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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 October 6, 2020.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
B
Great
to
be
with
you
on
this
tuesday
today
we
want
to
highlight
a
number
of
things.
We
want
to
talk
to
you
a
bit
about
what's
happening
with
the
numbers,
as
we
usually
do
highlight
the
work
we've
been
doing
with
our
skilled
nursing
facilities
and
then
go
into
the
new
equity
measure.
That's
been
announced
this
week
with
dr
ponn,
reminding
you
a
little
bit
about
how
important
it
is
to
wear
your
face
covering
and
the
impact
and
then
end
with
the
county
tier
assignments.
B
So
here
we
go
so
today
a
low
case
count
1
67
cases
reported
to
the
state,
hopefully
within
the
multitude
of
factors
that
goes
into
every
day's
numbers
that
we're
seeing
a
true
continuation
of
a
downward
trajectory
in
most
of
the
states,
but
I'll
remind
you
that
parts
of
our
state,
we
know
we're
seeing
increased
number
of
cases
that
are
effective
value,
that
we
talk
about
that
the
governor
highlighted
a
week
ago
that
we
still
see
that
going
up
in
certain
parts
of
the
state,
and
that
raises
some
concern.
B
As
you
see
this
seven
day,
average
of
three
just
over
three
thousand
cases
still
reminds
us
that
we're
not
out
of
the
woods
that
yesterday,
we
reported
over
four
thousand
cases
and
that
number
of
cases
on
a
daily
basis
will
certainly
challenge
our
county's
ability
and
our
statewide
ability
to
do
the
right
disease,
investigation
and
contact
tracing.
So,
although
there
is
some
encouragement
here,
we
know
that
we
still
have
work
to
do.
B
Our
testing
volume
is
back
after
many
weeks
of
being
a
little
lower
due
to
fires
and
closures
of
some
of
our
sites
because
of
air
quality
and
and
heat.
We
see
that
number
coming
up
today's
14
day
test
positivity
is
2.7
and
the
seven
day
is
even
lower
at
2.6
statewide.
B
So
these
are
numbers
that
in
many
ways
are
encouraging
and
go
along
with
reduced
hospitalization
numbers
across
the
state
as
well.
So
all
of
these
are
important
signs
to
continue
to
monitor,
but
remember
that
there's
an
important
lag
between
what
we
see
in
our
cases
and
then,
when
we
see
hospitalizations
20
to
30
day
difference
there.
So
we
continue
to
learn
that
and
apply
that
to
all
of
our
moves
and
supports
of
our
counties
as
we
go
forward
early
on
in
the
pandemic,
we
focused
on
vulnerable
populations,
and
we
continue
to.
B
We
talked
early
even
before
the
statewide
stay-at-home
order.
We
protected
older
californians,
asking
many
to
stay
home,
really
focused
on
our
skilled
nursing
facilities,
our
residential
care
facilities
for
the
elderly
and,
despite
those
early
efforts,
we
still
saw
just
like
so
many
parts
of
the
globe
and
parts
of
the
nation
saw
a
high
number
of
cases
in
congregate,
facilities
for
older
californian,
skilled
nursing
facilities,
people
call
them
nursing
homes,
lots
of
different
names.
B
It's
no
wonder
that
a
majority
proportion
of
the
deaths
in
any
one
age
category
come
in
that
age,
category
of
80
and
over
70
to
80
year
olds,
also
experience
high
levels
of
death,
so
really
a
disease
that
we
know
impacts
for
its
worst
outcome:
older
californians.
In
a
way
it
doesn't
impact
younger
californians.
B
Here
or
anywhere
in
the
globe
you
see
on
october,
2nd.
Just
last
week,
we
registered
the
lowest
number
of
new
skilled
nursing
residents,
who
are
positive
at
52
and
had
the
smallest
number
of
reported
skilled
nursing
facility
deaths
related
to
covid
on
any
day.
So
lots
of
progress
between
april
and
october,
and
I
want
to
walk
you
through
some
of
the
specifics.
B
The
lowest
line
that
darker
orange
line
is
really
signifies
our
deaths
and,
as
you
can
see,
on
the
left
hand,
part
in
the
early
part
of
our
response
early
april
into
may.
We
saw
a
large
number
proportion
of
the
deaths
in
california
from
covet
19
in
skilled
nursing
facilities
and
those
have
over
time
come
down
and
really
come
down
to
their
lowest
point
today.
So
this
has
been
an
area
of
focus:
we've
shared
data
on
skilled
nursing
facilities
throughout
our
conversation
and
dialogue
on
covid19.
