►
Description
California Health and Human Services Secretary Dr. Mark Ghaly provides an update on the state's efforts to slow the spread of COVID-19 in California.
Recorded August 25, 2020.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
C
Good
afternoon
I'm
mark
ali
good
to
be
with
you
again
this
afternoon.
I
wanted
to
spend
a
little
time,
giving
you
the
typical
update
on
covid19
and
how
it's
progressing
in
the
state
and
then
spend
just
a
couple
of
minutes
of
your
time.
Talking
about
the
intersection
between
covet
19
and
the
wildfires
that
so
much
of
california
is
facing,
and
all
of
you
are
watching
closely
and
then
we'll
open
it
up
to
questions
as
we
do
every
week.
C
But
I
remind
you
that
we
look
more
closely
to
the
5775
number
that
we're
reporting
today,
as
the
statewide
seven
day,
average
we've
done
110
000
tests
in
the
last
24
hours,
or
I
should
say
that's
the
number
of
tests
that
we
have
reported
out
the
state's
test.
Positivity
again.
C
The
aggregate
number
is
5.7
over
seven
days
and
six
point
three
percent
over
14
days,
both
of
those
numbers
down
compared
to
what
it
had
been
14
days
ago,
28
days
ago,
two
months
ago,
we've
seen
that
number
continue
to
trend
down,
since
we
cautioned
everyone
about
the
increasing
case
numbers
that
we
saw
across
our
state.
I
would
caution
you
again
that
those
are
statewide
numbers
and,
as
the
governor
reminds
us,
california
doesn't
live
in
the
aggregate.
C
We're
a
big
58
county
state,
40
million
people,
big
and
different
parts
of
the
state,
have
different
struggles
and
challenges
with
covet
19
compared
to
others.
We
also
are
reporting,
sadly,
another
105
deaths
in
california.
Again
those
are
reported,
they
aren't
necessarily
deaths.
That
happened
just
yesterday.
C
I
will
remind
you
also:
we've
been
watching
for
two
to
three
weeks:
steady
declines
in
our
hospital
numbers
and
our
icu
numbers.
Today,
our
hospital
number
of
4
424
individuals
in
state
the
state's
hospitals,
is
down
about
19
compared
to
where
we
were
two
weeks
ago
and
our
icu
number
of
1388
people
with
coven
19
and
our
icu
beds
across
the
state
is
down
about
18.
C
However,
as
we
talked
about
last
week,
the
confluence
coming
together
of
flu
in
the
fall
and
winter
with
covet
19,
now
continues
to
keep
us
vigilant
and
working
hard
to
make
sure
our
systems
are
ready
and
that
all
of
our
messaging
is
out
there
for
people
to
follow
and
to
think
through,
so
that
we
make
sure
we
protect
ourselves
our
families
and
our
community
as
we
take
and
prepare
for
flu
and
covid
coming
together
later
this
year.
C
I
want
to
take
another
moment
to
talk
about
what
another
sort
of
two-headed
issue
for
california
looks
like,
and
that
is
covid19
in
the
setting
of
wildfire
season
in
california.
C
C
What
does
it
mean
to
put
an
evacuation
order
out
to
people
who
have
largely
been
staying
at
home
and
trying
to
keep
less
social
activities
and
social
and
physical
distancing?
C
So
over
the
past
couple
weeks,
as
we've
faced
wildfires
of
really
large
proportions,
many
many
communities
either
had
a
fire
or
experiencing
one
now
and
up
to
many,
thousands
of
people
have
been
evacuated.
Currently,
000
californians
are
under
an
evacuation
order
in
many
parts
of
the
state
of
that
136
000
individuals,
3
383,
as
of
this
morning,
were
living
in
shelters,
both
two
types
of
shelters.
We
often
talk
about
general
shelters.
C
These
are
congregate,
shelters,
individuals
who
live
in
large
facilities
for
a
number
of
days
with
their
families
near
neighbors,
near
people
who've
also
been
evacuated,
and
in
the
past
that
is
caught
lined
up
next
to
cot.
