►
Description
California Health and Human Services Secretary Dr. Mark Ghaly provides an update on the State of California's response to the COVID-19 pandemic.
Dr. Ghaly announced today that three additional Bay Area counties--Alameda, San Mateo, and Solano--have moved from the purple tier to the red tier joining Santa Clara and most other Bay Area counties at the less restrictive level.
Recorded September 22, 2020.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
C
D
D
D
our
test
turnaround
times
within
24
to
48
hours,
allow
for
effective
isolation
and
quarantine
which
allow
us
to
stop
the
spread
of
the
virus
laboratories
across
the
state
are
reporting
results
in
1.2
days,
with
69
being
reported
within
one
day
and
90
within
two
days.
This
is
a
dramatic
improvement
in
our
turnaround
time
within
the
state
of
california.
D
D
D
California
has
a
new
blueprint
for
reducing
cova
19
with
slow
and
striking
criteria
for
loosening
and
tightening
restrictions
on
activities.
Every
county
is
assigned
to
a
tier
based
on
its
test,
positivity
and
adjusted
case
rate
for
tier
assignment,
including
metrics
from
the
last
three
weeks
and
from
here
I'm
going
to
turn
this
back
over
to
secretary.
C
Gallery
thanks
dr
pan,
just
to
re-emphasize
you'll.
Remember
really,
my
first
zoom
update
on
tuesday,
we
focused
on
the
new
testing
prioritization
criteria.
It's
been
many
weeks
since
we
spoke
to
that,
and
it
was
really
built
around
the
fact
that
at
that
time
we
were
experiencing
delays
in
turnaround
time.
There
were
access
to
testing
issues
that
had
popped
up
really.
That
was
the
impetus
to
our
perk
and
elmer
partnership
to
bring
new
testing
capacity
to
the
state.
C
But
what
dr
pond
has
focused
on
over
the
past
couple
weeks
is
really
an
arrival
to
a
different
time
where
testing
is
more
available
that
turnaround
times
are
shortened
so
that
those
test
results
can
be
more
useful
both
to
the
individual
who
is
tested,
but
also
on
the
contact
tracing
effort
from
the
perspective
of
isolation
and
making
sure
that
those
who
are
directed
to
isolate
for
a
period
of
time
do
so
early
on
in
their
course.
So
we
don't
have
the
disease
and
transmission
spread
more
broadly.
C
So
today's
announcement
focused
on
really
changing
our
prioritization
to
say
all
four
of
our
tiers,
the
tiers
aren't
different,
but
that
all
of
them
can
be
tested
now
and
that
we
want
to
support
individuals
who
are
in
any
of
those
tiers
to
get
tested
at
the
same
rate.
Again,
if
things
do
go
to
a
place
where
we
need
to
revise
that,
because
there's
pressure
on
testing,
we
now
have
a
system
where
we
can
do
that.
C
So
on
the
blueprint
this,
this
concept
of
slow
and
stringent
is
really
where
we
started
many
weeks
ago,
the
governor
laying
that
out
for
us
and
really
looking
at
how
we're
going
to
see
movement
into
the
tears
we
had
announced
really
just
as
a
reminder
that
we
have
these
four
tiers.
We
have
widespread
substantial,
moderate
minimal.
C
That's
people
are
starting
to
talk
about
purple
tier
red,
tier
orange,
tier
and
yellow
tier
that
I
wanted
to
before
we
get
into
where
we
are
today
and
over
the
last
couple
of
weeks
with
data
and
where
counties
land
remind
you
of
where
these
tiers
are.
I
want
to
also
say
that,
although
we'll
focus
on
those
counties
making
meaningful
movement
in
the
tiering
system,
so
actually
those
that
are
changing
tiers,
a
number
of
counties
also
did
enough
to
control
transmission
that
they're
moving
towards
a
change
in
tier.
C
But
that
is
something
that
we're
announcing
today,
as
we
look
at
these
different
tiers.
