►
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 November 10, 2020.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
B
Good
afternoon
nice
to
be
with
you
again
this
afternoon,
we
have
a
lot
of
information
to
go
over,
given
where
we
are
with
cases
and
and
just
the
environment
in
california.
So
we're
excited
to
dig
right
in
so
this
the
map
of
the
united
states.
I
think
many
of
you
have
been
watching
it
either
on
your
nightly
news
or
in
the
newspapers
or
on
the
web,
and
you
see
that
many
states
in
california
are
experiencing
high
increases
in
case
rates.
B
So
we
we
see
that
the
midwest
experiencing
quite
a
significant
increase
in
cases,
but
really
states
right
next
door
to
us
where
they've
experienced
surge
california
as
you've
been
tracking
over
the
past
couple
days.
We
ourselves
have
seen
increase
in
cases
as
well
in
many
parts
of
our
state,
something
that
we're
closely
watching
and,
in
the
backdrop
of
our
tier
assignments
today,
really
gives
that
context.
B
I
like
to
think
of
it
as
the
the
sort
of
level
of
coveted
transmission
is
generally
higher
in
this
environment
than
we've
seen
over
the
past
many
weeks.
B
What
are
we
seeing
in
terms
of
case
numbers
today,
5
367
reported
cases
today
I'll
remind
you
that
our
tuesday
reporting
number
is
really
looking
at
a
24-hour
period
from
sunday
morning
to
monday
morning.
We
work
through
validate
those
cases
over
monday
afternoon
into
the
evening
and
then
report
them
today,
tuesday.
So
this
reflects
sunday
data
that
is
often
lower
in
terms
of
the
number
and
reported
you
saw
in
the
previous
couple
of
days,
where
we've
had
case
numbers
over
seven
thousand
statewide
altogether.
B
That's
why
we
look
at
the
seven
day
average
over
six
thousand
cases
as
our
seven
day,
average
total
test
and
test
positivity
we've
seen
increase
in
test
numbers,
176
000
over
176
000
tests
done
and
then
our
14-day
test.
Positivity
is
three
point:
seven
percent
I'll
tell
you.
We
also
tracked
the
seven
day
test
positivity,
which
is
four
point:
two
percent.
We
hadn't
seen
test
positivities
above
four
since
the
end
of
august
early
september,
just
in
terms
of
context
of
where
we
are.
B
So
14
day
test
positivity
2.9
back
in
october
today,
just
two
weeks
later
3.7.
B
B
So
we
have
spent
quite
a
bit
of
time.
Speaking
about
all
of
the
things
that
we
should
do
to
reduce
our
risk.
We
wanted
to
take
a
moment
to
discuss
what
is
what
are
the
higher
risk
or
high
risk
situations.
B
Similarly,
activities
where
you
see
people
who
you
haven't
seen
recently
so
people
outside
of
your
household
also
create
a
higher
risk
situation
and
I'll
just
say.
We
often
feel
this
the
most
with
people
who
we're
close
to
so
extended
family,
our
closest
friends,
but
even
if
we
haven't
seen
them
for
a
while,
just
because
they're
close
to
us
personally
doesn't
mean
that
they
have
a
lower
risk
of
either
passing
coveton
to
you
or
having
coveted,
come
from
you
to
them.
B
So
we
want
to
be
very
careful
not
just
with
those
we
don't
know
from
outside.
Of
our
household,
but
even
those
that
we
know
quite
well
who
aren't
part
of
our
immediate
household,
we
also
know
that
activities
where
it's
difficult
to
keep
your
distance,
create
a
higher
risk.
So
imagine
multiple
people
at
a
small
table,
either
playing
a
board
game
or
having
and
sharing
a
meal
activities
of
longer
duration.
B
We
also
know
create
a
higher
risk
and
activities
that
don't
allow
in
spaces
that
don't
allow
plenty
of
fresh
air
to
circulate,
also
create
a
higher
risk
situation.
We've
talked
to
you
for
many
many
months
about
the
importance
of
outdoors
versus
indoors.
This
is
really
one
of
the
manifestations
of
this
point,
but
also
the
ability,
even
when
indoors,
to
have
the
windows
open
the
doors
open
to
make
sure
that
as
much
fresh
air
from
outside
is
circulating
inside
an
important
feature
of
reducing
risk
as
well.
B
So,
instead
of
just
showing
you
all
the
things
that
we
advise
in
terms
of
reducing
risk,
we
wanted
to
show
you
exactly
what
those
features
of
activities
look
like
that
increase
risk
of
covet
transmission.
B
So
this
is
a
curve
that
I'm
going
to
walk
you
through
we're
going
to
use
this
more
and
more
in
the
future
and
I'll
explain
why
in
a
moment.
But
the
point
of
this
is
to
show
you
exactly
how
some
of
the
points
made
in
the
previous
slide
actually
manifest
in
case
transmission
across
california.
So
this
is
california's
epidemiologic
curve
and
what
we
mean
by
that.
It's
sort
of
you
know
the
scientific
way
to
say
how
we
allocate
various
cases
and
what
this
shows.
B
Each
blue
bar
and
the
height
of
the
blue
bar
shows
a
certain
number
of
cases
that
are
attributed
to
a
specific
day.
So
this
isn't
the
day
that
the
test
result
came
into
the
state.
It's
not
even
sometimes
the
day
that
this
test
was
processed
or
the
test
was
collected.
It's
actually
the
day
that
we
believe
is
the
day
that
that
person
who
tested
positive
had
their
first
set
of
symptoms
or
indications
that
they
were
exposed
and
positive
with
covid.
