►
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 November 13, 2020.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
C
Good
afternoon,
and
as
always
thank
you
for
joining
us
on
on
this
friday.
Instead
of
a
tuesday,
we
promised
to
come
back
to
you
today
to
talk
a
bit
about
gatherings
and
and
travel
our
recently
posted
travel
advisory.
But
before
we
get
to
those,
I
want
to
invite
dr
erica
pond
up
to
share
a
little
bit
about
the
data.
The
numbers,
the
surge
that
we're
seeing.
I
was
asked
if
we're
in
the
middle
of
a
surge,
absolutely
search,
doesn't
have
a
clear
definition
of
what
that.
C
What
what
connotates
a
surge-
but
certainly
cases,
are
on
the
rise
here
in
california,
and
we
are
concerned
and,
as
I
say
to
my
patients,
often
when
I'm
worried
I'll
tell
you
so
you
can
worry
with
me
and
we're
we're
there.
So
with
that
bring
up
dr
pawn
and
go
over
our
current
case
numbers.
D
Great
good
afternoon,
thank
you
very
much,
dr
galley,
so
for
today's
case
numbers
we
are
at
6893
cases
here
in
california.
This
is
higher
than
our
seven
day
average,
which
is
six
thousand
seven
hundred
and
seventy
three
cases
our
total
tests
are
136
428
and
our
test
positivity
rate
over
the
14
days,
is
4.0
percent.
D
When
you
compare
that
to
a
couple
weeks
ago
on
october
29th,
our
test
positivity
rate,
is
one
point
higher
again.
It's
4.0
as
of
today
a
point
higher
than
two
weeks
ago.
Our
hospitalizations
are
also
increasing
they've
increased
over
34.6
percent
over
the
last
two
weeks.
It's
currently
at
33.99
and
our
icu
hospitalizations
have
also
increased
over
a
third
over
the
last
two
weeks.
Currently
at
931
icu
hospitalizations.
D
So
we
wanted
to
reintroduce
you
again
to
this
epidemic
curve.
We
showed
you
this
on
tuesday,
and
this
is
how
we
look
as
epidemiologists
and
public
health
officials
at
what
is
happening
in
our
community,
and
this
is
what
is
happening
in
the
state
of
california
and
where
we've
been
so,
our
slow
and
stringent
approach
has
allowed
us
to
gradually
reopen
a
significant
number
of
counties
over
the
past
couple
of
months.
D
You
can
see
here
that
the
number
of
new
cases
per
day
has
increased
dramatically
since
the
beginning
of
november,
so
you
see
the
rate
of
rise
that
we
saw
in
june,
and
that
was
a
39.2
percent
increase,
and
here
since
the
beginning
of
november,
in
just
the
same
one
week
period,
it's
been
a
47.1
percent
increase.
This
is
almost
a
20,
faster
rate
of
rise
and
the
fastest
rate
of
rise.
We
have
seen
in
california
when
cases
are
increasing
at
this
pace.
It
is
really
important
for
us
to
act
quickly.
D
Every
day
makes
a
difference
in
time
is
of
the
essence.
We
need
to
remember
the
basics
that
keep
our
cases
low.
As
I
also
mentioned
just
now.
Our
hospitalizations
are
increasing
and
we
did
see
a
peak
in
july
and
our
concern
with
this
rapid
rate
of
rise
is
that
the
peak
could
be
even
higher
if
we
don't
act
soon.
So
again,
our
blueprint
has
been
working
very
well,
we've
been
allowed
to
loosen
and
we
also
can
restrict.
D
So
we
are
actively
discussing
this
with
our
local
health
officials
and
our
counties
and
internally
to
just
to
determine
what
we
can
do
about
this
rapid
rate
of
rise
and
how
we
could
potentially
consider
the
emergency
brakes
that
we
built
into
this
framework
from
the
very
beginning,
and
with
that
I
will
turn
it
over
to
dr
gally,
to
tell
you
more
today.
C
Thanks,
dr
pond,
certainly
we
always
hope
to
have
positive
news,
and
this
this
isn't
really
positive
news.
These
case
numbers
are
surging
and
I'll,
just
punctuate
a
point
that
dr
pond
made,
which
is
as
we
look
at
this
rapid
razor
rate
of
rise
in
cases
nearly
20
faster
rate
of
rise
than
we
had
originally.
C
C
C
That
says,
even
though
we
move
slow
and
stringent
forward,
if
there
are
signs
and
signals
in
our
data
to
move
back
with
expediency
with
decisiveness,
with
partnership
in
our
county,
local
leaders
and
local
health
jurisdictions
and
our
health
leaders
across
the
state
that
we
will
look
at
that
closely
and
we
have
been
and
will
continue
to
not
just
during
the
week
but
over
the
weekend
as
well.
So
I
want
to
also
come
to
this
concept
of
what
is
a
high
risk
situation.
C
We
talked
on
tuesday
that
there
are
certain
characteristics
of
our
activities
and
events
that
are
higher
risk
than
others,
just
by
way
of
reminder
now,
activities
where
it's
difficult
to
mask
the
entire
time,
for
example,
when
you're
eating
and
drinking
that
creates
a
higher
risk
situation.
Activities
where
you
see
people
who
you
haven't
seen
recently,
people
who
are
outside
of
your
household
create
a
higher
risk
situation,
I'll
punctuate
this
again
later.
