►
Description
Governor Gavin Newsom provides an update on the state's response to the COVID-19 pandemic.
Recorded December 3, 2020 in Sacramento, California.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus
B
Well,
good
afternoon,
everybody
I
wanted
to
update
you
now
for
the
second
time
this
week
on
where
we
are
as
a
state,
more
broadly,
where
we're
going
as
a
nation
as
it
relates
to
this
pandemic.
We'll
start,
as
is
familiar
with
case
numbers,
that
we're
reporting
from
the
last
24
hours.
You
can
see
that
yesterday
we're
reporting,
18
591
new
cases
of
covet
19..
That's
an
average
now
north
of
15
fifteen
thousand
one
hundred
twenty
one,
the
seven
day
average
among
the
highest.
B
We
have
seen
since
the
beginning
of
this
pandemic,
the
effects
of
thanksgiving
they
have
not
yet
been
felt.
They
will
be
felt
in
a
number
of
weeks.
Dr
fauci,
I
think
said
it
best.
He
says
we
should
anticipate
a
surge
on
top
of
a
surge.
Take
a
look
at
what's
already
been
happening
again.
These
are
pre-thanksgiving
numbers.
The
14-day
positivity
rate
has
grown
from
5.2
percent.
Now
to
7
the
7-day
positivity
rate,
even
higher,
you
can
see.
B
Hospitalizations
now
have
increased
86
percent,
just
in
the
last
14
days
and
icu
admissions
67
over
a
similar
period
of
time.
We've
seen
death
rate
increase
significantly
over
the
course
of
the
last
number
of
weeks.
Just
take
a
look
at
this
slide.
A
month
ago,
on
november
2nd,
we
reported
tragic
loss
of
14
lives
related
to
this
pandemic.
B
In
the
last
24
hours,
similar
to
the
previous
24
hours,
we've
reported
back
to
back
days
with
113
deaths,
just
in
the
last
14
days,
close
to
1
000
californians
have
lost
their
lives
due
to
covet
19..
The
bottom
line
is:
if
we
don't
act
now,
our
hospital
system
will
be
overwhelmed.
If
we
don't
act
now,
we'll
continue
to
see
a
death
rate,
climb,
more
lives
lost,
and
that's
why
today
we
are
pursuant
to
the
blueprint
we
put
out
some
14
or
so
weeks
ago,
pulling
that
emergency
break.
B
Today,
we're
announcing
and
introducing
a
regional
stay-at-home
order
in
the
state
of
california,
fundamentally
predicated
on
the
need
to
stop
gathering
with
people
outside
of
your
household
to
do
what
you
can
to
keep
most
of
your
activities
outside
and,
of
course,
always
most
important
on
pharmaceutical
intervention
that
is
wear
face,
coverings,
wear
a
mask:
here's
what
we
are
introducing
today,
regions
where
the
icu
capacity
is
falling
below
15
percent.
B
We
are
now
mandating
that
we
are
implementing
a
stay-at-home
order
for
three
weeks.
These
regions
are
defined
by
this
slide.
We
have
five
regions
in
this
state.
These
regions
are
considered
and
constructed
based
upon
pre-existing
mutual
aid
system
in
the
state
of
california.
You
may
recall
a
number
of
months
back
in
imperial
county.
B
We
had
a
situation
where
their
icus
and
hospitals
were
overwhelmed.
We
had
pre-planned
strategies
for
mutual
aid
in
surge
capacity.
Again,
it's
all
part
of
a
regional
strategy
well
defined
within
the
hospital
and
health
care
delivery
system.
We've
defined
these
five
regions:
northern
california,
greater
sacramento
bay
area,
san
joaquin
valley
and
the
larger
region
in
southern
california.
B
The
bay
area
may
have
a
few
extra
days.
Our
current
projections
suggest
mid,
maybe
late
december,
but
all
within
just
the
next
few
weeks,
our
icu
capacity
in
the
state
of
california
will
drop
in
these
five
regions,
not
just
in
the
aggregate
reminding
you.
None
of
us
live
in
the
aggregate,
but
in
these
regions,
where
we
all
reside,
40
million
of
us,
the
icu
capacity
in
all
of
these
regions
by
the
end
of
this
month
will
drop
based
on
our
current
projections
below
15
in
total
capacity.
B
What
does
the
stay
at
home
order
mean?
What
is
what
is
on
that
list
in
terms
of
augmentation
and
new
protocols
and
new
guidelines?
Take
a
look
here
that
we're
looking
temporary
closure
when
the
region
when
the
region
is
placed
in
the
stay-at-home
category,
the
bars
wineries,
personal
services,
hair,
salons
and
the
like
will
be
temporarily
closed
for
that
three-week
period.
B
Those
sectors
that
will
remain
open
in
this
new
criteria
include
schools,
bars
closed
schools
opened
that
have
received
waivers
with
the
appropriate
oversight
and
safety
protocols
that
we
have
advanced
and
we
demand
in
terms
of
standards,
critical
infrastructure,
broadly
defined.
On
the
previous
guidances,
we
have
put
out
retail
occupancy
20
capacity.
What
we
want
to
avoid
is
concentrating
just
in
large
box
retail,
too
much
of
concentrated
retail
activity
that
actually
would
induce
more
mixing
not
less.
B
Thus,
the
decision
by
our
health
professionals
and
our
advisors,
which
are
ample
we've,
been
reaching
out
across
the
spectrum
for
a
number
of
days
now
to
get
insight
and
valuable
consideration
that
we
put
into
play
made
that
determination
on
retail
and
restaurants
be
open,
continue
to
be
open
for
takeout
and
delivery,
and
I
just
want
to
acknowledge
john
conde.
I
want
to
acknowledge
the
california
restaurant
association
as
a
restaurateur
myself,
as
someone
who
quite
literally
started
right
out
of
college,
opened
a
small
retail
business
and
a
restaurant.
B
I
deeply
empathize
and
I
have
deep
appreciation
for
the
stress
and
the
struggles
our
restaurants
have
had,
and
I
want
to
just
acknowledge
incredible
leadership
of
jot
his
board
of
directors
and
his
team.
I
know
how
difficult
and
challenging
this
is-
and
I
just
want
to
thank
them
for
their
insight
and
for
their
recognition
of
this
current
moment
that
the
state
of
california
is
in
we're
also
establishing
a
framework
where
all
non-essential
travel
is
as
well
temporarily
restricted,
statewide.
B
Here's.
What
we
want
to
emphasize
none
of
us
are
naive.
I
certainly
am
not
of
the
mental
stress
that
all
of
us
are
under
not
just
the
financial
distress
that
many
are
under
and
more
still
with
this
stay-at-home
order,
but
we
want
to
encourage
activity
an
activity
again,
that's
focused
not
indoors,
not
in
congregate
facilities,
not
where
there's
tremendous
amount
of
mixing,
but
outdoors
we
encourage
you.
We
encourage
you
to
take
your
dog
for
a
walk.
We
want
you
to
exercise
and
go
on
a
run
with
a
partner
within
your
household.
B
Go
sledding
these
outdoor
activities
in
the
winter,
to
the
extent,
a
walk
on
the
beach
or
out
in
our
state
parks
or
your
local
parks
is
appropriate.
We
encourage
that
take
a
bike.
Ride,
go
fishing,
those
that
are
learning
to
meditate.
More
and
more,
I
imagine
in
yoga.
We
encourage
those
activities,
so
this
is
really
important
to
take
care
of
your
physical
health
to
take
care
of
your
mental
health
to
get
the
kind
of
exercise,
and
that
is
required
to
get
us
through
this
temporary
moment.
This
is
not
a
permanent
state.
B
B
We
do
not
anticipate
having
to
do
this
once
again,
but
we
really
all
need
to
step
up.
We
need
to
meet
this
moment
head
on
and
we
need
to
do
everything
we
can
to
stem
the
tide,
to
bend
the
curve
and
to
give
us
the
time
necessary
by
bending
that
curve
to
get
those
vaccines
in
the
hands
of
all
californians
all
across
the
state.
We're
doing
everything
in
our
power
as
well,
not
only
to
message
and
the
recognition
and
importance
of
of
mining,
your
mental
and
physical
health,
but
also
to
prepare
and
to
prepare.
B
That
will
not
receive
this
news
very
favorably,
and
I
can
deeply
understand
and
appreciate
that
and
to
make
sure
that
workers,
but
also
impacted
not
just
businesses,
are
also
getting
support,
and
I
just
want
to
remind
everybody
of
what
that
preparation
has
been.
We
have
not
been
sitting
by
idly,
we've
not
been
sitting
by
passively.
B
I
want
to
remind
everybody
of
that
preparation.
You
can
see
here
on
this
slide.
We've
talked
a
lot
about
the
11
facilities
outside
our
healthcare
delivery
system
that
the
state
has
prepared
and
what
we
refer
to
as
warm
status.
Here's
an
update
on
two
of
those
facilities,
one
that
will
be
opening
on
december
9th,
just
in
a
number
of
days,
the
arko
sleep
train
arena
that
could
take
in
over
224
patients.
We
have
the
ability
now,
with
the
current
ready
to
receive
status
in
imperial
valley
college.
B
These
are
the
field
medical
stations
that
we
received
from
the
federal
government
a
number
of
months
ago,
pre-positioned.