B
We
are
grateful
for
all
of
our
advocates
and
the
families
and
the
partners
we
have
throughout
communities.
B
We
implemented
mitigation
plans
across
all
of
the
facilities
through
our
county
partners
and
as
the
state,
these
included
on-site
visits
by
surveyors
at
least
every
six
weeks,
planning
around
personal
protective
equipment.
You'll,
remember
the
shortage
of
masks
and
gowns
and
and
and
all
of
the
tools
that
we
know
go
into
protecting
individuals
as
they're,
interacting
with
others,
including
improving
our
staffing
and
and
allowing
us
to
put
together
support
teams
of
staff
that
can
go
into
facilities
and
help
in
times
of
need.
Communication
with
residents
and
families.
B
Some
of
the
most
difficult
moments
in
the
whole
response
have
been
depriving
individuals
in
facilities
in
congregate
facilities
and
their
family
members
from
visitation
and
sharing
moments
together.
Returning
that,
after
months
of
really
being
cautious,
just
like
the
whole
nation,
was
to
make
sure
that
we
protect
our
residents
and
family
members.
This
comes
with
a
lot
of
staff
training
and
a
real
focus
on
infection
control.
B
Other
strategies
are
expanding
the
statewide
infection
prevention
and
education
resources.
This
includes
dozens
of
webinars
and
educational
videos
that
are
available
to
skilled
nursing
facilities,
phone
calls
and
technical
assistance
supports
and
ongoing
education
around
all
things
when
it
comes
to
reducing
infections
and
spreads
in
spread
in
facilities
and
then
in
an
excited
way
in
an
exciting
way,
really
deploying.
I
often
say
that
covid
has
helped
us
move
forward.
B
We've
talked
about
the
importance
of
facility
testing.
I
wanted
to
share
with
you
back
in
june,
we
talked
about
completing
baseline
testing.
We
have
done
that
almost
230
000
tests
done
in
skilled
nursing
facilities.
We
found
that
roughly
seven
percent
of
our
residents
tested
positive
and
just
under
three
percent
of
the
health
care
workers,
which
we
knew
were
a
focus.
We
knew
we
needed
to
protect
those
workers,
make
sure
that
when
they
came
to
work
we
knew
their
status,
that
we
could
give
them
the
protective
equipment.
B
We
continue
to
do
surveillance
testing
on
a
weekly
basis,
that
about
a
quarter
of
every
facility
staff
are
tested
and
for
every
facility
that
turns
up
a
positive
test
that
we're
committed
to
having
broad
scale
testing
in
that
facility
to
make
sure
we
continue
to
detect
cases
that
might
be
asymptomatic
or
unknown
until
we're
confident
that
there's
no
cases
in
that
facility.
We
publish
this
on
a
sniff
testing
dashboard,
that's
available
through
the
cdph
website,
and
we
continue
to
implement
the
new
federal
requirements
to
do
weekly
screening
across
many
of
these
facilities.
B
Again,
just
coming
back
to
what
is
an
exciting
tool,
this
predictive
analytics
and
data
management
on
a
daily
basis.
Now
we're
getting
survey
results
from
our
skilled
nursing
facilities
on
staffing
levels,
on
the
availability
of
protective
equipment
and
on
any
needs
that
they
have.
We
have
an
er
in
urgent
needs
website
or
dashboard
that
allows
us
to
get
that
early
alert
system
in
place
that
allows
a
facility
to
say
hey.
We
have
a
need.
B
We
hope
that
the
state
can
support
it
and,
in
many
instances
were
able
to
this,
allows
those
facilities
to
keep
up
with
the
staffing
to
make
sure
that
we
don't
have
any
opportunities
to
have
broad
scale
spread
in
a
facility.
That
is,
maybe
you
know,
covet
free
at
the
moment
or
working
to
get
an
outbreak
under
control,
and
we
use
this
data
to
really
prioritize
the
use
of
our
resources
and,
of
course,
to
work
closely
with
high-risk
facilities.
B
I
now
want
to
turn
this
over
to
dr
erica
pond
to
come.
Share
the
exciting
news
about
the
new
equity
metric
that
we
have
implemented
today
and
then
I'll
be
back
with
you
to
share
our
tier.
C
Assignments,
thank
you
very
much
good
afternoon
everybody.
As
secretary
galley
mentioned,
we
had
first
announced
when
we
first
unveiled
our
blueprint
framework
that
we
would
have
a
health
equity
metric,
and
we
are
very
excited
today
to
share
the
details
of
that
metric.
So
we
all
know
that
low-income
latino,
black
and
pacific
islander
californians
have
been
the
hardest
hit
in
this
pandemic.
