►
Description
California Health and Human Services Secretary Dr. Mark Ghaly provides an update on the State of California's response to the COVID-19 pandemic.
Recorded September 10, 2020.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
C
Coronavirus
good
afternoon
and
thanks
again
for
joining
us
today
on
a
thursday
instead
of
our
normal
tuesdays
in
part,
because
the
governor
updated
the
state
on
tuesday,
with
many
updates
everything
from
covid19
to
wildfires
to
our
power
shutoffs
and
again,
it's
a
real
privilege
to
be
with
you.
C
I'm
going
to
focus
a
lot
of
my
remarks
today
on
an
issue
we've
been
talking
about
over
the
past
couple
of
weeks
with
our
blueprint
to
a
safer
economy,
an
equity
measure
that
the
state
continues
to
work
hard
with
local
partners,
the
county
level,
others
to
make
sure
we
choose
something
that
really
makes
sense
for
california.
C
But
before
I
go
into
those
details,
I
wanted
again
to
invite
up
the
state's
acting
public
health
officer,
dr
erica
pond,
to
walk
through
the
typical
coveted
19
number
updates,
as
well
as
some
information
on
testing
and
our
response
as
an
agency
to
some
of
the
needs.
Those
who
are
facing
evacuations
from
wildfires
across
the
state
are
experiencing
so
dr
pond.
D
D
There
are
encouraging
trends
that
are
ongoing
with
this.
This
is
definitely
a
decreasing
number
over
time.
As
far
as
our
total
tests,
our
seven
day
average
of
tests
is
103,
724
and
I'll,
be
showing
you
in
a
few
slides
forward.
What
those
trends
are
looking
like
our
14-day
test,
positivity
is
4.0.
D
And
I
would
be
remiss
if
I
didn't
talk
today
about
the
air
quality
and
the
fires
and
the
multiple
fires
going
on
throughout
the
state.
D
So
of
all
the
individuals
who
are
sheltered,
5
230,
one
of
them,
are
in
non-congregate
shelters
and
only
81
are
in
congregate,
shelters
and
again.
This
is
really
a
way.
We
are
able
to
get
people
safely
in
a
couple
different
ways
and
not
put
them
at
risk
for
coven
19.,
and
we
also
just
want
to
take
this
opportunity
to
remind
people
that
this
is
not
a
time
to
let
our
guard
down.
D
We
are,
of
course,
in
the
midst
of
many
difficult
situations
here
in
the
state
and
again
with
the
poor
air
quality,
but
this
is
not
a
reason
to
gather
indoors,
and
I
know
we've
had
a
lot
of
guidance
about
doing
things
outdoors
when
we
do
have
good
air
quality
and-
and
now
we
have
this
unfortunate
situation
where
we
need
to
be
indoors
because
of
air
quality
in
many
parts
of
our
state.
But
we
do
encourage
you
to
remain
indoors
and
with
your
household
members,
but
this
is
not
a
reason
to
gather
indoors.
D
I
also
want
to
turn
now
to
talk
about
testing
here
in
california,
so
this
is
absolutely
critical
to
our
continued
response
to
covet
19
and
we
as
a
state,
are
really
seeing
testing
as
a
priority.
We
want
it
to
be
accessible,
it
needs
to
be
timely
and
we
want
to
see
equitable
testing
and
we
are
really
pleased
to
share
that.
D
Our
test
turnaround
times
have
been
improving
and
they
need
to
be
within
24
to
48
hours
to
allow
for
effective
isolation
and
quarantine
because
those
tests
have
to
be
taken,
then
they
need
to
be
reported
to
the
individual
reported
to
the
local
public
health
department
and
really
in
order
to
interrupt
transmission
and
get
people
safely
isolated
and
quarantined
to
interrupt
that
transmission.
D
It
needs
to
happen
in
a
timely
way,
so
laboratories
across
the
state
have
been
reporting
results,
and
we
are
very
pleased
again
to
say
that
now,
66
of
the
results
we
are
seeing
are
reported
within
one
day
and
88
of
our
results
are
being
reported
within
two
days,
so
that
overall
turnaround
time
average
across
the
state
is
1.3
days.
So
this
is
huge
progress.
Many
of
you
remember.
We
were
seeing
long
delays
several
weeks
ago
and
again,
we've
made
a
great
deal
of
progress
with
this.
