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From YouTube: Governor Newsom's COVID-19 Update - April 22, 2020
Description
Governor Gavin Newsom provides an update on the state's response to the COVID-19 outbreak.
The Governor announces plans to allow hospitals and health systems to resume delayed medical care for Californians – such as heart valve replacements, angioplasty and tumor removals, and key preventive care services, such as colonoscopies – which were deferred as the state’s health care delivery systems prepared for a surge of COVID-19 patients. The decision was based on progress toward preparing California hospitals and health systems for a surge in COVID-19 patients – one of the six critical indicators the governor unveiled last week as part of the state’s framework for gradually modifying California’s stay-at-home order.
As part of the Western State’s Pact, California will work with Washington and Oregon to share best practices on how our states can allow hospitals and medical providers to resume delayed medical care in areas that have sufficient hospital capacity, while ensuring the safety and health of our health care workers and patients. The Western states had previously announced a shared, science-based vision for gradually reopening their economies and controlling COVID-19 into the future.
Recorded April 22, 2020 in Sacramento
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus
C
Good
afternoon
about
a
week
ago,
we
put
out
a
road
map
that
would
inform
us
around
our
recovery.
We
laid
out
six
specific
indicators
that
would
guide
our
decision-making
based
upon
health
science,
real
data,
not
politics,
not
pressure.
Those
indicators
created
a
framework
for
decision-making
that
we
committed
to
update
you
on
on
a
weekly
basis.
C
Today,
we
will
update
you
on
those
six
key
indicators
that
are
informing
our
decision-making
as
it
relates
to
augmenting
and
modifying
our
stay
at
home
order
and
we'll
dive
deep
into
one
of
those
indicators,
specifically
on
the
area
of
testing,
tracking
tracing
isolation
and
Quarantine.
Dr.
Ghali
will
make
that
presentation
here
just
in
a
moment,
but
first
I
wanted
to
set
things
up
and
create
a
context
for
this
discussion.
C
I
deeply
recognize
deeply
understand
the
desire
for
people
to
hear
directly
from
the
administration
from
the
state
and
its
leadership
about
the
answer
to
when
when
can
we
go
back
to
some
semblance
of
normalcy?
Well,
a
vast
majority
of
you
I
think
recognize
that
decision
needs
to
be
guided
on
the
basis
of
the
virus
and
it's
spread
decisions
on
the
basis,
always
first
and
foremost,
of
Public
Health.
The
pressure
to
answer
that
question
nonetheless,
is
very
real.
No
one
wants
to
be
able
to
share
that
information
more
with
you
than
I
do
and
I
wish.
C
I
could
prescribe
a
specific
date
to
say.
Well,
we
can
turn
out
the
light
switch
and
go
back
to
normalcy.
We
have
tried
to
make
it
crystal
clear
that
there
is
no
light
switch
and
there
is
no
date
in
terms
of
our
capacity
to
provide
the
kind
of
clarity
that
I
know.
So
many
of
you
demand
and
deserve
the
clarity.
C
However,
we
are
providing
today
is
the
clarity
of
indicators
that
guide
that
decision-making
and
the
transparency
around
those
indicators
in
that
framework
that
allow
us
to
organize
around
six
specific
themes
and
teams
to
every
single
day
monitor
conditions
on
the
ground.
It's
driven
not
by
ideology,
but
by
argument
by
evidence
and
by
the
curation
of
best
practices,
not
just
across
the
state
across
the
country,
but
from
around
the
rest
of
the
world.
C
We
lead
with
that
first
indicator
that
we'll
talk
about
more
in
a
moment
around
testing
tracking
tracing
isolation
and
Quarantine,
but
we
included
in
five
additional
indicators,
considerations
that
we
must
around
making
sure
we
protect
the
most
vulnerable
Californians.
Our
seniors
in
skilled
nursing
facilities,
nursing
homes,
assisted
living
centers
are
those
that
are
vulnerable
out
on
the
streets
in
sidewalk,
the
homeless,
people
with
compromised
immune
systems
and
that
laid
out
framework
for
our
second
indicator,
how
we
protect
the
most
vulnerable.
C
The
third
indicator
was
around
hospital
capacity,
healthcare
delivery
capacity,
not
only
within
the
hospital
system,
but
the
creation
and
the
opportunity
to
provide
alternative
care
sites
and
facilities
to
do
so,
not
just
with
physical
assets,
but
to
make
sure
we
have
the
human
resources,
the
people
and
the
protective
gear
to
make
sure
that
the
health
workers
are
healthy
and
safe.
At
the
same
time,
we
had
a
fourth
indicator
around
the
issues
of
therapeutics.
We
talk
a
lot
about
herd
immunity,
vaccines.
C
We
in
California
are
uniquely
positioned
because
of
the
National
Institutes
of
Health,
for
the
top
10
funded
NIH
sites
are
in
the
state
of
California.
We
are
blessed
and
endowed
with
some
of
the
finest
research
institutions
and
hospitals,
doing
therapeutic
studies
and
advanced
therapeutic
partnerships
in
this
state.
It's
none
well,
it's
respectfully
among
the
most
robust
of
any
state
in
this
nation.
So
therapeutics
also
is
a
category
that
guides
our
decision
making
the
issue.
Obviously,
a
business's
issues
related
to
schools
and
physical
facilities
is
another
area
that
guides
our
consideration.
That's
indicator.
C
Building
that
trust
with
you,
40
million
californians,
to
make
sure
we're
continuing
to
practice
physical,
distancing,
social,
distancing
and
abiding
by
these
guidelines,
recommendations
and
directives.
But
we
recognize
we're
testing
that
trust
every
day
because
of
the
deep
desire
for
people
to
begin
to
know
when
they
could
get
back
to
work
when
they
can
go
back
out
and
recreate
and
enjoy
the
beautiful
parks
and
beaches
in
the
state
of
Californians.
So
today
we
want
to
further
that
conversation.
I
want
you
to
know,
you'll
be
left
wanting.
C
If
you
woke
up
to
this
discussion
and
we're
gonna
hear
that
we're
reopening
large
sectors
of
our
society,
we're
not
prepared
to
do
that
today.
I
very
much
look
forward
to
making
those
announcements-
and
we
won't
wait
week
to
week
to
make
those
announcements
when
we're
ready
we'll
make
those
announcements
in
real-time,
but
I
am
ready
today
to
make
the
following
announcement.
C
We
have
been
working
with
our
partners
in
Washington,
State
and
Oregon,
guided
by
their
experts
and
guided
by
their
examples
and
helping
us
to
inform
our
own
efforts
here
in
the
state
of
California
based
upon
indicator
three
and
the
work
that
we
have
done
together
in
providing
alternative
care
sites.
The
incredible
work
that
the
hospitals
have
done
to
decompress
their
existing
facilities
and
provide
capacity
to
increase
surge
and
the
incredible
work
force.
That's
been
assembled.
C
C
Tumors
heart
valves
the
need
for
people
to
get
the
kind
of
care
that
they
deserve
its.
If
it's
delayed
it
becomes
ultimately
denied
it
gets
delayed.
It
becomes
acute,
and
this
fundamentally
is
a
health
issue,
and
so
beyond
just
the
issue
of
the
virus.
