►
Description
Governor Gavin Newsom provides an update on the state's response to the COVID-19 pandemic.
Recorded January 11, 2021 in Sacramento, California.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus
A
B
Coronavirus
well
good
afternoon,
everybody
I'll
just
jump
right
into
today's
update
39
839
individuals
in
our
latest
reporting
period
have
tested
positive
for
covet
19..
You
can
see
the
seven
day
average
at
a
little
over
forty
thousand
forty
one
thousand
four
hundred
and
fifteen.
To
be
precise,
our
test
positivity
rate
in
the
state
has
fluctuated
anywhere
between
thirteen
and
a
half
and
fourteen
percent.
Today,
on
the
14
day,
positivity
average
we're
officially
at
13.7
percent
this
based
upon
a
seven
day
average
test
just
over
290
000
tests.
B
I
should
note
we
had
470
thousand
tests
on
saturday
about
343
000
tests
yesterday,
so
we're
seeing
after
a
little
bit
of
restriction
of
testing
during
the
holidays,
we're
starting
to
see
those
testing
numbers
ramp
back
up
rather
substantially.
It
relates
to
that
14
day,
positivity
rate,
as
I
noted
we're
seeing
that
fluctuation
in
the
last
week,
or
so,
but
over
the
last
two
weeks
you
can
see
we
were
from
about
over
two
and
a
half
percent
2.6
positivity
to
that
13.7
percent.
B
You
see
today
now
here's
the
two
slides
I
want
to
update
you
with
that
are
important
and
relevant.
You'll
see
a
six
percent
increase
in
the
total
number
of
hospitalizations
over
the
last
14
days.
Patients
with
covet
19.,
that's
among
the
smallest
increases
we've
seen
over
a
two-week
period
in
some
time.
It's
just
a
point
of
some
optimism,
a
little
bit
of
light
and
I'll
express.
B
Accordingly,
with
icus
13
over
a
two-week
period
increase
five
percent
over
a
seven
day,
so
point
three
percent:
seven
day
increase
in
hospitalizations,
five
percent
increase
in
icus,
so
both
the
hospitals
and
the
icu's
experiencing
a
rate
of
increase
that
is
more
modest
than
what
we
have
expressed,
and
we
have
seen
over
the
course
of
the
last
many
many
weeks
for
that
matter.
Many
many
months
as
relates
to
icu
capacity.
B
Quite
the
contrary,
just
means
we're
now
in
the
surge
phase
of
our
icu
planning,
but
you
could
see,
with
the
exception
of
the
greater
sacramento
region,
around
10
percent
and
northern
california,
which
is
holding
steady
over
30
35
percent,
in
this
case
that
southern
california,
san
joaquin
valley,
continue
to
be
the
hot
spots
for
the
state,
particularly
southern
california,
in
the
san
bernardino,
riverside
and
notably
l.a
areas,
bay
area,
expressing
obviously
deeper
concern
around
icu
capacity.
B
That's
happening
happened
over
the
weekend
friday
being
the
last
day
in
the
bay
area,
the
greater
bay
area
region
on
the
stay
at
home,
then
those
numbers
are
being
crunched,
and
we
should
expect
dr
galley
in
his
update
tomorrow
to
update
that
determination,
but
based
upon
icu
expect
icu
capacity
currently,
unless
those
projections
are
radically
different,
that
we
can
expect
that
stay
at
home
to
continue
as
relates
to
deaths.
B
We
continue
to
see
a
substantial
number
of
people
losing
their
lives
to
this
pandemic,
averaging
476
individuals
over
the
last
seven
days,
264
individuals
in
the
last
reporting
period,
so
just
a
sober
reminder
of
the
deadliness
of
this
disease.
How
deadly
this
pandemic
remains?
B
I
noted
a
few
weeks
back
and
it
got
a
little
bit
of
attention.
Understandably,
so
these
mobile
morgues
that
we
set
out
across
the
states
some
suggested.
Perhaps
that
was
overly
indulgent,
meaning,
but
hyperbolic
now
it
appears
more
pressing
in
the
context
of
repositioning.
Of
these
mobile
marks
has
been
essential
and
typical
parts
of
the
state
that
are
simply
overwhelmed
and
just
don't
have
capacity.
B
So
we
continue
to
monitor
that
and
continue
to
work
with
our
county
partners
and
our
local
partners
to
address
those
issues
as
well
as
relates
to
the
issue
of
staffing,
the
state
we
have
roughly
1900
state
and
federal
staff
that
have
been
deployed.
You
can
see
the
myriad
of
support
that
we're
providing
the
most
significant
now
being
contract
staff.
Our
emphasis
now
is
on
contract
staff.
I'll
talk
more
about
that.
B
In
a
moment,
we
continue
to
work
with
the
federal
government
department
of
defense
and
others
hhs
to
request
additional
resources,
that's
a
top
priority
and
will
remain
over
the
course
next,
nine
ten
days
with
the
current
administration
and
will
be
among
the
most
essential
and
top
priorities
as
it
relates
to
the
new
administration
coming
in
next
week.
So
1878
state
and
federal
staff
now
deployed
across
the
state
of
california
disproportionate
number
in
southern
california,
as
it
relates
to
the
next
week
or
so.
B
In
fact,
we
expect,
within
seven
days
more
lvns
new,
more
rns,
more
respiratory
specialists
about
a
thousand
contract
staff
will
hit
the
ground
so
we're
already
right
now
in
the
process
of
identifying
exactly
where
they
go.
But
we
have
a
thousand
members
that
team
that
will
be
deployed,
supplementing
the
close
to
2000
that
we've
already
deployed
so
again:
real
emphasis,
real
focus
on
contract
staff.