D
I
wanted
to
show
you
a
flash
of
what
that
looks
like,
so
I
already
covered
most
of
the
information
at
the
top
of
this
slide
and
again
you
can
see
we've
seen
improvements
of
13
on
our
turnaround
time
within
one
day
and
again,
almost
90
percent
of
our
turnaround
times
are
within
that
two-day
window
that
we're
looking
for,
and
you
can
see
on
the
lower
graph
a
trend
again.
We
have
seen
some
decreases
over
the
last
few
weeks.
I
think
this
is
a
combination
of
many
things.
I
think.
D
We
really
need
to
think
more
about
what
we
would
sometimes
call
surveillance,
testing
and
really
thinking
about
how
not
just
to
find
cases
that
are
symptomatic
or
cases
that
are
known
to
be
in
a
high
risk
setting
or
situation,
but
really
thinking
about.
How
do
we
prevent
cases
and
outbreaks,
and
how
do
we
continue
to
find
cases,
especially
with
this
challenging
disease,
where
people
often
have
infection
and
don't
have
symptoms,
and
where
do
we
look
for
them
and
look
for
them
strategically
and
use
our
testing
statewide?
C
Thank
you,
dr
pond,
I'll
just
reiterate
just
how
proud
I
am
of
the
testing
task
force
and
and
our
leaders
of
that
task
force
and
all
the
staff
that
work
with
labs
across
the
state
collection
sites
across
the
state
to
ensure
that
we
have
access
and
that
these
turnaround
times
have
seen
the
improvement.
They
can.
C
In
fact,
this
new
dashboard
that
the
team
has
put
out,
I
think,
is
really
a
nation-leading
dashboard,
not
just
highlighting
turnaround
times
and
the
number
of
tests,
but
even
getting
to
the
level
of
looking
at
different
labs
and
how
their
performance
is,
so
that
we
can
really
work
with
some
labs
to
improve
where
that's
needed
and
praise
those
labs
that
are
really
helping.
Contribute
to
this
improved
performance.
C
So,
as
I
mentioned
at
the
top
wanted
to
spend
some
time
talking
about
our
new
blueprint,
which
you
know,
we've.
We've
now
announced
two
sort
of
rounds
of
reporting
periods.
These
revised
criteria
that
allow
us
to
loosen
and
tighten
restrictions
on
activities
based
on
a
couple
of
simple
metrics
that
we've
used
for
a
long
time.
C
This
is
that
combination
of
not
just
our
concern
about
how
people
are
faring
with
covid,
whether
they
they
are
infected
and
what
their
sort
of
response
is,
whether
they're
hospitalized
and
their
treatment
course,
but
also
considering
how
how
covid
and
the
environment
that
we're
in
impact
their
overall
well-being,
including
their
mental
and
emotional
health.
We
recognize
that
these
have
been
tough
times
many
many
months
ever
since
january
and
february.
C
The
challenges
that
come
with
our
response
to
the
pandemic,
not
just
the
worry
of
being
infected,
so
coming
all
of
these
things
together.
Looking
at
those
disparate
impacts-
and
we
know
that
exposure
to
covet
19
has
exacerbated
many
of
our
underlying
health
inequities,
especially
among
underserved
and
marginalized
groups,
and
really
have
seen
the
intersecting
of
factors
like
race
and
economic
inequalities
that
cross
cut
across
many
of
the
covet
19
data
points
that
we
share
with
you
on
a
very
regular
basis.
C
C
C
Nearly
50
percent
of
the
deaths
among
latinos,
yet
they
make
up
just
shy
of
40
of
california's
population,
so
you
see
as
a
general
60
50
40
that
that
impact
is
not
insignificant
and
something
that
the
state
continues
to
work
with
partners
across
our
counties.
To
focus
on
deaths
are
more
common
among
blacks,
particularly
among
in
the
lower
age
groups
and
in
the
65
and
plus
age
group,
wherein
we
see
most
of
the
deaths
experienced
across
covid
in
older
californians
among
black
californians.
We
see
a
disproportionate
share
of
younger
people
who
are
dying.
C
Native
hawaiians,
pacific
islanders
also
have
higher
case
rates
and
deaths,
and
over
the
last
week,
or
two
noticing
increasing
cases
among
other
asian
populations
in
this
state.
So
again,
a
disease
that
really
knows
no
bounds
and
really
has
an
affinity
and
higher
infection
rates.
Among
some
of
our
communities
of
color
across
the
state.