B
So
when
you
look
at
this
curve,
you'll
see
early
on
on
the
left
side,
those
early
march
mid-march
and
early
april
days
after
we
did
the
the
the
first
red
line
that
you
see
going
vertically
is
when
we
did
as
the
state
the
first
state
in
the
nation
to
do
a
stay-at-home
order.
And
we
see
what
was
a
orange
curve
yellow
curve.
That
was
going
upwards
begin
to
flatten.
B
That's
our
first
effort
to
really
flatten
the
curve,
and
we
did
a
pretty
tremendous
job
over
those
first
first
many
months
of
our
response
to
covet
and
then
the
second
vertical
line
shows
when
we,
after
seeing
some
increase
in
our
openings,
an
increase
in
mixing
and
increasing
cases
when
we
did
statewide
our
stay
at
home
or
sorry,
our
statewide
masking
order,
which
really
advised
all
of
our
citizens
to
wear
a
mask
in
many
many
of
the
settings
outside
of
their
household.
B
And
at
that
point
you
see
over
the
next
few
weeks
that
we
begin
to,
even
though
it's
pretty
steep.
That
rate
of
rise
starts
to
reduce
and
we
start
to
see
us
working
towards
the
peak
of
our
first
real
surge
in
cases
in
california.
B
The
last
red
vertical
line
right
around
the
middle
of
july,
shows,
when
we'd
seen
such
high
levels
of
cases
that
we
put
more
of
our
sectors
that
were
open
out
indoors
and
we
required
them
to
close
to
indoor
activities
and
move
them
outdoors.
So
restaurants,
some
bars
and
some
regions
were
moved
outdoors.
Others
were,
in
other
reasons
they
were
closed
down
outright.
B
So
we
start
to
see
this
move
between
moving
things
outdoors,
reducing
the
number
of
activities
where
you
can't
stay
masked
throughout
the
entirety
of
the
activity
that
those
changes
were
the
ones
along
with
that
statewide
masking
order
were
the
actions
that
helped
us
bring
down
the
curve
from
those
high
peaks
in
the
middle
of
july
and
begin
to
move
into
the
really
flattened
curve
that
we
enjoyed
over
the
last
many
weeks,
you'll
see
at
the
very
far
right
that
yellow
shaded
portion
that
the.
B
We
are
watching
things
very
closely
and
that
is
why
today's
announcement,
when
dr
pond
announces
the
tears
you'll,
see
a
number
of
counties
moving
from
towards
a
more
restrictive
tier
as
we
expected
and
anticipated
even
last
week.
B
So
again,
this
is
a
reminder.
We
have
done
a
lot
together
over
the
last
eight
months.
Many
individuals
across
our
state
did
tremendous
things
to
decrease
transmission.
Many
of
us
wore
our
face
coverings.
We've
limited
our
mixing.
We've
avoided
crowds.
We've
continued
to
practice
those
important
things
like
hand,
hygiene,
we've
stayed
physically
distanced
and
many
of
us
when
able
have
stayed
home
when
we're
sick.
We
know
that
this
is
hard.
B
We
know
many
people
feel
exhausted.
They
feel
isolated
and
they're
impatient.
We
talked
last
week
quite
a
bit
about
covid
fatigue.
I
even
talk
about
covid
resentment.
We
know
that
this
is
hard
work,
but
we
must
do
more.
Yesterday's
hopeful
news
about
effectiveness
of
vaccines
and
what
we
hope
months
down
the
road
will
be
another
tool
that
helps
us
get
through
covid
and
through
this
pandemic
is
indeed
good
news,
but
we
know
right
now
we
must
do
more.
B
The
virus
is
not
over
just
because
we're
tired
of
it,
it
doesn't
itself
put
its
guard
down.
It
looks
for
opportunities
to
spread,
and
many
of
those
activities
that
we
highlighted
as
a
higher
risk
are
exactly
the
opportunities
for
spread
that
we
want
to
be
laser
focused
on
invite
all
of
you
to
be
our
partners
once
again
in
trying
to
reduce
risk.
C
Good
afternoon,
thank
you
very
much
so,
as
mentioned
it's
my
turn
to
talk
to
you
today
about
where
we
are
with
our
blueprint
for
california.
C
So
as
you've
seen
every
week
with
this
structure,
we
have
this
blueprint
that
we
had
unveiled,
that
that
outlines
the
criteria
for
loosening
and
tightening
restrictions
on
activities
based
on
the
levels
of
disease
transmission
that
we
are
seeing
both
at
the
county
level
and
statewide,
and,
as
I
can
remind
you,
every
county
is
assigned
to
a
tier
based
on
test
positivity,
adjusted
case
rate
and
our
health
equity.
D
C
You
have
our
red
substantial
rates
and
case
rates,
four
to
seven
positivity
rates
of
five
to
eight
percent,
and
then
the
health
equity
quartile
needs
to
have
test
positivity
rates
between
5.3
to
8.0
percent.
And
again
we
have
a
moderate
range
of
the
orange
1.0
to
3.9
case
rates,
with
the
positivity
rates
2.0
to
4.9
and
again,
our
health
equity
quartile
needs
to
be
at
2.2
to
5.2
percent
and
then
minimal
disease
transmission
in
our
yellow
is
less
than
1.0
of
case
rates
and
less
than
2.0
percent
of
test
positivity.
