►
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 September 29, 2020.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
C
Good
afternoon,
everyone
again
thank
you,
as
always,
for
joining
us
on
this
tuesday,
we're
always
looking
forward
to
updating
californians
on
which
counties
have
made
progress
through
the
blueprint
and
where
various
counties
are
assigned
on
our
tiering
system.
C
But
before
we
do
that,
I
want
to
do
a
couple
of
things
as
usual:
share
our
numbers
and
where
we
are
across
california,
from
cases
and
testing
and
test
positivity,
but
also
I'm
delighted
to
be
joined
by
a
colleague
friend,
our
state's
first
surgeon
general,
dr
nadine
burke
harris
who
will
be
joining
us
for
a
conversation
around
behavioral
health
and
the
issues
that
so
many
of
us
are
facing.
As
we
walk
through
move
through
this
covid
response
in
our
own
individual.
C
Ways
so
today's
numbers,
2162
cases,
reported
today
again
our
seven
day
average
of
3300
I'll
tell
you
that,
yes,
these
numbers
are
lower,
thankfully
than
where
we
were
this
summer.
C
We,
however,
updated
you
on
friday
that
california
does
not
live
in
the
aggregate,
as
the
governor
said
that
there
are
certain
parts
of
the
state
that
are
seeing
slight
increases
in
these
numbers
that,
as
we
look
closely
at
where
our
progress
is,
we
want
to
keep
a
close
eye
on
these
numbers
and
how
they
might
impact
our
hospital
numbers.
C
Overall,
today
we
had
a
slight
increase
in
the
total
number
of
hospitalizations
in
the
state,
and
that
is
part
of
the
concern
with
these
slightly
up
numbers
with
cases
in
terms
of
total
tests.
We
see
we've
settled
back
into
about
130
000
tests
a
day
with
a
downward
trending
test
positivity
of
2.8
over
14
days.
Our
seven
day
test,
positivity
average
is
2.7
before
I
hand
it
over
to
our
surgeon
general.
C
I
just
wanted
to
say
that
we
know
we've
been
experiencing
many
of
us
families,
communities,
widespread
stress
and
anxiety
regarding
covid19,
even
before
covid,
our
state
was
addressing
issues
with
mental
health
services
and
ensuring
that
our
health
plans
and
our
communities
were
well
poised
to
address
behavioral
health
challenges.
Overall,
both
mental
health,
as
well
as
substance,
use
disorder
challenges.
C
Those
older
californians,
as
we've
talked
about
from
the
beginning,
as
well
as
those
with
underlying
medical
conditions,
really
that
these
stress-related
behavioral
health
conditions
are
on
the
rise
and
as
a
father
of
four
a
caring
pediatrician
as
well.
I'm
concerned,
of
course,
about
our
young
people,
and
I
know
our
surgeon
general
will
address
the
impact
on
young
individuals.
C
She
is
a
pediatrician
as
well
deep
and
close
to
both
of
our
hearts
addressing
these
issues,
but
just
in
my
household,
I
know
that
the
conversations
I've
had
with
my
own
kids,
the
way
they
react
and
interact
these
days
is
different
than
before
and
being
mindful
of
that
sitting
down
and
addressing
those
issues
and
opportunities,
not
just
for
us
to
learn
a
little
bit
more
about
behavioral
health
issues,
but
to
really
support
our
loved
ones
as
much
as
we
possibly
can
and
in
california.
C
We
have
taken
this
as
an
opportunity
to
build
new
resources
to
support
resiliency
and
protect
and
restore
mental
and
physical
well-being,
and
I'm
excited
now
to
turn
it
over
to
the
surgeon
general
to
walk
you
through
a
number
of
those
efforts.
D
Thank
you
so
much
secretary
golly.
I
I'm
really
happy
to
share
that.
One
of
the
resources
recently
developed
is
the
california
department
of
healthcare
services,
cal
hope
project,
which
offers
vital
mental
health
resources
and
information
to
help
us
through
these
difficult
times,
including
self-help
tools,
referrals
to
resources,
including
individual
and
group
crisis,
counseling
services
and
community
networking
and
support
cal
hope
can
also
connect
you
with
a
telephone,
warm
line
which
is
not
a
crisis
line.
D
D
D
So
one
of
the
things
that
we
recognize
is
that
mental
and
emotional
health
is
physical,
health
right.
The
body
does
not
stop
at
the
neck
and
during
times
of
heightened
stress,
our
bodies
actually
can
make
more
stress
hormones
like
adrenaline
and
cortisol,
and
this
can
impact
our
health,
our
behavior
and
our
emotions
in
different
ways.