Maybe
some
areas
for
families,
often
lines
of
buffet
style
meals,
shared
bathroom
and
showering
areas.
C
All
of
these
things
were
sort
of
shelters
of
old,
but
as
we
continue
to
work
with
the
state
agencies,
the
red
cross,
a
number
of
our
county
partners
who
really
have
that
responsibility
on
setting
up
shelters,
the
congregate,
shelters
of
old
look
very
different
today
because
of
the
planning
efforts
that
have
been
put
in
place.
What
do
I
mean
specifically,
the
governor,
raised
some
of
these
points,
but
I'll
drive
them
home
once
again.
Anyone
who's
either
a
resident
of
a
shelter
for
a
period
of
time,
a
worker
somebody
who's
there
touring
and
being
bringing
supplies.
C
Everyone
goes.
Do
rigorous
screening
checks
temperature
checks,
making
sure
that
they
don't
have
symptoms
consistent
with
consistent
with
proven
19.
we're
sure
we've
provided
shelters
with
ample
supplies
in
terms
of
ppe
mainly
masks,
so
that
everybody
can
keep
a
mask
on
cots
that
used
to
be
pretty
close
to
one
another
are
at
least
six
feet
apart.
C
Food
is
not
delivered,
buffet
style
lines
up
with
people,
picking
getting
food
at
a
station,
but
rather
delivered
to
the
where
the
person
is
staying
and
sleeping
families
might
enjoy
a
tent
structure
within
the
shelter
so
that
they
can
be
together
in
their
sort
of
natural
family
cohort
as
well
that
if
we
identify
somebody
who
might
develop
symptoms
consistent
with
covid19,
we
have
the
capacity
we're
working
with
our
local
public
health
partners,
which
who
again
have
that
responsibility
and
do
a
fantastic
job
of
managing
and
setting
up
the
shelters
to
look
out
for
infection
control
protocols
and
ensuring
that
anybody
with
symptoms
is
identified.
C
Exposures
are
tracked
and
the
good
news
is,
we
have
a
clear
sense
of
who's
been
in,
and
who's
been
out
of
the
shelter
when
they
were
there
and
when
they
left,
so
that,
if
somebody
is
exposed,
we
can
deliver
that
information
and
make
sure
that
appropriate
quarantine,
testing
and
potential
isolation
do
occur.
So
we
reduce
transmission.
C
I
wanted
to
spend
a
few
more
minutes
talking
about
a
couple
of
other
issues
that
around
the
nexus
or
the
intersection
between
covet
19
and
fires
as
well.
So
yesterday's
press
conference,
one
of
the
reporters,
asked
a
very
smart
question
about
what
are
our
masked
protocols
and
recommendations.
C
We
know
that
people
are
used
to
wearing
masks
during
wildfires
that
the
smoke
inhalation
is
dangerous.
It's
not
great
for
anyone's
health,
but
in
particular
those
with
underlying
respiratory
conditions
like
asthma
or
copd,
or
even
heart
conditions,
and
we
want
to
make
sure
that
individuals
who
have
those
conditions
are
as
safe
and
healthy
as
possible.
So
our
recommendation
is
for
covid19
continue
to
use
your
face,
covering
either
a
cloth
face,
coloring
or
a
surgical
mask
for
those
who
are
out
in
near
the
fires.
C
An
n95
mask
may
be
the
appropriate
mask
for
you
to
wear
and
those
are
provided
to
many
counties,
many
individuals
and
at
all
of
our
shelters
for
wildfire.
We
know
that
face
coverings
are
not
sufficient.
They
do
not
block
enough
of
the
smoke
and
it
can.
It
does
not
protect
you
or
certainly
does
not
give
sufficient
protection
around
wildfire
smoke
and
smoke
inhalation.
C
So
our
advice
to
those
people
in
affected
areas
are
stay
home
as
much
as
you
can
keep
your
doors
closed
and
your
windows
shut.
If
you
need
the
air
condition,
use
it
prudently
and
if
you're
able
to
wear
your
face
covering
if
you're
with
friends
and
family
that
you
haven't
been
with
in
quite
some
time,
we
recommend
that
as
well.
