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Description
Santa Clara County Health Officer Sara Cody provides the latest information on Omicron and the COVID-19 outbreak in Santa Clara County as she provides an update at the January 11, 2022 Santa Clara County Board of Supervisors Meeting.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus
C
Good
afternoon
president,
washington
and
members
of
the
board
I'm
joined
by
dr
ahmad
kamal
and
we'll
provide
the
presentation
today.
So
if
I
could
have
the
first
slide,
we
will
begin
as
we
always
do
with
our
local
epidemic
curve.
We'll
just
take
one
moment,
while
that's
coming
up
the
the
one
slide
so.
D
C
As
as
you
all
know,
we
are
currently
seeing
a
dramatic
and
really
breathtaking
explosion
of
cases.
This
is
a
pattern
that
we're
seeing
here
in
our
county,
as
well
as
across
the
region,
the
state,
the
nation
and
indeed
the
globe
as
of
today,
our
seven
day,
moving
average
number
of
cases
exceeds
4
000
new
cases
per
day,
and
we
know
that
these
reported
cases
represent
only
a
portion
of
our
actual
cases,
because
now
many
people
are
using
at-home
antigen
tests
and,
of
course
those
results
aren't
reportable
and
so
not
reflected
in
these
numbers.
C
So
I
think
this
just
gives
us
a
sense
of
the
pace
of
things
and
the
direction
of
things,
but
but
it's
not
exact,
so
the
models
when
white,
when
might
we
expect
these
cases
to
peak,
is
a
question
that
we
often
have
and
the
honest
answer
is
we
we
don't
quite
know,
although
some
state
models
show
we
may
peak
sometime
towards
the
end
of
this
month
or
perhaps
early
next
and
of
course
remember
that
hospitalization
peak
will
follow
the
peak
in
cases.
C
C
What's
going
on,
these
data
will
remain
reflective
of
what's
going
on,
and
just
what
I
want
to
note
here
is
that
in
all
four
of
the
sewer
sheds
that
we
track
the
the
concentrations
of
stars,
2v2
have
been
increasing
sharply
in
the
last
two
weeks
across
all
four
sewer
sheds
and
in
most
cases
in
three
of
the
four
sewer
sheds.
The
current
concentrations
have
surpassed
levels
that
we
saw
during
last
winter's
surge.
C
1951
people
have
died
of
covid
and
you
can
see
on
the
right
hand,
side
of
this
curve
where
we
are
now,
it
still
looks
pretty
flat.
We
have
a
steady
somewhere
between
five
and
ten
deaths
recorded
each
week,
but
of
course
we
don't
know
yet
about
how
this
current
surge
will
eventually
translate
and
recall
that
at
the
peak
of
last
winter
surge
we
had
almost
160
deaths
in
one
week
in
early
january.
C
So
I'll
now
turn
and
walk
you
through
vaccines,
because
I
want
to
especially
in
prevention,
in
combination
with
other
prevention
layers.
We
hope
that
vaccines
will
translate
to
fewer
preventable
deaths
in
our
community,
and
I
also
just
as
I
go
along.
I
want
to
make
the
point
that
hospitalization
and
death
really
aren't
the
only
outcomes
that
we
should
be
worried
about,
but
they
are
the
ones
that
we
have
a
lot
of
data
to
share
with
you
today
I
have
two
slides
that
shows
case
rates
by
vaccination
slab
status.
C
This
is
the
first
one
that
really
gives
you
the
macro
view
and,
of
course,
you'll
notice
that
that
purple
line
are
the
case
rates
among
people
who
remain
unvaccinated
in
our
community
and
then
the
other
lines
towards
the
bottom
are
with
various
stages
of
vaccination,
and
so
this
is
take
home.
Mess
take
home
lesson
number
one,
which
is
that
yes,
vaccination
does
reduce
your
chance
of
becoming
infected
and,
since
you're
less
likely
to
become
infected,
you're
less
likely
to
spread
infection
if
you're
vaccinated.
