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From YouTube: County of Santa Clara Public Health: COVID-19 Update with Dr. Sara Cody - April 14, 2020
Description
Dr. Sara Cody, M.D., Health Officer and Public Health Department Director for the County of Santa Clara, provides an update of the COVID-19 pandemic.
Recorded April 14, 2020.
The City of Cupertino would like to express 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
C
C
So
what
we're
seeing
right
now
we're
about
a
month
into
our
shelter
in
place,
order
and
again
that's
the
order
that
we
have
around
the
Bay
Area
the
six
core
counties
around
the
Bay
Area
we're
looking
at
our
data
every
day
as
I'm
sure
you
are
as
well
on
our
website
and
what
we're
seeing
is.
We
have
reason
for
cautious
optimism,
so
I
would
say
we're
not
out
of
the
woods,
but
we
are
making
the
progress
and
slowing
things
down
in
the
way
that
we
had
anticipated
that
we
would
with
a
shelter-in-place
order.
C
However,
I
want
to
emphasize
that
we
are
by
no
means
out
of
the
woods
we're
still
probably
at
the
beginning
of
what
is
going
to
be
a
very
long
marathon
here
in
the
county
across
the
region
and
indeed
across
the
country.
So
what
we're?
What
we
are
doing
right
now
here
in
our
county
in
the
region
and
across
the
state,
is
thinking
very
carefully
about
what
what
do
we
need
to
have
in
place
in
order
to
ease
this
very
broad
mitigation?
C
This
very
broad,
shelter
in
place
and
I
know
that
that
this
is
what
everyone
is
talking
about,
and
everyone
think
is
thinking
about
its
enormous
Lea
complicated.
But
basically,
what
it
looks
like
is.
We
would
not
want
that,
as
as
I
mentioned,
that
the
shelter
in
place
is
our
is
our
major
tool.
But,
as
you
know,
it's
not
very
focused,
and
so
the
question
is:
how
can
we
transition
to
more
focused
measures
in
order
to
do
that?
One?
C
Second,
as
we
know,
we
have
not
had
sufficient
capacity
for
testing
now
that
we
understand
that,
there's
a
significant
degree
of
asymptomatic
cases,
you
can
have
a
an
infection
and
no
symptoms
at
all,
as
well
as
the
understanding
that
people
can
become
infectious
up
to
two
days
before
they
start
having
symptoms.
All
of
that
tells
us
that,
in
order
to
identify
people
who
are
infected
and
infectious,
we
need
more
widespread
testing,
and
this
is
something
where
we're
endeavouring
to
understand.
C
Third,
we
really
need
to
not
just
here
in
our
region
but,
of
course,
across
the
state
and
across
the
country.
We
need
to
ensure
that
we
have
the
capacity
to
do
case,
investigation
and
contact
investigation
and
remember
at
the
very
beginning
of
this
epidemic.
That
is
where
we
had
all
of
our
resources.
We
had
huge
teams.
We
had
colleagues
from
the
Centers
for
Disease
Control
here,
embedded
with
us,
where
we
carefully
followed
every
case
and
every
contact.
We
can't
do
it
the
way
that
we
did
it
at
the
beginning
of
the
outbreak.
C
Our
case
numbers
are
too
high,
but
once
we
begin
to
settle
those
case
numbers
down,
then
we
can
transition
to
a
more
focused
effort,
as
you
could
imagine.
All
of
this
takes
enormous
planning
and
it
takes
time
and
so
we're
using
using
our
time
now,
while
we
have
the
shelter
in
place
order
to
do
that
planning
and
we're
doing
it
in
collaboration,
as
always
with
our
colleagues
around
the
region
and
around
the
state,
because
we're
a
very
interconnected
society
and
we,
we
obviously
can't
do
this
alone.
So
that's
where
we
are
again.
C
Our
take-home
messages
are
that
the
collective
action
here
in
our
county
and
across
the
Bay
Area
has
increased
safety.
It
has
lengthened
the
doubling
time
it
has
settled
things
down,
but
it's
not
enough
we're
a
month
in
and
we
need
to
keep
at
it
for
for
a
bit
longer.
