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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.
Dr. Ghaly shares guidance for Halloween safety.
Recorded October 13, 2020.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
C
Good
afternoon
and
great
to
be
with
you
on
another
tuesday
afternoon,
before
we
get
to
your
assignments,
I
want
to
pick
up
on
what
I
think
so
many
people
are
thinking
about.
Yes,
not
just
the
election
but
halloween.
I
have
four
young
kids
who
are
itching
and
ready
to
go.
They've
been
planning
their
costumes
of
an
11
year
old
who's
thinking,
uniquely
about
being
the
nba
bubble.
C
Great
so,
starting
with
the
numbers,
as
we
always
do
today,
we're
reporting
2378
cases
our
seven
day,
average
a
little
higher
than
it's
been
over
the
past
couple
weeks,
but
3
421
cases
reported
on
average
in
the
last
seven
days
the
total
tests.
Again,
the
governor
reminded
you
and
I
have
as
well
the
few
weeks
ago,
the
news
about
low
test
numbers
with
air
quality
and
fires,
really
reducing
the
number
of
sites
up
and
testing.
C
We
also
notably
talk
about
the
hospital
numbers.
Today
we
have
2
226
individuals
who
are
covet
positive
in
hospital
beds
across
the
state.
That's
significantly
reduced
from
our
peak
of
over
7
000
patients
in
hospitals
during
the
summer.
So
all
trends
that
I
think
are
positive,
but
again
with
the
reminder,
in
the
caveat
that
we're
not
out
of
the
woods
and
we're
seeing
a
number
of
increases
across
the
country
and
across
the
world
in
terms
of
cases
hospitalizations
and
deaths,
so
continuing
to
work.
C
But
what's
new
in
that
guidance,
it's
really
talking
about
limiting
the
size
of
any
gathering
that
you
are
planning
to
have
really
we're
asking
you
to
limit
that
to
three
separate
households
so
that
we
contain
and
reduce
the
amount
of
mixing
that
might
be
new.
We're
asking
you
to
keep
those
events
and
activities
to
less
than
two
hours
and
really
that
they
should
be
and
must
be
done
outside
and
again,
as
the
governor
eloquently
said
and
has
said
before,
guidance
here
does
not
mean
go.
C
It
does
not
mean
that
we're
endorsing
or
suggesting
that
small
gatherings
happen.
We
just
want
to
be
able
to
provide,
as
we
go
into
halloween
and
a
number
of
other
holidays,
important
ways
to
reduce
your
risk
so
that
we
make
sure
you
protect
yourselves,
your
families
and
your
communities
as
we
go
into
what
is
going
to
be
a
hard
time
with
covet,
given
flu
given
cooler,
weather
and
much
of
the
increased
spread
that
we're
seeing
across
the
nation
and
the
globe
so
on
to
halloween.
C
Finally,
here
the
halloween
guidance
and
guidance
for
dia
de
los
muertos
celebrations.
You
can
find
this
all
at
the
covet19.ca.gov
website
as
well.
The
highlights
are
that
covid19
continues
to
pose
an
important
risk,
as
we
say,
time
and
time
again,
so
some
of
the
traditional
halloween
celebrations,
such
as
parties,
door-to-door
trick-or-treating,
we
know,
pose
a
high
risk
of
spreading
covid
and
are
therefore
strongly
discouraged,
and
we
suggest
families,
given
this
should
plan
now
on
safer
alternatives.
C
We
also
know
that
the
state
guidance
may
be
supplemented
and
even
local
health
departments
may
have
additional
restrictions
to
what
I'm
sharing
with
you
here.
So
please
check
with
your
local
health
departments,
their
own
web
pages,
to
see
their
own
guidance
for
how
to
have
a
safer,
halloween
celebration.
C
So,
as
we
said
for
so
many
things,
the
safest
way
to
celebrate
is
at
home
with
your
household
or
virtually
virtual
celebrations
create
a
number
of
new
opportunities
for
how
to
celebrate
halloween
we'll
get
to
those
on
the
next
slide,
but
really
celebrating
at
home
here
are
some
fun
ideas.
My
family's
certainly
considering
some
of
these
already
creating
a
haunted
house
or
a
candy
hunt
having
a
scary
movie
night
painting
faces
and
carving
pumpkins
decorating
your
backyard
or
your
home.
C
Whatever
you
have
designing,
face,
masks
that
match
your
halloween
costume,
sharing
treats
with
your
households.