C
But
this
idea
that,
just
because
we're
personally
close
to
someone
a
family
member,
a
really
close
friend
who
we
haven't
seen
in
a
while
that
doesn't
create
comfort
when
it
comes
to
covet.
We
may
actually
put
our
guard
down.
Take
our
guard
down,
take
our
mask
off
get
a
little
closer
than
we
should
and
that's
exactly
the
condition
that
creates
spread
and
transmission
of
covet
19.
activities
where
it's
difficult
to
keep
your
distance
important
to
try
to
avoid
those
multiple
people
at
a
small
table
for
a
meal
for
a
board
game.
C
All
of
these
things
can
create
additional
risk.
Activities
of
longer.
Duration
are
also
important
and
activities
that
don't
allow
for
plenty
of
fresh
air
to
circulate.
C
So
how
is
all
of
this
relevant?
Well
today,
I'm
going
to
talk
to
you
both
about
the
state's
new
travel
advisory,
joining
oregon
and
washington
to
do
the
same
and
then
update
on
our
gatherings
guidance.
So
as
it
comes
to
the
travel
advisory
we've
been
talking
about
this.
For
you
know
many
days,
we've
looked
and
seen
what
other
parts
of
the
nation
have
done.
We've
talked
to
our
partners
in
washington
and
oregon.
C
We've
discussed
this
with
many
of
our
public
health
leaders
across
the
state
and,
of
course,
this
consensus
that
travel
having
others
travel
to
your
home
could
potentially
cause
increased
transmission,
and
with
that
in
mind,
we
have
put
out
this
travel
advisory.
It
isn't
a
ban,
it
isn't
a
restriction.
This
is
an
advisory.
C
We
chose
to
go
with
an
advisory
because
for
many
many
months,
we've
recognized
that
this
partnership
with
all
californians
to
choose
to
do
things
that
we
know
re,
reduce
spread,
is
an
important
one
that,
together
with
this
advice
on
what
to
do
as
it
comes
to
travel,
that
that
sector
of
personal
responsibility
that
I've
talked
about
before
this
is
an
added
element
and
we're
encouraging
californians
to
stay
close
to
home,
to
avoid
non-essential
travel
to
other
states,
other
countries
and,
frankly,
across
the
state,
if
that's
avoidable,
people
arriving
in
california
from
other
states
or
other
countries
should
self-quarantine
for
14
days.
C
This
is
not
a
new
concept.
This
is
something
we
ask
people
to
do
very
early
on
with
our
partnership
with
our
local
health
jurisdictions.
You've
seen
this
across
other
states
across
the
country,
and
we
believe
that
this
is
exactly
how
we
can
add
to
our
toolkit
to
reduce
spread
in
california.
C
This
is
especially
important
as
we've
seen
test
positivity
and
case
rates
surge
even
higher
than
what
we're
experiencing
in
california
in
other
parts
of
the
state
and
the
the
idea
here
is
that,
with
the
self
quarantine
for
14
days,
it
should
really
be
limited
to
interactions
with
their
immediate
household
and
not
mixing
with
households
that
they've
come
to
california
to
visit,
and
this
also
carries
forward
for
people
who
leave
california
to
visit
someone.
Maybe
it's
over
the
holidays,
maybe
it's
for
another
winter
event.
That's
coming
up
when
they
arrive
back
in
the
state.
C
The
recommendation
is
for
a
self-court
quarantine
of
14
days,
so
the
other
element
I
said
we
would
discuss
today
are
our
small
gatherings
guidance.
We
know
that,
as
the
weather
has
turned
colder,
many
of
us
have
coveted
fatigue.
I
even
think
about
resentment
towards
covid
that
it's
important,
that
we
give
you
the
tools
and
the
knowledge
of
what
how
to
reduce
risk.
The
safest
gatherings
remain
those
that
happen
at
home.
C
So
here
is:
we've
been
talking
more
and
more
about
providing
relatable
messages,
messages
that
our
public
partners,
all
of
you
in
your
homes
and
in
your
communities,
can
not
just
understand,
but
can
imagine
implementing
in
your
own
in
your
own
lives
at
a
on
a
day-to-day
basis,
and
really
it
boils
down
to
these
seven
things
that
you
see
here
by
each
checkbox.
C
So
the
first
thing
is,
we
ask
you
to
check
your
local
public
health
websites
for
restrictions,
because
not
every
county,
not
every
area
of
california,
is
experiencing
covet
in
the
same
way,
and
you
may
have
local
restrictions
that
are
tighter
than
where
the
state
is.
We
of
course,
always
start
with
wear
your
mask.
This
is
very
important,
especially
as
you
consider
not
just
gathering
outdoors
but
how
to
reduce
risk
indoors,
and
we
advise
you
to
keep
your
mask
on
as
much
of
the
time
as
possible.
C
C
Keep
your
distance
and
spread
things
out.
Some
of
us
have
additional
space.
Maybe
having
people
spend
time
in
rooms
that
aren't
just
your
living
room
or
your
dining
room
could
be
an
important
strategy
to
keep
people
spread
out,
and
this
is
important
not
just
as
we
travel
outside
of
our
home,
but
even
while
we're
at
home,
if
there
is
any
chance
that
you'll
be
spending
time
indoors
with
people
you
haven't
seen
inc
in
quite
some
time.
