►
Description
Governor Gavin Newsom provides an update on the state's response to the COVID-19 pandemic.
Governor Gavin Newsom today announced the statewide launch of CA Notify, a new digital tool that will help reduce the transmission of COVID-19. Starting Thursday, December 10, Californians can opt in to receive COVID-19 notifications informing them if they have been exposed to someone who has tested positive for the virus. CA Notify is a digital tool that protects privacy and security – it does not collect device location to detect exposure and does not share a user’s identity. The tool was developed in partnership with Google and Apple and piloted with the help of the University California, San Diego and the University of California, San Francisco.
Recorded December 7, 2020 in Sacramento, California.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus
C
Well,
good
afternoon,
everybody
I
want
to
rather
good
morning.
Forgive
me.
We
started
the
day
a
little
bit
early,
because
the
california
legislature
is
back
in
session
today
and
we
wanted
to
be
respectful
to
their
respected
new
members,
the
swearing
in
and
the
celebration
that
is
always
december
7th
in
a
year
where
we
have
new
members
of
the
california
legislature.
C
There's
been
a
lot
of
discussion
around
apps.
There's
been
a
lot
of
discussions
about
how
technology
can
advance
our
efforts
to
notify
individuals
mitigate
the
spread
of
covet
19
and
address
this
pandemic
head
on
two
of
california's
best
known
headquartered
technology
companies,
google
and
apple,
have
joined
together
in
an
effort
to
provide
for
exposure
notification,
not
contact
tracing
but
exposure
notification.
C
I
want
to
provide
you
a
little
bit
information
about
what
california
is
doing
today
to
help
support
their
efforts
a
little
bit
about
the
work
that
we've
been
doing
with
google
and
apple
over
the
course
of
the
last
number
of
months
with
a
pilot
program,
particularly
at
our
ucs,
but
you
can
see
here
that
the
california
notify
app
we're
putting
out
is
about
an
opt-in
opportunity
for
individuals
to
participate
in
a
notification
protocol,
an
opt-in,
not
an
opt-out
privacy
protected.
This
is
not
contact
tracing.
This
is
notification
technology.
C
You
can
choose
to
participate
in
leveraging
this
technology
to
allow
people
that
you
have
been
in
contact
with
or
have
been
in
contact
with
you
to
be
notified
of
potential
exposure
related
to
the
transmission
of
this
disease.
I
remind
you,
it's
100
percent
private
100,
secure,
100
percent
voluntary,
you
opt
in
or
you
choose
not
to,
and
there
is
no
tracking
data,
no
location
data
that
is
shared
as
part
parcel
of
california
notify
whatsoever.
These
are
foundational
principles.
C
The
reason
I'm
reinforcing
them
is
because
they're
important,
we
value
privacy,
california,
has
long
been
a
leader
in
terms
of
advancing
the
cause
and
we
don't
want
to
do
anything
to
set
that
cause
back
and
that's
why
we've
been
frankly
a
little
stubborn
and
kept
our
eyes
wide
open
in
terms
of
this
technology,
we
didn't
want
to
jump
in
ready
fire
aim.
We
wanted
to
really
take
time
reflect
on
this
technology
to
be
secure
in
our
confidence
that
what
we
are
promoting.
C
What
we're
stating
here
today
is
indeed
accurate
and
that's
exactly
what
we
have
been
doing
now.
Let's
talk
about
the
technology,
specifically
technology
will
be
available.
This
thursday,
you
have
two
platforms,
you
have
the
apple
and
the
google
android
platform.
The
google
android
platform
requires
that
you
download
california
notify
from
the
google
play
store.
You
open
up
the
app
you
turn
on
the
kovid
19
exposure
notification.
It's
a
very
I
don't
say
relatively.
It
is
indeed
a
simple
process.
C
Go
if
you
have
google
android
and
download
the
notification
app
from
google
play
and
you
just
open
the
app
and
you
turn
on
the
notification.
I'll
tell
you
what
it
does
in
just
one
moment,
but
I'll
remind
you.
It's
available
this
thursday,
the
apple
iphone
I've
right
here,
it's
a
simple
thing.
It's
already
in
the
phone
you
open
up
settings
you
scroll
down
to
find
the
notification.
C
You
can
see
there
on
the
slide,
specifically
what
is
required
in
terms
of
the
prompts
you
just
tap
the
turn
on
notification
for
exposures
and
you
follow
the
prompts
it
allows
fundamentally
bluetooth
access
and
you
just
have
to
always
it's
the
case
with
these
technologies.
Just
accept
the
terms
now
you
tap
turn
on
and
that's
it.
Your
phone
now
is
prepared
for
a
notification,
but
let's
talk
about
what
this
is:
here's
how
it
works.
C
So,
let's
assume
you
are
alice
and
or
bob
you're
chatting
you're
very
close
you're
not
socially
distanced
you're,
not
physically
distance
you're
chatting
for
a
number
of
minutes,
and
your
cell
phones,
because
you
have
opted
into
this
technology-
are
automatically
because
of
bluetooth,
exchanging
what
we
refer
to
in
technological
terms.
As
anonymous
keys,
you
have
a
few
days
later,
you
determine
well,
you
discover,
if
you're
alice,
that
you
have
tested
positive
for
covet
and
you
receive
a
code
via
text
from
the
california
department
of
public
health
for
the
california
notify.
C
So
what
does
this
mean
for
bob?
Well,
if
alice
consents
for
california
notified
to
anonymously
alert
other
users
that
she
has
likely
been
exposed
in
the
last
14
days,
then
bob
gets
notified
and
is
directed
to
information
with
an
alert
looks
a
little
bit
like
the
one
you
see
up
on
the
screen.
You've
recently
been
exposed
to
someone
who's
tested
positive
for
covid
19,
tap
this
prompt
for
more
information.
That
more
information
will
lead.
You
to
information.
C
Specifically,
the
pilot
began
with
the
ucs
and
we
officially
still
started
with
california,
well
the
university
of
san
francisco
and
then
expanded
to
more
california,
uc
campuses,
now,
seven
different
uc
campuses.
We
expanded
them
to
those
campuses
in
november,
over
a
quarter
of
a
million
users.
Now
and
just
in
the
last
number
of
weeks.
Eight
weeks
more
than
60
positive
tests,
verification
codes
have
been
issued.
C
Meeting
60
individuals
have
been
notified
of
positive
tests
and
been
verified
through
the
code
process
and
been
connected
to
their
folks
in
their
cloud
in
their
circle,
people
they
may
have
come
into
contact
with
it's
confusing,
really
isn't
that
confusing?
Just
encourage
you
to
go
to
the
covid19.ca.gov
website
the
covid19.ca.gov
website
to
learn
more
about
california
notify
and
whether
or
not
it's
something
that
you
want
to
add
to
our
your
you
know
just
additional
tool
in
the
toolkit
in
terms
of
your
safety
protocols.
That's
why
I
started
that
slide
around
physical,
distancing
and
wearing
masks.
C
This
is
just
a
technological
opportunity
for
you
to
add
to
those
tools.
Again,
it's
available
this
thursday
december
10th,
opt-in,
not
opt
out
you'll,
receive
similar
to
what
you
see
right
here
on
the
screen,
an
exposure
notification.
This
will
likely
go
out
on
wednesday
before
the
thursday
application
of
this
new
available
technology.
This
will
just
prompt
to
remind
you
that
you
have
the
ability
to
utilize
this
technology.
C
If
you
choose
washington
state
governor
inslee
just
a
few
days
ago,
I
think
it
was
last
week
offered
a
similar
strategy.
A
number
of
other
states
have
done
the
same,
but
here
in
california
the
scale
and
scope
number
of
individuals,
obviously
that
can
make
themselves
avail
themselves
to
this
technology.
This
holds
a
lot
of
promise.