If
you
have
any
concerns,
we
advise
that
you
reach
out
to
your
treating
physician,
ask
for
advice
and
whether
any
of
these
precautions
should
be
changed
for
your
individual
situation.
C
I
want
to
return
to
evacuations.
We
said
136
000
evacuees
currently
in
california,
and
only
just
over
3
000
of
those
are
in
either
congregate,
shelters.
The
ones
I
just
described
or
largely
our
preference
today
is
moving
many
into
what
we're
saying
are:
non-congregate,
shelters
or
really
hotel
rooms
allowing
people
to
have
their
own
space
have
their
own
ability
to
keep
up
with
the
physical
distancing
and
other
kobit
19
precautions
that
help
us
reduce
transmission.
C
We
have
well
over
a
thousand
individuals
across
the
state
in
hotel
rooms
as
a
solution
to
shelters,
because
our
preference
is
to
make
sure
we
use
these
non-congregate
hotel
rooms
even
ahead
of
some
of
the
more
congregate
open
shelters
that
we're
used
to
in
the
past,
but
for
those
133
000
evacuees
who
are
likely
out
of
their
home.
Maybe
for
the
first
time
in
many
many
months,
or
certainly
for
the
first
time
this
far
away
from
home.
They
may
be
staying
with
friends
and
family
loved
ones
that
they
haven't
seen
in
weeks
or
months.
C
The
concern
around
the
fires
reach
out,
give
that
loved
one,
a
handshake
or
a
hug,
and
I
want
you
at
this
moment
to
remember
all
of
the
things
we've
been
talking
about
for
the
last
many
weeks
and
months
that
this
is
no
time
to
put
down
our
guard.
It's
a
top
priority
to
make
sure
evacuations
are
done
safely
and
in
accordance
to
guidance.
But
if
you
are
staying
with
a
family
member
or
a
friend
who
you
haven't
seen
in
some
time
follow
as
many
of
our
precautions
that
we've
been
talking
about
as
you
possibly
can.
C
That
means,
if
you
can
have
your
own
space,
a
room,
a
bathroom
to
yourself
or
for
your
family,
try
to
secure
that
if
you
can
wear
your
face
covering
even
when
you're
indoors,
when
you're
mixing
with
people
you
haven't
seen
in
a
while.
That
will
also
help
us
reduce
transmission,
make
sure
you
follow
really
great
hand:
hygiene
washing
your
hands,
often
for
the
specified
amount
of
time
with
soap
and
water,
making
sure
you
don't
share
utensils
food
serving
plates
and
other
things
so
that
we
minimize
transmission
as
much
as
we
can.
C
We
know
this
is
a
stressful
and
hard
time
for
many
californians.
We
are
with
you
supporting
both
local
partners
and
you
as
individuals,
and
we
want
to
make
sure
we
deliver
this
guidance
so
that
we
keep
our
guard
up
and
as
we
exit.
You
know
this
current
fire
situation
that
we
don't
then
find
that
our
guard
came
down
and
we
see
a
number
of
new
infections
in
our
communities.
C
I
know
a
number
of
counties
are
asking
us
about
any
change
to
our
orders,
especially
as
we've
had
outdoor
dining
prioritized,
whether
that
can
even
temporarily
move
indoors.
C
Currently
we're
talking
to
a
lot
of
counties
about
that,
and
we
believe
that
if
we
can
have
families
and
individuals
stay
home
if
they're,
not
under
evacuation
orders
and
order
food
for
pickup
or
delivery,
that's
another
great
way
to
meet
the
needs
of
your
family
and
your
own
self,
but
also
supporting
those
restaurants
throughout
your
communities.
C
I
also
just
wanted
to
take
a
moment
to
talk
particularly
about
vulnerable
populations.
