►
Description
Health officers representing the counties of Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara, Sonoma and the City of Berkeley make a joint statement regarding new local health guidance intended to reduce the spread of COVID-19 and save lives in the Bay Area.
This press conference was recorded on August 2, 2021.
Video courtesy of Contra Costa County Public Health Dept.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus
B
B
We
will
then
use
the
remaining
time
to
take
questions
and
answers
if
you
have
a
specific
county
or
health
officer
that
you
would
like
to
have
addressed
your
question,
please
put
that
in
the
q,
a
with
your
question.
Otherwise
I'll
do
the
best
I
can
and
they'll
do
the
best
they
can
to
sort
of
pick
and
choose
what
what
questions
they
answer.
B
But
if
there's
somebody
in
particular
that
you'd
like
to
hear
from
we're
happy
to
accommodate
that,
if
the
question
seems
appropriate,
we
might
do
some
round
tables
and
have
each
of
the
counties
addressed.
It's
a
big
panel
today
so
that
it
takes
a
little
more
time
to
do
that.
So
just
help
us
out
by
letting
us
know.
If
there's
somebody
in
particular,
you
would
like
to
have
answer
your
question.
C
These
health
orders
will
take
a
pla
take
effect
at
midnight
tonight
across
the
bay
area
region.
We
are
seeing
covet
19
cases.
Surging
and
hospitalizations
are
on
a
steep
rise
again,
particularly
among
the
unvaccinated
in
contra
costa
county.
We
are
alarmed
at
the
rate
at
which
covid
patients
are
filling
our
community
hospital
beds.
C
D
Meanwhile,
eighty-six
percent
of
the
coveted
patients
in
our
hospitals
are
unvaccinated
individuals
and
a
hundred
percent
of
coveted
patients
in
our
intensive
care
units
are
people
who
had
the
opportunity
to
be
vaccinated,
but
chose
not
to.
This
is
really
tragic,
given
the
widespread
availability
of
the
vaccines
throughout
the
bay
area.
So
if
you
have
not
yet
received
the
vaccine,
now
is
the
time
to
do
it.
It's
needed
now.
More
than
ever,
vaccination
will
protect
you,
your
family
and
your
community.
D
D
This
is
not
the
same
virus
that
we
were
combating
last
year
or
even
a
few
months
ago.
The
delta
variant
is
60
percent,
more
transmissible
than
previous
versions
of
the
cova
virus,
and
we're
seeing
an
increase
in
the
number
of
vaccinated
people
who
are
now
testing
positive
again.
Vaccinated
people
are
still
protected
against
the
most
severe
outcomes
of
the
virus
and
in
many
cases
our
hospitals
are
not
even
admitting
vaccinated
individuals,
especially
if
they
are
asymptomatic
or
show
mild
symptoms.
Nonetheless,
there
is
evidence
that
vaccinated
people
can
spread
the
virus
to
others.
E
Thank
you,
dr
mace,
so
we
know
that,
with
the
delta
variant
and
in
general
code
there's
an
increased
risk
of
being
exposed
to
the
virus
in
indoor
spaces
and
settings.
We
know
that
indoor
spaces
are
where
most
transmission
occurs
and
that's.
Why
we're
basing
a
masking
requirement
on
an
indoor
space
face
coverings,
protect
you
and
those
around
you
providing
an
additional
layer
of
protection
for
vaccinated
people
too,
as
mentioned
vaccinated
people
are
much
less
likely
to
get
covid
and
if
they
get
it,
they're
likely
to
have
mild
disease.
E
E
There
are
people
who
have
to
work
indoors,
though,
and
for
that
group
we
want
to
make
sure
that
we
are
protecting
them.
Our
frontline
workers
have
been
essential
during
the
pandemic
and
they
continue
to
be
essential
during
this
reopening
period,
so
both
for
the
fact
that
there
are
people
out
there
that
cannot
get
vaccinated
because
they
aren't
eligible
and
we
want
to
protect
our
workers.
We
are
urging
people
to
mask
indoors
and
that's
why
this
requirement
is
happening.
Now.