These
are
just
two
examples
of
facilities
that
are
ready
to
receive
patients
and
are
ready
to
move
from
warm
status
into
active
capacity
in
terms
of
their
ability
to
receive
patients.
Here
is
a
list
of
nine
additional
facilities.
B
So
these
are
the
11
pre-positioned
search
facilities
that
are
in
warm
status
all
up
and
down
the
state
and
as
we
move
to
the
stay
at
home,
as
we
see
the
significant
increase
in
icus
and
hospitalizations
and
deaths
in
the
state
of
california,
we
are
moving
from
warm
status
to
more
active
status.
Accordingly,
I'll
remind
you
of
our
efforts.
Over
600
million
pieces
of
ppe
have
already
been
distributed
in
addition
to
those
600
million.
This
is
our
current
status
of
inventory.
B
I
noted
on
monday
that
california,
just
as
one
state,
has
40
million
more
masks
than
the
national
stockpile,
the
united
states
itself.
We
have
been
doing
a
lot
to
prepare
for
this
moment
and
to
appropriate
ourselves
to
the
highest
level
in
terms
of
accessing
amount
of
available
ppe
that
we
possibly
can
procure
and
that's
ppe
that
runs
the
spectrum,
not
just
in
95
masks
and
surgical
and
procedure
masks.
B
But,
as
you
can
see
here,
gloves
gowns
face
shields
and
the
like
over
half
a
billion
mass
masks
face
shields
and
the
like
all
part
of
our
current
cash
and
inventory
and
speaking
of
inventory,
I
wanted
to
update
all
of
you
on
the
availability
of
ventilators
critical
when
we
talk
about
icus
really
talking
about
personnel
and
we're
talking
about
ventilators,
of
course
space,
but
at
the
end
of
the
day,
ventilators
and
healthcare
professionals,
ventilators
we've
been
very,
very
active.
B
You
can
see
here
on
this
slide
over
21
000
ventilators
in
the
state
of
california,
available
for
use
today
close
to
7
000
within
the
hospital
system,
the
health
care
delivery
system.
But
in
addition
to
that,
we
have
been
very
aggressive
in
the
last
six
months
and
procuring
and
purchasing
over
14
000
ventilators
that
are
now
in
our
state
inventory.
So
it
gives
you
a
sense.
We've
never
been
this
abundant
in
terms
of
available
vent
resources,
and
this
is
profoundly
important.
As
you
can
recall.
B
Back
in
march
and
april,
the
issue
of
ventilators,
the
lack
of
accessibility,
was
so
acute
that
california
was
actually
sending
to
five
different
states.
Some
of
our
excess
inventory
in
order
to
help
those
states
during
that
time
of
acute
crisis
and
that
first
wave
and
that
first
surge,
which
again
california,
was
able
to
avoid
you
were
able
to
avoid
because
of
your
astounding
work.
40
million
of
you
met
that
moment
and
we
bent
the
curve
in
the
beginning.
B
Let's
take
that
same
spirit
in
that
same
capacity
and
make
sure
that
we
meet
this
moment
as
well
in
this
third
and
what
we
hope,
final
surge
as
it
relates
to
businesses.
I
reminded
many
of
you
on
monday
that
this
state
has
been
active
in
providing
supports
and
relief
for
small
businesses
and
median
size
businesses.
We
did
so
in
last
year's
budget,
and
we
also
announced
on
monday
some
new
proactive
efforts
in
support
and
in
council
and
cooperation
with
the
california
legislature,
which
has
been
extraordinarily
responsive
at
this
critical
moment.
B
We
are
extending
the
ability
to
what
we
refer
to
as
float
those
dollars
that
are
otherwise
due
to
the
state
and
allow
the
businesses
that
are
being
impacted
by
the
stay-at-home
orders
and
by
this
pandemic
to
take
advantage
and
utilize.
Those
dollars
for
more
pressing
needs
billions
of
dollars
available
in
these
tax
deferrals,
and
I
want
to
remind
businesses-
take
advantage
at
this
moment
of
this
critical
capacity
to
provide
resources.
Allow
you
to
utilize
and
float
those
dollars
before
they're
due
to
the
state.
B
We
also
provided
this
hundred
million
dollar
main
street
tax
credit.
I
will
encourage
folks
to
take
advantage
of
this
for
one
reason,
one
reason
alone:
that's
a
hundred
million
dollars
in
just
in
the
last
48
hours.
You
can
see
on
the
bottom
of
this
slide.
B
Almost
2500
businesses
have
already
applied,
and
that
represents
close
to
21
billion
of
the
hundred
million
dollars
in
tax
credits
thousand
dollars
per
qualified
employee
tax
credit
and
up
to
a
hundred
thousand
dollars
for
each
business
employer.
So
please,
if
you're,
a
small
business,
a
medium-sized
business,
if
you
know
a
small
business,
men
or
women,
please
encourage
them
to
go
to
the
covit
19.ca.gov
website.
B
Covid19.Ca.Gov
website
to
learn
more
about
how
they
can
take
advantage
of
this
hundred
million
dollar
hiring
tax
credit.
We
also
announced,
as
I
noted
a
moment
ago,
on
monday,
a
500
half
a
billion
dollar
covet
relief
package.
This
is
25
000
grants
up
to
25,
000
grants
and
because
of
leadership,
the
legislature.
B
These
are
not
just
for
small
businesses.
A
number
of
key
legislative
leaders
made
the
point
that
we
needed
to
do
more
for
non-profits
and
for
cultural
institutions,
and
I
thank
them
for
that
insight
and
for
that
support
our
non-profits
are
critical.
Our
cultural
institutions
are
part
of
what
makes
life
worth
living,
meaning
what
makes
our
quality
of
life
so
special
here
in
the
state
of
california,
and
they
need
critical
support
as
well
again
go
to
the
covid19.ca.gov
website
to
learn
more
about
how
you
can
access
these
emergency
grants,
which
we
just
made
available
this
week.
B
B
Well,
that's
why
we
created
this
california
rebuilding
fund,
this
first
loss
program,
this
first
lost
fund,
which
leverages
additional
private
sector
money,
but
we're
trying
to
get
that
125
million
dollars
of
low
interest
loans
out
to
those
of
you
that
may
fall
through
the
cracks,
and
these
are
loans
up
to
a
hundred
thousand
dollars,
not
insignificant,
again
cova19.ca
website
to
learn
more
about
how
to
take
advantage
of
that
and
I'll.
Just
close
on
the
business
front,
to
remind
everybody
that
we
are
just
getting
started
in
terms
of
the
business
relief
and
business
support.
B
We
are
looking
across
sectors,
particularly
those
sectors
being
disproportionately
impacted
by
this
stay-at-home
order
and
by
subsequent
tiered
guidelines
and
impacts
based
upon
our
four-tiered
status,
which
is
well
defined
in
the
state.
We
recognize
over
the
last
number
of
months,
the
limitations
and
capacity
limitations
in
terms
of
doing
everything
that
traditionally,
you
were
able
to
do
to
secure
more
support,
more
revenue
and
provide
for
not
only
your
business
but
your
family
and
your
employees.
B
We
need
to
look
at
waiving
fees
and
look
at
impacted
industries
in
a
much
more
comprehensive
way,
and
we've
begun
that
process
working
with
the
legislature
getting
their
input
and
ideas
and
putting
together
next
year's
budget
in
real
time,
and
we
will
be
making
decisions
early
action
in
january,
working
with
the
legislature
to
advance
more
supports.
B
All
of
this
again
that
we
announced
this
week
is
a
bridge
to
get
us
into
january,
and
certainly
a
bridge
when
we
see
what
the
federal
government
puts
together
and
I'm
more
more
encouraged
by
some
of
the
activity.
B
Even
since
the
beginning
of
this
week,
in
terms
of
the
bipartisan
efforts
that
are
occurring
in
washington
dc,
we
they
simply
cannot
happen
soon
enough
and
they're
critical
in
terms
of
helping
support
our
businesses
during
this
very,
very
challenging
next,
not
just
three
weeks
but
likely
next
month
month
and
a
half,
maybe
as
much
as
two
months
talk
about
businesses.
We
talk
about
preparing
our
health
care
delivery
system
for
a
surge.
B
We
cannot
forget
our
workers,
and
I
just
want
to
remind
folks
those
of
you
that
are
working
that
may
have
been
exposed.
You
may
have
been
quarantined
or
been
requested
to
isolate.
I
want
to
remind
you
that
we
put
together
very
comprehensive
package.
I
dare
say
that
few
states
in
the
country
did
more
in
terms
of
sick
leave
in
terms
of
workers,
compensation
in
terms
of
access
to
health
coverage
and
expansion,
hoping
it's
critical
people
take
advantage
of
these
programs
they're.
B
These
programs
are
only
as
good
as
they
are
available
and
people
are
knowledgeable
about
them,
and
so
these
expanded
supports
for
workers
have
been
advanced.
They
are
the
law
and
we
encourage
people
to
take
advantage
of
them,
including
parents.
I've
got
four
young
children,
they
are
doing
distance
learning
because
their
school
shut
down
was
shut
for
some
time
opened
very
briefly,
shut
back
down
again.
