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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.
Recorded January 12, 2021.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
B
Good
afternoon,
as
always,
thank
you
for
joining
us
today.
We
appreciate
your
patience
and
tolerating
a
slightly
delayed
start
time,
but
we
do
have
a
lot
to
get
through
so
get
through,
not
just
data,
not
just
a
bit
about
the
regional
stay-at-home
order,
of
course,
about
vaccines,
a
focus
on
surge
and
activities,
especially
in
southern
california,
and
then
we'll
end
with
an
update
on
our
tears
as.
A
B
Do
on
most
tuesdays,
so
we
can
begin
with
the
first
slide,
so
we've
been
talking
through
and,
of
course,
there's
been
tracking
our
cases
closely.
We've
had
this
seven
day,
average
of
42
136
cases
and
yesterday
reporting
a
lower
number
at
36
487.
B
This
is
promising
news.
Of
course,
we've
been
talking
about
the
hope
that
we'd
see
a
lower
post-holiday
surge
than
we
did
see,
post
thanksgiving
and
we're
beginning
to
see
indications
that
that's
actually
the
case.
This
is
in
the
face
of
what
is
a
sort
of
average
number
of
tests
that
we've
been
doing
as
of
late
337,
nearly
338
000
tests
and
a
slightly
reduced
14-day
positivity
down
to
13.5.
B
Good
news
here
is
believe:
it's
really
stable,
bouncing
up
and
down
a
little
bit
as
we
always
see
but
stable
overall,
which
is
much
better
than
what
we've
been
witnessing,
which
is
a
pretty
radical
increase
on
that
test.
Positivity
next
slide,
please
again,
looking
at
the
seven
day
versus
the
14
day,
they're
even
today,
I
think
it's
promising
that
we're
seeing
the
seven
days
at
least
as
equivalent
or
hopefully
going
to
be
better
soon
versus
the
14
day.
B
B
Here
we
talk
about
the
covet
hospitalizations.
I
think
many
of
you
are
tracking
them.
21
747
individuals
with
covid,
currently
hospitalized
in
california's
hospitals
that
represents
a
5.5
increase
over
the
last
14
days.
The
last
time
we
had
a
rate,
this
low
was
actually
the
end
of
october,
the
middle
of
october.
We
were
actually
seeing
decrease
in
hospitalizations
around
the
end
of
october.
B
We
saw
about
a
9
increase
and
since
then
it's
been
higher
and
higher
today
represents
a
fairly
low
level
of
increase
overall
in
our
hospitalizations
and
again
around
our
icu
numbers,
4
854
individuals
in
our
icu,
still
a
10.6
increase
in
the
past
14
days,
but
yesterday
we
actually
reported
11
fewer
individuals
in
our
icus
across
the
state
for
covet.
B
Over
the
past
couple
of
days,
we've
been
in
the
2500
2600
range
for
new
admissions
and
that
reduction
of
nearly
a
thousand
admissions
is
shared
across
the
state.
So
it's
not
a
reduction
just
in
the
bay
area
or
the
greater
sacramento
area,
but
it's
also
being
experienced
in
san
joaquin
valley
and
southern
california,
which
I
think
is
really
good
and
important
news
for
those
regions
next
slide.
B
So
before
I
go
here,
I
want
to
just
mention
an
important
milestone.
That
is
a
sad
milestone
that
the
state
has
reached
and
despite
some
of
the
early
indications
of
positive
news,
we
know
that
death
is
the
lagging
indicator
with
covet.
It's
one
of
the
last
things
that
we
see
rise
and
we
have
seen
over
the
past
week
week
and
a
half
high
numbers
of
deaths
day
over
day
and
today
we
do
cross
30
000
deaths
since
the
beginning
of
the
pandemic.
B
We
continue
to
work
hard
to
save
lives,
to
lead
by
saving
lives,
to
make
decisions
both
on
how
we
handle
our
blueprint
for
reopening
how
we
manage
surge
and
deploying
resources
and
again,
as
we
get
to
vaccines
focused
on
saving
lives.
But
a
never
easy
to
forget
reminder
are
those
death
numbers
of
how
serious
this
diseases,
how
serious
the
pandemic
is
and
how
the
responsibility
each
of
us
holds
is
so
important
to
really
bend
that
curve
and
bring
this
pandemic
to
an
end
in
california.
B
So,
as
I
said,
our
whole
focus
on
surge
continues
to
be
about
saving
lives
that
we've
taken
interventions.
Things
like
the
regional
stay-at-home
order,
a
new
public
health
order
last
week
to
help
support
counties
and
hospital
systems
to
work
together
to
make
sure
that
the
impact
in
one
facility
is
supported
by
the
actions
and
activities
of
the
broader
set
of
hospitals
in
their
community.