My
kids
are
certainly
asking
how
much
candy,
how
they'll
get
their
candy
this
year
and
their
mom,
and
I
are
working
on
figuring
that
out
exactly,
but
they
will
surely
not
be
denied
of
some
of
it
and
then
enjoying
a
halloween
themed
meal
outdoors
with
your
household
and
up
to
two
others.
This
is
a
great
way
to
remind
yourself
on
the
small
gathering
guidelines
that
I
just
put
out
in
ensuring
that
you
follow
those
as
well.
C
I
mentioned
that
there
are
certainly
some
new
ways
to
celebrate
virtually
that
many
many
people
are
already
sharing
online
costume
contests
and
pumpkin
carving
contests
online.
What
a
fun
way
to
reconnect
with
friends
and
people
that
you
haven't
seen
in
in
some
time
enjoying
halloween
themed
art
at
an
outdoor
museum.
I
know
a
number
of
these
are
popping
up
across
the
state
and
then
car
based
activities,
making
sure
that
you
maybe
do
a
driving
scary
movie
or
tour.
The
halloween
displays
in
your
community
in
your
car.
C
C
Trick-Or-Treating,
obviously,
a
very
important
part
of
our
guidance
and
important
part
that
I
have
said
over
the
last
many
weeks
will
look
different
this
year
throughout
the
state.
So
some
traditional
celebrations,
such
as
the
parties,
costume
parties
and
door-to-door
trick-or-treating,
we
acknowledge,
pose
a
risk
of
spreading
covet
19
and
therefore
are
strongly
discouraged.
C
The
fact
that
positive
cases
are
hard
to
discover
and
probably
really
challenging
to
contact
race
also
pose
challenges
that
we
feel
like
are
too
great,
and
during
this
hard
time
we
know
the
importance
of
halloween.
We
believe
that
we've
outlined
a
number
of
important
activities
can
supplement
and
create
alternatives
in
lieu
of
that
trick-or-treating
that
so
many
people
look
forward
to
again,
hopefully
providing
you
with
those
alternatives
that
allow
us
to
still
have
a
fun
safe
time
for
everyone.
D
D
D
C
Gracias,
dr
chavez,
thank
you
so
much
for
joining
me
today
and
and
really
eloquently
describing
our
guidance
and
then
focus
on
two
important
events
coming
up
that
I
know
many
californians
look
forward
to
each
year
so
really
grateful
to
you,
dr
chavez,
for
your
work
here
today
and
just
your
ongoing
work
in
california
to
protect
communities,
and
especially
your
leadership,
leading
the
testing
task
force
for
the
governor.
I'm
really
grateful
for
for
all
that.
You've
done
so
now,
moving
into
our
blueprint
for
a
safer
economy
and
the
tuesday
tier
update.
C
Just
the
ongoing
reminder
that
this
is
our
approach,
the
slow
and
stringent
approach
for
looking
at
the
criteria
that
help
us
loosen
and
on
occasionally
tighten
restrictions
on
our
activities.
Every
county
is
assigned
a
tier.
We
share
that
information
with
counties.
You
know
earlier
and
release
it
here
today,
based
on
three
important
measures:
the
test,
positivity
rate
in
each
county,
an
adjusted
case
rate
and
then
a
health
equity
metric.
C
So
today,
just
again
reminder
that
we
have
four
tiers,
widespread
purple,
substantial,
which
is
red,
moderate
transmission,
orange
and
minimal,
yellow.
You
can
see
the
different
parameters
for
the
new
case
counts,
those
are
daily
cases
and
then
the
test
positivity
over
a
seven
day
period,
the
new
health
equity
measure.
We
share
that
data
on
the
website,
so
people
can
track
and
understand
how
we
apply
that
to
each
county.
C
So
today
we
have
a
number
of
counties:
moving
from
purple
to
red,
colusa,
county
kern,
county
kings,
san
benito
stanislaus
and
sutter.
Here
I
want
to
just
point
out
that
almost
12
weeks
ago
we
came
to
you
from
san
joaquin,
the
governor
dr
chavez,
and
myself
all
announcing
a
real
focus
on
the
central
valley.
C
That's
alameda
placer
and
santa
clara,
so
two
larger
bay
area,
counties
and
then
sierra
county
moving
into
yellow
I'll
remind
you
that
last
week
we
were
tracking
two
large
counties,
important
counties
in
the
state
that
were
missed
the
threshold
for
their
red
tier
and
were
potentially
being
considered
to
move
back
into
the
purple.
Tier
fresno
county
was
one
of
those
counties.
