►
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 January 26, 2021.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
B
Good
afternoon,
everyone
and
thank
you
for
joining
us,
sorry
to
be
a
few
minutes
late,
getting
started
lots
going
on
and
lots
we're
interested
and
excited
to
update
you
on.
Let's
go
to
the
first
slide,
please
so,
as
we
always
start,
let's
start
with
our
case
numbers
today,
reporting
just
over
17
000
cases,
normally
low
numbers
on
these
tuesdays,
reflecting
weekend
testing
and
case
numbers,
but
still
lower
than
our
seven
day
average,
which
is,
I
think,
the
trend.
We
want
to
see
continuing
to
see
this.
B
Today's
number,
the
most
recent
number
lower
than
the
seven
day
average,
the
seven
day
average
lower
than
the
14
day
average.
So
if
we
look
at
tests
still
doing
a
healthy
number
of
tests
over
321
000
tests
reported
in
the
last
reporting
period
and
again
seeing
downward
trending
14
14-day
test
positivity
at
nine
percent,
next
slide
again
that
seven-day
test
positivity
at
just
under
eight
percent
7.9
better
than
the
14-day
test.
B
The
good
news
is,
despite
all
of
that
uncertainty,
we
see
this
stable
positivity
rate
coming
down
and
looking
at
it
over
two
weeks,
nearly
a
third
decrease
between
january
12th
and
today,
next
slide
again,
we've
been
focused
on
hospitalizations
icu
numbers
I'll
get
into
a
little
bit
more
on
the
regional
stay-at-home
order
and
how
that
came
to
be
lifted.
B
B
So
I
want
to
spend
a
little
time
about
the
regional
stay-at-home
order.
The
governor
announced
yesterday
that
all
the
regions,
the
three
remaining
regions
in
the
state,
had
this
order
lifted
and
I
wanted
to
spend
a
moment
to
certainly
explain
in
a
little
bit
more
detail
how
those
projections
were
made
and
to
remind
you,
first
and
foremost
that
the
way
a
county
came
in
or
a
region
came
into.
The
stay-at-home
order
is
different
than
the
way
they
exit.
B
B
We
explained
at
that
point
that
we
would
use
the
current
actual
icu
data
to
help
us
guide
when
a
region
needed
to
come
under
the
order,
but
that,
after
at
least
three
weeks
after
the
region
was
under
the
order
that
we
would
then
look
at
projections
for
icu
capacity
four
weeks
out
and
the
reason
again
that
is,
is
because
we
know
today's
cases
become
hospital
cases
in
about
two
weeks.
Icu
cases
three
to
four
weeks
later.
B
So
if
we
wanna
really
determine
what
the
impact
is
of
our
current
case
numbers,
our
current
transmission
rates,
our
current
test,
positivity
on
where
we're
going
to
be
in
the
hospitals,
we
have
to
look
about
four
weeks
out.
So
that's
why
you
came
in
into
one
way
we
exited
through
the
order
in
a
different
way.
B
So
what
we
announced
yesterday
was
all
three
regions.
So
all
five
regions
in
total
across
the
state
were
above
that
15
threshold
of
icu
capacity,
four
weeks
out
that
date
would
have
been
to
february
21st.
You
can
see
here
the
various
percentage
points
of
where
we
project
icu
capacity
to
be
given
current
rates
of
transmission
and
what
normally
happens
in
icus
this
time
of
year.
Those
variables
that
you
see
on
the
right
are
the
ones
I'm
going
to
dig
into
a
little
bit
more
in
a
moment.
B
So
here
we
go
a
fairly
detailed
slide,
but
one
that
I
want
to
spend
a
few
minutes
now
going
through,
but
also
say
that
these
slides
can
be
made
available
through
our
team.
My
team
as
well
we're
working
to
arrange
for
those
reporters
on
the
line
a
bit
of
a
more
deep
dive
into
these
elements.
So
you
understand
how
it
comes
together,
but
fairly
quickly.
We
use
the
top
line
formula
to
project
out
what
the
covet
cases
will
be.
B
We
then
use
that,
along
with
projected
new
coveted
admissions,
I've
talked
to
you
before
that
the
projected
cases,
two
weeks
afterwards
become
hospitalization.
B
We
also
know
that
there's
a
discharge
rate
out
of
the
intensive
care
unit
for
patients
who
have
coveted
and
non-covet
patients
that
affect
how
many
icu
beds
will
be
occupied
by
individuals
who
are
coming
in
and
out
of
that
icu
together.
Putting
all
of
that
into
the
final.
The
second,
from
the
bottom
line,
to
project
out
what
the
total
icu
occupancy
will
be
four
weeks
out,
then,
through
a
what
I'm
just
going
to
call
a
simple
math
formula,
projecting
then
the
percent
based
on
those
number
of
beds
available
and
through
these
sort
of
different
elements.
B
B
So
what
does
that
formula
show
us?
You
could
see
this
on
this
graph.
The
sort
of
pointy
line
is
what
we've
actually
experienced
over
the
past
month
month
and
a
half
and
the
solid
line
going
down
is
what
we
see
with
the
current
projections.
As
you
can
see
sort
of
at
the
peak
of
this
mountain
looking
graph,
you
can
see
that
it's
already
started
to
come
down
in
our
actuals.
B
Those
are
the
numbers
that
we
present
to
you
each
and
every
day
and
then
the
solid
line
again
the
projections
coming
down
to
a
place
over
the
course
of
february
the
sort
of
far
right
of
this
graph,
the
end
of
february,
showing
where
we
expect
to
be
with
those
total
icu
projections
across
the
state
next
slide.
B
What
we've
also
seen
and
you've
seen
a
graph
like
this
before
we
call
it
our
epidemiologic
curve.
This
is
where
we
look
at
exactly
when
tests
were
done
when
they
turned
positive,
to
try
to
really
get
a
more
fine-tuned
level
of
or
vision
into,
what's
happening
into
our
communities,
and
this
shows
this
rapid
line
of
increase
towards
the
sort
of
middle
and
end
of
november
and
then
beginning
to
see
some
decrease.
Now,
a
few
weeks
after
or
many
weeks
now
after
the
regional
stay-at-home
order
was
put
in
place.
B
This
graph
is
also
to
show
you
the
impact
on
our
effective.