We
ask
you
to
keep
it
small.
C
We've
talked
about
this
three
household
concept
outside
that.
Really
we're
asking
you
to
consider
doing
that
in
indoors
as
well,
that
minimizing
the
opportunity
for
different
people
mixing
and
interacting
not
only
keeps
your
gathering
small,
but
it
reduces
the
likelihood
that
you'll
be
mixing
with
somebody
who
was
themselves
exposed
to
covet
outside
keep
things
short
as
well.
The
shorter,
the
better
we've
emphasized
that
so,
instead
of
having
a
three
or
four
hour
gathering
consider
keeping
it.
C
You
know
60
or
90
minutes
still
enough
time
to
to
see
people
that
maybe
haven't
seen
him
sometimes
but
short
enough
to
make
sure
that
we
don't
take
our
guard
down
throughout
any
part
of
that
short
gathering.
Keep
your
windows
open.
I
mentioned
this
before.
I
know
it's
cold
outside
in
many
parts
of
california,
but
keeping
the
windows
open
and
outside
air
circulating
is
an
important
key
to
reducing
the
likelihood
of
transmission
of
covet
and
finally-
and
this
is
not
leased.
C
This
is
one
of
the
most
important
protecting
our
older
and
at-risk
friends
and
family.
We
know
that
there's
a
strong
urge
to
meet
with
grandparents
and
aunts
and
uncles,
who
we
haven't
seen
very
often
or
at
all
over
the
last
many
months,
but
this
is
exactly
the
time
to
keep
your
guard
up
and
if
you
must-
and
we
urge
you
not
to
invite
those
who
are
older
and
higher
risk
to
any
gatherings.
C
But
if
you
must
really
try
to
discuss
ways
to
protect
those
family
members
ensure
that
they
have
the
right
mask,
make
sure
that
you've
talked
to
all
of
the
participants
in
the
gathering
to
do
all
you
can
to
protect
that
person
or
those
people
so
that
we
don't
increase
the
risk
of
not
just
transmission
but
transmission
in
the
population.
C
That
we
know
is
at
higher
risk.
I'll
remind
you
all
californians,
that
just
over
10
of
our
cases
are
in
individuals
over
the
age
of
65.,
yet
that
group
over
age
of
65
makes
up
nearly
75
of
the
deaths
in
california
from
covid,
so
punctuating.
The
point
that
we
need
to
protect
those
who
are
most
at
risk
by
way
of
some
reminders
here.
C
Just
as
I
was
saying,
the
people
who
are
highest
risk
for
severe
illness
or
death
of
those
who
are
older
with
underlying
medical
conditions,
and
we
strongly
urge
you
not
to
attend
gatherings,
especially
indoor
gatherings.
If
you
do
gather
with
older
individuals
and
people
with
chronic
conditions,
make
sure
they
wear
a
surgical
mask
a
cloth
face
covering
is
sufficient
in
many
many
settings
and
for
many
many
individuals,
but
having
that
added
protection
of
a
surgical
mask
can
make
a
difference.
C
It's
also
safest
and
I'll
remind
you
to
celebrate
the
holidays
with
people
you
already
live
with,
but
if
you
invite
others
over,
please
keep
it
at
a
maximum
of
two
other
households.
So
we
reduce
the
number
of
individuals
in
in
a
setting,
but
also
that
we
reduce
the
chance
that
we
end
up
having
coverage
spread
from
household
to
household
and
then
I'll
end
before
we
get
to
our
routine
common
end
of
a
presentation
slide
with
all
of
our
reminders
to
tell
you
that,
yes,
travel
increases
your
chance
of
getting
and
spreading
the
virus.
C
C
I'll
just
remind
you,
keep
your
mask
on
maintain
that
six
feet
of
distance,
wash
your
hands
20
seconds
with
warm
water
and
soap,
important,
added,
step,
minimize
mixing
as
much
as
you
can
stay
home
when
you're
sick
and
if
you
haven't
already
get
your
flu
shot,
it's
an
important
protection
of,
not
just
you
not
just
your
family,
not
just
your
community,
but
it's
something
to
do
for
our
hospital
systems,
our
healthcare
delivery
systems
and
all
of
those
sort
of
healthcare
warriors
working
in
our
ers
and
our
icus
on
our
hospital
awards,
our
first
responders,
who
also
need
you
to
do
to
help
protect
them
during
this
critical
time.
F
G
F
C
Yeah,
let
me
go
to
your
last
question.
First,
the
governor
has
put
out
a
statement
and
I'll
point
you
to
that
statement
and,
of
course
my
focus
is
on
ensuring
that
we
deal
with
the
reality
of
surging
cases
that
the
guidance
that
I
provided
today
and
that
we've
been
working
on
with
our
local
health
partners
around
activities
where
you
might
gather
indoors
to
reduce
risk,
is
really
the
message
that
we
want
to
get
out
to
our
public
and
really
pushing.
C
That
is
important
and
that's
part
of
the
reason
why
I'm
back
with
you
today
on
a
friday
as
opposed
to
the
normal
tuesdays
as
it
relates
to
the
emergency
break.
Thank
you
for
that
question.
You
know
we
have
always
said
in
our
blueprint
that
we
could
see
things
have
to
shift
more
quickly.