That
will
be
in
the
purple
tier
once
again,
so
widespread
statewide,
looking
at
the
the
operations
of
nail
salons
understanding
the
number
of
steps
that
they
can
take
to
make
a
lower
risk
environment
for
both
staff
and
customers,
with
some
new
additions
to
that
sector
guidance
and
how
to
set
up
operations
in
a
way
that
is
lower
risk.
C
We
believe
that
it
is
we're
able
to
add
that
to
the
number
of
sectors
within
the
purple
tier
or
that
widespread
tier,
so
today,
you'll
see
a
number
of
counties
moving
from
red
into
the
red
tier
from
purple,
a
number
of
others
moving
from
red
to
orange
and
then
one
moving
from
orange
to
yellow
so
the
red
tier
again,
a
substantial
transmission
alameda,
riverside
san
luis
obispo,
san
mateo
and
solano
counties
all
reaching
the
thresholds
for
two
consecutive
weeks.
Moving
from
purple
to
red.
C
So
I
think
good
news
all
around,
but
really
a
reminder
that
we,
despite
seeing
this
steady
downward
trajectory
that
we
cannot
drop
our
guard
people
ask
me
on
an
ongoing
basis.
Why
the
slow
and
stringent
approach
and
I'll
remind
you.
We
want
to
be
slow
and
stringent.
So
as
we
move
forward,
we
can
be
best
prepared.
C
In
case
we
see
some
increase
in
transmission
that
it
doesn't
cause
us
to
take
one
giant
step
backward
this
week
we
had
conversations
with
a
number
of
counties
about
making
sure
that
the
data
trends
continue
to
improve.
We
looked
at
the
data
very
closely
across
a
number
of
counties,
hand
in
hand
in
partnership
with
those
counties,
to
understand
what
they're
seeing
and
to
ensure
that
our
thresholds
are
met
and
our
data
is
accurate.
We
are
seen
across
the
nation,
an
increase
in
a
number
of
states
we're
seeing
a
second
wave
starting
in
europe.
C
Some
european
countries
are
returning
back
to
stricter
stay-at-home,
like
orders,
some
additional
restrictions
that,
of
course,
we've
seen
here
in
california.
We
were
the
first
state
to
implement
that
statewide
stay-at-home
order,
but
we
are
doing
all
that
we
can
to
make
sure
our
counties
can
avoid
a
step
back
in
that
way
to
a
more
restrictive
level
of
operation,
and
then,
as
we've
reminded
you
time
and
time
again,
over
the
past
many
weeks,
the
flu
season
right
around
the
corner.
C
So
again,
we
end
every
week
with
this
point
that
simple
acts
make
a
big
difference,
not
just
for
covid,
but
for
flu
that
wearing
your
mask,
ensuring
that
you
have
your
face
covering
with
you
that
you
don't
take
it
off
when
you
think
it's
okay,
to
put
your
guard
down,
keep
it
up,
keep
it
up
a
little
longer
than
you
thought.
You
would
just
to
make
sure
that
we
keep
transmission
of
what
has
become
a
real
sneaky
and
swift
virus
that
increases
transmission
in
rapid
ways
across
the
state.
C
Thankfully,
not
so
much
on
the
worst
outcome
of
death.
But,
more
importantly,
really
is
their
ability
to
spread
to
vulnerable
californians,
older
family
members,
maybe
mom
and
dad
maybe
aunt
and
uncle
grandma
grandpa,
but
really
throughout
their
communities
and
making
sure,
as
we
welcome
young
people
home
for
maybe
a
long
weekend
after
being
on
college
campuses,
then
we
do
what
we
can
to
keep
ourselves
safe
and
really
if
anyone
at
a
college
campus
is
infected
that
we
really
work
with
those
campuses
to
make
sure
that
we
minimize
mixing
in
our
broader
communities
and
homes.
C
F
F
Is
the
state
prepared
to
step
up
enforcement
if
businesses
in
different
places
follow
through
on
threats
to
more
quickly
reopen
the
state
guidelines
allow?
