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From YouTube: Governor Newsom's COVID-19 Update - March 30, 2020
Description
Governor Gavin Newsom and state health officials provide an update on California's response to the COVID-19 outbreak. Governor Gavin Newsom joins California health care workers on the front lines of the fight against COVID-19 to announce a major initiative to surge California‘s health care workforce.
Recorded March 30, 2020 in Sacramento.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus
C
C
Everybody
we
we
are
now
getting
into
the
next
phase
of
not
only
our
planning
but
to
begin
the
process
of
actualizing
those
plans
in
real
time.
Let
me
give
people
an
update
on
where
we
are
in
the
state
of
California.
In
particular,
in
the
last
four
days,
we
have
seen
a
doubling
of
the
number
of
hospitalizations
related
to
kovat
19
last
four
days:
double
the
population
that's
been
hospitalized.
We've
also
seen
a
tripling
of
the
number
of
ICU
patients
in
our
system
in
the
last
four
days.
C
These
have
long
been
projected
based
upon
our
modelling
consequence.
We
have,
for
weeks
now
been
organizing
ourselves
around
a
surge
that
will
require
roughly
two-thirds
increase
in
capacity
within
our
hospital
system.
That
requires
three
fundamental
things.
It
requires
finding
new
places
to
put
people
number
two
requires
having
adequate
supplies
from
PPEs
to
the
ventilators,
and
importantly,
number
three
requires
people,
and
today
we
are
announcing
a
new
effort:
health,
health,
Corps,
dot,
ca.gov
health
court
ca.gov.
C
As
these
numbers
continue
to,
we
couldn't
be
more
pleased
by
the
incredible
professionalism
of
our
nurses,
and
doctors
are
professional
representatives
that
came
together
across
many
differences
and
organized
around
a
framework
of
providing
more
flexibility,
more
surge
capacity
within
the
system
by
providing
scope
of
practice
reforms
by
allowing
us
to
utilize
our
existing
resources
in
a
more
resourceful
way.
I
want
to
thank
all
of
the
representatives
for
putting
aside
again
those
differences
and
meeting
this
moment
head-on,
to
provide
the
flexibility
that
is
required
to
meet
this
moment.
C
We
have
an
executive
order
that
went
out
that
will
provide
flexibility
through
June
30th.
This
is
temporary
flexibility
on
staffing
ratios,
on
scope
of
practice
for
nurse
practitioners.
Emts
and
others
we
are
going
out
now
to
deeply
find
the
kind
of
talent,
though
that
is
necessary
beyond
the
scope
of
practice,
changes
and
beyond
the
regulatory
changes
and
to
make
sure
that
we
have
the
adequate
workforce.
C
Looking
for
mental
health
experts,
looking
for
more
EMTs,
more
pharmacists,
looking
for
more
fo
botanists,
looking
for
more
experts
in
respiratory
care
and
the
like
technicians,
administrators
doctors,
nurses,
we
are
calling
on
you
to
step
up
and
step
in
and
meet
this
moment.
We
have
more
licensed
healthcare
professionals
in
the
state
of
California
than
any
state
in
the
nation,
some
seven
hundred
and
sixty-six
thousand
professionals
in
the
state
of
California.
C
But
we
estimate
we
have
the
capacity
to
increase
our
ranks
by
an
additional
37
thousand
plus
professionals
that
are
in
that
time
of
life,
where
they
again
may
have
just
recently
retired
or
they're
in
the
process
of
getting
their
license
and
their
degrees.
And
so
we
are
very,
very
hopeful
with
this
effort
that
we
will
see
a
surge
of
individuals
to
be
paid
and
compensated
to
participate
in
the
workforce
and
distributed
throughout
our
care
delivery
system.
C
For
meeting
this
moment,
I
also
want
to
express
deep
respect
and
admiration
to
Mark,
Zuckerberg
and
Facebook,
well
aware
of
the
need
to
surge
with
our
health
care
capacity,
they
are
providing
stipends
for
individuals
that
need
transportation,
funding
that
need
childcare
support
if
they're
going
to
participate
in
this
workforce.
That
can
get
the
kind
of
support
on
things
that
otherwise
we
other
would
be
paid
for
not
things
not
just
like
childcare
and
transportation,
things
like
hospital,
or
rather
hotel
rooms
and
accommodations.
C
So
they
put
up
twenty
five
million
dollars
and
we're
very
grateful
to
Facebook
for
providing
those
stipends
to
help
us
in
areas
where
we
need
a
little
bit
extra
support.
Again,
that's
the
spirit
of
California.