Again
all
pointed
towards
saving
lives
and
reducing
the
impact
overall
on
our
state
next
slide.
Please
so
getting
specific!
B
Just
reiterating
you
know
we
moved
down
from
about
3
500
admissions
per
day
to
2500
emissions
per
day.
That's
a
pretty
significant
decrease.
We
hope
to
see
that
continue,
although
I
will
say
post
the
holidays,
we
saw
this
towards
the
end
of
the
year.
Last
year,
early
this
year
we
had
a
significant
number
of
high
case
days
and
those
cases
will
have
already
begun
but
will
continue
to
be
admitted
into
our
hospitals
for
the
days
to
come.
So
we
keep
looking
at
the
data,
but
these
are
encouraging
early
signs.
B
The
state
has
taken
steps
to
support,
counties
and
regions,
most
impacted
by
the
surge
in
hospitalizations,
and
these
actions
have
allowed
us
to
decompress
hospitals
in
some
of
our
most
impacted
communities
and
to
serve
patients
and
those
communities
and
save
lives
more
effectively.
B
I
think
some
of
the
stories
of
communities
so
deeply
impacted
whether
that's
the
nine-on-one
system
in
ambulances,
hospitals,
with
extremely
long
weights
and
other
issues
for
other
conditions,
not
just
covid,
but
heart
disease,
diabetes,
strokes,
other
things
that
we
know
need
hospital
admissions
that
some
of
the
issues
faced
in
the
weeks
past
are
beginning
to
be
improved
in
part
because
of
the
reduction
of
cases.
B
They
have
been
particularly
impacted
with
tremendous
rates
of
spread
of
the
disease,
not
just
right
around
thanksgiving,
but
a
little
bit
before
thanksgiving
punctuated
by
that
post-thanksgiving
surge
in
cases,
and
we
knew
then,
as
we
entered
the
regional
stay-at-home
order
in
some
of
these
regions,
that
we
would
see
a
difficult
second
half
of
december.
First
half
of
january
still
bracing
for
significant
impact
in
the
weeks
to
come.
But
certainly
some
of
these
actions
that
I'm
going
to
walk
through
have
helped
blunt
that
surge,
reduce
the
impact
ambulance.
B
B
So
individuals
who
can
go
home
safely,
home
with
oxygen
support,
could
do
so
so
they
aren't
in
the
hospital
and
we
can
use
those
scarce
resources
to
serve
other
patients.
Next
slide,
please
just
sort
of
continuing
on
deploying
more
than
2
000
medical
professionals
across
the
state.
Many
could
we
go
back
to
the
prior
slide.
B
Please
there
we
go
so
deploying
more
than
2
000
medical
professionals
across
the
state,
making
sure
that
we
have
as
much
as
we
can
from
out
of
state
resources
department
of
defense
resources
ensuring
that
we
get
those
medical
professionals
to
the
areas
most
impacted,
so
largely
san
joaquin
valley,
southern
california,
focused
continuing
to
deploy
another
thousand
medical
professionals
in
the
days
ahead,
just
in
this
week
alone,
increasing
today
about
170
new
staff
arriving
to
the
state
and
in
the
days
to
come,
even
more
than
that,
we
stood
up
alternate
care
facilities
to
care
for
less
critically
ill
patients.
B
We
have
these
strategically
deployed,
we've
had
them
since
the
beginning
of
the
pandemic.
Only
now
we're
using
them
in
a
more
significant
way
to
serve
certain
populations,
and
these
aren't
just
alternate
care
facilities
as
we
had
set
up
early
in
the
pandemic,
but
it
also
includes
building
more
capacity
in
existing
hospitals.
Some
efforts,
in
los
angeles
county
in
riverside
county
in
san
bernardino
county
in
san
diego
county,
to
augment
the
beds
available
for
patients
who
need
critical
services
in
those
facilities.
B
We've
always
said
better
to
support
an
existing
hospital
campus
to
increase
their
ability
and
capacity
rather
than
build
capacity.
Let's
say
at
a
fair
ground
or
a
non-health
campus
area.
That's
pretty
clearly
obvious
why
the
ability
to
have
all
the
critical
supports,
x-ray,
radio,
other
radiology
pharmacy
food
services,
all
leveraging,
those
on
the
campus
so
really
building
that
up
as
a
key
strategy
and
making
sure
that,
instead
of
delivering
health
corps
and
other
types
of
state
state
sponsored
staff
to
those
alternate
care
sites
working
with
the
hospital
campuses
to
get
registry
staff.
B
Other
contract
staff
as
a
key
key
strategy
in
our
ability
to
support
search
the
last
bullet
here
is
something
that
I'm
proud
of
our
team
working
on.
