►
Description
County of Santa Clara Health officials discuss updates on hospital capacity, vaccine distribution, and travel quarantine.
Recorded December 2, 2020.
The City of Cupertino would like to express its thanks to the County of Santa Clara for the use of their video materials during the COVID-19 pandemic.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
A
B
Good
morning,
I'm
dr
jennifer
tong
associate
chief
medical
officer
for
santa
clara
valley
medical
center.
This
morning,
I'm
also
joined
by
james
williams,
county
council
for
the
county
of
santa
clara.
I
will
be
providing
updates
regarding
the
county's
submission
of
its
vaccine
plan
to
the
state
of
california,
as
well
as
the
hospital
capacity
in
the
county.
B
B
B
B
The
county's
role
and
responsibility
for
any
covet
vaccine
is
logistics,
planning
and
preparing
for
the
distribution
of
one
or
more
vaccines.
We
will
be
prepared
to
distribute
doses
of
vaccine
allocated
to
us
from
the
state.
This
is
part
of
our
commitment
to
the
health
and
safety
of
those
who
live
and
work
here.
B
B
This
positive
news
about
vaccine
planning
comes
amidst
a
time
of
record
cases
and
hospitalizations
for
covet
19
in
our
county.
The
number
of
patients
hospitalized
with
cobit
19
in
our
hospitals
continues
to
rise.
We
continue
to
be
at
risk
of
exceeding
our
hospital
capacity
with
typical,
typically
used
beds
in
our
hospitals
potentially
exceeding
capacity
by
mid-november.
If
the
trend
continues
as
of
december
1st
icu
occupancy
among
hospitals
traditionally
serving
the
south
county
and
the
east
part
of
san
jose,
their
icu
occupancy
was
at
93
percent.
B
The
icu
occupancy
for
other
hospitals
in
the
county
was
at
84
percent.
We
are
especially
concerned
because
none
of
the
hospitals
serving
south
county
and
east
san
jose
had
more
than
five
icu
beds
available.
As
of
yesterday,
those
counties
in
particular
serving
south
county
and
east
san
jose
include
regional
kaiser,
santa
clara
and
our
three
county
hospitals,
santa
clara
valley,
medical
center,
o'connor
o'connor
hospital
and
st
louise
regional
medical
center.
B
B
C
C
Good
morning,
my
name
is
james
williams
and
I'm
the
county
council
for
the
county
of
santa
clara,
mostly
here,
to
answer
questions
but
wanted
to
just
make
a
couple
points.
Initially.
First,
is
that
you
know
we
are
still
in
the
midst
of
this
really
really
concerning
surge
in
cases
and
hospitalizations,
and
that
is
why,
on
saturday,
dr
cody
took
the
steps
to
put
in
place
some
additional
layers
of
protections
to
help
try
to
slow
that
train
down
to
try
to
bring
down
that
growth
in
cases.
C
One
of
those
very
important
measures
was
the
new
directive
related
to
travel
and
dr
cody
and
others
had
been
communicating
clearly
locally
for
many
weeks
to
discourage
travel
and
gathering
during
this
holiday
season.
The
state
has
been
putting
out
the
same
message.
The
cdc
has
been
putting
out
the
same
message
and
the
reason
that
there's
been
so
much
concern
about.
C
The
reason
for
putting
in
place
a
quarantine
requirement
for
people
returning
from
out
of
the
area
is
to
try
to
help
avoid
some
of
that
growth
in
cases
to
hopefully
help
contain
spiraling
chains
of
transmission.
That
would
occur
from
folks
who
did
choose
to
travel
nonetheless,
and
that's
why
we
have
this
in
place.
C
We
know
we've
received
a
number
of
questions
about
it.
We
have
put
up
some
a
clarified
version
of
the
directive
which,
in
greater
detail,
breaks
out
the
few
categories
of
exceptions
along
with
updated,
frequently
asked
questions,
I'm
happy
to
answer
some
questions
around
that
this
morning,
but
it
remains
a
very
broad
mandate
and
the
reason
for
its
breath
is
to
really
at
this
critical
moment,
capture
that
travel
that
may
have
occurred
or
that
may
be
occurring
and
have
folks
really
be
in
quarantine
to
avoid
inadvertently
spreading
this
disease.
C
We
know
now
that
potentially,
a
majority
of
cases
are
actually
spread
by
people
who
do
not
have
symptoms,
and
so
you
can't
really
know-
and
we
also
know
that
testing
isn't
perfect.
We
do
encourage
people
to
get
tested.
We
do
have
tremendous
amount
of
testing
capacity
available
accessible
to
the
community.
