►
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.
Dr. Ghaly announced today (Friday) that California has begun to see upticks in coronavirus cases after a sustained period of decline. An 89% increase in hospitalizations has been observed. The increase may be attributable to Labor Day activities, business reopenings, evacuations due to the on-going wildfires, or a combination of all of these factors.
Recorded September 25, 2020.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
A
B
Certainly
people
spending
time
together
outside
with
their
families,
wanted
to
really
identify
some
early
trends
in
our
data
that
we're
seeing
where
certainly
cases
are
going
up
and
and
just
our
early
worry.
I
often
tell
my
patients
that
I
take
care
of
that
when
I'm
worried
I'll,
let
you
know
so.
You
can
worry
with
me
a
little
bit
so
we're
gonna
go
through
our
typical,
slides
and
and
then
get
into
some
of
the
new
information
we
wanted
to
share
today
next
slide,
please.
B
So
we've
seen
these
declining
case
rates
or
test
positivity
and
hospitalizations.
In
recent
weeks
today
we
enjoyed
you
know
over
100
person
decrease
in
our
admissions
in
in
hospitals,
and
this
is
really
a
testament
to
the
focus.
I
think
we,
as
californians
have
had
over
the
past
many
weeks
wearing
our
face
covering
more
and
more.
I
see
it
myself
in
the
communities.
I
travel
in
that
it's
more
and
more
common,
which
is
great.
B
So
california's
blueprint
launched
on
the
31st
of
august.
We
have
now
been
at
it
for
about
four
weeks
together.
We've
made
significant
progress
since
our
peak
in
early
july,
and
this
new
blueprint
really
focuses
on
that
slow
and
stringent
way
of
talking
about
colored
tears
and
moving
counties
progressively
through
those
tears.
B
Please
so
just
a
reminder.
We
do
these
weekly
updates
on
tuesdays.
We
run
the
county
by
county
data.
On
monday,
we
communicate
with
the
counties
and
then
tuesday
we
announce
where
each
county
is
you'll
recall.
When
we
started
on
the
31st
of
august,
we
announced
that
38
of
our
counties
across
the
state
we're
in
the
widespread
purple
tier
nine,
in
the
substantial
red
nine
in
orange,
moderate
and
then
two
in
the
minimal
tier.
B
B
So
what
is
the
concern
that
I
mentioned
I'll
tell
you?
It's
been
two
and
a
half
weeks
since
labor
day
people
have
been
asking
well,
do
we
see
the
trends
and
the
impacts
of
labor
day
we're
starting
to
see
what
we
think
is
attributable
to
labor
day?
Also
three
and
a
half
weeks
since
we
started
the
blueprint
and
this
stringent
reopening
plan
and
others
have
asked,
and
we've
been
watching
the
impact
of
fires
and
evacuations,
and
it's
been
about
five
weeks
since,
really
that
fire
season
began
with
reopening.
B
We
know
that
there's
more
opportunities
for
mixing
exposure
to
others
we're
not
frequently
around,
and
it
really
is
about
not
letting
our
guard
down,
as
we
did
earlier
in
the
summer
as
we
watch
some
of
these
numbers
trend
in
the
direction
that
we
don't
want
to
see,
which
is
upward
and
really
we've
been
focusing
on
flu
season.
The
need
to
get
flu
vaccine
watching,
as
we
have
early
cases
of
flu
already
in
california,
that
we
must
stay
vigilant
and
try
to
maintain
our
success.
B
C
B
Please
so
I
wanted
to
show
you
some
of
the
graphs
that
we
look
at
on
a
daily
weekly
basis
that
we
don't
often
share
in
the
press
conferences,
but
this
graph
shows
you
that
our
case
rate
per
hundred
thousand
from
a
number
of
locations
across
the
state
are
starting
to
see
a
slight
increase.
If
you
look
at
the
left
side
of
the
graph
you'll
see
around
august
23rd,
we
were
pretty
high
with
our
case
rates,
but
starting
to
come
down
and
we
enjoyed
some
significant
decreases
in
parts
of
the
state.