Now
in
terms
of
addressing
our
staffing
need-
and
I
should
note-
and
this
is
important-
we
anticipate
an
equivalent
amount
in
the
next
few
weeks
as
well.
B
So
this
is
an
area
where
we're
starting
to
see
some
availability
of
staff,
some
loosening
of
opportunities
again
to
bring
in
not
just
rns
but
lvns
respiratory
specialists
among
many
other
essential
workers.
Here's
an
update
on
those
alternative
care
sites,
six
that
we've
included
on
this
slide
that
are
active
in
sacramento
porterville
fairview,
some
that
you're
well
familiar
with
in
southern
california
and
san
diego,
as
well
as
los
angeles,
about
117
patients.
Currently
are
in
these,
what
we
refer
to
often
as
decompression
sites.
These
are
the
sites
that
we
stood
up.
B
Many
others
are
warm
status.
These
are
the
ones
we've
stood
up
that
will
allow
us
to
decompress
take
off
a
little
bit
of
the
pressure.
The
census
total
number
of
people
at
the
hospital
system
itself
has
to
has
to
support,
as
it
relates
to
support.
We
continue
to
do
more
to
support
the
needs
of
getting
these
vaccines
delivered
not
only
to
our
partners
all
up
and
down
the
state
of
california,
thousands
of
them
but
administered
into
people's
arms.
B
We
talk
now
often
about
the
last
mile
and
the
last
inch
I'll
talk
about
both
here
briefly,
but
you
could
see
a
little
over
2.4
million
just
so
I
have
2.5
million
doses.
We
are
in
we've
received
to
date
and
getting
close
to
800
000
that
have
been
administered
783
thousand
administered.
This
is
our
last
reporting
period
and
we
will
be
updating
this,
as
we
do
daily,
with
a
goal
very
explicit
goal
that
we
established
last
week
to
have
an
additional.
This
is
additive.
This
is
not
just
getting
to
1
million.
B
This
is
getting
well
in
excess
of
a
million,
but
1
million
more
vaccines.
We
had
this
10-day
goal,
we
announced
it
last
week
and
the
goal
has
a
deadline
this
weekend
when
dust
settles
and
those
that
data
comes
in
and
there's
always
a
day
or
two
lag
on
the
data.
B
So
I
want
folks
to
be
aware
of
that,
but
we
should
have
all
of
that
information
in
by
this
weekend
and
the
reason
we
set
a
goal
of
1
million
is
that
we
are
sending
an
urgent
call
across
the
spectrum,
our
healthcare
partners,
our
legislative
partners,
as
well
as
labor
and
business
partners
up
and
down
the
state.
This
notion
of
an
all
hands
on
deck
approach:
to
accelerate
the
equitable
and
safe
distribution
of
vaccines.
B
B
We
talk
about
those
long-term
settings
and
those
notion
of
congregate
focus
our
focus
on
congregate
facilities,
residential
assisted
care
facilities,
but
we
now
have
created-
and
we've
talked
about
this
last
week
on
multiple
occasions-
I'll
repeat
today,
this
expanded
pool
the
loosening
of
our
tears
or
rather
phases
and
within
those
phases
the
tears
to
allow
the
administration
more
smooth
administration
and
more
expedited
administration
of
the
vaccinations.
We've
also
expanded
the
pool
of
those
that
can
administer
the
vaccines.
B
I've
received
a
lot
of
calls
a
lot
of
emails,
a
lot
of
texts
with
people
saying
you
know
you
should
really
allow
nurse
midwives
the
ability
to
vaccinate
you
should
allow
vocational
nurses
and
psych
techs
well.
The
reality
is
we
have-
and
I
just
wanted
to
put
up
here
as
part
of
our
all
hands
on
deck
the
slide
that
represents
the
number
of
categories
of
individuals
and
groups
that
can
currently
vaccinate.
B
You
can
see
the
myriad
of
different
registered
nurses,
physician
assistants
and
the
like,
but
we
recognize
more
folks,
need
to
have
that
ability
and
that's
why
you
recall
a
week
or
so
ago.
We
talked
about
our
efforts
on
pharmacists
farm
techs.
Last
week,
at
the
end
of
the
week,
we
talked
about
the
work
with
cda,
our
dental
association
cma
and
the
work
we're
doing
there
to
get
more
and
more
folks,
including
our
dentist,
to
be
able
to
administer
the
vaccines.
We
have
15
national
guard
strike
teams
all
up
and
down
the
state.
B
People
said
well
what
about
the
national
guard?
Well,
we
have
deployed
the
national
guard
for
some
time
now.
It's
just
a
reminder
that
they
have
now
been
deployed
and
they're
out
there
working
with
the
office
of
emergency
services
working
with
clinics
and
health
providers
directly.
We
just
now
today,
more
socialized.
B
This
happened
over
the
course
last
number
of
days,
but
just
socializing
emts
and
paramedics
we're
seeing
more
and
more
paramedics
partnering
with
the
counties.
Local
health
officers
are
encouraging
this
and
we
are
very
supportive
and
emts
as
this
local
option
for
additional
vaccinators
to
help
administer
these
vaccines
faster
again,
with
an
eye
on
equity
risk
exposure
and
with
age
as
the
overlay
using
every
dose.
We
don't
want
to
see
any
dose
wastes
and
that's
wasted
and
that's
why
we
created
more
flexibility.
B
If
there's
a
dose,
that's
sitting
there
and
there's
no
one
queued
up.
That's
in
line
based
upon
the
existing
tiers.
We
want
to
be
able
to
move
to
other
priority
groups,
other
priority
phases
and
tears
within
those
phases,
and
so
we
want
to
make
sure
none
of
these
expired.