Thank
you
and
I'm
happy
to
answer
a
few
questions.
D
D
C
California
there's
a
much
authority,
that's
given
to
the
local
health
officer,
so
you'll
remember
in
March
I
started
issuing
orders.
First,
we
had
recommendations.
Then
we
had
urgent
recommendations
and
then
we
had
Health
Officer
orders.
So
the
first
order,
as
you
may
recall,
was
to
ban
gatherings
greater
than
a
thousand,
and
then
we
scoped
that
down
to
greater
than
a
hundred
and
then
and
then
ultimately
issued
the
shelter-in-place
order
on
march
16th.
C
So
health
officers
in
California
have
quite
a
bit
of
power
and
authority
to
to
protect
the
health
of
the
population
in
general
and
I
would
say.
The
state
health
officer
also
has
powers,
but
in
general
the
way
it
works
is
that
if
a
county
health
officer
decides
that
to
protect
the
population
that
we
need
to
be
say,
more
conservative
or
more
restrictive
than
we
can
be,
so
a
state
order
might
be
less
restrictive
than
than
a
county
order.
D
C
C
While
we
do
have
good
evidence
that
it
slowed
the
infection
down
and
and
reduced
harms
from
kovat
19.
Of
course,
we
also
know
that
there
are
harms
from
the
shelter-in-place.
There
are
health
harms
from
the
shelter-in-place,
both
from
social
disruption
from
economic
disruption
and
even
more
immediately,
for
example,
if
someone
doesn't
feel
like
they
want
to
go
in
and
access
preventive
health
care,
so
we're
trying
to
as
best
we
can
understand
the
impacts
and
then
navigate,
of
course
that
to
the
greatest
extent
possible
minimizes.
E
C
C
F
C
C
So
I'm
pleased
to
say
that
we
are
doing
everything
we
can
to
get
data
up
on
our
website
so
that
everyone
can
see
it
and
we
do
have
a
laboratory
testing
dashboard.
We
are
able
to
post
those
data
because
we,
in
collaboration
with
the
other
counties
in
the
Bay
Area,
have
an
order
so
that
labs
have
to
report
to
us
not
just
the
positives
but
the
negatives,
and
that
enables
us
to
see
of
all
the
testing
done.
C
F
C
So
we
know
that
San
Jose
represents
the
majority
of
the
population
in
the
county
over
50%
and
San
Jose
represents
the
majority
of
confirmed
cases
of
kovat
19.
The
answer
to
your
question
is
very
complicated.
What
we
are
trying
to
understand
by
sifting
through
our
data
is
to
understand,
are
there
populations
at
greatest
risk
and
are
there
places
or
communities
in
our
county
where
the
virus
is
circulating
and
amplifying
more
quickly
than
in
other
places?
C
That's
really
the
key
question,
and
in
order
to
answer
it,
we
have
to
understand
a
number
of
factors,
including
does
this
represent,
for
example,
increased
testing?
Is
that
why
we're
seeing
more,
you
know,
is
that
a
confounding
factor
or
do
these
numbers
represent
a
local
outbreak
that
are
skewing
the
numbers,
etc,
etc.
So
we're
trying
to
understand
these
data
and
I
don't
have
a
complete
answer
for
you.
Unfortunately,.
C
So
one
of
the
great
challenges,
of
course
it's
been
an
enormous
challenge
to
live
under
the
shelter
in
place.
It's
been
enormous,
ly,
disruptive
for
everyone.
Everyone
living
under
shelter
in
place,
I
think
we
all
recognize
that
we
also
recognize
that
we
do
not
want
to
slip
back.
We've
made
progress,
we've
settled
things
down.
C
We
need
to
settle
things
down
more,
and
that
is
why
I
think
that
if
we
just
lifted
the
shelter
in
place
and
went
back
up,
but
our
business
we'd
be
right
back
where
we
were
very
very
quickly
and
that's
why
we
need
to
one
make
sure
that
we're
very
confident
that
things
are
continued
to
trend
in
a
downward
direction
and
two.
We
need
to
make
sure
that
we
have
all
of
the
resources
in
place
to
do
careful
more
focused
strategies
before
we
lift
the
broad
shelter
in
place.