D
Over
activity
of
the
stress
response
can
be
associated
with
a
variety
of
symptoms,
some
of
which
are
familiar
and
others
which
might
be
less
well-known,
so
familiar
symptoms
might
include
changes
to
sleep
patterns
or
appetite.
I
think
many
of
us
may
be
experiencing
that
right
now
mood
changes
such
as
anxiety
or
depression
or
anger,
or
increased
risk
of
substance
use
or
relapse
or
increased
risk
of
family
violence.
D
However,
health
conditions
like
like
headaches
or
abdominal
pain
or
digestive
difficulties,
things
like
increased
blood
pressure
or
blood,
sugar
or
asthma,
exacerbations
or
even
increased
risk
of
infection
are
also
associated
with
an
overactive
stress
response.
So
it's
important
for
folks
to
know
that
these
changes
aren't
just
in
your
head
right
and
to
begin
to
identify
how
stress
shows
up
for
you
physically,
emotionally
and
behaviorally.
D
So
the
good
news
is
that
there
are
simple
things
that
we
can
do
every
day
at
home
to
protect
your
health
and
the
california.
Surgeon
general's
playbooks
for
stress
relief
during
covet
19
is
available
at
covid19.ca.gov,
and
these
playbooks
share
important
information
on
things
that
we
can
do
to
practice
quality
self-care
to
support
our
families
and
also
support
our
families.
To
do
the
same
so
things
like
next
slide.
D
Please,
sleep
exercise,
nutrition,
mindfulness,
mental
health
supports
and
supportive
relationships
are
all
evidence-based
approaches
for
regulating
those
stress,
hormones
right
and
helping
to
improve
both
our
physical
and
mental
health.
During
this
time,
when
we're
all
experiencing
just
high
levels
of
stress,
safe,
stable
and
nurturing
relationships
actually
help
to
protect
our
brains
and
bodies
from
the
stress
of
adversity
and
things
like
healthy
nutrition.
D
Regular
exercise,
good
sleep
hygiene
practicing
mindfulness,
like
meditation
now
is
a
great
time
to
download
that
mindfulness
app
on
your
phone
right
and
and
really
getting
access
to
that
mental
health
care
can
help
to
decrease,
stress
hormones
and
improve
health.
So,
if
you're
concerned
about
the
effect
of
stress
on
your
health
call
your
doctor
or
a
mental
health
professional
and
again,
you
can
download
the
stress
relief
playbooks
at
covid19.ca.gov
next
slide.
Please.
D
We
know
that
children
are
especially
sensitive
to
the
effects
of
stress
because
their
brains
and
bodies
are
just
developing
and
a
key
ingredient
for
healthy
kids
is
a
healthy
caregiver.
So
we've
also
provided
the
surgeon
general's
playbook
for
stress
relief
for
caregivers
and
kids,
which
is
also
available
at
coventeen.ca.gov.
D
For
our
health
care
workers
who
have
been
continually,
you
know
on
the
front
lines
of
addressing
not
only
covet
19,
but
we
recognize
that
our
health
care
workers
are
also
on
the
front
lines
of
helping
to
address
stress
and
adversity
and
its
impact
on
our
health
and
our
well-being,
and
I'm
really
pleased
and
proud
to
share
that.
California
has
launched
a
first
in
the
nation
effort
called
aces.
Aware
ace
is
referring
to
the
effect
of
adverse
childhood
experiences
and
any
provider
can
go
to
acesaware.org
and
learn
how
to
develop
a
trauma-informed
practice.
D
The
the
principles
of
trauma-informed
care,
how
to
screen
for
aces
and
recognize
the
signs
and
symptoms
of
the
toxic
stress
response.
When
that
biological
stress
response
starts
to
become
overactive
and
so
again,
that's
available
at
acesaware.org
and
any
provider
can
go
and
get
trained
next
slide.
Please,
and
for
our
health
care
workers
and
the
critical
role
that
they
play
being
on
the
front
lines.
D
I
want
to
express
my
profound
gratitude
to
our
health
care
workers
who
have
been
continually
fighting
the
virus
in
the
field
and
facing
it
every
day
and
the
stress
of
being
on
the
front
lines
is
very
real,
and
so
we
want
to
make
sure
that
health
care
providers
are
aware
that
there's
there
are
resources
available
at.
D
D
So
there's,
if
there's
one
thing
I
want
to
say,
is
that
if
this
feels
hard,
it's
because
it's
hard,
we
are
in
the
middle
of
a
once
in
a
hundred
years
pandemic,
compounded
by
the
impact
of
the
the
climate
crisis
and
and
wildfires,
and
on
top
of
which
the
issues
of
social
injustice
that
we
are
seeing
in
front
of
us
every
day.