We
are
working
with
our
health
directors
and
throughout
the
healthcare
delivery
system,
to
reintroduce
the
capacity
to
get
these
scheduled
surgeries
up
and
running
again,
we
will
be
very
thoughtful
and
judicious
about
how
we
do
that.
C
We
will
not
overload
the
system
at
peril
of
not
being
able
to
maintain
our
surge
capacity
and
we
recognize
anytime.
We
begin
to
toggle
back
and
start
opening
things
back
up.
We
have
to
look
every
day
at
the
data,
the
dashboard
of
information,
coming
back,
to
make
sure
that
we
are
adjusting
to
these
new
decisions
and
maintaining
an
understanding
that
we
need
to
be
vigilant
about
the
intended
consequences
of
these
decisions
and
the
unintended
consequences
of
these
decisions.
C
So
if
you
are
asking
yourself
well,
how
can
we
guarantee,
if
we're
bringing
back
all
of
these
scheduled
surgeries,
that
there'll
be
availability?
If
we
see
a
second
wave
or
a
large
surge,
as
we
start
pulling
back
that
we
have
capacity?
We
are
monitoring
that
and
that's
foundational
in
terms
again
of
this
dimmer,
not
light
switch
that
we
are
advancing
in
terms
of
just
beginning
to
shift
things
but
recognize
that
that
shift,
that
dial
could
be
turned
up
or
the
dial
can
be
turned
back
in
real
time.
But
this
is
for
us.
C
A
significant
health
first
focused
announcement
today
to
begin
to
augment
the
stay
at
home
order,
but
to
do
it
with
an
eye
on
public
health
and
making
sure
we
secure
the
safety
of
our
health
care
delivery
system,
and
that
includes
the
workers
making
sure
we
always
are
providing
care
to
the
caregivers,
keeping
our
health
care
workers
healthy
at
the
same
time.
So
that
is
the
announcement
we
wanted
to
make
today,
as
it
relates
to
a
modification
of
that
stay
at
home
order
that
is
determined
by
adaptive
decision
making.
C
That
is,
foundationally
focused
on
the
indicators
giving
us
that
green
light
informed
by
the
indicators.
Accordingly,
we
wanted
to
talk
about
another
indicator
again,
I
referenced
a
moment
ago,
the
issues
of
testing
and
tracing
which
will
be
foundational
to
our
broader
efforts
to
get
to
those
other
indicators
and
when
retail
stores
open
when
recreational
opportunities
we
are
made
available
again,
the
testing
becomes
foundational
in
that
effort.
The
tracing
becomes
foundational
in
that
effort.
C
I
have
a
number
of
things,
I
want
to
add
to
that
discussion,
and
while
it
is
true
that
we
have
provided
testing
for
four
hundred
and
sixty-five
thousand
three
hundred
and
twenty
seven
individuals,
that
number
is
still
inadequate
to
meet
the
needs
of
all
of
you
and
to
meet
our
expectations
as
it
relates
to
our
capacity
to
begin
to
move
even
further
in
terms
of
augmenting
and
modifying
these
stay-at-home
orders.
So
465
plus
thousand
tests
have
been
done.
We
went
from
2,000
tests
on
average
a
day
in
March.
C
Just
a
few
weeks
ago,
we
made
announcements
with
a
new
testing
taskforce
that
admitted
to
advancing
that
number
to
10,000
by
April
14th.
Just
a
few
days
ago,
we
announced
we're
actually
at
14,500
tests
a
day
right
now
we're
about
16,000
tests
a
day.
Forgive
me
for
building
all
these
numbers,
perhaps
confusing
you
except
to
say
from
2000
at
the
end
of
March
to
now
at
goal
by
the
end
of
April
of
25,000
tests,
16,000
on
average
today
get
to
25,000
by
the
end
of
this
month.
C
Our
goal
is
north
of
60,000
tests
a
day
and
that's
phase
one
goal:
that's
a
short-term
goal.
Over
the
next
number
of
months.
We
want
to
have
a
minimum
of
60
thousand
tests,
we're
hoping
to
get
closer
to
80,000.
So
it's
60
to
80
thousand
is
the
framework,
the
minimum
being
60,000
tests
a
day,
our
entire
PCR
test.
C
That's
the
swab
based
test
capacity,
two
instruments
that
exist
in
the
state
of
California,
if
one
hundred
percent
or
at
full
throttle
and
everybody
was
being
tested,
because
we
had
all
the
supply
chains
intact
and
ready
to
go,
be
about
95,000
tests,
we
can
conduct
a
PCR
test.
These
are
not
the
serological
tests
I'll
get
to
that
in
a
moment,
but
the
PCR
tests,
the
swab,
based
test
that
many
of
you
recognize
the
instruments
have
the
capacity
to
get
up
to
95
thousand.
C
We
believe
that
we
can
get
not
only
a
25
shortly
but
get
to
that
60
to
80
thousand
range
within
our
existing
framework
of
expectation
and
when
supplies
are
coming
in
when
more
equipment
will
avail
themselves
and
one
more
sites
present
themselves
and
communities
all
across
this
state,
and
that's
something
else:
I
wanted
to
share
with
you.
We
are
significantly
increasing
this
sites
of
availability.
At
the
same
time,
we're
increasing
capacity
within
the
existing
system.
C
Many
of
those
roadblocks
have
been
lifted
still
an
issue,
but
not
as
significant
as
half
of
those
that
were
surveyed
saying
it's
really
now
getting
the
specimen.
That's
the
bigger
issue,
with
our
testing
capacity
I
just
got
off
the
phone
with
President
Trump.
Less
than
an
hour
ago,
we
had
a
very
specific
conversation
about
not
just
the
survey,
but
the
need
for
swabs
are
very
pointed
an
honest
conversation
and
the
President
secured
and
gave
me
the
confidence
that
we
will
receive
just
this
week,
a
minimum
of
100,000
swabs.
C
That's
the
ability
to
collect
100,000,
specimen
samples
that
will
be
forthcoming
to
the
state
of
California.
This
week
he
said,
then
we
will
be
provided
250,000
swabs
next
week
and
he
said
third
week
expect
to
see
a
substantial
increase
above
the
250,000.
That
was
a
very
good
phone
call.
I
want
to
thank
the
president,
not
only
for
being
available
for
a
phone
call
at
a
moment's
notice,
but
being
willing
to
directly
commit
to
all
of
us
in
the
state
of
California
to
a
substantial
increase
in
supply
of
these
swabs.
C
That
will
go
a
long
way
to
give
us
all
more
confidence
that
we
can
meet
some
of
these
testing
goals.
These
stretch
goals
and
assuage
the
concerns
around
those
251
sites
that
have
reported
a
need
for
more
swabs.
So
that
specifically,
is
an
advancement
on
our
commitment
to
do
more
in
this
space.
But
we
have
a
second
commitment
that
we
are
making
public
today
to
do
more
and
that's
a
commitment
to
make
sure
all
Californians
are
tested.
C
What
I
mean
by
that
is
not
all
40
million
of
us
the
ideal,
but
in
every
part
of
the
state,
where
we're
not
leaving
communities
behind.