We've
talked
about
our
effective.
Many
many
times
explained
it
as
one
of
those
details
that
helps
us
understand
the
rate
of
transmission.
Remember
when
your
r
effective
is
above
one.
It's
essentially
means
that
you're
expanding
the
level
of
transmission,
it's
growing,
not
just
one
to
one
but
one
to
one
point:
five,
one
to
one
to
two
sort
of
it's
growing,
a
bit
more
when
you
be
go
below
one.
That
means
that
your
transmission
is
shrinking.
B
You'll,
see
on
the
left
side.
The
first
pink
to
green
transition
was
that
summer
surge
that
we
dealt
with
where
we
began
to
do
certain
things
like
restrict
indoor
activities,
do
some
closures
of
some
sectors
where
it
was
difficult
to
mask
100
of
the
time,
and
we
saw
a
fairly
swift
decline
in
the
r
effective
and
then
into
that
green
space,
where
we
saw
a
period
of
time
being
below
one
meaning
shrinking
transmission.
B
If
you
look
at
the
right
side
of
this
figure,
you
see
the
rapid
increase
in
r
effective
starting
in
october,
and
then
the
implementation
of
our
regional
stay-at-home
order
and
some
other
modifications
which
we
believe
leads
to
this
quite
rapid.
Frankly,
the
most
steep
decline
of
r,
effective
and
now
into
a
level
where
our
r
effective,
isn't
just
below
one
but
continues
to
drop.
The
statewide
are
effective
in
a
range
between
.85
to
0.95.
B
Looking
at
what
happened,
you
see
this
vertical
line:
the
red
line
right
around
descent
early
december,
where
the
regional
stay-at-home
order
went
into
place
and
then
roughly
three
two
to
three
weeks
later,
you
begin
to
see
a
slowing
down
of
that
upward
slope
and
then
a
flattening
and
now
a
reduction.
B
So
almost
what
I'm
going
to
say,
covid
textbook
now
in
the
ability
to
say
you
put
an
intervention
in
place,
even
if
it
isn't,
our
our
residents
aren't
100
compliant
with
it,
even
if
it's
difficult
always
to
measure
compliance,
just
the
notion
that
these
interventions
come
into
place
three
weeks
later,
you
see
that's
beginning
flattening
and
then
even
later,
you
begin
to
see
the
reductions
and
that's
what
we
experienced
here.
B
The
good
news
is:
we've
seen
highs
almost
near
4
000
admissions
a
day
into
our
hospitals,
because
because
of
covid
now
seeing
days
below,
2500
and
even
getting
lower,
which
is
exactly
what's
going
to
keep
our
hospital
conditions
improving
and
our
icu
capacity
as
high
as
it
can
be
next
slide.
Please-
and
this
is
what
I'll
say,
punchline
slide.
B
If
we
look
at
what
we
were
worried
about
in
terms
of
total
number
of
admissions
here,
you
can
see
that,
with
the
regional
stay-at-home
order,
tracking,
with
the
the
white
solid
line,
the
level
of
concern
we
had
tracking
with
the
linear
upward
sloping
red
line
that
in
essence,
we
were
concerned
that
we
could
be
without
mitigation
without
the
benefits
of
things
like
the
regional
stay
at
home
order
and
the
hard
work
that
I
think
many
californians
put
in
in
the
month
of
december,
staying
at
home
when
they
can
reducing
their
mis
mixing
wearing
their
mask
a
little
bit
more
than
maybe
they
were
before,
especially
around
that
thanksgiving
period
and
then,
frankly,
making
some
hard
decisions.
B
I
know
I
made
them
to
not
mix
with
our
families
to
hold
more
low-key
events.
Over
the
holidays
with
our
household
that
we
think
that
that
meaningfully
decreased
up
to
25
000
hospital
admissions,
5
000
icu
admissions.
If
you
look
at
the
right
sided
graph,
which
not
only
protect
our
health
system
but
translate
into
real
lives
saved
across
our
state
and,
frankly
many
of
our
family
members
who
are
vulnerable.
I
think
these
decisions
help
protect
them
and
save
lives.
Next
slide.
Please.
B
So
as
we
sort
of
move
beyond
the
regional
stay-at-home
order
and
again
remind
you
that
those
slides
are
available
to
you,
we
are
happy
to
continue
to
dig
into
the
details
so
that
all
all
all
those
who
are
interested
in
the
detail
get
that
information
in
a
timely
way.
B
B
After
the
first
two
cases
of
covid
were
discovered
reported,
I
should
say
to
california
department
of
public
health
really
when
we
were
still
trying
to
understand
what
covid19
was
how
coronavirus
was
going
to
shape
our
lives,
and
I
want
to
just
take
a
moment
to
acknowledge
that
there's
been
a
measurable
loss
in
this
last
year,
over
30
37
500
californians
have
lost
their
life.
B
It
also
has
shaped
a
number
of
our
households,
our
families,
our
communities
in
ways,
and
I
just
want
to
take
a
moment
to
acknowledge
the
challenge
that
we've
all
gone
through
and
although
we
are
working
through
with
vaccines
and
other
things,
we'll
talk
about
that
in
a
moment.
B
I
just
want
to
take
a
moment
to
just
share
my
own
sadness
and
condolences
with
all
those
families.
All
those
communities
who
have
lost
loved
ones,
who've
had
their
sort
of
world
torn
apart
and
turned
over
because
of
this
disease
and
our
ability
to
continue
to
do
those
actions
ourselves
and
as
communities
to
make
sure
that
we
reduce
the
lives
loss
that
we
reduce
the
future.
B
B
So
again,
we
know
that
covet
fatigue
just
sort
of
building
on
what
I
just
said
that
it's
not
a
moment
to
take
down
our
guard
in
any
way
that
exiting
the
stay-at-home
order
means
for
most
of
us
going
into
the
purple
tier.
I
think
99
of
our
population
in
california
is
now
in
the
purple
tier
of
the
blueprint
I'll
update
that
in
a
moment,
but
that's
also
a
fairly
restrictive
level
of
movement
of
mixing
and
that
we
hope
californians
don't
see
yesterday's
announcement
as
a
let's
go
and
put
our
guard
down.
B
But
let's
still
firmly
keep
our
guard
up.