C
I
don't
want
to
over
state
it
because
you
need
to
get
to
an
adaptation
level
that
is
significant
for
it
to
have
the
kind
of
impact
that
would
be
profound,
but
nonetheless,
as
you've
seen
from
the
pilot
at
the
uc's,
it
has
been
effective
and
even
if
we
don't
have
tens
of
millions
of
people
participating
this
program,
the
more
people
that
participate
in
it,
the
more
that
opt-in,
the
more
effective
this
program
can
be
again.
Another
tool
in
our
toolkit
in
terms
of
impacting
the
spread
and
transmission
rate
of
this
virus.
C
Now,
let's
talk
about
new
case
numbers.
24
735
is
what
we're
reporting
over
the
last
24-hour
period.
You
can
see
the
seven-day
average
now
moving
up
just
shy
of
22
000
cases
a
day.
This
is
substantially
greater
than
what
we
have
seen
in
the
past
and
just
over
the
last
three
days,
we've
averaged
roughly
25
000
cases,
seven
day,
just
shy
of
22
000
cases,
just
the
last
72
hours
averaging
about
25
000
new
cases
a
day
you
can
see
here
on
the
14
day
test
positivity
rate
at
8.4
percent.
C
C
C
C
We
don't
ramp
up
overnight
a
few
thousand
tests
first
week,
two
ten
thousand
plus
month,
two
getting
up
to
150
000
tests
in
the
first
quarter
of
next
year.
Positivity
rate
just
put
this
in
perspective
that
eight
point
four
percent.
Here's
the
14-day
trend
line
you
could
see
where
we
were
just
two
weeks
ago
at
5.6
percent
positivity.
Now,
8.4
percent,
you
can
see
that
rate
of
growth
is
very
very
acute,
decided.
B
C
Provide
here's
a
30-day
look
back
where
we
were
just
a
month
ago,
3.4
percent
positivity.
You
may
recall
that
five
percent
sort
of
the
magic
number
from
a
global
perspective,
where
we
want
to
see
rates
below
five
percent
to
create
some
semblance
of
stability.
Of
course,
california,
we
want
to
see
it
below
one
percent.
We
want
to
see
this
virus
eliminated,
but
nonetheless
we
were
3.4
just
30
days
ago
and
how
quickly
that's
what
this
chart
represents,
how
quickly
we
can
see
these
numbers
climb.
C
D
C
You
may
recall,
and
I'll
just
go
back-
you
see
that
40.8
percent
that
was
back
in
april,
but
that
was
on
the
basis
of
a
very
small
number
of
average
daily
tests.
You
can
see
really
the
stability
throughout
the
summer
with
little
peak
in
july
a
little
bit
in
august,
and
we
started
to
come
down
september
october,
and
now
here
we
go
back
up
in
november
8.4
percent
positivity
rate
now
in
the
state
of
california,
hospitalizations
were
now
over
10
000
patients
in
our
hospitals,
72
increase
over
the
last
14
days.
C
You
can
see
how
quickly
this
grows
on
11
23.
Just
a
few
weeks
ago,
we
had
shy
of
6
000
covet
19
positive
patients
in
our
hospital
system.
Now
over
10
000,
just
like
that,
72
percent
increase
in
just
14
days.
You
carry
that
forward
and
you
understand
why
we
made
the
recommendations
we
did
made
the
announcement
we
did
rather
last
week
as
it
relates
to
further
controls
further
rather
protocols
in
terms
of
movement
and
behavior
in
this
state.
But
I
want
to
put
the
hospital
health
care
system
in
and
capacity
overall
into
perspective.
C
You
can
see
here.
It
slides
very
familiar
for
those
that
have
watched
these
presentations
close
to
74
000
hospital
beds
in
our
hospital
care
system.
This
is
the
health
care
capacity,
not
our
capacity
outside
the
hospital
system
itself.
You
can
see
that
14
percent
of
our
hospital
beds,
just
14
percent,
are
covered
19
positive,
but
63
percent
of
all
of
the
beds
are
being
utilized
for
other
purposes.
C
As
you
recall,
we've
stated
this
on
multiple
occasions
in
the
past,
and
these
were
the
protocols
that
were
well
established
in
the
beginning
of
this
pandemic,
ability
for
the
hospital
system
to
surge
to
provide
access
and
capacity
above
and
beyond
those
74
000
beds,
and
also
reduce
by
decompressing
the
existing
hospital
census
of
admitted
patients
by
reducing
elected
surgeries
and
the
like
you're
seen
hospital
by
hospital
system
by
system
region
by
region.
Doing
just
that.
C
No
mandate
from
above
we've
been
working
very,
very
collaboratively
with
the
hospital
association,
a
true
partnership
with
our
system,
and
we
have
the
ability,
in
real
time,
dashboard
of
sorts
to
monitor
and
engage
to
get
a
sense
of
where
people
are
pulling
back
in
terms
of
elected
surgeries,
where
people's
capacity
is
approaching
a
need
and
concern
to
surge
either
within
the
existing
footprint
of
the
hospital
site
or
more
regionally
in
terms
of
the
mutual
aid
system.
That's
well
defined
in
the
state,
so
hospital
bed
capacity
is
always
been
of
a
concern.
C
We've
raised
that
as
a
legitimate
concern,
particularly
region
by
region
hospital
by
hospital
system
by
system,
but
in
the
aggregate
we
are
currently
in
a
position
where
we
can
absorb
additional
growth.
Again,
it's
about
icus
and
that's
been
our
primary
focus
and
that's
why
we
highlighted
icus.
Last
week
we
highlighted
in
the
week
before,
and
they
were
certainly
highlighted
in
the
last
24
hours,
where
a
number
of
new
requirements
went
into
effect
in
two
regions
in
this
state
and
then
the
voluntary
requirements
that
were
put
into
place
in
a
third
region
in
the
state.
C
More
on
that,
in
a
moment,
let's
take
a
look,
though,
specifically
at
icu
admissions
in
the
state.
Now
over
two
thousand,
we
were
just
at
about
fourteen
hundred
two
weeks
ago,
twenty
three
hundred
and
sixty
individuals
have
been
admitted
to
icus
you've,
seen
a
69
increase
in
icu
capacity
or
rather
icu
beds
being
utilized
just
in
the
last
14
days.
Let's
put
this
in
perspective,
I
have
a
chart
here
that
is
very
familiar,
but
I
wanted
to
provide
a
different
lens
on
this
chart.
C
What
we've
done
here
is
you
can
see
in
the
blue
portion
of
this
pi,
that's
patients
already
in
our
icu
system.
So
here's
our
total
capacity,
the
pie,
the
circle
there
of
icu
beds,
critical
care
capacity
in
the
state
of
california.
You
can
see
now
as
a
state.
This
is
again
in
the
aggregate.
We
don't
live
in
the
aggregate,
but
this
is
in
the
aggregate.
Icu
capacity
what's
available
in
our
icu
critical
care
capacity
system
is
just
14.2
percent
of
beds.
Good
news
is,
you
can
see
in
the
lower
right
there.
C
Ventilators
available
is
the
highest
number.
We've
ever
seen,
we've
been
busily
procuring
more
ventilators
I'll
get
to
more
specifics
on
that
in
a
moment
and
that's
important
because
the
end
of
the
day,
the
ventilators
and
staffing
become
foundational
in
terms
of
our
ability
to
deliver
critical
care.
But
you
get
a
sense
of
the.
Why?
If
you're
asking
yourself,
why
did
the
state
of
california
move
forward
with
a
trigger
at
15
percent
of
icu
capacity?
Why
the
focus
on
icus
disproportionately?
C
I
hope
this
chart
disabuses
you
of
any
anxiety
related
to
the.
Why
and
substitutes
I
hope,
with
some
more
optimism,
a
frame
that
we
are
not
only
being
proactive,
but
we're
also
preparing-
and
I
want
to
talk
about
that
in
a
second.
But
first,
let's
update
you
on
the
regional
stay-at-home
order
that
went
into
effect
after
regions
fell
below
15
percent
of
the
remaining
icu
capacity.
Remember
california,
size
and
scope
of
the
state.