B
B
B
Here
again,
we
look
at
new
hospitalization,
so
on
a
daily
basis.
We
report
the
total
number
of
people
with
covid
hospitalized,
either
confirmed
or
suspected.
This
slide
shows
something
slightly
different.
This
shows
the
new
hospitalizations
day
over
day,
so,
even
though
new
hospitalizations,
of
course,
impact
that
total
hospital
number,
they
also
signify
something
different.
They
also
tell
us
a
bit
of
the
story
about
what's
happening
with
community
transmission,
so
what
we
want
to
see
ultimately,
is
more
patients
discharged
home
from
the
hospital
with
covet
19.
B
B
So
the
other
things
I
wanted
to
mention-
we've
talked
to
you
before
about
the
the
modeling
we've
talked
about
now.
Casting
we've
talked
about
forecasting.
We
continue
to
use
these
tools
on
a
very
regular
basis,
to
not
just
tell
us
how
we're
doing
now,
but
to
help
us
understand,
based
on
today's
conditions,
where
we'll
end
up
and
our
short-term
forecast
for
today's
conditions
actually
predicts
an
increase
in
hospitalizations
a
month
from
now.
B
Now
we've
seen
that
before
we've
done
a
good
job
to
bring
it
down
and
and
certainly
our
hospital
system
with
the
wonderful
partners,
we
have
are
able
to
take
care
of
that
level
of
patients
with
need.
That
said,
we've
never
done
covid
hospitalizations
with
flu
hospitalizations
and,
as
we
continue
to
have
the
interest
of
keeping
all
routine
care
going,
so
patients
with
scheduled
procedures
and
surgeries
can
continue
to
get
those.
B
B
Part
of
the
reason
why
we
look
at
this
number
is
because
we're
very
interested
in
how
quickly
spread
will
occur
and
how
quickly
the
numbers
will
rise.
But
I
raised
this
issue
now
because
part
of
why
we
chose
the
slow
and
stringent
approach
is
so
that
we,
we
did
get
our
case
numbers
across
the
state
down
as
low
as
we
can
so
that
if
we
do
see
a
doubling
that
the
impact
isn't
that
great.
B
So
we
can
continue
with
that
success
again.
Another
concept
we've
shared
with
you
is:
this
are
effective.
We
talked
early
about
the
are
not
they
are
effective,
is
really
what
are
what's
happening
in
the
community.
Now,
based
on
the
levels
of
transmission
and
we've
always
said,
we
want
to
get
below
one,
and
quite
a
bit
below
one
in
many
counties
a
month
ago,
were
quite
a
bit
below
one.
B
So
we
really
wanted
to
highlight
today,
as
we
come
to
this
final
slide
than
many
of
you
are
used
to
really
the
focus
on
doing
what
we've
done
together
for
a
long
time
now,
but
doing
it
with
even
more
vigor
over
the
next
many
weeks.
As
we
see
these
trend
lines
which
had
been
coming
down
and
then
flattening
now,
looking
like
they
may
be
coming
up,
and
not
just
over
one
or
two
days,
but
over
the
course
of
a
handful
of
days.
B
We
want
to
sound
that
bell
for
all
of
you
to
remind
you
that
we
want
to
do
all
we
can
to
do
these
things.
Wear
our
mask
physically
distance,
wash
your
hands
minimize
mixing
and
please
get
your
flu
shot.
We
know
a
number
of
physician
practices,
health
systems,
pharmacies
have
the
flu
vaccine
available
and
please,
if
this
is
the
right
weekend
to
go,
do
that
or
next
week.
Please
consider
adding
that
to
to
your
plans
again.
B
We
are
really
proud
of
the
the
slow
stringent
blueprint
we
have
seen
movement
across
our
counties
and
we
want
to
see
us
respond
as
a
state
to
those
slight
increases
by
keeping
our
guard
up,
helping
support
our
businesses
and
our
local
leaders
so
that
we
can
keep
transmission
as
low
as
we
can.
