►
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 4, 2020.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
B
Good
afternoon,
everyone,
as
always
it's
nice
to
be
with
you
on
a
tuesday.
I
look
forward
to
the
update
today,
I'm
going
to
begin
by
introducing
our
new
state
epidemiologist,
dr
erica
pond
who's
going
to
come
up
and
talk
to
you
a
little
bit
about
our
recently
released
just
yesterday,
k
through
six
waiver
process
to
bring
in-person
in-student
on-campus
education
back
for
our
youngest
students
in
the
counties
on
the
county
monitoring
list.
B
So
with
that,
I
want
to
call
dr
pon
up.
It's
really
a
privilege
to
have
her
as
one
of
our
newest
state
employees,
a
real
public
health
leader
throughout
california,
recently
in
alameda,
county
pediatrician
by
training,
infectious
disease,
specialist
and
former
local
health
officer.
So
with
that,
dr
pond.
C
Good
afternoon,
thank
you
very
much,
dr
valley,
for
that
wonderful
introduction.
It's
an
honor
and
a
pleasure
to
be
here
with
you
all
this
afternoon.
I
wanted
to
give
a
little
bit
more
details
and
information
about
the
process
we
issued
yesterday.
As
many
of
you
know,
a
couple
weeks
ago,
we
issued
a
reopening
framework
for
schools
in
california,
and
in
that
framework
we
did
say
that
counties
that
are
on
our
monitoring
list
and
schools
within
those
counties
should
not
yet
reopen
for
in-person
instruction
until
they
are
off
that
monitoring
list
for
at
least
14
days.
C
We
did
in
fact,
as
well
issue
an
exception
that
could
be
granted
for
our
youngest
children
based
on
evidence
that
is
evolving
about
how
we
know
this
virus
behaves
in
young
children
and
the
importance
of
in-person
instruction
for
our
youngest.
There
is
a
process
that
we
have
issued
yesterday.
More
of
the
details
around
where
an
elementary
school,
which
is
k-6,
could
potentially
apply
to
their
local
health
officer
or
an
exception
to
this
waiver
in
counties
on
that
monitoring
list.
C
So
to
provide
a
little
bit
more
detail
about
that
process,
a
superintendent
or
an
equivalent
at
a
school
can
review
their
site-specific
safety
plans
and
they
need
to
follow,
along
with
our
california
department
of
public
health
guidance
as
well
as
any
other
public
health
guidance
from
the
cdc
and
elsewhere.
They
need
to
be
consulting
with
their
local
communities,
which
may
include
staff,
labor
unions,
parent
organizations.
We
want
to
make
sure
this
is
a
close
partnership
in
the
community
and
that
people
are
supportive
of
this
application.
C
They
can
take
that
into
account
and
they
can.
They
need
to
post
their
plans
for
their
site,
specific
safety
plans
publicly,
and
then
they
can
submit
a
request
for
a
waiver
to
their
local
health
officer,
the
local
health
officer
when
they
receive
that
application
will
be
taking
several
things
into
consideration.
C
They
will
want
to
be
assured
that
the
site
specific
plan
has
a
lot
of
detail
about
how
they're
going
to
make
sure
that
kids
are
in
cohorts
which
is
small,
stable
groups
that
are
not
mixing
with
other
groups.
But
there
are
safety
plans
in
place
for
health
screening
checks
for
face
coverings
for
all,
and
they
have
strict
face
covering
requirements
to
comply
with
our
state
public
health
department
requirements
around
face
coverings
and
many
other
things
in
place
that
they're
planning
and
prepared
to
respond
for
any
cases
of
coca-19.
C
The
local
health
officer
will
also
be
looking
at
their
local
epidemiologic
trends.
We've
also
said
that
if
schools
are
in
a
county
where
the
case
rates
are
two
times
what
our
threshold
is
to
be
on,
the
modern
list
they're
not
eligible
for
a
waiver,
but
again
if
the
local
trends
look
good
to
the
local
health
officer,
they'll
also
be
taking
into
account.
What
are
the
local
community
resources?
What
is
the
hospital
capacity?
Looking
like?
What
are
the
testing
resources
locally?
What
are
the
local
resources
around
case
and
investigation
and
contact
racing?
C
B
B
B
B
We
often
say
we
want
to
stop
the
spread,
and
this
simple
diagram
really
puts
it,
puts
it
at
what
I'm
going
to
try
to
do
is
a
more
personal
level.
So,
let's
imagine
that
I
had
symptoms,
which
I
do
not,
thankfully,
but
if
I
had
symptoms
we
would
go
to
step
one,
and
the
first
thing
I
would
do
is
quarantine.