We
left
that
as
a
characteristic
of
the
blueprint
we
haven't,
hid
behind
that
in
any
way,
and
now
maybe
the
time
where
counties
move
back
a
little
sooner
than
just
waiting
two
weeks.
C
We've
today
really
had
counties
move
back,
just
one
tier
at
a
time
that
may
not
be
appropriate
to
get
the
kind
of
response
that
we
need
to
blunt,
that
rate
of
rise
that
you
saw
and
then,
of
course,
we've
often
allowed
counties
to
wait
a
full
three
days
before
reverting
back
to
the
tier,
the
more
restrictive
tier
that
they
are
being
asked
to
move
to,
and
even
that
might
need
to
be
reconsidered.
So
there's
a
number.
C
Those
are
a
few
things,
but
we're
going
to
be
working
with
our
local
partners
to
understand
what
those
conditions
are
make
sure
that
we
do
something
that
is
appropriate
for
each
county
for
each
region
and
those
are
the
elements
that
we
may
put
in
place
and
it's
not
inconsistent
with
the
current
blueprint.
It
was
always
there
and
now
may
be
the
opportunity
where
we
have
to
use
those
tools
as
it
goes
for
la
and
the
schools.
C
We
have
made
schools
an
important
priority.
We
are
working
with,
despite
the
surging
cases,
making
sure
we
emphasize
all
the
protective
factors,
things
that
we've
provided
schools,
both
at
the
state
and
the
local
level,
to
be
able
to
reduce
risk
things
like
appropriate
ppe
things
like
access
to
testing
guidance
on
how
to
set
up
classrooms
and
campuses
in
a
lower
risk
way.
Knowing
that
we
will
always
have
and
continue
to
have,
distance
learning
as
an
option
when
schools
or
cohorts
in
a
school
need
to
to
sort
of
go
back
to
distance
learning.
C
So
we
continue
to
push
forward
with
all
of
those
preparatory
arrangements.
But
if
a
district
in
a
county
or
if
a
county
in
its
entirety
decides
that
the
transmission
rate
is
too
high
for
a
number
of
reasons.
We're
going
to
work
with
those
counties,
including
la
to
be
ready
for
when
transmission
rates
come
down
again.
C
So
that
schools
can
come
back
and
students
who
depend
on
in-person
learning
to
get
the
level
of
education
and
the
development
that
they
need
with
teachers
and
staff
who
are
prepared
as
well,
that
we're
ready
to
go
as
soon
as
it
is
deemed
to
be
appropriate
to
return.
F
Hi
dr
dally,
thanks
again
for
speaking
with
us
and
taking
our
questions,
counties
like
la
are
already
in
the
most
restrictive
tier.
So
what
kind
of
additional
closures
do
you
think
might
be
needed?
Is
it
things
like
closing
outdoor
dining
and
gyms
and
reducing
capacity
at
stores,
or
do
you
think
we
need
to
do
another
statewide
stay-at-home
order
and
then
one
other
question:
do
you
have
any
recommendations
for
black
friday?
Should
we
avoid
going
out
shopping
in
person
on
black
friday
thanks
so
much.
C
Yeah,
thanks
and
and
you're
asking
both
questions
are
really
really
critical.
The
first
one
is
purple
is
our
most
restrictive
tier
many
counties
in
the
state
are
already
in
purple,
others
are
moving
there
and
we're
going
to
be
working
with
those
counties
to
determine.
We
have
better
information
about
where
spread
is
occurring
in
in
each
county.
C
Now.
We
are
not
looking
today
at
a
statewide
stay-at-home
order.
We
know
that
many
californians
are
fatigued
and
tired
and
that
we
are
continuing
to
work
with
our
partners,
all
40
million
partners
across
the
state
to
really
adopt
those
practices
of
continuing
to
wear
your
mask
minimize
mixing,
keep
your
distance
and
a
number
of
the
others
that
I
remind
you
of
on
a
regular
basis
to
really
be
the
tools
at
the
moment.
C
F
C
Yeah,
I
I
think
look
we
have
for
many
weeks
understood
that
the
most
important
asset
we
have
with
californians
is
working
along
with
californians
and
putting
out
an
advisory,
a
strong
urge
guidance
on
what
to
do
when
traveling,
but,
first
and
foremost,
to
avoid
it
as
much
as
possible
that
that
is
going
to
be
an
approach
and
a
commitment
to
californians
to
do
what
we
believe
is
the
right
thing,
and
that
is
going
to
help
us
along
the
way
throughout
this
entire
pandemic
and
really
taking
some
of
the
sense
of
enforcement
and
ability
to
you
know,
knock
on
every
door,
pick
up
every
phone
hard
to
do
in
any
state,
certainly
hard
to
do
in
a
state
of
40
million,
and
really
focusing
on
that
partnership
opportunity
with
all
of
our
local
entities.
C
Businesses,
counties
individuals
is
the
favorite
approach
and
we
certainly
hope
that
the
fact
that
it's
an
advisory
doesn't
lessen
the
voice
and
the
emphasis
on
how
important
it
is.
But
we
certainly
expect
that
in
that
sort
of
sector
of
personal
responsibility
that
I
frequently
talk
about
that
this
is
yet
another
aspect
of
that
and
that
we
believe
californians
will
do
the
right
thing
throughout
not
just
these
holidays
but
moving
forward
as
we
respond
to
these
surging
cases.