B
We
know
that
there's
many
many
assisted
living,
centers
or
other
residential
care
facilities
for
older
californians
that
don't
have
the
capacity
to
deliver,
support
like
oxygen
and
some
lower
intensity,
but
still
important
nursing
services
so
creating
a
handful
ten
two
handfuls
actually
ten
residential
alternate
care
sites
to
allow
individuals
who
may
be
to
need
more
more
support
than
they
can
receive
at
their
existing
facility,
but
don't
quite
need
hospital
level
care
to
be
served
in
these
sort
of
medium
alternative
care
sites
that
we
have
stood
up
today.
B
One
in
los
angeles
has
30
patients
and
we
have
capacity
to
add
over
a
hundred
more
across
the
state.
These
will
be
built
up
in
in
some
degree,
over
the
course
of
the
next
many
weeks
as
well.
Next
slide.
B
So
again,
what
can
we
do
and
I'm
giving
you
a
message
today
where
it?
There
is
some
hope
there
is
some
reduction
in
the
cases
that
we've
seen
that
I
always
say
the
hospital
numbers
don't
lie.
Even
when
testing
might
be
delayed,
we
might
be
concerned
that
the
test
turnaround
time
has
slowed.
None
of
that
exists
now,
but
for
me
always
hospital
numbers.
B
Don't
lie
people
come
to
the
hospital,
they
get
the
care
that
they
need
when
they
need
it,
because
they're
that
sick
and
so
to
see
a
reduction
in
our
hospital
numbers
in
the
last
week
to
10
days
in
terms
of
the
rate
of
rise,
I
think,
is
a
very
encouraging
sign,
but
we're
not
out
of
the
woods.
We
know
that
there's
still
a
lot
of
covet
in
our
communities
that
people
can
easily
transmit
it.
B
B
I
know
it's
exhausting,
I
know,
there's
the
hope
of
the
vaccine,
which
should
really
help
our
ability
to
get
through
this
pandemic
through
this
darkest
period
in
our
tunnel
to
the
light,
but
there's
still
more
that
we
need
to
do
so
as
much
as
I
can
encourage
you
to
keep
considering
wearing
your
mask
doing
the
things
like
staying
at
home.
When
you
can,
I
think
it's
very
important
to
help
us
through
this
period
of
time
and
again
all
focused
on
californians
coming
together
to
save
lives.
B
B
Have
before
get
to
a
million
more
vaccines
by
this
weekend,
we
are
deep
into
that
effort.
We
are
working
with
counties
with
health
providers,
with
lots
of
labor
and
business
partners
to
make
sure
that
this
happens
and
working
through
that
it's
an
all
hands
on
deck
effort,
not
just
by
by
the
traditional
public
health
leaders,
but
all
those
that
I
just
mentioned
a
focus
particularly
on
health
care
workers
and
those
in
long-term
care
settings,
especially
older
californians,
who
live
in
those
long-term
care
settings
to
allow
them
to
quickly
and
safely
get
vaccinated.
B
B
That
means
those
people
like
our
dentists
and
our
pharmacists
and
our
primary
care
providers
and
our
other
specialty
care
providers,
and
not
just
the
doctors
and
nurse
practitioners
and
physician
assistants,
but
all
of
their
teams.
The
nurses,
the
lvns,
the
techs,
the
phlebotoms
everybody
who's
involved
in
helping
us
support
not
just
covet
care.
But
this
effort
to
vaccinate
california
and
then
a
focus
on
new,
large-scale
vaccination
efforts
coming
up
throughout
the
week.
B
So
last
week
the
governor
asked
in
a
bold
way,
joined
a
few
other
governors
to
ask
the
federal
government
to
release
more
vaccine.
California
has
spent
a
extraordinary
amount
of
effort
planning
to
really
create
a
structure
that
allowed
us
to
stay
focused
on
risk
and
exposure
and
equity
altogether.
B
B
We
continue
to
look
at
ways
that
our
structure
allows
us
to
get
vaccine
out
to
those
populations
as
quickly
as
possible,
while
still
allowing
us
to
unimpeded
finish
the
vaccine
that
we've
already
received.
B
We
have
a
saying
that
we
want
to
be
a
state
that
vaccinates
as
quickly
as
we
get
the
supply
in,
and
we've
been
working
on,
that
seeing
that
coming
seeing
the
potential
move
over
the
last
couple
of
weeks
to
a
more
flexible
prioritization
list,
not
just
at
the
state
level,
but
at
the
federal
level
we
have
been
exploring
different
ways
to
work
with
our
partners
to
get
that
vaccine
not
just
allocated
not
just
in
freezers
but
actually
out
of
the
freezer
into
the
syringe
into
the
into
the
shoulder
of
many
many
californians.
B
So
we
can
begin
to
experience
the
benefits
of
that
protection.