C
C
Our
critical
care
delivery,
the
regional
stay-at-home
order
now,
because
two
regions,
san
joaquin
valley
and
the
southern
california
region,
the
largest
region,
which
in
of
itself,
is
a
unique?
U
of
sorts.
These
two
regions
now
have
fallen
under
the
15
icu
capacity.
Let's
take
a
look
under
the
hood.
What
does
look
like
specifically?
C
Here's
your
current
icu
capacity,
at
least
as
of
late
last
night,
each
region
again
reflected
in
the
map
that
I
just
showed,
and
let
me
go
back
to
that
map.
You
can
see
northern
california
the
area
around
sacramento,
where
I
currently
am
the
bay
area.
More
concentrated,
of
course,
the
larger
population
center,
san
joaquin
valley,
sort
of
central
valley,
california,
southern
california.
Again,
bay
area,
their
current
icu
capacity
is
about
25.7
percent,
the
bay
area
voluntarily
and
again,
remember
the
way
we
framed.
C
Our
approach
to
california's
response
to
this
pandemic
is
to
allow
localism
to
ultimately
be
determinative
in
terms
of
their
approach
and
their
engagement.
No
one
better
position
than
local
health
officers,
local
leaders
to
understand
their
conditions
on
the
ground
trend
lines
that
they
can
mitigate
and
address
before
they
become
headlines.
So
the
bay
area
moved,
but
not
pursuant
to
state
orders
pursuant
to
their
own
local
health
orders.
C
Greater
sacramento
has
not
moved
to
20.3
percent,
but
pursuant
to
the
state
orders
they're
getting
closer
to
that
15
capacity,
northern
california,
a
little
bit
better
in
terms
of
their
current
capacity
based
upon
transmission
rates
and
the
community
spread
of
coven
19
at
28.2.
But
you
can
see
again
san
joaquin
valley,
down
to
6.3
percent
icu
capacity
in
southern
california,
most
populous
part
of
the
state
10.9
current
capacity.
So
that's
where
we
are.
C
As
of
this
moment,
though,
we'll
be
updating
these
slides
later
this
evening
and
early
tomorrow
consistently
updating
this
information,
but
the
issue
that
remains
paramount
in
terms
of
our
focus
and
our
attention
is
staffing.
Fundamentally,
staffing
is
going
to
be.
Human
resources
are
going
to
be
the
most
challenging.
C
It's
just
a
few
examples
of
the
work
the
state
of
california
is
doing.
We
have
gone
to
a
contract,
staffing
agency.
We
have
100,
or
rather
815
medical
providers
that
we've
requested
most
will
be
here
within
a
week
which
is
encouraging
435,
specifically
to
support
our
icu
strike
teams.
We
have
150
lvns,
150
cnas
to
help
with
our
skilled,
nursing
or
sniffs
and
alternative
care,
residential
care
facilities
and
then
80
to
staff
various
needs,
including
brain
health,
related
behavioral,
health
technicians
and
issues
related
to
the
same
of
those
815.
C
As
I
said,
566
are
expected
to
be
here
and
available
by
the
14th,
so
within
literally
a
week
we'll
be
sending
just
to
give
you
a
sense
of
where
we're
prioritizing
sending
down
to
pirrell
county
and
the
60
bed
build
out
I'll
talk
more
about
that.
In
a
moment,
some
of
the
northern
california
build-outs
beds
that
we
are
focused
on
and
some
other
general
acute
congregate
care
facility
needs,
but
566
expected
to
be
here
in
california.
Many
are
already
californians.
C
We
are
very
confident
we'll
be
here
within
a
week
in
helping
support
staffing,
some
of
these
important
critical
facilities,
both
in
response
to
and
anticipation
of
an
increased
surge
as
it
relates
to
additional
requests.
Just
so
folks
know,
I've
had
a
number
of
people
ask:
have
you
requested
of
the
federal
government
staffing?
The
answer
is
yes,
160
staff.
We
have
requested
also
to
support
the
icu
strike
teams
again
emphasis
on
our
icus
at
the
moment,
though,
again
more
broadly
always
preparing
for
beds.
C
C
These
cow
mat
teams,
which
those
of
you
who
followed
us
for
the
last
number
of
months
are
very
familiar
with
calmat,
and
these
are
these
multidisciplinary
staffs
of
doctors
and
nurses,
and
experts
and
expertise
that
cross-pollinates
and
these
teams
go
out
strike
teams
together,
they've
been
out
there
in
imperial
county
in
the
past,
they've
been
out
in
the
central
valley
in
the
past.
These
combat
teams
are
extraordinary
and
we
have
90
folks
that
are
already
deployed
currently
in
these
combats
we'll
continue
to
push
for
more
personnel,
more
medical
response.
C
C
So
what
we're
trying
to
do
is
decompress
and
provide
opportunities
to
get
people
at
back
at
home
with
oxygen
and
paramedic
support.
That's
the
homo2
program
and
we
have
capacity
to
pull
100
patients
out
within
the
system,
get
them
back
home
in
imperial
the
same
in
riverside
and
san
bernardino,
again
more
sort
of
a
creative
approach
as
we've
matured.
As
we've
understood
more
of
the
nuances
of
this
disease,
more
effective
treatments
modalities,
take
care
of
people
and
secure
their
health.
C
None
of
these
things
for
foundational
fundamental
approaches
with
our
with
our
core
workforce,
but
nonetheless
important
to
be
supplementary
accordingly.
Health
corps.
We've
talked
a
lot
about
our
health
corps
program
in
this
state
over
the
past.
These
are
individuals
that
recently
retired
their
licenses,
for
whatever
reason
have
expired
people
with
particular
expertise
across
the
spectrum
of
needs
in
the
state.
C
We
have
an
active
group
of
roughly
900
members
that
are
part
of
our
active
health
corps.
We're
going
to
encourage
and
that's
why
you
see,
we
need
your
help.
We
encourage
people
that
are
qualified
health
care
professionals
that
have
recently
retired
or
for
whatever
reason,
haven't
have
allowed
their
their
professional
licenses
to
expire
or
look
just
to
potentially
you.
A
C
Provide
a
unique
expertise
that
they
may
not
be
providing
now
that
may
be
underutilized,
but
finding
that
they
have
other
professional
capacity
that
is
available,
or
rather
they
would
avail
themselves
too.
We
want
people
to
consider
joining
the
healthcore
go
to
covet19.ca.gov
website
covet19.ca.gov
website.
We
want
to
actively
onboard
additional
members
for
this
program
and
by
the
way,
healthcore
has
been
incredibly
effective,
particularly
at
our
skilled
nursing
facilities.
C
C
Here
is
the
point
I
was
previewing
a
moment
ago
is
around
around
additional
preparedness
outside
of
just
human
capital.
Now
here's
the
physical
assets,
we've
talked
a
lot
about
the
capacity
that
we
have
roughly
two
thousand
beds.
I
think
it
was
eight
hundred
and
eighteen
hundred
seventy
two
plus
beds,
but
it's
roughly
two
thousand
beds
outside
our
healthcare
delivery
system
facilities
that
are
in
what
we
refer
to
as
warm
status
more
on
that
in
the
next
slide.
But
here
you
can
see
imperial
valley
college
down
in
imperial
valley.
C
We
already
have
some
patients
in
the
beds
capacity
to
provide
a
hundred
beds
in
warm
status
down
in
imperial
valley
and
imperial
county
arco
arena
sleep
train
arena
up
here
in
sacramento
sort
of
a
gateway
to
northern
california.
It's
not
the
immediate
needs
of
sacramento
per
se,
but
it's
the
proximity
of
this
facility.
It's
a
wonderful
facility
has
224
beds
in
warm
status
on
the
ninth
just
in
a
couple
days,
we're
going
to
start
to
turn
on
the
proverbial
lights
and
get
that
facility
prepared
and
up
and
running
to
the
extent
again
that
it's
needed.