C
So
we
started
out
and
we
launched
this
blueprint
for
a
safer
economy
at
the
end
of
august,
and
we
started
out
with
a
really
large
proportion
of
our
state
in
the
purple
tier
and
the
widespread
tier,
and
you
can
see,
as
we
progressed
every
week,
that
we've
opened
more
and
more
and
progressed
more
and
more
counties
towards
the
right
towards
the
minimal.
We
look
at
october
27th
the
week
of
that
week
and
it
looks
there
like
that
was
probably
where
we
were
the
most
open.
C
We
had
the
least
number
of
counties
in
the
widespread
tier
with
that
has
the
most
restrictions
and
more
and
more
counties
were
on
sort
of
the
other
side
of
this,
and
the
most
counties
in
the
yellow
are
minimal
tier,
just
as
you
saw
in
that
epidemic
curve.
What
was
happening
around
the
same
time
was
that
we
started
seeing
some
slow
increases,
probably
the
beginning
of
october,
so
as
we've
seen
reopening,
which
is
anticipated,
we've
started
to
see
more
cases
and
more
and
more
concerns
about
increasing
community
transmission.
C
So
today
there
are
three
counties:
sacramento
san,
diego
and
stanislaus
county
that
are
moving
back
to
purple.
In
the
widespread
tier.
There
are
several
counties:
moving
back
to
the
red
or
substantial
transmission,
tier
amador,
contra,
costa,
el
dorado
placer
and
santa
cruz,
and
there
are
also
counties
moving
back
to
the
orange
tier
modoc,
siskiyou
and
trinity.
C
So,
to
remind
you,
and
as
dr
gally
mentioned
as
well,
all
of
your
simple
acts
can
make
a
huge
difference
for
covet
19
and
it
will
help
us
prevent
the
flu
as
well
as
we
head
into
the
usual
flu
season.
We
really
implore
all
of
you
wear
a
mask
and
maintain
six
feet
of
distance
from
others.
It's
always
really
important
to
wash
your
hands
and
go
have
good
hand.
Hygiene,
especially
before
you're
eating,
and
you
again
heard
all
the
things
that
can
be
high
risk.
C
So
it's
really
important
to
have
hand,
hygiene
that
is
actually
much
more
important
than
cleaning
surfaces
and
other
things
like
that.
It
is
much
more
important
to
be
cleaning
your
hands
washing
your
hand
before
you're,
touching
your
face
or
before
eating,
and
really
really
important
as
hard
as
it's
been
as
dr
gally
emphasizes,
minimize
mixing,
it
is
really
safest
to
stay
with
the
people
in
your
own
household
and
minimize
mixing
with
other
people
and
really
important
to
get
your
flu
shot.
I
have
gotten
mine.
I've
made
sure
everyone
that
I
love
has
gotten
theirs.
C
B
I
want
to
start
by
taking
the
first
reporter
question.
F
E
F
Questions
for
you
on
monday,
health
officials
in
la
and
santa
clara
counties
said
they're
now
in
what
they
consider
a
surge.
Would
you
consider,
california,
overall
being
in
a
new
surge
or
a
new
wave?
Are
the
main
drivers
of
the
surge
really
small
social
gatherings
and
not
other
things
like
workplaces
and
if
it
is
gathering
how
how
will
he
convince
californians
to
not
gather
during
the
winter
holidays,
given
I've
heard
from
a
lot
of
people,
some
people
really
really
want
to.
F
You
know
make
this
one
exception,
because
they
feel
like
it's
a
long
difficult
year
and
finally,
do
you
think
we'll
have
to
go
into
more
stringent
closures
than
what's
currently
allowed
in
the
purple
tier
or
do
you
think
the
purple
tier
is
really?
You
know
good
enough
in
terms
of
dealing
with
a
surge
in
cases
thanks
so
much.
B
Yeah,
I
know
thank
you
for
your
question.
Exactly
to
your
point.
We
answer,
and
I
I
enjoy
taking
time
with
each
of
you,
so
we
can
communicate
to
the
broad
public,
a
clear
message,
a
consistent
message
and
a
relatable
message
so
that
that
californians
feel
like
they're,
empowered
and
equipped
with
the
tools
they
need
to
make
good
decisions
and
reduce
risk
to
your
question
about
surge.
B
I
think
a
number
of
counties
are
indeed
experiencing
quite
high
levels
of
cases,
not
necessarily
the
highest
they've
ever
seen,
but
certainly
compared
to
the
lows
we've
been
experiencing
over
the
past
couple
months
and
that
downward
trajectory
we
are
certainly
seeing
almost
all
across
the
state,
an
upward
trajectory,
and
so
those
things
that
gives
us
concern
is
california
in
a
surge
hard
to
say
unclear
what
the
exact
definition
of
that
is,
but
clear
that
we
are
seeing
increased
cases
and,
as
dr
pond
just
outlined
first
week,
since
we
started
moving
counties
forward
to
less
restrictive
tiers
that
we've
had
no
county
move
to
a
less
restrictive
tier,
only
a
number
of
counties.
B
We
anticipate
if
things
stay
the
way
they
are
that
between
this
week
and
next
week,
over
half
of
california
counties
will
have
moved
into
a
more
restrictive
tier,
and
so
that
certainly
is
an
indication
that
we're
concerned
and
that
we're
that
that
we
have
to
keep
a
close
watch
on
what's
happening,
not
just
because
the
cases
matter
we
often
use
case
finding
in
order
to
be
able
to
identify
where
transmission
is
happening
and
to
bring
to
bear
those
tools
of
contact,
tracing
disease,
investigation
and
isolation
in
order
to
reduce
transmission
to
the
other
parts
of
your
question,
certainly,
we
constantly
look
and
determine
whether
our
tools
and
our
framework
makes
sense.