F
Good
afternoon
and
thank
you,
dr
baba
masks
are
a
simple
and
effective
tool
everyone
can
use,
but
we
must
remember
that
vaccine
remains
our
strongest
protection
against
the
delta
variant
and
covet
19
disease
vaccines
strongly
protect
the
vaccinated
from
severe
disease
from
hospitalization
and
death.
They
also
reduce
chances
of
infection.
F
G
We
all
know
that
by
now
that
kova
19
is
transmitted
by
people
through
the
air
and
it's
much
more
easily
transmitted
indoors
than
outdoors,
and
we
wish
we
weren't
in
this
place
right
now
having
to
make
this
order.
But
what's
happened
is
the
virus
has
changed.
The
delta
variant
is
now
the
predominant
variant
in
our
area
and
across
the
country,
and
because
it's
more
contagious,
we
need
more
protection,
and
that
comes
in
the
form
of
masks.
G
That's
the
easiest
and
best
tool
that
we
have
to
protect
ourselves
and
our
communities,
and
I
wanted
to
mention
that
it's
really
important
that
the
virus
doesn't
care.
What
kind
of
indoor
space
you're
at
whether
it's
in
a
public
building
or
someone's
home
anytime
you're
in
an
indoor
space
indoor
place
with
other
people
who
you
don't
live
with.
There
is
a
risk
that
you
could
get
infected
with
the
virus
that
causes
covet
19.,
and
so.
G
What
we
would
prefer
is
that
you
would
use
at
least
a
surgical
or
medical
grade
mask
and
that
it
would
be
something
like
this
at
the
minimum,
and
you
would
pinch
it
at
your
nose
and
if
you
don't
have
one
of
those
a
well-fitting
cloth
mask,
would
work
and
certainly
no
neck
gaiters
and
no
matter
what
kind
of
mask
you
wear.
These
coverings
should
cover
the
mouth
and
nose,
and
now
I'd
like
to
introduce
dr
lisa
santora,
deputy
health
officer
for
marin,
county.
H
H
The
goal
of
these
orders
is
to
avoid
disrupting
our
businesses
continued
operations
and
our
residents
everyday
activities
masking
is
a
simple
and
effective
tool
to
support
us
in
this
battle,
and
we
also
are
all
focusing
on
a
safer
return
to
school.
This
fall,
or
for
some
of
us
in
august
delta
is
different.
Despite
our
high
vaccination
rates,
marine
county
is
experiencing
high
levels
of
covet
transmission.
H
Vaccination
is
still
our
best
tool
at
ending
the
pandemic
and
when
combined
with
mask
it,
provides
a
greater
safeguard
against
the
virus,
spread
and,
importantly
serious
illness.
This
is
a
short-term,
evidence-based
strategy
to
respond
to
the
delta
variant,
while
keeping
our
businesses
open
and
supporting
the
safer
reopening
of
schools.
H
I
Thank
you,
dr
santora.
Today's
announcement
reflects
both
the
california
department
of
public
health
and
the
cdc's
guidance
for
everyone
to
wear
a
mask
indoors
in
public.
If
you're
in
an
area
of
substantial
or
high
transmission,
every
county
represented
here
today
has
substantial
or
high
levels
of
community
transmission.
B
Thank
you
all
appreciate
those
comments.
We
have
a
number
of
questions
in
the
the
q
a
that
we'll
get
to.
I
also
want
to
remind
you
that
if
you'd
like
to
raise
your
hand,
we
will
call
on
you
to
ask
your
question
in
person,
if
you
prefer
to
do
that,
so
I
see
some
hands
going
up.
Thank
you
very
much
for
that.
B
The
second
thing
that
I
would
let
you
know
is
that,
as
soon
as
this
event
is
over,
we
will
make
this
recording
available
on
our
youtube
channel
for
you
to
download,
as
you
like,
so
I'm
gonna
turn
my
video
off.
So
you
don't
have
to
see
me
answering
the
questions
and
it
will
be
the
person
asking
the
question
and
our
fantastic
asl
interpreter
michael
mcmahon,
on
the
screen
for
you.
So
I'm
going
to
go
away.