C
C
Most
of
these
will
not
be
turned
on
in
any
immediate
sense,
but
they're
available,
and
we
refer
to
this
warm
status
because
we're
not
just
leaving
everything
in
the
corner
we're
starting
to
sort
of
unpack
things
so
to
speak,
but
not
necessarily.
Turning
on
the
proverbial
lights,
that's
the
warm
status.
Most
of
these
can
turn
over
and
be
available
if
appropriately
staffed,
within
worst
case,
about
96
hours
most
within
48
to
72
hours.
C
So
just
keeping
this
slide
up
been
providing
you
similar
information
last
week
or
two
just
to
make
sure
people
have
some
comfort
level
in
terms
of
the
preparedness
and
the
availability
of
resources.
Speaking
of
availability
of
resources.
Here's
our
current
inventory
I'll
remind
all
of
you
that
we've
already
distributed
over
600
million
units
of
ppp
rather
ppe
and
that's
just
on
surgical
procedure,
masks
as
well
as
n95
masks,
100
millions,
hundreds
of
millions
more
across
the
spectrum,
gowns
gloves
and
face
shields
and
the
like.
C
But
you
can
see
we
still
have
over
half
a
billion
units
of
procedure,
mass
surgical
masks
and
n95
masks
in
our
inventory.
We've
been
active,
not
only
procuring
the
masks,
another
ppe,
but
also
ventilators.
You
saw
that
previous
slide
I'll
just
bring
it
up
again,
because
I
think
it's
important,
you
have
the
7000
ventilators,
and
this
is
the
current
number
of
available
ventilators
today
within
the
healthcare
delivery
system
7020.
C
C
So
again,
all
part
and
parcel
of
our
strategy
of
preparedness
to
work
our
way
through
this
winter
to
work
our
way
through
what
looks
to
be
a
tough
and
challenging
january
into
february,
as
we
build
that
bridge
to
a
vaccination
hope
is
on
the
horizon.
With
a
vaccination,
we
continue
to
accelerate
our
planning
and
preparedness
for
a
safe
and
equitable
vaccine
distribution
emphasis,
safe
and
equitable
vaccine
distribution.
C
C
We
again
are
working
off
a
plan
that
assumes
327
000
doses
that
come
from
pfizer
directly
will
avail
themselves
as
early
as
the
15th
of
this
month
for
planting
purposes,
we've
had
it
around
the
12th
to
the
15th,
but
for
the
purposes
of
this
slide
we're
saying
roughly
around
mid
part
of
december,
we
have
successfully
had
submitted
from
our
partners
our
first
orders
that
was
done
last
friday,
some
more
orders
coming
in
this
week,
but
the
bulk
of
it.
Last
friday
we
put
up
that
plan
what
we
refer
to
as
plan
1a.
C
The
first
orders
were
submitted
and
the
first
doses
are
going
to
be
made
available
primarily
for
high-risk
health
care
workers.
We
have
the
plans
at
the
facility
in
place
for
the
actual
distribution,
not
just
of
the
what
they
refer
to
as
in
the
pfizer
lexicon,
the
pizza
boxes
that
look
like
pizza
boxes
of
the
first
toronto
vaccines,
but
how
they
can
conduct
and
distribute
those
vaccines.
Those
plans
are
also
in
not
just
the
state
plans
but
locals
and
their
partnership
plans.
C
Here
is
the
next
planning
process,
deadlines,
dates
and
a
little
illumination
on
potential
availability
of
additional
doses,
so
phase
1a
has
been
completed.
We
have
this
community
vaccine
advisory
committee
working
with
our
distribution
advisory
committee.
That
phase
one
a
has
completes
up
the
website,
their
next
public
meeting,
and
these
are
public
meetings.
We
want
bail
you
to
take
a
look
at
these
meetings
open
to
the
public
on
wednesday,
encourage
you
to
take
a
look
go
to
that
covenant.
C
19.Ca.Gov
website,
learn
about
when
these
meetings
are
conducted.
You
get
real-time
information
as
quick
and
soon
as
much
as
any
of
us
get
they've
been
doing
a
magnificent
job.
This
advisory
committee
and
our
working
groups
so
that
next
meeting
for
the
next
phase
phase
1b
allocation,
so
you
get
a
sense
of
where
we're
going
is
on
wednesday
fda
approval
of
pfizer
vaccine.
We
expect
this
week
as
early
as
the
10th,
and
we
expect
the
moderna
fda
approval
lease
the
discussion
around
that
to
occur
a
week
or
so
later,
so
it
gives.
A
C
Sense
of
now
the
cadence
of
the
vaccination
we're
getting
into
december
now,
first
week
of
december
and
you're
going
to
start.
I
expect-
and
I
really
believe
this
against
good
news
and
numbers
that
continue
to
significantly
increase
over
the
weeks,
not
just
months
in
terms
of
the
availability
of
vaccinations.
Our
planning
assumption
our
planning
assumption
for
the
state
again,
327
000
doses
are
our
planning
assumption
for
pfizer's,
first
distribution,
but
you
had
pfizer
moderna
and
then
all
the
other,
subsequent
distributors
and
manufacturers
of
vaccines
that
will
stack
behind
them.
C
We're
working
on
a
planning
assumption
of
2.16
million
doses
of
the
vaccine
within
the
calendar
month
of
december,
so
327
000
next
week
or
within
the
next
week,
and
then
additional
number
that
can
get
north
of
2
million
doses.
Remember
cut
doses
you
got
to
get
two.
Both
moderna
and
fisa
require
two
vaccination
shots.
Each
dose
is
one
shot
so
cut
that
number
in
half
in
terms
of
how
you
allocate
at
least
in
your
own
minds,
number
of
individuals
that
can
avail
themselves
if
they
choose
to
the
vaccine.
C
Just
a
reminder:
we
have
six
steps
in
the
vaccine
process.
I
don't
need
to
review
for
those
of
you
followed,
you
know
what
we've
been
doing
in
terms
of
enrolling
the
providers
and
getting
our
prioritization
guidance
with
these
three
work
groups
we've
created,
including
that
community
advisory
committee
and
how
we
allocate
those
doses
in
an
equitable,
equitable
way,
and
that's
all
plan
1a.
Let's
talk
this
next
slide.
You
can
see
that
last
icon
on
the
right.
What
is
the
next
step?
C
Well,
the
next
step-
that's
currently
happening
as
we
speak,
is
we're
reviewing
the
local
health,
local
health
department's
orders.
So
again
those
orders
came
in
friday,
others
coming
in
as
we
speak,
we're
reviewing
those
the
state
is
reviewing
those
orders
and
then
we
will
submit
them
to
the
cdc
third
step.
The
cdc
will
receive
and
review
those
orders
and
then
they'll
submit
those
orders.
Those
orders,
then
will
be
processed
they'll
be
shipped
again.
This
is
pfizer
in
the
first
phase
and
pfizer's
doing
their
own
distribution.
C
C
They
are
well
positioned
as
an
intermediary
in
terms
of
their
distribution
protocols
and
planning,
and
we
are
working
directly
with
mckesson
on
the
moderna
vaccination
again.
Two
different
types
of
vaccines
both
require
two
doses:
one
is
ultra
cold
storage,
one
is
just
cold
storage.
Both
require
different
strategies,
different
approaches,
those
orders
are
being
processed
for
shipment
pfizer,
does
them
directly
they
ship
to
distribution
centers
throughout
california,
based
upon
the
protocols
that
everyone
approved
transportation
of
these
is
pretty
easy
and
self-evident
step.
Five,
traditional
ups,
fedex,
dhl
and
others.
C
Once
those
vaccines
are
received
step
six,
this
is
it
and
I'll
get
to
one
other
group
of
slides
and
we'll
get
to
your
questions.
That
vaccine
is
received
by
the
provider.
They
have
obvious
storage
on
site
that
is
required
called
chain
requirements,
and
then
they
start
the
administration
based
upon
the
first
327
thousand,
we're
very
confident
our
capacity
all
with
the
cold
chain
requirements
to
be
met
by
our
providers.