B
As
the
governor
indicated
yesterday,
we
feel
that
the
blueprint
is
working
that
exactly
at
the
time
we're
seeing
increases
in
cases
statewide.
We
are
beginning
to
see
counties
move
to
a
more
restrictive
tier.
We
talk
about
not
just
loosening
restrictions
through
the
blueprint,
but
when
needed
tightening.
So
we
believe
california
has
a
framework
that
is
going
to
help
us
get
through
the
next
many
months,
but
we
avail
evaluate
it
constantly.
B
We
do
that
in
a
timely
way
to
make
sure
transmission
doesn't
get
away
from
us
and
we've
seen
it
before,
where
little
bits
and
little
bits
of
transmission
increases
end
up,
resulting
into
quite
radical
in
what
some
people
call
exponential
or
high
rates
of
rise
transmission,
which
is
exactly
what
we
want
to
avoid.
Statewide.
G
Thanks
so
much
for
taking
our
question
doctor.
Actually,
if
you
will,
we
have
two
questions.
The
first
is
regarding
youth
sports.
Thousands
of
youth
sports
athletes
are
traveling
out
of
state
every
weekend,
just
to
compete
against
other
local
teams,
because
california
is
one
of
the
last
remaining
states
where
competition
is
still
not
allowed.
So
three
weeks
ago
you
said
the
updated
guidance
was
coming.
We
have
been
overwhelmed
with
emails
from
parents
and
coaches
who
are
desperate
for
answers.
So
doctor,
can
you
tell
us
today?
G
Are
you
more
concerned
about
kids
getting
covered
on
the
field
locally
or
contracting
it,
while
traveling
to
states
with
higher
coveted
rates
and
then
bringing
it
back
here
and
then
one
more
regarding
the
perk
and
elmer
lab
dr
galley
cbs13
has
uncovered
a
surprisingly
high
number
of
inconclusive
test
results
coming
out
of
the
state's
new
lab
in
its
first
week,
have
you
identified
a
problem
or
a
solution?
Yet.
B
Sure
so,
thank
you
for
all
the
questions.
So
look
I'm
a
father
of
four.
My
kids
are
also
desperate
to
find
out
when
they
might
return
not
just
a
to
practice
and
conditioning
but
competition
as
well.
So
I
joined
the
ranks
of
parents
who
are
concerned
and
want
to
see
california
guided
by
science
and
data,
but
also
finding
a
way
for
our
young
people
to
have
that
important
outlet
that
important
expression
of
activity.
B
B
There's
understanding
how
we
continue
to
drive
through
equity
through
our
equity
lens,
to
make
sure
that
there's
important
broad
access
to
all
of
these
opportunities-
and
I
will
say
and
say
it
to
people
who
are
you
know,
close
friends
of
mine,
others
around
the
the
state.
I
hope
that
we
find
a
way
to
hold
on
a
little
longer
that
we
understand
that
moving
into
states
and
other
areas
with
higher
transmission
is
risky,
not
just
for
that
team,
but
for
the
community
that
they
return
to.
B
B
We
are
working
to
make
sure
that
we
have
solutions
that
are
appropriate
for
a
state,
the
size
of
california,
not
just
from
the
geography
but
from
the
population
size
as
well
so
soon,
but
not
quite
today,
that
guidance
will
be
out,
and
I,
like
you,
have
heard
from
hundreds
even
close
to
thousands
of
parents
and
concerned
coaches
as
well.
So
we
are
certainly
interested
in
in
getting
this
out
soon.
With
regards
to
perkin
elmer,
a
new
lab
often
goes
through
some.
You
know
important
validation
periods.
B
We
did
identify
that
a
number,
even
a
higher
number
than
expected
of
tests
in
the
first
week
came
back
inconclusive.
We
have
been
working
closely
with
the
perkin
elmer
team,
with
our
lab
directors,
with
the
staff
to
ensure
that
we
have
identified
the
reason
for
that
and
corrected
it.
We
believe
that
we
have
only
not
not
only
time
will
tell,
but
we're
continuing
to
watch
closely
those
results
to
get
into
the
weeds
a
little
bit.
B
Certainly
one
of
the
validation
steps
that
confirms
that
the
necessary
sort
of
chemical
reaction
to
run
the
test
didn't
occur
for
some
of
those
inconclusive
tests.
We've
identified
some
of
the
issues
with
why
they
didn't
occur
and
have
since
corrected
it.
B
If
you
have
an
inconclusive
result,
we
will,
through
our
own
efforts,
try
to
expedite
the
result.
So
we
can
give
you
timely,
more
timely
information
and
until
you
get
that
result,
you
should
take
appropriate
precautions
to
protect
yourself,
protect
those
around
you
and
make
sure
we
don't
have
additional
transmission
as
we
wait
for
that
result.
G
Thank
you
very
much
for
taking
the
question.
Dr
dally.
Appointments
for
essential
workers
at
the
sf
testing
sites
appear
to
be
booked
out
for
the
next
couple
of
weeks.
I
reached
out
to
the
kova
command
center
about
that,
and
they
are
telling
abc
7
news
that
the
appointments
are
being
prioritized
specifically
for
essential
workers
who
have
symptoms
or
have
had
unknown
exposure.
G
We
know
that
a
lot
of
people
might
be
asymptomatic
or
uncertain
whether
or
not
they've
been
exposed
to
somebody
with
copin
19
and
for
those
who
are
traveling
for
the
upcoming
thanksgiving
holiday,
even
though
that
is
not
highly
recommended.