C
I
think
this
is
a
very,
very,
very
important
point
that
I
really
can't
underscore
enough
in
our
community,
where
so
many
people
are
vaccinated
and
boosted.
Of
course,
most
people
you
see
with
a
breakthrough
infection
will
be
vaccinated
and
boosted.
That
does
not
mean
that
the
vaccine
is
not
working
far
from
it.
C
I
think
this
shows
how
well
vaccination
helps
to
reduce
your
chance
of
becoming
a
case,
so
the
next
slide
zooms
in
on
that
lower
right
corner
from
the
last
slide
and
gives
you
a
more
a
close-up
look
on
what's
going
on
with
case
rates
among
the
different
vaccinated
groups,
so
the
vaccinated
and
eligible
for
a
booster,
but
not
yet
boosted
are
the
green
line
at
the
top,
and
the
boosted
are
that
orange
line
on
the
bottom,
and
I
think
what
you
can
see
here
is
that
the
case
rate
among
the
eligible,
but
not
yet
boosted-
is
almost
twice
that
among
the
boosted.
C
So
this
is
of
course
reflects
what
we
know
that
protection
from
the
initial
series
does
wane
over
time,
and
you
need
a
booster
to
increase
your
level
of
protection
back
to
where,
where
it
was
to
better
protect
against
infection.
C
So
these
are
the
both
the
hospitalization
rate
over
time,
which
is
the
blue
line,
and
with
it
you
can
see
the
case
rate
over
time,
which
is
the
orange
line,
and
I
I
think
I
mentioned
that
our
last
meeting
when
omicron
was
just
beginning
to
emerge,
was
that
a
chief
concern
was
that,
even
if
omicron
in
general
caused
a
milder
illness
as
compared
to
previous
variants,
just
a
small
proportion
of,
if
just
a
small
proportion
of
of
cases,
land
in
the
hospital
it
could
translate
to
still
a
very
large
number
and
enough
to
overwhelm
overwhelm
hospitals
and-
and
that
still
is
a
very
significant
concern.
C
So
this
shows
the
relationship
between
cases
and
hospitalizations
over
time
and
you
can
see
as
we've
as
we
have
all
experienced,
how
the
blue
line
lags.
The
orange
line,
so
hospitalizations
lag
cases,
and
I
think
the
question
is
what
will
be
the
relationship
now
between
hospitalizations
and
cases.
We
hope
that
those
lines
will
diverge
a
lot,
but
it's
a
little
bit
early
to
to
make
a
call.
C
I
also
just
want
to
make
a
couple
comments
about
the
world
word.
Mild
and
omicron
is
just
like
a
cold,
so
I
have
also
used
this
word
to
describe
a
typical
illness
from
omicron,
but
there's
a
couple
of
important
points
I
want
to
make.
First
of
all,
you
know
when
a
doctor
says
mild,
they
might
be
thinking
well,
you're,
not
in
the
hospital
and
you're,
not
on
oxygen.
C
So
it's
mild
and
that's
a
little
different
than
a
lay
person
who
might
think
mild
means
I
get
to
you,
know,
watch
a
movie
in
bed
and
drink
my
favorite
hot
beverage.
So,
but
the
truth
is
that
people
with
omicron
can
feel
quite
miserable
for
several
days.
C
And
finally-
and
this
is
perhaps
of
most
concern-
is
that
a
certain
proportion
of
those
with
covet
infection
will
go
on
to
develop
long
covid,
and
that
is
a
very
big
deal.
So
hospitalization
and
death
are
not
the
only
outcomes
that
should
be
of
concern
for
us,
which
is
why
we
really
continue
to
emphasize
why
why
implementing
and
focusing
on
multiple
layers
of
prevention?
However,
we
can
in
order
to
prevent
infection
in
the
first
place.
That's
that's
still
quite
important.