C
Achieving
health
equity
requires
us
to
prioritize
resources.
It
doesn't
happen
by
accident.
Actually,
the
opposite
usually
happens.
If
we
don't
make
these
prioritizations
and
resources
and
we
need
to
target
those
resources
to
our
disproportionately
impacted
populations,
as
I've
mentioned
racial
equity,
which
I
and
a
number
of
colleagues
talk
about
on
a
regular
basis,
thinking
about
racial
equity
and
health.
Really
this
concept,
where
conditions
are
achieved,
where
race
no
longer
predicts
your
outcome
with
health
and
that
conditions
for
all
groups
are
improved.
C
And
so
we
work
with
a
commitment
to
racial
equity
to
really
reduce
those
disparities
and
differences
between
racial
groups.
Experience
with
covet
19,
but
really
this
has
been
worked
on
for
decades
when
it
comes
to
diabetes
and
heart
disease,
strokes,
alzheimer's,
other
conditions
where
we
see
increased
prevalence
among
different
racial
groups
as
a
whole.
C
This
may
require
increasing
testing
in
some
of
the
lower
income
communities
above
where
it
is
today
and
working
to
bring
culturally
competent
contact,
tracing
and
supportive
isolation
in
levels
that
we
don't
have
today
all
in
order
to
close
that
gap
and
allow
all
californians
to
increa
experience
a
better
chance
of
not
only
not
getting
infected
with
covid19
but
having
better
outcomes
if
they
do
before.
I
end
and
turn
this
over
to
the
many
folks
with
questions.
I
just
want
to
take
a
moment
to
remind
you
that
the
simple
acts
make
a
big
difference.
C
We
talk
now
for
months
about
wearing
a
mask,
and
I
think
each
week
I'm
impressed
by
the
new
literature
in
the
medical
community
demonstrating
the
benefits
of
wearing
a
mask.
Not
only
does
it
help
many
people
not
get
infected
that
when
they
do,
they
have
very
little
if
no
symptoms
at
all
and
they
do
a
lot
better.
So
wearing
that
mask,
as
we've
said,
the
last
couple
weeks
not
only
protects
others
around
you,
but
really
does
work
to
protect
you
as
well
maintaining
six
feet
of
distance.
C
I
received,
as
I
do
each
week,
a
number
of
opinions
and
articles,
and
somebody
sent
me
just
yesterday.
This
idea
that
physical
distancing
has
become
the
stepchild
to
masks
everybody's
worried
and
focusing
on
making
sure
we
have
good
mass
wearing
yet
remaining
some
six
feet
apart
even
more,
if
possible
is
another
great
way
to
prevent
transmission
and
we
talked
about
it
routinely.
But
I
wanted
to
take
a
moment
to
punctuate
it
today,
of
course,
washing
your
hands
and
minimizing
mixing
when
possible.
C
If
you
can
have
your
own
bathroom,
that's
great
too.
All
of
these
things
are
steps
to
reduce
the
risk
of
transmission
during
a
time
where
we're
already
facing
some
real
difficulties.
Statewide
I'll
remind
you
that
the
number
that
dr
pond
shared
of
the
number
of
people
sheltered
just
over
5
000
in
hotel
rooms
across
the
state.
Those
are
the
folks
that
the
state
and
counties
and
the
red
cross
support
to
find
that
shelter,
but
that
usually
makes
up
under
five
percent
of
the
total
number
of
people
evacuated.
C
That
means
95
are
seeking
shelter
with
friends
and
family
in
alternate
places,
and
so
it
becomes
a
really
important
point
that
we
continue
to
keep
up.
Our
guard
make
sure
that
we're
doing
the
things
that
we
know
reduce
spread.
So
we
can
continue
on
the
good
gains
that
we've
made
over
the
past
many
weeks
as
we
enter
winter
and
colder
weather,
potentially
as
we
enter
flu
season,
and
we
know
that
we
want
to
get
transmission
as
low
as
we
can
statewide.
C
I
just
want
to
just
really
emphasize
our
concern
and
consideration
for
just
the
number
of
things
going
on
across
our
state
that
it
takes
its
toll
on
many
of
you
just
like
it
does
many
of
us
at
the
state
and
that
we're
in
this
together
that
we,
as
we
did
early
on
in
the
covid
response,
40
million
strong,
come
together.
We
will
continue
to
do
that
with
whatever
comes
our
way
in
california
and
I'm
proud
and
humbled
to
be
there
with
you
supporting
all
along
the
way.
