for
the
flu,
it
won't
protect
against
covid,
but
it's
critically
important
that
each
and
every
one
of
us
above
six
months
of
age,
get
the
flu
vaccine
there's
it's
it's
completely
safe.
There
are
very
very
few
if
any
medical
contraindications
to
getting
it,
and
we
encourage
you
to
get
that
flu
vaccine.
C
D
Okay,
the
other
questions
that
I
wanted
to
ask
have
to
do
with
holidays,
so
halloween
is
coming
up
and
I'm
just
would
appreciate
hearing
any
thoughts
from
you
about.
D
You
know
the
you
know
this
holiday
and
a
lot
of
people
have
a
lot
of
fun
and
brings
a
lot
of
joy
to
a
lot
of
kids.
You
know
in
our
community,
but
I
hear
a
lot
of
people
asking
about.
You
know
what
you
know.
What
should
it
look
like,
so
I
just
should.
Should
people
do
it
at
all
if
they
do
how?
How
should
how
should
they
do
it?
So
I'm
sure
a
lot
of
people
would
be
interested
in
hearing
your
thoughts
about
this.
B
B
So
it's
important
for
folks
to
know
that
activities
have
risks
to
them
right
now
and
so
that
there
are
choices
that
we
can
make
that
are
less
risky,
and
so
you
know
our
traditional
halloween
with
trick-or-treating
door-to-door
and
sticking
your
hand
into
a
bucket
is
not
ideal
and
is
not
recommended
right,
but
there
are
other
less
risky
activities
or
activities
that
have
less
risk
than
than
traditional
halloween,
and
so
we
would
encourage
folks
to
look
at
that
guidance
and
to
think
through
what
other
halloween
activities
can
you
partake
in
that?
D
All
right,
and
then
I
guess
my
related
question-
is
thinking
a
little
bit
further
down
the
line.
You
know
we
have
thanksgiving
and
we
have
christmas
coming
up
when
you
know
families
travel
and
get
together
and
spend
time
together,
and
it's
a
really
important
time
for
people,
but
just
thinking
about
you
know
what
I
just
described.
It
also
sounds
like
you
know,
especially
for
a
lot
of
folks
who
might
be
more
vulnerable
to
being
becoming
seriously
ill
if
they
contract
covid
any
thoughts.
D
B
Yeah
so-
and
this
is
not
unique,
necessary
to
thanksgiving
and
christmas,
because
we've
seen
this
happen
throughout
the
summer
too,
when
when
families
were
trying
to
get
together
for
cookouts
or
for
vacations,
and
so
you
know,
there
is
a
higher
risk
for
as
we
bring
activities
in
indoors,
and
so
things
that
we
would
want
people
to
consider
is,
if
you
have
folks
in
your
family
who
are
in
these
high-risk
groups,
it's
important
to
protect
them.
B
That
again,
we
recognize
that
this
is
hard
on
on
people,
in
that
we
want
them
to
make
choices
that
are
responsible
and
that
are
putting
themselves
at
the
lowest
amount
of
risk,
and
so
to
remember
that,
when,
when
you're
coming
together
in
any
type
of
gathering,
you
are
again
inherently
putting
yourself
at
risk,
because
it's
an
interaction
and
an
exposure.
So
to
remember
the
three
w's
as
much
as
possible,
and
that
means
you
know
when
we're
meeting
with
our
families.
B
That
means
that
you
know
when
we're
in
those
spaces
keeping
our
distance
washing
our
hands
as
much.
If
you
know
the
the
three
w's
are
additive,
so
when
we
use
them
together,
that's
our
best
defense.
If
one
of
them
is
not
possible,
that
means
we
have
to
really
double
up
on
the
other
two.