B
First
question:
if
hospitalizations
increase
past
a
certain
point,
do
you
think
additional
restrictions
may
be
imposed
on
businesses
like
bars
or
large
gatherings
like
stern
grove,
giants,
games
or
festivals?
If
so,
what
is
that
threshold?
So
dr
farnitano,
I
might
I
might
pick
on
you
first
and
then
see
who
else
wants
to
address
that.
C
Certainly,
thank
you
kim.
You
know.
Last
winter,
our
hospitals
in
the
bay
area
were
perilously
close
to
full.
Last
winter.
We
saw
it
in
other
areas
of
the
country,
including
southern
california,
heart-rending
stories
about
hospitals
being
overwhelmed
ambulances,
waiting
six
hours
or
longer
to
offload
their
patients
into
an
emergency
room
patients
having
to
be
transferred
far
away
even
to
other
parts
of
the
state
to
find
an
available
hospital
or
icu
bed,
even
hospitals,
running
out
of
oxygen.
C
We
did
not
get
to
that
point
in
the
bay
area,
but
we
got
really
close.
We
don't
want
to
get
there.
We
we
are
currently
in
contra
costa
county,
less
than
half
of
our
winter
peak
hospitalization,
I'm
very
hopeful
that,
with
increased
vaccinations,
we've
seen
increased
vaccination
rates
in
the
last
few
weeks,
with
increased
interest
in
the
public
and
getting
vaccinated
and
with
the
addition
of
this
masking
order
that
we
can
avoid
that
scenario.
C
B
E
So
at
this
time
it
is
going
to
be
based
on
people
understanding
that
delta
is
highly
transmissible
and
the
best
way
to
protect
themselves
and
their
loved
ones,
and
the
people
around
them
is
to
wear
a
mask
and
we
will
not
necessarily
be
leaning
on
enforcement,
but
again
on
really
the
great
way
that
the
the
people
of
the
bay
area
have
come
together
and
to
to
answer
any
issue.
Any
things
that
we
bring
up
as
health
needs.
B
D
Mace
yeah
I'm
happy
to
take
that
question.
We
still
have
a
hybrid
model
where
staff
that
are
in
the
public
facing
areas
like
the
lobbies,
that
sort
of
thing
are
working
in
the
office,
whereas
many
of
our
staff
that
are
able
to
work
remotely
are
still
doing
so
and
we're
continuing
to
re-evaluate
that
moving
forward.
We
realize
that
some
staff,
those
that
are
performing
home
visiting,
for
example,
do
need
to
be
back
in
the
office
and
working
with
their
clients.
B
B
G
B
C
Yes,
here
in
contra
costa
county
we've
already
issued
a
order
that
applies
to
high
risk
medical
settings
and
residential
settings
requiring
either
vaccination
or
weekly
testing
and
masking
for
for
those
staff.
The
state
of
california
has
followed
up
and
issued
a
similar
order
that
extends
those
included
facilities
to
outpatient
doctors,
offices
and
dentists
offices
and
and
some
other
facilities.
C
We
also
looking
working
with
our
board
of
supervisors
and
our
local
county
administrator
on
requirements
for
vaccination
of
county
employees,
similar
to
how
the
state
has
made
it
a
requirement
for
state
employees
and-
and
we
do
encourage
other
private
businesses,
as
well
as
local
municipalities,
to
to
consider
you
know
vaccination
requirements
or
vaccine
or
test
requirements
for
for
their
employees.
The
more
people
we
can
encourage
to
get
vaccinated
the
safer.
We
all
are.
B
H
Think
marine
county
is
an
example
of
success
and
vaccination
and
still
having
a
significant
risk
and
threat
because
of
the
delta
variant.
We
have
one
of
the
highest
rates
of
vaccination
in
the
nation
we
have
people,
who've
worked
hard
to
increase
that
vaccination
rate
and
we
still
are
seeing
the
need
for
additional
supports,
like
universal
masking,
in
order
to
reduce
the
transmission
and
again
to
support
businesses
staying
open
and
to
keep
schools
open
throughout
the
school
year.