Let's
do
what
we
can
to
make
sure
that
our
rates
don't
increase
and
rise
that,
although
our
hospital
delivery
system
is
looking
better
looking
like
it
can
manage
what
is
coming
its
way,
which
is
ultimately
what
we
want
all
californians
to
get
the
care
that
they
need
when
they
need
it
in
our
hospitals,
not
just
but
for
covid.
B
So
as
we
exit
the
regional
stadom
order,
as
I
said,
we
go
right
back
to
the
blueprint
for
a
safer
economy.
We
have
continued
to
run
on
a
weekly
basis,
even
if
we
don't
publicize
it
on
press
conferences
and
updates
the
tiers,
and
so
today,
as
I've
indicated,
54
counties
are
in
purple
three
in
red,
one
in
orange
and
zero
in
yellow
no
counties
based
on
transmission
rates
and
test
positivity
are
moving.
I
should
say
case
rates
and
test
positivity
are
moving
forward.
B
We
have
a
few
counties
that
sort
of
meet
that
one
week
metric
to
move
forward.
Remember
we
have
to
watch,
you
have
to
stay
in
your
tier,
a
minimum
of
three
weeks,
but
you
need
to
meet
the
next
less
restrictive,
tiers
metrics
for
two
weeks
before
moving.
So
we
have
a
few
counties
that
show
promise
with
their
metrics
moving
towards
the
less
restrictive
tier
and
at
least
one
county,
whose
metrics
show
that
they
might
move
to
a
more
restrictive
tier,
but
we'll
keep
you
updated
on
a
weekly
basis.
B
B
So
again,
what
does
it
mean
that
we've
returned
to
the
blueprint
for
a
safer
economy?
You
know
my
own
kids
ask
me
well
what
does
it
mean
that
we
are
removing
the
regional
stay-at-home
order?
What
does
it
mean
that
I
can
do
that
I
couldn't
before
well.
I
know
this
resonates
for
my
kids,
who
miss
their
friends
dearly.
B
That
means
they
can
go
potentially
go
out
to
eat,
enjoy
a
restaurant
outdoors
still
physically
distanced
still
keeping
your
face
covering
on
as
much
as
possible,
but
an
event
that
I
know
many
people
miss
get
your
hair
cut.
Your
nails
done.
Certainly,
you've
all
become
familiar
enough
with
me
that
that
isn't
my
issue
with
the
haircut.
B
But
I
know
many
of
you
look
forward
to
going
back
fully
masked
to
your
salon
or
barber
shop
to
get
a
haircut
and
then
for
kids-
and
this
is
real
one
for
my
household,
explaining
that
the
park
across
the
street
that
they
can
go
and
play
frisbee
with
their
mask
on
and
see
a
friend
that
they've
missed
for
many
many
weeks
now,
and
I
know
that
my
four
little
ones
are
looking
forward
to
that.
B
So
now
I
want
to
move
into
a
conversation
building
upon
the
important
work
that
we've
been
updating
on
vaccine
distribution,
to
amplify
a
bit
of
what
the
governor
discussed
yesterday
in
his
press
conference
to
to
talk
about
what
we've
done
in
the
last
seven
weeks
and
it's
no
small
feat
to
get
2.5
million
californians
vaccinated
in
seven
weeks,
working
hard
with
the
health
care
delivery
system
on
the
backs
of
public
health
departments
that
have
been
heroic.
In
so
many
ways.
B
Balancing
issues
of
testing
and
contact
tracing
working
through
the
tiering
system
in
the
regional
stay-at-home
order,
supporting
their
health
departments,
their
health
systems
through
the
surge,
but
also
valiantly
working
to
make
sure
vaccine
distribution
happens
without
a
hitch.
And
although
we
know
that
things
have
been
slower
than
we
liked,
we
did
do
recently
a
10-day
challenge.
Where
we
set
a
goal.
We
worked
with
our
counties
and
all
the
providers
across
the
state
to
really
challenge
ourselves
to
increase
vaccine
distribution.
B
It
was
also
an
opportunity
and
we
went
into
it
with
a
frame
of
learning.
I've
always
said
I
want
to
be
part
of
a
state
team
that
we're
the
fastest
learners
about
kovid
kovit
is
like
an
opponent
we've
never
seen
before.
We
don't
have
game
film
about
what
it's
going
to
do,
and
so
we
need
to
learn
and
learn
quickly
and
adapt
those
learnings
into
our
real
operations.
B
So
we
used
those
10
days
to
really
learn
a
great
number
of
things
and
while
getting
those
lessons
in
place,
we
tripled
our
pace
of
vaccine
administration,
going
from
40
000,
roughly
vaccines
done
on
a
weekday
to
over
125
000
done
on
weekdays.
Today,
all
in
the
course
of
10
days,
I
think
we
learned
a
tremendous
amount.
B
I
want
to
thank
all
of
our
partners
at
the
county
level
across
our
different
vaccine
partnerships
that
did
a
tremendous
amount
of
work,
not
just
in
those
10
days
but
over
the
past
week,
especially
this
last
weekend
to
get
data
entered
into
systems.
So
we
can
capture
the
full
essence,
the
full
level
of
work
that
we
have
done
across
the
state
on
vaccines.
B
So
before
we
transition
to
the
next
slide,
I
want
to
introduce
many
of
you.
You've
heard
her
name,
she
is
a
friend,
a
colleague,
a
tremendous
leader
for
the
state
secretary
yolanda
richardson.
B
This
is
a
a
colleague
of
mine
that
I've
gotten
to
know,
especially
over
the
last
year,
but
she
has
this
long
track
record
of,
I
think
greater
than
25
years
experience
working
both
in
the
private
and
the
public
sector,
leading
the
way
on
health
care
projects
of
meaning
working
with
local
health
plans
in
san
francisco
leading
an
effort
with
covered
california.
Arguably,
the
most
distinguished
and
successful
statewide
health
exchange
implementing
that
program
from
the
formative
days
to
put
us
on
the
map.
B
Our
covid
testing
lab
down
in
southern
california,
built
the
whole
build
out
of
that
in
record
time
on
budget
was
really
a
force
of
yolanda's
leadership
and
the
great
work
that
she
does
every
day,
bringing
her
now
to
partner
with
all
of
us,
making
this
an
all-of-state
government
effort
to
bring
and
accelerate
our
vaccine
distribution
plan,
while
still
maintaining
and
focusing
on
the
key
values
and
principles
that
have
guided
our
entire
response
to
covid.