C
So
with
that
before
we
go
to
reporter
questions,
I
just
want
to
say
during
this
really
important
time
as
we
enter
the
holiday
season
colder
weather
the
reminder
about
not
just
covet
but
flu
that
these
five
important
things
wearing
your
mask.
Maintaining
that
six
feet
of
distance
as
much
as
you
can
washing
your
hands
minimizing
mixing
and
following
our
small
gathering
guidance
and
then
getting
your
flu
shot.
I
know
a
number
of
large
providers
have
sufficient
flu
shots.
We
now
have
a
lot
of
the
smaller
providers.
C
Your
own
personal
physician
may
have
just
gotten
in
stock
their
flu
shot.
So
please
reach
out
to
your
provider
where
you
normally
get
care
and
if
you
don't
have
a
normal
site
of
care,
reach
out
to
your
public
health
department
locally,
to
identify
a
place
to
get
that
flu
shot
and
please
get
it
as
soon
as
you
can.
E
F
F
Progress
and
inspections
of
the
theme
parks
in
order
to
develop
the
guidelines
for
the
same
particular
opening
and
number
two.
If
you
could
comment
on
these
setbacks
that
we're
seeing
in
proven
therapeutic
and
vaccine
research
that
johnson
and
johnson
suspended
their
vaccine
trial,
eli
lilly
just
announced
that
it
is
going
to
suspend
its
trial
for
the
antibody
therapeutic.
C
C
I
mean
this
is
not
unusual.
There
are
plenty
of
important
safety
checks
along
the
way,
the
different
phases
of
development
of
either
a
therapeutic,
a
medicine
or
a
vaccine,
and
the
companies
you
mentioned
doing
what
I
think
is
a
responsible
thing.
Looking
at
the
information
understanding,
what
the
impact
are
on
real
people
and
the
safety
of
a
medication
or
a
vaccine,
and
halting
when
appropriate,
to
understand
where
things
might
have
gone
wrong.
So
nobody
is
adversely
impacted
or
as
few
people
as
possible.
C
H
C
Yeah
so,
like
I
said,
the
two
counties
we
were
tracking
riverside
and
fresno
fresno
met
threshold
riverside
did
not,
but
we
are
working
with
that
county
through
our
tier
adjudication
process,
to
understand
where
their
county
sees
the
data
differently.
How
we
understand
how
that
impacts,
our
movement,
because
obviously
moving
back
in
a
tier,
is
important
for
communities
is
important
for
the
state.
We
don't
want
to
do
it
with
without
a
significant
degree
of
conversation
and
understanding,
so
that
as
we
move
forward,
we
do
all
we
can
to
keep
keep
that
going.
I
Hi,
dr
golly,
my
question
is
based
on
the
fact
that
california
has
been
stable
for
so
many
days,
while
we're
seeing
other
states
starting
to
rise
in
their
number
of
cases.
Is
it
that
the
behavior
here
in
california
has
changed
and
people
are
really
adapting
to
wearing
masks
and
staying
apart?
Or
is
it
just
that
past
the
state
of
seeing
warmer
weather?
What
is
it
behind
it?
That
is
making
things
different
here
in
california?.
C
Well,
I
think
a
number
of
things
each
state
and
and-
and
you
know,
there's
there's
similar
states
that
are
doing
things
similarly
and
there's
others
that
are
quite
divergent
from
what
we're
doing
here
in
california,
we've
chosen
an
approach
that
we
describe
as
slow
as
stringent.
We
wait
for
the
data
to
come
in.
C
We
try
to
understand
how
changes
in
the
level
of
mixing
that's
allowable
in
communities
actually
translates
into
transmission
before
we
do
more
and
we
believe
that's
going
to
be
approach
that
helps
us
get
through
some
of
these
difficult
times
and
ultimately,
we
hope
avoid
turning
small
upticks
in
case
numbers
into
large
exponential
spread.
That
is
the
kind
of
spread
that
I
think
we
all
worry
about.
C
That
we
all
talk
about
is
what
puts
our
health
care
delivery
system
at
risk,
wherein
we
have
some
of
the
worst
outcomes
and
not
just
in
small
numbers
and
larger
numbers.
I
I
believe
that
the
slow,
stringent
approach
is
going
to
help
support
california
to
manage
through
this
stable
period
and
even
as
the
pressure
on
transmission
increases
as
people
go
indoors
and
weather
changes.