As
many
of
you
probably
have
heard
today,
there
was
a
early
morning
conversation
between
the
federal
government
and
states
about
further
loosening
some
of
those
guidelines
around
who
should
be
vaccinated.
Looking
at
some
more
details
around
age
and
other
risk
factors
that
might
create
higher
likelihood
of
bad
disease.
The
governor
has
immediately
directed
us
to
bring
together
our
drafting
guidelines,
work
group,
our
community
vaccine
advisory
committee.
B
Those
communications
have
already
begun
and
will
go
throughout
the
day
so
that
we
can
evaluate
the
new
federal
guidance,
determine
how
it's
going
to
impact.
What
we
do
here
in
california
and
with
haste
without
delay,
getting
that
updated
guidance
out,
expect
that
that
will
come.
You
know
next
24
hours
or
so
so
we
can
let
all
californians
benefit
from
the
additional
provision,
not
just
of
guidance,
but
we
hope
vaccine
also
from
the
federal
government
and
where
does
that
all
get
to
take
place.
B
As
I
mentioned,
some
large-scale
vaccination
sites
are
ready
in
the
planning
dodgers
stadium,
petco
down
in
san
diego
cal,
expo
up
in
sacramento
and
disneyland,
of
course,
in
orange
county.
So
these
are
examples
of
plan
sites.
We
expect
many
more
over
the
weeks
and
months
to
come
as
we
recruit
additional
staff
additional
other
workers
to
help
with
the
vaccine
vaccine
efforts.
It's
not
just
nurses
and
others
emts
pharmacists
to
actually
do
the
vaccination,
but
it's
a
whole
host
of
people
to
help
on
the
administrative
side
and
documenting.
B
So
we
can
track
who's
received
their
first
vaccine
when
they
need
to
come
in
the
second,
I
think,
given
the
level
of
surge
and
the
focus
on
keeping
our
health
care
workers
in
our
hospitals
in
our
clinics
to
provide
care
to
those
with
covid.
We
are
recruiting
many
more
people,
as
you've
heard
over
the
past
days,
to
help
us
on
the
vaccination
effort
in
these
sites,
but
also
continuing
the
work
in
those
medium
and
small
size.
B
So
we've
been
many
weeks
now,
since
the
regional
stay-at-home
order
was
put
into
place,
I'll
remind
you
that
the
order
required
that
regions
we
had
five
of
them
stay
in
the
regional
stay-at-home
order
for
at
least
three
weeks
and
that
the
trigger
to
come
into
the
regional
stay-at-home
order
was
when
you
had
lower
than
15
available.
Icu
capacity
of
the
five
regions
in
the
state,
four,
the
ones
you
see
here-
the
bay
area,
greater
sacramento,
san
joaquin
and
san
francis
southern
california-
were
all
put
under
the
stay-at-home
order.
B
The
regional
stay-at-home
order
that
we
committed
to
after
three
weeks
to
begin
running
projections
to
see
where
your
icu
capacity
in
one
of
those
regions
four
weeks
out
so
not
today
running
today's
calculations.
But
what
do
the
icu's
look
like
in
four
weeks,
because
we
know
today's
cases,
today's
sort
of
transmission
environment
is
going
to
end
up
in
the
hospitals
in
a
few
weeks
about
four
weeks
out.
So
looking
at
that
projection
to
determine
at
what
point
do
any
one
of
these
regions
come
out
of
the
regional
stay-at-home
order?
B
Currently,
all
four
regions
are
remaining
under
the
stay-at-home
order,
but
we
are
actively
calculating
some
of
the
information
from
the
last
24
hours
and
maybe
updating
you
in
the
next
hours
and
certainly
by
tomorrow.
If
any
one
of
these
regions
does
indeed
emerge
out
of
that
regional
stay-at-home
order.
C
B
Slide
please
so
what
happens
when
a
region
does
come
out
of
the
regional
stay-at-home
order?
We
revert
back
to
our
blueprint
for
a
safer
economy.
This
is,
I
think,
week
19,
but
who's
counting
of
that
blueprint
for
a
safer
economy
using
this
as
a
strategy
to
move
counties
through
a
reopening
process.
That's
based
on
a
couple
of
important
factors:
the
transmission
rate
that
case
rate
as
well
as
test
positivity.
B
Remember.
We
also
have
a
health
equity
measure
that
allows
us
to
work
with
our
counties
to
make
sure
their
targeted
effort
to
reduce
transmission
and
test
positivity
is
focused
on
communities
in
areas
or
communities
that
have
had
a
disproportionate
impact
of
covid
on
the
entire
sort
of
on
the
entire
community
itself.