D
And
so
these
combined
stressors
certainly
can
be
a
lot
for
anyone.
And
I
want
to
make
sure
that
folks
recognize
that
there
are
things
that
we
can
do
to
help
to
mitigate.
That
stress
number
one
is
just
pause
and
remember
to
breathe
right
if
you
need
to
take
a
break,
it's
a
good
idea
to
take
a
break
from
social
media
from
the
media
coverage.
D
Put
down
the
remote
from
the
news
cycle
for
a
little
bit
and
take
time
to
plug
in
to
the
folks
who
we're
closest
to
our
trusted
relationships
be
kind
to
your
body
right
eat.
Well,
have
that
do
that
regular
sleep,
minimize
alcohol,
tobacco
and
other
substances
and
getting
outside
and
exercising
right
when,
when
the
air
is
at
a
healthy
level,
is
really
important
to
help
to
mitigate
those
stress
hormones
and
help
us
feel
not
only
mentally
but
also
physically,
better
next
slide.
D
So
it's
staying
connected,
even
though
we're
physically
separated,
if
you're
worried
that
someone's
in
trouble
ask
them
how
they're
doing
and
if
you
see
something
say
something
if
you're
worried
go
ahead
and
ask
staying
physically
active,
I
can't
emphasize
that
enough
and
really
learning
how
that
you
know
that
practice
of
mindfulness
really
there's,
there's
really
good
evidence
in
science
and
showing
how
that
can
help
to
regulate
our
stress
hormones
and
improve
our
physical
and
emotional
well-being
and,
of
course,
most
importantly,
stay
as
we
say,
cal
hopeful
right,
staying
hopeful
is
a
really
important
piece
and
I
just
want
to
emphasize
remember:
self-care
isn't
selfish
so,
as
we
take
this
moment
to
put
our
own
oxygen
mass
on,
that
is
the
first
step
of
being
there
so
that
we
can
be
available
to
those
we
love
and
I'll.
D
Now
pass
it
back
to
secretary
golly
to
hear
more.
Thank
you.
C
I
now
want
to
turn
our
attention
to
where
we
are
with
our
blueprint
for
a
safer
economy.
As
a
reminder,
at
the
end
of
august,
it's
almost
been
a
month
now,
we've
laid
out
a
new
way
for
us
to
re-uh
re-engage
in
our
economy
to
have
additional
operations
of
certain
businesses
throughout
our
communities,
and
these
are
the
criteria
that
not
only
allow
us
to
loosen
some,
but
also
when
needed,
tighten
the
restrictions
on
activities.
C
C
C
We
look
at
it
a
week
and
behind
so
we
give
enough
time
for
our
counties
and
for
the
state
to
receive
all
of
the
data
for
a
specific
day
or
week
before
analyzing
it
so
for
today,
we're
looking
at
a
number
of
counties
moving
from
purple
tier
to
the
red
tier.
These
include
butte,
county
contra,
costa
county
fresno,
county
sacramento,
county
san
joaquin,
county
santa
barbara
county
and
yolo
county.
C
Today,
also,
three
counties
are
moving
into
the
orange
from
red,
that's
amador,
calaveras
and
san
francisco.
C
San
francisco
is
moving
today
after
a
close
set
of
conversations
over
the
past
week
with
san
francisco
county
health
leadership,
around
data
and
looking
at
it
closely
now
advancing
that
county
into
the
orange
tier
I'll
say
that
there's
a
number
of
counties
also
that
have,
if
you
go
to
the
cdph
website
as
well
as
the
covid19.ca.gov
website,
you
can
see
that
there's
a
number
of
other
counties
that
have
met
the
first
week
of
a
threshold
for
a
less
restrictive
tier
and
next
week,
we'll
see
if
those
trends
hold
that
a
number
of
other
counties
will
be
advancing.
C
I
also
wanted
to
take
a
minute
to
remind
people
of
a
very
valuable
resource.
The
surgeon
general
mentioned
some
real
practical
tools
on
taking
care
of
your
health
working
as
communities
and
within
households
to
support
one
another.
But
I
want
to
remind
you
that
california
has
a
version
of
medicaid
called
medi-cal
in
california.
C
Many
many
californians
are
part
of
this
valuable
free
insurance
program
that
allows
you
to
take
care
of
all
of
these
needs.
Your
physical
health,
mental
health,
other
types
of
health
needs,
including
flu,
shots,
covid19
testing
and
care,
and
many
more
things.
We
know
that
a
number
of
people
and
families
may
have
recently
lost
insurance
coverage
and
medi-cal
becomes
a
important
convenient
way
to
continue
having
that
coverage
that
we
think
is
so
important
and
valuable
to
keep
up,
not
just
our
individual
and
our
family's
health,
but
our
community
health.