What
should
those
individuals
do
if
they
cannot
find
a
test
site
to
go,
get
tested.
B
B
So
it's
a
vital
strategy
for
california.
We
talk
about
case
finding.
We
are
serious
about
that.
We
want
to
find
the
cases
not
just
the
more
obvious
people
who
have
symptoms
and
are
likely
closely
exposed
identifying.
Those
individuals
is,
of
course,
important
and
useful,
but
equally
important
is
finding
those
people
who
may
not
know
they're
positive
so
that
we
can
help
wrap
around
them
and
ensure
they're
supported
to
reduce
transmission.
So
my
hope
is
not
just
the
site
that
you
mentioned,
but
all
sites
in
california
can
can
continue
to
allow
all
comers
to
get
tested.
B
We
will
work
with
county
by
county
to
make
sure
that
that
does
occur,
especially
as
we
continue
to
support
schools
and
other
essential
areas
of
our
our
communities,
to
not
just
stay
open
but
open
anew
and
in
terms
of
the
question
about
those
who
might
be
traveling
and
their
inability
to
get
a
covet
test
before
traveling,
as
I've
told
many
people
many
many
times
that
practicing
the
important
steps
that
we've
talked
about
wearing
your
mask
at
all
times
when
you're
with
people
that
you
aren't
with
normally
not
in
your
household
keeping
that
physical
distance
washing
your
hands
as
dr
palm
reminded
us,
is
a
very
important
piece
spending
times
outdoors
minimizing
our
interactions.
B
All
of
those
things
are
important
to
reduce
our
risk
of
transmission.
So
if
you
aren't
able
to
get
a
test-
and
even
if
you
are
right-
the
potential
false
comfort
in
a
negative
test
one
day
just
to
find
out
that
you
really
were
positive
to
next,
if
you
were
retested,
it's
the
most
important
guidance
to
continue
to
follow
these
simple
acts
that
can
not
just
help
us
keep
ourselves
safe
but
extended
family
and
others
that
we
may
see
during
the
holidays.
H
Thank
you,
the
doctor,
and
thanks
for
the
update
on
youth
sports,
I
wanted
to
follow
up
with
that
and
it
was
weren't.
If
you
could.
Please
address
high
school
sports
that
have
also
been
under
the
guidelines
of
the
cbph
since
august
3rd,
about
limiting
to
conditioning
and
skill
work.
H
What
would
your
message
be
to
you
know
high
school
athletes,
coaches,
families
that
are
wondering
if
they're
going
to
build,
play
their
high
school
athletic
competitions
during
this
coming
school
this
school
year
and
do
you
think
the
a
county's
standing
tier
standing
would
dictate
you
know
what
they're
allowed
to
do
as
far
as
competition?
Thank
you.
B
Yeah,
so
thank
you
for
the
question
really
a
thoughtful
question
and-
and
I
would
say
you
know
it
has
certainly
been
among
the
many
challenges
that
we've
had
in
managing
the
pandemic,
for
our
state
is
ensuring
that
young
people,
high
school
and
even
younger
athletes
have
a
chance
to
continue
to
practice,
continue
to
improve
their
skills
and
the
the
lack
of
competition.
We
know
and
have
been
hearing
the
concerns
about.
B
We
are
working
closely
with
cif
and
others
other
youth
sports
leaders,
inter
scholastic
sports
leaders,
to
ensure
that
we
are
aligned
in
the
guidance
it
will
provide
clarity
as
to
when
competition
can
take
place
and
to
your
point
about
it
being
driven
or
guided
by
our
current
tiering,
of
course,
with
lower
degrees
of
transmission,
either
generally
across
the
state
or
in
specific
regions
or
counties
in
the
state
there.
B
There
is
tolerance
for
additional,
even
some
of
the
higher
risk
sports
to
occur,
not
just
from
the
conditioning
but
from
the
competition
perspective,
and
when
we're
seeing
high
rates
of
transmission
or
counties
that
have
been.
You
know
in
the
purple
and
even
red
tiers
longest
that
they
may
not
have.
As
many
of
the
higher
risk
sports
return
right
away,
but
all
of
this
will
be
released
soon,
working
through
some
of
those
final
details
and
hope
to
get
that
out
with
a
great
degree
of
clarity
in
the
near
term.
I
H
I
B
Yeah
and-
and
we
often
from
public
health,
we
think
about
it,
not
just
as
health
in
the
strict
sense
or
covet
health.
B
We
do
think
about
it
very
broadly,
and
a
number
of
us
believe
and
see
evidence
that
working
to
control
the
transmission
of
covid,
making
sure
that
it
doesn't
have
the
horrific
impact
in
california
that
we've
seen
in
other
parts
of
the
nation
and
other
parts
of
the
globe
is
protecting
not
just
our
public
health
in
the
narrow
sense,
but
our
broad
sense
of
public
health,
which
includes
our
economic
health,
and
I
think
I
really
appreciate
your
question
because
one
of
the
things
we
have
all
in
public
health
been
talking
about.
B
When
we
look
at
our
response
early
in
the
trans
early
in
the
pandemic,
the
message
was
very
much
about
stay
at
home.
We're
going
to
give
guidance.
Please
follow
the
guidance
we
know
as
covid
fatigue
sets
in
people
have
even
coveted
resentment
that
our
messaging
needs
to
shift.
We
need
to
be
more
relatable.