F
F
C
Certainly,
this
is
all
very
fluid,
and
you
know
it
could.
C
We
haven't
discussed
what
that
level
would
be,
but
certainly
these
rates
of
rise
that
dr
ponn
outlined
during
her
part
of
the
presentation
are
very
concerning
and,
as
we
said,
with,
the
blueprint
in
emergency
break
means
that
we
will
not
only
implement
some
of
the
features
that
I
mentioned,
but
we're
always
looking
at
what
is
going
to
help
us
keep
the
public
as
safe
as
possible
in
california,
and
certainly
if,
if
there's
any
indication
that
the
travel
advisory
needs
to
be
strengthened,
we
will
consider
that
in
the
days
and
weeks
to
come,
but
I
will
punctuate
it
by
saying.
C
C
But
if
you
must
please
respect
that,
14
days
gives
you
and
your
family
and
those
who
are
around
the
confidence
the
14
day,
quarantine
that
you
are
unlikely
to
transmit
the
virus.
To
them
that
you
might
have
carried
in
from
what
a
state
with
even
higher
transmission
than
we
have
here
in
california,.
F
Thanks,
dr
galley,
a
number
of
businesses
have
been
expressing
sort
of
fatigue
and
frustration
as
these
as
you've
alluded
to.
As
the
tears
begin
to
roll
back
in
different
counties,
some
have
suggested
that
they
may
not
follow
the
guidance
that
has
been
laid
out
right
now.
A
number
of
counties
have
taken
an
additional
approach
to
handling
these
situations,
trying
to
sort
of
guide
them
towards
what's
required.
F
If
there
is
continued
refusal
to
comply
with
the
guidance
in
the
given
tiers
but
counties,
and
do
you
think
the
county
should
start
taking
more
enforcement
action
against
these
businesses
if
they
refuse
to
comply.
C
C
We
know
and
feel
and
hear
about
the
herd
of
many
businesses
and
the
difficulty,
but
we
continue
to
believe
that
this
is
not
a
choice
between
health
and
business
that
that's
a
false
choice:
that
what
we
really
need
to
do
is
do
everything
we
can
at
this
moment
to
get
these
very
rapidly
rising
cases
back
down
bending
that
curve.
The
first
part
of
that
is
reducing
the
rate
of
rise
and
we
need
our
business
partners
to
be
along
with
us.
C
We
know
that
the
simple
acts
that
I
talk
about
connecting
them
to
the
fate
of
businesses
is
an
important
one.
Not
only
do
they
keep
businesses
open,
but
they
keep
all
of
us
employed,
and
so
we
hope
that
businesses
will
choose
to
implement
the
guidance,
follow
our
tiering
system,
and
if
there
is,
you
know,
challenges
with
that.
C
We
look
to
local
enforcement
state
level
enforcement
to
really
help
guide
businesses
back
into
the
tiering
system,
as
we
put
it
there
and
and
it's
been
happening
to
date-
and
it
will
continue
to
happen
into
the.
F
Hey
dr
kelly,
my
question
is
about
the
space
vaccine
plan,
I'm
wondering
when
you
should
expect
to
see
a
final
or
more
detailed
breakdown
of
who
exactly
will
get
vaccines
first,
and
I'm
wondering
how
much
of
that
decision
will
fall
on
counties
if
different
counties
might
want
to
prioritize
different
groups
after
health
workers?
Are
we
going
to
see
a
distribution
that
varies
by
county
and
do
you
expect
teachers
to
be
among
the
first
groups.
C
I
mean
all
good
questions.
I
will
tell
you
that
we're
actively
working
on
that
our
drafting
guidelines,
workgroup,
has
already
met
two
times
to
have
the
conversations
about
exactly
who
is
in
that
priority
group
1a
who's
in
1b
who
comes
next.
C
We
know
that
the
first
that
we'll
start
with
are
our
frontline
healthcare
workers.
Our
first
responders
then
looking
to
those
most
vulnerable,
especially
in
congregate,
care
facilities
like
our
skilled
nursing
facilities
and
after
that,
as
we
have
a
little
bit
of
time
to
plan
we'll
be
working
on
putting
that
out.
As
soon
as
we
have
you
know,
agreement
and
consensus.
C
We
believe
that
the
state's
guidelines
will
do
a
lot
to
inform
the
counties
if
there
are
counties
that
decide
to
prioritize
slightly
differently,
we'll
have
those
conversations
as
they
are
appropriate
and,
of
course,
teachers
as
an
important
part
of
our
workforce,
will
be
a
priority,
but
exactly
where
they
fall.
After
that
1a
priority
group
is
yet
to
be
determined.
F
Thank
you,
dr
dally,
and
thank
you
for
taking
our
questions,
a
follow-up
on
claudia's
question
about
that.
The
restaurant
experience
for
the
governor-
and
there
are
a
lot
of
people
out
there
on
social
media,
especially
today
who
are
saying
do,
as
I
say.
Not
as
I
do,
I'm
wondering
what
you
say
to
those
those
critics
as
you're
trying
to
voluntarily
you
know,
have
people
listen
to
what
you
have
to
say
and
and
also
when
it
comes
to
the
restrictions.