One
of
the
big
struggles
we
have
had
in
the
last
few
weeks
of
this
pandemic
is
getting
to
rural
and
remote
parts
of
this
state
and
getting
up
testing
sites
and
making
them
available.
C
One
of
the
other
vexing
and
frustrating
things
is
getting
in
to
our
urban
centers
and
making
sure
that
we're
getting
into
black
and
brown
communities
in
doing
justice
to
people
that
are
also
underserved,
even
in
these
remarkably
enriched
and
robust
and
well
resourced
communities.
And
so
today
we
are
announcing
86
new
sites
that
will
become
operational
that
are
focused
from
a
socio-economic
lens,
focusing
on
black
and
brown
communities
and
focusing
on
rural
communities.
C
We've
put
together
a
heat
map
of
the
state
where
we
define
testing
deserts
and
we're
going
to
begin
to
plug
these
programs
in
to
these
sites.
The
two
companies
verily
they'll
provide
six
of
these
sites.
That's
the
partnership.
We
announced
a
few
weeks
back
with
Google
and
then
the
other
is
Optima
serve
and
they're,
providing
80,
specific
new
sites
and
and
testing
these
sites
will
provide
the
kind
of
continuity
that
we
need
to
ultimately
advance
our
collective
goals
in
this
test
in
it
state
to
reach
these
testing
goals.
C
So
I
want
to
just
thank
those
two
companies
for
the
robust
conversations
we've
had
in
the
negotiations
and
I'm
very
pleased
today
to
make
that
announcement
that
we're
moving
in
that
direction.
In
addition
to
that,
we
made
a
commitment
with
Abbott
Laboratories
for
1.5
million
serological
tests,
1.5
million
serological
tests
and
a
hundred
and
30
facilities
in
the
state
of
California
I
caution.
People
in
this
space
as
I've
been
cautioned
in
this
space
around
serology,
broadly
defined
the
focus
on
antibodies
and
immunities
and
immunity.
C
Those
tests
got
a
lot
of
attention,
but
they
also
generated
a
little
bit
of
controversy
about
what
they
are
and
what
they're,
not
we
don't
use
serological
tests
for
Diagnostics
still
traditional
PC
are
against
swab
based
tests,
there's
still
some
open-ended
questions
around
serology
and
antibodies,
and
immunity
and
I
just
want
to
caution
people
in
this
space.
A
lot
of
energy,
a
lot
of
enthusiasm
in
the
space
I
share
that
energy
and
I
share
that
enthusiasm
demonstrably.
C
So,
with
the
deal
we
made
with
Abbott
just
on
the
1.5
million
tests,
with
them
alone,
but
I
caution.
All
of
us
as
that
information
comes
in
is
more
peer.
Review
is
being
done
in
this
space
that
all
of
us
start
to
understand.
Well,
it
can
be
extraordinarily
helpful
in
terms
of
guiding
our
framework
and
indicators
for
reopening.
It's
not
at
this
moment
a
panacea,
but
it
could
be
profoundly
significant
and
we
are
certainly
going
to
do
our
part.
C
In
addition
to
procuring
PCR
tests,
we
will
do
the
same
to
provide
the
serology
tests
to
people
all
across
this
state.
Cheesier
test
these
bloodborne
based
tests
and
much
more
capacity
to
deliver
those
tests.
But
again
our
our
testing
numbers
are
predicated
on
more
traditional
PCR
tests
at
the
moment
and
that's
the
foundation
to
which
we
will
build
accordingly.
Our
foundation
in
terms
of
testing
doesn't
mean
much
unless
you
can
begin
protocols
to
track
and
trace.
We
in
the
state
of
California
have
a
long
history
of
testing
and
tracking
and
tracing
patience.
C
The
history
of
TB
measles,
the
Health
Department's
all
throughout
the
state
of
California
County
health
departments,
have
been
running:
testing,
tracking
and
tracing
protocols
for
some
time,
STDs
gonorrhea,
very
robust
Tracy.
That's
been
done
throughout
the
state
of
California.
In
that
space,
HIV
a
lot
of
testing
and
tracing
and
tracking
is
done
in
that
space.
I
I
say
all
that
to
make
this
point:
we're
not
starting
our
tracing
program
from
scratch.
Quite
the
contrary,
you
have
trained
professional
workers
and
local
health
departments
that
do
this
every
single
day.
C
The
question
that's
asked
of
us
now
is
to
do
it
at
a
scale
that
we
have
not
seen,
but
the
good
news
again
is
all
of
that
resource
is
enriched
and
exists
and
persists
all
across
the
state.
So
we
want
to
build
bottom
up
on
that
work
and
what
we've
been
doing
is
serving
not
only
the
local
capacity
and
workforce,
but
the
ability
to
retrain
and
reprioritize
the
state
workforce.
C
We
have
a
governmental
group,
called
gov
ops,
they've,
been
doing
surveys
of
state
workers
to
see
if
they're
willing
to
do
different
work
and
help
support
our
tracing
and
tracking
efforts.
The
good
news
is,
we
believe
we
have
the
capacity
to
build
a
army
of
tracers
beginning
with
a
goal
of
10,000,
and
that
is
now
our
stated
goal
to
train
these
tracers
get
10,000
folks
up
and
operational
again,
building
off
the
low
infrastructure
supplementing
it
as
we
can
at
the
state
level
and
supporting
it
to
the
extent
with
any
volunteer
workforce.
C
But
we
want
the
professionals
first
to
guide
these
efforts,
as
these
tracing
is
not
just
about
numbers
about
quality
and
that
quality
again
is
about
enriching
the
work.
That's
been
done
at
the
local
level.
We've
got
a
new
training
academy
that
we'll
be
putting
up
online
in
this
space
to
help
support
that
work
of
those
10,000
individuals
and
we'll
get
an
aggregated
data
set.
That
will
allow
us
to
track
the
trackers
and
track
the
tracing.
That's
done
throughout
the
state
of
California,
currently
again
decentralized
and
will
begin
to
organize
it
in
a
more
centralized
manner.
C
So
86
new
sites,
testing
sites
in
rural
California
and
deep
in
urban
California.
To
make
sure
we
are
truly
culturally
competent
in
our
testing
capacity
to
increase
our
testing
by
multiples,
aided
and
supported
by
the
support
today
that
the
president
offered,
in
terms
of
our
specimen
collections,
the
capacity
again
to
support
that
tracing
that
ultimately,
will
lead
to
questions
of
isolation,
which
has
to
be
regionalised
and
quarantine,
which
is
an
economic
issue
as
well,
which
is
part
and
parcel
of
what
dr.
C
C
All
of
them
are
important,
but
this
one
may
be
among
the
most
important
in
terms
of
our
capacity
to
make
subsequent
announcements
in
terms
of
how
we're
starting
to
loosen
up
our
stay
at
home
order,
and
so
that's
why
we
felt
today
it
deserved
a
little
bit
more
intention
attention
and
a
little
more
intentionality
in
terms
of
not
just
our
focus
but
socializing
that
focus
I
here
with
you.
So
with
that,
forgive
along
witness
by
the
way
of
that
opening
comment
with
that
dr.
Ghali.