B
Child
care
is
very,
very
challenging
for
families,
particularly
for
workers,
essential
workers
that
have
to
go
to
work
and
yet
still
have
their
kids
at
home
that
they
also
have
to
attend
to,
and
that's
why
we
have
the
mychildcare.ca.gov
website
mychildcare.ca.gov
website,
where
we
have
created
this
portal
to
provide
more
information
and
more
supports
for
child
care,
particularly
for
essential
workers.
Just
want
to
remind
people
of
what's
out
there,
and
these
very
very
critical
supports
nothing
more
important,
perhaps
than
housing
remind
folks
as
well
that
we
extended
with
the
leadership
california
legislature.
B
We
were
able
to
procure
unprecedented
number
of
hotel
rooms
for
individuals
living
in
congregate
facilities
and
out
in
streets
and
sidewalks
and
underpasses
individuals,
and
have
been
homeless
over
22
000.
We've
gotten
off
the
streets
through
our
project
room,
key,
we're
looking
to
extend
the
room
key
program.
Not
just
forgive
me.
I
confuse
folks
with
this
the
home
key
program,
which
is
the
permanent
program.
We
provided
835
million
dollars
to
procure
units
moving
forward
room
key,
though
nonetheless,
continues
to
operate.
B
It's
on
a
month-to-month
basis,
getting
reimbursements
from
fema
we're
working
aggressively
with
the
new
administration,
the
binding
administration,
to
get
more
clarity,
so
that
counties
feel
more
comfortable,
extending
the
room,
key
model
and
feeling
confident
that
it
will
extend
beyond
the
end
of
this
calendar
year.
We
also
been
doing
a
lot
to
protect
and
support
our
farm
workers,
talk
about
essential
workers,
not
just
in
the
central
valley,
but
also
on
the
central
coast
and
other
parts
of
our
state,
and
also
taking
care
of
the
most
important
workers
and
those
are
our
health
care
workers.
B
We
have
asked
so
much
of
our
frontline
healthcare
workers
and
we're
asking
them
now
for
more
still,
and
this
is
profoundly
proudly
challenging
and
that's
why
we
have
provided
hotel
rooms
and
stipends
and
debit
cards
for
our
hotel
workers,
and
we
want
to
just
thank
philanthropy
for
really
stepping
up
in
that
space
and
being
supportive
and
we're
looking
for
more
philanthropic
support
and
we're
going
to
look
to
build
on
all
of
these
things.
In
the
coming
days,
weeks
and
certainly
months,
food
resources
have
also
become
top
of
mind
issue
as
any
holiday.
B
We
always
focus
on
those
in
need
around
thanksgiving
holidays.
We
move
into
christmas
hanukkah
the
rest
of
the
year.
I
just
want
to
remind
people
of
some
of
the
things
this
state
has
done
with
the
incredible
support
again
of
the
california
legislature,
and
that
was
the
expansion
of
our
calfresh
program.
1.8
billion
dollars
of
additional
food
benefits
that
have
already
been
distributed
to
most
vulnerable
californians.
Our
pandemic
ebt
program,
3.7
million
children,
have
benefited.
B
It's
been
very
successful
in
reaching
the
vast
majority
of
folks
across
the
state
in
need
and
our
food
banks
the
heroic
work
of
our
food
banks,
and
I
want
to
thank
josh
friday,
cal
volunteers.
I
want
to
thank
holly
mitchell,
our
budget
chair
and
phil
ting,
budgetary
and
respective
senate
and
assembly
for
their
wonderful
support.
B
Now
recently,
we
did
an
additional
appropriation,
their
leadership
and
support
to
provide
even
more
money
for
our
food
banks,
beyond
which
we
did
in
our
budget
110
million
dollars
we're
going
to
get
diapers
out
there
as
well
and
other
reimbursements
on
food
expenses.
You
can
see
in
that
last
bullet
point
and
this
slide
some
of
that
support,
we're
going
to
continue
to
be
mindful
of
the
needs
of
our
food
banks,
but
I
want
folks
to
know
of
over
100
million
dollars
of
additional
supports
we've
recently
provided
again,
it's
never
enough,
not
naive
cross.
B
The
spectrum
of
all
of
these
supports,
I'm
mindful
that
we
must
do
more
and
we
are
committed
to
doing
so.
But
I
also
am
mindful
of
this,
and
I
wanted
just
to
end
on
an
update
on
the
vaccinations.
Help
is
on
the
way
there
is
light
at
the
end
of
this
tunnel.
We
are
not
in
a
permanent
state.
This
is
a
temporary
state.
This
is
the
third
wave
of
a
pandemic
with
a
vaccine.
B
That's
not
under
development,
a
vaccine
that's
now
being
distributed,
not
by
one
distributor
but
by
many
different
distributors,
and
not
just
pfizer
moderna,
not
just
oxford
vaccine
asparsenica,
but
others
that
are
in
the
queue
that
we've
been
monitoring
through
our
scientific
safety
review
committee
through
our
drafting
work
groups
committee
and
our
community
advisory
committee.
It's
been
working
for
weeks
and
weeks,
months
and
months.
If
you
include
the
office
of
emergency
service
task
force
that
was
organized
around
our
distribution
strategy
for
vaccines.
B
Help
is
on
the
way
vaccines
are
about
to
arrive
here
in
the
state
of
california
in
the
next
few
weeks
and
you'll
be
hearing
good
news
on
top
of
other
good
news.
More
and
more
vaccines
will
be
arriving
january
february
march.
More
and
more
individuals
will
be
availing
themselves
the
opportunity
to
take
the
vaccine.
I
want
to
update
you
on
the
plan,
so
I
mentioned
on
monday
that
we
have
327
000
doses
of
the
vaccine,
that
we
anticipate
receiving
anywhere
between
december
12th
and
december
15th
and
by
the
way
december,
12th
september.
15Th.
B
That's
roughly
a
reason.
We
say
the
second
week
in
december
that
those
days
could
change
a
day
or
two,
but
that's
the
current
plan
in
our
current
anticipation
in
terms
of
the
pro
what
we
refer
to
as
our
phase
1a
protocols
in
terms
of
the
vaccine.
So
we
have
been
very
publicly
been
having
a
drafting
guidelines.
Work
group
meet
with
our
community
advisory
committee
to
really
talk
about
the
nuances,
the
subcategories,
the
sub
prioritizations
that
are
required
with
a
scarce
amount
of
doses,
just
327
000..
B
It's
one
thing
when
you
hear
the
national
news
talk
about
well,
we
broadly
all
agree
that
our
health
care
workers
and
skilled
nursing,
residential
care
and
assisted
living
facilities
should
be
prioritized,
but
that
is
millions
and
millions
of
people.
When
you
only
have
a
few
hundred
thousand
doses
of
vaccine,
it's
doses,
you
need
two
doses.
You
can
cut
that
in
half
in
terms
of
the
total
number
of
people
that
actually
will
be
fully
vaccinated.
B
This
is
our
plan
and
it
is
online,
and
I
encourage
people
to
take
a
look
kovit19.ca.gov
and
we
are
going
to
be
updating
this
online
portal
and
you
are
included
in
these
updates
and
when
I
mean
you,
we
will,
as
we
put
these
plans
out,
be
providing
information
in
detail
in
specific
terms
about
where
you
are
in
the
queue
of
prioritizations,
our
prioritization
for
the
distribution
of
these
vaccines,
the
current
what
we
refer
to
and
what
we
socialized
on
monday
plan.
One
a
has
three
tiers
here.
B
They
are
tier
one,
the
first
vaccines,
the
327
000
doses
of
the
first
vaccines
directly
being
delivered
from
pfizer,
will
go
to
three
tiers
in
six
regions
in
the
state
I'll
get
to
the
regions.
In
a
moment,
tier
one
you'll
see
the
list
here:
acute
care,
psychiatric
and
correctional
facility,
hospitals,
skilled
nursing
facilities,
assisted
living,
similar
settings,
paramedics
ents
dialysis
center.
B
So
you
get
a
sense
of
these
tiers
in
terms
of
our
prioritization
of
distribution
based
upon
the
scarcity
of
the
first
available
doses,
327
thousand,
here's
tier
two
intermediate
care
facilities,
home
health
care
in
home,
supportive
services.
We
refer
to
as
ihss
our
community
health
workers.
You
can
see
others
in
rural
health,
centers,
correctional
facilities,
urgent
care
facilities,
tier
three,
the
three
tiers
in
our
plan,
one
a
I
know
this
could
be
confusing.
B
But
again
all
this
is
available.
Online
covid19,
not
ca.gov.
Tier
3
are
other
healthcare
settings,
specialty
clinics,
lab
workers,
dental
oral
health
clinics
and
pharmacy
staffs,
particularly
working
in
settings
in
those
higher
tiers.
So
that's
the
priority.
This
went
through
the
drafting
work
group.
This
went
through
our
community
advisory.
B
These
are
their
recommendations
based
upon
an
equity
and
fairness
lens.
Looking
at
this
holistically
bottom
up,
not
top
down
and
looking
at
the
nuances
and
looking
at
these
sub
prioritizations
in
terms
of
the
priorities
here
are
the
six
regions,
and
here
are
the
number
of
doses.