That's
the
spirit
of
this
moment.
It's
the
spirit:
that's
driving,
resolve,
driving
that
resolve
as
well
is
the
aggregation
of
all
of
these
physical
assets
that
have
taken
place
in
shape
over
the
course
of
the
last
few
weeks
from
the
USNS
mercy
that
now
tuck
their
first
patients.
Just
yesterday
in
Los
Angeles
to
the
2000.
C
That
will
be
surging
from
the
support
of
the
federal
government.
These
feel
field
medical
stations.
We
already
have
our
Santa
Clara
operation
up
and
running.
We
have
Riverside
up
and
running.
We
have
work
being
done
in
Los,
Angeles
and
San
Mateo.
That
will
share
some
of
that
surge
in
San
Francisco
part
of
the
FMS
process,
again
already
operationalized
Seton
hospital
already
operationalized
that
we
brought
into
the
portfolio
of
assets
here
in
the
state
we've
been
talking
over
the
weekend
to
get
st.
vincent
366
beds,
in
los
angeles,
fully
staffed
up
as
well.
C
We'll
have
some
specific
announcements
on
that
in
the
next
few
days,
Community
Hospital
down
in
Long
Beach
we're
starting
to
see
that
all
take
shape
in
real
time.
We
have
other
hospitals,
we've
identified
in
addition
to
the
FMS
sites
in
the
US
NS
mercy.
We
are
also
looking
to
get
some
1,000
skilled,
nursing
facility
units
up
and
running,
and
we
have
indeed
made
real
progress
in
other
areas,
from
Fairview
and
Porterville,
and
now
working
with
the
Army
Corps
of
Engineers,
that
has
now
looked
at
15,
high-priority
sites.
C
They
have
got
four
more,
that
they'll
be
looking
out
from
the
Sleep
Train
Center
here
in
Sacramento
to
Oakland
Coliseum
to
the
LA
Coliseum
and
other
sites
throughout
the
state
of
California.
Looking
at
those
sites
as
potential
surge
sites,
all
part
of
the
plan
to
increase
by
50,000
beds
are
available
capacity
within
our
healthcare
delivery
system.
We
have
distributed
now
some
thirty
two
point:
six
million
n95
masks
in
the
state
of
California.
We
have
our
sights
on
getting
that
hundred
and
one
million
that
we
have
locked
up
into
the
state
in
every
couple
days.
C
More
of
that
PPE
comes
in
not
just
n95
masks
but
coveralls
and
shields
and
gowns
and
gloves
glove
sets
and
the
like,
and
so
as
soon
as
we
get
them
in,
we
get
them
out.
Yesterday
we
were
getting
in
a
number
of
ventilators
in
to
Bloom
Energy
for
refurbishing
and
reconfiguration
I'm.
Very
pleased,
the
hundred
and
fifty
that
came
from
LA
as
part
of
the
national
stockpile
all
of
those
have
been
completed
and
are
done
and
are
being
sent
back
out
into
LA,
County
and
I
just
want
to
encourage
folks.
C
If
you
have
a
line
on
ventilators,
it
doesn't
matter
if
they're
brand
new.
Maybe
you
have
a
few
pieces
lying
around
your
basement
of
the
house.
I
don't
mean
to
be
flip
here
or
flippant,
we'll
take
them.
We've
got
the
folks
here
in
Silicon
Valley.
They
can
do
miracles
with
old
equipment
and
refurbish
that
equipment.
C
And
so,
if
you're,
a
nursing
school
student,
medical
school
student,
we
need
you
if
you've
just
retired
in
the
last
few
years.
We
need
you
if
you
are
looking
to
expand
your
scope
of
practice
and
have
particular
expertise
in
any
particular
capacity.
We
need
you
and
we
encourage
you
to
take
a
look
at
that
health
court
ca.gov
website.
C
Five
simple
steps
will
ask
you
basic
questions
and
we'll
help
you
with
your
relicensing
will
help
you
with
the
protocols
and
processes
to
get
you
up
and
running
and
get
you
out
the
door
so
that
you
can
support
the
needs
of
people.
The
state
of
California,
all
throughout
our
state,
we've
seen
an
increase
in
a
modest
eight
point,
three
percent
and
terms
the
total
number
of
positives
last
night.
Five
thousand
seven
hundred
and
sixty-three
total
Kovan
19
positives
in
the
state
of
California,
but
it's
those
hospitalization
numbers.
C
It's
those
ICU
numbers
that
we
are
most
focused
on
and
again
those
numbers
are
starting
to
go
back
up
again
along
the
lines
of
our
model.