C
I
definitely
want
to
thank
my
colleague,
dr
galley,
for
all
of
his
work,
as
well
as
the
public
health
officials
across
the
state
that
have
done
ground-breaking
work
to
guide
the
prioritization
of
covet
vaccine,
focusing
on
the
who
and
the
when.
C
C
C
Also,
we
know
who
the
vaccine
has
been
allocated
to,
and
you
hear
a
lot
about
that.
But
reporting
back
to
the
state
and
to
californians
about
who
has
been
vaccinated
is
a
very,
very
important
data
element,
but
that
has
been
a
challenge,
so
the
governor
also
shared
about
a
tool
called
my
turn,
which
will
be
a
key
tool
in
addressing
that
challenge,
helping
us
to
standardize
vaccine
information
and
data.
So
we
can
make
sure
that
the
people
who
need
to
get
vaccinated
are
getting
vaccinated
and,
lastly,
we
need
to
address
the
supply.
C
We
understand
that
vaccine
supply
is
limited,
but
we
also
need
to
address
that
the
supply
we
have
now
needs
to
get
administered
as
quickly
as
possible,
so
we're
developing
an
approach
that
allows
us
to
do
just
that
safely
and
equitably
and
quickly,
but
also
allows
us
to
scale
up
when
there's
more
supply
available.
Next
slide.
Please.
C
So
what
are
we
doing
about
that?
We're
building
a
statewide
vaccine
administration
network,
we're
thinking
of
tapping
into
the
expertise
and
experience
of
a
third
party
administrator
to
make
vaccine
distribution
more
efficient
and
giving
us
the
state
and
all
of
the
californians
more
visited
but
more
visibility
and
what's
actually
happening
on
the
ground.
C
That
network
is
going
to
include
public
health
systems,
pharmacies,
public
hospitals,
community
clinics,
pop-ups
and
mobile
sites,
and
will
include
partnerships
like
with
our
labor
partners,
which
will
have
an
immediate
focus
on
allocating
to
those
who
are
vaccinating
quickly
and
safely.
So
again,
we
can
get
out
the
supply
that
we
do
have
in
the
state
of
california,
but
as
the
supply
grows,
we're
going
to
double
down
and
focus
on
expanded,
fixed
and
mobile
sites,
making
sure
that
again,
all
californians
have
access
to
that
infrastructure.
C
Our
local
health
partners
are
going
to
continue
to
play
such
a
key
and
important
role,
but
not
just
as
providers,
but
also
as
our
partners
and
helping
to
ensure
that
we're
reaching
disportionately
affected
communities
effectively
and
in
a
way
that
matters
most
important.
This
whole
underlying
approach
is
going
to
continue
to
advance
the
principles
of
equity
and
dr
gally's
going
to
talk
a
little
bit
more
about
that
in
just
a
moment.
Next
slide.
C
You
use
that
tool
right
now,
you're
going
to
see
that
you're
not
eligible,
but
it
is
an
opportunity
for
when
you
are
to
get
notified
as
soon
as
that
is
available,
it's
also
a
scheduling
tool,
and
so
the
we
are
partnering,
with
los
angeles
and
san
diego,
to
try
that
out
and
and
get
all
of
the
kinks
out
and
then
roll
that
out
in
the
coming
weeks
to
other
counties
as
well.
C
C
So
our
overarching
approach
to
operations
is,
we
want
to
make
sure
that
nothing
slows
down
the
administration
of
vaccine
other
than
the
pace
in
which
vaccine
arrives
in
the
state
and
we're
going
to
do
that
by
balancing
safety,
speed
and
equity
while
scaling
up
to
meet
the
level
of
vaccine
needed
in
the
state.
So
again,
I
am
just
honored
to
be
a
partner
with
dr
galley
on
this
effort
and
look
forward
to
working
with
all
of
our
many
partners.
Back
to
you,
doctor.
B
We
found
it
fitting
to
punctuate.
Just
this
part
on
vaccines
and,
frankly,
our
entire
presentation
today,
with
a
focus
on
equity,
california,
has
led
on
equity
in
so
many
ways
we're
the
first
state
to
come
up
with
an
equity
metric,
apply
it
to
our
blueprint
through
a
lot
of
questions
and
concerns.
B
I
think
we've
really
stuck
to
that
and
tried
to
build
up
testing
and
contact
tracing
and
isolation
and
quarantine
efforts
focused
on
so
many
of
our
deeply
impacted
communities
and
business
sectors
where
californians
work
and
put
their
lives
on
the
line,
and
how
do
we
make
sure
that
we
protect
those
communities
as
much
as
we
can?
And
although
we
can
always
do
more,
we
have
strived
to
do
our
best
on
so
many
of
those
areas
and
with
vaccines.
B
It's
important
to
wrap
this
segment
up
by
reminding
us
that
equity
is
a
focus
that
yes,
speed
and
safety
are
very
important,
that
making
sure
communities
that
have
been
deeply
impacted
scarred
by
covet
that
those
with
active
outbreaks
and
great
levels
of
transmission
are
prioritized
for
vaccines.
That
this
happens
through
our
allocation
framework
that
our
teams
at
california,
health
and
human
services
and
california
department
of
public
health
with
all
of
our
local
partners.
B
To
make
sure
that
the
statewide
network,
which
secretary
richardson
described,
is
more
or
less
working
as
to
the
best
of
its
capabilities,
leveraging.
Those
community
messengers
and
knowledge
bases
to
make
sure
that
those
most
impacted
people
and
families
and
communities
get
this
vaccine
in
the
fastest
way
possible.
I
also
want
to
say
that
we
don't
want
to
have
equity
and
speed
at
odds
to
one
another.
B
It's
an
important
equity
principle
to
get
those
who
are
disproportionately
impacted
vaccine
quickly.
It
is
a
tool
that
not
only
gets
us
as
a
state
that
community
immunity,
number
or
figure
that
we
know
creates
a
level
of
protection
we
all
want
and
need,
but
also
that
it
helps
us
support
vulnerable
people
for
when
transmission
rates.