C
There
was
some
sense
that
providing
vaccinations
was
unprecedented
american
history,
and,
were
you
know
it
was?
There
was
a
sense
of
overwhelm
and
even
heard
some
elected
officials
talk
in
overwhelming
terms.
We
we
haven't
yet
for
no
other
reason
than
this.
The
scale
and
scope
of
the
19
million
vaccines
that
we
provide
on
an
annual
basis
already
and
how
sophisticated
our
provider
network
is,
how
culturally
competent
it
is,
though,
there's
always
gaps
and
how
well
distributed
it
is,
though,
again
we
have
some
regional
gaps
that
we
have
to
close.
C
I
hope,
gives
people
a
little
bit
more
confidence
that
we're
going
to
do
things
right
and
address
concerns
going
in.
So
that's
an
update,
though
I
wanted
to
close
just
on
the
vaccines
with
a
photo,
so
you
can
get
a
sense.
These
are
the
we've
shown
in
the
past
some
of
the
pfizer
vaccine
pallet
shippers
here
are
some
that
were
purchased
on
the
moderna
side.
These
are
just
the
cold
storage,
not
the
ultra
cold
storage.
Just
someone
asked
me
the
other
day.
C
C
That
said,
I
wanted
to
connect
more
to
the
cause
of
education,
and
I
wanted
to
update
you
on
some
of
that
work.
Over
80
million
dollars
in
kind
and
direct
supports
for
a
new
public
education
campaign
over
80
million
dollars,
you're
going
to
start
seeing
these
billboards
over
a
thousand
of
these
billboards
are
going
up,
may
have
seen
some
of
these
already.
C
C
They
include
not
just
images
like
you
just
saw
in
the
last
slide,
but
some
more
creative
images
and
colorful
images
and
using
dogs
and
fashion
we're
just
trying
to
get
your
attention
and
just
thought
I'd
try
to
bring
to
your
attention
what
we
are
working
on
and
what
you
will
start
to
see
a
thousand
of
those
billboards
and
also
a
lot
of
creative
done
in
hmong
and
russian
any
other
languages,
not
at
least
of
which,
of
course,
always
is
spanish
and
english.
Et
cetera,
I
want
to
compliment.
C
I
want
to
show
you
a
quick
psa
from
california
firefighters
foundation,
but
I
want
to
thank
them,
california,
fire
foundation.
I
want
to
thank
the
grocers
association
as
well,
in
particular,
they're,
providing
a
lot
of
in-kind
support
and
a
lot
of
in-store
support.
It's
a
grocer
specifically
to
connect
with
people
in
a
trusted
way
in
a
very
culturally
competent
way,
and
I
hope
you'll
enjoy
just
a
brief
example
of
at
least
what
the
firefighter
foundation
put
out
in
terms
of
a
brand
new
psa.
C
And
I
say
trusted
messengers
because
no
one
more
trusted
than
the
heroic
firefighters
or
nurses,
doctors,
you'll,
see
others
along
that
same
vein.
But
I
want
to
just
thank
our
firefighters
and
just
remind
you,
fire
season
into
december
still
battling
fires
down
in
southern
california.
I
think
you
know
to
our
state
partners
both
mutual
aid
partnerships,
local
level
or
but
also
just
our
incredible
cal
fire
team.
C
I
hope
sentences
from
city
and
county
of
san
francisco
well
known
to
me
and
many
others,
my
former
role
and
capacity
as
mayor
there
and
health
department,
that
is
an
extraordinary
health
department.
One
of
the
most
well-resourced,
both
financially
and
from
a
human
capital
perspective
and
tomas,
has
been
very
active
in
the
fight
to
eliminate
this
pandemic
to
mitigate
not
just
the
spread
of
this
virus,
but
to
mitigate
number
of
deaths
related
to
this
virus
and
has
put
out
a
lot
of
protocols
that
have
been
replicated
all
across
the
state.
C
D
F
Thank
you
for
taking
our
question.
We
wanted
to
ask
about
the
new
technology
that
will
be
available
via
smartphone.
Many
other
states
are
using
similar
technology,
but
they
have
had
relatively
few
people
use
it
and
that
limits
how
effective
it
can
be.
Why
do
you
think
this
will
be
any
more
effective
in
california?
C
No,
it's
those
are
wonderful
questions
and
those
are
questions.
We've
candidly
been
asking
ourselves
for
a
number
of
months
and
that's
why,
as
I
noted
in
the
beginning
of
this
presentation,
I
wanted
to
advance
a
pilot.
We
advanced
that
pilot
with
our
ucs.
We
advanced
that
pilot
on
a
number
of
campuses
as
well,
and
we
were
very
pleased
with
the
results
and
the
effectiveness.
C
I
showed
you
over
a
quarter
million
people
participating
in
that
pilot
went
from
one
uc
to
seven
ucs,
but
here's
why
we
think
it's
a
little
different
here
in
california
also
noted
you're,
absolutely
right
in
my
initial
remarks
that
this
is
only
as
good
as
people's
adaptation
and
utilization
opting
in
it's
not
an
opt
out.
You
make
the
decision,
it's
not
a
contact
tracing
app,
it's
a
notification
app!
C
I
think,
gives
us
the
capacity
with
the
experience
we've
had
in
the
knowledge.
Now
we
have
of
the
effectiveness
of
these
apps
that
we
can
see
some
adaptation.
But
again,
I
I
I'm
very
very
sober
about
the
adoption
rates
and
I
don't
expect
tens
of
millions
of
people
quite
the
contrary
and
and
and
and
we're
hoping
that
there'll
be
enough
to
make
this
meaningful,
but
apple
and
google
will
also
be
helping
in
that
promotion,
and
you
can
do
the
same,
and
I
appreciate
your
question
and
inquiry.
G
Hi
there
thanks
for
your
time,
governor,
I
wanted
to
ask-
and
maybe
this
is
a
question
for
dr
gally.
If
he's
there
about
the
timing
of
these
new
stay
at
home
orders,
given
everything
we've
learned
since
march,
was
there
a
discussion
of
putting
in
place
a
broader
stay-at-home
order
say
before
thanksgiving
instead
of
a
curfew?
C
C
So
let
let
you
know,
let's
disabuse
ourselves,
that
just
because
it's
three
out
of
five
regions
that
somehow
we
are
neglecting
a
significant
number
of
individuals.
We
certainly
have
two
other
regions
that
are
not
in
this
order,
but
the
vast
majority
overwhelming
majority
of
the
population,
the
state
is
look
as
it
relates
to
the
conversations
we
had.
I
can
assure
you,
we've
had
many
conversations
and
we've
been
gaming,
this
out,
based
upon
the
facts,
the
facts
determined
the
when
the
facts
were
ultimately
determined
on
the
basis
of
engagement
with
local
health
officers.
C
E
E
We
are
constantly
looking
at
the
various
actions,
not
just
regionally
but
statewide
and
as
we
move
through
this
current
surge,
we've
been
asking
the
question
about
what
are
the
right
actions
looking
at
the
data,
as
the
governor
mentioned
throughout,
to
determine
what
we
would
do.
We
know
that
this
these
various
restrictions
are
a
hardship
for
people.
E
The
decision
to
go
with
the
regional
stay-at-home
order
and
your
question
is
a
very
important
one
as
it
regards
to
thanksgiving
transmission.
We
know
that
those
cases
that
occurred
around
people's
potentially
dinner
tables
or
activities
and
plans
travel
through
thanksgiving
are
going
to
show
up
right
about
now.
E
Maybe
the
last
couple
days
we're
seeing
that,
but
we
know
we'll
be
seeing
that
for
many
days
to
come,
so
not
that
this
is
just
the
beginning,
but
we
believe
that
the
levels
of
transmission
that
we've
been
reporting
so
far
will
likely
continue
to
go
up
some
because
of
those
activities
around
thanksgiving.
So
all
of
these
are
coming
together.
These
actions,
these
signals
in
our
data
to
cause
us
to
do
the
regional
stay-at-home
order.