C
The
next
slide
shows
hospitalization
rate
by
vaccination
status
among
adults,
people
greater
than
18
in
our
county.
C
So,
in
addition
to
reducing
the
the
risk
of
infection,
you
can
see
here
that
vaccination
and
boosting
dramatically
dramatically
reduce
the
risk
of
being
hospitalized.
C
So
the
the
most
recent
rates
that
you
can
see
there
on
the
far
right
show
almost
a
20-fold
difference
between
the
rate
of
hospitalization
among
those
who
aren't
vaccinated
versus
who
are
vaccinated.
So
vaccines
and
boosters
are
very
protective
against
hospitalization.
C
C
E
You
supervisors,
so
our
this
graph
shows
our
testing
in
the
county.
Our
average
testing
count
has
exceeded
25
000
tests
per
day
for
the
first
time
in
this
pandemic
and
is
continuing
to
increase.
This
is
almost
10
times
the
state
guideline,
and
that
leads
to
more
than
one
percent
of
the
entire
county's
population
being
tested
each
and
every
day.
E
E
Next
slide,
as
I
mentioned
at
home,
antigen
tests
are
increasingly
being
used
in
the
community,
so
both
are
testing
and
just,
as
importantly,
our
total
case
counts
are
underestimated.
E
So
as
a
reminder,
if
someone
has
to
go
with
symptoms
and
a
positive
antigen
test
at
home,
they
do
not
need
to
get
the
confirmatory
pcr
test.
They
should
just
follow
the
isolation
guidelines
and
only
need
to
see
a
healthcare
provider
if
they
have
symptoms
that
require
it,
not
just
because
of
their
positive
tests
next
slide.
E
So
the
county
is
currently
distributing
antigen
tests
to
several
settings
to
aid
in
testing
and
to
help
return
essential
workers
to
their
jobs.
If
they
have
no
symptoms,
this
slide
lists
some
of
the
distribution
that
has
been
done
and
it's
continuing
to
be
done
through
the
county.
E
That's
right
in
terms
of
vaccinations,
we
have
seen
a
bit
of
a
drop
off
in
demand,
but
are
still
delivering
a
large
number
of
boosters
shown
in
purple,
which
is
even
more
important
than
ever
and,
as
dr
cody
said,
given
the
omnicron
variant,
a
very
important
goodness
out
in
the
community
next
slide.
E
However,
we
are
happy
that
we
have
seen
an
increase
in
testing
by
our
healthcare
partners,
including
stanford
geyser
and
palo
alto
medical
foundation,
showing
an
increase,
and
that
will
hopefully
continue
as
we
go
forward,
looks
like
and
as
a
reminder,
all
persons
above
the
age
of
12
are
eligible
for
a
booster
five
months
after
completion
of
their
initial
series
or
two
months
after
receiving
the
j
j
vaccine,
and
we
are
encouraging
everybody
who's
a
little
eligible
to
get
a
booster
next
slide
in
terms
of
hospitalizations.
E
We
have
seen
an
increase
with
403
adults
go
with
hospitalizations
as
of
yesterday,
and
this
increase
has
not
been
as
great
as
the
increased
number
of
cases,
which
could
indicate
decreased
very
virulence.
But,
as
dr
cody
said,
we
do
know
that
hospitalizations
lag
behind
cases
and
neither
the
case
count
or
the
hospitalizations
have
reached
the
peak.
Yet
so
we
are
not
out
of
the
woods
again.
E
E
E
Also
very
important
to
note
is
that
our
emergency
room
volume
is
higher
than
it
has
ever
been
both
for
covert
and
non-coveted
illnesses,
and
this,
once
again,
is
also
impacted
by
staffing
shortages
across
the
continuum
of
health
care
and
so
clearly
presents
a
strain
on
the
health
care
system
next
slide
and
finally,.