We've
been
talking
through
for
months
ever
since
the
beginning
about
protecting
our
seniors,
protecting
those
with
underlying
health
conditions
with
functional
needs,
and
now
we're
telling
many
folks
who
haven't
left
their
homes
for
months
who
are
worried
about
exposure
to
covet
that
it's
safer
to
leave
than
to
stay,
and
that
direction
is
indeed
true
at
the
risk
of
fires.
A
temporary
one,
albeit
a
very
serious
one.
We
can
mitigate
the
covid19
risks
with
your
cooperation
and
as
communities.
C
So
please
heed
to
those
directions
to
evacuate.
Ask
questions
about
how
we
can
reduce
your
risk.
If
you
end
up
staying
with
a
family
or
friend,
please
follow
all
of
the
directions
that
I've
outlined
here
and
we've
been
outlining
for
months
and
rest
assured
that
we've
put
in
a
number
of
covet
19
safety
precautions
in
all
of
the
shelters
and
if
we're
able
to
identify
a
hotel
where
you
can
still
have
the
support
that
you
need.
C
That
would
certainly
be
preferable
if
you
have
any
questions
about
these
issues
as
it
relates
to
wildfires
evacuations
how
to
stay
safe,
how
to
get
resources.
I
want
to
remind
you
of
our
covet
19
general
hotline.
That
also
has
information
about
how
to
access
services
and
resources,
as
it
relates
to
evacuations
and
fires.
That
number
I'll
say
it
twice
is
one
eight
three,
three,
four,
two,
two
four,
two,
five
five
again
one,
eight
three,
three
four.
C
Before
opening
it
up
for
questions,
I
just
want
to
say
that
this
is
indeed
a
difficult
time
in
california.
We
knew
something
like
this
would
come
because
wildfire
is
around
now
or
really
a
little
further
down
in
the
year.
C
This
is
a
bit
earlier
are
expected
and
that
the
covet
19
challenges
for
the
state
have
been
with
us
and
continue
to
be
with
us
as
we
work
towards
treatments
and
vaccines
that
this
would
come
together,
but
the
reality
of
it
is
challenging
for
so
many
californians,
and
we
just
at
the
state
a
deep
gratitude
to
all
of
you,
californians,
who
are
impacted
to
help
us
continue
to
do
things
for
the
safety
of
yourselves,
your
families
and
communities,
and
to
our
local
public
health.
Social
service
partners.
C
I
mean
just
a
deep
gratitude
and
although
these
challenges
are
so
important,
california,
consistently
and
constantly
comes
through
because
of
the
efforts
of
us
as
individuals
and
just
as
we
came
together,
40
million
strong
to
bend
the
curve
of
kobet
once
we're
starting
to
see
it
happen
again
and
that
we
do
it
again
with
this
new
set
of
conditions
with
wildfires
and
as
we
enter
in
weeks
and
months
where
additional
challenges
come
our
way.
The
resolve
and
resilience
of
californians
cannot
be
overstated.
C
D
In
the
summer,
you
know
you
spoke
about
how,
when
the
state
originally
began,
reopening
people
were
focused
too
much
on
the
when
and
not
enough
on
the.
How
and
we
sort
of
saw
the
effects
of
that.
So
I
wonder
now,
as
the
state
prepares
to
release
reopening
guidelines
again,
what
lessons
have
you
taken
since
the
since
the
first
round
of
reopening
that
we're
now
applying
these
new
guidelines,
we're
preparing
and
beyond
that
similar
to
schools?
D
Will
counties
have
to
be
off
the
list
for
14
days
before
they
can
reopen
businesses
under
the
new
guidelines
that
will
be
coming
out.
C
Yeah
kathleen
thanks
for
the
questions
nice
to
hear
from
you.
Certainly
one
of
the
big
lessons
that
we
have
learned
is
that
our
role
as
individuals
and
people
communities
plays
a
major
role
in
transmission.
C
As
we
talk
to
county
health
officers
county
over
and
over
different
parts
of
the
state,
we
hear
about
transmission,
the
impact
of
what
some
people
say
are
family
gatherings.
These
private
gatherings
that
happen
throughout
the
state.