The
way
that
we
did.
Thank
you.
D
Thank
you
governor.
I
wanted
to
direct
this
to
you
governor,
as
well
as
secretary
gala.
If
he
wants
to
weigh
in
on
the
appointment
of
state
attorney
attorney
general
javier
becerra,
the
lead
hhs.
Potentially,
I
wanted
to
ask
you
specifically:
you've
got
some
big
health
care
plans,
some
of
which
I
think
we'll
be
hearing
about
next
month,
but
even
even
next
year
and
beyond.
I
wanted
you
to
speak
governor
about
the
health
care
plans
that
california
has
the
ambitions
and
and
those
that
require
federal
approval
and
money,
reforming
medicaid,
I'm
thinking
about
homelessness.
D
C
It's
a
game
changer
for
us
and
the
stale
air
of
normalcy
versus
the
fresh
air
of
progress,
so
I
would
describe
it
in
terms
of
a
relationship
with
the
federal
government
with
the
new
administration
and
now
with
our
own
attorney
general
ascending
to
this
role,
I
had
a
wonderful
conversation
with
the
attorney
general
about
all
of
the
above.
Every
inquiry
you
are
making.
We
can
assure
you,
have
been
assessing
and
we've
been
doing-
that
previous
to
his
announcement
and
hope
and
expectation
that
we
would
have
a
strong
personal
relationship
with
the
new
hhs
secretary.
C
But
the
fact
that
it's
our
own
javier
becerra
is
a
game
changer
for
the
state
of
california
and
11
15
waivers
on
1332
waivers
on
all
of
the
issues
related
to
cal
aim
and
if
I've
lost
most
of
you,
it's
for
good
reason,
but
probably
not
lost.
Angela
on
that
he's
been
following
these
things
very,
very
closely
we're
working
on
the
budget
as
we
speak
this
afternoon
again,
every
day
I've
been
working
on
preparing
the
new
budget.
C
We're
going
to
take
advantage
of
this
moment
in
these
relationships,
not
unfairly.
Everybody
needs
to
be
treated
equally
and
fairly.
But
california
is
the
largest
state
with
more
at
stake
in
terms
of
these
reforms.
We
want
to
make
sure
that
we're
right
there
in
the
beginning
and
and
doing
everything
we
can
to
accelerate
these
reforms
that
you
are
well
aware
of,
and,
moreover,
will
be
made
more
aware
of
in
the
coming
months.
As
I
release
the
january
budget
in
just
a
number
of
weeks,.
H
C
Well,
I
I
don't
know
disappears
anyone,
I'm
not
intervening
directly.
We
provided
5.4
billion
dollars
of
equity
support,
and
I
just
want
to
have
the
opportunity
to
repeat
that
we
took
cares,
act,
money,
money
that
could
have
been
spent
in
any
category
and
we
worked
with
the
legislature
to
advance
5.4
billion
dollars
focused
on
learning
supports
the
overwhelming
majority
of
that
was
money
that
is
set
aside
specifically
for
equity.
In
fact,
you
may
recall
there
was
some
dispute
with
the
legislature
that
didn't
want
to
go
as
far
as
we
did.
C
We
put
up
a
tiered
status
for
tears
and
we
made
the
point
you
don't
need
to
be
in
the
orange
or
yellow
tier,
even
the
red
tier
you
could
be
in
a
purple
tier
and
still
access
waivers,
we've
been
working
with
our
local
directors
and
meaning
a
local.
What
we
refer
to
as
leas.
These
are
the
local
education
administrators
across
the
spectrum,
and
we
continue
to
engage
in
a
very
proactive
way
to
provide
for
support,
particularly
on
the
issue
of
testing.
C
One
of
the
reasons
we
worked
very
aggressively
and
made
a
bold
bet
and
did
something
no
other
state
in
america
did
in
order
to
get
a
new
testing
facility
in
no
small
part
was
to
help
support
our
schools
to
reopen
and
to
be
in
a
position
with
pcr
tests,
in
particular
where
we
can
support
the
testing
needs,
not
just
as
a
state
but
specifically
for
our
public
schools.
One
of
the
reasons
we
were
bold
and
aggressive
more
than
any
other
state
in
our
country
in
going
after
ppe
and
procuring
our
own.
C
In
fact,
you
may
recall
that
we
had
at
peak
just
a
few
weeks
ago,
40
million
more
n95
mass
than
the
entire
national
inventory,
just
in
our
state,
was
in
no
small
part
to
provide
supports
for
our
schools
and
for
our
districts.
So
we've
been
very
proactive,
we've
been
very
focused
and
we
have
been
resolved,
as
have
I
as
a
father
of
four
as
someone
that
believes
in
the
social
emotional
side
of
learning,
to
address
the
concerns
and
anxieties.
C
Parents
have
can't
have
a
conversation
about
equity
unless
you're
talking
about
issues
and
struggles
and
challenges
of
distance
learning.
On
multiple
occasions,
maybe
a
dozen
occasions
we
have
communicated
to
you
and
others,
our
philanthropic
efforts,
we've
actually
highlighted
them
in
report
that
I
would
encourage
you
to
take
a
look
at
over
three
and
a
half
billion
dollars
of
philanthropic
support.
C
In
terms
of
that
5.4
billion
dollar
learning
loss
money
being
used
more
strategically
to
address
the
issue
of
equity.
None
of
us
are
naive
about
the
background
rates
in
the
community
spread,
creating
stress
on
the
entire
health
care
delivery
system,
school
system
and
our
entire
economy,
and
those
stresses
are
real
and
they're
certainly
made
very
visible
with
the
actions
and
with
the
announcement
that
was
made
just
in
the
last
24
hours
in
la
unified
school
district.
C
So
I
hope
you
are
disabused
of
that
engagement
and
the
state's
approach
in
terms
of
addressing
the
issues
of
equity
and
supporting
our
districts.
But
I
also
hope
that
you
are
familiar
with
that
work
being
an
ongoing
commitment
and
that's
why
our
budget,
which
we'll
be
submitting
just
in
a
few
weeks,
will
lay
out
in
more
detail
and
more
specificity.
C
More
supports
for
our
school
system,
substantially
more
support,
including
in
the
critical
issue
of
testing
of
which
we
are
fully
resolved
and
committed
to
addressing
head-on.
So
I
hope,
you'll
look
forward
to
more
information
in
that
space,
as
I
am
fully
engaged
and
resolved
working
with
tony
thurman,
working
with
the
incredible
credible
leadership
of
linda
darling,
hammond
to
advance
the
collective
cause
of
safely
safely
getting
our
kids
back
in
school.
At
the
same
time
protecting
teachers,
paraprofessionals
and
support
staff
and
obviously
making
sure
that
our
kids
are
safe.
In
that
entire
experience.
I
Governor,
I
just
want
to
follow
up
on
kevin's
question
you
and
your
minister.
You
and
your
administration
have
not
really
hesitated
to
exercise
your
executive
authority
to
for
statewide
mandates
and
uniform
restrictions
on
everything
from
shopping
at
a
grocery
store
to
getting
a
haircut,
but
you've
advocated
that
executive
authority.
When
it
comes
to
school,
reopenings
you're
allowing
school
districts
local
school
districts
decide,
and
I
guess
I
want
to
know
why
that
is.
C
I
don't
know
the
frame
abdicated
executive
orders.
Forgive
me
not
understanding
that
fully,
but
as
it
relates
to
the
issue
of
our
default
being
in
person,
education
we've
been
crystal
clear
in
that
respect,
but
you
are
familiar
phil
and
I
think
most
folks,
that
cover
the
state
of
california
familiar
with
a
thousand
plus
school
districts
in
the
state.
How
we've
constitutionally
designed
our
public
education
system
in
this
state?
C
That's
unique
and
distinctive
in
many
respects,
from
perhaps
other
parts
of
the
state
and
the
globe
and
how
that
is
a
real
bottom-up
process,
not
a
command
and
control
structure.