It's
important
that
people
utilize
that,
but
because
of
how
testing
works
just
because
you
may
test
negative
at
a
on
a
given
day.
C
All
that
means
is
that
you
did
not
have
detectable
levels
of
virus
at
that
moment
in
time,
and
it
doesn't
tell
you
what
might
happen
after
that.
Specimen
was
collected,
and
so
testing
is
not
a
perfect
measure.
It's
just
another
layer
of
protection.
That's
just
another
way
to
try
to
help
detect.
What's
going
on
and
break
chains
of
transmission,
the
travel
quarantine
is
yet
another
important
protection
in
this
multi-layered
effort
to
try
to
control
the
surging
cases
and
to
try
to
ensure
that
we
have
adequate
hospital
capacity,
as
dr
tom
mentioned.
B
At
this
point
in
time,
each
hospital
continues
to
make
those
decisions,
depending
on
the
the
state
of
their
staffing
and
their
bed,
availability
which
changes
from
day
to
day
and
even
from
hour
to
hour.
F
C
The
many
other
health
orders
just
like
by
the
way
most
laws
in
our
society
rely
on
us
to
do
the
right
thing
and
do
our
part
on
a
daily
basis
right,
that's
true
of
every
law
that
we
have
out
there,
but
there
is
also
enforcement,
and
I
think
most
people
understand
that
those
things
go
hand
in
hand,
but
that
doesn't
mean
that
every
single
everything
is
you
know
the
subject
of
a
enforcement
action
at
all
times.
The
directive
is
mandatory.
E
B
The
question
was
about
vaccine
availability
for
children
and
whether
or
not
there
would
be
a
mandate
for
children
to
have
that
vaccine
before
returning
to
school.
At
this
point
in
time,
I
can
only
say
it's
just
too
early
for
us
to
tell
the
the
results
of
the
clinical
trials
are
still
underway,
still
being
evaluated,
and
at
this
point
in
time
children
would
not
be
most
likely
in
the
phase
1a
highest
priority
population,
which
includes
healthcare
workers
and
those
who
are
living
in
congregates
long-term
care
facilities.
B
H
I
B
The
question
was
about
the
allocation
amount.
The
county
will
receive
a
vaccine
from
the
state
and
what
percentage
of
health
care
workers
and
long-term
care
facility
residents
that
will
cover.
B
H
E
J
B
Sure
so
plans
have
included
identifying
the
vaccine
administrators
across
our
county,
the
different
providers
and
systems
that
are
able
to
administer
the
vaccine,
working
with
them
to
estimate
the
initial
numbers
that
they
can
handle
in
terms
of
storage,
ensuring
that
they
have
preparations
in
place
and
supplies
in
place
for
storage,
including
the
ultra
cold
freezer
storage.
That
is
required
for
at
least
one
of
the
vaccines
and
then
working
with
them.
In
terms
of
the
data
transmission.
B
Ensuring
that
those
who
are
vaccinated
are
recorded
in
an
electronic
system
in
a
way
that
we
can
track
how
many
people
are
being
vaccinated
from
what
zip
codes,
what
age
groups,
and
that
that
information
is
transmitted
to
the
state
in
a
way
that
the
state
requires
a.
I
Was
consideration
given
to
announcing
the
travel
quarantine
prior
to
the
thanksgiving
that
might
have
discouraged
some
people
from
traveling
and
would
that
have
made
any
difference?.
C
What
I
can
say
is
it
was
this
policy
was
developed
afterwards,
and
so
there
was
a
strong
discouragement
travel
that
was
issued
beforehand
and
then,
throughout
the
course
of
that
week.
C
I
think
all
of
you
saw,
along
with
us
the
growth
in
cases,
the
growth
and
hospitalizations
that
really
pushed
the
need
to
take
some
more
significant
actions,
and
so
the
this
was
one
of
the
actions
taken
as
soon
as
as
that
decision
was
made,
and
it
was
ready-
and
you
know,
the
hope
is,
having
put
it
in
place
pretty
quickly
and
being
one
of
the
first
jurisdictions
to
do
so
that
it
will
make
a
really
meaningful
difference.
C
D
I
have
a
question
for
dr
tom.
D
Good,
when
a
vaccine
is
approved,
how
many
doses
does
the
county
expect
to
have
and
how
many
freezers
does
it
have
to
store
the
vacuum
so.
B
So
the
answer,
as
I
was
just
answering
previously,
is
that
the
the
number
of
doses
that
we
will
receive
will
evolve
quickly
over
time,
since
there
is
more
than
one
vaccine
that
is
scheduled
to
be
reviewed
by
the
fda
over
the
next
two
weeks.