C
Overall,
if
you
need
to
apply
for
health
coverage,
we
ask
you
to
go
to
the
covered
california.
The
covered
ca.com
backslash
apply
website.
You
can
apply
online
today,
you
go
through
the
covered.
California
website,
that's
our
initial
website
home
page
front
page
to
get
to
the
medi-cal
application
as
well.
So
if
you
screen
out
of
covered
california
or
you're
eligible
for
medi-cal,
you
will
be
prompted
to
fill
out
the
medi-cal
application
online
today.
You
can
also
call.
C
And
as
we
always
do,
I
want
to
remind
you
that
simple
acts
do
make
a
big
difference.
We
talked
last
friday
about
some
upward
trends.
Our
concerns,
if
we
don't
make
additional
changes
and
really
keep
our
guard
up,
that
hospitalizations
would
increase.
We
share
that
information
because
we
know
we
have
the
tools
to
be
able
to
manage
covid
transmission
in
our
communities
it.
C
It
requires
us
to
do
these
simple
things:
to
maintain
transmission
rates,
lower
even
get
them
even
lower,
as
we
enter
flu
season
as
we
enter
colder
weather
in
the
coming
months,
so
that
we
can
maintain
all
of
the
activities
that
we
are
enjoying
today
and
hopefully
additional
activities
in
the
future.
C
As
we
see
those
transmission
rates
continue
to
come
down,
these
things
include
wearing
a
mask
these
masks
more
and
more
data,
demonstrating
their
effectiveness,
maintaining
that
physical
distance,
when
you're
out
and
about
washing
your
hands,
of
course,
minimizing
mixing
when
you
can
and
another
reminder
to
get
your
flu
shot.
Just
like
the
governor
did
yesterday
many
of
us.
I
did
it
the
the
week
before
really
getting
that
flu
shot,
protecting
ourselves
and
our
communities
and
making
sure
we
don't
pick
up.
C
What
is
a
common
virus
this
time
of
year
worried
that
it
might
be
coveted,
rushing
into
an
urgent
care
in
an
emergency
room
and
maybe
picking
up
an
effect
infection
while
we're
there
so
really
use
this
opportunity.
If
you
can
get
your
flu
shot
visit,
some
of
the
free
flu
shot
resources
that
we
have
on
the
cdph
website
to
learn
more
where
you
can
receive
this
important
vaccination
so
with
that
I'll
turn
it
over
to
the
first
reporter
question.
Thank
you.
F
While
at
the
same
time
expressing
alarm
about
rising
numbers
yesterday,
governor
newsom
talked
about
this
are
effective
and
how
it's
rising
in
some
of
the
state's
most
populated
areas
and
how
that
was
concerning,
and,
secondly,
the
state
just
issued
guidance
for
outdoor
playgrounds.
Yet
in
many
areas
of
the
state
you
know,
children
have
been
using
public
parks
for
months,
have
community
outbreaks
been
traced
to
those
activities,
and
why
do
part
guidelines
you
know
call
for
wearing
masks
and
physically
distancing
at
all
times,
while
the
guidelines
for
youth
sports
do
not.
C
Sure
great
questions
to
the
first
one
part
of
what
we
want
to
make
sure
we
do
at
the
state
level
join
with
our
county
partners
as
well
is
make
sure
we
share
the
data
and
the
trends
that
we
see
so
much
of
what
we
see
early
can
actually
be
mitigated
by
increasing
our
own
protective
behaviors,
the
wearing
the
mask
remaining
physically
distanced.
So,
as
we
sound
a
bit
of
the
early
alarm,
it's
really
a
reminder
to
be
able
to
do
more
to
reduce
transmission
in
our
communities.
C
We
believe
the
slow
stringent
plan
allows
us
to
take
into
account
some
of
those
trends
and
shifts
and
when
a
county
isn't
able
to
move
forward
through
the
blueprint
they
won't,
they
will
actually
have
a
pause.
A
number
of
counties
that
last
week
met
the
first
week
threshold
to
advance,
didn't
this
time
around
and
therefore
haven't
moved
forward,
but
in
a
number
of
places,
as
we've
said
at
the
top
and
many
times
before,
the
transmission
rates
in
different
counties
are
different.
We
don't
live
in
the
aggregate.
C
Our
blueprint
allows
for
those
differences
in
counties
and
regions
to
be
respected
and
allow
counties
to
move
forward.