B
So,
if
there's
a
risk
that
I
am
infected
and
my
family
member
isn't
that
they
don't
in
fact
get
infected
as
well,
then
the
second
thing
is,
we
work
to
get
me
tested
and
we
try
to
get
that
to
be
timely.
That
means
that
the
specimen
is
collected
in
a
timely
way,
that
we
get
it
to
a
lab
that
processes
it
and
that
we
get
that
information
as
quickly
as
possible.
So
it's
actionable
and
then
with
that
test
result.
Let's
say
it
is
positive.
B
B
I
know
we
haven't
used
this
concept
of
case
binding
before,
but
it's
a
pretty
simple
one.
It's
just
really
using
testing
to
allow
us
to
identify
those
who
are
positive
and
then
using
that
information
to
corner
the
virus,
limit
the
spread
and
stop
the
outbreak.
Just
like
I
showed
on
the
previous
slide.
I
wanted
to
take
a
moment
and
talk
to
you
a
little
bit
about
what
california
has
done
in
the
context
of
the
rest
of
the
us
you'll
see
here
that
we've
done
just
over
8.3
million
tests
in
california
of
pcr
tests.
B
We've
also
done
some
antigen
tests.
We've
done
some
antibody
tests,
but
we're
not
counting
that
here
that
roughly
represents
14.4
percent
of
all
tests
in
the
united
states.
I'll
remind
you
that
we're
about
12
of
the
u.s
population
as
a
state.
So
the
fact
that
we're
testing
at
a
percentage
point
higher
than
our
total
population
percentage
is
one
of
our
goals
and
we're
going
to
continue
to
build
that
testing
capacity
up
cases.
B
Those
are
positive
tests,
just
over
514
000,
roughly
just
under
11
of
all
cases
in
the
us
and
then
from
our
death
numbers.
6.4
of
all
deaths
from
covet
19
happened
here
in
california,
and
so
when
you
look
at
the
numbers
together
that
14.4
versus
the
10.9
versus
the
6.4,
those
are
in
a
magnitude
and
directionality.
B
That's
exactly
what
we
want
to
see.
We
want
to
see
increased
number
of
tests,
identification
of
cases,
so
we
can
intervene
at
the
local
level
at
the
very
personal
level,
like
I
walk
through
with
my
own
experience,
if,
if
I
were
positive
and
then
ultimately
a
much
lower
percentage
of
the
deaths,
so
this
is
exactly
what
we
want
to
see.
B
We
know
we
can
always
make
improvements
in
this,
but
certainly
one
of
our
key
strategies
so
case
finding,
as
I
said,
or
finding
those
positive
cases
is
best
done
early
the
earlier
we
find
the
case
the
earlier
we
can
act,
and
this
is
why
we
focus
so
much
on
test
processing
delays
and
getting
our
testing
up
to
scale
across
the
state.
I'll
remind
you
that,
just
a
few
months
ago,
we
were
talking
about
under
2
000
tests
a
day
being
done
throughout
california.
B
Then
we
have
a
pretty
robust
data
entry
and
validation
process.
We
want
to
make
sure
that
we're
not
seeing
duplication
and
test
results
and
that
the
data
is
as
complete
and
clean
as
possible,
so
it
is
as
actionable
as
possible
and
then.
Lastly,
I
want
to
mention
system
capacity,
challenges
and
opportunities.
B
We
know
that
we've
done
nothing
like
this
response
to
covet
19.
Before
rarely
do
we
have
all
test
results
reported
often
it's
just
the
positive
tests,
and
at
this
volume
we
have
not
seen
the
scale.
It
certainly
is
testing
our
systems
and
its
capacity,
and
in
fact,
over
the
past
few
days,
the
state
system
we've
discovered
some
some
discrepancies
we're
working
hard
and
immediately
to
reach
out
to
the
labs
that
we
work
with
to
get
accurate
information
in
a
manual
process.
B
Just
like
we
are,
we've
been
in
communication
with
them
about
what
these
discrepancies
are,
how
we
might
help
to
improve
them,
but
there
is
no
doubt
that
their
ability
to
address
in
a
timely
way
specific
cases
around
case
investigation
and
contact
racing
is
limited.
And
so
I
just
want
to
remind
individuals
who
are
watching
that
if
you
do
have
symptoms,
if
you
are
concerned
that
you
were
a
close
contact
of
a
somebody
who
is
covet
19
positive,
please
remember
the
slide.
I
showed
earlier
begin.