B
So
we
do
not
yet
have
firm
numbers
on
the
exact
numbers
that
we
will
receive,
but
we
are
prepared
to
store
and
then
distribute
the
full
volume
of
what
we
do
receive
in
terms
of
the
number
of
freezers.
I
do
not
have
an
exact
number
right
now,
because
that
number
actually
evolves
on
a
daily
basis.
I,
literally,
before
coming
to
the
press
conference,
was
on
the
phone
with
the
group
that
was
telling
me
that
freezers
had
arrived
on
a
truck.
As
of
yesterday.
B
H
B
So
the
question
was,
if
I
could
address
concerns
that
those
in
the
highest
priority
population,
particularly
healthcare
providers,
might
have
about
receiving
the
vaccine
and
if
we
know
from
which
manufacturer
we
will
be
receiving
vaccine
I'll
answer.
The
the
second
question.
First,
my
expectation
is
that
we
will
receive
vaccine
from
multiple
manufacturers
to
distribute
throughout
the
county.
We
are
prepared
for
that.
B
B
What
I
can
say
is
that
the
the
vaccine
has
undergone
clinical
trials
with
thousands
of
people
receiving
it
over
the
last
many
months.
What
I
hear
from
several
friends,
colleagues,
even
family
members,
is
that
they
don't
want
to
be
the
first
person
to
receive
the
vaccine,
and
my
response
to
that
is,
thank
goodness.
E
B
Because
that
is
ever
evolving
I'd
rather
not
mention
specific
hospitals
right
now.
At
times
it's
not
it's,
not
a
blanket
suspension
or
cancellation
of
surgeries.
Sometimes
it's
on
a
day-by-day
basis,
so
it
evolves
sometimes
even
hourly.
J
Both
I
wanted
to
see
how
did
you
arrive
at
150
miles
being
the
the
distance
that
you
don't
need
enforcement?
Is
there
any
idea
of
maybe
evolving
or
changing
that,
and
do
you
have
a
plan
for
more
step
up
enforcement
if
it
turns
out
it's
not
working.
C
Sure
so
the
first
question
was:
how
did
we
arrive
at
150
miles
as
the
radius,
and
the
second
question
was:
is
there
a
plan
for
stepped
up
enforcement
if
it's,
if
the
current
situation
is
not
adequate.
C
C
But
wanting
to
ensure
that
folks,
who
that,
where
there's
significant
surging
cases,
such
as
from
southern
california,
such
as
from
other
parts
of
the
united
states,
people
may
be
coming
in
by
air
or
from
long
distance,
travel
would
be
subject
to
the
quarantine.
C
We,
of
course,
will
be
always
examining,
as
we
have
with
our
other
directives,
their
efficacy,
but
also
whether
updates
need
to
be
made.
We've
done
that
throughout
the
course
of
the
pandemic,
with
every
single
subject
matter
and
area-
and
this
will
be
one
of
them
and
we'll
also
continue
to
look
at
what's
happening
elsewhere
in
the
state.
What's
happening
elsewhere
in
the
united
states
and
what's
happening,
of
course
locally
with
our
cases
in
the
surge
and
finally,
with
respect
to
enforcement,
we
continue
to
evolve
that
program.
C
We
absolutely
encourage
people
if
they
have
concerns
about
this
or
any
of
the
health
orders
to
to
bring
those
to
our
attention
at
scc-covittconcerns.org,
and
we
do
follow
up
on
those
and
that
that
program
continues
to
expand
in
an
effort
to
really
promote
across
the
board
adherence
with
these
really
important
and
critical
safety
precautions.
We'll.
F
I
Cameron,
james,
I'm
wondering
if
we
hear
a
lot
about
the
fact
that
there
may
be
a
new
shelter
in
place
or
statewide.
Are
there
plans
in
the
works
for
that
now?
What
would
that
look
like
similar
to
what
happened
in
march.
C
C
What
what
I
would
say
is
that,
from
our
perspective,
we
think
it
is
absolutely
critical
that
there
be
bold
and
swift
state
and
federal
measures
to
deal
with
the
surging
cases
that
that's
happening
across
california
and
across
the
united
states.
One
thing
we
do
know
is
that
our
local
measures
by
themselves
are
not
enough:
they're,
not
sufficient.
C
So
the
question
was
the
cdc.
Just
today
has
issued
some
revised
quarantine
recommendations.
We
will
be
reviewing
those.
They
are
actually
a
bit
nuanced,
a
little
more
nuanced,
I
think,
than
some
of
the
initial
reporting
and
that
will
be
reviewed
by
public
health
and
as
appropriate
and,
if
necessary,
we
may
make
adjustments.