None
of
these
doses
go
unused
I'll,
remind
you
that
the
current
focus
of
the
vaccinations
is
healthcare
workers,
those
frontline
essential
workers.
B
That's
why
we
want
to
vaccinate
the
vaccinators,
so
many
of
them
are
in
those
categories
of
vaccinators
themselves
and
then
those
residents
that
are
most
vulnerable
in
these
congregate
facilities.
We've
partnered
not
only
with
those
you've
seen
up
on
screen
as
it
relates
to
those
previous
slides,
but
cvs
and
walgreens
that
are
doing
the
lion's
share.
Not
in
every
county.
L.A
county
is
a
big
exception,
but
notably
and
substantively
in
all
of
those
other
congregate
care
facilities.
B
Walgreens
and
cvs
are
administering
as
a
partner
with
the
state
and
the
federal
government
to
administer
the
needs
within
those
facilities.
The
flexibility
into
the
different
phases
includes
the
following,
and
so
again
this
is
already
established.
We've
created
these
phases
and
these
tiers
within
the
phases,
but
we
want
folks
to
know
that
we
now
have
flexibility
where
we
can
move
in
to
these
phases
and
these
tiers,
which
include
people
75
and
over
clues
people
65
and
over.
B
If
those
folks
are
not
present
and
available.
So
there's
no
waste
more
flexibility,
more
capacity,
so
people
in
the
education
system
can
expect
to
start
getting
vaccinated
child
care,
so
it's
teachers
and
paraprofessionals
across
the
board,
those
essential
workers
and
all
the
support
staff.
All
those
key
members
of
our
support
staff,
not
just
teachers
that
are
essential
as
well,
to
making
sure
we
safely
are
taking
care
of
the
needs
of
our
children.
B
B
I'll
just
remind
you
that
site
to
learn
about
all
of
these
things,
about
the
availability
and
updates
in
terms
of
of
the
availability
of
doses
and
the
percentage
doses
that
have
been
administered
and
what
our
our
time
to
goal
is,
and
the
million
plus
new
doses
and
where
you
may
be
within
these
phases,
and
we
will
fill
out
details
as
we
start
to
get
more
doses
in
again,
just
a
little
over
2
million
doses
and
that's
just
doses.
B
We
obviously
are
going
to
need
substantially
more
doses
to
get
into
this
next
phase
and
we
hope
to
learn
more
with
the
new
administration
soon,
as
they
intend
to
release
a
lot
of
the
stockpile
of
doses
and
we'll
start
to
see
a
greater
clarity
and
then
meet
your
expectation
to
start
to
put
some
timelines,
or
at
least
expected
timelines,
so
that
we
can
deal
with
the
anxiety
that
I
know
is
palpable
out
there
about
when
we
have
that
availability
when
well,
we
see
it.
This
relates
to
vaccinations
as
well.
B
We
recognize
that
the
current
strategy
is
not
going
to
get
us
to
where
we
need
to
go
as
quickly
as
we
all
need
to
go,
and
so
that's
why
we're
speeding
up
the
administration
not
just
for
priority
groups,
but
also
now
opening
up
large
sites
to
do
so,
meaning
dodger
stadium,
padres
stadium,
cal
expo
these
large
mass
vaccination
sites.
You
start
to
see
those
coming
up
as
early
as
this
week.
B
You'll
see
many
many
more,
but
these
are
just
three
sites
that
will
be
coming
up
this
week,
so
this
is
encouraging,
and
this
is
again
part
of
that
flywheel.
I
know
it
can't
go
fast
enough
that
all
of
us
should
be
should
anticipate
and
expect,
as
it
relates
to
increasing
that
last
mile
for
administration
get
it
out
of
the
freezer
into
people's
arms.
These
vaccines,
372
million
dollars,
is
the
budget
that
we
submitted
to
the
legislature
on
friday.
B
This
is
372
million
dollars
for
it
upgrades
I'm
going
to
have
more
on
that
later
this
week,
logistics,
commodities,
public
education
campaign.
More
on
that
in
a
moment.
In
addition
to
this
we
mentioned
on
friday,
we
anticipate
350
million
dollars,
we're
going
to
get
the
details
of
that
and
the
rules
attached
to
it
from
the
latest
stimulus.
B
Public
education
campaign
I
mentioned
just
a
moment
ago,
we're
focusing
on
the
key
message
of
safety
and
efficacy.
We're
also
focusing
on
this
query
that
we
get
all
the
time,
which
is
how
much
is
going
to
cost
it
does
not
cost
you
to
get
this
administered.
Information
is
private,
it's
protected
and
then
this
encouraging
message
around
the
importance
and
imperatives
of
continuing
to
to
wear
a
mask
and
wear
a
face
covering
even
after
you've,
gotten
that
first
dose
that
first
shot
and
the
whole
predicate
the
whole
foundation.
B
The
value
proposition
we
bring
into
the
campaign
is
meeting
people
where
they
are
and
more
on
that
right.
Here
we
want
to
make
sure
we
build
on
our
engaged
and
trusted
messenger
strategy
that
is
well
established
through
previous
programs,
particularly
around
the
census,
so
we're
going
to
build
on
the
past
campaign.
B
This
is
more
got
the
air
campaign.
This
is
more
the
bottom
up
campaign
and
we're
partnering
with
150
cbo's.
These
are
community-based
organizations,
non-governmental
organizations
with
philanthropy,
40
ethnic
media
outlets,
18
different
languages.
This
gives
you
a
sense,
I
hope,
of
how
we
are
looking
at
our
messaging
strategies.
Our
public
outreach
strategies
very
comprehensively,
not
just
top
down,
but
with
that,
let
me
go
to
a
psa
two
psas.
Actually,
that
highlight
a
little
bit
of
some
of
the
new
messaging
build
on
the
existing
messaging
package.