Many
of
us
meet
up
with
a
friend
once
or
twice
see
an
aunt
or
an
uncle
once
or
twice,
and
our
guard
comes
down
and,
and
this
sneaky
virus
that
we
call
covet
19
doesn't
take
a
rest.
It
will
find
every
opportunity
to
transmit
from
person
to
person,
because
that's
what
germs
do
it's
no
surprise.
C
So,
as
we
continue
to
beat
the
drum
and
think
about
the
new
guidelines
that
will
be
coming
out
later
this
week.
That
is
definitely
going
to
be
a
theme
that
our
role
of
individual-
I
call
it
the
sector
as
we
talk
about
sectors,
the
sector
of
personal
responsibility
that
there's
really
a
great
amount
of
good.
C
We
also
know
that
it's
important
to
continue
to
watch
how
changes
manifest
in
communities
and
in
the
data
that's
sometimes
moving
sooner
than
you
get
a
clear
indication,
doesn't
allow
you
to
think
through
how
some
of
those
changes
have
impacted
you
and
should
be
a
clear
part
of
your
decision
making.
So
those
are
some
themes
that
you'll
hear
coming
in
later
this
week
when
we
announce
the
the
changes
that
we're
putting
in
place.
As
we've
said
yesterday,
the
impact
on
schools
is
going
to
be
really
no
impact.
C
The
plan
that
we've
laid
out
is
going
to
continue
so
districts
and
counties
who've
been
thinking
through
and
timing
activities
around
when
they
might
come
off,
should
not
be
impacted
in
any
way
and
I'll.
Let
the
governor
share
a
lot
more
about
the
details
of
what
this
new
plan
looks
like
as
it
relates
to
some
like
other
question
parts
of
your
question
kathleen,
but
again
thanks
for
the
question.
D
Anna
ibarras
hey
dr
kelly.
Yesterday
the
governor
said
11
state
labs
had
been
impacted
by
wildfires
and
I
was
wondering
if
you
could
share
a
bit
about
what
that
means.
Is
that,
because
they're
in
evacuation
areas
and
currently
not
processing
test
results,
I'm
wondering,
if
does
that
mean?
We
may
see
more
backlogs
in
those
areas,
so
just
wondering
if
you
can
expand
what
that
means
for
testing
and
the
numbers.
The
state
reports
out.
C
Yeah,
so
let
me
clarify-
and
I
heard
the
governor
say
labs
as
well.
Really
these
are
the
state
testing
sites,
so
we've
been
talking
to
you
about
over
100
nearly
120
state
testing
sites
that
have
been
set
up
throughout
parts
of
california,
both
urban
and
rural,
throughout
many
of
our
counties
to
really
help
facilitate
collection
of
covert
19
sites.
C
Those
sometimes
are
outdoors
drive
ups,
they
can
be
done
in
mobile
ways
and
we
knew
that
both
the
coming
together
of
extreme
heat
in
some
parts
of
the
state,
as
well
as
smoke
and
fire
impact,
would
either
close
sites
down
temporarily
or
cause
their
hours
of
operations
to
change.
The
good
news
is
we
have
fewer
reported
operational
impacts
today
than
we
did
in
prior
days,
and
that
collection
is
key
to
make
sure
that
we
get
the
the
sample
sent,
but
it
does
not
impact
lab
term
around
time.
C
That
said,
it
is
important
to
know
that
some
people
who
expected
to
have
an
appointment,
testing
collecting
site
on
one
day
might
have
had
that
that
appointment,
cancelled
and
so
in
that
way
we
know
we're
working
with
our
partners
to
make
sure
anybody
had
been
impacted,
gets
rescheduled
and,
in
fact,
gets
access
to
the
site.
We
hope,
because
of
the
conditions
nationally
and
within
california,
that
test
turnaround.
Time
is
not
impacted
by
the
wildfires
in
any
way,
and
we
know
that
having
california
create
really
independent
so
that
california's
testing
needs
are
met
through
california.
C
Solutions
as
part
of
what
the
the
state
testing
sites
helped
us
do,
and
our
ongoing
work
with
labs
and
lab
vendors
to
make
sure
that
tests
get
processed
in
a
timely
way.