E
Hi,
dr
daley,
thanks
for
taking
our
questions,
I'm
hoping
you
can
speak
a
little
bit
about
the
effects
you're
seeing
of
the
state's
new.
E
Basically,
reopening
protocols,
so,
first
of
all,
can
you
talk
a
bit
about
what
the
administration
was
hoping
to
achieve
by
choosing
the
colors
that
you
did
for
the
new
system
and
are
you
know,
counties
and
and
regular
people
interpreting
them?
The
way
that
you
had
hoped,
and
can
you
point
us
to
any
examples
that
you've
seen
that
the
new
system
is
working
better
than
what
you
were
doing
before.
C
So
to
answer
the
last
part
of
your
question
first,
you
know
we're
looking
for
those
trends
now
and
it
is
a
bit
early.
We're
really
seeing
the
first
set
of
counties
just
have
just
over
10
days
of
changes
to
their
own
conditions.
C
We
saw
a
number
of
larger
counties
this
week,
really
orange
san
diego
these
counties
that
have
moved
to
allow
some
additional
operations
of
those
business
sectors,
so
we're
keeping
our
eye
on
those
trends
and
to
see
what
what
clues
that
we
pick
up
in
the
data
in
the
conversations
with
our
county
partners
about
how
this
is
working.
C
I
think,
overall,
our
goal,
as
we
said
before,
was
four
tiers,
much
more
simple,
straightforward
to
track,
rather
than
58
different
approaches
county
by
county
across
the
state,
an
understanding
of
what
it
takes
to
meet
each
tier's
thresholds,
a
sense
of
how
long
a
county
will
remain
in
a
tier
before
they
can
move
to
the
next
one.
All
of
those
concepts
are
being
more
normalized
across
our
county
leaders
with
business
leaders,
so
I
think
increasing
understanding
of
how
the
system
works.
C
What
we
really
tried
to
achieve
was
to
make
sure
that
we
went
slow
and
stringent
that
we
had
rigorous
rules
around
what
allows
you
to
move
when
and
where
and
that
we
were
going
to
be
patient
and,
of
course,
there's
a
number
of
californians
asking
us
to
go
a
little
faster.
Others
who
say
you
know,
are
you
sure
this
isn't
too
fast,
so
we're
working
through
all
of
those
conversations
taking
that
feedback,
but
so
far
really
sticking
to
the
system
that
we've
seen,
as
I'm
sure
all
of
you
hope.
C
I
hope,
too,
that
we're
going
to
see
the
fruits
of
that
as
we
enter
the
fall
months,
that
we
continue
to
see
transmission
rates
drop
that
the
ability
to
identify
cases
with
our
testing
turnaround
time
improvements
and
then
to
trigger
all
of
the
work
around
contact.
Racing
really
helps
us
keep
transmission
down
as
we're
seeing
the
trends
continue
across
the
state.
F
G
You
very
much
doctor
I,
hopefully
you
can
comment
on
a
couple
of
things
for
us
today,
number
one:
the
new
ucla
study
that
looked
at
reports
of
coughing
that
became
very
elevated
in
december
and
continued
elevating
the
conclusion
being
that
that
means
covet
was
spreading
in
the
community
here
or
at
least
had
come
back
from
overseas.
G
Perhaps
sooner
than
we
realized.
Is
that
consistent
with
your
understanding
of
the
timing
and
the
second
question
would
be
los
angeles
city
and
county
yesterday,
encouraged
its
citizens
to
download
a
contact,
tracing
app
called
citizen
safe
pass?
Are
you
familiar
with
that,
and
will
the
state
be
recognized
residents
in
the
entire
state
go
ahead
and
download
that
app?
Thank
you.
C
Yeah
great
great
questions.
Thank
you
for
both
of
them.
We
have
all
along
been
looking
at
when
we
might
have
seen
the
first
signs
of
covid
in
california
I'll
remind
you
that
california
had
the
privilege
of
helping.
Thousands
of
americans
come
back
from
overseas,
whether
it
was
by
ship
or
by
plane.
We
did
the
repatriation
efforts
out
of
wuhan.
We
did
many
other
efforts
to
bring
americans
home,
so
our
consciousness
has
been
around
covet
for
quite
some
time.
C
We
knew
early
on
that
there
were
some
early
deaths
where
autopsy
showed
potential
covet
infections
in
the
month
of
january.