B
C
Covet
19
vaccines
have
arrived,
they've
been
recommended
by
california's
top
medical
experts,
because
they've
been
proven
to
be
highly
effective
and
will
build
your
immunity
against
cobit
19..
They
will
be
available
at
no
cost.
The
cova
19
vaccine
can
help
protect
you
and
your
family
and
end
the
pandemic
and
remember,
keep
wearing
your
mask
even
after
you've
been
vaccinated
to
learn
more
visit.
D
B
So
it's
just
a
an
example
of
two
of
the
new
pieces
that
we're
putting
out.
This
will
complement
again
a
lot
of
what
we've
already
been
doing
and
you'll
be
seeing
a
lot
more.
We
hope
to
invest
with
the
support
legislature-
40
million
dollars
in
this
campaign.
In
addition
to
that,
we
want
to
build
even
more
investment
into
our
partnership
program
with
cbo's
ethnic
media
and
the
likes
so
substantial
and
significant
effort
in
this
space,
a
lot
of
the
resources
that
we
hope
to
be
investing
over
the
course
the
next
number
of
months.
B
We
will
look
to
be
supported
and
advanced
with
the
collaborative
spirit
now
that
we've
already
received
for
well
over
a
year
with
the
california
legislature,
and
in
addition
to
that,
just
the
ongoing
support
we
seek
from
philanthropy.
That's
been
essential
in
terms
of
a
lot
of
the
creative
work.
That's
been
provided
and
a
lot
of
creative
thinking
that
has
also
been
advanced
throughout
this
process
and
a
lot
of
the
social
media
side,
not
just
the
more
broadcast
side
of
the
equation.
B
Speaking
of
something
that
is
well,
I
don't
know
it's
creative,
but
it's
interesting
at
least
to
me
and
I'll
tell
you.
It
certainly
was
this
morning
with
my
household,
my
four
kids
that
and
and
excuse
them-
and
forgive
me,
seemed
more
intrigued
by
this
slide
that
we
were
working
on
than
anything
else
related
to
this
pandemic
because
their
love
for
animals.
We
have
two
gorillas
at
the
san,
diego
zoo
that
now
have
tested
positive
for
covid19
two
that
have
been
tested
positive.
B
We
have
another,
that's
symptomatic
we're
con
currently
confirming
the
source
of
the
infection
and
the
strain.
There
is
some
question:
did
it
come
human,
animal,
that's
being
determined
and
one
has
to
respect
that
process
and
the
adjudication
of
the
facts,
but
nonetheless
assistant
area?
B
Obviously,
we
are
concerned
about
and
san
diego
zoo
best
of
the
best
they've
tested
now
formally
the
two
positive
but
three
are
symptomatic
and
we
are
likely
to
see
more
information
about
this
in
real
time
in
the
next
hours,
not
just
days,
but
I
thought
I'd
just
bring
it
up
because,
as
I
say
often
to
all
of
you
what
tends
to
resonate
in
my
house,
I
want
to
make
public
to
you
in
real
time
and
that's
the
update
in
terms
of
the
status
of
these
guerrillas
in
the
san
diego
zoo.
B
So
with
that,
we're
happy
now
to
take
any
questions
and
for
what
it's
worth.
I'm
not
only
joined
today
by
dr
galley,
but
by
yolanda
richardson
runs
our
gov
ops,
who
is
also
key
partner
in
our
logistics
and
operations
around
the
vaccinations
as
well,
and
so
all
three
of
us
are
available
to
answer
any
questions.
F
Hi
governor
we've
been
in
touch
with
the
california
board
of
registered
nursing,
who
has
been
in
contact
with
the
state
with
hopes
to
allow
30,
000
nursing
students
who
have
just
been
trained
and
certified
to
administer
vaccines
to
help
aid.
The
backlog-
and
I
know
you
alluded
to
a
thousand
other
workers
that
will
be
assisting
with
that
effort
in
the
coming
week.
But
I
was
curious
if
you've
specifically
heard
about
nursing
students,
and
would
you
consider
that.
B
Yeah,
in
fact
enthusiastically,
so
our
fire
agencies
and
our
nursing
schools
will
be
essential
and
critical
and
we
are
engaging
them
in
terms
of
the
vaccination
protocols
moving
forward.
I
want
to
just
distinguish-
and
I'm
going
to
turn
this
over
to
yolanda
and
dr
gally
talk
more
about
those
efforts,
and
I
appreciate
the
query
I
just
want
to
distinguish.
The
thousand
staff
is
specific
to
the
surge
in
the
icus
and
hospitals,
as
it
relates
to
the
vaccinators
and
expanding
the
scope
and
expanding
the
practice
of
administration.
B
That's
separate
in
nursing
schools
and
fire
agencies.
Among
many
many
others,
you
saw
that
list
are
are
being
sought
to
secure
that
last
mile
distribution
and
administration
of
the
vaccine,
dr
galley
and
yolanda.
Perhaps
you
you
can
amplify
that
a
little
bit
more
in
terms
of
the
status
of
our
nursing
school
conversations,
in
particular.
G
Yolanda,
you
may
have
certainly
more
updated
information,
but
throughout
this
whole
pandemic,
we've
looked
to
the
potential
use
of
our
nursing
students,
as
well
as
other
folks,
some
retired
nurses,
others
who
have
been
out
of
practice
for
some
time
but
who
might
want
to
lend
a
hand
so
that
idea
of
using
the
nursing
students
first
came
up
as
a
potential
resource
to
support
our
surge
efforts
very
very
early
on
and
now
with
vaccines
seems
like
a
great
fit.
So
I
know
we're
deep
into
some
of
those
conversations
yolanda.