So
people
have
both
immediate
and
actionable
information,
so
they
know
whether
they're
sick
or
whether
they're
infected
or
not,
and
whether
family
members
aren't
exposed.
D
C
Yeah
angela,
really
excellent
question
and
we've
absolutely
been
thinking
about
it.
It
is
hard
to
tell
I
mean
we
we've
learned
and
continue
to
learn
that
anything
that
any
activities
or
actions
that
increase
mixing
among
people
who
haven't
been
together
in
quite
some
time
creates
a
transmission
risk.
We
worked
early
to
put
into
place
precautions
and
shelters,
communicating
with
communities
that
were
vulnerable
to
wildfires,
to
say:
look
we
have
to
keep
our
guard
up.
C
But
I
won't
be
the
first
to
be
surprised
if
we
have
some
increased
in
transmission
in
those
areas
because
we're
experiencing
different
conditions
today,
you
know
we
stand
ready
to
work
with
our
counties
with
those
health
officers
who
are
tracking
this
closely
understanding
any
early
trends
in
the
data
so
that
we
can
be
prepared
for
what
might
might
be
added
need
for
contact,
tracing
support,
disease
investigation,
additional
isolation
resources,
as
well
as
the
potential
impact
on
hospitals
and
icus.
So
we
can
stay
out
in
front
of
it.
But
it's
an
excellent
question.
D
Hi
thanks
for
taking
the
question,
so
the
county
has
just
seen
a
14-day
case
rate
drop
below
200
for
100
000..
So
I'm
wondering
if
you
can
talk
about
what
assurances
parents,
teachers,
other
school
workers
might
have
that
hitting
the
state
benchmark
now
means
it's
safe
to
return
to
campus.
C
L.A
county.
Thank
you.
I
couldn't
hear
the
beginning
part
of
the
question.
You
know.
I
think
you
you
raise
another
important
issue
that
should
be
reminded.
We
should
remind
people
of
that
in
our
school
guidance,
although
our
county
monitoring
list
is
pegged
to
a
threshold
of
a
hundred
cases
per
hundred
thousand.
C
Over
fourteen
days,
we
created
a
waiver
process
for
districts
to
work
with
their
county
health
officers
in
their
communities
to
bring
our
youngest
students
back
to
on-campus
learning
sooner
when
those
counties
are
between
100
and
200
cases
per
100
000
population
over
14
days,
and
so
the
question
is
really
is
that
a
potential
option,
in
los
angeles,
I
will
say
as
a
resident
of
los
angeles
county
in
a
long
time,
former
employee?
I
trust
their
ability
to
make
good
decisions
with
their
local
school
districts
to
understand
those
conditions.
C
I
know
that
dr
ferrer
and
her
entire
team
at
the
department
of
public
health
is
thinking
about
this
closely
and
indeed
to
the
heart
of
your
question
that
these
decisions
will
only
be
made
when,
together
the
school
districts
that
are
all
the
teaching
professionals,
teachers,
other
staff
at
schools,
as
well
as
parents
and
children
and
other
local
community
groups,
come
together
with
the
commitment
from
the
local
health
officer
to
track
transmission
closely.
As
we
begin
to
consider
bringing
students
back,
and
that
is
a
decision
that
is
a
local
one.
F
F
A
F
That
aren't
that
affirming
and
aren't
working
towards
that
goal.
Would
you
be
willing
to
partner
with
say
the
trevor
project,
which
has
experienced
literally
a
doubling
of
calls
to
its
assistance
line
for
lgbtqiu
and
maybe
getting
the
work
spread
out
further
by
utilizing
the
resources
of
the
state
of
california
versus
them,
aligning
it
to
local
districts,
keeping
in
mind
that
districts
like
dla
unified,
do
a
marvelous
job
already,
but
there
are
districts
that
don't.