F
C
Yeah
again
as
it
relates
to
the
first
part
of
your
question,
I'll
point
you
back
to
the
the
governor's
statement
and
and
his
team
in
the
governor's
office
for
further
follow-up.
But
certainly
you
know.
As
we
look
at
surging
cases,
we
have
the
guidance
and
the
tips
for
a
reason.
We
believe
they
are
the
strategies
to
keep
ourselves
in
our
communities
safe
and
we
hope
and
expect
people
to
take
them
seriously.
C
It's
important
and
it's
sobering
when
people
do
find
loved
ones
who
are
infected,
who
have
serious
consequences
and
even
when
loved
ones
die
that
those
are
avoidable
situations
in
many
many
cases
and
the
tools
and
tips
that
we're
providing,
especially
moving
into
the
winter
and
the
holiday
season,
that
they
are
even
more
important
and
keeping
our
guard
up.
No
matter
where
you
are
indoors
outdoors
with
people
who
you're
not
familiar
with
or
haven't
seen
in
quite
some
time.
C
It
is
absolutely
critical,
and
that
is
for
me
the
overwhelming
message
not
just
of
today.
It
has
been
for
a
while,
but
it
punctuates
where
we
are
today
and
needs
to.
I
hope
every
californian
does
consider
how
they
can
do
that,
and
and
do
it
even
more
than
they
have
been
in
the
past
as
it
relates
to
a
more
restrictive
purple
tier.
As
I
said,
we
certainly
could
consider
what
those
activities
will
be.
C
But
I
will
say,
first
and
foremost
that
case
spread,
even
in
purple
counties
is
not
unexpected
when
the
baseline
transmission
rates
across
our
state
across
our
nation
are
as
high
as
they
are.
The
tiering
system
is
really
there
to
help
us
reduce
as
much
as
much
risk
as
we
can
and
that's
whether
the
transmission
rates
are
really
low
or
as
high
as
they
are
today,
and
I
just
call
upon
all
of
us
to
consider
what
we
can
do
in
those
purple
counties.
I
myself
live
in
los
angeles
county.
C
I've
been
talking
to
my
own
family,
about
how
we
are
going
to
adjust
our
own
behaviors.
Considering
the
considering
the
surging
cases
and
the
fact
that
los
angeles
county,
like
many
other
counties
across
the
state,
has
seen
a
near
doubling,
if
not
more,
of
their
average
daily
case
rates
in
the
past
week
or
two
and
that's
important,
to
keep
in
mind.
C
So
you
know
not
that
more
restrictions
won't
come,
but
we
are
imploring
and
asking
californians
to
consider
what
more
they
can
do,
whatever
county
tier,
whatever
tier
their
county
is
in,
but
in
particular
those
purple
tier
counties
where
further
restrictions
are
not
yet
not
yet
outlined.
F
Hi
dr
gauri,
thanks
for
taking
my
question,
this
is
a
question
about
the
state's
tier
system
and
now
that
counties
are
sliding
back
into
these
more
restrictive
tiers.
I'm
wondering
if
we're
dialing
back
the
economy
in
smarter
or
more
nuanced
ways
now
than
we
did
in
the
spring,
based
on
what
we
know
about
how
the
virus
spreads,
and
can
you
give
an
example
or
two
of
that?
If
so.
C
Yeah,
I
I
mean,
I
believe
we
have.
I
think
the
whole
tiering
system
was
based
on
updated
science
and
information
and
experience.
You
know
in
many
ways.
In
march,
we
looked
at
really
just
blunt
tools:
statewide
stay-at-home
orders,
closures
of
sectors
that
we
had
since
were
high
risk,
but
weren't
sure,
because
the
data
was
still
evolving.
C
Today
we
have
good
information
about
the
activities
that
I
explained
earlier,
that
create
a
higher
risk
of
spread
and
as
we
get
transmission
rates
higher,
those
are
exactly
the
kind
of
sectors
that
become
more
restricted
and,
in
some
places
closed
down
for
a
period
of
time,
but
even
in
the
purple
tier
there's
some
activities
that
weren't
so
much
allowed
early
on
because
of
our
learnings
about
things
that
reduce
risk
in
some
of
those
settings.
C
So
you
know
you
can
look
at
the
tiering
system
in
the
exact
sectors
and
apply
some
of
the
basic
conditions
of
a
high
risk,
setting
versus
a
low
risk
setting
and
see
why
those
different
sectors
are
assigned
in
each
of
those
tiers,
and
so
as
counties
move
back.
That's
exactly
what
drives
what
is
and
isn't
allowed
to
occur
from
a
business
or
social
sector
perspective.
F
Hi,
dr
dally,
my
question
is
in
reference
to
that
travel,
advisory
and
the
14
day,
quarantine
period.
The
travel
advisor
is
coming
pretty
close
to
thanksgiving
and
for
people
who
are
working
during
the
pandemic.
They've
likely
already
made
their
travel
plans
if
they're
going
out
of
state.
F
C
I
mean
really
we're
asking
people
to
first
consider
whether
that
non-essential
travel
is
the
right
thing
to
do
now.