G
You
may
want
to
add
more,
but
it
is
certainly
a
large
resource.
I
know
that
students
in
healthcare
are
often
eager
and
interested
to
give
back
and
contribute.
So
this
is
a
perfect
way
to
match
both
that
experience
as
well
as
a
way
to
support
the
state
in
its
fight
against
covet.
J
Hi
governor
last
week,
you
mentioned
that
the
state
was
conducting
a
survey
of
health
care
workers
who
were
declining
the
vaccine
to
try
to
get
a
handle
on
how
many
people
were
doing
that.
So
has
the
state
completed
that
and
what
have
you
learned
and
then
just
to
be
clear?
Are
we
opening
the
vaccine
to
tiers
1b
and
1c
across
the
board,
or
at
this
point,
is
that
only
if
there
are
extra
available
doses
at
a
risk
of
going
to
waste.
B
Yeah,
it's
the
latter.
It's
only
if
and
dr
gally
can
pull
that
out
a
little
bit
more.
So
we,
the
survey,
was
not
just
about
people
that
are
saying
yes
or
no.
It
was
more
comprehensive
about
what
are
the
issues
in
the
last
mile?
What
are
the
issues
on
that
last
inch
as
it
relates
to
people
that
may
refuse?
I
want
to
provide
this
slide
if
you
could
take
a
look
here.
This
is
interesting.
Just
it's
some
of
the
preliminary
data.
B
That's
come
back
to
your
question
and
dr
galley
can
talk
more
about
this
at
uc.
Just
at
the
uc
system,
only
two
percent
of
our
healthcare
workers
have
declined
or
postponed
receiving
a
vaccine.
This
sort
of
flies
in
the
face
of
some
of
the
national
data.
B
That's
come
out
that
there's
a
that's
a
large
percentage
of
people
declining
at
least
in
our
system,
based
upon
this,
this
current
survey
and
this
information
updates
consistently
that's
the
case
and
just
for
what
it's
worth,
calvet,
five
out
of
our
eight
homes,
health
clinics,
81
percent
of
the
eligible
residents
have
regime
vaccine
and
over
half
the
staff
has
received
vaccines.
B
It
gives
you
a
sense
of
the
magnitude
of
people
that
are
happy
to
accept
the
the
vaccines
and
gives
you
a
sense
that
that
perhaps
we
are
are
more
successful
in
terms
of
that
last
inch
than
some
had
feared.
That
said,
dr
galli,
perhaps
you
can
fill
in
some
blanks
in
terms
of
that
survey
and
some
of
the
results
that
have
come
back.
G
Yeah
governor
absolutely,
the
survey
was
pretty
comprehensive.
It
reached
out
to
many
of
the
counties
that
are
doing
work
to
not
just
do
vaccines,
but
manage
surge,
keep
up
the
work
with
testing
and
contact
tracing,
and
we
learned
quite
a
bit
there.
What
the
various
counties
need
by
way
of
support
some
of
this
here.
What
are
we
hearing
about
different
individuals,
accepting
the
vaccine
declining
and
deferring
we're
learning
that
not
just
do
people
decline,
but
they
say
they
want
to
wait
a
little
longer.
They
want
to
see,
see
how
this
all
comes
together.
G
So
there's
all
of
that
information,
some
of
the
top
things
that
we
heard
were
you
know
additional
support
on
staffing,
the
things
the
governor
just
mentioned
around
nursing
students,
emts
paramedics,
others
who
can
help
on
the
vaccination
front,
our
various
associations,
california,
medical
association,
dental
association,
pharmacy
association,
all
of
these
as
vital
resources
to
help
meet
those
needs
at
the
local
level,
the
mass
vaccine
sites
to
make
sure
that
we're
able
to
get
as
many
people
vaccinated.
I
think
that
what
we
knew
all
along
was
different
healthcare
settings.
Different
counties.
G
We're
going
to
experience
this
differently,
wherein
the
ucs
might
have
a
very
low
level
of
declining
vaccine
among
their
staff
and
their
patients.
Other
communities
might
have
higher
rates
of
declination
so
working
to
get
that
not
just
in
one
or
two
spots,
but
throughout
the
state
is
one
of
the
key
goals
and
making
sure
that
we
address
that
effectively,
not
just
through
additional
resources
to
help
provide
the
vaccine,
but
the
messaging
the
psa
campaign.
You
saw
a
little
bit
of
it
today.
K
Thank
you
for
taking
my
question.
I
either
one
that's
more
philosophical,
in
other
words,
real
technical.
If
I
can
ask
them
at
once,
if
the
state's
fine-tuned
approach,
looking
not
just
of
aids,
but
it
occupations
and
other
factors,
it
does
not
have
a
hand
in
slowing
the
process
down
compared
to
what
we
see
in
other
states
like
solidarity
and
texas,
and
one
of
the
other
technical
questions
that
I
have
is
some
of
the
states
have
set
up
the
appointment
system
for
vaccinations.
B
That
may
be
right,
dr
gali,
you
want
to
take
that.
G
Sure
so
we
we,
as
we've
said
you
know
some
last
week
the
idea
that
our
tiering
and
phases
has
slowed
us
down.
We
have
certainly
begun
to
address
that
working
closely
with
our
providers
and
our
counties
to
make
sure
the
message
that
all
individuals,
in
that
tier
1a
can
be
vaccinated
immediately.
There
shouldn't
be
a
difference
between
the
first
tier
and
the
third
tier
in
1a,
and
then
ensuring
that
counties
that
have
successfully
and
health
providers,
who
have
successfully
made
an
effort
and
moved
through
their
1a
are
able
to
begin.