There
was
some
kind
of
a
rally
in
front
of
the
fresno
city
hall
yesterday,
where
business
owners
said
they
plan
to
open
october
1st,
whether
or
not
they've
moved
up
into
the
next
tier
or
not.
C
C
I
think
that
should
be,
hopefully
a
proof
point
to
many
of
the
business
owners
that
they
and
the
rest
of
our
community
is
doing
doing
the
right
things
to
get
transmission
down
and
that
we
will
see
soon
see
more
communities
and
businesses
have
a
chance
to
begin
operations.
From
the
enforcement
perspective.
C
We
are
working
statewide
and
with
all
of
state
government
and
our
local
partners
to
ensure
that
when
enforcement
is
appropriate,
that
we
do
take
steps
to
enforce
these
guidelines
and
these
this,
this
entire
framework,
as
it's
important
for
us
to
continue
moving
through
this
in
this
slow
and
stringent
way.
So
we
don't
later
in
the
fall,
have
to
make
a
big
step
backwards
when
we
know
that
being
outdoors
is
a
little
bit
more
challenging
when
flu
is
rearing
its
head
in
a
more
dramatic
way
than
we
see
today,.
H
C
Yeah
we
did
not,
and
I
think
this
was
an
important
point.
We
made
this
point
last
week.
Part
of
the
reason
why
we
asked
counties
for
two
consecutive
weeks
is
so
we
don't
have
a
sudden
reaction
to
what
is
a
short
short
term
trend.
We
included
the
san
diego
state
university
numbers
that
we
received
in
all
of
our
calculations.
C
We
worked
closely
with
san
diego
county
over
the
past,
not
just
last
week,
but
really
intensely
over
the
last
week
to
make
sure
we
all
understood,
understood
the
data
and
that
it
that
we
understood
where
the
county
landed.
In
the
framework,
there
were
no
concessions
made
based
on
their
data
and
we
look
closely
at
san
diego's
data.
The
same
way
we
do
all
of
the
other
counties
across
the
state.
G
Yeah
hi,
dr
gali,
so
following
up
on
san
diego
san,
diego,
has
been
straddling
that
substantial
and
widespread
the
case
rate
that
has
been
in
that
substantial
category.
What's
getting
the
county
in
trouble,
what
conversations
have
you
had
with
county
leaders
and
what
are
you
seeing
exactly
when
you
look
at
san
diego's
data.
C
So
we
certainly
see
a
county
that
is
hovering
around
that
threshold
between
red
and
purple,
but
we
continue
to
have
conversations
about
how
we
at
the
state
can
support
san
diego
as
well
as
understanding
more
and
more
what
san
diego
is
doing.
Around
places
like
san
diego
state
university
to
curtail
or
limit
transmission.
C
I
think
those
conversations
have
been
very
positive.
We've
had
a
number
of
conversations,
not
just
with
public
health
leaders,
but
some
of
the
other
leaders
in
san
diego
county
to
ensure
that
the
state
is
receiving
all
the
data
and
we've
been
very
clear
that
the
framework
is
our
framework.
We're
going
to
continue
to
follow
the
data.
C
And
we
felt
not
not
because
of
a
personal
or
subjective
opinion
that
we
received
after
having
conversations
with
san
diego,
but
that
we
built
a
process
that
was
based
on
the
concrete
data
that
we
received
and
that
they
should
remain
in
the
red
tier,
at
least
for
this
week
and
like
we
do
every
week.
We'll
continue
to
look
at
this.
And
if
the
data
points
in
a
different
direction.
That's
the
direction.
We'll
move
in.
H
Hi,
dr
gailey,
I
was
hoping
you
could
weigh
in
on
the
kind
of
the
consular
view
about
the
cdc
and
the
guidance
play
issues
on
friday
and
that's
so
bad
on.
Regarding
the
spread
of
cobed
based
on
the
droplets
versus
airborne.
I
know
that's
quite
a
distinction,
and
how
does
that
impact?