C
So
we
have
announced
this
today
as
the
implementation,
and
we
are
really
excited
and
thrilled
to
share
that
we
are
the
first
state
to
our
knowledge
that
has
not
only
elevated
the
importance
of
addressing
these
disparities
head
on,
but
we
are
elevating
it
to
be
an
all
state,
all
of
california
approach.
So
this
is
not
just
government.
This
is
not
just
public
health.
This
is
all
of
us
coming
together.
C
We
want
all
of
our
businesses
and
our
communities
to
come
together
and
realize
that
it
is
so
important
both
to
address
these
disparities
and
actually
to
interrupt
disease
transmission
and
really
address
this
pandemic
head-on.
We
have
to
prioritize
our
interventions
to
the
communities
where
we're
seeing
the
most
disease,
so
what
our
new
metric
does
is.
C
It
looks
at
the
communities
where
we're
seeing
the
most
disease
transmission,
which,
as
we've
again
noticed,
are
our
most
impacted
our
essential
workers,
people
who
don't
have
a
choice
who
have
to
go
outside
of
their
homes
and
couldn't
stay
at
home
and
are
working
diligently
to
help
take
care
of
us.
So
we
are
prioritizing
those
communities
and
looking
and
seeing
that
if,
if
a
county
is
going
to
move
forward,
their
test
positivity
has
to
be
the
test.
Positivity
of
the
most
disadvantage
actually
has
to
match
the
the
next
most
restrictive.
C
At
least
restrictive
tier
excuse
me
so
we're
incentivizing
counties
to
reduce
those
infections
across
every
neighborhood,
so
the
counties
with
the
lowest
disparities
or
the
least
differences
are
going
to
be
able
to
move
more
quickly
through
the
color
tiers
and
the
counties
that
are
not
addressing.
Yet
those
disparities
are
not
quite
reaching.
The
lower
test.
Positivities
in
the
cat
in
the
areas
that
have
the
most
disadvantaged
or
with
these
opportunities
are
going
to
move
slower
through
the
color
tiers.
C
We
also
wanted
to
highlight
again:
we
just
cannot
emphasize
enough
as
we
slowly
and
safely
and
stringently
open
our
economy.
We
need
to
all
continue
to
wear
our
masks.
So
this
is
a
really
great
illustration
of
how
to
wear
your
mask
appropriately.
You
need
to
cover
your
nose
and
your
mouth,
and
you
can
see
here
that
what
happens
is
if
you
walk
around
and
you
have
your
mask
below
your
nose.
You
can
still
be
exhaling
droplets
or
aerosol
to
each
other
into
the
community,
and
the
mask
really
helps
in
both
directions.
C
It
helps
protect
you
from
droplets
and
aerosols
and
it
can
help
protect.
The
wear
helps
protect
others
from
decreasing
the
transmission.
So
again,
as
you
see
a
lot
of
people
who
let
the
mask
slip
below
their
nose,
they
are
again
exhaling
and
disseminating
droplets
out
to
others.
So
we
really
really
want
to
emphasize
making
sure
that
you
are
always
wearing
your
mask
correctly,
and
then
we
also
just
wanted
to
highlight
again
when
people
are
not
wearing
masks
and
there's
a
lot
of
transmission
of
droplets
back
and
forth
how
quickly
again
this
virus
can
transmit.
C
So
you've
also
heard
us
talk
a
little
bit
about
something
called
are
effective
and
how
many
people
one
person
can
infect.
This
is
an
illustration
of.
If
each
person
infects
two
other
people
how
quickly
again
it
can
really
escalate
and
become
exponential.
So
that
is
why
we
all
need
to
be
wearing
our
mask
to
prevent
disease
transmission
and
help
us
remain
in
a
stable
place.
We
have
been
highlighting
that
our
cases
have
decreased
for
our
peak
over
the
summer,
but
they
have
been
plateauing
and
we
in
order
to
keep
safely
reopening.
C
B
Thank
you,
dr
ponn.
So,
just
by
way
of
reminder
the
blueprint
for
a
safer
economy
is
our
strategy
now,
just
over
a
month
old,
for
criteria
to
loosen
and
tighten
restrictions
on
activities
in
our
communities.
It's
focused
on
test
positivity,
adjusted
case
rates
and
today
no
longer
the
forthcoming,
but
the
actually
implemented
health
equity
metric.
As
dr
ponn
enthusiastically
discussed
with
you
moments
ago,
again,
four
tiers
widespread,
substantial,
moderate
and
minimal
purple
red
orange
and
yellow
each
county
moving
through
those
tiers
based
on
where
they
started
on
august
31st.