So,
on
the
one
hand,
we
certainly
do
want
to
make
sure
that
californians
are
paying
attention
to
the
numbers,
just
as
we
do
that
we're
seeing
those
early
trends
and
acting
accordingly,
but
we
also
know
that
the
earlier
we
act,
the
more
we
can
ensure
that
a
county
in
one
part
of
the
state's
trend
doesn't
impact
another
one
because
we're
keeping
our
guard
up
as
it
goes
for
playgrounds.
C
Yes,
we
we
know
that
a
number
of
playgrounds,
some
of
us
have
seen
in
our
own
communities
that
they've
been
used
actually
in
my
in
my
communities
down
in
southern
california
and
los
angeles,
the
number
of
playgrounds
that
are
still
closed
off
to
young
people
using
them
is
high,
so
the
playground
guidance
gives
us
a
chance
to
move
the
whole
state
forward.
C
Putting
out
this
guidance
gives
us
a
chance
to
really
work
with
our
local
partners,
those
counties,
those
cities
to
ensure
we
put
out
the
best
information
to
use
all
parks
in
a
lower
risk
way.
There
have
not
been,
as
far
as
we
know
at
the
state
level,
any
significant
outbreaks
traced
to
a
park,
but
we
do
put
together
these
guidelines
in
order
to
ensure
that
we
reduce
risk
as
much
as
possible
the
comparison
to
youth
sports
and
other
group
activities
really
in
a
playground.
C
You
do
invite
mixing
of
a
lot
of
different
households
all
at
once.
One
day,
you
may
see
an
a
totally
different
group
of
young
children
and
families
using
the
playground
than
you
did.
The
last
time
you
visited
in
some
of
the
youth
sports
activities,
the
the
stable
cohort
aspect
is
really
important,
and
so
we
do
see
there
being
differences
in
the
type
of
mixing
between
those
different
activities.
H
Yeah,
I'm
also
looking
for
a
little
bit
of
a
clarity
when
it
comes
to
sort
of
what
public
spaces
can
open
and
it
cannot
cannot
open
still,
and
I
was
wondering
if
there,
where
you
were
in
terms
of
specifying
when
theme
parks
might
reopen
as
part
of
the
operations
or
indoor
part
or
outdoor.
I,
it
looks
like
orange
county,
didn't
move
to
the
orange
tier,
so
maybe
that
makes
the
case
more
difficult
for
say
disneyland.
But
I
was
just
wondering
if
you
could
clarify
the
situation
with
theme
parks
and
where
you're
at.
C
Sure,
thanks
for
the
question
and
we're
working
hard
to
get
that
out
in
a
responsible
way
as
soon
as
possible,
so
planning
can
be
done
by
both
the
counties
that
are
homes
to
the
theme
parks,
as
well
as
the
operators
of
those
theme
parks.
We
know
that
a
number
of
californians
are
eager
and
wondering
when
that
is
coming
and
we're
working
with
those
industries
to
put
out
something.
I
Thanks
for
taking
our
questions,
I
got
a
couple
for
you.
The
theme
park
was
already
asked,
so
you
know
thank
you
wall
street
journal
for
that
one,
but
the
la
convention
center
this
december
is
planning
on
holding
at
least
to
a
media
report.
Yesterday
the
news
report,
this
december's
planning
on
holding
the
los
angeles,
comic
con
the
event
organizers
that
said,
they've
talked
with
health
officials.
I
emailed
the
department
of
public
health
and
you
know
said
they're
in
the
purple
tier
right
now
and
you
know
or
nothing
part
convention.
I
I
You
know
this
isn't
supposed
to
be
until
mid-december,
but
the
way
the
trends
in
l.a
are
going
doesn't
look
like.
You
know
that
county
will
be
moving
up
to
orange
anytime
soon,
especially
as
as
you
had
mentioned
yesterday,
the
governor
has
mentioned
yesterday.
Cases
are
starting
to
increase
and
there's
a
fear
of
a
second
wave
in
the
fall.
So
what
kind
of
guidance
is
out
there
on
convention
centers,
and
is
there
a
certain
tier
they're
going
to
open
and
have
you
or
anybody?
I
Any
of
your
representative
talk
to
the
organizers
of
this
upcoming
convention
in
december.
C
Yeah,
thank
you
for
the
question.
I
saw
the
same
news
clip
and
I
will
tell
you
that
the
guidance
for
convention
centers
should
also
be
out
soon.
They
are
not
in
in
our
tiering
system.
Yet
we
are,
of
course,
putting
the
same
thoughtful
energy
in
working
with
operators
who
have
questions
about
how
convention
centers
will
move
forward
in
our
tiering
system,
so
stay
tuned
that
should
come
out
soon
and
and
to
your
question
specifically
about
the
la
convention.