In
fact,
I
think
if
I
can
quickly
add
up
it's
roughly
327
600
doses
in
the
first
tranche.
These
are
our
vaccine
regions.
I
distinguish
the
five
areas
in
our
stay-at-home
order
as
distinctive
from
these
vaccination
regions,
which
are
defined
through
our
traditional
vaccination
protocols.
B
B
The
regions
will
be
making
direct
orders
based
upon
the
prioritization
of
these
three
tiers
tomorrow
they
will
be
making
the
orders
directly
from
to
pfizer,
so
tomorrow
the
orders
actually
go
in.
They
go
in
based
on
these
tiers.
Based
on
these
regional
numbers
based
upon
the
sub-prioritization,
that's
plan,
one,
a
that's
our
first
phase
of
distribution,
I'll
remind
you
in
the
subsequent
distributions.
B
We
have
a
unique
distribution
strategy
that
distinguishes
itself
from
pfizer
and
moderna
pfizer
will
directly
distribute
those
vaccines,
moderna
uses
an
intermediary,
mckesson
mckesson.
We
are
working
with
proactively
and
we
will
go
through
a
similar
protocol
in
terms
of
their
distribution
and
our
regional
strategy
and
sub
category
and
sub
prioritization
strategies.
B
B
We
have
reviewed
through
our
scientific
safety
committee
in
concert
with
washington,
state
and
oregon
and
with
some
of
the
world's
leading
experts
that
happen
to
represent
this
11-member
body.
They
have
been
very
active
in
reviewing
the
protocols
and
trials
phase,
one
and
two
working
with
the
fda,
and
they
will
quickly
assess
all
the
available
information
when
it's
made
available
by
the
fda
and
others
for
all.
The
subsequent
vaccines
are
moving
forward,
so
safety
and
efficacy
not
just
speed
and
making
sure
that
we
have
an
equity
lens
and
we
prioritize
the
most
vulnerable.
B
We
will
be
very
aggressive
in
making
sure
that
those
with
means
those
with
influence
are
not
crowding
out
those
that
are
most
deserving
of
the
vaccines,
and
I
mean
to
say
that
those
that
think
they
can
get
ahead
of
the
line
and
those
that
think
because
they
have
resources
or
they
have
relationships
that
will
allow
them
to
do
it.
We
also
will
be
monitoring
that
very
very
closely.
B
We
will
prioritize
and
we
will
expect
that
everyone
in
the
healthcare
delivery
system
is
held
to
the
same
ethical
standard
of
prioritizing.
Truly
those
that
are
most
in
need
and
the
real
heroes
in
this
pandemic
are
frontline
healthcare
workers
and
those
are
the
folks
that
we
must
protect
and
we
must
prioritize
moving
forward.
I
want
to
just
end
this
is
a
curious
way
of
ending
in
october
november
december
that
we
once
again
maintain
our
vigilance
as
it
relates
to
active
wildfires
in
the
state
of
california.
We've
talked
in
the
past
about
wildfire
seasons.
B
I
think
this
is
a
proof
point
we're
in
december,
and
we
now
have
active
wildfires
still
in
our
state.
These
santa
ana
winds
in
the
last
few
days
have
been
quite
intense,
they're
peaking
later
this
afternoon
into
the
early
evening.
We
have
been
monitoring
a
number
of
fires,
one
in
particular
in
orange
county,
the
bond
fire.
It's
zero
percent
contained
6600
acres.
We
did
receive,
and
I
want
to
bring
this
up
just
to
remind
people
importance
of
being
vigilant.
We
had
a
record
dry
october.
B
We
are
now
experiencing
again
significantly
below
average
precipitation
yet
again
in
this
state,
and
that
means
this
active
wildfire
season
continues.
It
gets
extended
if
it's
a
season
at
all
and
we
did
receive
from
the
federal
government
and
I'm
grateful
to
the
administration
to
fema
for
the
fmag
that
was
obtained
and
I'll
just
close
with
gratitude
and
we'll
open
this
up
to
questions.
B
Dr
galley
is
here
and
our
surgeon
general,
as
with
us
as
well,
on
the
behavioral
health
issues
and
and
some
of
the
other
stresses
that
people
are
under
and
she's
available
to
talk
about
that
as
well.
But
I
also
want
to
just
express
my
deep
respect
and
admiration
to
our
firefighters.
B
It
is
not
lost
on
me.
I
had
the
privilege
of
being
in
contact
with
the
head
of
cal
fire
and
the
largest
firefighting
force
of
its
type
in
our
country,
our
firefighters,
your
firefighters,
the
state,
firefighters,
their
union
representative
was
talking
about
the
stress
during
the
holiday
season
of
not
being
able
to
see
their
loved
ones
and
being
on
because
of
all
of
these,
while
this
historic
wildfire
season
and
and
how
they
have
been
under
incredible
pressure
as
well
and
so
again.
B
This
is
now
moving
past,
the
thanksgiving
season
in
the
holiday
season
and
we're
still
asking
more
from
cal
fire
and
all
of
our
firefighters.
Thank
you
and
we
recognize
you
and
we
can't
say
thank
you
enough
for
your
growing
work,
this
wildfire
season
and
all
we're
demanding
of
you
during
the
holiday
season.
I
know
how
difficult
is
for
you
and
your
families
as
well.
B
Forgive
me
a
point
of
personal
privilege,
but
they
just
again
cannot
thank
the
folks
that
are
being
so
selfless
and
sacrificing
so
much
on
all
of
our
behalfs
during
this
very,
very
challenging
and
difficult
time.
So
that's
the
overview,
that's
the
update.
I
just
want
everyone
to
know.
This
is
time
limited
it's
based
upon
the
facts.
B
It's
based
upon
what's
happening
on
the
ground.
It's
based
upon
epidemiology,
it's
based
upon
the
transmission
rates.
It's
based
upon
what's
happening
by
regions,
it's
based
upon
what's
happening
within
our
hospital
care
delivery
system,
particularly
our
icus.
These
are
transparent
triggers.
These
are
triggers
that
will
impact
all
of
us
across
this
state,
but
they
are
limited
in
scope
and
time
we
will
get
through
this.
This
is
the
final
surge.
We
have
a
light
at
the
end
of
the
tunnel
with
these
vaccines,
but
we
need
to
take
seriously
this
moment.
B
B
Lives
will
be
lost
unless
we
do
more
than
we've
ever
done.
We're
being
asked
we're
being
called
to
do
everything
in
our
power
to
make
kind
of
tough
decisions
that
are
required
at
this
moment
to
get
through
the
next
number
of
weeks
to
get
through
the
next
few
months,
and
we
will
enjoy
another
side
of
this.
We
will
be
resilient
and
we
will
recover
as
a
state
and
all
of
us
will
be
rewarded
by
knowing
we
saved
lives
of
loved
ones.
B
We
save
lives
of
strangers
and
we
did
our
best
to
mitigate
the
spread
of
this
virus,
to
diminish
the
acute
acute
surge
that
we're
currently
experiencing
and
bending
that
curve
buying
us
the
time
to
vaccine
and
that's
what
we're
all
being
called
to
do
and
I'm
grateful
to
all
of
you
humbled
by
this
responsibility
task.
I
I'm
not
naive
about,
what's
being
asked
of
you,
I'm
not
naive
about
the
pressure
and
stress
that
you're
under
I'm
not
naive
about
the
impact
this
has
on
your
dreams,
particularly
small
businessmen
and
women.
B
I
have
deep
respect,
admiration,
appreciation
for
all
of
you
and
one
do
everything
in
our
power
to
be
there
and
be
supportive
through
these
difficult
and
challenging
times.
So
with
that,
of
course,
we're
happy
now
to
answer
any
questions.
D
Hi
governor,
you
know
you
and
the
state
and
the
counties
have
been
tightening
restriction
for
weeks
now,
yet
cases
are
continuing
to
go
up.
So
how
do
you
ensure
that
putting
in
place
this
order,
shutting
down
more
businesses
doesn't
just
encourage
more
gathering
inside
homes?
You
know
what
evidence
do
you
have
that
shutting
down
things
like
barber
shops
is
actually
going
to
achieve
what
you
want
and
then,
secondly,
have
you
considered
asking
hospitals
to
suspend
elective
surgeries
to
free
up
space
and
resources.
B
In
the
last
72
hours,
we've
had
very
detailed,
comprehensive
direct
conversations,
hospitals,
large
and
small
dignity,
kaiser
sutter
others
by
region
all
up
and
down
the
state.
They
are
already
actively
proactively
suspending
surgeries,
elected
surgeries
and
the
like,
based
upon
conditions
on
the
ground
based
upon
trend
lines.
So
that's
already
occurring
the
evidence.
B
So
that's
the
evidence
and
it
was
overwhelming
that
data,
the
facts
and
the
results
of
that
original
effort,
and
that's
what
we're
being
asked
to
do
now.
We're
taking
this
to
a
whole
nother
level,
we're
moving
past.
Just
a
curfew.
Conversation
we're
looking
past
just
a
few
sectoral
modifies
modifiers
we're
really
looking
for
people
to
do
their
best
to
restrict
the
kind
of
activity,
kind
of
gatherings
which
you
say
may
occur,
we're
encouraging
people,
we're
really
empowering
people
not
to
have
those
gatherings
and
that's
the
new
order.