B
Their
initial
assignment
required
to
stay
in
a
tier
for
at
least
three
weeks
and
two
weeks
consecutively
of
meeting
the
threshold
for
the
next
least
restrictive
tier
to
be
able
to
move
in
that
tier.
So
this
slow,
stringent
approach,
we
believe,
is
carrying
california
well
and
based
on
these
thresholds
and
categories.
B
We're
seeing
movement
I'll
remind
you
that
when
we
began
38
counties
were
in
the
purple
and
today
that
is
down
to
less
than
20.,
and
so
we've
seen
a
number
of
those
counties
that
started
in
widespread
move
to
at
least
substantial
and
some
of
those
even
already
getting
close
to
moving
to
moderate.
B
So
today,
three
new
counties
are
moving
from
purple
to
red,
that's
merced,
ventura
and
yuba.
B
That's
actually
moving
forward
because
of
the
equity
measure
and
the
performance
on
reducing
or
ensuring
that
transmission
in
some
of
its
more
impacted
communities
is
at
least
as
good
as
the
county
as
a
whole
and
lower
than
not
just
the
tier
less
restrictive
than
where
they
were,
but
actually
two
tiers,
less
restrictive
and
then
one
county
is
moving
back
to
purple,
that's
tehema
and
another
moving
to
red
and
that's
shasta
county.
We,
of
course,
have
been
in
close
dialogue
with
these
two
counties.
B
We
recognize
these
are
the
first
two
counties
that,
through
our
tier
system
and
our
blueprint
are
moving
backwards.
We
recognize
that
these
are
important
moves
at
a
county.
We
have
spent
quite
a
bit
of
time
looking
at
the
data
ensuring
that
the
trends
are
correct
over
the
last
two
weeks
and
thoughtfully,
proposing
these
implementations
here
and
the
requirement
to
move
back
a
tier
to
a
more
restrictive
tier
for
these
two
counties.
B
So,
as
we
always
end
before,
we
go
into
questions
and
really
emphasizing,
as
we
see
increased
movement
in
our
tiering,
the
importance
of
these
simple
tools
that
we
can
all
employ
wearing
a
mask,
as
dr
pond
described,
really
not
just
covering
your
mouth
but
making
sure
that
your
nose
is
covered
using
it.
B
I
always
challenge
people
to
use
it
a
little
longer
than
you
thought
or
think
you
should
just
to
make
sure
that
we
don't
increase
and
put
our
guard
down
just
for
that
moment
where
transmission
can
occur,
maintaining
six
feet
of
distance
washing
our
hands,
avoiding
mixing
when
we
can
and
of
course,
as
we
go
into
flu
season
and
winter,
to
get
your
flu
shot
and
do
it
as
soon
as
you
can
so
with
that.
I
thank
you
for
tuning
in
and
I'll
turn
it
over
to
the
first
question.
E
Hello,
dr
valley,
thank
you
for
taking
the
call
for
doing
this
call.
I
had
a
question
about
follow-up
really
to
something
I
asked
you
a
couple
weeks
ago,
and
I
wanted
to
ask
that
the
state
has
any
plans
to
modify
any
of
its
guidelines
now
that
the
cdc
has
updated
its
guidance
to
reflect
that
you
know,
covet
can
spread
much
more
easily
indoors.
B
Yeah,
you
know,
I
think
it's
a
very
important
point
and
we
recognize
we.
We
we
currently
don't
have
plans
to
update
it
at
the
moment.
We've
all
along
really
emphasized
that
outdoor
is
lower
risk
than
indoor
and
that's
why
indoor
activities
are
done
at
lower
levels
of
operations,
with
even
finer
or
more
attentive
details
to
how
we
modify
business
sectors.
So
we
encourage
people
to
try
to
do
as
much
as
they
can.
B
F
B
B
Yeah,
thank
you
for
the
question
and
and
theme
parks
continues
to
be
a
high
priority
for
the
administration
and
and
recognizing
their
role
as
both
part
of
california
life,
but
also
employ
employment
opportunities
for
thousands
of
californians,
as
we
do
with
every
sector.
We
don't
take
that
lightly.
We're
working
closely
with
a
number
of
the
direct
operators
of
theme
parks
and
also
the
overall
agency
or
organization
representing
theme
parks,
as
well
as
the
labor
partners
that
represent
the
workers
and
ensuring
that
we
move
forward
together
in
a
low
risk
and
and
safest
way
possible.
B
I'm
not
sure
when
those
conversations
wrap
up,
I
will
tell
you
that
they
will
wrap
up
as
soon
as
we
come
to.