So
the
next
few
weeks
are
going
to
be
critical
in
the
state
of
California.
In
the
next
few
weeks,
we're
going
to
be
more
to
flex
and
to
surge
and
do
more
together
to
meet
this
moment
and
before
I
turn.
It
over
to
the
doctor
I
want
to
just
remind
people
of
how
they
can
meet
this
moment.
C
All
of
you
that
have
the
capacity
to
contribute
can
contribute,
most
significantly
by
practicing
physical
distancing
by
continuing
the
good
work
that
we've
done
in
this
state,
including
over
this
weekend,
we
had
to
shut
down
all
280
parking
lots
in
our
state
parks
system.
We
saw
a
reduction
in
the
kind
of
surge
of
activity
in
our
parks
and
on
our
beaches
compared
to
the
previous
weekend,
but
we
want
you
to
continue
to
do
that.
C
Physical
distancing
number
two
I
just
want
to
remind
people
that
if
you
know
anybody
in
the
medical
profession,
if
you
know
people
that
you
think
are
willing
to
contribute
their
time
and
energy
in
a
compensated
way
to
go
to
this
new
website.
So
we
can
meet
the
healthcare
surge
as
well
so
partners
well
across
the
spectrum.
Private
sector
Facebook
the
public
sector,
with
incredible
contributions
of
nonprofits
and
civic
minded
individuals
will
continue
to
row
in
the
same
direction.
Continue
to
meet
this
moment
as
we
have
in
the
state
of
California.
C
In
addition
and
happy
to
answer
questions,
we
are
significantly
increasing
our
efforts
on
homelessness.
I'm
happy
to
go
into
details
around
that,
but
I
want
to
now
turn
it
over
to
dr.
constant,
who
has
been
part
of
our
partnership
with
the
California
Medical
Association
working
across
a
spectrum
of
health
care
professionals
that
helped
us
with
guidance
and
was
willing
to
again
work
with
us
to
create
the
flexibility
and
to
create
the
kind
of
licensing
reforms
that
temporarily
are
needed
to
meet
this
moment
and
I
just
want
to
thank
dr.
C
E
Thank
you.
First
I
wanted
to
take
this
moment
to
thank
Governor,
Newsome
and
California's
public
health
leaders
for
the
swift
action
that
they've
had
in
terms
of
our
physical
distancing
and
our
sheltering
in
place,
because
it
is
really
helping
the
healthcare
team.
It's
helping
us.
The
time
has
really
been
crucial
to
help
us
learn
about
this
new
virus
as
healthcare
providers,
how
best
to
treat
it
and
how
to
create
the
systems
of
care
so
that
we're
there
and
ready
for
the
sickest
when
they
need
us
today
is
national
doctors
day
and
I
want
to.
E
This
crisis
is
already
impacting
thousands
of
physicians
across
California,
not
just
those
who
are
directly
taking
care
of
Kovan
19
patients,
but
also
the
thousands
of
others
whose
practices
have
been
forced
to
close
over
the
past
several
weeks,
but
even
had
missed.
Amidst
this
uncertainty
and
personal
hardship
over
500
physicians
have
reached
out
to
the
California
Medical
Association
to
ask:
how
can
they
help
during
this
time,
either
directly
treating
the
sickest
patients
or
stepping
in
to
help
fill
in
the
gaps
for
the
people
that
are
taking
care
of
our
sickest
patients?
E
In
fact,
all
members
of
our
health
care
team
are
showing
tremendous
courage
and
bravery
continuing
to
treat
patients,
even
though
they
worry
about
the
personal
protection
equipment
that
they
need
to
keep
them
safe.
I
am
very
grateful
to
governor
Newsom
for
his
intense
focus
on
delivering
the
personal
protective
equipment
to
our
workers,
who,
on
the
frontlines
of
this
pandemic,
to
ensure
that
California
is
doing
everything
that
they
can
to
protect
our
physicians,
our
nurses
and
all
members
of
the
healthcare
team.
E
Many
of
us
were
drawn
to
careers
in
medicine
because
of
the
opportunity
to
truly
help
others.
This
is
the
work
that
we've
been
called
to
do.
Now
is
our
time
we're
asking
all
medical
professionals,
physicians,
nurses,
physician
assistants
and
all
members
of
the
healthcare
team
to
join
us
to
take
care
of
Californians
through
this
surge.
For
many
of
us,
that
means
stepping
outside
of
our
comfort
zone
and
leaning
into
our
inner
strength.
We're
calling
on
the
spirit
of
all
healthcare
workers
across
California
to
step
up
and
help
to
serve
the
patients
of
our
state.