C
So
I
can't
speak
to
whether
we
are
convinced
yet
today
that
it
was
milling
around
california
in
december,
but
we're
open
to
that
and
and
hope
that
our
response
was
as
timely
as
we
think
and
believe
that,
as
increased
transmission
started,
that
california
was
there
with
early
stay-at-home
orders
compared
to
the
rest
of
the
nation
that
really
allowed
us
to
address
the
situation
locally
in
a
very
aggressive
and
thoughtful
way.
C
As
for
the
citizen,
app
we've
at
the
state
been
talking
to
many
developers
of
apps
that
help
exposure
notification
and
support
some
of
the
contact
tracing
efforts.
I
will
lead
by
saying
that
any
of
these
apps
are
meant
to
be
augmentation
tools.
They
are
not
meant
to
replace
contact,
tracing
tools
that
there's
been
a
great
deal
of
investigation,
both
at
the
county
level
and
the
state
level.
Citizen,
I
know,
is
an
app
that
is
already
widely
used
in,
in
los
angeles,
that's
my
home
county.
C
So
I
know
friends
and
others
who
who
have
downloaded
the
app
even
before
its
utility
around
covid.
I
think
it's
exciting
to
consider
the
benefit
of
this
augmented
technology
to
help
us
curtail
the
spread
of
kovid,
but
I
think
there's
still
questions
that
remain
on
how
accurate
it
will
be
at
identifying
close
contacts
and
whether
it
can
get
the
hand
information
in
a
timely
way
in
an
accurate
way
in
the
hands
of
people
to
use
it.
C
So
I'm
excited
to
see
this
trend
in
california,
frankly
across
the
nation
across
the
globe,
to
understand
if
these
technologies
will
in
fact
benefit
us
and
we'll
see,
and
I
think
the
state
stands
ready
to
take
any
really
beneficial
technology
and
tool
and
spread
it
across
the
state.
When
we
have
the
information
that,
in
fact,
it
really
does
support
what
we're
trying
to
do
with
our
entire
pandemic
response.
F
Good
afternoon,
a
couple
of
child
related
questions
for
you
today,
los
angeles
county
is
recommending
against
door
to
door
and
car
to
car
trick-or-treating
this
year
wanted
to
get
your
view
on
whether
that's
warranted
or
if
it's
safe.
If
the
children
follow
the
usual
rules
about
wearing
masks,
sticking
with
their
own
cohorts,
social
distancing
and
does
the
state
expect
to
update
its
guidance
that
currently
allows
youth
sports
practices,
but
not
games
as
schools
reopen
in
some
fashion
and
balance
safety
or
attempt
to
balance
safety
with
socialization.
C
Yeah
great
questions
and
thank
you
again,
my
kids
ask
me
all
the
time
about
the
trick-or-treating
guidance
and
and
la
county
in
specific,
because
that's
where
they
live,
they
wonder
the
same.
C
You
know
the
first
thing
I
want
to
commend
the
county
for
really
coming
out
and
stepping
in
front
of
something
that
is
on
all
of
our
minds,
as
we
move
out
of
summer
and
into
the
season
of
celebrating
many
things
in
the
fall
with
the
holidays,
coming
up
with
religious
holidays,
really
right
around
the
corner
and
halloween,
of
course,
for
young
kids
really
a
highlight
of
the
year.
I
think
there's
no
doubt
that
we're
gonna
have
a
very
different
holiday
season
and
preparing
our
communities
being
thoughtful
about
the
recommendations.
C
Being
cognizant
of
the
level
of
transmission
are
all
things
that
we
need
to
have
in
place
in
the
state
is
beginning
conversations
with
our
long
or
continuing
conversations,
I
should
say
with
local
partners,
to
develop
thoughtful
and
consistent
guidance.
I
would
just
say
on
halloween.
Certainly
the
way
we've
trick-or-treated
in
the
past
is
not
going
to
be
the
way
that
it's
done
this
year.
It
may
in
fact,
be
the
safest
thing
not
to
do
it.
C
The
way
we've
done
in
the
past
or
at
all,
and
I
think,
we're
working
hard
to
come
up
with
good,
clear
and
consistent
guidance,
while
recognizing
the
important
role
that
halloween
and
other
events
really
play,
not
just
in
our
memories
and
creating
you
know:
memories
for
our
children,
but
really
the
psyche
of
our
entire
community.