I'm
not
going
to
comment
on
every
other
state,
I'm
not
sure
all
of
their
approaches,
but
I
do
know
what
we're
seeing
here
is.
C
What
we
hope
to
maintain
all
of
that
said
is:
it
is
going
to
take
californians
to
continue
to
wear
their
mask
and
I
believe
there
is
more
use
of
mask
wearing.
I
think
a
number
of
people
who
were
early
on
not
themselves
comfortable,
have
told
me
how
they
become
comfortable
wearing
their
mask,
how
they
expect
their
neighbors
and
their
communities
to
wear
their
masks
when
they're
out
that
they
try
to
avoid
high
times
in
certain
outdoor
areas
as
well.
C
So
I
think
we
are
assimilating
conditioning
to
certain
lifestyle
adaptations
that
we
all
know
are
going
to
help
us
carry
through.
So
I
think
it's
a
component
of
both
our
strategy
with
the
blueprint,
as
well
as
the
broad
adoption
in
parts
of
california,
where
we
saw
early
case
mixing
or
rises
because
of
mixing,
maybe
adapting
in
their
behaviors.
J
Good
afternoon,
several
more
counties,
including
the
larger
counties
of
alameda
and
santa
clara
and
the
san
francisco
bay
area,
are
dancing,
but
there
are
several
sovereign
counties,
like
sonoma,
los
angeles
that
don't
seem
to
be
making
progress.
What
are
they
not
doing
to
help
the
spread
that
these
successful
counties
are,
and
if
I.
J
C
Yeah
I'll
answer
both
questions
in
order.
So
first,
I
think
a
number
of
counties
are
doing
a
number
of
things
to
get
get
their
handle
on
transmission.
I
will
say
that
in
some
large
counties
that
do
a
great
deal
of
testing
they're
going
to
find
cases
and
they're
going
to
continue
to
use
that
case,
finding
as
a
way
to
box
in
the
virus
and
really
reduce
transmission,
so
each
county
is
slightly
different.
C
We're
going
to
see
these
numbers
stabilize
and
come
down,
and
I
think
that
many
counties,
including
the
two
that
you
mentioned
sonoma
and
la,
are
making
good
progress,
we're
working
closely
with
their
public
health
leaders
who
are
sharing
with
us
some
great
best
practices
on
reaching
communities
that
are
disproportionately
impacted
and
really
getting
a
handle
on
the
virus.
So
I
look
forward
to
those
two
counties:
continuing
their
progress
and
moving
forward.
C
I
think
that
it's
fair
to
make
some
comparisons
across
different
parts
of
the
state
and
there
will
be
some
meaningful
differences,
but
I
will
tell
you
that
in
each
county
it
is
sort
of
an
up
and
down
and
they're
all
working
through
it
in
their
own
unique
ways
with
the
support
of
the
state
and
their
local
public
health
leaders,
elected
leaders
really
helping
support
what
happens
in
each
of
those
places
as
it
relates
to
the
death
counts.
We
always
knew
that
deaths
are
the
most
lagging
indicator.
C
Also,
there
is
quite
a
bit
of
delay,
sometimes
between
coroners
reporting
deaths,
the
cause
of
death,
so
they
do
some
of
the
deaths
that
we've
reported
over.
The
past
couple
of
weeks
happened
in
fact
two
months
ago
and
just
took
time
to
be
reported.
We
knew
that,
as
we
saw
that
summer
surge
that
we
would
see
a
high
number
of
deaths
at
some
point,
and
we
did
see
that
I
think
what
you're
seeing
over
the
past
week
is
a
reduction
in
the
number
of
deaths
to
a
much
lower
expected
number
on
a
day-to-day
basis.
I
C
Well,
certainly,
I
mean
you
know
it's
such
an
important
day
and
you
know
a
lot
of
counties
are
themselves
putting
out
their
guidance
and
we
want
to
make
sure
that
we're
supporting
californians
across
the
state
during
what
is
the
beginning
of
an
important
season
in
time.
So
the
strong
recommendation
that
discourages
trick-or-treating
is
sort
of
the
the
the
guidance
and
where
we
are,
I
think
some
people
wonder
well.
Does
that
mean
that
it's
absolutely
banned?
This
is
a
recommendation.
C
Does
that
mean
that
trick-or-treaters
there'll
be
some
enforcement?
Absolutely
not.
We
don't
wanna
turn.
Certainly
what
is
a
celebration
in
a
time
of
joy
and
something
that
is
difficult
or
contentious,
but
we
also
recognize
the
need
to
provide
clear,
a
clear
understanding
about
the
risks
and
why
we
recommend
strongly
that
we
do
halloween
differently
than
we
have
in
the
past.