H
So
I
think
what
we
are
looking
more
at
is
our
hospitalization
rates,
and
I
think
it's
also
important
to
recognize
that
marine
county
is
part
not
only
of
a
bay
area
where
it
relates
to
hospital
resources,
but
also
the
greater
state
of
california.
So
it's
critical
for
us
all
to
work
together
to
maintain
our
hospital
supply
and
icu
capacity
in
order
to
support
the
state
of
california
as
we
navigate
this
next
wave
of
our
infection.
H
B
So,
dr
centaur,
before
you
turn
your
camera
off,
maybe
I'll
just
put
you
on
the
spot.
Actually
we'll
do
a
round
robin
on
this
one,
because
I
think
it's
it's
helpful
and
follow
up
to
that.
Do
you
happen
to
have
the
percentage
of
current
hospitalizations
that
are
vaccinated
versus
unvaccinated
in
your
county
and
if
each
of
the
doctors
can
pull
that
information,
if
you
have
it.
H
The
the
number
and
the
percentage
changes
almost
daily
based
on
hospital
census,
but
we
consistently
are
seeing
that
it's
one
out
of
seven
to
eight
hospitalizations
that
are
among
vaccinated
individuals
and
those
individuals
are
typically
out
consistent
with
what
we're
seeing
nationwide
or
typically
elderly,
with
significant
comorbidities.
So
that's
that's
our
typical
picture.
I
But
for
the
data
that
we
do
have
very
similar
to
what
marine
county
is
reporting.
The
people
who
are
in
the
hospital
who
are
unvaccinated
far
outnumber
those
that
are
that
are
vaccinated
and-
and
we
understand
why
this
is
of
such
interest
to
the
public.
But
I
think
what
we're
seeing
really
supports
the
point
that
our
vaccines
protect
against
severe
disease
and
the
best
thing
that
people
who
are
not
vaccinated
can
do
to
protect
themselves
at
this
point
is:
go
out
and
get
vaccinated.
C
Sure
in
contra
costa
county,
four
out
of
five
hospitalized
covet
patients
are
unvaccinated,
but
because
the
the
population
of
vaccinated
adults
is
is
so
much
greater.
That
really
represents
a
hospitalization
rate
16
times
higher
in
the
in
the
unvaccinated
population
compared
to
people
who
are
vaccinated.
F
F
D
Yes,
thank
you,
as
I
mentioned
in
my
message
in
the
beginning,
about
86
of
people
currently,
and
it
does
change
day-to-day,
but
it's
always
over.
80
percent
of
hospitalized
are
in
unvaccinated
individuals
and
we
have
nobody
in
the
icu
in
the
past
couple
weeks.
That's
vaccinated,
so
all
of
the
icu
admissions
are
unvaccinated
over
the
course
of
the
pandemic.
We
have
had
330
deaths
of
that
two
have
occurred
in
fully
vaccinated
individuals,
both
over
age
90,
with
significant
underlying
medical
illnesses
and,
as
dr
han
said,
everybody
who's
been
hospitalized.
D
Who's
fully
vaccinated
has
significant
underlying
medical
conditions,
so
we're
seeing
the
same
thing.
Everybody
else
is,
and
I
want
to
also
highlight
what
dr
farnatano
said.
If
you
take
a
look
at
the
percentage
of
the
population,
that's
vaccinated,
the
actual
risk
of
being
hospitalized
and
being
the
icu.
E
The
rates
for
fully
vaccinated
is
a
9.3
out
of
thousand
cases,
whereas
for
the
not
fully
vaccinated,
it's
78.2
per
thousand
cases,
so
a
huge
difference
and
in
terms
of
vaccination
status
and
and
what
causes
people
to
get
hospitalized
since
the
beginning
of
the
pandemic.
Fully
vaccinated
patients
have
accounted
for
just
less
about
0.5
percent
of
all
coveted
hospitalizations
in
san
francisco,
so
really
a
fraction
of
the
hospitalizations,
and
we
do
know
that
vaccination
really
does
help
prevent
severe
disease
and
death.