D
D
So
we
focus
broadly
on
health
that
we
know
the
impact
is
great,
as
we
stay
at
home,
the
economic
impact
and
making
sure
that
we
do
this
great
balance
between
protecting
around
kovat
health
and
focusing
on
broad
health
for
our
communities
and
our
citizens
of
California.
We
also
know
that
there
are
a
couple
of
issues
in
our
indicators
that
are
must-haves.
You
have
heard
us
talk
on
a
daily
at
least
weekly
basis
about
the
pursuit
of
protective
equipment
PPE.
D
We
know
that
we
need
to
have
significant
amounts
before
we
can
move
forward
with
any
of
our
plans
to
modify
or
stay
at
home
order.
The
governor
spoke
about
the
great
work
we've
done
in
our
health
care
systems
to
prepare
with
beds.
Ventilators
people
supplies
that
that
is
secure
is
a
very
important
thing
that
we
continue
to
maintain
so
that
we
can
safely
and
responsibly
move
forward
with
modifying
some
of
our
stay
at
home
orders.
D
According
to
our
indicators,
I
also
want
to
say
that
deep,
thank
you
to
our
local
public
health
department,
the
directors,
the
public
health
officers
in
those
regions
for
their
great
communication
and
effort
working
with
us,
so
that
we
have
all
the
local
data
all
the
local
thoughts
on
how
we
build
forward
and
modify
the
stay
at
home
order.
We
have
put
as
the
governor
directed
us
to
do
work
group
for
each
of
the
indicators.
Those
have
been
formed.
D
Those
are
meeting
regularly
and
reporting,
and
each
one
of
those
workgroups
has
presents
from
our
local
public
health
leaders
to
make
sure
we
take
all
of
the
information
from
across
the
state
and
informs
our
decision-making.
So
it
is,
it's
been
a
wonderful
week
of
progress
and
now
I
want
to
spend
a
little
bit
more
time.
Talking
about
that
first
indicator.
Our
ability
to
monitor
and
protect
our
communities
through
our
testing,
our
ability
to
do
contact,
tracing,
isolating
and
supporting
those
who
are
positive
or
who
been
exposed.
D
So
one
last
reminder
that
we
built
these
indicators
around
a
goal.
Four
goals
really
and
I
want
to
remind
you
what
they
are.
We
want
to
ensure
our
ability
to
care
for
the
sick
within
our
hospitals.
We
want
to
prevent
infection
of
those
who
are
high
risk
for
severe
disease.
We
want
to
build
the
capacity
to
protect
the
health
and
well-being
of
the
public,
and
we
want
to
reduce
the
social,
emotional
and
economic
disruptions
that
many
of
us
are
facing.
So
these
indicators
are
really
formed
around
these
four
goals.
D
I
want
to
spend
a
moment
a
little
bit
on
our
data.
We
have
been
telling
you
day
over
day
our
numbers
in
hospitals,
you
know,
I,
see
use
and,
as
we
look
at
these
over
the
last
many
weeks,
especially
since
we've
instituted
the
statewide
stay
at
home
order,
we
see
ourselves
tracking
in
what
we
call
our
range
of
stability,
and
this
lower
line
is
the
the
number
of
ICU
beds
and
vents
that
we
are
using
across
our
system.
D
Upper
line
is
our
total
number
of
hospitalizations,
both
of
those
who
have
been
confirmed
to
have
kovat
and
those
who
we've
suspected
and,
as
we
look
at
this
trend
line,
you
see,
we've
had
small
peaks
along
the
way,
but
we
have
generally
stayed
this
is
since
March
27th
we've
stayed
in
the
zone
of
stability
range
of
stability
that
give
us
confidence
that
we
are
prepared
to
move
forward
with
some
of
our
modifications
and,
as
you
hear
in
the
national
media
conversations
about,
where
are
your
cases?
Where
are
your
hospitalizations
going?
D
We
really
wanted
to
share
with
all
Californians
the
data
we've
seen
across
the
state
that
gives
us
confidence
in
moving
in
the
directions
that
the
governor
laid
out
moments
ago.
I
want
to
remind
you
a
little
bit
more
of
the
detail
of
our
indicator.
One
two
of
the
key
questions
that
we
ask
ourselves
is:
how
prepared
is
our
state
to
test
everyone?
Who
is
symptomatic
and
do
we
have
the
ability
to
identify
contacts
of
those
who
are
positive
to
reduce
their
further
transmission?
D
So
what
is
contact
tracing
when
someone
tests
positive
for
Cova
19?
We
want
to
be
able
to
identify
those
who've
been
in
close
contact
with
that
person
and
for
each
of
those
persons
that
we
are
contact
tracing.
We
want
to
be
able
to
contact
them
first,
we
want
to
be
able
to
check
their
symptoms,
offer
testing
and
recommend
isolation
to
start
or
quarantine
to
start
and
isolation
as
now
as
necessary,
if
they
indeed
test
positive.
D
So
we
have
looked
at
the
in
many
of
these
indicators
and
we've
developed
a
series
of
work
streams
for
indicator
one.
We
first
talked
about
accelerating
equitable
kovat
19
testing.
The
governor
laid
out
many
many
great
strides,
we've
taken
on
testing.
We've
made
improvements
on
our
ability
to
obtain
the
supplies,
whether
it's
swabs
or
viral
transport
media,
our
ability
to
work
with
partners.
The
governor
mentioned
Abbott
we've
been
in
great
conversations
with
LabCorp
and
quest
as
important
national
commercial
lab
leaders
to
ensure
that
capacity
that
they
have
today
is
available
to
Californians.
D
We
know
that
the
governor
mentioned
the
number
60,000
to
80,000.
The
way
we
get
to
that
number
is
both
through
national
conversations
on
a
number
of
tests
per
hundred
thousand
people.
The
governor
mentioned
a
hundred
and
fifty
two
tests
per
100,000
Californians
gets
us
just
above
60,000
tests
a
day
that
we
would
need.
We
additionally
look
at
it
from
the
perspective
of
well.
D
Whether
those
are
healthcare,
delivery
sectors
like
skilled
nursing
facilities
or
our
grocery
stores
and
our
transportation
efforts.
We
want
to
make
sure
that
those
folks,
those
who
go
in
to
serve
our
communities
are
protected
and
we
know
we're
able
to
tell
them
on
a
regular
basis
whether
they're
positive,
whether
they've
been
exposed.
So
they
can
not
only
do
their
job
in
a
responsible
and
confident
way,
but
they
can
also
protect
their
families
when
they
go
home.
D
And
then
we
know
that
every
year
around
fall
winter
and
early
spring,
we
experience
a
surge
of
symptoms
of
the
common
cold
and
the
flu,
and
in
this
day
and
age
we
have
to
ask
the
question:
is
that
the
common
cold
or
is
it
kovat,
19
and
ensuring
that
we
have
increased
capacity
during
those
months
to
test
more
people
gives
us
our
range
between
sixty
and
eighty
thousand
a
day?
Those
are
of
the
PCR
tests?
As
the
governor
mentioned,
we
are
learning
more
and
more
about
serologic
testing.
D
We
also
talked
a
bit
about
establishing
our
contact
tracing
workforce,
develop
the
isolation
and
quarantine
protocols
and
supports
and
deploy
our
data
management
system
and
tools.