B
So
today,
without
the
release
of
a
single
region,
we're
reporting
that
trinity
county
is
moving
from
purple
to
red,
that's
widespread
to
substantial,
that's
a
sort
of
less
restrictive
move,
but
we
also
announced
a
couple
weeks
back
that
humboldt
county
moved
from
purple
to
red
today,
given
the
that
they're
it
really
in
a
part
of
the
state
that
has
significant
transmission.
B
It's
really
not
surprising,
if
you
will,
that
humboldt
county
moves
from
red
to
purple
as
well.
So
the
final
count
is
54
counties
remaining
in
purple
three
in
red,
one
in
orange,
zero
in
yellow
and
if
counties
that
emerge
out
of
the
regional
stay-at-home
order
based
on
where
they're
assigned
today,
they
will
go
immediately
into
that
tier
in
the
blueprint
as
soon
as
they're
out
next
slide,
please.
B
B
We
did
put
the
regional
stay-at-home
order
out
just
over
a
month
ago,
we
have
seen
the
effects.
We
knew
that
because
of
so
many
factors
like
fatigue,
the
ability
to
the
the
the
difficulty
of
getting
good,
significant
compliance,
but
we
did
see
some
transmission
reductions,
and
that
is
exactly
the
kind
of
relief
our
hospital
systems
needed
to
get
through
the
last
week,
and
we
hope
it
will
carry
forward
a
little
bit
longer.
But
we
are
prepared
and
anticipate
that
some
increase
in
hospitalizations
will
come
in
the
middle
of
the
month.
B
B
D
Hi
secretary
dally
thanks
for
taking
my
question
earlier
today,
secretary
azar
announced
that
in
two
weeks
sexting
allocation
will
be
based
on
a
state's
65
and
overpopulation
and
their
vaccination
phase.
D
I
know
you
said
the
state
is
still
looking
over
these
guidelines,
but
I'm
wondering
you
know
the
state
has
a
large
6500
population,
but
it's
also
had
a
slow
rollout
so
far
so,
but
these
changes
help
or
hurt
california,
and
given
the
guidance
and
the
fact
that
the
state
know
how
now
has
large
vaccination
sites,
could
this
prompt
the
state
to
open
vaccines
to
all
seniors
65
and
over
rather
than
divide
seniors
into
different
phases?.
B
Yeah
I
mean
this
is
exactly
the
question
that
the
team's
looking
at
today.
I
say
that
the
the
guidance
from
the
federal
government
that
didn't
just
bring
hey
focus
on
65
and
older,
but
also
some
recommendations
and
some
prospect
of
getting
additional
vaccine
supplies
over
the
days
to
come
in
some
ways
having
more
vaccine
in
the
state
is
going
to
make
the
distribution
easier.
California
has
always
stood
up
strong
in
the
face
of
flu
and
getting
vaccines
out
there
quickly
to
lots
and
lots
of
californians.
B
This
is
not
the
same
effort
as
a
flu
vaccine
clinic
there's
a
lot
more
intricacy,
two
doses,
more
of
a
monitoring
time
per
person,
who's
getting
the
vaccine,
so
a
number
of
wrinkles
and
complexities
that
are
important,
but
I
believe
in.
I
think
we
believe
that
having
more
vaccine
inviting
more
to
be
vaccinated
will
allow
california
to
go
faster
and
quicker
through
our
population
and
get
that
vaccine
out
of
our
freezers
and
into
our
population
to
get
that
protection.
B
We
do
expect,
though,
over
the
next
24
hours,
and
I'm
really
proud
of
the
work
of
all
of
the
groups-
have
come
together
to
think
about
not
just
a
risk,
an
exposure-based
formula
for
getting
vaccine
out,
but
one
focused
on
equity.
So
how
do
we
keep
those
key
principles
in
place,
while
also
acknowledging
that
today,
it's
not
just
about
vaccinating
for
the
middle
and
long
term,
but
it's
about
getting
people
vaccinated
who
can
because
they're
lower
risk
of
getting
severe
disease
can
actually
become
help
to
our
hospital
delivery
system.
That
needs
some
relief.
D
Hi,
yes,
thank
you
for
taking
my
question.
Could
you
just
give
a
little
bit
more
of
a
concrete
answer
on
when
you
would
expect
these
new
guidance
to
be
implemented
in
california,
how
those
would
be
ruled
out
and
made
aware
to
the
public?
How
long
you
would
expect
that
to
translate
to
when
somebody
would
be
receiving
those
vaccinations
if
that
would
be
immediate
and
then
also
my.
My
other
question
is
just
in
terms
of
right
now.
D
Under
these
tears,
when
there
is
leftover
bacteria,
the
expectation
is
that
those
are
used
for
lower
tiers,
but
does
that
is
that
flexibility
all
the
way
to
anybody
who's
available
to
just
ensure
that
nothing
is
wasted?