You
know,
really
hear
the
industry
and
understand
some
of
the
concerns,
and
we
look
continue
to
look
at
the
data
and
information
that
we
have
so
no
no
promise
of
a
specific
date,
but
I
will
say
as
soon
as
possible.
Some
of
the
important
issues
that
we're
looking
at
are
obviously
not
just
how
the
operations
in
the
theme
park
go.
B
I
think
there's
so
many
important
thoughtful
people
who
are
working
in
many
of
our
sectors
across
california
who
have
been
thinking
about
this
with
a
great
deal
of
passion
and
energy,
not
just
so
that
they
can
reopen,
but
also
so
that
they
can
make
sure
that
staff
and
patrons
alike
are
are
in
the
safest
position
that
they
can
be,
but
broader
than
that.
Really.
B
Looking
at
the
impact
that
the
sector
of
theme
parks
really
has
on
broader
communities
on
on
the
surrounding
neighborhoods
and
the
workplaces
and
the
industry
around,
and
how
this
isn't
just
about
one
piece:
it's
about
the
entire
community
and
having
dialogue
with
not
just
those
operators
but
others
who
both
have
a
stake
in
in
what
happens
with
this
guidance,
but
also
have
a
responsibility
to
reduce
the
risk.
For
so
many
people
from
california
who
might
visit
a
theme
park
down
in
the
future.
G
Hi
thanks
so
much.
G
So
after
the
tiers
were
updated
today,
it
appears
that
schools
are
now
allowed
to
reopen
in
at
least
32
counties,
and
if
you
include
the
waivers,
the
state
has
already
proved
there's
a
lot
of
schools
that
are
now
allowed
to
be
open,
just
curious
what
you
all
have
seen
in
these
counties
where
schools
have
been
reopened.
Have
you
seen
any
connection
to
increased
cases
or
have
the
precautions
that
the
school's
taken
been
affected?.
B
Yeah
great
question
and
I'll
just
remind
you
that
for
a
school
to
begin
their
planning
or
plan
to
reopen
with
their
district,
the
partners,
the
health
partners
and
other
community
partners,
you
must
be
in
the
red
tier
for
at
least
two
weeks
before
moving
forward.
So
some
of
those
those
counties
that
moved
from
purple
into
red
have
two
weeks
now
to
plan
if
they
choose
and
believe
that
they
have
the
conditions,
that's
right
to
bring
in-person
education.
Back
to
your
question,
we
have
not
seen
a
connection
between
increased
transmission
and
school
reopening
or
in-person
learning.
B
We're
asking
that
question
constantly
we're.
Looking
at
the
information
to
see
if
there
is
a
connection
and
so
far
we
have
not
found
one.
I
just
remind
people
that
it
sometimes
does
take
time
for
us
to
see
the
trends
and
we
want
to
act
responsibly,
but
so
far
it's
encouraging
to
see
the
tremendous
effort
and
planning
that
communities
and
their
schools
and
their
staff
have
done
to
make
sure
that
it's
lower
risk
for
students
and
staff
alike
and
we're
seeing
that
fruits
early
on,
and
I
think
that's
encouraging
for
all
of
california.
B
Well,
I
think
many
of
you
heard
probably
picked
up
that
the
governor
said
that
this
is
our
road
map
for
the
foreseeable
future.
We
don't
have
a
plan
after
yellow
at
the
moment.
We
know
that
many
counties
who
are
in
yellow
are
asking
that
question,
but
we
wanted
a
strategy
to
get
through
the
next
many
months
to
get
us
through.
B
You
know
the
winter
flu
season,
especially
the
worst
parts
of
it,
so
that
we
have
a
strategy
to
keep
california
moving
forward,
staying
forward-looking,
rather
than
moving
back
so
for
the
time
being,
no
other
tier
outside
of
yellow,
but
as
we
did
early
on
we're
planning
for
the
future
and
working
on
thinking
through
those
details
already.
H
Thanks
for
taking
our
questions
appreciate
it
businesses
reopen
especially
here
in
orange
county
and
there's,
been
a
bigger
push
for
disneyland
and
theme
park.
Reopening
you
know.
The
county
itself
is
not
disclosing
outbreaks
as
far
as
with
outbreak
outbreaks
at
workplaces,
schools
or
anything
like
that.
You
know.
Moving
forward
should
counties
disclose
that
kind
of
information
to
its
residents
like
l.a
county
does,
and
is
there
any
talk
of
a
potential
health
order,
or
maybe
an
executive
order
on
governor
newsome's
part
to
mandate
that
california
counties?