If
they
do
go
back
up
that
we
create
a
protection
a
bubble
around
those
most
vulnerable.
So
not
only
do
we
protect
our
healthcare
delivery
system,
but
we
continue
to
be
focused
on
saving
lives.
B
We
want
to
get
our
residents
vaccinated
and
while
we
keep
our
guard
up
to
not
just
protect
our
hospital
systems
and
our
communities
of
health
professionals,
but
also
to
keep
the
impact
on
currently,
you
know
ravished
and
other
communities
across
the
state
to
a
minimum.
So
with
that
I'll
turn
it
over.
For
the
first
question.
E
Hi
on
on
vaccinations,
we're
still
hearing
from
counties
and
and
providers
that
the
biggest
thing
stopping
them
from
vaccinating
more
people
is
that
they
just
don't
know
how
many
doses
they're
going
to
get
week
to
week
allocated
from
the
state.
Do
you
know
when
exactly
that
process
is
going
to
get
a
little
smoother
a
little
more
predictable?
I
mean,
I
know
we
get
allocations
from
the
federal
government,
but
now
that
we
have
a
new
administration
in
washington,
when
do
you
anticipate
that
that's
going
to
get
a
little
bit
better.
C
Absolutely
absolutely
dr
galley.
Yes,
we
continue
to
hear
that
being
a
problem.
Predictability
is
certainly
something
we
would
all
like
to
know.
Our
administration
is
definitely
in
contact
with
the
new
administration,
letting
them
know
that
you
know.
Advance
notice
is
definitely
going
to
help
with
the
distribution.
So
I
think
that
we've
had
a
very
clear
voice,
and
we
don't
know
that
at
this
time,
when
that's
going
to
change,
but
definitely
making
sure
that
they
understand
that
something
we
are
all
looking
forward
to.
E
Hey
dr
gally,
thanks
so
much
for
taking
our
questions,
two
questions
for
you
today,
one
on
the
pace
of
the
real
being
a
second
on
some
emerging
criticism
of
your
decisions.
First,
thanks
for
those
charts
at
the
beginning
of
your
remarks,
but
can
you
address
the
concern
that
you're
opening
too
fast
and
that
it
would
be
better
to
wait
until
cases
lower
even
more
and
more
vaccines
are
out?
Second,
some
local
elected
officials
have
begun
accusing
the
state's
past
actions,
that's
not
being
based
on
science,
in
particular.
E
Some
have
pointed
to
your
comments
on
december
8th,
where
you
said
of
the
decision
to
close
outdoor
dining
quote,
really
has
to
do
with
the
goal
of
trying
to
keep
people
at
home,
not
to
comment
on
the
relative
safety
of
outdoor
dining
end
quote.
Some
elective
officials
have
interpreted
that
to
mean
that
the
closures
of
outdoor
dining
or
not
based
on
science
is
safe
and
may
be
backfired
because
people
who
couldn't
dine
outdoors
then
gather
at
home
indoors.
These
officials
are
dubious.
E
The
ban
worked
because
cases
hospitalizations
and
deaths
worsened
even
after
the
stay-at-home
order
was
imposed.
Can
you
respond
to
these
questions?
Was
your
previous
ban
on
outdoor
dining
and
the
rest
of
the
stay
at
home
order
based
on
science?
Did
it
backfire
in
worsening
the
service,
or
did
it
in
fact
save
us
from
forcing
california
to
having
to
ration
hospital
care
thanks?
So
much.
B
B
Certainly
we
we've
been
looking
at
the
data,
as
I
explained
to
you
and
thinking
about
the
projections
laid
out
to
you
today,
how
that
projection's
been
made
waiting
to
make
sure
that
our
data
was
stable
and
then
lifting
the
regional
state-home
order
on
pretty
well
explained
and
pre-prescribed
thresholds,
and
so
when
the
regions-
and
they
all
happen
to
cross
that
threshold-
it's
not
surprising
to
me
that
they
crossed
the
threshold
around
the
same
time,
because
transmission
rates
came
down
pretty
significantly
and
we've
been
sharing
those
numbers
for
weeks.
B
So
I
think
anticipating
this,
we
we
believe
that
we
lifted
it
at
the
right
time
again.
This
was
not
a
regional
state
home
order
based
on
community
transmission
rates.
Only
it
was
really
focused
on
what
we
would
see
in
the
hospitals
a
few
weeks
out.
So
I
knew
very
well
that
we
might
be
in
the
situation
even
said
it
at
some
moment.
B
Of
course,
this
reminds
us
and
should
remind
us
all,
to
keep
our
guard
up,
because
if
those
rates
come
right
back
up,
our
hospitals
are
going
to
have
a
challenging
time,
but
we
design
this
order
really
around
hospital
projections,
not
case
projections,
and
so
that
is
that
leads
to
the
time
the
timing
of
when
it
was
lifted.
In
terms
of
the
comments
that
I
made
in
the
past,
without
getting
too
focused
on
them
again,
you
know
so
many
of
the
things
that
I
and
we
say
can
sometimes
be
interpreted
differently.
B
My
goal
is
always
to
try
to
communicate
exactly
the
purpose
of
a
decision
or
the
purpose
of
a
point
of
communication,
and
certainly
at
the
time,
the
the
decision
to
include
outdoor
dining
as
one
of
the
things
that
we
were
restricting
was
really
focused
on
the
fact
that
we
were
doing
many
decisions
at
that
time
to
reduce
overall
movement
and
reduce
overall
mixing
and
at
that
time
the
relative
risk
and
the
concern
about
a
specific
sector
was
not
so
much
what
we
were
focused
on
only
so,
we
were
really
targeting
getting
a
stay-at-home
order,
a
regional
stay-at-home
order
that
minimized
mixing
minimize
movement
as
much
as
possible.
E
Thank
you.
Governor
newsman
has
repeatedly
said
that
each
county
is
different
and
deserves
a
county
by
county
approach
to
the
pandemic.
Why
does
the
state
now
decide
to
take
a
one-size-fits-all
approach,
or
what
do
you
hope
to
achieve
by
doing
so
and
mine's
a
multi-part
question
too
who's
the
third
party
administrator?
What
will
this
change
mean
for
people
already
in
line
for
vaccines?