Localism,
I
often
say,
is
determinative,
perhaps
no,
where
more
than
as
it
relates
to
public
education
in
the
state
of
california.
You
know
well,
perhaps
written
a
lot
about
the
local
control
funding
formula
that
governor
brown
had
advanced
to
advance
that
cause
more
meaning
to
focus
on
local
decision
making
to
focus
on
local
conditions,
to
focus
on
english
as
second
language.
C
The
local
lies
considerations
and
concerns
and
strategies
and
intervention
so
that
we
can
avoid
the
top
down
dictate
when
you're
dealing
with
over
six
million
public
school
children.
So
we
had
21
counties
in
the
state
of
california.
There
are
58
counties,
21
counties.
Just
a
few
weeks
ago
we
announced
that
had
full
or
part-time
schools
that
were
operating
in
person,
some
hybrid,
some
just
online,
obviously
number
that
receive
waivers
and
others
that
were
conducting
in-person
education.
C
C
I
don't
know
that
one
should
be
particularly
critical
when
your
positivity
rate
down,
for
example,
in
riverside
county,
was
just
at
16
and
a
half
percent
seen
positivity
rates,
even
north
of
that
in
other
parts
of
the
state
that
there's
some
concern
by
teachers.
There's
concerns
by
parents,
I'm
a
parent.
I've
got
four
young
kids.
The
youngest
is
four.
C
The
oldest
is
11
years
old
as
a
parent,
when
you
have
background
rates
that
are
exploding
when
you
see
icus,
and
you
see
hospital
rates
that
are
putting
tremendous
strain
and
pressure
that
it's
not
inappropriate
for
these
parents
and
these
professionals
to
express
some
concern
and
anxiety
about
the
safety
of
their
children
and
the
in-person
instruction.
So
we
are
working
aggressively
to
get
people
back
into
school.
C
I
want
to
see
them
back
into
the
classroom,
but
it
must
be
done
safely,
and
I
can
assure
you
that
we
are
working
to
advance
that
cause
and
you'll
be
hearing
a
lot
more
in
the
upcoming
days,
specifically
about
our
testing
strategies,
in
particular,
to
address
that
very
real
issue.
In
order
to
get
our
public
schools
back
and
operational
as
soon
as
possible.
J
Thank
you
governor
there's
been
a
lot
of
confusion
over
the
stay
at
home
order,
as
it
relates
to
the
lodging
industry
and
for
that
reason,
you're
seeing
a
lot
of
different
press
accounts
on
what
it
means
on
your
public
on
your
order
that
was
signed
by
the
active
public
health
officer,
it
said,
except
as
otherwise
required
by
law.
No
hotel
or
lodging
entity
in
california
shall
accept
out
of
state
reservations.
J
J
The
state
lodging
association
says
they're,
not
sure
what
the
what
the
order
really
means,
because
there's
this
contradictory
information,
I'm
really
hoping
you
can
set
the
record
straight,
can't
nobody,
no
leisure
guests
can
stay
in
a
hotel
right
now,
only
essential
workers,
no
matter
whether
you're
from
arizona
or
from
newport
beach.
It's
just
confusing.
C
No,
that's
certainly
well
not
confusing
the
context
of
the
order
that
we
just
put
out
in
these
five
regions
in
the
state.
If
you
fall
below
the
15
capacity
or
you're
in
a
region
like
the
bay
area,
where
again,
we
support
local
decision
making,
based
on
the
conditions
on
the
ground,
where
they're
now
in
to
these
new
protocols,
the
protocols
the
state
put
out,
maintain
that
it's
essential
only
lodging
could
be
open
for
essential
workers
only
not
for
tourists,
not
for
leisure,
in
those
areas
that
have
fallen
in
to
those
categories.
C
Three
specific
regions
now
in
the
state,
two
regions
that
remain
subject
to
pre-existing
rules.
That
said
I'll
have
to
have
dr
galley
come
up,
and
he
could
perhaps
amplify
that
a
little
bit
more
and,
more
importantly,
because
of
the
specificity
or
question,
you
should
expect
my
team
to
reach
out
directly
to
you
and
provide
you
more
clarity,
so
that
you'll
see
that
in
more
specific
terms,.
E
Thank
you,
governor
and
yeah.
Thank
you
for
the
question.
We
are
working
to
be
clear
on
that
in
some
upcoming
faqs.
That
will
be
posted
on
exactly
this
question
and
some
others
as
it
relates
to
the
regional
state
home
order,
but
top
top
line.
Point
of
the
regional
stay-at-home
order
is
the
focus
at
staying
at
home.
We
really
do
in
those
areas
where
icu
capacity
have
has
dropped
below
a
specific
level.
E
Encourage
really
require
people
if
it's
not
essential
for
you
to
leave
your
home
if
you
aren't
doing
one
of
the
outdoor
activities
with
your
household,
with
quite
a
bit
of
space
between
you
and
others
that
the
point
is
to
stay
at
home
during
this
critical
time
to
bring
transmission
rates
down,
to
help
us
get
this
under
control.
So
our
hospitals
can
do
what
they
have
done
for
so
long,
which
is
provide
high
quality
health
care
to
all
those
californians
who
need
it.
E
Some
communities
have
brought
on
hotel
rooms
and
we
encourage
that
to
allow
people
who
can't
easily
isolate
in
their
homes
or
their
accommodations,
to
have
a
hotel
to
be
able
to
do
that
effectively.
So
we
can
reduce
transmission.
So
in
those
two
cases
we
know
that
hotels
and
the
travel
industry
will
be
functioning
as
it
has
been,
and
then
those
other
limitations
will
be
clarified
through
some
additional
written
posted
guidance
around
the
regional
stay-at-home
order.
That
will
be
up
very
soon.
Thank
you.
A
Thank
you,
governor
an
informational
question
and
then
a
more
broad
question.
First,
the
informational
question:
I'm
wondering
if
you
can
give
us
some
context
on
where
icu
use
would
be
normally
at
this
time
of
year
and
also
any
thoughts
on
trying
to
bring
back
the
uss
mercy,
ship
and
and
the
broader
question.
A
You
know,
we've
heard
from
so
many
people
whose
businesses
are
being
shut
down
by
some
of
these
orders,
who
are
really
frustrated
that
they
feel
like
they
have
not
seen
enough
evidence
that
point
to
quote
outdoor
restaurants
is
spreading
covert
in
a
major
way:
hair
salons
nail
salons
spreading
covet
in
a
major
way,
and
I'm
wondering
what
you
say
to
these
people
who
say:
look
I've
done
everything
you've
asked.
I
followed
the
rules.
I
spent
a
lot
of
money
on
ppe.
A
C
Well,
I
said
it
friday,
I
said
it
monday
I'll
say
it
again.
Today,
I'm
deeply
empathetic
and
deeply
committed
to
advancing
the
cause
of
supporting
our
small
businesses.
During
this
trying
and
challenging
time
you
saw
just
last
week,
the
state
of
california
put
up
half
a
billion
dollars.
Twenty
five
thousand
dollar
grants
not
just
to
small
businesses,
but
cultural
institutions
and
non-profits
those
dollars
are
now
going
out
the
door
if
you're
a
small
restaurateur
you're
a
barber
shop,
you're
a
nail
salon.
C
I
encourage
you
to
go
to
the
covent19.ca.gov
website,
cova19.ca.gov
website,
to
avail
yourselves
to
information
about
those
half
a
billion
dollars
in
supports
and
by
the
way,
that's
just
interim
support
to
get
us
to
january,
where
we
are
asking
and
working
with
the
legislature
to
get
early
action
to
provide
even
further
supports.
We
have
a
hundred
million
dollars
of
additional
money
that
we
put
up
in
hiring
tax
credits
for
those
that
can
hold
the
line,
bring
a
few
part-time
employees
or
full-time
employees
back
those
dollars
were
just
made
available
starting
last
week.