B
Those
are
the
new
guidelines
and
avoid
the
mixing
and
do
our
best
to
mitigate
the
spread.
But
with
that,
let
me
ask
as
well
dr
gali
to
amplify
or
perhaps
provide
additional
thoughts
and
insight
based
upon
your
very
thoughtful
question.
E
Yeah
governor,
I
think,
as
you
said,
and
I
appreciate
the
question
and
I
just
want
to
begin
by
saying
we
recognize
the
gravity
and
the
importance
of
this
moment
and
what
is
being
asked
of
all
californians
and
as
we've
done
before,
in
coming
together
and
reducing
transmission
through
our
own
actions,
not
just
how
to
mix
safely,
as
we've
been
talking
about
over
the
last
many
months,
but
with
nearly
four
times
the
rate
of
transmission
going
on
in
our
state
that
we
had
just
six
weeks
ago.
E
It's
time
that
we
actually
limit
our
movement
and
really
get
this
transmission
down.
So
that's
what
this
is
about.
It
isn't
about
a
single
sector
bisector
and
where?
Where
is
that
spread
happening
specifically?
But
we
know
that
by
reducing
our
overall
movement
and
mixing
for
a
short
period
of
time,
we
can
get
the
gains
that
we
need
to
bend.
This
curve
move
out
some
of
those
distressed
moments
in
our
hospitals
and
as.
A
E
Governor
said
to
save
lives,
now
the
evidence
we
have
our
own
experience
with
this
we've
seen
other
states
achieve
similar
reductions
in
transmission
and,
frankly,
we
look
to
europe.
E
They've
always
been
a
couple
of
weeks,
if
not
a
couple
months
ahead
of
some
of
the
experiences
in
the
u.s
and
they
have
had
their
own
experiences
of
little
by
little
tightening
restrictions
and
then
finally
moving
to
something
more
significant,
even
if,
for
a
short
period
of
time,
reducing
transmission
by
you
know,
30
35,
sometimes
even
more
in
the
most
heavily
impacted
areas
because
of
similar
types
of
interventions.
E
So
it
is
about
timing,
it's
about
doing
it
now,
especially
when
we
see
an
erosion
of
that
icu
capacity.
That's
those
staffed
beds.
We
know
that
hospitals
have
built
up
a
tremendous
amount
of
physical
space
capacity.
The
ventilators
as
the
governor
mentioned,
plus
all
of
the
medications
and
the
other
tools
that
allow
us
to
take
care
of
very
sick
individuals.
But
it
is
a
staffing
issue.
E
And
so
I
think
the
evidence
is
there
with
these
much
more
broad-scale
interventions
and
asking
it
to
be
triggered
only
when
we
know
that
the
hospital
system
is
vulnerable
in
a
way
that,
frankly,
california
can
do
better
than
that.
So
that's
why
we're
asking
for
this
today,
and
certainly
the
evidence
points
that
this
is
a
tool
that
can
be
successful.
F
Thank
you.
I
wanted
to
ask
about
vaccines.
Hhs
says
it
expects
40
million
doses
of
the
two
coveted
vaccines
will
be
ready
for
distribution
by
the
end
of
december.
So
then,
why
is
california
only
getting
327
000
doses.
B
Because
that's
the
that's
the
current
available
number
of
doses
from
the
first
distributor
and
that's
first
manufacturer
and
that's
pfizer,
we
will
be
receiving
information
around
second
round
of
doses
from
pfizer
very
very
shortly.
The
only
information
we've
received
to
date
is
that
first
tranche
327
thousand.
We
will
have
that
number
we'll
update
you
once
we
receive
it
in
a
very
transparent
way,
moderna
still
waiting
for
approval
once
they
have
approval
as
well.
B
They
will
have
more
clarity
in
terms
of
availability
of
doses,
so
you've
heard
numbers
in
the
past
by
the
way
we've
had
working
numbers
that
were
provided
by
the
cdc
in
the
dod
that
were
estimates
as
well.
That
40
million
is
an
estimate,
but
we
will
provide
you
details
once
we
receive
that
information
from
the
manufacturers
through
mckesson
through
pfizer
and,
of
course,
johnson
there's
so
many
others
that
are
in
the
queue
and
we're
looking
forward
to
that
information
be
made
public
as
soon
as
we
receive
it.
G
Hi
governor,
so
when
you
advise
for
a
stay-at-home
order
a
couple
of
weeks
ago,
several
law
enforcement
agencies
said
they
wouldn't
be
enforcing
a
curfew
or
responding
to
gatherings.
How
do
you
plan
on
enforcing
a
stricter
stay-at-home
order?
This
time?
Is
there
a
new
approach
to
local
governments
that
announce
they
will
defy
orders
and
also
we're
just
three
weeks
ago
for
three
weeks
away
from
holidays?
G
B
B
We're
seeing
overwhelming
support
for
enforcement,
we're
seeing
a
few
exceptions,
a
few
folks
that,
just
you
know
don't
I
mean
some
just
don't
necessarily
believe
this
is
a
serious
pandemic
still,
which
is
remarkable,
some
that
have
expressed
that
actually
tragically
come
down
with
covet
themselves
and
are
experiencing
their
own
health
effects,
which
is
is
unfortunate
as
it
relates
to
enforcement,
though
I
should
note
that
we
have
worked
with
csac
and
our
league
of
cities,
and
forgive
me
if
you
don't
know
csac
it's
our
county
partners
and
we
put
together
a
protocol
and
a
process.
B
We
work
collaboratively
with
them,
because
we
didn't
want
to
be
punitive,
but
we
also
wanted
to
be
firm,
and
that
is
we
have
pandemic
relief
dollars
karezak
dollars.
We
have
dollars
that
were
set
aside
specifically
to
address
this
pandemic,
and
we
made
the
point
if
you're
unwilling
to
enforce
the
rules,
if
you're
unwilling
to
adopt
the
protocols
to
support
the
mitigation
and
the
reduction
of
the
spread
of
this
disease,
we're
happy
to
redirect
those
dollars
to
counties
that
feel
differently
and
that's
exactly
what
we've
done.
We've
not
been
shy.
B
We
have
sent
letters
to
counties
that
have
defied
the
orders
and
we
have
withheld
dollars
on
that
basis
as
well.
I
don't
it's
not
something.
We
look
forward
to
it's,
not
a
threatening
point.
It's
just
a
point
of
additional
consideration
as
it
relates
to
addressing
this
pandemic.
But,
as
I
say,
very
small
number
of
people
now
are
in
total
denial
and
I'm
really
pleased
I
saw
down
in
orange,
county
santa
ana
and
others.
B
B
They
went
out
almost
3
500
visits
right
before
thanksgiving
and
they
were
compliance,
visits
they're
not
to
be
punitive
they're,
not
just
to
hit
businesses
whack
them
and
and
find
them
they're,
really
about
getting
people
into
compliance
and
they're
doing
their
part
as
well,
so
both
from
a
sector
perspective
an
industry
perspective
both
on
the
ground
from
a
masking
perspective
at
the
local
level,
some
wonderful
leaders
doing
extraordinary
things
and
a
few
where
we
are
just
encouraging
some
different
behavior
and
we
have
some
tools
that
we've
been
exercising
in
terms
of
encouraging
that
behavior
and
incentivizing
more
enlightened
local
leadership.
B
With
that,
let
me
go
back
to
dr
galley,
because
it's
a
very
important
question.
You
asked
about
the
travel
advisory
we
put
out
and
about
our
recommendations
for
quarantine
that
will
be
updated
as
well
based
upon
the
new
quarantine
guidelines
by
the
cdc-
and
I
think
dr
galles
is
an
opportunity
to
perhaps
socialize
what
the
state
is
looking
to
do
to
perhaps
mirror
and
codify
the
new
quarantine
guidelines
and
how
they
would
impact
travel
as
well
is
just
general
isolation
strategies
in
the
state.
E
Yes,
thank
you
governor
and
thanks
for
the
important
question.
We
have
had
a
travel
advisory
since
really
a
little
bit
before
the
thanksgiving
holiday,
leading
up
to
these
important
weeks
when
people
expect
to
move
around
and
travel
either
by
air
by
car
and
and
we're
asking
people
then
to
consider
canceling
their
travel
plans
now
as
part
of
the
regional
stay-at-home
order
when
a
region
does
cross
the
threshold
and
the
order
is
in
place.
E
We're
actually
asking
you
to
restrict
that
travel,
cancel
plans,
make
sure
that
you
stay
at
home
and
that's
what
we're
asking
you
to
do.
We're
asking
people
to
be
at
home
and
not
mix
and
move.
We
know
that
part
of
what
has
happened
in
california
is
that
a
number
of
people
who
have
traveled
outside
of
our
state
visited
our
state
come
not
benons
to
them
infected
able
to
transmit
covet
to
others,
and
that
is
a
common
way
that
viruses
respiratory
viruses
in
particular
transmit.
E
So
this
is
one
important
tool
to
keep
transmission
low
and
make
sure
that
our
travel
restriction
makes
sense.
It's
part
of
the
regional
stay-at-home
order,
as
well
as
far
as
it
relates
to
quarantine.