B
D
Good
afternoon
so
many
of
the
stay
involved,
I
guess
all
the
bay
area
counties
san
francisco
bay
area-
are
recommending
two-week
quarantine
for
anyone
who
travels
outside
the
region
and
they're
now
considering
a
similar
recommendation
for
those
that
come
to
the
reason
from
states
with
high
case
numbers.
Do
you
think
these
are
good
ideas.
J
B
So
as
as
we
reflect,
we
work
very
closely
with
all
the
local
public
health
officers,
the
bay
area,
public
health
officers,
aren't
are
in
regular,
frequent
communication
with
us.
None
of
these
are
surprising
or
of
concern
to
to
the
state.
We
certainly
believe
that
actions
that
help
reduce
transmission,
especially
as
increase
out
of
state
and
even
between
counties
in
in
distance
part
of
the
state,
occurs
that
advisories
to
do
that
safer,
lower
risk,
lower
exposure
after
those
activities
is
important
to
your
point
about
requiring
versus
advising.
B
Certainly
these
are
decisions
that
need
to
take
a
number
of
factors
into
account,
but
also
a
recognition
that,
in
order
for
us
to
get
through
the
pandemic,
working
together,
delivering
relatable,
understandable,
clear
messages
and
working
with
californians
to
show
why
making
the
choice
to
do
a
quarantine
after
travel
or
for
people
who've
come
to
visit
from
other
higher
transmission
states
that
those
are
advisable
things
and
actually
play
an
important
role
for
our
statewide
effort
to
reduce
transmission,
and
indeed,
at
the
state
level.
I
B
Yeah,
I
think,
really
excellent
question
and,
and
I'm
going
to
say
a
bit
stay
tuned
later
this
week,
we'll
be
coming
again
together
to
talk
exactly
about
this
issue,
but
in
advance.
I
think
it
is
important
to
say
just
because
you
haven't
been
infected,
or
you
knew
you
were
infected
at
this
point,
doesn't
mean
that
you're,
protected
or
safe
right.
Our
actions
on
a
day
to
day
can
really
change
our
own
risk
profile
for
being
infected
by
covid.
B
The
slide
that
I
showed
earlier,
showing
what
high
risk
activities
look
like,
I
think,
are
exactly
some
of
the
points
that
I'll
re-emphasize
activities
that
end
up
being
close
number
of
people
in
small
spaces,
where
you
can't
easily
keep
your
mask
on
the
entire
time
that
are
long
in
duration
that
include
people
within
your
household
but
from
beyond
your
household
that
you
haven't
seen
in
quite
some
time
and
where
air
circulation
from
outdoor
air
is
not
great
or
even
good.
B
All
of
those
conditions
which
you
can
imagine
could
be
a
meal
at
a
dinner
table
with
people.
You
haven't
seen
in
many
months
over
many
hours
where
people
maybe
start
wearing
their
mask
and
take
it
off.
You
can
imagine
some
of
those
situations
being
not
just
high
risk,
but
really
high
risk
and
the
concern
for
that
is
real
and
we
do
advise
as
much
as
possible
that
people
make
plans
and
make
choices
that
reduce
those
activity.
Those
types
of
activities
as
much
as
possible
to
manage
our
risk.
B
We
know
we're
entering
a
period
where
people
not
just
are
bringing
their
guard
down,
but
they
desperately
want
to
bring
their
guard
down
they're
eager
to
see
people
and
do
things
that
they
miss
doing,
and
we
certainly
know
that
thanksgiving
this
year
is
going
to
look
different
than
thanksgiving
last
year.
But
for
us
to
get
to
the
things
we
miss
and
love,
we
do
have
to
make
these
hard
choices.
We
do
have
to
make
these
sacrifices
and
we
hope
to
be
your
partners
in
making
those
choices
along
the
way.
D
Good
afternoon,
dr
kelly,
dr
anthony
pouchy,
the
nation's
top
disease,
infectious
expert
just
announced
that
if
the
pfizer
vaccine
is
readily
available,
he
will
be
taking
it.
I
have
a
couple
part
question
here,
because
this
has
been
a
controversy
and
it's
ongoing
in
certain
parts
of
california.
D
Have
you
and
governor
newsom
discuss
plans
for
distribution
of
the
vaccine
at
the
point
it's
available,
my
understanding
from
speaking
to
the
vice
president
elect
and
the
other
members
of
the
transition
team
that
they're
aiming
at
probably
our
first
responders
in
california
and,
of
course,
our
much
critical
health
care
workers
and
then
we'll
go
into
our
high
risk
people
such
as
nursing
homes,
people
of
that
regard,
and
then
the
second
part
of
the
question
is
looking
at
the
numbers.
Sixty-Five
percent
jump
in
the
last
two
weeks.
D
What
other
preparations
is
your
office
taking,
since
it's
really
getting
out
of
control?
So
that
was
my
two
questions.
B
Sure
so,
on
vaccines,
look
there's
a
lot
of
different
news
about
where,
where
we
are
with
the
vaccine,
I
think
we
anticipate
that
there
are
that
were
getting
near
approval
of
some
vaccines.
That
does
not
mean
that
we
know
how
much
of
the
vaccine
will
be
available
nationwide.
B
How
much
of
that
will
come
to
california?
I
will
remind
you,
as
the
governor
has
noted
over
the
past
few
weeks,
that
our
vaccine
planning
process
is
robust
in
california.
Since
april
we
have
had
work
groups
and
internal
meetings
around
preparing
for
the
vaccine.
Over
the
past
many
weeks,
we
have
made
more
public
demonstrations
around
our
preparedness.