And-
and
I
I
appreciate
the
question,
because
it's
something
that
has
been
squarely
on
our
mind.
H
Please
do
secretary
galley.
I
actually
had
a
question
for
the
exact
same
question.
I
wanted
to
put
forward
to
you
as
well
as
dr
khan.
H
I
just
wonder,
given
the
fact
that
yet
another
health
officer
has
left
as
recently
as
yesterday.
I
just
wanted
to
ask
both
of
you.
If
you
feel
that
dr
galley
from
the
state
perspective,
the
state
has
done
enough
to
support
local
health
officers,
both
in
terms
of
resources
as
well
as
clear
guidelines,
and
then
I
wanted
to
ask
dr
pam
to
answer
the
same
question.
Given
your
experience
in
alameda
county
as
one
of
the
local
health
officers
now
hearing,
you
know
the
response
at
the
state
level.
C
Sure
I'll
I'll
have
dr
pond
come
up
in
just
a
moment,
but
the
first
thing
to
say
is:
you
cannot
see
the
news
of
yet
another
and
actually
a
few
health
officers
in
this
state
leaving
their
positions,
and
I
think
it
just
underscores
the
how
hard
these
jobs
are
in
this
moment,
where
so
much
of
the
county's
decisions
are
really
resting
on
their
shoulders,
that
there's
complexities
that
it
is
really
following
the
science
and
sticking
to
what
we
believe
are
strong
public
health
principles
and
public
health
messages
is
hard
to
do
and,
and
we
understand
the
tensions
we
experience
them
in
our
own
households.
C
I'm
sure
dr
palm
will
talk
about
a
bit
of
her
experience
in
alameda
and
the
state
is
continued
to
be
committed.
We
hear
the
outpouring
from
communities
to
do
more
and
we
consider
that
all
the
time
and
there's
a
lot
of
work
being
done
to
make
sure
that
we
line
up
our
own
communications
and
work
to
keep
people
informed
so
that
hard
decisions
don't
become
harder
because
of
communication
difficulties
or
or
other
things
where
we
aren't
in
sync
and
aligned.
C
There
is
no
doubt
that,
at
the
state
level,
what
we
balance
here
from
a
public
health
perspective
is
really
the
collection
of
the
needs
across
58
counties
and
that's
different
than
what's
happening
in
some
of
our
local
areas.
So
we
have
worked
hard
to
make
sure
that
that
balance
is
both
elegant
and
respectful
and
have
improved
over
time
making
sure
that
our
communication
is
tighter.
C
So
we
look
forward
to
continuing
to
do
more
to
support
counties,
to
support
their
own
health
officers
and
and
plead
with
everybody,
who's
tuning
in
or
or
or
thinks
about
this
issue
to
to
really
work
to
support
their
health
officers
to
follow
their
advice
as
it's
put
out
and
and
to
enter
into
dialogue.
C
That's
constructive
around
things
that
you
hope
to
see
changed
and
ask
the
questions
of
why
this
or
why
that,
and
I
think
that
healthy
dialogue
not
only
supports
the
role
and
the
expertise
that
they
bring
but
allows
them
to
do
their
job
in
the
best
way
that
they
can
across
the
state.
So
with
that
I'll
have
dr
pond
come
up
and
share
a
few
ideas
as
well.
D
Thank
you
very
much
for
the
question.
I
really
appreciate
the
opportunity
to
respond
to
that.
I,
as
you
noted
in
your
question,
certainly
take
this
very
personally
based
on
my
local
experience,
as
well
as
being
here
as
the
acting
state
health
officer,
and
I
think
you
know
we
are
absolutely
committed
here
at
the
state
health
department
and
as
acting
state
health
officer.
D
We
actually
talk
to
our
local
health
officers
at
a
minimum
once
or
twice
a
week,
often
more
than
that
and
also
have
each
other
on
speed
dial,
and
I
do
think
we
have
done
our
utmost
to
support
our
local
public
health
officers.
I
think
I
want
to
just
acknowledge
that
it
is
an
extremely
tough
job
and
health
officers
have
been
put
in
positions
right
now.
D
So
we
continue
to
look
at
that
science.
We
try
to
weigh
it
and
we
try
to
convey
it
and
make
the
best
decisions
we
can
with
all
the
input
we
can
and
we're.
Certainly
in
a
moment
where
we're
not
pleasing
everybody-
and
I
think
local
health
officers
are
really
receiving
the
brunt
of
that.