B
F
Absolutely
I
was
I
was:
you
were
faster
at
the
request
than
me
at
clicking
my
video.
This
is
not
a
ban
on
indoor
dining.
In
fact,
this
these
requirements
are
the
same
that
we
had
when
we
had
the
requirements
earlier
in
terms
of
being
able
to
wear
a
mask
indoors
and
then
removing
them
when
you're
eating.
So
when
you're
actively
eating
you
can
remove
your
mask
and
that
will
allow
you
to
participate
in
indoor,
dining
or
other
activities
that
would
be
that
are
indoors.
C
I
I
would
like
to
also
add
that,
even
though
it's
not
addressed
in
this
order,
if
you're
unvaccinated,
I
would
still
strongly
advise
against
higher
risk
indoor
activities
like
eating
in
an
indoor
restaurant
going
to
exercise
in
a
gym
or
going
to
a
movie
theater
where
other
people
around
you
are
removing
their
masks
to
eat
or
drink
or
have
popcorn
at
the
movie
theater.
Those
are
very
high
risk
activities
if
you're
unvaccinated,
and
we
really
encourage
you
to
avoid
those
things
eat
outdoors
exercise
outdoors
until
you
can
get
fully
vaccinated.
B
B
C
Yes,
here
in
contra
costa
county,
we
have
seen
an
increased
demand
for
testing
and
we
are
working
with
our
local
labs
and
have
reopened
up
contracts
with
additional
labs
to
make
sure
that
we
have
the
lab
capacity
to
do
this
testing,
as
well
as
a
testing
site
capacity.
So
we're
monitoring
that
carefully.
B
D
H
Marin
county,
we
also
are
seeing
an
increase
in
the
demand
for
testing
we're,
also
fortunate.
We
have
partnerships
with
the
state
and
with
curative
to
ensure
access
through
to
testing
county-wide
we've
also
been
expanding,
a
partnership
with
the
state,
so
local
community-based
organizations
can
have
access
to
testing,
as
well
as
our
facilities,
so
having
more
minex
and
antigen
tests
available
in
the
community
at
sites
across
the
county
is
a
top
priority
for
us
and
we'll
continue
to
monitor
access
to
determine
if
we
need
to
ensure
additional
resources
are
made
available
to
maintain
testing
capacity.
E
Yeah,
we
also
are
planning,
are
continuing
our
testing
full
speed
ahead.
We
do
see
an
increase
in
testing
demand
and
we
do.
We
have
alemany
market
open
for
the
general
public.
We
have
concentrated
our
testing
where
we're
seeing
the
most
case
rates
and
and
in
places
where
people
have
difficulty
accessing
testing.
F
B
B
I
We've
seen
an
increase
of
about
50
percent
in
the
total
number
of
tests
done
per
day.
Demand
is
three
to
five
times
higher
at
some
of
our
community
test
sites
that
we've
continued
to
support
really
throughout
and
so
far
we've
been
able
to
absorb
that
demand,
but
but
we'll
continue
to
evaluate
and
make
sure
that
people
can
get
tested
when
they
need
it.
B
B
H
Just
add
that
our
top
priority
last
school
year
was
getting
kids
back
into
in-person
instruction.
We
saw
the
emotional
and
mental
and
social
deterioration
of
many
students
because
they
were
out
of
out
of
the
classroom
and
we
learned
so
much
last
year
of
what
we
can
do
to
create
the
safest
environment.
Possible
marin
county
saw
an
uptick
in
cases
when
school
ended,
schools
offer
a
structured,
supervised,
supportive
environment,
where
children,
teachers
and
staff
alike
can
wear
masks
which
are
shown
to
be
effective
in
both
source
control
and
preventing
and
personal
protection.
H
So
that
is
our
goal
is
again
to
get
kids
in
school
and
keep
them
in
school,
and
that's
where
we
need
to
work
together
as
a
community
not
only
to
get
vaccinated,
ensuring
that
everyone
who
is
eligible
in
a
household
to
get
gets
vaccinated,
but
also
to
follow
these
requirements
around
masking.