We
have
built
a
california
scientific
safety
advisory
committee
that
is
tasked
with
confirming
much
of
the
data
and
the
level
of
transparency
and
the
safety
of
vaccines
that
come
across
through
the
fda
is
available.
B
We've
built
a
team
of
ethicists
and
other
experts,
including
geriatricians
and
individuals,
who
understand
different
challenges,
with
prioritization
of
scarce
healthcare
resources,
to
create
a
plan
so
that
california,
with
equity
in
our
forefront,
can
provide
vaccine
vaccines
when
available
to
those
who
would
need
it
the
most
benefit
the
most
and
then,
when
we
have
more
vaccine
who
the
next
priority
groups
will
be,
and
then,
when
we
have
widely
available
vaccine,
how
we
get
it
distributed
to
all
californians.
B
So
that
is
certainly
what
we
continue
to
work
on.
I'm
always
pleased
to
hear
a
trusted.
Thoughtful
science.
First
person,
like
dr
fauci,
give
his
opinions.
It
informs
and
guides
us
as
well.
So
we
look
forward
to
more
engagement
with
dr
fauci.
I
have
some
regular
engagement
there
and
we
do
we
do
we
do
look
forward
to
that.
Moving
forward
on
the
vaccine
and
the
total
global
response.
B
B
We
are
certainly
working
to
ensure
that
those
transmission
rates
begin
to
come
down
and
that's
exactly
why,
on
this
tuesday
and
each
tuesday,
we
discuss
the
tiers
and
before
we
announce
county
assignments,
we
remind
you
that
the
blueprint
is
not
just
a
strategy
for
thoughtfully
slow,
stringent
loosening,
but
also
for
the
tightening
of
some
of
our
restrictions.
When
we
see
exactly
what
we're
seeing
now.
J
Hi
dr
dally,
thanks
for
taking
our
questions,
I'm
just
trying
to
figure
out
what
some
of
the
primary
drivers
I
know.
Yesterday
you
had
mentioned
from
social
gathering.
You
know
a
private
household
might
be
contributing
to
the
increased
spread,
but
if
you
know
the
contact
tracing
and
efforts
and
the
data
there
has
shown,
you
know
maybe
some
restaurants
or
bars
that
are
open
in
certain
counties.
B
Yeah,
I
mean
very
thoughtful
question
spencer.
Thank
you
for
it
again
and,
as
I
I
mentioned
yesterday,
we
because
of
the
contact
tracing
information
because
of
the
outbreak
investigations
because
of
our
thoughtful
engagement
with
people
when
they're
getting
tested
to
ask
what
their
experiences
have
been.
We
do
have
information,
it
can
always
be
improved.
We
work
hard
to
make
it
more
robust,
but
it
does
point
towards
certain
activities
and
each
county
is
different.
B
I'm
impressed
by
how,
in
some
counties
one
of
the
leading
areas
of
transmission
are,
as
you
pointed
out,
indoor
dining
in
other
places.
It
turns
out
to
be
something
different.
Let's
say
some
outbreaks
in
places
of
worship.
Consistently.
We
hear
across
all
of
the
counties
concern
around
private
gatherings.
Some
people
call
them
backyard
barbecues.
Some
people
call
them
household
gatherings.
Certainly
many
of
the
attributes
of
the
higher
risk
activities
that
I
outlined
earlier
go
into
play
for
why
households
gatherings
private
gatherings
are
higher
risk.
We
tend
to
take
our
guard
down.
B
We
think
it's
safe,
because
we
know
the
people
we
haven't,
even
though
we
haven't
seen
them
in
some
time
they're
longer
activities.
Even
when
we
start
under
outdoors,
we
move
part
of
it
indoors,
those
sort
of
actions
we
know
increase
risk,
so
we
shine
a
bright
light
on
those
activities,
because
when
we
put
out
the
clear
guidance
sector
by
sector
business
by
business,
those
apply
in
one
place,
but
our
actions,
our
personal
responsibility,
is
also
very
key.
B
We
will
continue
to
dig
into
those
data
work
with
our
local
public
health
partners,
dig
in
deeper
to
the
contact
tracing
information
that
we
have
greater
and
greater
every
week.
So
we
ensure
that
with
better
precision,
we
find
those
areas
where
transmission
is
occurring
and
ensure,
when
necessary,
we
do
limit
occupancy
if
that's
indeed
going
to
help
us
reduce
transmission
or
really
encourage
and
even
create
an
environment
where
activities
move
from
indoors
to
outdoors.
B
L
L
B
Yeah,
so
on
the
narrow,
san
diego
question,
of
course,
with
every
county,
especially
counties
that
are
increasing
spikes,
we're
always
in
close
dialogue.
I
myself
talk
to
many
counties
every
day,
whether
it's
their
public
health
leaders,
they're
elected
leaders,
answering
questions,
hearing
perspectives,
hearing
viewpoints
and
trying
to
relate
and
express
our
level
of
concern,
but
it
also
always
comes
with
a
hand
of
support,
a
hand
of
interest
in
trying
to
figure
out
what
is
the
next
thing?
We
can
do.
What
is
the
current
state
of
affairs,
and
that
goes
for
san
diego
as
well.
B
I
commend
the
leadership
there
up
and
down
from
their
board
to
the
number
of
people
in
their
public
health
department
and
throughout
the
county,
who
are
really
going
through
tremendous
efforts
to
not
just
keep
things
open,
but,
first
and
foremost,
to
pay
attention
to
transmission,
to
recognize
that
this
is
a
serious
and
you
know
deadly
deadly
situation
for
many
and
that
we
want
to
do
what
we
can
to
reduce
transmission
to
your
point
about
sort
of
the
fatigue
and
businesses
and
patrons
saying.