We
are
asking
people
who
did
travel
even
over
the
thanksgiving
break
or
a
break
now
coming
back
to
california,
that
they
do
quarantine
appropriately,
based
on
current
guidance,
as
the
governor
mentioned,
the
center
for
disease
control
has
is
updating
their
guidance
on
quarantine,
giving
a
little
bit
more
flexibility,
allowing
it
to
be
shorter
than
it
had
been.
E
Originally
at
14
days,
we
are
working
at
the
state
level
with
our
county
partners
to
determine
exactly
how
that
will
be
implemented
in
california
and
we'll
be
updating
very
soon.
The
exact
changes
to
that
quarantine
instruction
so
that
we
can
implement
it
in
hopes
that,
by
making
it
shorter,
more
californians
will
consider
doing
it.
E
We
know
it's
a
burden
and
it's
a
toll
that
this
is
exactly
a
tool
that
helps
us
reduce
transmission
and
by
shortening
it
we
hope
to
increase
compliance
and
make
sure
that
we
do
use
this
as
an
important
tool
to
reduce
transmission.
So
stay
tuned
on
that
a
lot
of
work
with
our
county
partners
on
it
and
very
soon
we'll
be
updating
that
yeah.
B
E
H
Yeah,
thank
you
governor.
I
know
you
may
want
dr
golly
to
take
a
a
a
crack
at
this
as
well.
But,
first
from
your
perspective,
there
is
a
continuing
criticism.
I'm
sure
you're,
aware
of
that
people
don't
seem
to
understand
some
of
the
data,
some
of
the
science
behind
why
you
might
close
my
local
neighborhood,
hair
salon,
which
has
great
distancing
procedures,
but
you
would
leave
a
lot
of
these
other
stores
open.
You
know
where
we're
closing.
Where
we're
not.
H
I
know
you
have
said
that
some
of
it's
based
on
transmission,
but
there's
a
sense
that
there's
not
enough
data,
there's
not
enough
transparency
of
the
data
by
your
administration.
Is
there
anything
else
you
can
do
to
provide
more
information
to
address
these
criticisms
that
people
don't
understand
what
sectors
are
closed.
What
ones
are
left
over.
B
No,
it's
a
fair
question.
I
appreciate
it
and
and
you're
right
I
I
do
want
dr
ghani
speak
more
to
that,
because
it's
fundamental
in
terms
of
the
work
we've
been
doing
with
local
health
officers
with
our
advisory
committees
with
some
of
our
national
partners
and
advisors
as
well.
Not
just
the
conversations
we're
having
internally
but
the
bottom
line.
John,
is
we
want
to
mitigate
mixing
period,
full
stop.
B
We
want
to
diminish
the
amount
of
mixing
and
we
really
need
to
send
that
message
broadly
and
we
need
to
create
less
opportunities
for
the
kind
of
contact,
an
extended
period,
an
extended
time
of
contact
that
occurs
in
many
of
these
establishments,
and
that's
why
we
are
moving
forward.
We
want
to
encourage
activities
outdoors
not
indoors
and
that's
the
foundational
frame,
that's
the
value
proposition,
so
to
speak,
that
we
are
advancing
in
terms
of
these
guidelines.
B
It's
also
very
consistent
with
what
you'll
see
around
the
world,
as
dr
galley
said
a
moment
ago,
and
as
it
relates
to
very
effective
strategies,
we've
seen
previous
here
in
this
state,
as
well
as
across
this
country.
But
with
that,
let
me
ask
dr
galley
to
talk
more
specifically
about
the
thinking
as
well.
E
Yeah
so
john,
thank
you
for
the
question
and
another
chance
to
reiterate
what
we're
doing
today,
rather
than
get
into
each
specific
sector
and
what
data
we
have
on
each
of
those
which
I'm
happy
to
talk
about
in
a
moment.
Today's
message
is
not
about
how
do
we
mix
safely
it's
about
how
we
reduce
our
mixing
altogether
staying
at
home
until
unless
it's
absolutely
essential
for
you
to
leave
your
home,
we
talked
about
spending
some
times
outdoors.
E
We
think
that
that's
a
great
way
to
stay
healthy,
have
an
emotional
relief
valve
if
you
will-
and
that
is
that
is
consistent
with
the
guidance
we've
given
before.
But
really
the
message
of
the
day
is
as
much
as
you
can
be
at
home:
reduce
your
interactions
so
that
we
can
really
get
this
transmission
rate
down
and
do
it
swiftly
quickly.
E
Have
the
impact
in
our
hospitals
make
sure
that
they're
available
not
just
for
covet
care
and
taking
care
of
individuals
who
are
quite
sick
with
covid,
but
for
our
neighbors
and
family
members
who
have
needs
around
other
emergency
care
or
other
important
health
care
services?
And
so
that
is
certainly
the
message
of
the
day.
Many
of
the
industries
that
you
spoke
about,
john.
I
think
it's
simple.
E
What
we
know
is
that,
where
you
are
not
able
to
mask
entirely
or
consistently
where
they
are
indoors,
rather
than
outdoors,
where
physical
distance
is
difficult
to
maintain
that
each
of
those
activities
which
we've
been
talking
about
for
months
as
relatively
lower
risk,
when
you
can
do
all
of
the
things
that
we've
discussed,
but
today
they're
all
a
little
more
risky
than
they
were
a
month
ago,
and
that's
just
because
we
have
more
covet
in
our
communities
and
it's
able
to
transmit
not
necessarily
more
easily,
but
because
we
have
more
of
it
circulating
in
our
communities.
C
I
Sorry
I
had
that
was
on
mute.
I
just
wanted
to
follow
up
on
maricela's
question
about
the
travel
advisory,
which
I
understand
is
just
an
advisory
for
now,
but
I'm
wondering
if
your
administration
is
considering
adding
more
teeth
to
that.
Given
that
the
holidays
are
coming
up-
and
I
know
you're
really
just
leaving
it
up
to
the
public
to
make
the
decision
to
quarantine.
E
Yeah
sure
you're.
B
E
Advisory
is
really
us
telling
our
communities
and
asking
our
communities
to
consider
canceling
their
plans
and
not
traveling.
We
think
it
made
a
difference
around
thanksgiving.
We
anticipate
that
we'll
still
see
a
number
of
cases
as
a
result
of
gatherings
and
travel
around
the
thanksgiving
holiday,
and
we
know,
though,
that
many
people
did
modify
their
plans
decide
not
to
travel
far
because
of
the
advisory
and
just
really
a
deep
thanks
to
all
of
the
californians
who
made
that
decision
helped
us
do
better
than
we
would
have
otherwise
done
with
covid
transmission.
E
Now,
as
we
move
into
the
regional
stay-at-home
order,
this
advisory
moves
to
not
just
an
advisory,
but
something
that
we're
really
requiring
people
to
do.
I
know
people
will
say
well
how
can
you
enforce
that?
Your
ground
troops
are
spread
thin?
That's
indeed
true,
but
we
believe
that
really
emphasizing
that
this
is
what
we
hope
our
citizens
will
do,
because
their
communities
are
at
particular
high
risk.
Their
hospitals
are
having
difficulty
keeping
available
icu
beds
open
that
people
will
restrict
their
travel
statewide.
B
And
I
am
dr
gail
I'm
putting
up
a
slide
here
that
I
presented
a
moment
ago
just
to
reinforce
this
all
non-essential
travel.
We
are
ordering
to
be
temporarily
restricted
and
accordingly,
based
on
our
sectoral
guidelines
that
we
put
out
and
remind
everybody.
If
you
want
to
look
at
the
details
of
all
this
covid19.ca.gov
covid19.ca.gov
as
it
relates
to
the
hospitality
industry,
particularly
lodging
in
hotels,
the
restrictions
are
for
just
essential
workers,
essential
guests,
and
so
this
travel
advisory
is
rather
firm.
The
spirit,
though,
of
your
question,
I
certainly
respect
and
dr
galley.
J
Hi,
governor
newsome,
can
you
hear
me
perfectly
great
thanks
for
taking
questions?
First
is
a
question
about
clarity
in
a
release
that
was
sent
from
your
office,
it
says
regions
will
remain
on
the
state
homeowner
list.
You
know
for
three
weeks
once
it's
triggered,
but
that
counties
are
eligible
to
come
off
after
those
three
weeks
if
their
hospital
is
their
icu
capacity
comes
to
reaches
15.
J
So
do
I
have
this
right
that
the
regions
go
on
to
the
list,
but
coming
off
the
list
is
based
on
counties
and
if
so,
why
is
it
structured
that
way?
Why
does
it
make
sense
to
have
counties
come
off
individually
and
just
one
follow-up
to
that
is
if
icu
capacity
dips
below
15
again
can
regions
go
back
onto
the
list
afterwards.
B
Yeah,
I
know
I
appreciate
thank
you
for
the
opportunity
to
clarify
this
and,
and
it's
very
easily
clarified,
and-
and
this
is
an
opportunity
dr
galley
will
speak
very
specifically.
So
we
we
talk
about
this
three
week
period.
We
also
will
be
talking
you'll
hear
from
dr
galley
in
a
moment
ago.
B
That
he'll
also
be
looking
four
weeks
forward
and
making
determinations
after
three
weeks
of
where
the
trend
lines
are
and
what
our
expectations
are,
and
dr
galley
now
will
turn
it
over
to
him
to
talk
about
how
one
gets
off
this
stay-at-home
order
regional
list
and
one
ends
up
back
on
doctor.