C
C
Is
an
excellent
question
and
my
interest
as
well
as
all
of
those
I
have
the
privilege
of
working
with
both
at
the
state
and
county
level
care
deeply
at
trying
trying
to
do
as
much
as
we
possibly
can,
especially
at
this
moment
so
personally
and
sort
of
as
a
as
a
member
of
our
broader
team.
Looking
at
opportunities
that
will
help
us
advance
the
message.
Increase
access
to
resources
that
we
know
make
a
difference
will
be
important.
C
I
I
I
know
my
team
is
familiar
with
so
many
of
the
various
resources
out
there
and
we
do
have
an
openness
and
willingness
to
partner,
as
far
as
we
can
and
often
look
to
bring
counties
and
local
partners
together
with
our
non-profit
partners
that
are
doing
incredible
work
throughout
the
state.
And
so,
if
those
connections
are
helpful,
we're
happy
to
make
those
also
constantly
thinking
about
how
we
increase
the
resources
both
that
we
receive
from
the
federal
government,
the
state
resources
and
how
they
impact
young
people's
total
learning
needs,
including
behavioral.
C
C
They
often
come
with
a
lot
of
sweat
and
tears,
but
they
are
the
ones
that
have
the
greatest
impact.
So
during
this
time,
as
we
start
building
those
partnerships
up,
I
look
forward
to
months,
and
you
know
in
the
future
reporting
how
we
use
the
opportunity
around
covid19
wildfires
to
really
increase
and
accelerate
the
change
and
improvement
to
services
to
vulnerable
kids
across
our
state.
E
I
thought
about
contact
tracing,
it
seems
like
it's.
The
efforts
have
become
more
difficult.
As
you
know,
we
know
more
about
disease
longer
incubation
periods,
these
wide-ranging
symptoms,
mistrust
in
the
community.
Also,
it's
a.
We
have
a
pretty
diverse
state,
I'd
like
to
wonder
if
the
state
has
it
changed
its
focus
on
contact
tracing
at
all,
as
we
learn
more
about
the
disease,
is
there
anything
different
that
we're
doing
when
it
comes
to
contact
tracing.
C
Yeah,
I
mean
really
thank
you
for
the
question.
Excellent
question.
You
know,
contact
tracing
is
a
a
tried
and
true
public
health
resource
and
tool.
It's
not
something
that
we
sort
of
brought
together
just
for
covet
counties
have
been
doing
this
for
decades
internationally.
This
is
a
key
tool
from
everything
from
hiv
to
tuberculosis,
to
how
other
countries
have
really
controlled
the
pandemic
in
their
own
backyards.
C
So
again,
the
state
and
our
local
partners
in
no
way
are
turning
our
back
or
considering
a
shift
from
a
contact
tracing
focus.
I
think
when
we
had
such
high
levels
of
transmission
and
our
resources
for
contact
tracing
were
not
adequate.
We've
been
working
to
bring
those
as
the
case
numbers
come
down,
and
contact
tracing
and
disease
investigation
resources
come
up.
We're
we're
looking
forward
to
that
equilibrium.
Point
where
we
can
begin
to
feel
confident
that
we're
tracking
and
able
to
trace
and
have
conversations
with
individuals
who
aren't
all
individuals
infected
across
the
state.
C
Now
that
takes
a
great
deal
of
commitment
at
the
local
level.
This
is
really
a
responsibility,
something
that
I
know
my
public
health
colleagues
take
very
serious
as
a
responsibility
at
the
local
level.
The
state
is
augmented,
with
both
resources
and
information
technology
tools
to
make
that
job
a
little
bit
easier
so
that
the
information
can
be
organized.
Contacts
are
streamlined
and
communication
is
a
little
bit
better,
but
it's
still
a
tall
task
for
any
county.
When
you
have
high
levels
of
transmission.
C
At
this
moment,
we
are
working
with
counties
and
really
looking
at
what
I
like
to
call
targeted
contact,
tracing,
really
understanding
where
we
might
have
big
factories
or
large
other
areas
where
we
expect
to
see
transmission,
and
we
really
try
to
use
contact
tracing
as
an
early
tool
to
control
outbreaks
and
spread
in,
let's
say,
a
meat
packing
factory
in
in
the
central
valley
or
a
textile
factory
in
los
angeles
county.