These
are
our
four
work
streams
for
indicator,
one
to
go
just
one
level:
deeper:
accelerate,
equitable
testing.
Today
you
heard
the
governor.
We
articulate
our
goal
for
the
end
of
April
to
25,000
tests
a
day.
We
are
at
16,000
just
a
little
bit
north
of
16,000
a
day
at
the
moment
with
the
goal
and
our
confidence
that
we
will
be
able
to
accelerate
towards
25,000.
D
Sixty
to
eighty
thousand
a
day
established
between
eighty
and
a
hundred
new
testing
sites,
and
these
are
sites
not
in
the
common
areas,
not
in
the
places
where
we
already
have
a
significant
degree
of
testing,
but
in
what
we're
calling
testing
deserts
places
that,
because
they're
a
bit
more
remote,
don't
have
as
many
testing
sites
that
have
come
together
at
the
local
level
and
then
also
from
a
very
strong
equity
lens
that
we
put
these
in
communities
that
have
shouldered
the
burden
of
kovat
19
and
a
disproportionately
highway.
Those
are
our
Brown
and
black
communities.
D
D
And
then
we
are
continuing
to
work
with
our
new
high-throughput
sites,
our
hubs,
so
that
their
capacity
on
their
instruments
is
shared,
broadly,
not
just
with
their
hospitals
and
clinics,
but
with
the
skilled
nursing
facilities
that
surround
them,
whether
that's
in
San
Diego
or
in
the
Sacramento
area,
really
connecting
all
of
these
facilities
to
one
of
these
testing
hubs
so
that
those
specimens
can
be
processed.
It
is
no
small
announcement
that
we
have
a
promise
to
have
swabs
here
this
week.
Those
hundred
thousand
swabs
are
a
hundred
thousand
tests.
D
That's
a
hundred
thousand
people
who
can
hopefully
receive
confidence
of
their
status
and
understanding
how
we
support
our
communities
as
we
consider
modifying
that
stay
at
home
order
establish
our
contact
tracing
workforce.
The
governor
mentioned
that
we
have
a
rich
base
to
build
upon
in
each
of
our
counties
that
we
are
working
with
them
to
understand
what
they
have
today.
What
they
expect
they'll
need
in
the
future
to
keep
up
with
the
demand
of
kovat
19
contact,
tracing
efforts
that
we
are
going
to
be
developing
the
statewide
training
academy
with
their
help.
D
If
we
see
that
go
up,
we
are
confident
that
California,
a
big
state
can
do
state
that
we
will
recruit
additional
people
to
join
this
fight
in
terms
of
developing
developing
isolation.
Protocol
zone
supports
we
have.
We
are
working
with
our
local
partners
to
develop
those
guidelines
for
isolation.
We
know
that
this
is
not
straightforward.
For
many
many
pop
relations
in
people.
We
talk
about
it.
Not
just
can
we
find
the
place
for
you
to
isolate
safely,
but
can
we
support
you
during
those
times
of
isolation,
so
that
is.
D
That
is
a
very
important
piece
of
work
for
us
that
we
are
deep
into
and
working,
not
just
with
our
local
county
partners
on
how
to
develop
those
protocols
and
guidelines.
But
many
in
the
philanthropic
community-
and
we
appreciate
the
support
I
was
on
earlier
in
the
week
with
over
300
members
of
our
philanthropic
community.
D
Talking
about
exactly
this
issue,
how
do
we
support
our
communities,
who
may
experience
the
undue
burden
of
quarantine
and
isolation,
so
they
they
can
do
it
safely
and
we
can
suppress
ovid
19
and
allow
us
to
continue
to
modify
that
stay
at
home
order.
The
last
thing
I'll
talk
about
is
deploying
our
data
management
system
and
tools.
We
know-
and
many
of
you
have
maybe
heard
about
tools
that
help
us
understand
who
is
moving
where,
when
we
think
about
the
data
tools
we're
going
to
use
first,
it
really
flows
into
two
main
areas.
D
D
D
So
we
can
move
beyond
sixty
to
eighty
thousand,
if
that's
what
the
data
and
information
tells
us
so
I
just
want
to
end
by
again
reiterating
our
thanks
to
so
many
different
partners
who
have
helped
us
get
to
this
point
to
the
leaders
here
at
the
state
across
state
government.
Who've
come
to
build
these
six
indicator,
work
groups
and
armies
of
people
that
are
going
to
continue
to
inform
our
work
as
we
thoughtfully
consider
how
we
modify
the
stay
at
home
order
and
bring
back
many
of
the
experiences
you
guys.
D
C
Ghali
is
available
for
questions,
as
am
I
in
a
moment,
but
stability
is
the
operative
word.
The
indicators
show
stability,
particularly
in
hospitalization
numbers
and
ICU
numbers
I've
been
commenting
the
last
few
days
weeks
that
those
are
the
two
numbers
that
are
the
biggest
focus
of
our
attention.
In
addition,
of
course,
the
tragic
number
of
lives
lost,
86
lives
lost
again
yesterday,
not
numbers
remind
you
stories,
real
human
beings
and
loved
ones
that
are
been
torn
apart,
and
our
heart
continues
to
break
for
those
that
have
lost
loved
ones
to
this
virus.
C
Six
point:
eight
percent
increase
over
the
previous
day.
Those
hospitalization
numbers,
however,
and
the
ICU
numbers
haven't
been
increasing
as
much.
In
fact,
we
saw
today
a
modest
decrease
over
the
last
24
hours
in
terms
of
the
number
of
hospitalized
patients
0.2
percent
down.
Compared
to
previous
day,
our
ICU
numbers
went
down
a
1.8
percent
down
1.8%,
so
seeing
slight
increases
slight
decreases
again,
thus
this
framework
of
a
line
that's
beginning
to
straighten
to
flatten
instability.
C
That
is
the
predator
of
that
third
indicator
in
terms
of
our
hospital
and
healthcare
delivery
systems,
capacity
to
meet
search
that
allows
us
today
to
move
more
formally
with
our
partners
at
the
local
level
and
throughout
the
healthcare
delivery
system
to
once
again
schedule
surgeries
that
are
necessary,
but
do
again
require
more
traditional
scheduling.
These
are
not
plastic
surgeries.
These
are
not
surgeries
that
are
cosmetic.
These
are
important
medical
procedures
that,
if
not
attended
to,
could
become
crisis
and
ultimately
burden
the
rest
of
the
healthcare
system.
C
So
that's
the
first
significant
effort
to
begin
to
modify
that
stay
at
home
order
and
all
the
others
are
again
predicated
on
what
dr.
Ghali
was
laying
out
a
more
robust
testing
regime,
that's
more
inclusive,
more
comprehensive
and
the
capacity
to
build
this
army
of
tracers
and
ultimately
begin
the
very
hard
work
of
isolating
individuals
and
then
potentially
quarantine
individuals
in
addressing
from
a
socio-economic
perspective.
What
dr.
Gallagher
was
referring
to
their
needs.
C
If
you're
going
to
demand
quarantine,
someone
then
does
not
have
the
capacity
not
only
spend
time
with
loved
ones
and
families
by
definition,
but
also
there's
resource
issues
that
have
to
be
addressed
in
our
task.