While
we
move
into
fall
into
winter
into
flu
season
into
cooler,
weather,
colder
weather
rainy
weather,
where
it's
harder
to
do,
some
of
the
things
that
we
enjoy
outside
and
the
urge
to
go
inside
will
be
even
stronger.
C
A
C
E
C
B
Yeah,
thank
you
for
the
question
I
mean
so.
First,
the
the
advisory
panel
will
do
what
they
often
do
at
the
federal
level
and
we
always
in
california,
take
a
close
look
at
what's
appropriate
for
california's
working
closely
with
our
federal
partners,
but
we've
already
put
together
a
vaccine
task
force
within
the
california
department
of
public
health
with
multiple
other
state
agencies
involved,
including
plans
to
put
together
our
own
review
board.
B
That
will
be
made
up
of
some
of
our
leading
scientists,
our
academic
academic
institutions,
but
also
inclusive
of
community
groups
and
individuals
who
understand
what
it's
going
to
take
for
us.
Once
we
see
and
confirm
at
the
state
level
the
the
safety
of
a
vaccine
really
understanding
how
we
do
the
vaccine
distribution
in
an
equitable
and
in
a
smart
way
to
really
serve
all
of
the
needs
of
californians.
So
absolutely
that's
our
plan.
E
Hi,
dr
jolly,
here
in
fresno
county
for
the
first
time,
according
to
the
blueprint
page,
we're
meeting
the
red
tier
metrics
with
the
case
rate
of
6.3
cases
per
100,
000
people,
but
I
was
wondering
about
this
on
the
state
public
table
dashboard
attracts
cases
daily
in
the
county
it
had,
it
hasn't
had
a
seven
day,
average
of
88
daily
cases
and
with
our
roughly
1
million
people
population.
That
would
put
us
at
roughly
an
8.8
case
rate
for
100
000
people.
E
B
Yeah,
thank
you
for
the
question.
I
can't
speak
to
the
specifics
without
the
numbers
in
front
of
me
at
the
moment,
I'm
happy
to
have
our
team
look
into
it
and
get
back
to
you,
but
we
do,
as
we've
been
watching
the
data
in
the
central
valley
very,
very
closely,
really
concerned
early
with
the
increased
spread,
especially
among
latino
communities
in
in
the
central
valley.
B
B
I
believe
that
fresno
has
met
the
one-week
criteria
for
moving
on
from
purple
to
red
and
if
things
go
as
they
have
been,
and
we
all
hope
they
do,
they
will
be
advancing
from
purple
to
red,
but
only
when
the
data
shows
that
it
can.
We
have
the
thresholds
for
a
reason.
We
believe
that
they
are
the
right
ones
and
we're
working
closely
with
the
counties
to
make
sure
that
we
communicate
the
accurate
calculations
on
all
of
those
data
points.
E
The
threshold
of
seven
or
fewer
new
daily
cases
per
hundred
thousand
for
entering
into
the
red
tier,
I
know
that's
sort
of
the
same
thing
as
the
hundred
cases
per
hundred
thousand
that
we
had
before.
But
I'm
wondering
if
there's
something
particular
about
that
level
of
transmission.
Why
is
it
seven
and
not
say
five
or
eight?
Is
there
a
particular
experience
from
california
or
elsewhere
that
the
standard
is
based
on?
And,
lastly,
why
do
you
think
that
it
is
for
most
counties?
It's
that
metric
and
not
the
positivity
rate?
B
Yeah,
I
mean
the
excellent
questions
and
I
think
a
number
of
different
states
have
chosen
different
thresholds.
I
think
a
number
of
international
and
national
leading
experts
and
thought
leaders
with
covet
19
response
have
suggested
various
ranges
we
have
in
and
sort
of
adopted.