E
I've
been
humbled
and
deeply
moved
by
the
many
stories
of
the
physicians
and
others
whose
true
selflessness
has
really
led
with
compassion
and
heartwarming
carrying
solidarity
through
this
I
know.
We're
gonna
hear
many
many
many
more
stories
of
this
true
humanity
in
the
weeks
to
come.
So
thank
you
to
all
of
you.
Who've
already
worked
long
hours
and
who
will
continue
to
work
tirelessly
to
help
our
patients.
E
C
We're
all
struggling
with
the
health
Corps
dot,
CA
gov
site,
but
we
just
got
it
up
and
and
operationalized
it
look.
I
want
to
just
make
this
point,
I'm
very
proud.
You
know,
California
has
some
of
the
well
in
fact
the
highest
standards
of
personal
protection,
long
championed
by
the
Medical
Association
long
championed
by
the
California
Nurses
Association
in
terms
of
ratios
in
terms
of
protective
gear,
and
those
are
things
that
we
are
very,
very
proud
of,
and
I
recognize
at
this
moment
of
anxiety.
C
In
order
to
meet
this
moment,
we've
got
to
temporarily
suspend
some
components
of
some
of
the
licensing
and
scope
of
practice,
as
it
relates
to
meeting
the
care
needs
of
those
Californians,
and
so
it
took
a
lot
for
those
organizations
to
participate
and
step
up
and
I
want
to
just
thank
them
personally
on
behalf
of
millions
of
Californians,
we're
very
grateful
for
your
willingness
to
do
so.
At
this
moment,
and
again,
I'll
remind
you.
This
is
temporary.
This
is
not
permanent,
no
games
are
being
played
and
we
have
deep
admiration.
C
Respect
for
all
of
you
and
deep
gratitude
that
you're
willing
to
work
with
us
to
meet
this
moment.
So
with
that
broad
strokes,
that's
the
call
to
action
today
to
all
California
healthcare
professionals
to
help
participate
and
go
on
this
site,
and
we
look
forward
to
any
questions
that
anyone
may
have
as
well.
C
It's
well,
it's
1432,
as
I
said
that
number
substantially
higher
than
the
first
number.
We
gave
you
a
couple
days
ago,
which
was
746
as
a
consequence,
roughly
doubled
in
four
days
and
we'll
provide
more
information
on
that
as
needed.
The
number
of
ICU
beds
today
is
at
597.
You
may
recall
four
days
ago,
it
was
at
200,
so
can't
be
more
precise
than
that.
C
We
have
a
nineteen
point:
nine
percent
increase
overnight
in
the
ICU
bed
capacity
and
a
fourteen
point
three
percent
overnight
increase
in
the
hospitalization
capacity,
as
it
relates
to
your
very
specific
component
of
question.
As
it
relates
to
the
county
level,
we
will
provide
that
information.
I'll
make
sure
you
get
it.
G
Hi
governor
thanks
for
doing
this,
I,
hey
I've,
got
a
two-part
question.
I
hope.
That's!
Okay,
I'm
on
the
first
one
we're
two
weeks
into
the
Bay
Area's
shelter-in-place
waters-
and
you
know
California
as
a
whole,
is
faring
better
than
a
couple
of
other
states.
New
York,
New,
Jersey
Louisiana.
Just
your
thoughts.
Do
you
think
that
those
orders
have
flattened
the
curve
in
the
bay
area,
as
some
UCSF
doctors
suggested
over
the
weekend?
G
And-
and
my
second
question
is
on
school
closures-
were
three
weeks
into
those,
and
some
of
the
schools
are
providing
instruction
in
different
ways.
Some
are
giving
video
classroom
lessons.
Others
are
pointing
families
to
websites
with
worksheets.
Does
the
state
need
to
do
more
than
just
provide
guidelines?
And
you
know
what
do
you
think
of
the
situations
in
which
districts
and
teachers
are
engaged
in
disputes?
So
I
hope
that's
okay,
but
two-part
questions
Thanks.
Let.
C
Me
talk
about
the
schools
at
two
o'clock
today,
all
58
County
superintendents
are
getting
on
the
phone
and
we'll
have
more
detailed
information
to
provide
you
after
that
conference.
Call
that
goes
deep
into
the
issue
not
only
of
distance
learning
but
special
education
and
the
issue
related
to
food
distribution.
So
that's
the
agenda
today
and
then
a
very
sober
conversation
we're
going
to
have
about
the
expectations
for
the
remainder
of
the
school
year.