E
Update
on
therapeutics,
as
I
mentioned,
we
are
now
fortunate
to
have
multiple
therapies
available
for
pre-exposure
post-exposure
mild,
to
moderate
disease
and
for
severe
disease
out
of
all
of
these.
By
far,
the
most
important
is
vaccines
which
can
prevent
you
from
getting
sick
in
the
first
place,
but
for
those
people
who
do
get
sick,
we
do
have
treatments
for
both
herding
and
lake
disease
and
are
allocating
it
to
help
their
providers
across
the
county.
E
I
just
wanted
to
mention
one
of
the
most
exciting
developments,
which
is
that
we
now
have
oral
medication
that
can
be
taken
by
people
with
mild
which
symptoms
and
prevents
them
from
progressing
to
more
severe
disease.
E
Our
county
has
developed
a
website
which
any
provider
can
access
and
view
real-time
availability
of
these
medications
for
their
patients
and
get
them
a
supply,
and
once
again,
these
are
great
developments,
but
the
clearly.
The
vaccines
are
a
foremost
important
to
prevent
you
from
eating
any
of
this,
and
with
that,
I
will
turn
it
over
back
to
dr
cody.
B
I'm
muted
again
there
we
go.
Thank
you
very
much,
dr
cody
and
dr
kamal.
I
appreciate
that.
I
appreciate
the
graphics,
the
colorful
page
numbers.
It
was
very
easy
to
discern
the
report.
I
picked
out
a
number
of
different
slides,
but
I
want
to
talk
turn
the
supervisors
first
for
any
questions
they
may
have
of
you
before.
I
make
a
couple
of
comments.
D
You
couldn't
get
couldn't
get
there
fast
enough.
I
did
want
to
ask
a
couple
of
questions
about
some
things
that
are
going
on
in
the
in
the
community.
Thank
you
very
much,
dr
cody
and
all
of
the
partners
for
the
report.
D
Given
the
impact
of
this
current
wave
on
the
operations
of
of
schools
in
congregate,
settings
I'd
like
to
ask
that
future
reports
include
information
on
outbreaks
response,
support
and
guidance
from
our
county
public
health
team
to
these
other
other
settings,
and
in
particular
today
I
want
to
ask
about
cases
amongst
staff
and
people
in
custody
at
our
jails,
in
light
of
both
the
vaccination
order
for
congregate,
settings
and
lower
vaccination
rates
among
people
in
custody
as
compared
with
the
general
population.
D
So
my
first
question
is
for
dr
cody
regarding
the
health
order
issued
which
mandates
vaccination
for
employees
within
high
risk
settings.
I'm
aware,
as
I
know,
you
are
of
the
current
staffing
shortages
in
custody
due
to
a
number
of
deputies
of
being
out
with
covid,
given
that
situation
is
there
any
consideration
around
enforcement
of
the
vaccine
requirement,
at
least
until
an
adequate
number
of
staff
have
been
cleared
to
return
to
duty.
C
Thank
you
for
the
question
supervisor
ellenberg.
You
know
I.
I
share
your
concern
about
the
outbreaks
in
the
jails
and
in
other
congregate
settings,
and
it
and
in
all
of
these
settings
of
course,
is
extraordinarily
difficult
with
staff
illnesses.
And
so
the
question
of
how
do
we
best
thread?
C
The
needle
to
be
most
protective
is
is
very
challenging
and
you
know
sometimes
we
need
to
try
a
number
of
different
things
and
I
just
want
to
assure
you
that
we're
working
very
very
closely
with
custody
health
to
try
to
understand
how
to
best
protect
the
health
of
the
indicates.
C
With
regards
to
the
order.
This
is
complex
because,
as
you
may
know,
custody
is
both
under
the
county's
vaccination
mandate
order
as
well
as
falls
under
the
health
officer
order
as
a
congregate
setting
so
a
bit
more
complex
than
other
congregant
settings
that
fall
under
the
health
officer
order,
because
they're
two
different
ones
so
custody
falls
under
both.