That's
planned
in
december.
C
No,
as
far
as
I
know-
and
I
certainly
haven't
myself-
had
any
communication
with
the
the
plan
planners
for
that
convention
and
as
far
as
I
know,
none
of
our
team
has
and
it
would
be
inconsistent
and
certainly
premature
to
look
at
a
county,
like
los
angeles.
That
remains
in
purple
to
think
that
far
out
now.
Certainly
people
have
hope
that
transmission
rates
will
come
down
low
enough.
C
J
Alright
great
thank
you
doctor.
Hopefully
you
have
a
little
more
detail
on
a
couple
of
issues.
You've
already
discussed
number
one
that
the
projection
of
the
increase
in
hospitalization
has.
That
estimate
been
updated
any
in
the
four
days
since
you
issued
it
last
friday
and
the
second
question
regarding
playgrounds.
J
C
Yeah
both
good
questions,
so,
as
I
outlined
on
friday,
what
drives
our
calcat
tool
that
is
publicly
available?
All
of
you
can
find
it
on
our
covid19.ca.gov
website
and
link
to
it.
You
can
see
how
the
information
of
today
gets
incorporated
to
show
us
if
nothing
changes
if
our
same
level
of
case
increases
continue
if
our
same
level
of
effort
as
communities
continue
to
reduce
transmission,
where
our
hospitalizations
may
be
in
the
future,
so
that
number
is
updated
there
on
a
daily
basis.
You
can.
C
You
can
certainly
visit
that
today's
number
is
just
over
when
you
look
at
today's
cases
and
you
look
at
the
production
projections
for
the
end
of
october.
A
month
out,
that
number
is
up
above
5400
patients
predicted
to
be
hospitalized
at
that
time.
But
again
I
share
that
these
are
numbers
in
a
modeling
tool
that
tells
us,
based
on
today's
conditions,
where
we
may
end
up.
C
We
mention
it
in
order
for
us
as
californians
to
really
keep
our
guard
up
do
the
things
we
know
that
make
a
difference,
especially
on
the
heels
of
flu
and
coming
into
the
winter
and
colder
weather,
where
it's
harder
to
do
things
that
today
we
can
do
outdoors
and
maybe
there'll
be
an
urge
to
move
them
indoors.
So
really,
this
is
part
of
our
slow
and
stringent
concept
to
continue
sharing
this
information
with
all
of
you
and
all
californians.
So
we
can
double
down
on
our
efforts
in
terms
of
the
playgrounds.
C
The
some
local
county
health
orders
may
need
to
be
updated.
I
can't
speak
to
what
all
58
counties
may
be
required.
Remember
these
are
guidelines.
We
are
asking
counties
and
cities
to
post
these
at
parks.
K
Hi,
I
I
think
a
lot
of
people
in
la
county
where
I
am
are
starting
to
feel
like
it's
impossible
for
us
to
get
out
of
purple,
and
you.
K
You
know
the
challenges
of
such
a
populist
county
moving
tears
and
also
I'd
like
to
understand
how
the
amount
of
testing
affects
the
adjusted
case
rate.
Thank
you.
C
Sure
two
two
good
questions
and-
and
I
I
would
say
that
many
large
counties
have
been
able
to
move
from
purple
into
red
we've
seen
that
already
la
county
met
the
threshold
for
red
for
one
week.
They
missed
it
this
week
they
they
may
be
on
the
road
to
meeting
it
again
very
soon.
So
I
do
believe
that
there
are
ways
to
meet
those
metrics
in
large
counties
and
and
that
the
thresholds
will
keep
guiding
our
way.
C
I
know
that
it
really
is
this
sort
of
slow
and
stringent
approach,
as
we
remind
people
time
and
time
again,
and
it
allows
us
to
ensure
that
when
a
county,
like
los
angeles
or
any
of
the
57
other
counties
and
three
health
jurisdictions
move
through
the
blueprint
that
we
can
have
some
confidence,
a
degree
of
confidence
that
transmission
is
low
enough,
that
those
increased
activities
will
not
put
us
at
jeopardy
of
seeing
rapid
increases
in
our
cases
and
putting
us
right
back
where
we
just
left
in
the
summer.
C
So
you
know
I
as
a
los
angeles
county
resident.
I
am
hopeful
that
we'll
continue
to
do
what
we
can
to
reduce
transmission
and
believe
there
is
a
path
forward
on
your
question
on
how
the
testing
impacts
the
case
rate,
what
that
adjustment
is
really
when
we
look
at
the
average
amount
of
testing
across
the
state,
we
do
compare
different
counties
against
that
average
and
the
more
you're
doing
testing.