So
I
would
also
just
echo
what
secretary
gali
mentioned
to
really.
D
I
ask
all
of
you
in
the
community
to
do
what
you
can
as
well
to
support
your
public
health
departments,
your
public
health
officials
and,
I
think,
more
importantly,
or,
as
importantly,
I
think
we
need
to
come
together
as
a
community.
We
really
have
seen
so
much
divisiveness
and
with
all
of
these
different,
we
have
so
many
different
tragedies
going
on
right.
Now
we
have
this
pandemic.
D
We
have
structural
racism
and
it's
really
a
time
to
try
to
come
together
as
a
community,
and
I
really
do
sort
of
ask
all
of
you
in
the
community
and
again
appreciate
the
question,
because
I
think
that
is
really
the
message
that
will
help
our
local
health
officers
and
we'll
help
all
of
us
protect
each
other
and
keep
each
other
safe.
Thank
you.
I
Hi
good
afternoon,
thank
you
so
much
for
taking
my
question,
I'm
in
la
county,
and
I
was
wondering
in
regards
to
the
health
disparities
that
you're
talking
about
sort
of
augmenting
the
metrics
a
little
bit.
I
wonder
if
you
think
that
would
have
the
chance
to
delay
reopening
in
la
county
and
just
because
you
know
we
have
so
many
this
big
population
and
a
lot
of
minority.
Then
we
have
quite
a
bit
of
health
disparities
here
and
also
related
to
that.
I
C
Yeah
to
your
second
question:
first,
first,
thank
you
for
them,
and
and
lots
of
people
are
asking
about
l.a
in
specific
10
million
people
big.
C
We
have
the
county
construct
across
the
state
and-
and
we
have
entertained
a
lot
of
questions
about
dividing
counties
up
into
different
sectors
and
so
far
have
really
determined
that
the
best
thing
for
us
to
continue
to
do
is
to
treat
a
county
as
a
whole.
So
at
the
moment
la
county
will
be
la
county.
C
Just
like
its
neighboring
counties
themselves
will
remain
whole
counties
in
terms
of
your
question
around
whether
our
application
of
an
equity
metric
will
delay
or
slow
la
from
moving
I
as
a
resident
and
knowing
the
public
health
leadership.
C
So
we
also
anticipate
really
working
closely
with
counties
to
make
sure
that
achieving
the
equity
metric
is
in
reach,
that
it
allows
us
as
a
state
to
continue
moving
forward
and
really
demonstrate
that
a
statewide
focus
on
a
very
concrete
equity
issue.
Health
equity
issue
is
not
only
achievable,
but
that
we
can
do
it
while
also
bringing
it
along
better
outcomes
for
our
entire
community
at
large.
I
F
All
right,
thank
you
for
taking
the
time
just
a
couple
of
quick
questions.
First
of
all,
is
there
concern
that
the
wildfires
could
sign
the
state's
ability
to
monitor
the
spread
of
the
pandemic
in
certain
geographies.
If
testing
sites
are
closed
during
the
wildfires
and
then
additionally,
I
was
wondering
if
testing
would
be
made
available
at
wildfire
evacuation
sites
and
what
happens
if
someone
at
a
concrete
shelter
has
a
fever?
Where
would
you
send
them,
then.
C
Yeah
great
questions,
so
we
we
have
long
been
concerned
even
before
wildfire
season
started,
and
this
one
is
a
little
earlier
than
people
anticipated
wondered.
How
evacuations
and
impacts
on
testing
sites
might
actually
impact
our
ability
to
control
the
pandemic
and
transmission
and
spread,
and
we
believe,
of
course,
that
certainly
the
level
of
disruption
and
mixing
that
happens
with
evacuations
and
the
response
could
indeed
impact
transmission.
C
So
the
right
actions
can
follow.
So
all
of
that
is
in
place
and
as
shelters
pop
up
and
close
down.
We
move
that
information
around
with
where
the
need
moves
to
as
well.
F
Hi
dr
valley,
thanks
for
taking
our
questions,
mine's
kind
of
specific
to
orange
county
but
kind
of
overall,
also
in
that
memorial
day,
reopening
when
restaurants
and
bars
and
things
like
that
opened
up,
you
know
the
county
shortly
after
saw
a
big
spike
in
cases-
and
I
know
you
know,
counties
are
aiming
to
be
on
certain
tiers
of
this.
This
new
list,
the
new
guidelines,
for
you-
know
three
weeks
at
least
before
moving
to
another
one.