The
seven
per
hundred
thousand
per
day
really
mirrored
around
what
our
county
monitoring
list
was
built
around,
which
we
saw
as
an
effective
top-tier
threshold
to
really
allow
counties
to
begin
to
move
with
some
of
their
reopening.
B
You
know
also
that
the
the
sort
of
interaction
between
testing
and
case
finding
and
test
positivity
is
an
important
one,
and
what
we
do
see
is
that
counties
that
do
a
significant
number
of
tests
may
have
a
lower
test
positivity,
but
still
finding
a
significant
number
of
cases.
So
the
real
balance
between
these
two
is
important
and
not
every
county
has
been
unable
to
move
their
case
rate.
B
We
do
see
the
case
rate
move
a
little
bit
after
the
test
positivity
and
in
some
ways
that's
by
design,
so
that
we
ensure
that,
as
you
test
more,
we
find
those
cases
use
those
cases
to
then
do
the
effect
of
contact
tracing
support
of
isolation
to
reduce
transmission
that
might
follow
from
those
initial
cases.
So
watching
all
of
that
come
together.
B
It's
actually
moving
as
we'd
hoped
that
the
test
positivity
comes
down
a
little
bit
sooner
than
that
case
rate
and
that
allows
counties
to
move
forward
with
some
degree
of
confidence
into
the
next
tier
I'll
remind
you
that
we
also
require
at
least
two
consecutive
weeks
of
meeting
that
threshold.
So
we
can
be
confident
the
county
can
be
confident.
Residents
can
be
confident
that
we're
allowing
a
degree
of
additional
operations
in
our
economic
sectors
under
more
or
less
safer
conditions.
D
F
Oh
sure
I
wanted
to
ask
about
the
the
blueprint
for
reopening
for
some
businesses.
Some
have
been
left
out,
we've
gotten
a
lot
of
response
from
voters
and
bowling
alleys.
Actually,
who
are
saying
they've,
been
left
out
of
of
the
reopening
sort
of
schedule,
and
you
know
they're
making
the
claim
that
they
can
bring
their
own
equipment
that
they
can
stay
six
feet
apart
and
put
safety
measures
in
place
and
the
question
becomes.
B
At
any
point,
we've
been
working
closely
with
a
number
of
industries
around
not
just
what
is
the
right
time
or
what's
the
right
tier
for
levels
of
operations
of
each
of
those
to
to
enter
into
the
blueprint,
but
with
what
modifications
and
changes
so
we're
working
hard
on
that
we've
heard
from
the
bowling
alleys
and
many
many
of
the
different
venue
types
that
fall
into
the
family
entertainment
category.
That
is
part
of
the
blueprint
and
as
we
hear
from
those
different
industries,
we're
sitting
down
in
earnest.
B
With
conversations
to
understand,
you
know
their
situations
and
and
really
trying
to,
for
those
that
are
not
yet
in
the
blueprint
find
the
right
right.
Part
of
that
blueprint
to
have
them
fit
in,
so
that
they
can
have
some
confidence
and
reassurance
on
what's
coming
and
have
enough
time
to
plan
for
when
operations
may
resume.
D
B
Yeah,
I
mean
the
whole
purpose
of
today
on
a
friday,
as
opposed
to
waiting
until
next
week
is
because
we
are
concerned
not
just
for
la
but
in
other
places
as
well,
that,
where
they're
seeing
their
effective,
come
up,
they're
seeing
their
case
numbers
relative
to
the
amount
of
testing
they're
doing
come
up.
So,
yes,
there
is
concern.
We
know
that
we
have
the
tools
to
do
many
of
the
things
to
reduce
transmission,
and
today's
message
is
hopeful
that
all
of
you,
as
reporters
will
will
help
us
communicate
that.
B
Indeed
there
is
concern
and
we
have
the
tools
to
reduce
transmission,
and
by
doing
these
simple
things,
we
can
hopefully
bring
these
early
trends
of
increase
back
down
and
help
us
get
back
to
where
we
were
just
you
know
a
week
or
two
ago.