C
But
the
answer
to
your
question
is
yes,
we
need
to
do
more
and
let
me
fill
in
the
blanks
based
on
the
details
that
come
out
of
that
call
this
afternoon
and
by
the
way
on
Thursday.
We
have
another
webinar
specifically
related
to
distance
learning
for
special
needs,
kids
as
well,
which
only
reinforces
my
affirmation
that,
yes,
we
need
to
do
more
and
we
are
trying
to
do
that
in
real
time
as
it
relates
to
the
bending
of
the
curve.
I'm,
not
gonna.
C
You
know
we're
in
the
middle
of
this
and
I
think
it
would
be
too
easy
for
us
to
assert
a
belief
at
this
moment
about
what
has
or
has
not
worked
except
to
say
this.
We
know
what
does
work
and
that's
physical
distancing
and
we
believe
very
strongly.
The
stay-at-home
order
has
helped
advance
our
efforts
in
reducing
the
stress
on
the
system
that
we
believe
would
have
already
materialized
in
more
acute
ways.
C
Had
we
not
advanced
those
protocols
when
we
did,
we
have
not
been
sitting
around
over
the
last
a
week
or
two
we
have
been
preparing
over
the
last
week
or
two
and
that
stay-at-home
Order
has
advanced
that
effort.
It's
bought
us
time
to
prepare,
but
I
want
to
make
this
point.
I
made
it
from
the
outset,
when
you
see
a
tripling
of
the
ICU
beds,
when
you
see
a
doubling
of
hospitalizations
just
over
a
four-day
period,
that's
a
point
of
not
just
consideration.
C
It's
a
point
of
of
obvious
concern
as
it
relates
to
our
ability
to
meet
not
only
the
physical
needs
of
that
surge,
but
the
personal
protective
equipment
that
is
required
of
it
and
obviously
the
human
capital
that
we're
speaking
of
today
and
so
I,
don't
want
to
say
that
it's
worked,
but
I
will
say,
I
think
it's.
We
have
benefited
in
terms
of
our
capacity
to
prepare,
but
we're
very
sober
about
what
these
trend
lines
are.
Looking
to
looking
or
at
least
instructing
over
the
next
couple
weeks.
H
Governor
you
mentioned
he
wanted
to
increase
the
number
of
medical
workers
by
about
37,000.
That
just
seems
like
a
really
large
logistical
challenge:
I'm
wondering
how
the
state
can
go
about
doing
that
in
a
short
amount
of
time,
and
do
you
know
where
they
would
go
when
they
go
to
field
hospitals
or
existing
hospitals,
or
both
no.
C
And
thank
you
for
the
opportunity
to
clarify
that's
just
the
universe
of
individuals
that
are
retired
or
inactive
licenses
that
we
project
they
are
out
there.
So
that's
not
the
number
that
we're
trying
to
bring
in
that's
the
universe
that
we're
trying
to
call
from
so
we're.
Looking
for
thousands
and
thousands
of
individuals
and
again
it
depends
on
the
expertise.
C
It
depends
on
the
specific
skill
set
and
we're
parsing
those
out
throughout
the
system
working
very
collaboratively
with
our
entire
Hospital
stem,
as
well
as
our
skirt,
skilled
nursing
facilities,
our
assisted
living
congrat
facilities
and
the
like.
It's
all
part
of
this
larger
system,
and
so
we're
scoping
a
universe
of
37,000
and
those
will
break
down
in
real
time
and
its
geographic,
its
system
by
system.
It's
it's
its
capacity
that
we're
looking
for.
C
Let
me
be
specific
when
we
open
up
the
Sleep
Train
Center,
it's
a
capacity,
we're
looking
for
when
we
open
up
these
vehicle
field,
medical
stations.
That
capacity
differentiates
itself
on
needs
in
Riverside,
they
may
have
certain
needs.
Santa,
Clara
County
has
different
needs.
Counties
can
absorb
more
in
these
more
resourced
parts
of
the
state.
They
can
absorb
less,
so
we
have
to
supplement
that
in
other
parts
of
the
state.
So
it's
an
interim
process,
but
the
universe
is
37,000
and
thousands
is
the
number
that
we
hope
in
very
real
terms.
I
D
J
Hey
governor,
thank
you
for
taking
our
questions.
We
wanted
to
ask
so
looking
at
your
projections
and
the
modeling
that
you
all
have
done.
When
do
they
indicate
that
the
state
could
be
reaching
the
capacity
in
terms
of
the
hospital
beds
needed
when
baby
overwhelmed
roughly,
if
you
can't
provide
a
specific
date,
when
roughly
would
that
happen,
and
then
just
when
were
saying
to
tail
on
the
end
of
that,
is
we're
wondering
if
your?