C
I
think
these
are
efforts
that
will
prove
and
help
prove
to
be
successful
and
help
us
prevent
larger
surges
in
the
future,
and-
and
we
know
that
it
is
something
that
will
continue
to
take
work
on
our
county's
parts
and
we
continue
to
support
them
as
much
as
we
possibly.
C
That
labor
day
is
yet
another
incredible
moment
in
in
in
california
and
and
across
the
country
where
we
celebrate
something,
but
really
the
idea
of
celebrating,
as
we
promoted
over
memorial
day
and
the
fourth
of
july,
in
a
really
lower
risk
way.
So
that
is
the
messaging.
There
is
really
critical
and
vital,
and
I
implore
all
of
you
who
control
the
pen
and
the
press
to
really
help
deliver
some
of
those
messages
as
well,
because
I
think
they're
key
and
the
more
we
share
them.
C
I
think
the
more
sticky
and
sticky
they
become
in
terms
of
how
that
impacts.
Our
framework
that
we'll
be
talking
about
later
this
week,
it
doesn't
have
a
direct
impact,
I
would
say,
but
certainly
moments
like
labor
day
and
other
holidays
are
all
built
in
to
our
understanding
of
disease
transmission.
C
The
need
to
be
patient,
as
we
watch
moments
like
labor
day,
actually
have
impact
in
cases
and
in
hospitalization,
and
that
this
overall
sense
that
you
know
really
giving
time
for
potential
increases
in
transmission
to
show
up
in
the
data.
So
we
don't
make
decisions
in
any
premature
way.
D
How
those
are
stabilizing
or
improving
I'm
wondering
if
you
can
also
speak
to
you
know
as
we've
learned
more
about
this
disease,
are
patient
outcomes
improving
at
all
or
have
hospitals?
You
know
been
learning
more
about
this
business
and
are
they
have
they
been
able
to
find
better
and
more
effective
treatment.
C
We
talked
about
the
need
for
ventilators,
and
indeed
they
are
an
important
tool
in
helping
support
people
with
covet
19.
But
we
learned
over
the
last
few
months
that
having
somebody
on
a
ventilator
early
may
not
actually
be
the
most
effective
way
to
get
them
through
their
covet.
19
battle
that
providing
other
types
of
respiratory
support
that
positioning
when
somebody's
intubated
on
a
ventilator
in
the
intensive
care
unit
can
also
drive
better
outcomes.
C
So
all
of
those-
I
would
say
not
so
much
trade
secrets
but
practice
patterns
that
have
become
more
and
more
well
understood
across
the
globe,
have
really
penetrated
how
we've
managed
in
california,
also
just
the
use
of
things
like
remdissevere,
a
drug,
a
medication
that
really
has
come
out
as
one
of
the
few
tools
that
we
have
to
improve
outcomes
for
those
who
are
hospitalized,
shortening
their
course
of
stay,
allowing
them
to
get
out
of
the
hospital
sooner.
C
Some
clinics
and
hospitals
have
used
increased
numbers
of
home
oxygen
therapy
so
that
people
could
be
discharged
sooner,
creating
both
capacity
in
the
hospitals,
but
also
reducing
someone's
risk
of
getting
a
different
infection
while
they're
in
a
hospital
which
is
not
uncommon.
C
So
again,
I
appreciate
a
chance
to
answer
as
many
questions
as
I
receive,
and
I
just
want
to
say
just
as
a
final
note
again
reiterate
the
appreciation
to
our
first
responders
people
from
all
across
the
globe.
Firefighters
who've
come
across
seas
across
rivers,
multiple
state
lines
to
help
us
in
california.
C
I
know
our
citizens
and
our
leaders
are
all
grateful
for
what
you've
done
and
for
those
local
heroes
that
do
the
work
not
just
today
and
over
the
last
couple
weeks,
but
every
day,
just
a
deep,
deep
gratitude
to
all
of
you
and
look
forward
to
seeing
you
soon.