The
guidance
that
the
state
of
california
put
out,
which,
of
course
is
based
on
droplet
precautions
and
the
implications
that
it
could
have
for
reopening
these
different
sectors
in
california?.
F
I
C
Yeah,
it's
again
emphasizing
it's
two
consecutive
weeks,
so
it's
not
two
weeks
over
three
or
two
out
of
four
it's
two
consecutive
weeks
and
really
the
point
of
that
is
to
make
sure
we
understand
what
the
trends
of
transmission
are.
We
know
that
counties
do
a
lot
and
this
whole
point
of
contact,
tracing
and
supportive
isolation
is
to
be
able
to
find
those
cases
and
then
do
something
about
it
to
control
transmission.
C
H
C
C
C
But
so
far
I
feel,
like
we've
seen
a
number
of
proof,
points
that
this
is
indeed
a
simpler
way
to
communicate
and
work
with
our
counties
and,
frankly,
our
entire
public,
as
well
as
something
that
is
bearing
out
in
the
data
and
what
we've
seen
in
terms
of
forward
movement
across
many
different
counties
and
across
each
tier
I'll.
Just
highlight
that
we
had
counties
move
from
all
of
the
different
tiers
into
a
less
restrictive
tier
this
week.
And
we
anticipate
that
we
may
see
more
of
that.
Even
next
week.
H
Hey
dr
dally,
I'm
wondering
if
we
can
get
an
update
on
my
contact
training
number
so
just
last
month
you
know
chinese
were
reporting
having
a
backlog
of
cases
sort
of
having
to
prioritize
which
cases
they
investigated
and
traced,
some
of
it
due
to
the
long
wait
and
results,
and
also
just
not
having
enough
manpower.
So
as
you
and
dr
pond
have
shared
that
test,
turnaround
time
has
decreased
so
wondering
if
this
means
that
counties
are
having
an
easier
time
doing,
contact
tracing.
H
C
Yeah,
no
all
all
great
points
and,
and
one
we
think
about
very
often.
In
fact,
over
the
past
couple
of
weeks,
we've
been
surveying
many
of
the
counties
trying
to
understand
exactly
your
question,
making
sure
that
it's
in
place
you'll
remember,
I
talked
about
how
we
wanted
to
bring
cases
down,
increase
our
ability
and
capability
around
contract
tracing.
So
it
hits
a
sort
of
equilibrium
point
where
counties
can,
in
fact
not
just
do
the
requisite
case:
identification
and
disease
investigation
with
that
initial
case,
but
reach
a
number
of
the
contacts.
H
C
The
tremendous
effort
not
just
with
state
testing
sites
but
county-sponsored
sites
for
testing
throughout
that
county.
I
mean
really
a
tremendous
effort
and
I
think
you're,
seeing
that
in
their
outcomes,
right
we're
seeing
the
case
rates
coming
down,
we're
seeing
test
positivity
come
down.
My
message
to
to
ventura
county
as
it
is
with
every
county
is
we
have
our
framework.
We're
encouraged
by
the
movement
counties
are
making
towards
achieving
those
thresholds
to
move
into
the
framework,
but
to
move
into
a
different
tier,
but
we
have
our
framework.
C
We
believe
that
it's
working
and
we're
there
to
support
each
county
in
the
pursuit
to
move
their
own
transmission
down
their
own
test
positivity
down,
so
a
county
like
ventura
can
move
from
purple
to
red,
but
we're
not
going
to
compromise
the
process
that
we've
set
out
now,
as
an
earlier
question
asked,
do
we
think
it's
working?
We
do
and
we
think
that
it's
it's
going
to
continue
to
work
county
by
county
across
the
state.
H
C
Yeah,
it's
it's
a
great
question.
As
I
said
late
last
week,
we
continue
to
work
with
our
counties
to
get
this
one
right.
We
believe
it's
such
an
important
metric,
both
in
the
context
of
covid
and
all
the
work
we're
doing,
but
in
the
broad
context
of
health,
equity
and
equity
in
general.