C
On
that
we
are
working
hand
in
glove
with
in
the
system.
I'll
remind
you,
roughly
75,000
licensed
beds
in
the
state
of
California.
We
requested
a
surge
of
the
system,
fifty
thousand
beds
30,000
of
those
requirement
within
the
hospital
system
cells,
which
represents
roughly
a
forty
percent
surge
and
so
that's
actively
being
advanced
within
the
hospital
system
itself.
We
are
required
for
the
additional
twenty
thousand
to
go
out
and
access
and
resource
additional
capacity
as
I
said,
USNS
mercy,
part
of
that
all
of
these
field.
C
In
addition,
though,
I
continue
to
make
the
case
that
PPE
and
the
supply
side
of
this
continues
to
be
a
challenge.
Despite
the
30
2.6
million
and
95
masks,
we
put
out
tens
of
millions
have
already
been
requested
of
the
state
throughout
our
system
and
beyond
the
system.
As
you
know,
this
is
a
huge
issue
for
our
grocers,
a
big
issues
for
those
that
deliver
the
groceries
and
many
others
that
are
also
looking
for
personal
protective
gear
as
well.
C
D
Governor
you
hit
it
right
on
the
nose
I
think
at
the
moment,
the
modeling
that
we
show
and
where
we
are
with
our
projections
and
actuals,
is
that
our
current
efforts
around
surge
meet
the
moment
and
we're
able
to
take
care
of
anybody
who
needs
a
hospital
bed
today.
Anyone
who
needs
a
ICU
bed
or
needs
a
ventilator
and
our
efforts
to
increase
staff
increase
beds.
D
Increased
supplies
are
on
track
to
continue
to
meet
that
for
weeks
to
and
just
to
reiterate
what
the
governor
said
that,
as
we
continue
our
physical
distancing
efforts
that
those
are
going
to
help
us
change
what
those
curves
and
lines
look
like
so
to
continue
supporting
our
neighbors
and
our
communities
to
do
that.
Well,
is
of
utmost
importance.
I.
C
Know
it's
an
old
mantra
decisions,
not
conditions,
determine
our
fate
and
future
decisions,
not
conditions.
So
I
don't
live
on
the
basis
of
economic
forecasts,
any
more
than
healthcare
forecasts.
I
live
on
the
basis
of
our
capacity
to
bend
curves
to
change
expectations
by
changing
behavior
and
that's
why
what
dr.
Ghali
said
is
is
so
foundational,
so
incredibly
important
the
power
and
potency
we
have
as
individuals
to
radically
change
these
projections.
C
It
resides
in
each
and
every
one
of
us
in
each
and
every
decision
we
make
each
and
every
day
and
that
social
pressure
we're
seeing
out
there
for
people
to
do.
The
right
thing
is
the
most
powerful
enforcement
tool
we
have,
and
we
will
continue
to
use
that
as
our
moral
authority
is
advanced
all
throughout
the
state
of
California.
To
the
extent
we
have
to
exercise
our
formal
authority
as
it
relates
to
licensing
and
business
revocation,
because
people
abuse
it
in
law
enforcement.
C
K
Governor
I
have
a
two-part
question,
so
one
is
based
on
your
community
surveillance
testing
and
your
modeling
that
you've
done
today.
How
many
people
do
you
think,
are
infected
with
the
virus
in
California
and
then
the
second
part
kind
of
adds
on
to
what
Angela
asks,
but
I'm
curious,
why
you're
reluctant
to
give
a
pee
State
and
why
Californians
shouldn't
know
kind
of
the
date
that
the
administration
is
working
off
of
right
now?
Well,.
C
Because,
first
of
all,
I
just
on
that,
it's
a
dynamic
model
and
it
radically
is
different
I-
can
assure
you
than
it
was
just
four
or
five
days
ago,
and
if
we
had
a
model
that
I
can
more
confidently
say
based
on
all
of
these
conditions
and
everything
being
static,
then
we
would
provide
it
to
you.
But
I
can
assure
you.
We
are
running
those
models
in
real
time
and
remember
these
models
aren't
just
on
the
basis
of
current
infection
rates
or
the
community
surveillance
and
the
testing.
It's
also
in
the
basement
basis
of
movement.
C
It's
a
basis
all
these
inputs.
We
mentioned
this
a
few
weeks
ago,
working
with
ESRI
working
with
blue
dot,
working
with
Facebook
Apple
and
others.