E
B
Yeah,
I'm
gonna
take
the
last
part
of
your
question
first
and
then
turn
it
over
to
secretary
richardson
for
the
other
parts.
So
we
will
continue
to
track
icu
level
data
and
sharing
them
and
posting
them.
I
think
the
background
on
the
projections
is
gonna
be
useful
to
everyone,
and
then
you
can
contextualize
what
we
will
be
posting
on
a
move
forward
basis.
Again,
I
wanna
be
clear
that
we
did
lift
the
regional
stay
at
home
order.
There
are
not
conditions
or
parameters
to
re-enter
the
regional
stadium
order.
B
All
of
the
numbers
we've
been
tracking
through
the
blueprint
and
beyond
to
make
sure
that
california
makes
real-time
decisions
based
on
the
conditions
that
we're
seeing
in
our
communities,
and
we
will
continue
to
work
with
our
local
public
health
partners
to
make
sure
if
and
when
the
time
comes,
that
we
have
to
make
other
decisions
around
restrictions
or
other
elements
that
we're
able
to
do
that
and
posting
the
data
and
sharing
that
very
clearly
and
publicly
will
help
make
those
decisions
down
the
road
and,
in
the
future,
a
little
easier
secretary.
Richardson.
C
Thank
you,
dr
galley,
to
the
question
around
standardization.
You
know
we
really
want
to
focus
on
eligibility
requirements
so
that
people
across
the
state
understand
when
it's
their
turn.
We
will
continue
to
work
with
counties
who
will
have
two
roles,
both
as
providers
definitely
understanding
their
particular
communities
and
providing
the
strategies
that
they
think
will
reach
their
communities
best,
but
also
being
our
partner
in
advising
us
on
how
to
do
that
across
the
state,
so
making
a
more
global
approach
with
regard
to
places
like
dodger,
stadium
and
mega
sites.
C
We're
definitely
looking
forward
to
partnering
with
people
to
make
sure
that
those
sites
are
effective
in
reaching
those
communities
again.
This
is
about
the
broader
view,
and
so
those
are
just
going
to
be
one
aspect
of
the
strategies
that
we
employ.
There
will
be
other
things
that
we
will
do,
including
using
our
health
partners
to
identify
strategies
around
mobile
clinics
and
and
other
things
such
as
that,
and
then
I
believe
your
last
question
was
about
the
tpa.
C
We
are
in
discussion
with
many
individuals
and
partners
to
talk
about
how
this
might
work
and
when
we
have
more
information
about
that,
we
will
definitely
be
making
an
announcement
at
that
time.
Thank.
E
Hi
thanks
for
taking
my
question,
I
wanted
to
ask
about
vaccine
distribution
here
in
the
central
valley.
Fresno
county,
for
example,
had
to
close
its
mass
vaccination
sites
for
first
doses,
because
there
just
isn't
enough
vaccine.
E
Need
to
ensure
they
have
enough.
Second
doses
for
those
who
receive
the
first,
the
fresno
county
health
department
says
they
have
the
ability
to
administer
30
000
doses
a
week,
if
not
more,
but
they
only
received
about
8
000
doses.
Last
week
the
county
health
department
did
so.
I
was
just
wondering
what
is
the
communication
you
are
having
with
central
valley
counties
as
a
big
priority.
Here
is
getting
essential
workers,
farm
workers
vaccinated
and
one
two
central
valley
counties
expect
a
significant
increase
in
the
amount
of
doses
they're
receiving.
Thank
you.
C
I
do
appreciate
the
question
and
understand
that
we
continue
to
hear
about
the
frustration
on
the
limited
supply,
I'm
not
specifically
aware
of
fresno
county
specific
situation,
but
definitely
because
you
have
highlighted
that
we'll
definitely
reach
out
to
them
to
work
on
how
they're
going
to
be
able
to
serve
their
community.
So
thank
you
for
definitely
highlighting
that
for
us.
E
Hi,
dr
talley
and
secretary
richardson,
thanks
so
much
for
taking
my
my
question
couple
things
one
is:
can
you
identify
like
what
is
the
single
biggest
thing
that
is
slowing
down
the
distribution
that
has
a
couple
million
doses
still
sitting
in
freezers
or
wherever
they
are
that?
E
What
is
it
that
the
third
party
administrator
is
going
to
do
to
break
that
log
jam
and
then,
second
of
all,
can
you
explain
on
sunday,
for
example,
the
bay
area
had
seven
point
something
percent
icu
capacity
as
of
with
no
projection
of
reaching
15
within
four
weeks,
but
that
afternoon
it
went
to
23
capacity
and
a
few
hours
later.
The
projection
was
that
it
would
hit
25
within
four
weeks
and,
of
course,
the
orders
were
lifted.
Now
it's
back
down
last
night
checked
in
the
8
range.
What
happened?
How
does
that
happen?
E
How
does
it
swing
so
volatility?
And
what
does
that
say
about
the
reliability
of
the
projections
that
within
a
few
hours,
you
could
go
from
we're
not
going
to
have
15
to
oh
well,
we're
gonna
have
25
thanks
a
lot.
B
You
know
again
part
of
what
our
concern
has
been
over
the
last
many
days
and
frankly,
couple
of
weeks
is
the
stability
of
the
data
on
the
projections,
making
sure
that
we
have
a
clear
understanding
of
what
the
true
bed
count
is
within
each
of
the
regions
that
are
available
icu
beds.
Not
just
are
they
available
because
the
bed
is
there,
but
they
are
actually
staffable
and
a
patient
can
actually
benefit
from
that
bed,
so
really
trying
to
nail
that
down
to
get
it
more.
B
Accurate
has
been
a
key
key
issue
that
we
have
worked
through
and
I
think
because
of
the
greater
stability
recently
of
the
data
we
felt
comfortable
because,
with
those
swings,
obviously
there's
uncertainty,
but
as
we've
seen,
those
swings
level
out
a
bit.
B
We
have
we
felt
more
comfortable,
doing
the
lift
of
the
regional
stadom
order
yesterday,
as
opposed
to
doing
the
same
thing
five
or
six
days
ago,
even
if
the
data
sort
of
pointed
to
that,
but
with
that
instability
and
that
concern,
I
will
get
you
some
specific
remarks
about
the
swing
that
you're
talking
about.