B
Yeah,
I
I
mean
on
two
two
lines.
First,
you
know,
I
think
that
counties
have
their
own
calculation
on
how
and
when
to
share
information.
B
Some
of
you
will
remember
very
recently
that
the
governor
did
move
forward
a
bill
that
asked
certain
industries
to
report
out
on
outbreaks
defined
as
three
or
more
cases,
so
that
that
information
is
known
and
working
with
the
counties
to
make
sure
that
that's
disclosed
in
the
right
way,
I
think,
is
a
key
feature
of
making
sure
we
respond
effectively
immediately
and
in
a
transparent
way
to
protect
our
communities
as
part
of
what
california
believes
is
the
way
forward.
J
Thank
you
for
taking
my
question,
so
I
didn't
get
that
muted
mike,
I
didn't
feel
like
I
didn't
get
enough
on
the
health
equity
measure.
My
question
has
to
do
with
like,
where
do
the?
How
many
counties
are
in
what
tier,
but
specifically
on
that
equity
measure?
Is
it
just
positivity
rate
is
that
is?
Is
that
adjusted
the
same
way
overall
positive
free
rate
and
is
humboldt
the
only
county
that
has
been
benefited
by
this
new
metrics.
B
C
Great
thank
you
for
the
question
and
to
provide
a
little
bit
more
information
and
detail
about
how
the
metric
works
so
again,
we're
looking
at
something
called
the
healthy
places
index,
and
that
is
a
proxy
for
looking
at
sort
of
where
we
see
the
most
communities
of
color
in
each
county
and
looking
at
yes,
just
the
test,
positivity,
so
you're
asking
about
which
metric
we're
looking
at
that
test.
Positivity
and
what
we
want
to
see
for
each
county
is
now.
C
They
need
to
make
sure
that
not
only
do
their
test
positivity
for
the
whole
county,
their
adjusted
case
rate,
but
also
their
test
positivity
in
the
lowest
quartile
or
the
places
index
for
that
county
all
need
to
meet
the
criteria
for
the
least
restrictive
tier.
So
if
they're
in
purple,
they
need
to
meet
the
red
for
at
least
two
weeks
before
they
can
move
forward
that
next
year.
C
So
that
is
sort
of
the
base
addition
to
the
new
metrics
and
then
there's
also
a
way
that
hubble
county
actually
was
able
to
do
this
time
where,
if
a
county
has
their
test,
positivity
is
actually
two
levels
below
their
current
tier.
So
if
they
are
in
purple
but
their
test,
positivity
is
in
orange
instead
of
red
and
their
test
positivity
of
their
lowest
quartile
of
the
healthy
places
index
is
also
in
orange,
two
tiers
below
and
their
case
rate
is
declining.
C
Then
they
can
actually
move
to
the
next
less
restrictive
tier,
so
can't
skip
to
the
the
chair.
They
still
need
to
go
to
red
from
purple,
but
that
is
sort
of
the
other
way
that
the
new
health
equity
metric
that
we're
implementing
this
week
works
this
this
week,
humboldt
was
the
only
county
that
moved
forward
because
of
that,
and
also
very
important
to
know
that
no
counties
were
not
able
to
move
forward
because
of
that.
C
B
Victoria
I'll
just
add
one
one.
Other
really
essential
point
is
that
the
equity
metric
is
one
part
of
a
three-part
plan,
an
approach
to
focus
on
equity,
another
the
other
two
pieces
that
I
don't
want
to
overlook
in
any
way
because
they're
essential
is
we've
talked
about
the
percentage
of
cases
that
are
either
latino
black
or
other
race
or
ethnicities.
We
still
lack
complete
data
across
the
state,
we're
working
with
our
labs,
our
health
care
providers.
B
Anyone
collecting
a
test
any
lab
running
a
test
with
our
counties
to
increase
the
availability
of
that
data.
A
full
third
of
cases
were
early
on.
Without
that
data,
we've
improved
some
of
getting
all
the
race
and
ethnicity
data
that
we
hope
to
have,
but
it's
still
not
good
enough,
so
working
hard
on
increasing
the
availability,
because
without
that
we
can't
really
target
and
know
which
communities
are
most
deeply
impacted
and
then
second
part
or
the
last
part
of
this
sweeter
collection.
B
This
framework
on
equity
is
a
focus
on
ensuring
that
we
invest
dollars
that
the
state
has
received
from
the
federal
government
to
work
on
mitigating
and
reducing
transmission.
That
counties
are
using
those
dollars
in
targeted
ways
to
focus,
as
dr
pond
described
earlier,
on
communities
with
a
disproportionate
impact.