D
B
Yeah,
so,
first
off
we're
looking
at
the
new
guidance
from
the
federal
government
today
hope
to
have
an
announcement
in
the
next
24
or
so
hours
on
how
that
impacts.
Our
own
state
tiering
system,
those
will
be
put
out
by
our
various
groups
immediately,
and
the
hope
is
that
we
can
begin
to
implement
them.
Statewide,
not
county
by
county,
but
statewide
moving
together
as
a
state.
Pretty
immediately,
I
can't
say,
is
that
you
know
right
after
they
come
out
or
within
a
couple
of
days.
B
B
We
just
want
to
say
that
we
should
not
waste
vaccine.
We
know
that
our
providers
and
those
who
are
in
charge
of
vaccinating
are
very
thoughtful,
innovative
people
that
they
have
access
to
individuals
who
are
in
those
higher
risk
tears,
and
they
should
do
all
that
they
can
to
make
sure
that
they're
giving
vaccine
to
those
who
have
been
deemed
highest
risk
based
on
our
priority
groups
and
our
phases
and
our
tears.
But
by
all
means
don't
waste
vaccine.
We've
tried
to
make
that
message
very
clear.
B
We've
talked
about
on
the
enforcement
side
that
only
flagrant
violations
of
our
tears
people
who
might
turn
to
make
a
profit
on
vaccinating
others
that
that
is
what
we're
concerned
about.
But
if,
in
the
last
hours
I
heard
about
one
clinic
who
was
on
the
phone
between
11
pm
and
3,
am
to
recruit
people,
so
they
didn't
have
to
wait.
Vaccine
and
those
are
exactly
the
kind
of
efforts
that
we
want
to
see
so
that
no
vaccine
goes
to
waste
that
we
get
california
vaccinated
successfully
in
the
shortest
amount
of
time
possible.
D
All
right,
dr
galley,
this
is
kind
of
building
off
the
last
question.
So,
as
melody
said,
you
know,
we've
heard
examples
of
hospitals
having
extra
doses
and
sort
of
scrambling
to
figure
out
how
to
distribute
them.
Do
we
think
having
these
back
being
you
know,
super
centers,
like
dodger
stadium,
will
help.
D
You
know
solve
this
problem,
and
do
we
anticipate
that
having
those
mass
vaccination
sites
will
really
speed
up
our
ability
to
move
to
new
tiers
and
then
secondly,
joe
biden
says
that
he
wants
most
schools
reopened
by
the
end
of
his
first
100
days,
so
with
vaccinations.
Accelerating,
do
you
anticipate
that
most
california
schools
will
be
open
for
classroom
instruction
in
that
time
frame.
B
Yeah
thanks
thanks
for
both
of
those
questions,
I
would
say
on
the
first
that
the
mass
vaccine
sites
will
certainly
help
help
us
consolidate
where
people
are
getting
vaccinated,
allow
people
to
have
a
little
bit
more
familiar
knowledge
of
where
they
might
get
vaccinated
and
yes
help
to
make
sure
that
we
have
less
potential
for
waste.
But
that
said,
let
me
be
crystal
clear.
B
Our
hope
is
that
even
in
the
small
vaccination
sites
that
we
don't
have
any
waste
that
we
have
a
plan
in
advance
for
getting
doses
to
individuals,
maybe
it
means
that
those
entities
reach
a
little
farther
out
than
they
normally
do
to
try
to
get
the
most
at-risk
people,
but
people
nonetheless
to
be
vaccinated
again.
Clearly
we
do
not
want
a
waste
vaccine.
We
understand
it's
a
scarce
resource,
we're
trying
to
prioritize
as
best
we
can.
B
So
we
can
reduce
the
impact
on
those
most
at
risk,
but
we
do
want
to
make
sure
people
get
vaccinated.
On
the
second
issue,
we
again
I'll
remind
you
a
we
don't
yet
have
a
vaccine
for
our
youngest
citizens.
So
we
we
await.
For
that
and
yes,
vaccinations
are
one
of
the
tools,
but
not
the
only
tool
that
creates
a
safer
and
lower
risk
environment.
B
So
how
that
plays
out
in
schools,
I
think,
will
be
something
we
continue
to
work
on
and
we
will
see
I'm
not
sure
that
we,
you
know,
as
the
governor
put
out
last
week
or
the
week
before
last,
a
plan
for
supporting
schools
to
re
open
and
come
back
to
in-person
instruction
that
we
continue
to
work
with
districts
all
across
the
state,
various
education
entities
to
ensure
that
we
get
the
message
out
about
how
to
implement
those
plans,
whether
it's
the
testing
piece
or
the
support
around
disease
investigation
and
tracking
transmission
or
all
of
the
other,
very
important
things
like
wearing
the
face
coverings,
providing
surgical
mass
for
teachers
and
the
above.