G
G
Around
enforcement
we've
talked
very
clearly
about
the
fact
that
we
don't
want
people
profiting
from
use
of
the
vaccine
selling
the
vaccine,
providing
it
to
the
highest
bidder,
but
also
that
we
can't
afford,
with
this
scarce
resource,
to
have
any
waste
so
really
working
over
the
last
many
days
weeks
with
our
direct
partners,
who
are
the
vaccinators,
sending
the
message
that
we
we
need
to
make
sure
that
we
use
what
we
have
in
our
freezers.
That
we
get
them
out.
That's
part
of
the
reason
we
have.
G
The
million
dose
va
dose
goal
that
we
set
last
week
and
making
sure
that
we
really
do
create
an
ability
for
a
number
of
our
vaccinators
to
work
through
that
as
quickly
as
possible.
We
recognize
that
the
focus
on
risk
and
exposure
is
an
important
one.
G
We've
talked
about
from
the
beginning
the
role
of
the
essential
workers,
those
on
the
front
lines
of
whether
it's
in
our
hospital
and
healthcare
facilities,
whether
it's
in
our
food
industry
or
other
key
places
that
keep
california
going,
making
sure
that
that
unavoidable
potential
exposure
is
protected
with
some
vaccines.
So
the
goal
of
making
sure
that
the
state
and
our
counties
and
many
many
others
in
fact
clear
the
way
so
that
we
can
get
vaccine
out
as
soon
as
it
comes
into
the
state,
is
a
key
goal.
B
A
reminder:
the
third
leg
of
that
stall
risk
exposure,
equity,
so
risk
exposure
equity
with
that
age
overlay.
E
B
We
as
needed
on
the
latter
and
the
answer
is
pretty
self-evident.
For
anyone
who's
been
around
the
capitol
that
everybody
is
on,
I
think
a
high
alert
in
terms
of
just
making
sure
that
everybody
is
safe
and
protected.
B
People's
free
speech
can
be
advanced,
but
there's
no
violence,
and
so
those
operational
decisions
are
with
the
california
highway
patrol
and
I'm
happy
to
encourage
them
to
talk
to
you
a
little
more
detail
extent.
We
can
socialize
some
of
the
operational
plans
appropriately,
but
I
can
assure
you
we
have
heightened
heightened
level
of
security
as
it
relates
to
some
concerns.
I
Thank
you,
governor,
hey
governor.
This
was
that
the
other
day
and
I
just
wanted
to
revisit
it.
What
is
your
current
stance
on
the
call
for
impeachment
or
invocation
of
the
25th
twenties.
B
I'm
all
for
it,
but
I'm
really
right,
so
you
got
it.
So
let
me
just
but
I'm
trying
to
get
291
folks
in
the
department
of
defense
trying
to
get
more
support
from
all
levels
to
bring
down
I'm
just
I'm
being
kind
of
with
you.
I'm
focused
on
this
vaccine
distribution.
I'm
focused
on
the
surge
I'm
trying
to
drive
to
get
us
through
this
extraordinarily
challenging
period,
and
I
appreciate
that
focus
and
I
support
it
claire,
but
that's
not
my
focus
right
now.
B
M
Hey
governor
good
afternoon,
I'm
actually,
my
question
is
for
dr
galley,
dr
galley,
in
a
press
conference
last
week,
your
wife
indicated
that
los
angeles
is
an
encrypted,
is
basically
at
a
crippled
point
in
terms
of
oxygen
supplies.
Governor
newsome,
I
believe
you
ordered
more
trucks
in
for
the
la
county,
medical
examiner's
office.
M
Where
are
we
sitting
in
terms
to
address
that?
Also
with
the
minority
populations?
I've
been
trying
to
get
the
breakdowns
on
the
numbers
to
see
how
the
black
asian
latino
and
even
our
own
lgbtq
community
are
being
impacted
as
all
this
is
going
on.
In
the
background
you
know,
where
are
we
actually
at
with
that,
because
this
is
getting
a
little
scary
here,
in
los
angeles.
G
Brady
for
the
question
and
and
I'll
tell
you
that
a
lot
has
come
together
in
the
past
many
days
as
it
relates
to
oxygen.
I
mean
these
are
many
weeks
in
the
making
working
with
specific
facilities
working
along
the
region.
Lots
of
progress
in
terms
of
addressing
the
specific
needs
of
certain
facilities,
certain
hospitals
that
have
a
need
and
issues
with
oxygen,
but
even
more
working
on
making
sure
oxygen
is
available
to
those
who
those
who
are
maybe
able
to
be
discharged
into
the
community
and
go
back
home
with
home
oxygen.
G
So
at
three
levels,
addressing
the
supply
within
the
specific
hospital
systems,
making
sure
that
the
county
broadly
has
access
to
additional
oxygen
so
that,
if
a
facility
reaches
internal
disaster
from
the
point
of
view
of
oxygen,
need
that
we're
able
to
circumvent
that
and
make
sure
that
they
have
enough
and
then
ensuring
that
the
home
oxygen
delivery
systems
that
we
often
rely
on
often
depend
on
to
support
people
to
go
home
that
that
isn't
delayed
in
any
way.
So
all
three
of
those
efforts
are
well
underway.
G
A
lot
of
engagement
with
the
army
corps
of
engineers
identifying
specific
facilities,
not
just
in
l.a
county,
but
in
southern
california,
broadly,
that
could
benefit
from
some
improved
upgrades
to
their
oxygen
delivery
systems.
So
all
of
that
is
in
place
and
at
this
moment
the
capability
to
address
facility
by
facility.
Those
needs
is
real
working
closely
with
the
county
and
making
sure
that
those
are
addressed.
So
I
think
a
lot
of
progress
in
the
last
week.