We
realize
that
you
may
be
finding
more
cases,
because
the
way
you
find
cases
is
by
testing.
C
But
as
you
test
more,
we
recognize
that
some
of
those
cases
you're
finding
and
you
only
find
them
because
you're
testing
more
and
so
making
sure
that
we're
adjusting
the
case
rate
accordingly,
based
on
the
number
of
tests
that
a
county
does
is
very
important
so
that
we're
able
to
compare
case
rates
based
on
that
testing
volume
county
to
county
and
have
a
true
apples
to
apples.
As
we
move
through
this
blueprint.
L
Hi
several.
L
Counties
that
are
moving
forward
in
the
blueprint
are
directly
affected
by
fires.
I'm
wondering
if
there's
any
indications
in
the
state
that
those
fires
that
are
moving,
people
about
or
keeping
people
inside
are
affecting
the
cases
and
kind
of
helping
these
counties
move
forward
or
if
testing
has
remained
as
capacity
as
it
was
prior
to.
C
Yeah
a
great
question:
on
friday,
we
spoke
about
the
confluence
of
a
number
of
different
factors:
some
of
the
fires,
the
air
quality
issues
evacuations
certainly
could
create
conditions
where
transmission
and
spread
goes
up.
We
hope
that,
with
the
tools
we've
talked
about,
a
number
of
people
continue
to
keep
their
guard
up
and
really
reduce
the
opportunity
for
more
transmission
when
that
unexpected
level
of
mixing
might
have
occurred.
C
We
also
urge
people
that
were
staying
inside
during
poor
air
quality
or
warm
weather
to
do
so
within
their
households,
to
not
invite
guests
in
where
that
transmission
might
have
been
increased
so
far.
The
fact
that
we're
seeing
counties
continue
to
move
about
five
weeks
after
we
started
with
some
of
our
early
fire
activity
in
california
gives
us
some
sense
that
we
will
already
be
seeing
the
effects
of
those
evacuations
air
quality
and
fire
and
for
the
counties
that
did
move
forward
today.
The
impact
may
have
not
been
significant.
C
That
said,
we
continue
to
watch
the
numbers
all
the
time
to
ensure
that
we're
keeping
tabs
on
this
and
working
hard
with
the
counties
to
provide
the
testing
resource.
To
your
second
question,
that's
needed
to
make
sure
we're
tracking
transmission,
as
I
said
on
one
of
the
first
slides,
showing
our
testing
number
that
as
we
approach
an
average
of
130
000
tests
a
day
we're
getting
back
to
where
we
were
just
before
the
fires.
C
We
did
certainly
see
for
about
two
almost
three
weeks:
some
reduction
in
testing,
partly
because
testing
sites
were
closed
due
to
air
quality
and
fires
and
weather
and,
in
other
cases,
the
labs
that
process
the
tests
were
running
at
a
reduced
operations
or
closed
altogether
to
manage
some
of
the
same
events.
G
Yes,
sir,
I'm
calling
about
ventura
county
where
the
metrics
move
from
or
the
metrics
were
met
for
one
week
we
still
have
to
meet
the
second
week.
I
was
hoping
you
could
address
the
difficulty
of
that
challenge
and.
C
Well,
you
know,
hopefully,
the
same
activities
that
allowed
you
to
meet
the
threshold
once
continue.
We
asked
for
two
weeks
of
consistent
meeting
the
measure
meeting
the
threshold
in
order
that
we
all
gain
confidence,
not
just
at
the
state
level,
but
at
the
local
level
that
community
members
can
feel
confident.
We
didn't
just
do
it
for
a
week,
we've
done
it
for
two
weeks
straight
and
that
allows
us
to
move
forward.
C
So
I'm
hopeful
and
we've
seen
it
time
and
time
again
that
many
counties
that
meet
the
threshold
for
one
week
do
indeed
meet
at
the
second
and
then
there's
situations
where
they
don't.
They
miss
it
by
a
little
bit.
But
it's
all
to
say
that
we
want
to
continue
to
see
those
downward
trends.
I'll
tell
you
based
on
many
conversations
with
the
leaders
in
ventura.
C
There
continues
to
be
a
strong
commitment
to
doing
all
the
things
that
allow
transmission
rates
to
be
watched
closely,
interventions
to
be
put
forward
so
that
that
county,
along
with
surrounding
counties,
continue
to
see
transmission,
reduce
and
look
forward
to
seeing
that
county
move
from
purple
to
red
in
the
near
future.
L
Yeah,
thank
you.
I
was
hoping
you
could
just
maybe
explain
a
little
bit
more
when
a
county
goes,
you
know,
drops
like
it
has
the
sacramento
county.