B
B
I
want
to
remind
you,
though,
that
these
data
challenges
on
the
cases
do
not
have
overlap
with
our
hospitalization
and
icu
numbers.
Those
are
done
in
a
separate
way
that
we
continue
to
validate
those
with
our
local
health
leaders,
our
local
hospital
systems,
and
we
feel
confident
that
they
are
beginning
to
stabilize,
as
the
governor
mentioned
yesterday,
that
we
are
seeing
increasing
reductions
instead
of
a
10
reduction
in
hospitalizations
yesterday,
we're
now
down
to
an
11
reduction
over
the
past
14
days
and
similarly
our
icu
admissions
continue
to
reduce.
B
That
is
good
news,
but
it
reminds
us
that
we
actually
know
what
we
can
do
in
california
to
continue
to
bend
this
curve
to
work
together
to
avoid
some
of
the
worst
outcomes.
Some
of
the
sickest
situations
that
we
see
in
the
state
that
all
said.
We
continue
to
see
hot
spots
in
pockets
of
the
state.
This
includes
the
central
valley.
B
B
Sometimes
it
means
wearing
it
for
a
little
longer
than
you
thought
you
would
maintaining
that
six
feet
of
distance
or
even
more,
if
possible,
washing
our
hands
the
right
way,
20
seconds
or
more
with
soap,
and
when
you
don't
have
that
hand
sanitizer
and
then
minimizing
our
mixing.
I
know
this
is
a
hard
one
that
people
want
to
see.
Many
of
our
friends
and
families-
and
we
encourage
you
to
minimize
that
as
much
as
possible
because
it
does
help
us
reduce
transmission.
D
This
in
southern
california,
there
was
a
party
a
mansion
party
and
in
that
matchup
party
was
a
shooting.
Now,
aside
from
that,
there
were
some
200
people
gathered
there
and
many
of
the
shots
from
news.
Choppers
showed
no
physical,
distancing
no
mask
wearing.
So
you
have
a
massive
gathering
of
people,
not
adhering
to
public
health
directives.
My
question
is,
and
the
lopd
said
when
they
originally
went
on
a
nuisance,
call
to
that
house.
D
They
just
told
everybody
to
go
back
inside
and
let
the
party
go
on
saying
that
they
cannot
enforce
health
officer
orders
in
a
private
home,
but
in
this
particular
situation
with
this
with
covet
19,
isn't
there
a
public
risk
with
large
gatherings?
If
I
was
in
my
house,
my
private
home
firing
a
gun
out
the
window,
the
police
could
definitely
tell
me
to
stop
that
because
it's
risking
the
public
health,
why
can't
health
officer
orders
be
enforced?
D
B
Sure,
jim
first,
thank
you
for
the
question.
Absolutely.
I
just
want
to
underscore
that
large
gatherings
of
any
kind
really
don't
don't
help
us
and
really
should
be
avoided,
and
I
often
talk
about
the
sector
of
personal
responsibility.
We
focused
on
sector
guidance
throughout
our
entire
reopening
process,
whether
it's
about
religious
ceremonies
or
barber
shops
or
restaurants.
B
I
like
to
think
about
our
own
activities
as
a
sector
that
there
are
guidelines
about
what
we
should
do
and
how
we
should
you
know,
behave
in
in
our
communities
and
attending
a
large
gathering,
certainly
minimizes
or
or
or
really
doesn't,
follow,
that
sector
of
personal
responsibility
rule
book.
Obviously
the
physical
distancing
it
doesn't
sound
like
it
was
a
setting
where
there
were
face
coverings
or
masks
used
so
all
around.
B
It
sounds
like
a
high
risk
experience
for
those
who
were
there
and
frankly,
for
the
loved
ones
that
they
go
home
to
and
even
if
they
themselves
aren't
high
risk
for
a
bad
outcome.
If
they
were
infected,
they
may
in
fact
live
with
somebody.
An
older
person,
that's
in
their
house,
a
grandmother,
an
uncle,
an
aunt,
a
parent
or
somebody
who
isn't,
even
because
of
their
age
higher
risk,
but
because
of
an
underlying
condition
like
diabetes
or
heart
disease.
So
it
sounds
like
a
terribly
risky
situation.
E
E
Expect
to
fix,
I
also
like
to
know
how
this
impacts,
your
tracking
of
the
virus
and
infection
rates
and
the
ability
of
county
health
officials
to
conduct
contact
tracing.
And,
finally,
yesterday,
governor
newsome
said
that
the
state
has
a
6.1
positivity
rate
over
the
past
seven
days
is
that,
based
on
inaccuracy.