So
it's
not
just
the
test
positivity.
K
Hi,
you
did
answer
part
of
my
question
just
now,
but
I
did
have
a
few
follow-ups,
I'm
still
having
kind
of
a
hard
time
following
so.
The
first
question
is:
what
is
the
lowest
quartile
of
the
healthy
place
index?
What
does
that
mean
and
then,
in
terms
of
counties
moving
to
another
tier?
Will
this
help
them,
but
will?
Will
it
also
determine
if
and
when
they
move
to
another
tier?
Is
this
an
added
component
or
is
it?
B
So
on
the
first
part,
we
what
healthy
places
index
does
is
looks
at
census,
tracts
within
a
county
and
what
we're
looking
at
are
the
20,
the
lowest
quartile,
so
the
lowest
25
within
a
county
of
census,
tracts
on
the
healthy
places
index
and
what
we
do
is
basically
take
all
of
the
testing
volume,
as
well
as
the
number
of
test
positive
cases
and
do
a
calculation
of
test
positivity,
just
in
that
25
that
lowest
25
of
census
tracts
in
a
given
county,
and
that
gives
us
the
test
positivity
for
the
lowest
quartile
of
healthy
places,
index
tracks
in
that
specific
county,
and
we
use
that
test
positivity
number
and
we
look
county-wide
and
ensure
that
they
are
both
moving
forward
into
a
less
restrictive
tier.
B
And
yes,
indeed,
if
the
county-wide
is
moved
to
the
less
restrictive
tier,
but
that
lowest
quartile
hpi
is
not,
then
the
county
will
be
slowed
in
its
movement
forward
and,
as
dr
ponn
mentioned.
In
fact,
if
that
test,
positivity
for
the
lowest
quartile,
as
well
as
the
total
county
overall
test,
positivity
is
in
fact
two
tiers
below.
Then
it
actually
helps
a
county
just
like
it
did
in
humble's
case
move
forward
a
tier.
So
in
some
ways
there
is
something
that
could
in
this
that
could
slow
down
a
county
from
moving
forward.
B
We
didn't
see
that
today
we
hope
never
to
because
we
work
hard
with
the
counties
to
increase
their
effort
around
this,
but
also
that
this
gives
an
opportunity
for
some
counties
to
move
forward
through
the
tier
system
because
of
the
focus
on
equity
and
ensuring
that
all
communities
are
moving
forward
together.
L
And
dr
daley,
thanks
for
taking
my
call,
my
question
has
to
do
with
how
the
administration
of
steroids
to
hospitalize
cope
with
patients
might
affect
the
current
tier
system.
The
president's
case
has
drawn
a
lot
of
attention
recently
to
the
use
of
steroids,
with
with
the
severely
infected
cobot
patients
who
are
hospitalized.
B
Steroids
is
certainly
they
aren't
a
new
medicine.
We've
used
them
for
you
know
decades
to
treat
so
many
different
conditions.
B
They
have
benefits
and
side
effects
alike,
and
I
think
that
their
role
in
treating
covid
positive
patients
is
one
that's
evolving
and
like
many
of
the
other
tools,
we
expect
that
they
will
come
together
and
complement
the
treatment
to
make
sure
that
people
who
have
the
worst
forms
of
covet
illness
are
supported
as
much
as
possible.
So
I
think
more
to
be
seen.
B
We
we
of
course
hope
that
there
are
a
tool
that
helps
support
all
patients
who
need
it
and
hope
that
we
continue
to
learn
from
its
use
in
terms
of
adjusting
our
tears
like
everything
as
we
improve
our
treatments
with
things
like
steroids,
other
medications,
the
continued
planning
and
support
around
a
vaccine.
We
will
look
at
all
of
this
in
due
time,
as
we
get
through
the
next
many
months
to
determine
what,
if
any,
adjustments
should
be
made
to
our
tiering
system
as
it
exists
today,.
M
Hey,
I'm
sorry.
If
I
missed
this
earlier,
I
had
to
step
out
for
just
a
couple
minutes,
but
I
don't
see
the
health
equity
measure
information
on
the
chart.
I
see
the
cues
rates
and
the
adjusted
positivity
rates.
So
where
can
I
find
that
and
also
second
question,
do
you
have
any
concerns
about
how
the
actions
of
the
president
and
people
within
a
circle
might
affect?
You
know
your
efforts
to
convince
people
of
the
importance
of
wearing,
face
coverings,
isolating
quarantine
and
the
like.
Thank
you.