B
So
I
share
the
hope
that
the
president-elect
has
led
many
more
schools
will
come
back
in
person
if
and
when
it's
safe.
But
we
are
busy
now
trying
to
make
sure
that
those
efforts
are
accelerated,
that
we're
supporting
districts
as
much
as
possible
and
communicating
clearly
so
we'll
see
what
happens
at
100
days
in.
But
we
are
working
hard
to
meet
that
goal
and
hopefully
support
our
communities
with
this
important
piece
of
getting
students
back
to
in-person
education.
As
soon
as
it's
safe
and
able.
E
D
B
You
know,
I
think
it's
a
it's
a
good
and
fair
question.
I
think
part
of
the
process
that
we
have
set
up
here
in
california
really
thoughtful
trying
to
focus
on
risk
and
exposure
and
equity
have
led
to
some
delays
in
getting
vaccine
out
into
our
communities.
B
I
think
other
states,
I
don't
want
to
speak
for
south
dakota
or
no
north
dakota
people
have
mentioned
west
virginia
a
few
other
states,
I'm
not
sure
all
of
their
strategies,
but
I
will
say
that
certain
states
that
I
know
have
put
a
great
deal
of
effort
into
kind
of
coming
up
with
their
priority
groups,
watching
how
we
keep
a
keen
eye
on
equity
have
been
sort
of
in
the
same
place
where
california
is,
and
we
look
forward
with
additional
vaccine
to
accelerating-
and
I
think
really
doing
more
in
this
space
than
we've
done
already.
D
Hi,
dr
golly,
I
wanted
to
follow
up
on
a
development
in
southern
california.
When,
yesterday,
the
los
angeles
county
health
director
put
out
a
push
for
people
to
not
only
wear
masks
when
they
leave
their
house,
but
asking
essential
workers
and
people
who
run
errands
for
their
family
to
wear
a
mouse
inside
their
house
as
well
to
come
home
and
mask
up
around
the
people.
You
live
with.
What
are
your
thoughts
on
that.
B
Look,
this
is,
this
is
a
balance.
I
think
it's
sound
science.
We
know
that
we
talk
about
sort
of
backyard,
gatherings
or
private
gatherings
as
a
main
source
of
spread,
and
so
many
people
have
pitted
those
sorts
of
gatherings
against
things
like
restaurants
and
other
other
venues.
But
we
also
know
that
a
great
deal
of
transmission
happens
in
household
transmission,
people
you
live
with,
who
go
out
and
live
their
days.
They
go
to
work,
they're,
an
essential
worker.
They
become
infected,
they're
asymptomatic
and
then
they
get
a
high
risk
family
member
infected.
B
So
the
same
rules
that
help
protect
you
in
your
workplace
can
also
protect
you
in
your
household
and
with
such
high
levels
of
transmission
in
los
angeles
county.
I
think
it's
prudent
to
make
that
option
available
to
equip
people
with
the
knowledge
that
it
could
actually
protect
a
loved
one.
In
a
way
I
mean
the
number
of
heartbreaking
stories
of
inadvertent
infection
from
somebody
who
didn't
know
that
they
were
infected.
B
That
is
a
true
story
for
so
many
californians,
especially
in
some
of
our
communities
where
we
have
multi-generational
families,
even
some
places
with
more
crowded
conditions.
So
it
is
prudent.
It
does
make
a
lot
of
sense
from
a
science
transmission
basis.
I
think
it
does
come
down
to
how
well
can
we
continue
to
comply?
D
On
a
different
topic,
are
you
all
whether
state
officials
or
hospital
leaders
discussing
contingency
plans
should
b117
or
another
more
transmissible
variant
of
the
virus
takes
off
there?
And
I
guess
what
would
that
look
like
if
you
had
even
more
transmission
on
top
of
where
you're
at
now.
B
That's
a
good
question
and
absolutely
we've
been
worried
about
it.
I
think
we're
we
have
38
confirmed
cases,
many
of
them
linked
in
southern
california,
san
diego
and
san
bernardino.
I
think
we're
continuing
to
look
at
the
genomics
of
positive
samples
across
the
state
to
determine
if
it's
anywhere
else,
but
absolutely
it's
a
concern
of
ours
and
what
this
means
is,
even
as
I've
said
before
today,
activities
that
you
did
six
or
eight
weeks
ago,
they're
riskier
today
with
the
b117
variant
that
uk
variant
being
of
concern
here
in
california,
particularly
southern
california.
B
Absolutely
we're
worried
that
if
it
takes
off
if
it
does
become
more
widespread,
that
we're
going
to
see
even
increased
transmission
versus
where
we
are
now,
but
it's
the
same
strategies,
we
need
to
be
focused
on
our
personal
behaviors,
keeping
our
mask
on
reducing
our
risks
of
transmission
by
staying
home
when
we
can
not
spending
time
with
people
outside
of
your
household.