B
So,
thank
you,
amy
for
your
question.
I'm
gonna
try
to
try
to
remember
all
of
the
parts.
I
think
there
were
six,
maybe
even
seven,
so
I'll
try
to
go
through
each
one
of
them.
First
off
we,
we,
the
cal,
ready
system,
has
multiple
components
to
it.
There
is
a
there's,
a
specific
component
that
feeds
information
from
labs
to
both
the
state
system
and
the
local
public
health
system.
That
may
actually
be
the
place
where
data
is
getting
stuck.
B
B
To
your
last
set
of
questions
the
seven
day,
positivity
rate
is
absolutely
affected
by
this,
and,
as
we
continue
to
update
the
information
and
I'm
glad
you
raise
it,
we
will
certainly
be
updating
the
positivity
rate
on
a
daily
basis.
As
we
do
and
remember,
we
take
into
account
not
just
one
day,
not
just
seven
days
but
even
14
days,
so
that
we
make
sure
we're
seeing
the
long
trends
and
not
just
one
day
snapshots.
B
We
often
don't
see
high
numbers
on
monday
mornings,
because
sunday
becomes
a
slower
reporting
day
for
a
lot
of
operational
issues,
so
we
have
weathered
and
gone
through
in
other
periods,
challenges
with
getting
complete
data,
and
that
is
in
part
why
we
look
at
that
seven
day
and
that
fourteen
day
test
positivity
and
frankly,
all
all
all
numbers
looked
at
over
a
course
of
seven
to
fourteen
days.
So
we'll
continue
to
use
that
as
our
guiding
tool,
rather
than
the
one
day
snapshots
that
I
don't
want
to
minimize
their
importance.
D
A
D
Last
night,
because
for
a
lot
of
folks
that
these
businesses
were
shut
down,
they
look
at
a
scene
like
that
and
they're
frustrated,
because
they
did
everything
right.
They
still
get
shut
down
and
they
see
something
like
that
happening.
I'm
wondering
what
your
message
to
some
of
those
folks
would
be,
and
you
said
it's
sort
of
up
to
the
locals,
to
enforce
what
should
be
the
protocol.
Should
the
lapd
move
in
and
break
something
like
that
up.
B
So
we
can
build
towards
a
new
modified
sense
of
normal,
as
we
really
bring
transmission
rates
down
and
in
some
of
the
places
that
were
recent
hot
spots.
Current
hot
spots,
this
is
very,
very
important.
La
is
included
among
those
areas
as
far
as
it
goes
with
enforcement.
I
think
these
are
local
conversations.
The
state
is
urging
locals
to
use
all
of
their
tools
to
enforce.
I
think
conversations
between
law
enforcement
jurisdictions
across
l.a
county.
You
know,
there's
many
cities,
many
independent
law
enforcement
agencies.
You
have
that
la
county
sheriff.
C
E
They
were
entering
a
compact
to
bring
rapid
point
of
care
testing
to
their
state.
I
think
this
is
being
done
through
the
national
governors
association.
Another
organization
I
wanted
to
see
if
california
is
saving
south
california
joining
compact.
If
there's
maybe
going
to
be
a
a
separate
regional
contract
to
you
know,
increase
the.
C
D
B
Sure
tiffany,
thank
you
for
the
question.
I
I'll
I'll
just
say
that
testing
task
force
in
california,
which
recently
brought
together
two
no
new
co-chairs,
is
constantly
looking
at
innovations
and
testing
we're
looking
at
everything.
The
governor
has
talked
about
pool
testing,
we're
talking
about
rapid
turnaround,
churn
around
point
of
care
test,
understanding
how
antigen
and
antibody
versus
our
pcr
tests
all
fit
together
to
really
bring
a
robust
plan
to
california
we're
building
up
all
of
these
opportunities.
B
We
have
a
number
of
folks
on
our
team
that
are
exploring
point
of
care
modalities.
We
want
to
make
sure
that,
whatever
test
approach
we
take
and
introduce
in
california
that
it
is
not
just
very
reliable
that
it
can
be
scaled,
that
we
are
confident
in
our
ability
to
support
the
supply
chain.
You've
heard
about
reagents
and
kits
and
instruments.
We
want
to
make
sure
all
of
those
are
together.
B
So
not
only
can
we
understand
if
somebody
is
really
sick
if
it's
a
covet
19
infection
and
how
to
treat
you,
while
you're
potentially
in
the
hospital
but
also
helps
us
corner
the
virus,
as
we
talked
about
earlier,
help
people
quarantine
and
isolate
with
the
right
level
of
information
do
that
contact
tracing
and
work
with
our
close
contact.