C
I
think
that's,
first
and
foremost,
we
urge
people
to
consider
staying
close
to
home,
staying
at
home,
staying
with
their
household
experiencing
loved
ones,
virtually
on
the
phone
by
zoom,
by
whatever
mode
they
can
imagine,
but
really
choosing
to
make
that
decision
today,
rather
than
risk
getting
infected
themselves
or
additionally,
bringing
home
the
virus
and
having
it
transmitted
in
our
workplaces
or
in
other
parts
of
our
state,
especially
given
the
levels
of
transmission
that
we
see.
C
But
if
the
choice
is
made
to
go
and
travel,
we
do
urge
people
to
do
the
14-day
quarantine
when
they
return,
because
that
is
one
of
the
first
lines
of
defense
at
reducing
transmission
after
such
such
an
experience,
so
the
quick
answer
to
your
question
is
yes.
That
is
our
recommendation.
That
is
what
we're
asking
people
to
do.
We
know
it's
not
an
easy
thing
to
do
that.
C
It
creates
a
hardship,
but
we
know
that
if
we're
gonna
get
through
this
really
difficult
time
with
surging
cases
that
these
are
the
important
steps
that
we
need
to
make
as
personal
and
individual
choices.
F
Hi,
dr
gallie,
I
was
wondering
if
you
could
give
an
update
on
the
guidelines
for
high
school
and
youth
sports
to
return
to
competition.
That
was
a
topic
earlier
this
week
and
I
wonder
what
your
thoughts
are
today
with
the
with
the
travel
advisory
being
reinforced
when
it's
very
possible
that
you,
sports
families
are
traveling
today
out
of
state
for
a
competition
and
in
irvine
there's
out-of-state
swimmers
that
are
competing
in
a
usa
swimming
competition.
C
Yeah,
thanks
for
the
question
and-
and
I
know
I've
said
this
now
a
couple
of
times
when
I've
gotten
this
question
that
it's
coming
soon
and-
and
it
really
is
coming
soon.
We
are
finalizing
it
in
lots
of
conversations
with
stakeholders
who
care
deeply
about
this
guidance,
making
sure
that
we're
following
the
science
understanding,
what's
possible
here
in
california,
respecting
the
fact
that
we're
seeing
a
surge
in
cases
and
knowing
that
the
timing
with
this
is
important
and
everything
so
stay
tuned.
C
It
will
come
out
soon
as
it
relates
to
the
application
of
the
travel
advisory.
Absolutely
if
family
is
going
to
take
the
risk
and
travel
out
of
state
to
to
compete
or
practice
for
a
youth
sport
or
any
sport
that
we're
asking
them
a
first
off
not
to
do
that
to
make
the
decision
to
stay
local
stay
home
that
certainly
having
kids
myself.
I
understand
the
excitement
the
urge
the
fact
that
we
miss
it.
C
The
fact
that
our
kids
are
are
having
challenges
not
playing
and
practicing
their
favorite
sports,
but
this
isn't
the
time
to
put
our
guard
down,
and
this
is
one
of
the
important
parts
of
keeping
our
guard
up,
avoiding
making
the
decision
not
to
travel.
C
But
if,
if
it
turns
out
that
you
do
and
you
make
that
decision,
we
do
urge
you
urge
anyone
around
you
who
made
the
same
choice
to
quarantine
for
14
days
upon
return,
so
that
we
make
sure
that
the
decision
that
you've
made
doesn't
impact
a
broader
part
of
your
community
and
the
state
overall.
G
G
Week
or
so,
I've
been
speaking
to
members
of
the
lgbtqi
community
who
identify
as
latin
max
latino
latina
and
some
asian
american
lgbtq
people,
beyond
los
angeles
county
working
into
san
diego
county,
the
imperial
valley,
even
out
in
the
coachella
valley
in
that
area.
G
One
of
the
things
that
I'm
hearing
from
them
is
they're
not
getting
a
lot
of
good
information
coming
out
of
the
various
health
departments
and
they're,
not
seeing
too
much
from
cal
department
of
health
in
terms
of
advertisements
or
messaging
in
their
own
language
and
the
other
concern
they've
got
it's.
It
revolves
around
the
issue
with
masks
which,
as
you
know,
has
become
so
highly
politicized
that
now
the
vaccines
seem
to
be
added
that
direction
as
well.
They
wanted
me
to
ask
you
directly
since
you're
the
secretary
of
health.
G
You
know
what
efforts
are
you
and
your
staff
going
to
make
to
kind
of
put
their
minds
and
their
communities
at
ease
and
get
a
little
bit
better
information
out
there,
because
there's
a
lot
of
things
being
said,
but
not
a
lot
of
is
being
directed
at
them.
This
is
what
they're
telling
me,
so
I'm
relaying
it
to
you.
C
Yeah
first
off,
thank
you
rhodey
for
the
information,
often
the
questions
that
I'm
asked
are
informational
for
me,
and
this
is
a
good
example
of
that.
I
think
what
we
have
certainly
clearly
sensed
over
the
past
many
weeks
and
months
is
the
need
to
improve
our
own
relatability.
With
our
messages,
I
think
identifying.
All
of
the
populations
I
mean
california,
isn't
just
40
million
people
strong.
C
We
are
as
rich
in
our
diversity
and
the
the
need
and
really
the
requirement
for
us
to
communicate
clearly
and
effectively
with
all
of
our
populations
is
important.