So
we
can
create
the
the
biggest
cocoon
we
can
around
our
vulnerable
populations,
which
includes
kids,
who
are
ineligible
for
vaccination
and
vulnerable
more
because
they're
going
to
be
excluded
from
school
if
they
even
do
get
sick.
H
So
we
have
this
tremendous
opportunity
ahead
of
us
with
this
short
term
strategy
around
masking,
to
make
sure
we
open
all
schools
in
the
bay
area
and
keep
all
kids
in
the
bay
area
in
school
for
in-person
instruction
and
then.
Lastly,
on
the
testing
part
we're
working.
The
state
is
offering
tremendous
resources
around
testing
for
the
schools,
so
we've
been
working
throughout
the
summer
to
pilot
the
availability
of
binax
or
antigen
testing
in
the
school
setting.
So
we
can
support
schools,
especially
some
of
the
schools
in
our
lowest
income
communities
have
modified
quarantine.
H
What
I
experienced
this
weekend
on
call
was
a
surge
in
cases
of
vaccinated
folks
who
work
in
facilities
who
are
exposed
to
individuals
in
their
households
who
are
unvaccinated
and
just
with
the
delta
variants
circulating
so
especially
with
high-risk
facilities.
Having
company
supports
for
requiring
vaccination
is
a
critical
tool
for
us,
and
I
think
you
saw
the
indication
from
the
state
and
some
other
counties
around
both
vaccine
verification
and
testing,
but
as
more
facilities
require
vaccination,
we
have
more
protections
for
our
community.
B
G
Yeah
we,
we
all
have
our
little
individual
health
officer
orders
which
do
differ
slightly,
but
I
think
the
the
main
message
that
everyone
should
take
away
is.
We
are
actually
in
broad
agreement
that
everyone
should
be
masking
whenever
they're
indoors,
and
the
reason
for
that
is
because
the
virus
doesn't
care
where
you
are,
if
you're,
in
an
indoor
space
with
other
people
who
you
don't
live
with,
it
will
find
a
way
to
get
you,
and
so
it's
really
important
to
wear
that
mask.
G
It
is
unfortunate
that
we
have
to
do
this
at
this
point
in
the
pandemic.
None
of
us
wanted
to
be
here,
but
the
virus
has
changed,
and
now
we
know
that
the
virus
can
be
transmitted
by
fully
vaccinated
people
and
even
though
unvaccinated
people
are
much
better
transmitters
of
the
virus
than
fully
vaccinated
people.
Because
of
this
fact,
this
new
fact
of
the
virus.
It
is
important
for
everyone
to
mask
indoors.
B
D
Thanks
very
much
what
it
would
mean
since
they're
all
indoor
settings
and
we've
already
spoken
a
little
bit
about
restaurants
bars
that
sort
of
thing
that
the
mask
mandate
will
be
in
place
for
everyone
vaccinated
or
unvaccinated.
However,
when
eating
or
drinking
obviously
a
person
can't
be
wearing
a
mask.
However
gyms
family,
entertainment
centers.
B
D
You
know
that's
a
really
great
question.
What
I
would
say
is
that
we
are
seeing
cases
amongst
fully
vaccinated
individuals,
as
I've
mentioned.
In
fact,
up
to
20
of
our
cases
in
sonoma.
County
are
now
occurring
in
fully
vaccinated
individuals
and
those
are
people
who
are
being
diagnosed
as
a
result
of
being
contacts
or
they're
symptomatic
that
sort
of
thing.
So
actually
we
don't
know
fully
what
percentage
of
fully
vaccinated
persons
are
getting
covered.
H
B
I
Well
so,
yes,
we've
been
seeing
a
rise
in
cases
for
for
several
weeks,
and
you
know
we
knew
we
had
large
numbers
of
unvaccinated
community
members
who
were
at
risk
with
certainly
with
a
a
more
transmissible
variant
like
delta.
But
what
we
learned
you
know
the
evidence
has
really
built
and
what
started
to
emerge,
I
would
say
in
the
last
week,
is
that
that
there.