Force
is
working
diligently
in
that
space.
That
was
the
reference
dr.
galley
made
a
moment
ago.
I
continue
again
to
recognize
your
desire,
my
desire,
our
collective
desire
to
hear
more
about
when
fill
in
the
blank
when
this
opens
fill
in
the
blank
I.
Imagine
there
may
be
many
questions
about
this
specific
city.
C
C
Just
briefly,
I
want
to
compliment
and
thank
everybody
that
went
to
our
Californians
for
all
ca.gov
website
that
have
expressed
a
desire
and
willingness
to
volunteer
in
the
state.
We
were
overwhelmed
humbled
by
the
response
to
that
volunteer
portal
and
the
capacity
for
people
that
can
do
more
and
give
more
of
their
time
their
money
and
their
attention
to
help
support
others,
and
this
crisis
was
extraordinary
and
continues
to
be
extraordinary.
C
I
just
want
to
encourage
those
of
you
that
have
not
yet
availed
yourself
to
that
site
to
consider
going
to
Californians
for
all
dot
ca.gov,
where
you
can
attach
your
talent
and
your
passion
with
particular
action
at
the
local
level
to
help
folks
that
are
struggling
help.
Folks
in
need
with
that.
I
know
that
people
struggling
to
ask
questions,
and
so
let
us
veil
ourselves
to
any
questions
on
a
myriad
of
topics,
not
least
of
which
the
ones
we've
laid
out
today.
E
Hi
governor,
so
we
learned
overnight
about
what
are
now
the
earliest
known
deaths
in
the
u.s.
from
the
virus.
Santa
Clara
County
officials
say
that
they
had
suspicions
back
in
early
February
that
the
disease
is
already
much
more
widespread,
but
they
didn't
have
a
way
to
measure
it.
So
should
we
have
known
sooner
that
there
were
community
transmissions
and
deaths
in
California?
What
decisions
would
you
have
made
differently
if
we
knew
that
sooner
and
out
of
this
new
in
photo
effective,
going
forward?
Well,.
C
We've
actually
directed
beyond
just
santa
clara,
go
back
as
far
as
december
to
request
the
coroner's
autopsy
to
dig
even
deeper,
so
we
are
very
pleased
with
the
work
that
was
done
in
santa
clara
county
to
make
public
that
information
and
know
that
we
are
doing
the
same
across
the
state
and
other
counties
as
well
to
ultimately
help
guide
a
deeper
understanding
of
when
this
pandemic
really
started
to
impact
Californians
directly.
Look
the
hospitalization
numbers
the
deaths
number
of
people
in
icy
use.
Those
are
tracked
on
a
daily
basis
when
this
occurred
is
important.
C
Forensic
information
profoundly
significant
in
terms
of
understanding
of
the
epidemiology
of
this
disease.
All
of
those
things
are
brought
to
bear
with
more
clarity
and
light,
not
only
because
of
this
specific
announcement
but
I.
Imagine
subsequent
announcements
that
may
be
made
by
similar
efforts
all
across
the
state
of
California.
But
again
we
compliment
the
outstanding
work
and
leadership.
Santa
Clara
has
been
the
forefront
of
this
from
the
beginning
of
this
process.
It
wasn't
where
the
first
community
spread,
but
the
biggest
flare-up
in
the
state
first
occurred
in
Santa
Clara
County.
F
C
We
I'll
take
those
in
reverse
order.
The
state
of
California
has
been
very
aggressive
in
its
unemployment
insurance
claims
very
aggressive
in
terms
of
trying
to
provide
supports
for
businesses
to
keep
people
employed
to
draw
down
the
federal
PPP
money
to
make
sure
that
this
new
round
of
PPP
money
is
made
available
to
small
businesses,
minority
and
women-owned
businesses.
We
created
a
50
million
dollar
supplemental
fund
at
our
state
I
bank
targeted
at
micro
loans,
we've
already
distributed
alone
73%
by
the
way
of
those
micro
loans
have
been
distributed
to
women
and
minority-owned
businesses.
C
Just
last
week,
two
billion
dollars
of
UI
claims
or
dispersed
just
in
one
week
in
the
state
of
California
to
help
support
the
financial
needs
of
those
individuals
that
have
been
directly
impacted
by
kovat
19.
We've
made
a
series
of
other
announcements
to
help
support
people
in
times
of
need
that
otherwise
aren't
availing
themselves
to
unemployment
insurance,
including
people
with,
regardless
of
their
immigration
status
and
disaster
relief
grants
that
are
made
available
in
that
space
as
well
as
it
relates
to
the
issues
of
mental
health.
C
We
laid
out
a
few
weeks
ago
with
our
Surgeon
General
Nadine
Burke
Harris,
specific
guidelines
and
playbooks
that
were
targeted
to
the
mental
health
needs,
not
just
of
adults
but
children.
How
we
speak
to
our
children,
the
language
they
use,
often
physical
language,
because
they
can't
advance
verbally
what
you
and
I
are
able
to
advance
in
terms
of
our
symptoms
and
our
needs.
C
We
made
available
a
website,
kovat
19
CA,
gov,
kovat,
19
ca.gov,
to
make
available
all
of
those
resources
again
with
an
eye
on
cultural
competency,
specific
resources
for
behavioral
health
issues,
for
the
LGBTQ
community,
specific
resources
for
teens
in
crisis.
You
get
a
sense.
We
broke
those
things
down
in
very
specific
terms
and
again
I'm,
very
grateful
that
we
have
a
Surgeon
General
and
very
grateful.
C
We
have
the
one
we
have
that
put
out
all
those
peer-reviewed
efforts
and
really
perhaps
the
most
comprehensive
resources
that
have
been
available
and
this
state,
and
perhaps
in
the
country
and
I'm,
very
proud
of
that
work
in
that
space.
Let
me
just
make
one
final
point
on
that:
we
have
been
working
with
Lisa,
tous
and
others
to
build
a
volunteer
core
specifically
focused
on
reaching
out
to
seniors
that
are
struggling
with
social
isolation
as
another
top
priority
to
address,
not
just
their
physical
health
needs,
but,
as
you
suggest,
their
mental
health
needs.
C
These
are
check-in
calls
and
that
army
of
volunteers
is
taking
shape,
and
we
have
already
seen
a
lot
of
work
done
in
that
space
as
it
relates
to
the
when,
as
I
began,
this
conversation
and
the
conversation
by
saying
there's
no
date,
if
there's
a
date
than
we're
denying
the
facts
on
the
ground,
we're
denying
the
reality
of
the
spread
of
the
virus,
which
is
dynamic,
we
need
to
be
adaptive
in
our
decision-making.
We
don't
want
to
debate
a
date.
C
We
want
to
focus
on
science
and
health
as
a
predicate
for
all
our
decision-making
and
recognizing.
We
need
to
understand
prevalence
and
we
understand
spread
and
that's
why
these
community
surveillance
efforts,
these
additional
testing
sites
and
our
testing
capacity
is
so
foundational
as
well
as
tracing
those
are
the
things
we
advanced
today
with
a
little
bit
more
specificity
than
in
the
past.