G
I
think
some
encouraging
news
on
that
front
and
really
proud
of
the
work
that
the
teams
of
the
state
did
with
our
local
partners
a
lot
of
private
partners
and
federal
partners
to
make
this
situation
better.
Also.
B
Remind
folks
we,
we
created
this
oxygen
work
group
many
many
weeks
ago
to
address
the
issue
related
to
demand,
and
last
week
we
put
out
a
deck
of
slides
socializing,
some
of
the
improvements
we've
made
in
terms
of
supporting
our
efforts
at
the
local
level
and
expanding
our
reach
nationally
in
terms
of
getting
more
assets
more
resources.
So
these
mobile
oxygen
systems
have
been
leased.
We've
increased
access
to
this
home
oxygen
strategy,
which
dr
gally's
talked
about
in
the
past.
B
We've
got
these
response
teams
specific
oxygen
response
teams
down
in
the
la
region,
and
we
have
these
oxygen
concentrators
that
are
already
deployed.
So
we
we
laid
out
a
lot
more
details,
then
than
this
slide
provides,
but
it
gives
you
a
sense
of
the
urgency
of
focus
in
this
area
and
while
things
are
materially
better,
that
is
not
shared
equally
meaning.
There
are
issues
and
we
are
acknowledging.
M
N
To
move
into
1b
and
some
of
the
lower
categories
more
quickly
before
1a
is
done
and
for
dr
galley,
if
you
could
comment
on
the
decline
in
the
increase
of
hospitalization,
is
that
due
to,
in
fact
the
holiday
surge
not
being
as
bad
as
feared,
or
is
it
more
due
to
hospitals
transferring
out
the
less
critical
patients?
Thank
you.
B
Well,
that's
it's
the
right
question
and,
and
all
just
because
you
asked
the
doctor
I'll,
let
him
answer.
I
have
strong
thoughts
on
that
as
well
and
and
and
I'll
turn
it
over
to
dr
galley
just
says:
look
as
it
relates
to
the
first
part
of
your
question.
Equity
focus
on
vaccinating
the
vaccinators,
making
sure
we're
taking
care
of
our
most
vulnerable
in
congregate
facilities
remains
our
top
priority.
We're
not
abandoning
equity,
we're,
not
abandoning
exposure,
we're
not
abandoning
the
issue
of
risk,
we're
not
abandoning
the
issue
of
of
age.
B
So
no
is
the
answer,
but
we
can
do
both
it's
an
and
not
an
or
as
we
get
more
vaccines,
meaning
we
get
more
doses
and
we
anticipate
many
more
doses
that
will
allow
us,
with
the
flexibility
of
the
rules
that
we
put
forward
the
ability
to
provide
the
resources
and
support
at
these
mass
vaccination
centers
that
still
allow
us
to
maintain
that
thrust
of
focus.
Dr
galley,
perhaps
you
can
build
on
that
first
and
then
answer
more
specifically
on
the
second
part
of
that
question.
G
Yeah
and
governor
you,
you
hit
it
right:
the
focus
on
equity,
the
ability
to
use
these
max
vaccination
sites
as
additional
touch
points
where
people
can
get
vaccinated
in
these
early
groups
is
going
to
allow
us
to
reach
that
goal.
G
We
want
to
get
out
vaccine
as
quickly
as
we
can
in
california,
starting
with
those
who
are
going
to
be
in
charge
of
vaccinating
the
rest
of
us,
making
sure
that
they're
protected
and
safe
on
the
front
lines
of
the
surge
on
the
front
lines
of
the
vaccine
sites
on
the
front
lines
of
the
testing
centers,
but
then
also
that
key
focus
on
you
know
really
driven
by
equity.
We
know
who's
sort
of
shouldered
the
brunt
of
this
pandemic.
G
We've
been
tracking
that
in
our
data
for
many
many
months,
sharing
it
with
you
and
making
sure
that
we
don't
overlook
them
and
do
all
that
we
can
to
engage
them
in
our
vaccine
efforts,
while
keeping
an
eye
on
the
ability
to
move
forward
into
those
other
phases
and
those
other
tiers,
so
that
more
californians
can
get
that
reach.
So
not
just
really
focusing
on
these
phases
and
tiers,
but
setting
up
a
number
of
vaccination
sites
under
the
excellent
amazing
leadership
of
secretary
richardson
working
with
our
local
partners
to
get
that
set
up.
G
First,
it
comes
with
a
slight
dip
and
plateau
in
the
case
numbers
and
then
you'll
see
the
hospital
numbers
followed
later
with
the
icu
numbers
begin
to
plateau.
That
said,
we
are
still
concerned
that
over
the
last
week,
we've
seen
some
high
case
numbers
and
those
will
end
up
in
our
hospital.
You
know
five
10
days
from
now,
so
I
don't
want
to
think
that
we're
out
of
the
woods
in
any
measure.
We
are
still
focused
on
the
middle
of
this
month,
the
end
of
this
month
as
really
peak
times
for
our
hospital
numbers.
G
But
we
are
grateful
and
expected.
Given
the
choices
we
made,
the
policy
decisions
that
we
would
see
a
slight
flattening
now
buy
a
little
breathing
room
get
into
this
period
when
registry
staff
are
more
available
that
we're
able
to
bring
them
into
the
california
healthcare
delivery
system
to
meet
the
needs
of
of
patients
and
we're
beginning
to
see
some
of
that
right
now.
G
B
Dr
galli
and
perhaps
let
me
sort
of
expand
on
the
question
and
just
offer
you
a
chance
to
illuminate
us
further
in
the
conversations
we
have
almost
hourly
as
it
relates
to
our
the
fundamental
question
of.
Are
we
experiencing
that
holiday
surge
that
so
many
of
us
feared
now
yeah
christmas
hanukkah
christmas?