C
I
A
higher
risk
of
vaccinated
people
once
they
are
infected,
even
if
they're
at
lower
risk
of
infection
once
they
are
infected,
does
seem
like
there's
a
higher
risk
of
them,
passing
it
on
than
we
saw
with
earlier
variants.
So
that's
really
a
change
from
what
we
had
seen
earlier
on
and
and
for
that
reason
the
added
layer
of
protection
of
mass
on
everybody
in
public
settings
becomes.
J
B
C
I
think
even
more
important
than
case
rates
are
are
really
the
hostilization
rates.
We
know
that
with
vaccinated
individuals,
while
they
can
get
infected,
most
of
the
cases
are,
are
mild
or
even
asymptomatic,
but
it's
it's
the
hospitalizations
that
we're
really
worried
about.
You
know
people
who
are
in
the
hospital
the
covet
they're,
really
sick,
they're
gasping
for
air
they're
struggling
to
breathe
if
they're
in
the
icu
they're
likely
to
have
a
tube
down
their
throat
on
a
machine
breathing
for
them
fighting
for
their
life.
This
is
what
we
want
to
avoid.
C
Even
if
you
survive
a
coveted
hospitalization,
I
wouldn't
want
to
wish
a
covert
hospitalization
on
anyone.
It's
it's
a
it's
a
terrible
experience,
and
so
we're
really
looking
at
you
know
the
hospitalization
rates
as
as
a
key
indicator.
Now
that
we
have
a
vaccine
that
can
keep
most
people
out
of
the
hospital.
If
we
can
get
our
hospitalization
rates
down
to
where
they
were,
you
know
in
mid-june,
then
then
we
can
start
thinking
about.
You
know
easing
off
on
some
of
these
restrictions.
B
So
this
next
question
in
previous
surges
there
was
a
clear
correlation
between
the
rise
in
infections
and
hospitalizations
deaths.
We
aren't
seeing
the
same
mortality
rates
we
saw
last
year
or
in
the
winter.
Can
the
health
officers
comment
on
the
current
science
around
case
rates
and
mortalities
and
what
we're
seeing
in
various
counties
around
the
bay
area?
I
Sure
so
you
know,
I
think
the
most
important
thing
is
that
you
know
we,
when
we
in
this
summer
surge
this
current
summer
surge
is
that
the
deaths
can
lag.
It
can
take
some
time
for
us
to
see
that
both
because
of
the
progression
of
illness
for
people
who
are
sick
and
then
also
it
takes
sometimes
extra
time
for
those
deaths
to
get
reported
and
captured
in
our
surveillance
systems,
and
so
you
know.
I
For
that
reason
I
think
it's
important
to
withhold
judgment
until
we've
had
enough
time
go
by.
Certainly
so
far
we
have
not
seen
large
numbers
of
deaths
tied
to
this.
This
summer,
wave
we've
seen
some
and
our
hope
is,
with
our
most
vulnerable
adults
and
our
oldest
adults,
really
at
very
high
levels
of
vaccination,
that
we
won't
see
as
much
risk
of
death
as
we
saw
previously.
D
D
The
fact
that
we're
not
seeing
the
worst
outcomes
is
a
tribute
to
the
fact
that
the
vaccines
work
and
that's
what
the
clinical
trials
showed,
that
people
who
are
vaccinated
may
get
covered,
but
wouldn't
be
as
ill
and
wouldn't
have
the
outcome.
So
it's
another
plea
to
the
community
of
those
who
are
not
vaccinated
yet
to
get
vaccinated.
C
Yeah,
I
would
agree,
and
the
death
data
is
a
lagging
indicator.
People
often
linger
in
the
hospitals
for
for
several
weeks
before
they
die,
and
then
we'd
often
don't
get
the
death
certificate
data
for
some
time
after
that,
however,
having
said
that,
we
are
seeing
nationwide
deaths
starting
to
go
back
up
again
and
even
state
data
is
showing
an
increase
in
in
the
deaths
from
covid
almost
exclusively
in
the
unvaccinated
population.
So
so
I
do
expect.
C
The
over,
if
we
look
the
overall
death
rates,
they
are
lower
because
so
many
of
the
bay
area
residents
are
vaccinated.