The
disproportionate
impact
on
certain
populations
is
real.
We've
been
tracking
it
through
our
data,
so
many
counties.
We
we
heard,
I
heard
a
little
bit
about
ventura
county's
efforts,
not
just
this
morning,
but
later
last
week
around
focusing
on
equity.
H
Hi,
dr
galley,
thank
you
for
taking
the
question,
so
I'm
sure
san
diego
is
very
relieved
but
to
be
able
to
enroll
in
saying
they
held
a
press
conference
and
basically
for
businesses.
They
they
they're,
saying
they
just
don't
think
they
can
survive
with
restaurants
at
25
gyms
at
10
percent.
How
are
you
working
with
the
business
community
that
community,
I
mean
sure
they
they're
keep?
They
keep
working
with
you
or
are
you
concerned?
C
Yeah,
I
mean
great
questions
we
through
not
just
health
and
human
services
or
our
california
department
of
public
health,
but
a
number
of
our
agencies
and
entities
at
the
state
level
have
had
ongoing
interactions
with
a
number
of
the
different
business
sectors,
often
in
a
lot
of
back
and
forth
communication
about
what
steps
people
take
to
create
those
lower
risk
environments,
we're
of
course,
very
sensitive
and
interested
to
support
our
economic
sectors
across
the
state.
It's
the
engine
for
so
much
that
drives
health.
I
mean
jobs,
housing.
C
So
this
approach,
although
we're
starting
to
see
some
movement
now
and
I
think
tremendous
movement
this
week-
counties
not
just
from
purple
to
orange
but
orange.
Sorry,
purple
to
red
but
red
to
orange
and
orange
to
yellow
now
that
it
is
beginning
to
move,
and
we
are
working
closely
with
a
number
of
our
counties
and
our
business
leaders
to
see
how
we
can
continue
to
hold
on
to
get
transmission
to
drop
in
those
counties.
So
we
don't
run
the
risk
of
moving
backwards.
So
it's
ongoing
conversation.
C
I
know
personally
that
I'm
having
a
number
of
those
conversations
myself
but
all
of
state
government.
The
entire
team
of
the
governor,
is
working
closely
with
a
number
of
those
leaders
and
not
only
do
we
hope,
but
we
expect
that
we'll
be
able
to
continue
to
work
with
them
to
make
sure
they'll
get
through
this
and
we
get
through
the
fall
and
winter
and
flu
season
and
that
we're
moving
forward
with
increasing
economic
stimulus
throughout
those
sectors.
H
C
Yeah
similar
to
a
number
of
other
counties,
you
know
when,
when
a
county
asked
us
to
take
a
close
look
at
their
data
because
it
might
impact
their
tier
assignment,
we
do
that.
We
receive
that
request
from
san
francisco
and
that's
an
ongoing
effort
with
them
to
make
sure
that
we
have
accurate
data
and
that
tier
assignment
is
accurate.
C
Certainly,
there
are
some
that
say,
a
shorter
lag
is
more
appropriate.
Some
that
say,
a
longer
lag
is
more
appropriate
in
our
looking
at
certain
counties.
We
see
that
this
approach
allows
us
to
capture
a
vast
percentage,
a
very
high
percentage
of
all
of
the
relevant
data,
without
risking
being
a
little
dated
or
stale
with
the
data
that
we're
using
to
make
real-time
decisions.
So
I
think
there's
a
lot
of
different
opinions
and
approaches
on
this.
C
So
with
that.
Thank
you
again
for
all
of
the
questions
I
I
know
a
busy
week
of
conversations
with
counties.
I
just
want
to
say
a
deep
thanks
to
the
counties
not
only
as
they're
looking
at
their
own
data
understanding
the
conditions
within
their
own
counties,
but
really
leading
in
these
conversations
with
us
at
the
state
level,
so
that
we
can
continue
on
this
approach
that
we
believe
is
going
to
continue
to
carry
us
through.
So
with
that,
thank
you
very
much
and
have
a
good
afternoon.