We
have
our
modeling
that
is
done
on
a
daily
basis
based
upon
these
patterns,
as
well
as
patterns
across
the
rest
of
the
country
and
around
the
rest
of
the
world.
More
specifically,
though,
dr.
D
Sure
I'll
come
back
to
the
number
that
the
governor
uses
frequently,
which
is
our
50,000
additional
beds.
That
number
is
based
on
the
model,
so
we
are
preparing
it.
We
call
it
our
phase
1
number,
because
we
know
that,
depending
on
how
we
perform
with
our
physical
distancing
efforts
across
the
state
that
that
number
is
tracked
towards
an
expectation
that
we
meet
this
moment
with
physical
distancing
and
that's
what
we're
going
to
need
based
on
our
models,
we
project
that
we
will
need
that
towards
the
second
half
of
the
month
of
May.
D
So
we
are
very
busy
trying
to
build
towards
that.
That
includes
at
least
an
additional
10,000
beds
in
an
ICU
setting
with
ventilators
to
be
able
to
support
that
number
of
patients.
So
those
are
the
numbers
we
are
certainly
working
towards.
It
does
not
mention
the
total
number
of
people
who
are
infected
or
who
test
positive,
because
that
is
highly
dependent
on
our
increasing
workday
bring
on
testing,
but
the
lives
and
people
in
emergency
rooms
and
hospital
beds
in
an
IC
use
requiring
ventilation
support
do
not
lie.
D
We
know
that
every
single
day
we
get
additional
information
about
what
the
actuals
are,
that
help
us
adjust
that
model
and
we
hope,
because
of
our
great
performance
here
in
California,
with
physical
distancing,
that
we
will
continue
to
tell
positive
stories
of
where
that's
going.
That
said,
we
continue
to
prepare
for
a
situation
where
we'll
need
at
least
50,000
beds,
and
if
we
need
to
adjust
that
and
say
we
need
more
down
the
road,
I'm,
confident
and
the
governor
will
be
communicating
that
to
all
of
you
in
real
time.
D
C
L
J
C
Biggest
backlog
is
swabs.
It's
now
the
principle
limiting
factor
of
our
ability
to
increase
tests
throughout
the
state
of
California
swabs,
as
well
as
the
media
to
transport
the
swabs.
We
continue
to
need,
though
this
becomes
less
of
a
restrictive
reality,
the
reagents
the
RNA
extraction
kits,
but
for
some
of
the
other
older
protocols
old
by
standards
of
days
not
just
weeks,
we
obviously
see
the
need
for
more
of
those
reagents
and
RNA
extraction.
C
That
said,
the
new
throughput
technology,
that's
coming
on
all
of
the
announcements
you've
heard
in
the
last
24
48
hours,
including
this
morning.
There
is
not
a
company
that
has
been
referenced
either
by
your
own
reporting
or
someone
else's.
That
hasn't
been
in
contact
with
us
that
we're
not
in
contact
with,
but
I
want
to
caution.
Folks
on
this,
the
scale
ability
of
some
of
these
promoted
testing
protocols,
10-minute
home
tests,
45
minutes
whatever
it
is.
C
The
scalability
is
not
there
as
advertised
and
I
say
this
because
we're
practitioners
of
this
we
have
the
resources
and
we're
deeply
engaged
with
these
companies.
They
have
many
parts,
but
they
are
missing
some
others
in
order
to
adopt
and
strategize
the
kind
of
scale
that
is
being
promoted
and
people
are
demanding
and
deserving
of
the
answer.
C
Your
question
is:
we
need
exponentially
more
testing
throughout
the
state
of
California,
and
we've
been
looking
at
advanced
conversations
on
looking
at
blood
based
tests
looking
at
the
antibody
frame,
which
is
all
part
of
our
strategy
to
get
people
back
and
move
from
dealing
with
this
crisis
head-on
to
coming
back
into
some
semblance
of
normalcy
and
those
protocols
and
those
processes.
Those
negotiations
are
happening
in
real
time.
I
mentioned
just
yesterday.
C
We
were
down
or
day
before
at
bloom
energy
right
next
door
to
us
was
one
of
the
a
well
known
at
least
well
discussed
company
in
that
space
they're
a
california-based
company
we're
engaging
them
along
with
many
many
others,
I,
don't
know.
If
dr.
you
want
to
amplify
this
a
little
bit
more,
but
this
is
in
real
time
90%
of
what
I
think
dr.
Ghali
is
doing.
D
C
G
Thank
you,
I
wanted
to
ask
just
if
I
could
do
a
two-part
question.