B
Yeah,
so
to
the
first,
if
you
go
to
the
cdph
website,
you
will
find
some
information
about
the
equity
measure.
Not
every
last
piece
of
granular
data
at
the
county
level
is
yet
posted
we're
working
on
soon
being
able
to
post
that,
but
you
can
find
all
of
the
details,
some
most
of
which
dr
pond
and
I
have
reviewed
here,
but
that's
there
and
available.
B
In
regards
to
the
second
question
you
have,
of
course
we
we
hope
that
both
federal
state
and
local
leaders
can
be
aligned
in
our
messaging.
In
california.
We
believe
it's
important
to
focus
on
the
simple
protective
actions
that
people
can
take,
that
covet.
B
19
is
a
serious
illness
that
has
claimed
many
californians
lives,
let
alone
across
the
nation
that
we
still
today
have
real
risk
of
transmission
that
younger
healthier
people
who
might
be
lower
risk
for
serious
complications
from
kovid
still
mix
with
aunts
and
uncles,
and
parents
and
grandparents
and
put
those
individuals
in
a
precarious
position,
because
they,
when
they
are
infected,
may
have
a
pretty
serious
outcome.
B
So
it's
just
an
opportunity
to
remind
us
that
all
of
the
tools
that
we
have
are
important
to
continue
to
emphasize-
and
my
personal
wish
is
that
all
of
us
can
move
forward
together
with
that
positive
messaging
and
support
communities
to
do
do
the
things
we
know
will
reduce
transmission,
so
I
think
we're
sort
of
in
a
political
season
right
now
and
so
much
is
being
talked
about
as
it
relates
to
our
coveted
response,
but
again
guided
by
data
guided
by
science
guided
by
lessons
of
the
past.
N
Good
afternoon,
dr
dally,
my
question
is
directed
at
vaccines
and
the
push
by
the
white
house
to
get
the
vaccine
into
circulation
even
probably
before
the
election.
There's
a
tremendous
amount
of
discussions
revolving
around
whether
or
not
there's
going
to
be
enough
faith
and
trust
in
the
american
public
and
people
to
actually
take
a
vaccine
if
they
perceive
it
to
be
rolled
out
too
quickly,
with
your
position
in
your
peers
and
colleagues
in
the
rest
of
these
states.
Where
are
you
guys
at
with
the
administration?
Push?
N
B
B
We,
like
others,
are
looking
closely
to
what
the
federal
government
is
doing
the
fda
in
terms
of
moving
forward
with
the
safety
protections
that
this
vaccine,
as
with
every
vaccine,
must
go
through.
We
expect
that
that
is
going
to
be
done
in
a
complete
and
highly
sophisticated
and
high
fidelity
way.
B
We
plan
in
california
to
have
a
team
of
experts,
some
many
who
have
been
part
of
the
national
conversation
to
review
and
uphold
some
of
those
findings
around
safety,
so
that
we
can
put
the
california
stamp
of
approval
before
we
really
roll
it
out
across
the
state.
We
are
deep
in
the
planning
process
now,
in
anticipation,
for
you
know,
potentially
a
late
fall
early
winter
availability
of
the
vaccine.
B
We
want
to
be
ready
so
that
when
it
is
safe,
when
we've
determined
that
it's
available
in
sufficient
quantity
for
california,
that
we
will
put
it
out
there
and
we
take
seriously
the
need
to
have
a
thoughtful-
and
you
know
really
community
aligned
communications
campaign
so
that
everybody
is
following
along
and
that
those
who
are
poised
to
receive
the
vaccine
after
we
believe
it's
safe,
that
we
have
all
of
the
tools
there
to
provide
it.
B
So
with
that,
I
as
always
appreciate
the
time
and
attention
from
many
of
you
from
our
reporters
who
dial
in
and
and
ask
the
questions,
we're
grateful
for
those.
It
helps
us
enrich
our
information
and
really
deliver
what's
relevant
to
so
many
californians,
and
it's
hard
not
to
remember
especially
now
to
do
that.
To
do
what
dr
bond
described.
B
Wear
your
mask,
stay
physically
distance,
get
your
flu
shot
and
stay
stay
safe
and-
and
I
really
just
want
to
say
an
end
by
a
continued
heartfelt
well
wishes
to
those
who
are
evacuated
that
are
facing
the
impacts
of
fires
and
other
disasters
across
our
state.
We
know
that
these
are
hard
times,
but,
as
we
have
before
40
million
californians
strong,
we
will
get
through
this.
We
will
be
stronger
down
the
road
and
with
that
I
look
forward
to
seeing
you
again
next
week.
Thank
you.