So
the
large
portion
of
the
population
is
protected,
but
unfortunately,
there's
still
a
segment
of
the
population
who
is
not.
Our
seniors
have
really
led
the
charge
in
getting
vaccinated,
very
high
rates
and
those
are
the
most
vulnerable.
So
so
they
have
been
very
well
protected,
but
unfortunately
we're
seeing
a
shift
in
the
age
of
hospitalizations
and
even
deaths
to
younger
age
groups.
B
Thank
you.
So
let's
talk
a
little
bit
about
enforcement,
which
is
you
know,
sort
of
the
hardest
piece
of
this
in
some
ways
our
restaurants
and
bars
expected
to
enforce
the
indoor
mask
mandate.
There
was
there's
another
one
about
san
francisco
talked
about
no
real
enforcement
plan.
What
about
others?
Fines
for
businesses
with
unmasked
people
inside
tickets,
for
people
unmasked
inside
really
questions
about
fining
for
businesses?
B
F
Sure
so,
for
the
city
of
berkeley
in
our
order,
it
is
required
that
businesses
have
signage,
indicating
that
this
is
a
requirement
for
patrons
in
their
businesses
and
work
sites
in
terms
of
masking
indoors.
So
that's
that's
one
thing
that
is
specific
to
our
order.
I
can't
speak
to
the
other
jurisdictions,
but
that's
that's
one
thing
that
we
have
in
the
city.
B
B
D
I
Well,
I
was
just
gonna
add
that
you
know
we
know
there
are
businesses
that
that
want
to
have
people
mask,
they
want
to
protect
their
workforce
and
protect
their
customers,
and
this
is
actually,
I
think,
an
added.
This
is
something
that
they
can
point
to
and
say
you
know
really
it's
it
is.
You
know
the
county
across
the
bay
area.
This
is
really
a
requirement
now,
and
so
so
I
think
it
is
actually
going
to
be
useful.
Even
in
that
respect,.
B
I
It's
at
those
other
times
that
that
people
should
be
messed
up,
and-
and
yes
we,
you
know,
we
do-
expect
businesses
to
expect
out
of
their
of
their
customers,
but
but
it
it
in
settings
where
there
is
no
eating
or
drinking
and-
and
there
isn't
another
reason
for
an
exemption.
Everybody
should
have
a
face
covering
on.
B
B
B
C
Sure
I
think,
last
year
there
was
there
was
great
hopes
that
you
know
this
virus.
We
could,
with
a
with
a
highly
effective
vaccine,
achieve
what
some
people
call
herd
immunities.
Some
people
call
community
immunity
and
there
were
some
predictions
that
maybe,
if
we
got
you
know
70
or
80
percent
of
the
total
population
you
know
vaccinated.
That
would
be
sufficient.
C
Unfortunately,
what
the
delta
virus
has
has
taught
us
is
that
those
levels
are
are
far
from
from
sufficient
and
that
we
have
communities
that
that
are
have
vaccination
rates
that
well
exceed
that,
and
yet
the
the
virus
is
spreading
and
spreading
rapidly.
It's
really
unclear
whether
there's
there's
any
level
that
will
really
you
know,
extinguish
community
transmission.
B
Okay,
we
are
at
at
12
59,
so
there
are
some
questions
we
didn't
get
to.
So,
if
you
have
lingering
follow-up
questions,
please
feel
free
to
reach
out
to
the
county
that
you
think
that
question
applies
to
most
offline.
Dr
han,
do
you
want
to
quickly
talk
about
your
media
availability
later
this
afternoon?.
B
Great
so
I
wanna,
I
wanna
thank
our
panelists
for
being
with
us
today,
and
I
also
would
like
to
thank
michael
mcmahon,
who
is
our
asl
interpreter
for
that
important
service
that
he
gave
we're
to
stay
around
for
a
couple
of
minutes
and
thanks
to
santa
clara
county,
we
have
a
couple
of
interpreters
who
are
going
to
do
sort
of
a
recap
of
this
in
four
different
languages.
So
thank
you.
Doctors
feel
free
to
to
drop
off
and
we
will.