So
they
do
the
same.
I
think
it's
all
very
important,
so
we
look
forward
to
those
new
modalities
being
introduced
at
scale
in
california.
C
E
Cnn
strike
teams
or
the
support
teams.
I
just
wanted
to
know
more
information
about
how
they're
working
how
many
people
are
going
into
the
central
valley,
how
long
they'll
be
there
if
there's
different
departments
from
california
that
are
part
of
this
and
then
ultimately,
which
department
is
actually
going
to
head
up
these
strike
teams.
Thank
you.
B
B
My
agency,
who
work
on
bringing
together
the
resources
to
make
sure
that
care
in
hospitals
happens
well,
so
all
of
these
entities.
I
think
I
don't
know
the
exact
number,
whether
it's
seven
or
ten,
but
many
people
at
the
state
have
been
on
the
ground.
In
fact
they're
on
the
ground.
Now
in
central
valley,
touching
fresno
and
curran
and
stanislaus,
and
soon
merced
and
madeira
and
san
joaquin
and
others
all
together,
we
will
be
there
for
a
number
of
weeks.
D
B
B
I
wish
I
could
tell
you
what
the
magnitude
would
be.
I
just
know
that
we
are
more
ready
and
then,
as
we
have
our
ability
to
test
and
do
the
disease
investigation
and
the
contact
tracing
and
we've
deepened
our
message,
and
hopefully
through
all
of
you
and
you
know,
all
40
million
californians
get
that
message
across
loud
and
clear
that
we
can
without
having
the
same
level
of
increase.
We
can
flatten
it
the
first
time
and
do
it
successfully,
so
we
not
only
avoid
illness,
but
we
avoid
a
number
of
deaths.
As
well,.
C
E
B
You
know
when
you
dig
into
the
details,
you
see
some
of
the
opportunities
for
improvement
and
how
you
set
up
your
own
systems
and
that's
why
we
study
them
so
closely.
You
see
when
activities
are
held
indoors
without
face
coverings
when
activities
that
are
much
better
done
outdoors,
no
doubt
or
avoided
at
all
happen
indoors.
B
You
see
transmission
things
like
chanting
and
singing
and
things
that
we
all
enjoy
to
do
at
our
summer
camps
that
the
use
again
I'll,
just
remind
you,
the
use
of
face
coverings,
the
use
of
keeping
keeping
some
distance
as
much
as
possible.
Minimizing
mixing
among
groups
that
cohort
size
frankly,
smaller
is
better.
B
Hopefully,
four
or
eight
people,
big,
is,
is
sort
of
the
the
size
that
we
look
for,
but
we
know
that
each
school
district
is
going
to
work
with
their
local
public
health
officials,
with
parents
with
teachers
with
other
school
professionals
with
their
community
groups,
to
really
make
a
decision
on
how
they
can
move
forward
in
a
lower
risk
way,
and
because
schools
are
not
just
a
vital
place
of
learning.
There
are
vital
community
centers.
B
It's
where
people
rally
and
come
together,
bringing
in
person,
education
and
instruction
is,
of
course,
one
of
our
key
goals
in
california.
But,
as
the
governor
has
said,
and
as
we've
tried
to
communicate
through
this
waiver
process,
we
will
only
do
it
when
we
can
assure
that
we've
created
a
lower
risk
environment
for
spread
of
covet
that
people
are
protected
and
that
their
safety
and
health
comes
first.
B
So
as
we
balance
that
we're
looking
forward
to
our
dialogue
with
a
number
of
the
local
entities,
from
both
on
the
public
health
side
and
on
the
education
side,
and
as
we
continue
to
improve
the
situation
across
california
with
transmission
as
we
stick
to
our
basic
lessons.
Those
key
key
reminders
of
wearing
your
mask
staying
physically
distanced
washing
your
hands
and
minimizing
mixing
that
we
can
create
an
environment
of
disease
transmission
in
our
communities
that
is
lower.
That
will
allow
schools
to
put
those
thoughtful
plans
into
place.
B
So
with
that,
I
just
want
to
thank
you
again,
as
always
for
joining
us
for
your
questions
and
as
always,
we
look
forward
to
working
with
every
single
one
of
you
in
california
to
bend
the
curve
to
stop
the
spread
and
return
to
some
modified
sense
of
normal
as
soon
as
we're
able
to
so
until
later.
Thank
you
very
much
and
have
a
good
afternoon.