K
K
C
Yeah
angela,
thank
you
for
the
question
really
important
question
and
you
articulated
it
quite
well.
The
first
thing
I'll
say
is:
the
guidance
does
not
mean
go
the
governor
said
it
yesterday.
I'm
certainly
trying
to
emphasize
it
here
today
that
we,
we
believe
and
still
really
support
the
messaging
that
you
know.
Spending
time
with
your
household
alone
is,
is
the
way
that
we
can
reduce
transmission
the
best.
C
Following
the
rules
of
wearing
your
mask,
keeping
physically
distanced
washing
your
hands,
asking
anybody
in
any
of
those
households
who
might
have
a
cold
or
runny
nose
or
sore
throat
or
a
fever
to
stay
home
and
avoid
it
to
make
sure
that
they're
short
in
duration.
All
of
those
things
are
really
tips.
I
think
acknowledging
that
we
all
need
our
tools
to
get
through
this,
that
we
all
need
tools
to
reduce
risk,
protect
ourselves
and
our
family.
L
C
Yeah
so
I'll
deal
with
both
of
those
sophia.
Thank
you
for
both
questions
on
the
first
one.
You
know
the
business
sectors
have
guidance.
We
are
asking
that
they
they
do
recognize
and
follow
this
guidance.
I
think
I
think
a
number
of
business
owners
and
sectors
recognize
how
important
it
is
to
keep
businesses
open,
that
we
do
all
we
can
to
reduce
transmission
and
avoid
additional
mixing
beyond
what
we
do
in
the
normal
course
of
business.
That's
allowable
sector
by
sector.
C
So
certainly,
my
hope
is
that
those
sort
of
planned
activities
of
the
past
that
we
take
a
year
pause
on
those
and
that
we
avoid
them
as
much
as
we
can
as
it
relates
to
other
counties
and
the
fact
that
many
have
already
put
out
some
guidance.
The
state
is
always
putting
out
the
guidance
that
counties
can
be
more
restrictive,
but
not
less
restrictive
around.
G
L
G
C
Oh
sure,
thanks
for
both
questions
victoria,
so
on
the
first,
not
every
county
that
is
missed.
A
threshold
in
our
tier
system
has
asked
for
a
discussion
about
their
data.
We
make
that
available
to
make
sure
that
we
have
an
accurate
reflection
of
what's
going
on
on
the
ground,
because
of
the
reason
that
if
a
county
does
move
back,
we
recognize
how
important
that
is
for
the
county,
for
the
communities,
for
the
businesses
and
for
all
the
people.
So
it
isn't
an
automatic
thing
riverside
requested
it.
C
We
honored
it
and
we
immediately
enter
into
the
conversations
about
some
of
the
questions
that
they
have.
Not
every
county
has
asked
for
it,
but
whenever
they
do,
we
believe
it's
the
right
thing
to
enter
into
that
conversation
and
understand
it
understand
the
perspective
of
the
county,
their
leadership,
their
public
health
team,
and
we
do
require,
though,
that
this
is
resolved
rather
quickly,
no
longer
than
a
week
to
really
work
through
the
questions
before
really
finalizing
that
tier
assignment.
So
no
it's
not
an
automatic
and
yes
it
does.
C
It
does
sort
of
have
some
parameters
on
how
the
process
the
process
will
go
in
terms
of
the
vaccine
safety
committee
that
you're
alluding
to
we
are
putting
together
the
names
of
who
will
be
on
that
committee
and
once
it's
established,
it
will
be
made
public
and
their
charge
and
mission
will
be
clarified
there
with
our
cdph
team
on
the
website.
So
it's
not
there
yet,
but
certainly
in
the
works
as
we
all
prepare
to
respond
to
the
fda
and
the
feds
as
they
move
forward
on
developing
a
vaccine
for
the
nation.
C
So
with
that,
I
just
want
to
always
thank
the
reporters
for
the
thoughtful
questions.
I
know
it
helps
a
number
of
listeners
also
to
hear
a
bit
about
what
communities
and
counties
are
concerned
with.
I
appreciate
all
of
you,
as
we
enter
into
the
weeks
before
halloween
and
then
into
to
the
other
fall
holidays
and
winter
holidays.
Just
thank
you
all
for
continuing
to
work
with
us.
I
know
it's
difficult,
but
40
million
strong
we've
done
it
before.