Specifically,
I
don't
want
to
overstep
or
over
speak
without
all
of
the
details
about
that,
but
if
we
can
follow
up
afterwards,
we'll
have
our
team.
B
C
Thank
you
on
the
question
of
the
supply
distribution,
we
are
working
with
our
local
health
partners
to
move
supply
to
our
health
care
providers
across
the
state
to
make
sure
that
we're
leveraging
those
partners
and
those
providers
that
can
get
it
out
more
effectively
and
efficiently
and
and
definitely
the
tpa
is,
is
an
opportunity
to
leverage
both
health
care,
delivery
system,
expertise
and
and
have
some
expertise
around
scale.
This
is
again
about
california
being
prepared
to
make
sure
that
we
can
get
out
the
vaccine
when
more
supply
is
available.
E
Hi,
thank
you
for
taking
my
question.
I
have
a
question
on
two
topics.
E
The
first
is:
will
the
state
work
backwards
by
age
to
vaccinate
and
how
do
you
respond
to
criticism
from
younger
workers
who
were
in
phase
one
b
tier
two
like
those
with
in
the
commercial
industry
or
underlying
conditions
who
were
supposed
to
get
vaccinated
sooner
and
now
maybe
push
towards
the
end
of
the
line
and
have
no
opportunity
to
provide
feedback
on
this
and
second
we're
getting
some
tips
from
vaccinators
about
people
who
they
believe
are
from
mexico
or
out
of
the
state
with
suspicious
health
care
documents,
but
they
have
to
let
them
anyway,
because
there's
no
residency
requirements.
B
B
Certainly
at
this
moment
of
scarcity,
our
focus
is
to
ensure
that
we
have
that
balance
between
risk
and
exposure,
and
we
make
sure
that
vaccines
are
not
just
used
as
a
tool
to
get
to
community
immunity
or
herd
immunity,
as
some
people
call
it,
but
also
to
ensure
that
the
most
vulnerable
from
getting
covered
and
those
who
are
likely
to
need
hospitalizations,
icu
care
or
god
forbid,
pass
away
from
covid
that
we
protect
those
individuals
with
vaccine
as
early
as
we
can,
especially
with
the
supply
challenges
that
we
have
hopefully
moving
forward,
and
that
number
one
lever
is
working
to
show
that
california
is
ready
to
vaccinate
our
population,
accept
additional
supply
and
get
all
californians
lined
up
and
and
vaccinated.
B
We
certainly
are
listening
to
a
lot
of
feedback
making.
What
I
would
say
are
difficult
decisions,
but
trying
to
make
sure
that
they're,
clear
and
simple
to
follow
using
a
age-based
framework
helps
us
get
there,
but
also
recognizing
that
that
targeted
outreach
that
allocation
formula
and
opportunity
helps
us
reach
other
populations,
not
just
on
age,
but
on
exposure
to
ensure
that
those
populations
are
taken.
Care
of.
B
I
think
there's
a
real
opportunity
to
the
work
that
secretary
richardson's,
leading
to
make
sure
that
simple,
clear
sense
of
where
people
are
will
be
communicated
based
on
the
hard
work
that
our
public
health
leaders
have
put
into
place
to
describe
the
when,
for
many
many
californians
secretary
richardson.
Anything
to
add.
E
Hello
doctors:
I
there
were
two
things
that
I
wanted
to
ask
about:
both
related
to
vaccinations
and
the
federal
government.
First
we're
hearing
that
the
federal
government
is
now
telling
the
states
that
they
are
going
to
be
getting
more
vaccination
doses
next
week,
but
not
necessarily
as
many
as
we
need
right
now.
What
is
the
latest
that
you've
heard
from
them
on
how
many
we're
going
to
receive
here
in
california
and
then
related
to
that?
E
B
Richardson,
do
you
want
to
answer
at
least
the
first
part?
I
can
come
back
and
answer
the
second.
If
you
would
like.
C
Yeah
we
we're
we're
hearing
the
same
information
about
you
know
the
increase
in
allocation.
You
know
our
notification
of
that
process
is
a
very
short
notification
period
and
so
answering
that
question
is
difficult
to
do.
We
don't
because
we
don't
know
at
this
moment
how
much
we'll
get,
but
you
know
we
are
grateful
for
any
additions
that
we
get
in
the
vaccine
so
that
we
can
definitely
meet
the
supply
more
of
the
supply
needs
that
we
know
have
been
a
challenge
for
our
providers.
B
Sure,
and-
and
you
know
we
have
had
even
when
the
new
administration
was
transitioning
in
we've-
had
periodic
conversations
about
trying
to
understand
what
the
new
shift
in
transition
would
look
like,
and
so
we
will
continue
those
both
the
coveted
leadership
but
then
focused
on
testing
or
vaccinations.
B
There's
specific
point:
people
within
president
biden's
team
who
have
responsibility
and
interaction
with
the
state
on
our
team
will
continue
a
consistent
cadence
of
both
larger
scale.
Conversations
with
all
states,
some
conversations,
I'm
sure,
with
the
western
partners
region,
nine
fema
region,
nine
to
make
sure
that
we're
aligned
and
hearing
the
same
and
preparing
the
same
way
and
then,
as
always,
direct
communications
with
individuals
within
the
biden
administration,
to
ensure
that
we're
implementing
and
working
together
on
plans
to
get
vaccines
rolled
out.
B
E
Hey
dr
galley,
my
colleagues
answered
all
four
of
my
questions,
but
I
do
have
a
couple
more
looking
at
the
speed
of
the
uk
bearing
and
some
of
the
concerns
that
I've
heard
from
dr
bauchy
and
from
the
centers
for
disease
control
and
some
of
my
colleagues
reporting
on
this.
How
big
of
a
problem
is
this
going
to
be,
and
also
we've
heard
some
rumblings
that
moderna
is
saying
they
may
be
necessary
for
a
third
dose
and
a
couple
of
the
other
variants.
I
realize
those
are
generalized
questions,
but
I've
been
making
notes.
B
Galley
great
yeah,
I
know
I'll
take
a
stab
at
yours
brody.
So,
first
you
know,
variants
in
general
are
concerned
right.
We
really
do
you
know.