F
My
question
is:
if
health
officials
notice
a
spike,
you
know
with
the
quick
testing
turn
around
now
and
they're
able
to
quickly
contact
trace,
say:
hey,
you
know:
I've
seen
a
large
spike
in
like
movie
theater
transmission
or
restaurants.
F
Instead
of
moving
back
down
to
like
say
pure
purple,
we're
in
tier
red
right
now.
Would
state
health
officials
step
in
and
you
know,
recommend
or
close
down,
restaurants
or
movie
theaters
or
gyms
wherever
the
major
outbreaks
are
occurring.
C
Yeah
a
really
excellent
question.
Thank
you.
A
lot
of
focus
is
spent
on
how
you
move
forward
and
not
so
much
conversation
about
what
might
require
be
required
or
seen
before
somebody
a
county
moves
to
a
more
restrictive
tier.
So
the
idea
would
be
that
this
state,
through
cdph
and
dr
pond's
leadership,
would
really
engage
with
our
local
partners
to
understand
what
is
driving
transmission.
C
So
our
population,
our
business
owners,
can
continue
to
rely
on
moving
slowly
but
forward
rather
than
moving
forward
and
then
back
again
down
the
road.
J
Thank
you,
dr
galley.
The
bay
area
specific
to
the
bay
area
has
shown
counties
have
seen
progress
and
could
move
to
the
next
level
with
regard
to
alameda
county
marin
county,
which
are
very
close
to
moving
to
red
san
francisco
has
already
read,
and
you
have
said
that
schools
can
reopen
for
in-person
instruction
after
two
weeks
out
of
the
purple
tier.
What
is
the
likelihood
of
counties
such
as
alameda
marin,
county
san
francisco,
in.
C
So
excellent
question,
and
just
to
reiterate
yes,
indeed,
what
we've
said
is
once
in
the
red
tier
for
two
weeks
or
longer
the
ability
to
make
the
decision
at
the
local
level,
between
public
health
and
school
districts
to
bring
in
person
instruction
back
is
available
and
counties
across
the
state
are
taking
advantage
of
that
and
making
plans
around
that
at
variable
degrees.
I
think
these
are
complicated
conversations.
C
What
we've
said
as
a
guiding
principle
is:
we
want
to
make
sure
students,
staff
teachers
and
the
entire
school
community
not
only
is
safe
but
feel
safe
when
returning,
so,
I
think,
there's
a
number
of
complexities
that
every
school
district
is
working
through.
Not
just
you
know
what
is
the
right
time,
but
do
they
have
the
resources
and
connections
around
testing
or
other
support
supports
to
make
sure
that
if
there
are
cases
or
concerns
that
they
can
address
them
right
away?
C
I
am
not
personally
sure
what
the
exact
stances
of
the
conversations
in
san
francisco
marine
alameda
are
exactly,
but
I'm
sure
that
officials
there
are
deeply
thinking
through
what
the
right
timing
is
once
that
permission
through
the
red
tier
is
is
allowed.
C
I
think
one
of
the
reasons
the
state
put
together
an
intentional
testing
strategy
to
bring
quite
a
bit
more
volume
of
testing
to
the
state
was
to
give
schools
another
tool
to
feel
confident
in
their
reopening
plans,
not
to
hasten
it
in
any
way
or
slow
it
down,
but
just
to
provide
another
tool.
C
So
when
those
principles
are
coming
together
to
make
these
decisions,
they
have
all
they
can
to
make
the
best
decision,
they
can
the
state
prioritizes
getting
students
back
to
in-person
education,
but
really
only
when
our
communities
and
all
of
those
involved
believe
that
the
timing's
right
and
that
lower
risk
environments
are
indeed
able
to
be
created.
C
So
with
that,
I
just
want
to.
Thank
you
all
again.
Thank
you
for
your
hard
work
with
us
again
reiterating
the
really
elegant
answer
that
dr
pond
gave
that
we
really
all
this
is
a
time
to
come
together.
C
California
has
rarely
seen
the
confluence
of
conditions
that
we're
seeing
today
and
it's
a
really
a
moment
not
to
be
divisive
but
to
come
together
and
move
forward
together
in
all
of
the
support
that
we
can
give
you
and
that
you
can
give
us
so
that
we
see
ourselves
on
the
other
end
of
this.
A
stronger
and
better
state
have
a
great
afternoon.