C
I
won't
tell
you
that
I
can
point
to
the
specific
piece
of
you
know:
public
service
announcement
or
masked
message
that
that
I
would
point
to
at
the
moment,
but
I
think
that
you
just
highlight
our
ongoing
focus
and
need
to
improve
our
messaging
and
our
ability
to
relate
to
all
californians,
and
I
hope,
the
next
time
you
ask
me
a
question.
Give
me
a
little
bit
of
time.
C
F
Hi
thanks
for
taking
my
question
last
one
here,
my
question
has
to
do
with
the
central
valley
region.
It's
been
obviously
a
early
and
stubborn
hot
spot.
The
state
put
a
lot
of
resources
in
there
things
improved
like
the
rest
of
the
state
things
going
in
the
wrong
direction.
I'm
curious
if
there
were
things
that
you
learn
from
that
intervention
as
a
state
that
could
be
hopeful
or
particular
to
that
region
in
helping
it
reduce
the
spread.
F
C
Yeah
thank
you
victoria
for
the
question
and
thank
you
for
bringing
up
the
central
valley,
in
fact,
because
of
the
surging
cases
reinvigorating
that
central
valley,
focus
and
task
force
has
been
among
our
priorities,
working
with
those
county
leaders
and
really
thinking
about
it.
Regionally.
C
I
often
say
we
have
the
county
structure
in
california
and
we
use
it
often
and
frequently,
but
then
the
truth
with
kovitt
is
it?
Doesn't
it
doesn't
respect
and
maintain
county
lines?
So
thinking
about
this
regionally,
as
we
did
in
the
central
valley,
has
been
an
important
illustration
and
effective
tool
in
sharing
best
practices.
Because
often
you
know
the
counties
share,
a
culture
share
a
you
know:
different
majority,
ethnic
groups,
etc.
C
So
we
have
increased
our
ability
and
thoughtfulness
around
what
sort
of
messaging
and
communication
tools
work
in
the
central
valley,
different
than
let's
say
other
parts,
the
northern
part
of
the
state,
certainly
the
bay
area
and
southern
california.
C
Our
work
with
various
employers
focusing
on
the
agricultural
industry,
focusing
on
certain
factories
and
and
other
entities
that
predominate
in
the
central
valley,
really
revisiting
sort
of
how
the
essential
workers
in
the
central
valley
both
not
only
how
they
work,
but
when
they
return
home
some
of
the
conditions
that
they
return
to
often
living
in
multi-generational
families.
Often
living
in
you
know
tighter
tighter
living
quarters
that
all
of
those
have
guided
the
messaging
and
certainly,
for
example,
when
it
comes
to
isolation.
C
When
somebody
has
been
tested
positive
and
an
influx
of
mobile
testing.
An
influx
of
some
of
the
other
state-sponsored
county-sponsored
testing
opportunities
have
been
brought
to
the
central
valley.
But
then,
when
tests
are
positive,
the
reality
that
not
everybody
can
simply
isolate
that.
It's
not
easy
to
find
a
room
free
from
anybody
else,
a
room
in
a
hotel
where
it
might
be
cost
prohibitive
to
stay
there
for
14
days
that
there
are
other
things
that
people
can
do
to
reduce
their
risk,
keeping
a
surgical
mask
on
as
much
as
possible,
reducing
their
time
outdoors.
C
These
are
tools
that
we
have
learned
through
our
experiences
in
the
central
valley
that
are
opportunities
to
do
isolation,
a
little
bit
differently,
although
we
know
that
if
you
can
isolate
completely
for
14
days,
that
that
is
the
surest
fire
best
way
to
go.
But
if
you
can't,
there
are
certainly
things
you
can
do
to
reduce
the
risk
of
transmission
to
others.
C
So
all
of
those
are
lessons
we
learned
as
part
of
our
central
valley,
partnership
and
experience,
and
I
in
no
way
want
to
give
the
impression-
because
it
isn't
done-
it
is
now
just
being
focused
on
even
more
and
as
we
focus
not
just
on
the
central
valley
but
other
regions
of
california.
C
We
look
forward
to
implementing
the
lessons
that
we
learned
there
and
in
other
parts
of
the
state
as
we
address
the
pandemic.
So
with
that,
I
know
this
this
just
shy
of
two
weeks
from
now.
You
know
an
important
american
holiday,
but
then
so
many
other
important
events
that
come
with
the
late
fall
and
early
winter.
C
Today's
message
is
really
about
how
we
keep
our
guard
up,
how
we
make
additional
decisions
to
not
just
keep
ourselves
and
families
safe,
but
our
overall
community,
our
health
care
delivery
system
able
to
serve
the
needs
of
those
who
are
sick,
not
just
from
kovid
but
others,
and
we
know
this
is
a
difficult
time
for
many
personally
for
many
businesses
and
a
number
of
others
throughout
our
state,
and
we
we
trust
that
the
message
that
we
give
today
isn't
an
easy
one,
but
it's
an
important
one
and,
as
dr
pond
mentioned,
that
rise
that
rapid
rise
in
cases
that
together,
we
can
come,
come
together
again
to
not
just
reduce
the
slope
of
that
curve,
but
ultimately
flatten
it
crush
it
again
and
get
our
whole
state
to
a
better
place.
C
So
with
that,
I
look
forward
to
seeing
you
next
week
and
I
wish
each
of
you
a
safe
and
enjoyable
weekend.