B
B
Over
the
last
few
weeks,
we
really
have
felt
a
strong
desire
and
need
to
transition
our
messaging,
our
communication
to
one
where
it
isn't
just
about
guidelines
and
restrictions,
but
it's
about
partnership
with
every
californian
figuring
out
what
we
can
do
to
reduce
our
own
risk
levels
to
make
sure
that
we're
doing
what
we
can
to
reduce
transmission
so
that
those
efforts
can
manifest
and
lower
data
and
actually
keep
our
businesses
open.
So
I
implore
all
californians
to
sort
of
look
in
the
mirror:
ask
what
you
can
do
differently.
How
much
more?
B
Can
you
keep
your
mask
on?
How
much
more
can
you
work
with
your
own
communities,
your
own
family
members,
to
plan
events
in
a
lower
risk
way?
Each
of
those
efforts
makes
a
difference.
We
know
that
it
does
we've
seen
it
in
our
data
for
months
and
it's
together.
We
can
make
that
difference
and
be
committed
to
it.
So,
whether
you're
a
business
owner
or
a
patron
think
there
is
more
that
we
can
do
and
when
we
do
it
and
we
do
it
together,
we
do
see
the
rates
come
down.
We've
seen
it
before.
M
Good
afternoon,
thank
you
so
much
dr
kelly
for
taking
our
questions.
Picking
piggybacking
off
of
your
points
about
the
drivers
of
infection.
If
personal
and
close
contacts
and
household
transmission.
B
Yeah,
so
we
do,
we
think
about
all
of
those
things,
and
we
agree
that
those
are
some
very
important
aspects
of
things
that
counties
can
prioritize.
The
state
has
provided
quite
a
few
resources
already
to
support
to
support
that
and
we're
always
looking
for
either
improved
messaging
or
additional
services
and
support.
B
We
know
that
a
number
of
people
who,
where
it's
really
difficult
to
isolate
for
the
entire
period
or
for
an
entire
day,
just
based
on
who's
in
the
household,
the
responsibility
as
a
breadwinner
or
a
primary
caretaker
that
these
things
are
difficult
and
we
are
certainly
working
county
by
county
to
identify
those
resources,
those
messages,
those
practices
that
might
help
us
do
better,
even
if
not
perfect,
but
better,
at
reducing
transmission.
B
We
know
things,
it's
not
popular
to
say
well,
if
you're,
symptomatic
or
sick
or
if
you've
tested
positive,
but
you
don't
have
significant
illness
that
wearing
a
surgical
mask
in
the
house
around
people.
You
love
it's
uncomfortable
for
many
people.
They
wonder
why
they're
doing
it,
but
it's
exactly
the
kind
of
thing
that
can
help
make
a
important,
even
if
incremental,
reduction
in
transmission
risks
as
it
relates
to
sick
leave
policies.
We're
constantly
watching
the
clock,
we're
constantly
watching
the
impact
and,
among
others,
in
state
government.
K
Hey
dr
darling,
you've
talked
before
about
how
california's
vaccine
space
in
group
won't
delay
a
vaccine
from
reaching
california
and
you've
said
that
our
experts
basically
are
going
to
be
able
to
review
some
of
the
publicly
available
data
from
clinical
trials
to
their
review
can
take
place.
At
the
same
time.
Federal
regulators
are
assessing.
You,
know,
efficacy
and
safety
of
these
vaccines.
So
I'm
wondering
now
that
fiverr
has
released
some
of
its
efficacy
and
safety
data.
I'd
like
to
hear
from
you
how
that
review
is
actually
going
in
california.
B
Yeah,
I
know
so
excellent
question
and
the
that
the
scientific
safety
advisory
group
is
active.
They
have
already
begun
meeting.
I
don't
yet
have
the
recommendation
or
assessment
on
any
of
the
publicly
available
information
that
you
know.
I
know
that
they
will
begin
to
review
so
more
on
that
later,
but
certainly
we
have
built
it.
B
So
we
don't
create
any
delays
on
on
making
that
final
determination
that
these
are
individuals
with
long
experience
in
reviewing
this
sort
of
data
and
information,
they
know
not
only
what
is
is
strong
evidence,
but
what
is
complete
transparency
with
that
evidence?
B
So
we
look
forward
to
providing
that
and-
and
indeed
this
is
the
first
batch
of
information
that
we
are
having
a
chance
to
review
and
it
will
help
us
ensure
that
no
delays
come
not
just
with
this
first
potential
release
of
a
vaccine
but
the
future
ones
and
as
well-
and
I
will
remind
you
that
yesterday's
important
news
about
the
efficacy
of
the
pfizer
vaccine-
it
still
requires
pfizer
to
complete
the
appropriate
steps
to
monitor
patients
in
their
trials
for
a
long
enough
period
of
time.
So
we
aren't
done
yet.
B
The
public
saw
important
promising
information
yesterday,
but
nothing
is
complete.
The
vaccine
has
not
been
released
and
we
eagerly
await
for
more
information
and
california
will
be
ready
when
we
look
at
that
information
endorse
its
safety
to
distribute
it.
According
to
the
plans
of
our
drafting
guidance
group
and
the
forthcoming
community
advisory
group,
who
are
there
to
help
us
communicate
effectively
with
broadly
across
california,
the
importance
and
approach
to
vaccination
in
our
state.