So
absolutely
some
concern.
I
think
we
share
that
concern
just
like
the
public
health
leaders
and
health
system
leaders
in
los
angeles
county
for
sharing
and
as
I
I
know,
many
of
you
hear
from
our
elected
leaders
in
la
county
as
well.
B
So
you
know
it's
a
it's
a
difficult
question
to
answer.
Sophie
I'll
tell
you
that
we're
we're
about
two
and
a
half
three
three
and
a
half
weeks
out
from
the
collection
of
labor
day
and
our
blueprint,
and
when
you
start
to
see
cases
about
this
time,
this
is
when
we
would
have
expected
to
see
some
slight
increases.
B
The
fires
have
been
something
that's
been
going
on
for
the
last
five
weeks
at
various
degrees
as
well,
so
it
is
difficult
to
break
them
all
out.
The
timing,
though,
is
you
know,
expected
actually
that
we're
starting
to
see
these
over
the
last
week.
That
is,
you
know
nearly
an
incubation
period
after
you
might
see
some
transmission
give
people
time
to
come
and
get
tested
you.
B
You
would
expect
to
see
those
changes
now
and
I
think
a
number
of
our
public
health
leaders
were
really
asking
and
sharing
the
point
of
view
that
we
needed
to
wait
about
three
weeks
after
labor
day
after
the
blueprint
really
started
to
take
shape
to
get
that
indication,
and
I
think
we're
starting
to
see
some
of
that
now.
I
think
it
was
you
sofia
that
asked
me,
maybe
a
week
and
a
half
ago
whether
we
were
seeing
those
numbers
at
that
point
and
and
then
we
were
not.
E
I
thought
that
today
you
were
part
of
the
virtual
fighting
with
the
governor
on
the
mental
health
bills
and
he
really
talked
about
moving
the
agenda
forward
on
mental
health,
and
I
was
hoping
he
could
kind
of
give
us
a
little
window
into
the
administration's
thinking
on
the
health
care
bills
and
what
the
emphasis
is
this
year
on.
The
bill.
Findings
for
health
care
and
by
preparing
beans
on
costing
payments
or
access,
and
especially
in
emphasis,
coveted.
B
Yeah
thanks
for
the
question-
and
today
was
a
really
proud
moment.
I
think
the
governor
with
so
much
going
on
continues
to
focus
on
the
agenda
that
we
had
in
january.
You'll.
Remember:
the
state
of
the
state
was
focused
around
mental
health
and
homelessness
and
our
response
as
a
state
not
to
every
issue
in
california,
but
those
important
ones
that
I
know
he
has
committed
and
his
entire
team
is
committed
to
making
a
difference
on
in
the
legislature.
B
Bold
steps
this
year,
despite
reviewing
fewer
bills
than
typical
because
of
the
covet
situation,
advance.
What
is
a
bold
collection
of
mental
health
bills
not
only
in
and
of
themselves,
but
really
as
a
platform
of
and
signaling
that
we're
going
to
continue
to
work
on
these
important
areas,
mental
health
issues
and
and
substance
use
disorder
issues
have
only
been
exacerbated
during
the
pandemic,
and
so
the
recognition
that
we
can't
just
wait
for
a
full
legislative
season
to
pass
by
without
making
bold
moves,
I
think,
is
what
is
reflected
today.
B
E
B
B
B
If
you
can,
and
especially
in
counties
where
we're
starting
to
see
some
increase
in
our
opening
of
certain
business
sectors,
potentially
restaurants
offering
indoor
seating
just
use
good
judgment-
you
you
know
go
with
people
that
that
that
are
in
your
household,
bring
your
mask
support
the
staff
by
wearing
that
mask
as
much
as
you
can.
All
of
those
tools
that
we
have
in
our
tool.
Kit
should
be
used
this
weekend
and
moving
forward,
so
we
can
really
bring
these
upward
trends
back
down
and
even
bring
them
further
down.