E
Yeah,
thank
you
for
a
chance
to
clarify
this.
This
is
an
important
point.
I
hope
that
all
listeners
can
understand
it.
We
are
using
a
regional
approach
in
part,
because
that
is
how
hospitals
and
health
care
delivery
systems
work
when
capacity
can't
be
met
within
a
specific
county.
We
lean
on
neighboring
counties
and
their
hospital
delivery
systems
to
care
for
a
number
of
individuals,
so
going
in
as
a
region.
E
Looking
at
the
regional
capacity
as
if
you
will
the
trigger
to
have
the
regional
stay-at-home
order
implemented,
is
the
way
that
region
enters
the
exit,
we're
looking
three
weeks
at
the
soonest,
so
we
will
look
three
weeks
from
whenever
a
region
passes
that
initial,
less
than
15
icu
capacity
remaining
trigger
at
three
weeks.
We
will
look
at
transmission
rates
at
that
moment
and
the
projections
for
what
will
be
happening
in
that
region's
icu
system
hospital
system.
E
About
four
weeks
after
that-
and
you
might
ask
why
four
weeks-
because
we
know
that
cases
today
will
end
up
in
the
hospital
three
do
in
the
hospital
two
weeks
from
the
time
that
we
register
those
cases
at
about
12
percent
and
then
within
about
a
week
week
and
a
half,
we
start
to
see
individuals
who
are
hospitalized
go
into
the
intensive
care
unit.
So
we
want
to
be
able
to
use
transmission
rates
at
the
time
three
weeks
from
now
to
look
at
projections
of
icu
capacity
down
the
road.
E
We
know
that
by
seeing
that
transmission
rate
come
down
three
weeks
after
putting
the
order
in
place
that
we
should
see,
projections
of
our
icu
capacity
improve
increase
above
15,
which
allows
us
to
lift
that
regional
stay-at-home
order
effectively.
Why
do
we
say
it's
by
counties?
Because
each
county
will
then
go
back
to
the
appropriate
tier
based
on
their
independent
data,
individual
data,
not
regional
data,
but
their
county
data
into
a
tier
within
our
blueprint.
So,
as
we
said,
the
governor
explained
it.
B
C
Anna
ibarra
co-matters,
hey
governor,
I'm
wondering
how
will
this
buy
region
system
for
the
new
stay
at
home
order
affect
the
transfer
of
patients?
So
we
know
sometimes
hospitals
transfer
patients
outside
the
region,
for
example,
if
imperial
county
is
already
transferring
patients
to
bay
area
hospitals.
Could
this
make
the
bayer
bay
area
region
less
likely
to
take
imperials
or
any
other
county
stations
if
this
means
more
restrictions
for
them?
Can
you
talk
a
bit
about
that.
B
E
Yeah
thanks
so
so
look
we've
been
working
very
closely
with
the
california
hospital
association
on
exactly
this,
making
sure
that
we
have
plans
to
transfer
patients
and,
following
the
rule
that
we
want
to
keep
patients
as
close
as
we
can
to
their
home,
their
loved
ones.
So
using
the
regional
approach
looking
at
regional
capacity
first,
but
of
course,
we
behave
and
work
together
as
a
state
and
if
needed,
patients
in
one
region
may
be
asked
of
another
hospital
to
accept
that
patient
and
as
we've
done
before,
we
will
come
together.
E
We
are
mindful
about
the
impact
on
the
icu
capacity,
keeping
that
into
account,
but,
as
we
said,
unlike
in
the
spring,
and
certainly
in
the
summer
when
it
was
really
focused
counties
that
were
experiencing
the
highest
surge,
we're
seeing
this
transmission
throughout
the
state
at
high
levels
and
anticipate
many
of
the
counties,
many
of
the
regions
having
challenges.
So
we
do
expect
that
many
patients
will
be
staying
closer
to
the
region
and
that's
why
we
looked
at
the
regional
capacity
of
icus
and
anticipate.
E
You
know
hospitals
largely,
you
know,
work
together
to
deal
with
patient
transfer
challenges
and
we
will
lean
on
those
same
systems
to
make
sure
californians
get
the
care
they
need
in
the
most
immediate
and
proximate
way
possible.
B
And
and
just
for
sort
of
saying
a
reminder
if
I
could
just
go
back
to
the
slide
on
the
facilities
ready
to
receive
patients
outside
of
the
healthcare
delivery
system.
I
just
wanted
to
remind
you
what
we're
doing
sort
of
additive
you'll
see
that
first
slide
of
the
two
that
I
presented
and
the
11
surge
facilities
outside
our
traditional
healthcare
delivery
system,
the
imperial
valley,
college,
fms
site,
that's
already
prepared
to
receive
patients.
So
this
is
a
supplement
to
that
traditional.
B
The
second
slide
here,
the
nine
facilities
and
warm
status,
a
supplement
that
will
also
provide
additional
resources
by
region
by
county
in
this
case,
but
also
within
these
regions,
to
provide
additional
capacity
to
take
care
of
patients
in
need.
So
forgive
me
for
belaboring
that,
but
just
want
to
remind
you
of
this
important
additional
resource
that
we
are
adding.
K
B
Yeah
we're
prepared
to
receive,
and
that's
where
those
orders
will
go
out
tomorrow,
directly
to
pfizer,
and
we
have
all
the
confidence
the
727
600
doses
will
be
made
available,
you're
absolutely
right
and
shouldn't
surprise
you
to
hear
this
from
me.
I
think
I
implied
it
a
moment
ago
and
thank
you
for
this
opportunity
to
be
even
more
clear.
So
it's
not
just
an
implication.
B
I
have
never.
We
have
never
gone
under
the
presumption
that
what
we
hear
nationally
and
what
we
hear
from
others
will
actually
be
well
we'll
materialize.
We
have
been
part
of
this
vaccine
conversation
as
long
or
longer
than
almost
any
other
state.
In
america
you'll
recall
we
were
one
of
the
five
jurisdictions
working
with
the
cdc
and
working
with
the
department
of
defense,
doing
micro
planning
and,
as
a
consequence,
we
were
working
off
many
assumptions
that
have
not
materialized
rather
than
belaboring,
that,
rather
than
being
critical
of
that,
it's
just
something.
B
We've
come
to
expect,
and
so
we've
always
had
approximate
numbers
approximate
dates
for
our
planning
purposes.
However,
that
said,
I
have
absolute
confidence
in
the
327
000
specific
doses,
and
we
are
working
off
that
number
as
an
actual
number
and
we
are
organizing
these
three
tiers
and
are
ordering
on
that
basis
directly
with
the
assurance
from
pfizer.
B
That
said,
I
want
to
extend
opportunity
for
dr
galley
to
amplify
his
confidence
or
perhaps
a
different
point
of
view,
as
it
relates
to
the
first
tranche
of
doses
and
maybe
reflect
upon
dr
this
40
million
figure
that
we've
been
hearing
banning
about
and
whether
or
not
we're
just
assuming
that
number
or
whether
or
not
we
are
being
cautious
in
terms
of
how
we
plan
around
that
number.
E
Yeah,
thanks
for
the
question
governor,
I
think
you're
exactly
right.
The
327
we've
heard
directly
working
on
that
number,
sharing
that
with
our
regional
county
partners,
anticipating
ordering
that
almost
immediately
and
getting
those
doses
sometime
in
the
middle
of
the
month.
We
believe
that
those
are
going
to
be
available
seems
like
most
of
it
is
ready
and
produced
already
down
the
road.
There
may
be
some
limitations,
as
the
governor
said.
We're
prepared
for
that
frankly
expect
some
of
that
that
the
estimates
would
shift
in
transition
throughout
the
weeks
to
come.
E
But
we
expect
to
be
hearing
from
our
operation
warp
seed
partners
at
the
federal
government
working
with
the
various
manufacturers
to
ensure
that
we
get
all
the
vaccine
as
soon
as
it's
available,
whether
it's
40
million
doses
by
the
end
of
the
year
or
25
and
15
more
come
early
in
january.
We're
not
exactly
sure
but
we're
in
constant
communication
trying
to
build
up
confidence
like
we
do
have
in
that
327
number
so
that
we
can
anticipate
and
build
all
of
the
strategies
that
we
need
to
your
question
about.
E
How
prepared
are
we
for
this
first
327
with
the
freezer
capacity
at
the
local
level?
We
have
confidence
at
that
volume
that
we
have
plenty
of
capacity
to
store
it,
and
that's
part
of
the
conversation
that
we
have
today
with
those
regional
partners,
those
county
partners
and
the
counties
having
with
their
own
health
facilities
that
will
ultimately
administer
the
vaccine.
B
And
I
remind
you
david
in
two
two
points:
one
is.
You
may
recall
the
days
where
there
was
a
lot
of
promotion
that
vaccines
were
going
to
magically
become
available
before
the
national
election.
Again,
one
learns
to
be
sober
about
what
is
often
announced
from
national
prism.
That
said,
we
do
have
confidence
and
not
just
pfizer
and
the
veracity
of
this
first
available
tranche
of
doses,
but
the
conversations
the
advanced
conversation
with
moderna
we
are
putting
together
plans
that
would
have
more
realistic
numbers
in
the
short
term.