The
first
question
is,
you
know
their
health
course
like
that
you're
talking
about
says
that
this
is
going
to
be
paid
for
and
that
physicians
or
other
health
care
professionals
who
sign
up
will
be
paid
malpractice
insurance
will
be
covered.
G
Can
you
discuss
if
the
state's
gonna
be
covering
that
if
the
entity
that
you
send
folks
to
is
covering
that
and
what
is
the
estimated
cost
or
the
budget
line
for
that
at
least
now,
not
knowing
who
or
how
many
people
might
sign
up
and
then
on?
The
second
question,
maybe
for
dr.
Ghali
is:
can
you
be
more
specific
regarding
changes
to
scope
of
practice,
especially
regarding
nurse
practitioners
and
physicians
assistants,
because
other
states
have
been
giving
independence
to
those
professionals
and
there's
also
been
discussion?
C
You
know
we're
providing
the
temporary
flex
in
that
space
through
June
30th
and
those
conversations
were
all
intimately
familiar
with
in
the
state
of
California,
particularly
their
nurse
practitioners,
but
this
order
does
provide
that
flex
through
June
30th.
Let
me
speak
about
the
cost.
The
costs
are
being
borne
a
myriad
of
ways
within
the
system
by
the
state,
as
well
as
the
federal
government,
FEMA
and
their
reimbursement
processes.
Obviously,
the
federal
support
that
we're
receiving
will
help
us
with
those
efforts.
C
The
cost,
though
we
will
address
and
is
being
processed
in
real
time
and
I
can
assure
you
cost
is
not
the
issue.
From
my
humble
perspective,
we
are
always
mindful
of
costs
and
we
do
not
believe
in
waste
or
abuse
and
by
the
way,
let
me
talk
about
abuse
when
it
comes
to
procuring
PPE
the
scams
out.
There
are
real
people
are
being
investigated,
not
just
for
price
gouging
but
investigated
by
the
FBI
and
others
and
I
just
caution.
Individuals
again.
C
This
is
a
time
individually,
not
just
for
large
institutions
like
States
and
hospital
systems,
to
be
very,
very
wary
people
that
over-promised
and
don't
deliver
at
all,
let
alone
under
deliver
and
people
that
are
scamming
individuals
a
moment.
But
we
are
not
in
that
that
business
and
we
will
provide
appropriate
compensation
for
individuals
and
that
comes
through
the
traditional
system
that
provides
those
support,
be
it
the
Medicaid
system
at
a
California
Medicare
myriad
of
other
supports
that
come
through
the
federal
government,
as
well
as
the
state
government
and
dr.
Ghali
press.
C
C
So
that
that
concludes
this
conversation
look
for
too
many
more
in
the
next
couple
days.
Let
me
just
make
one
closing
statement.
I
just
want
to
thank
our
partners
at
the
county
level
and
the
city
level,
Darrell
Steinberg
among
many
others,
Merrill
Accardo
and
mayor
Garcetti,
mayor
Libby,
Schaaf
I
can
continue
mayor,
London
breed
others
that
have
been
active
in
trying
to
get
resourced
through
the
state's
procurement
of
hotel
rooms
for
homeless
individuals
we're
up
to
over
5,000
hotel
rooms
that
are
available
at
the
county
level.
At
the
city
level.
C
We
recognize
we
need
to
do
a
lot
more.
Some
five
thousand
four
hundred
ninety-one
rooms
to
be
precise,
we're
getting
those
trailers
out,
but
we
don't
want
to
get
them
out
until
we
have
the
support
services.
Overlaid
will
be
meeting
with
SESAC
on
the
phone
teleconference
today
to
talk
more
our
counties
about
how
they
can
continue
to
support
most
vulnerable
Californians
out
on
the
streets
and
sidewalks
again
top
priority
for
us,
and
we
recognize
we
have
a
lot
more
work
to
do
in
that
space
as
well
I'll,
just
close
by
reminding
everybody
at
home.
C
We
also
have
a
lot
more
work
to
do
to
continue
as
patiently
as
we
can
to
extend
the
stay
at
home
order
and
recognize
that
you
know
if
you've
ever
you
know
gone
skydiving.
The
worst
thing
a
human
being
can
do
is
cut
the
parachute
when
you're
not
even
close
to
the
ground,
we're
not
yet
close
to
the
ground.
So
let
us
not
run
that
9tr.
Let's
continue
to
follow
through
on
the
incredible
work.
That's
been
done
and
the
commitment
that
we
all
have
to
meet
this
moment
head-on
take
care.
Everybody.