So
it's
the
same
things.
I
just
think
that
the
rates
of
transmission
are
going
to
be
significantly
more
challenging
to
contain.
B
If
we
see
more
widespread
proliferation
of
this
uk
or
this
v117
variant
that
you
mentioned
it
does,
it
is
still
encouraging
that
vaccine
is
protective
here
that
the
faster
we
can
deploy
the
vaccine,
the
more
we
get
into
the
state,
the
less
the
impact
of
that
variant
will
be,
but
in
the
short
one
very
much
concerned
about
it,
and
it's
impacting
something
we're
watching
closely
talking
to
our
public
health
partners
across
the
state
about
its
impact
on
them,
particularly
and
then
continuing
to
track
that
transmission
for
additional
genomics
testing
each
and
every
day
and
reporting
that
out.
D
D
B
Yeah,
I
think
it's
it's
neither
too
late
or
too
early
we're
just
seeing
the
beginnings
of
or
or
we're
probably
right
in
the
middle
of
when
we
would
have
expected
anything.
Pre,
1231,
31,
pre-new
year's
eve,
new
year's
day
impact
on
hospitals.
As
I
said,
it's
about
12
days
out
today,
we're
on
the
12th
that
you
start
to
see.
Cases
show
up
in
your
hospitals,
so
we're
right.
B
There
I'd
say
we're
kind
of
in
the
middle,
so
it
is
encouraging
to
see
not
as
significant
an
increase
in
southern
california
and
other
parts
of
the
state
as
it
relates
to
the
holiday
activities
in
search.
But
I
wouldn't
sort
of
declare
victory
in
any
way.
We
know
we've
seen
a
a
many
high
days
since
the
beginning
of
the
year.
We
knew
that
people
didn't
come
in
to
get
tested
as
frequently
as
they
would
have
pre-holidays.
B
So
we
do
anticipate
that,
even
though
this
week
has
been
encouraging,
because
those
admission
numbers
have
been
flatter,
that
we
do
still
expect
there
to
be
a
bump
up
in
the
middle
of
the
month
towards
the
second
half
of
the
month,
that
we
anticipate
so
yes
pleased
to
see
less
impact
at
the
moment
and
still
very
prepared
to
see
what
we
were
worried
about,
which
was
the
second
half
of
january.
That
was
pretty
concerning.
F
Thank
you
for
taking
my
call.
I
had
a
question:
that's
a
little
technical
about
waivers
for
pharmacists
who
have
vaccination
certificates
that
have
expired.
I
understand
there
are
a
fair
number
of
these
pharmacists
out
there.
I've
heard
that
the
state
is
considering
a
waiver
that
would
allow
them
to
for
a
certain
small
period
of
time,
come
forward
and
should
start
helping
grow
the
ranks
of
vaccinators.
Is
that
something
the
state's
considering
and
when
might
that
happen?.
B
Yeah,
so
I'll
have
to
get
back
to
you,
I'm
not
sure
where
that
is
in
the
level
of
consideration.
I
know
that
that
that
concept
as
well
as
others
have
been
considered.
B
I
think
we
know
that
ramping
up
our
ability
to
not
just
have
vaccinators,
but
the
support
around
the
vaccinator
to
get
through
vaccines
quickly
is
going
to
be
important,
so
whether
it's
looking
at
nursing
students
and
inviting
them
to
participate
in
the
vaccination
effort
to
pharmacists
and
farm
techs
and
dealing
with
licensing
issues
for
those
who
maybe
need
to
become
current
or
have
retired,
that
all
of
that
is
on
the
table
and
something
we're
working
on.
But
I
will
certainly
get
back
to
you.
B
Have
the
team
get
back
to
you
with
a
more
complete
answer
specific
to
your
question?
So
again,
I
just
want
to
thank
you
all
for
bearing
with
us.
I
know
we
went
through
a
lot
of
information,
hopefully
got
through
many
questions
and
provided
some
clarification.
B
We
see
those
trends
start
to
flatten
and
hold
on
to
those
flattenings
that
we
then
continue
to
pivot
the
focus
on
vaccines
and
with
today's
news
and
our
hope
that
our
or
the
the
real
work
that
our
teams
at
the
state
level
updating
you
very
soon
on
how
that
will
impact
our
own
prioritization.
B
We
know
that
every
californian
is
wondering
we
get
your
tears.
We
hear
your
phases,
but
where
do
I
fit
in
so
more
news
on
that
point
as
well
soon?
So
with
that?
Thank
you
all
for
your
tremendous
work,
stay
staying,
strong
and
together
getting
through
what
has
been
a
very
difficult
and
dark
time
to
the
families
who
have
lost
loved
ones.