There
are
so
many
schools
now
that
are
looking
at
coming
back
in
based
on
being
dropped
on
on
the
tier
to
red,
and
it
does.
It
seems
a
little
confusing
to
a
number
of
constituents
here.
I've
looked
into
a
lot
of
school
board
meetings
where
they
talk
about.
L
Is
that
the
scenario
that
you
see
possibly
heading
into
the
fall
when
you
I
know
have
been
talking
about
these
productions
where
hospitalizations
and
case
numbers
could
could
rise
in
the
fall.
C
Certainly,
I
mean
part
of
the
reason
why
we
talk
about
them.
So
much
is
so
that
we
keep
our
guard
up
and,
and
our
hope,
as
I'll
remind
you
back
on
the
19th
of
july,
we
released
our
school
guidance.
That
was
when
we
were
under
the
county
monitoring
framework.
C
We've
then
provided
some
explanation
on
how,
when
we
move
from
county
monitoring
to
this
new
blueprint,
how
the
school
transition
works,
but
one
of
the
same
elements
is
a
two-week
waiting
period,
so
any
county
that
became
red
today
really
has
this
two-week
waiting
period
before
schools
can
open
really
to
work
with
school
districts,
local
communities
to
make
that
preparation
as
solid
as
possible,
as
well
as
to
see
where
the
trends
go
before
opening
does
occur,
and
we
hope
always
that
the
continued
work
in
the
to
move
from
red
towards
orange
happens
in
counties
in
the
red.
C
Sheer
and
transmission
continues
to
go
down.
You'll
also
remember
in
july,
on
the
july
19th
guidance
that,
after
a
county
does
begin
and
a
district
opens
up
its
schools
that
we're
really
looking
at
transmission,
not
just
within
the
community
and
the
county,
but
within
the
schools
and
within
that
district,
and
if
there
are
indeed
outbreaks
in
a
specific
classroom
or
a
school,
it
may
lead
to
the
decision
to
close
one
school
in
a
district,
not
the
entire
district.
C
If
you
see
multiple
schools
impacted
within
a
district,
you
may
see
the
entire
district
close
and
in
counties
with
multiple
districts.
You
may
see
different
districts
moving
forward
differently,
so
really
ensuring
that
schools
are
working
with
their
districts
with
the
teachers
and
the
families
and,
of
course,
the
public
health
officials
who
are
there
to
support,
and
we,
as
the
state
are
working
closely
with
a
number
of
districts
on
ensuring
that
testing
is
thoughtful
and
available
that
the
disease,
investigation,
support
and
contact
tracing
is
available
so
that
both
at
the
local
and
state
level.
C
We
can
support
schools
that
do
make
the
move
to
go
to
in-person
education,
that
we
can
support
to
avoid
any
threat
to
return
back
to
closures
and
go
entirely
distance
learning.
We
know
it's
going
to
be
a
process,
we're
working
hard
with
some
school
districts
already
and
we'll
continue
in
sacramento
and
all
counties
considering
to
go
back
to
in-person
learning,
to
make
sure
that
we
don't
see
this
open
up
one
day
close
the
next
that
we
keep
this
going.
C
So
with
that,
I
want
to
just
thank
you
as
always
to
the
reporters
for
the
thoughtful
questions
and
a
chance
to
engage
on.
I
think
issues
that
all
californians
are
thinking
thinking
through.
I
wanna
just
say
a
moment
of
really
share
concern
for
those
families
and
communities
facing
the
impacts
of
the
wildfires.
We
know
that
we're
entering
into
seasons
where
winds
pick
up
and
fires
spread
a
little
bit
more
quickly
and
in
the
in
the
world
of
global
pandemic.
C
This
becomes
even
more
challenging
as
our
surgeon
general
just
mentioned,
and
just
that
you
know
our
hearts
and
minds
are
with
a
number
of
the
communities
facing
the
the
impacts
of
wildfires
in
our
commitment
to
work
with
counties
to
ensure
that
not
only
are
we
paying
close
attention
to
covid,
but
all
of
these
other
impacts
on
our
communities.
And
again,
please
wear
your
mask.
C
Remember
the
physical
distancing,
get
your
flu
shot
and
today
a
special
moment
a
special
thanks
to
our
surgeon
general,
our
first
state
surgeon
general,
dr
nadine
burkharis,
for
joining
us,
sharing
some
important
concepts
and
points
around
behavioral
health
and-
and
we
look
forward
to
seeing
you
again
soon
later
this
week-
maybe
but
certainly
next
tuesday-
to
update
our
blueprint
and
share
a
little
bit
more
about
how
our
response
to
covet
is
going.
So
with
that
have
a
good
afternoon.