You
know
25th
christmas
now
we're
in
getting
in
the
second
week
of
january.
You
should
start
experiencing
some
of
that
that
sign
you've
got
obviously
new
year's.
Where
are
you?
Where
do
you
where's?
What's
your
sense
of
our
you
know?
G
Yeah,
so
if
you
look
at
where
california
was
on
january
5th,
which
would
be
sort
of
right
in
the
middle,
where
you'd
expect
those
admissions
coming
in
from
maybe
christmas
gatherings
or
late
hanukkah
gatherings,
we
saw
a
pretty
high
number
of
day
over
day
net
increase
in
hospital
numbers
of
about
3
500
total
admissions
over
the
last
day
or
two
we've
seen
that
number
come
down.
2500
admissions
yesterday,
that's
a
significant
difference.
G
Now
I
share
that
trend
in
part
to
say:
yes,
we're
hopeful
that
we're
seeing
the
surge
now
and
it
isn't
as
significant
as
we'd
anticipated,
but
we
still
have
a
few
more
days
before
we
can
confidently
say
that
it
isn't
as
high
as
we
had
feared,
but
we're
hopeful
that
that
will
be
the
case,
even
though
I'll
just
emphasize
that
we
do
see
some
numbers
in
cases
over
the
last
few
days.
G
That
we
expect
will
continue
to
impact
our
hospitals
and
that's
why,
as
the
governor
put
out,
we
continue
to
reach
out
to
get
additional
staff
for
the
hospitals,
we're
continuing
to
assess
the
oxygen
situation,
making
sure
that
the
911
systems
are
robust
and
able
to
go
to
the
places
with
capacity
that
really
hand-to-hand
work
with
our
counties
and
our
hospitals
at
the
local
level
is
going
to
carry
us
through
the
next
couple
of
weeks.
But
absolutely,
I
think,
we're
in
the
early
parts
of
that
holiday
surge.
G
B
Moment,
emphasis
at
the
moment,
but
this
week
in
so
many
ways
will
be
determinative
and
we
look
forward
to
those
updates.
But
I
appreciate
that
additional
clarification
doctor
and
again
just
I
don't
want
folks
to
run
with
anything
until
we
really
have
the
benefit
of
all
of
these
data.
All
this
data,
but
I
remind
people
just
in
you-
know,
sort
of
closing
out
this
question
that
the
monday
data
we
always
you
know
we
really
want
to
see.
B
That's
why
dr
gali
updates
you
on
tuesday,
we'll
we'll
know
a
little
bit
more
as
dust
settles
over
the
weekend
data
and
the
reporting
lags
that
we
often
receive,
as
I
said
this
week,
will
be
profoundly
significant
in
terms
of
being
able
to
definitively
answer
that
question.
L
Governor
when
it
comes
to
the
educational
approach
to
businesses-
yes,
some
are
just
not
heeding
that
some
counties
that
I've
spoken
to
have
received
an
increase
in
complaints,
so
a
business
is
operating
when
they
shouldn't
be
operating.
Are
you
seeing
this
statewide,
and
I
would
imagine,
is
it
concerning
and
realistically
how
can
you
respond
to
individual
businesses
that
are
continuing
to
operate?
The.
B
B
You
should
be
receiving
it
momentarily
about
the
enforcement
that
we've
done
over
the
course
of
the
last
number
of
months
and
the
fact
that,
through
those
enforcement
check-ins
the
alcohol
beverage
control
board
of
cosmopolitan
and
others,
the
overwhelming
majority
of
businesses
are
doing
the
right
thing
and
are
holding
strong
against
all
of
the
headwinds
in
terms
of
their
own
economic
reality
and
vulnerabilities,
and
so
we're
seeing
more
and
more
people
doing
the
right
thing
than
we
are
people
that
are
are
simply
thumbing.
B
Also
see
that
also
in
terms
of
local
enforcement
and
the
partnerships
in
in
counties
large
and
small,
and
working
with
sheriffs
up
and
down
the
state
of
california,
but
there
are
areas
where
there's
stubborn,
pushback
and
and
as
those
things
are
called
out,
we
are
doing
direct
contacts
and
we
are
enforcing
those
rules
and
regulations,
not
just
in
terms
of
retail
operations,
sort
of
units,
but
also
larger
manufacturers
up
and
down
the
state.
B
And
so
we
will
provide
you
that
enforcement
information,
as
we
put
out
last
week,
we'll
have
an
update
for
you
as
well
on
the
basis
of
what's
occurred
over
this
last
reporting
period.
Give
you
a
sense
of
all
the
warnings
we
put
out
the
compliance
that
was
immediate
after
those
warnings
and
in
those
few
cases
where
we
unfortunately
had
to
move
forward
with
more
aggressive
enforcement
action.
There
are
outliers
unquestionably
and
working
with
our
local
partners
as
the
tip
of
the
spear.
B
In
terms
of
that
enforcement,
we
try
to
do
our
best
to
address
those
head-on,
as
it
relates
to
your
questions.
Thank
you
all
of
you
for
the
opportunity
to
give
this
update
and
and
answer
those
questions
we'll
provide
that
information
that
we
promised
to
a
number
of
you
that
asked
for
it
or
at
least
provide
you
more
detail
and
information
wanna.
B
We
look
forward
to
tomorrow's
update
from
dr
galley
and
we
look
forward
to
updating
you
in
real
time
over
the
course
of
this
week,
as
it
relates
to
resources,
as
it
relates
to
the
surge
as
it
relates
to
our
vaccination
efforts
and,
of
course,
all
of
our
efforts
to
work
through
this
very
challenging
economic
period,
particularly
for
our
small
businesses
up
and
down
the
state.
With
that
look
forward
to
reconvening
very
very
shortly.