C
That
will
guide
us
in
subsequent
indicators,
giving
us
green
lights
to
make
decisions
and,
as
I
say,
I,
look
forward
to
those
decisions
in
the
next
days,
not
just
weeks
and
months
as
it
relates
to
further
announcements.
In
addition
to
the
health
announcements
we
made
today
as
we
toggle
back
and
we
adjust
modify
our
stay
at
home
morning,.
G
Hey
governor
thanks
for
taking
the
time
to
quick
questions
for
you,
if
you
have
a
second,
so
you
mentioned,
the
massive
number
of
swabs
will
be
coming
in
from
the
federal
government.
I'm
wondering
if
you
could
put
those
numbers
in
perspective,
will
that
be
sufficient
to
meet
the
state's
needs
going
forward,
and
also
you
mentioned
in
the
past,
the
collaboration
between
Google
and
Apple
and
the
idea
of
developing
a
smartphone
app
for
kind
of
automatic
instantaneous
contact
tracing.
Does
the
state
plan
on
either
promoting
or
cautioning
against
or
facilitating
the
development
or
something
like
that?
G
C
Thank
you
for
that
question
and
an
important
question
so
when
we're
asking
ourselves
I,
think
I
mentioned
this
a
few
days
ago
and
let
me
reinforce
it
an
abundance
of
resources
in
this
space
that
reside
within
the
state
of
California,
meaning
we
have
some
of
the
best
and
brightest,
some
of
the
leading
edge
technology
and
technology
companies,
headquartered
here
in
this
state.
As
a
consequence,
we
have
been
provided
all
kinds
of
platforms
and
apps
in
the
space
of
tracing.
Also,
the
development
of
symptom
tracking
you
heard
dr.
C
C
What
we
believe
are
recommendations
for
apps,
not
only
in
terms
of
tracing
technology
and
platforms,
along
the
lines
of
what
Google's
trying
to
do
with
their
Android
platform
and
the
iPhone
platform
that
Apple's
trying
to
advance
in
creating
some
continuity
of
connectivity
with
those
platforms
and
api's,
but
also
for
other
apps.
That
we'll
be
promoting,
including
a
new
website
and
application
that
will
be
laying
out
and
previewing
this
Friday
that
more
broadly
available
be
valuable
to
people.
Forgive
me
well
winning
this
on
that.
Let
me
be
more
specific.
On
the
swabs,
100,000
is
significant.
C
Each
swab
represents
a
test.
You
can
do
the
math
100,000
this
week,
GUP
president
mentioned
250,000
next
week
and
substantially
more
in
the
third
week.
So
the
answer
your
question
is
yes:
if
those
swabs
keep
coming
and
if
we
get
to
a
level
of
four
or
five
hundred
thousand
swabs
every
week,
I
believe
that
will
substantially
address
that
specific
supply
issue,
but
I
caution.
Everybody
in
this
space
the
bottlenecks
on
testing.
As
soon
as
you
solve
for
reagents,
then
you
got
to
solve
for
RNA
extraction.
C
Then
you
got
to
solve
for
swabs,
and
then
you
got
to
solve
for
viral
transport
media,
and
then
you
got
to
solve
for
diagnostic
timelines
to
getting
results
for
days
7
days,
10
days
and
backlogs.
All
of
these
issues
remain
dynamic,
and
that's
why
one
I
think
all
of
us
every
governor
across
this
country,
recognizes
this
space
is
one
of
cost.
Constant
iteration
and
so
I,
don't
want
to
suggest
definitively
that
even
hundreds
of
thousands,
even
millions
in
the
aggregate
of
swabs
alone
will
solve
quote-unquote
the
testing
issues
it
will
solve
the
swab
issue.
I
Hi
governor,
could
you
tell
us
a
little
bit
more
about
this
change
that
you're
making
to
allow
more
surgeries
to
take
place?
You
suggested
essential
surgeries
would
be
allowed.
So
what
does
that
mean
to
you
what
what
kind
of
surgeries
are
and
aren't
allowed?
Is
it
up
to
the
hospitals,
and
is
this
something
that
is
going
to
be
taking
effect
immediately,
I
think.
C
The
guidelines
are
effective
immediately.
We've
been
working
within
this
healthcare
delivery
system,
broadly
defined,
not
just
the
hospitals
and
working
with
health
departments
all
across
the
state
of
California,
getting
their
feedback
and
getting
there
buyin,
also
critical
that
we
have
the
workforce
to
be
a
some
of
the
space
I'll,
be
even
more
clear
and
I
appreciate
the
opportunity
to
clarify
scheduled
surgeries
and
what
a
scheduled
surgery
means
those
the
surgeries
that
you
know,
someone
that
has
heart
valve,
related
issues.
C
It's
not
an
emergency,
but
if
neglected
for
months
and
months
could
become
an
emergency,
can
finally
get
that
scheduled
surgery.
People
refer
to
this
often
as
elected
surgeries,
but
these
are
the
scheduled
surgeries
that
we
think
are
foundational
to
people's
health,
tumors
precancerous
issues
before
they
become
cancerous
issues
related
to
chronic
disease,
diabetes
and
the
like,
and
so
that's
the
space.
C
But
this
what
this
is
not-
and
this
perhaps
is
the
easiest
way
to
alter
and
explain
it-
is
we're
not
opening
up
to
just
traditional
cosmetic
surgery,
though
there's
a
cosmetic
component
to
any
major
surgery
and
that
should
be
afforded
under
a
scheduled
surgery
just
for
aesthetic
purposes.
That
would
not
be
a
prioritized
guidance
that
we're
putting
out.
That
is
not
one
of
the
prioritizations
for
scheduled
surgeries
that
we're
putting
out
today.
So
that
would
exclude
that
space
but
broadly
include
those
other
examples.
J
Hi
governor,
thank
you
for
taking
my
question.
Last
week,
you
said
hundreds
more
workers
were
being
added
to
the
staff
to
stop
you
Gigi's
unemployment
insurance
phone
lines
and
that
the
call
hours
would
be
expanded
to
8
p.m.
seven
days
a
week
that
was
still
hearing
from
people
that
they
can't
get
through
I'm
wondering
what
more
can
the
state
do
to
get
people
the
answers
and
the
help
that
they
need
yeah.
C
Over
a
thousand
people
we've
redeployed,
we
finally
again
remember:
we
started
since
2013
8:00
to
noon.
Was
that
call
senator,
remember,
call
centers,
just
won
capacity,
online
components
etc.
Get
that
information
in,
but
the
call
centers
are
profoundly
important
to
people.
We
recognize
that,
but
also
getting
those
claims
out
within
that
21
days
is
equally
important
and
we're
being
able
to
maintain
that
status.
C
But
we
still
absolutely
have
so
much
more
work
to
do
and
she's
been
given
absolute
latitude
in
terms
of
the
resources
she
needs
to
get
it
done
and,
as
I
said,
the
magnitude
was
over
a
thousand
additional
support
staff
in
that
space
and
they'll
continue
to
improve
I
think
every
hour.
The
hour
every
day
every
week.