C
C
Those
are
three
specific
actions
that
have
just
been
taken
in
the
state
and
those
are
just
three
among
many
subsequent
actions,
as
it
relates
to
small
business
loans
for
people
that
are
falling
through
the
cracks
that
don't
have
traditional
relationships
with
credit
unions
or
banks
that
we
are
providing.
We
refer
to
it
as
first
loss
program.
It's
a
novel
program
that
janet
yellen.
Now
the
new
treasury
secretary
working
on
behalf
of
our
economic
advisory
task
force.
C
She
created
this
program
supported
by
the
legislature,
100
million
dollars
we
have
put
in
to
a
program
with
leveraged
resources,
not
just
direct
resources,
hoping
to
get
125
million
all
in
just
in
that
first
lost
program.
So
those
are
among
the
supports.
I
I'm
a
small
business
owner.
I
started
right
out
of
college
put
pen
to
paper
open
a
small
business
with
one
part-time
employee.
C
C
So
you
ask
me
how
I
feel
it
devastates
me
to
know,
because
I
intimately
understand
what
it
means
when
you
put
everything
on
the
line,
you
leverage
everything
your
family,
your
dreams
are
on
the
line
and
through
no
fault
of
your
own,
something
global.
A
pandemic
hits
and
creates
all
of
these
constraints
and
all
these
constructs
that
are
devastating
to
your
life
and
your
prospects
for
the
future,
and
so
we
need
the
federal
government
to
recognize
that
and
to
reconcile
the
fact
they
are
not
doing
their
job
to
provide
additional
supports
at
the
scale.
C
That's
required
at
this
moment
by
extending
the
ppp
program
by
extending
small
business
loans
and
grants
to
help
support
folks
in
this
time
of
need.
What
california
is
doing
is
not
unique
in
the
nation.
Quite
the
contrary.
What
is
unique
is
we
are
tend
to
be
proactive.
We
tend
to
lead
in
many
respects,
and
I
recognize
that
comes
with
consequence
and
struggle,
and
all
I'm
asking
folks
is
know
this.
This
is
the
third
wave.
We
don't
anticipate.
A
fourth
vaccines
are
on
the
way
over
2.1
million
doses
of
vaccine.
C
We
anticipate
to
distribute,
by
the
end
of
this
calendar
month,
millions
more
in
january
and
february,
we're
going
to
come
out
the
other
side
more
resilient,
more
capable
we're
going
to
provide
more
supports
with
the
legislature
on
commercial
evictions.
We
hope
to
do
the
same
on
rental
evictions.
We
have
a
lot
of
work
to
do
across
the
spectrum,
including
public
schools,
so
people
can
go
back
to
work,
so
people
can
have
the
support
they
need
and
to
get
these
kids
educated
and
address
the
learning
loss.
C
That's
self-evident
and
profound,
so
forgive
me
for
being
long-winded,
and
I
I
know
particularly
alex
for
the
work
you
do.
That's
not
anything
you
can
use,
but,
but
I
hope
you
hear
a
congruence,
because
this
is
not
an
intellectual
thing
for
me
as
someone
literally
who's
here,
because
of
my
entrepreneurial
background
that
got
me
engaged
in
local
government.
Initially,
that
led
me
to
be
on
a
commission.
The
parking
commission
in
san
francisco
led
me
to
want
to
serve
in
a
board
of
supervisor
capacity
and
ultimately
run
for
mayor.
C
I
have
reverence
not
just
respect
reverence
for
small
businesses,
reverence
for
entrepreneurs
and
it
breaks
my
heart
to
see.
Videos
breaks
my
heart
to
see
reports
you
and
others
of
people's
lives
being
torn
asunder
because
of
this
pandemic,
and
we're
just
simply
trying
to
do
our
best,
and
I
recognize
it's
never
good
enough,
but
we're
not
going
to
give
up
and
we're
going
to
continue
to
do
our
best
to
provide
more
support
during
this
very,
very
challenging
time,
as
it
relates
to
icu
capacity.
E
Thank
you,
governor
and
yeah
right
now
we
are
hospitals,
usually
prepare
for
an
upcoming
flu
season.
They
start
to
put
together
their
plans
on
how
they're
going
to
moderate
demand
for
icu
beds,
because
they
anticipate
that
some
additional
patients,
not
just
with
flu
but
with
respiratory
illnesses
altogether
flu,
actually
isn't
an
illness
that
always
lands
you
in
the
icu.
Many
people
need
an
inpatient
bed,
but
not
an
icu
bed,
necessarily
just
to
give
you
some
context.
E
Different
facilities
across
the
state
they
might
be
half
full
in
their
icus.
Some
might
be
on
the
brink
of
being
entirely
full.
That's
why
we
look
at
this
regionally
as
a
set
of
beds
that
are
available
to
treat
people
in
this
emergency
for
kovid.
Another
important
point
is,
at
the
peak
of
the
summer,
some
of
the
regions
dealing
with
covet
had
roughly
35
percent
of
their
icu
capacity
filled
up
with
covid
positive
patients.
We've
seen
that
figure
eclipsed.
We
think
about
that
as
new
workload
for
the
icus
that
wasn't
there
before.
E
So,
even
if
you
were
running
at
50
or
60
capacity
before
covid,
you
might
be
running
close
to
90
95
percent
and
those
facilities
that
we're
running
higher
are
even
more
impacted.
That's
why,
with
the
great
work
in
partnership
with
our
hospital
partners,
they
have
made
decisions
about
how
to
control
demand
for
icu
beds,
increasing
their
staffing
as
much
as
they
can
working
to
cut
down
demand
by
delaying
for
a
period
of
time
some
procedures
and
scheduled
surgeries
that
could
in
fact
be
safely
delayed.
E
But
there's
limits
to
that
you
can
only
staff
up
so
much
because
the
icus
are
in
icu.
Staff
are
in
such
demand,
not
just
here
in
california,
but
across
the
nation.
You
can
only
wait
to
put
in
a
new
heart
valve
or
a
dialysis
catheter,
or
all
of
these
procedures
that
are
indeed
scheduled,
sometimes
called
elective
procedures,
but
they're
elective,
maybe
for
a
day
or
two,
but
not
for
months.
We
start
to
see
morbidity
and
mortality
from
things
other
than
covid
very
quickly,
and
our
state
is
committed
to
health.
Broadly,
not
just
around
coveted
health.
E
We
want
that
capacity
to
be
there
for
you.
When
there's
a
car
accident,
god
forbid
or
when
a
heart
attack
or
a
stroke
happens,
we
talk
about
all
of
this
together.
To
assure
you
we're
looking
at
this
icu
issue
as
one
not
just
because
we're
worried
about
the
demand.
Yes,
we
are,
but
not
only
because
of
the
covet
demand,
but
broad
demand
and
the
hope
that
the
governor
talked
about
with
vaccines.
Indeed,
that
2.16
million
doses
that
we
see
coming
in
december.
Those
are
first
doses
that
is
not
to
be
cut
in
half.
E
E
C
So
a
sprint
on
a
marathon
to
a
vaccine,
a
few
more
months
where
we're
just
going
to
have
to
step
up
meet
this
moment,
as
we
always
do
as
californians
come
out
the
other
side
more
resilient,
more
capable
than
we
ever
could
have
imagined.
We
are
resolved
to
do
that
and
we
resolve
to
do
our
best
to
mitigate
this
spread
of
transmission
of
this
virus,
eliminate
or
rather
reduce
the
extent,
are
possible.
C
The
deaths
related
to
this
pandemic
and
do
our
best
to
help
support
our
small
businesses
and
our
kids
in
terms
of
this
very
challenging
and
difficult
moments.
So
with
that,
I
want
to
thank
everybody
for
the
opportunity
to
update
we'll
be
providing
more
updates
over
the
course
this
next
week.
Courage,
everybody
that
wants
more
information
about
any
of
the
issues
and
ideas
came
out
from
the
app
itself
to
more
information
about
the
vaccines
and
more
information
about
testing
whatever
it
may
be.
We
encourage
you
to
go
to
the
coveit19.ca.gov
website.