B
Look
the
issue
of
storage
extends,
certainly
in
the
immediate
and
in
the
immediate.
Dr
galley
is
absolutely
right
in
terms
of
the
available
capacity
for
also
called
storage
in
our
ability
to
administer
and
distribute
this
vaccine.
There
are
limitations.
B
There
are
issues
once
these
cold
storage
boxes
are
open,
how
quickly
you
have
to
administer
and
distribute
the
vaccine
and
how
quickly
you
can
lose
available
doses
of
vaccine.
That
is
going
to
be
a
challenge.
That
is
a
struggle
with
these
ultra
low
vaccines
in
terms
of
the
storage
requirements
easier
with
moderna
and
we
hope
easier
still
with
some
of
the
vaccines
that
are
on
the
horizon.
B
But
we
have
ordered-
and
I
not
mentioned
this-
maybe
a
week
or
so
ago-
we
have
already
procured
ultra
low
storage
and
cold
storage
distinguish
the
two
units
and
many
of
them
will
be
arriving
at
the
end
of
the
month,
many
more
in
january,
in
preparation,
the
broader
distribution.
So
we
have
existing
capacity
with
our
existing
providers
in
the
network.
That's
well
established.
Remember
we
provide
over
19
million
flu
shots,
typically
on
an
annual
basis,
well-established
vaccine
network,
we're
not
reinventing
the
wheel.
L
Hi
governor,
since
you
instituted
the
overnight
curfew
two
weeks
ago,
obviously
the
numbers
have
gotten
a
lot
worse.
Is
there
any
evidence
that
that
order
had
any
positive
effect
and
then
second,
I
know
you've
acknowledged
that
you've
you've
lost
some
moral
authority
because
of
the
french
laundry
situation.
L
Do
you
believe
that
the
damage
done
to
your
your
credibility
is
fatal
and
I'm
not
speaking
figuratively,
because,
as
you
know,
that
erosion
of
trust
could
could
literally
cost
lives?
If
people
don't
follow
directives
and
get
sick
and
spread
this
virus,
what
do
you
have
to
do
to
win
back
those
people
who
just
aren't
listening
to
you
anymore,
or
is
it
too
late.
B
I'm
doing
my
job
I'll
continue
to
do
my
job,
that's
what
I
have
to
do
as
it
relates
to
the
first
part
of
your
question,
dr
galley,
as
it
relates
to
the
curfew.
What
what
has
we've
been
able
to
assess
based
upon
any
specific
data?
The
efficacy,
obviously
we're
moving
with
this
announcement
today,
because
we
recognize
we
need
to
do
much
more,
but
based
upon
what
you
have
received
back
from
the
health
officers.
What
data
have
you
received
in
that
basis?
B
E
We
actually
track.
There
is
some
ability,
it's
rudimentary,
but
we
depend
on
it
nonetheless,
of
seeing
how
movement's
actually
happening
you
can
tell
just
based
on
the
streets
and
how
busy
they
are
sometimes,
and
we
can,
we
can
track
that
and
we've
seen
slight
reductions,
but
nothing
too
significant.
E
We,
of
course,
had
hoped
and
wanted
to
see
more
from
that
already,
but
we
haven't-
and
I
think
that's
in
part-
why
we
need
to
make
sure
that
we
take
all
the
actions
we
can
to
make
sure
that
reduced
mixing
is
what
we
achieve.
We
know
that
it's
not
going
to
be
easy,
even
with
this
new
new
regional
stay-at-home
order,
but
it
is
that
they
are
the
tools
that
we've
seen
be
effective
and
we
trust,
especially
given
the
state
of
hospitals
and
where
we
are,
that
californians
will
take
this
new
order.
E
This
regional
stay-at-home
order
to
heart
and
follow
it
as
well
as
they
can
so
that
we
can
actually
get
through
the
next
many
weeks
and
months.
As
the
governor
said
to
the
hope
of
vaccine
and
the
the
partnership
we
have
with
those
providers
of
the
vaccination
in
our
counties
and
getting
that
job
done
and
done.
M
Hi,
governor
newsom,
as
we
approach
this
new
series
of
regional
stay
at
home
orders,
we
expect,
as
you
said,
four
or
five
regions
to
slide
into
that
relatively
soon.
What
is
the
situation
with
edd?
Frankly,
it
is
still
a
bit
of
a
mess.
More
state
home
orders
likely
need
more
layoffs.
We
already
have
growth
and
payments.
There
are
people
still
waiting
for
money.
Claims
are
going
up.
What
are
you
going
to
do
to
make
sure
that
these
people,
who
may
lose
their
jobs
once
again
get
some
relief.
B
We've
made
a
lot
of
progress
at
edd.
We
put
together
a
new
system.
You
may
recall
in
october,
after
a
reset,
an
important
reset,
so
we
can
address
not
only
the
veracity
of
the
claims
and
address
some
of
the
front
door
issues
as
it
relates
to
fraud
that
id
dot
me
system
is
in
place.
It's
been
very,
very
effective
at
addressing
some
of
the
fraud
issues
again
in
the
front
door.
We
also
were
able
to
substantially
address
the
backlog
through
that
reset.
We've
made
tremendous
progress
on
the
backlog.
B
You
may
recall,
and
I
encourage
you
to
reflect
back
on
multiple
presentations
where
we
actually
put
a
timeline
in
terms
of
our
own
internal
expectations,
to
clear
out
that
backlog.
We
have
five
new
people
working
in
the
department.
We've
worked
with
other
departments
to
improve
not
just
the
I.t
protocols
and
processes,
but
also
the
business
processes.
B
We
have
a
medium
and
long-term
solution,
meaning
long-term
I.t
strategy
to
finally
address
this
challenging
system
and
by
the
way
we
are
not
unique.
This
is
not
an
excuse,
it's
just
a
fact,
and
we're
not
unique
in
this
country
with
these
antiquated
unemployment
insurance
systems.
They
never
were
designed
for
the
magnitude
of
a
pandemic,
and
that
is
a
lesson
learned
and
we
are
actively
pursuing
those
longer
term
strategies
on
a
median
turn
strategy.
B
We'll
continue
to
improve
upon
the
id
without
me
system
will
also
improve
upon
the
timeliness
to
distribution,
not
just
of
unemployment
insurance
claims,
which
I
think
you're
referring
to,
but
also
the
pua
claims.
But
the
pua
is
a
stubborn
issue,
because
the
pua
is
where
we've
seen
most
of
the
fraud,
because
there's
a
presumption
of
eligibility
in
that
space,
and
that's
the
dialectic-
and
I
think
that
goes
to
your
question-
people
want
things
in
a
timely
manner,
but
they
also
want
the
veracity
in
terms
of
the
distribution
of
those
funds.
B
As
taxpayers,
we
should
expect
nothing
less
against
well,
the
malfeasance
of
some
and
the
fraud
that
those
those
individuals
are
intent
on
perpetuating.
So
that's
the
constant
balancing
act
and
we
are,
I
think,
moving
in
a
much
more
enlightened
direction
than
those
difficult
difficult
months
in
the
mid-summer
were
well
that
we
certainly
were
during
that
period
of
time.
So
with
that,
I
think
our
time
with
you
has
come
to
an
end
for
this
session.
Look
forward
to
subsequent
sessions.
B
As
I
said,
preview,
or
rather
you
heard
from
dr
galley
and
myself
a
preview
on
some
updates
from
quarantine,
previews
and
updates
on
issues
related
to
schools.
We
look
forward
to
advancing.
B
We
will
be
active
in
providing
information
in
real
time,
updating
based
upon
not
just
the
epidemiology
and
the
transmission
rates
case
rates
and
positivity
rates
relates
to
this
disease,
but
also
now
monitoring
very
closely
the
icu
numbers
in
our
health
care
delivery
system
by
region
posting
that
data
on
a
consistent
basis
encourage
you
to
go
to
covid19.ca.gov
website
to
get
constant
updates.
That
information
learn
more
about
what
we
put
out
here
today
and
again,
deep
respect,
deep
empathy
for
all
californians,
this
very
challenging
and
critical
moment.
B
We
have
light
at
the
end
of
the
tunnel.
This
is
not
a
marathon
any
longer.
This
is
a
sprint.
We
are
not
asking
for
any
of
what
we
are
proposing
today
to
be
permanent.
We
are
asking
for
everyone's
indulgence
to
minimize
the
mixing
to
continue
to
focus
our
outdoor
activities
in
a
safe
and
thoughtful
way
and
encourage
you
to
get
the
exercise
to
have
the
mindfulness
that
is
needed
at
this
moment.
B
I
encourage
you
to
spend
time
outdoors
safely,
but
again
do
what
we
can
to
avoid
congregate,
mixing
and
door
mixing
and
abide
by
these
new
regional
stay-at-home
orders
get
us
through
the
next
month,
maybe
month
and
a
half
to
two
months,
and
we
will
get
to
that
vaccine
and
we
will
get
back
to
not
only
normalcy
but
the
resiliency
and
vibrancy
that
we
come
to
expect
and
what
we
were
enjoying
before
this
pandemic
for
many
many
years
prior
to
2020..