C
D
Thanks
again
for
the
question:
yes,
1.5
million
serologic
tests
that
we
discussed
as
soon
as
avid
release,
they're
fda-approved
serologic
tests
that
we
we'll
be
receiving
for
the
state
of
California
that
is
above
and
beyond
resources
that
might
go
to
a
specific
hospital
or
lab
in
California.
We
plan
to
use
those
first
and
foremost
to
understand
the
prevalence
of
disease
across
the
state.
We
know
that
any
accurate
movement
forward
with
modification
of
the
state
or
order
requires
us
to
understand
who
might
have
been
infected
in
the
past.
D
We
say
with
caution
that
we
know
we
can't
use
it
today
as
a
diagnostic
tool.
We
all
look
forward
to
the
day
when
a
seer
logic
test
can
confer
immunity.
Just
like
we
depend
on
other
tests
with
other
communicable
diseases
to
say
so,
and
so's
immune
they've
been
exposed.
They
can
safely
go
into
their
communities
without
either
the
risk
of
being
infected
or
transmitting
transmitting
it
to
others.
D
So
as
that
information
evolved
having
one
and
a
half
million
tests
in
California
so
that
we
can
use
it
in
the
responsible
way,
really
puts
California
at
the
forefront
and
prepared
to
use
a
tool
that
we
look
forward
to
being
to
share
share
with
you
more
details
as
that
science
evolves.
But
for
now
focusing
on
prevalence
and
community
will
be
the
role
of
those
tests
across
the
state.
L
Hey,
can
you
obtain
some
more
detailed
picture
for
us
of
what
it
would
actually
look
like
to
test
between
60
and
80
thousand
Californians
every
day
like
would
people
be
going
to
health
clinics
to
get
tested?
Would
we
set
up
sites
in
libraries
and
other
public
places,
and,
and
would
communities
be
allowed
to
reopen
more
quickly
if
they
ramped
up
their
testing
numbers
faster
yeah.
C
All
wonderful
questions
and
well
it's
an
opportunity
before
I
bring
dr.
Ghali
up
to
talk
more
specifically
in
their
efforts
with
this
testing
task
force
that
they
put
together.
That
are,
quite
literally,
real-time,
not
just
asking
those
questions,
but
answering
those
questions
to
once
again
highlight
that
we
have
86
additional
sites
that
we
have
procured
and
will
be
set
up,
focused
on
rural
California,
making
sure
that
those
sites
are
targeted
to
low
income
communities.
C
Income
communities
that
have
been
left
out
of
testing
in
the
past
basically
meet
people
where
they
are,
as
opposed
to
asking
to
come
where
we
are,
and
so
part
of
the
dynamic
nature
of
our
testing
is
to
make
sure
we
have
more
sites,
more
options,
more
choice
and
those
options.
Those
choices
in
those
locations,
dr.
Ghali,
can
talk
more
about.
D
Yes,
thank
you
for
the
question.
Absolutely
we
understand
in
the
national
narrative
is
about
being
able
to
ramp
up
your
testing
so
that
we
can,
with
confidence,
preserve
public
health
and
preserve
public
assurance
that
people
can
go
to
activities
that
they're
no
longer
going
to
today,
knowing
that
either
the
people
around
them
could
have
easy
access
to
the
information
that
tells
them
to
either
go
to
work.
Stay
at
home,
go
to
the
grocery
store,
knowing
that
we
can
use
that
as
a
tool
to
prepare
our
state
protect.
Our
communities
is
absolutely
important.
D
The
idea
that
we're
using
all
of
the
above
Hospital
based
testing
site
clinic
based
testing
sites,
what
we're
calling
pop-up
testing
sites,
the
86
that
we're
adding
today
and
the
many
others
across
California
the
whole
notion
is
that
we
need
to
make
it
easy
for
someone
to
get
a
test
right.
So
if
we
can
get
the
information
and
in
easiet
and
is
immediate
way
as
possible,
we
can
equip
and
protect
our
communities
better
and
feel
more
confident
as
we
modify
that
stay
at
home
order.
D
We
also
recognize
that
there's
a
very
important
aspect
of
testing
that
provides
us
an
opportunity
to
protect
those
most
vulnerable
populations
in
those
most
vulnerable
communities
and
making
sure
that
our
efforts
to
build
up
capacity
for
testing
sites
and
collection
in
those
areas
where
maybe
it
won't
come
together.
Naturally,
the
state
wants
to
be
able
to
support
those
local
partners
and
those
communities
to
have
testing
Kapow
today,
not
just
at
a
sort
of
consistent
level,
but
even
at
a
higher
level.
C
And
just
want
to
close
by
saying
the
following:
well,
we
have
a
goal
of
60
to
80
thousand
tests.
We
want
to
blow
past
that
goal.
I
I
deeply
recognize
152
people
tested
per
100,000.
It's
been
some
studies
on
that
number.
That
sort
of
suggests.
That's
where
states
can
land
others
suggest
we
should
be
doing
1
percent
of
our
population
on
a
testing
everyday.
C
That
would
be
closer
to
400,000
tests
on
a
daily
basis.
So
look,
we
have
very
clear
goals,
but
we
also
have
stretch
goals.
I
told
you
about
the
capacity
of
instruments
already
in
the
state
that
we've
identified
to
be
able
to
do
close
to
100,000
tests
on
a
daily
basis.
Our
60,000
goal
is
that
152
per
100,000
population
80,000
is
in
the
range
we
think
we
can
achieve,
but
ultimately
blowing
past,
that
providing
even
more
points
of
access
in
different
modalities.
C
As
doctor
said,
testing,
not
just
the
PCR,
but
really
starting
to
broaden
the
capacity
of
testing
with
the
community
surveillance
in
the
serological
frame
through
using
the
serological
framework
and
serology
broadly
blood
based
testing
also
will
help
amplify
a
broader
understanding
of
the
spread
in
the
second
part
of
your
question
about
how
it
is
a
predicate
to
begin
the
process
of
helping
reopen.
Look,
we
began
last
week
by
laying
out
indicators
a
pathway
strategy
framework
to
begin
to
augment
and
to
modify
the
stay
at
home
order.
Today,
we
announced
the
first
phase
of
modification.
C
No,
we
will
be
back
making
many
subsequent
announcements,
many
that
will
be
impacting
not
just
the
healthcare
delivery
system,
as
we
announced
today,
but
also
different
sectors
of
our
economy,
different
sectors
of
society,
and
no,
it's
not
be
another
week
before
we
connect
on
that
topic,
but
as
always,
we
will
connect
on
noon
tomorrow
and
continue
this
conversation,
always
by
continuing
to
consider
one
another.
Consider
the
stay
at
home
order
as
it
currently
is
drafted.
It
is
working.
We
have
flattened
the
curve.
We
have
created
stability.
It's
allowed
us.
This
first
announcement
continue
to
practice.
C
Physical
distancing
and
we
will
be
making
more
announcements
sooner
than
we
otherwise
would.
If
we
pull
back
too
soon,
those
announcements
will
not
be
forthcoming.
If
we
stay
the
course,
those
announcements
will
be
forthcoming
and
will
do
justice
to
the
incredible
work.
All
of
you
have
done
to
date
again,
stay
home,
stay
healthy
and
stay
connected
more
broadly.
Thank
you.
Everybody
for.