The
variant
of
a
virus
is
a
slight
tweak
in
the
genetic
sequence
in
that
sort
of
blueprint
for
the
virus
that,
if
it's
done
exactly
the
wrong
way,
I'll
put
it
it
can
create
some
resistance
to
our
typical
antibodies
resistance
to
some
other
tools
in
our
toolkit
to
fight
this
pandemic.
So
of
course,
we're
very
concerned.
B
We
know
that
we
have
cases
both
the
uk
variant
and
recently
discovered
other
variants
that
you've
heard
about
from
ucsf
and
cedar
sinai
in
other
parts
of
the
state.
So
we're
watching
that
very
very
closely.
Thankfully,
we
have
relatively
low
number
of
cases
today,
but
it
does
require
us
to
keep
our
guard
up.
B
If
we
see
trends
that
are
concerning,
of
course,
we'll
be
communicating
with
all
of
you
as
quickly
as
we
see
those
trends
working
with
the
local
partners
to
make
sure
we
put
the
right
decisions
in
place
to
protect
californians
and
keep
us
moving
to
the
other
side,
other
side
of
the
pandemic,
with
regards
to
whether
a
third
dose
of
modern
is
needed,
I'm
not
sure
if
that's
the
case,
certainly
we'll
look
into
that
right
after
this
have
not
heard
it
myself,
but
we'll
check
with
the
rest
of
the
team
to
determine.
B
If
that
is
something
we
have
to
plan
for
and
and
we'll
keep
you
posted.
If
we
do.
E
Hello,
I'm
going
to
focus
on
youth
in
schools.
E
On
youth
sports
across
california,
we're
getting
lots
of
messages
from
families
and
then
also,
in
addition,
we're
getting
some
words
that
from
school
districts
who
are
planning
some
kind
of
in-person
learning
will
no
longer
be
able
to
do
so
due
to
a
new
requirement,
a
four-foot
rule
that
under
no
circumstances
should
distance
between
the
student
chairs
be
less
than
four
feet.
Is
this
the
cdc
requirement?
And
I
guess
what
led
to
this
change
for
school.
B
Yeah,
I
know
thank
you
for
the
questions
vicki
on
the
first
one
with
youth
sports
yesterday
also
marked
a
day.
It
was
a
planned
day
where
certain
sports
certain
activities,
especially
youth
sports,
could
begin
both
with
preparation,
conditioning
practice
and
competition
that
is
listed
on
the
cdph
website.
B
Yes,
that's
my
way
of
saying
I
haven't
memorized
every
single
place
where
every
single
sport
is,
but
you
can
see
that
you
can
see
that
there
and
it
really
follows
the
sense
of
whether
it's
outdoors
versus
indoors,
whether
you
can
keep
physically
distanced
whether
you
can
be
masked
during
part
of
the
practice
or
competition.
B
All
of
those
things
at
play
to
sort
of
lay
out
a
plan
with
those
very
important
activities.
I'll
tell
you
that
my
kids
can't
wait.
They're,
probably
going
to
go
themselves
to
try
to
figure
out
where
their
favorite
activity
falls,
so
they
can
plan
and
begin,
and
we
continue
to
work
with
stakeholders
to
make
sure
we
get
it
right
that
we
understand
the
conditions
given
the
evolving
pandemic,
so
that
we
can.
B
We
can
sort
of
guide
us
through
this
pretty
difficult
time
with
regards
to
the
four
feet
versus
three
feet:
rule
and
the
the
physical
distancing
between
students
we're
working
hard
to
make
sure
that
schools
with
plans
that
are
already
in
place,
demonstrating
the
ability
to
track
transmission
safety
are,
you
know,
continued.
We
want
to
support
all
schools
and
their
plans
to
bring
students
back
to
in-person
education,
providing
a
significant
amount
of
resources.
B
In
the
last
many
weeks,
focused
on
testing
focused
on
ppe
focused
on
setting
up
classrooms
in
a
certain
way
and
we're
working
through
exactly
this
question
about
the
four
feet
versus
three
feet
versus
some
other
other
issues,
and
the
hope
is
that
we
work
with
all
education
leaders
to
make
sure
these
rules,
or
these
these
concepts
really
help
facilitate
that
safe
and
secure
return
to
school,
but
don't
inhibit
and
slow
down.
Some
of
the
important
plans
that
have
been
already
in
place.
E
Hi
secretary
scalia
richardson
thanks
so
much
for
your
time.
Two
questions,
quick
ones.
The
first
one
is
that
all,
but
a
handful
of
states
have
released
more
information
on
vaccine
administration
than
california,
whether
it's
providing
information
by
county
age
or
race,
or
the
share
of
healthcare
workers
that
have
been
vaccinated.
When
will
the
state
release
more
granular
data,
and
then
I
wanted
to
make
sure
I
understood
something
about
today's
announcement.
E
C
Absolutely
granular
data
is
a
is
a
key
priority
for
us
in
the
next
few
weeks
and
we're
certainly
going
to
be
working
with
our
providers
and
this
vaccine
network
to
make
sure
that
we
identify
what
is
the
key
information
we
want
in
providing
those
analytics,
and
so
we
will
continue
to
post
information
over
time
as
we
receive
it
and
then,
as
and
as
soon
as
we
have
more
information
about
the
third
party
administrator
in
terms
of
making
an
announcement
about
who
that
will
be
and
and
what
the,
what
what
the
scope
of
their
work
will
be.
B
So
again,
I
want
to
just
thank
everyone
for
their
patience
over
an
hour.
A
lot
of
information
today,
hopefully
give
you
a
sense
of
how
we've
made
some
of
the
decisions
up
until
now
on
both
the
regional
state,
home
order
and
and
with
vaccines
and
and
hope
on,
where
we're
heading.
Of
course,
this
is
going
to
depend
on
us
continuing
to
work
with
our
federal
partners.
B
We
sure
hope
that
the
message
about
increasing
vaccines
is
one
that
will
continue,
that
it's
not
just
a
one-week
issue
and
that
we
will
begin
to
increase
that
pace
of
vaccines
in
the
state,
because
that
supply
from
our
federal
partners
will
increase.
So
with
that
I'll.
Just
thank
you
again,
commemorating
really
a
year
of
covid
and
hopefully
months
with
reductions
in
cases
and
more
vaccines
to
really
support
our
state.