►
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 January 19, 2021.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
B
Good
afternoon
and
thank
you
as
always
for
joining
us,
we
apologize
for
being
a
few
minutes
late
thanks
for
the
patience,
but
let's
get
right
into
it.
First
slide.
Please.
B
B
And
you
see
that
in
this
next
data
point
where
we've
seen
an
8.7
decrease
in
our
14-day
positivity
in
the
last
two
weeks.
So
good
news
demonstrating
that
we
are
seeing
some
reductions
in
transmission.
You'll
see
that
theme
throughout
the
rest
of
the
data
presentation
here.
But
I
think
we're
seeing
that
statewide,
not
just
in
certain
parts
that
often
have
seen
that
decrease
first,
but
we're
seeing
it
also
in
some
of
those
most
heavily
impacted
areas
like
southern
california
and
san
joaquin
valley.
Next,.
C
B
A
numbers
that
we've
been
focusing
on
quite
a
bit
the
hospital
numbers
you'll
see
for
the
first
time.
In
quite
some
time,
we've
had
decreased
numbers.
We
saw
an
8.5
decrease
in
the
last
14
days
to
220
262,
total
hospital
admissions
for
covid
and
then
similarly,
a
decrease
on
icus
over
the
last
seven
days.
Currently
at
4,
693.
B
I'll
remind
you
that
we
often
look
for
projections
farther
out.
We've
been
looking
at
mid-january
and
the
second
half
of
january
as
significant
areas
of
concern,
because
we
didn't
see
as
significant
a
bump
over
the
christmas
and
new
year
holidays
that
we
expected
we've
seen
and
you'll
see
in
a
moment
that
the
are
effective
that
transmission
rate
coming
down,
that
our
revised
hospital
admission
numbers
for
the
second
half
of
the
month
have
come
down.
B
They
will
go
slightly
up
from
this
20
000
262
number
over
the
next
week
or
so
recognizing
that
we
did
see
some
increase
in
cases,
but
then,
hopefully,
by
the
end
of
the
month,
we're
even
lower
than
the
number
that
we
see
here.
So
that's
great
news,
given
that
we
were
anticipating
being
well
above
25
000
admissions
in.
C
B
So
again,
we
continue
to
focus
on
this
surge.
We
have
had
a
pretty
significant
impact
on
our
state
since
really
the
month
of
december.
In
the
first
half
of
january,
we
have
always
in
california,
led
with
a
public
health
view
to
saving
lives.
We
continue
to
do
that
in
the
decisions
around
this
pandemic.
B
We
are
seeing
numbers
in
the
mid
to
high
2000
so
anywhere
between
2500
and
2900,
on
a
given
day,
which
is
quite
a
significant
reduction
and
is
exactly
what's
going
to
help
us
support
our
hospitals,
our
health
care
providers,
to
be
able
to
continue
to
manage
this
surge.
B
Our
work
in
los
angeles
county
that
continues
to
make
sure
that
our
systems
are
working
together,
that
we're
able
to
appropriately
discharge
patients
out
of
the
hospital
who
can
get
the
needed
care
in
other
facilities
or
at
home
working
to
make
sure
that
our
oxygen
systems
and
all
of
our
facilities
are
up
to
the
task
to
continue
to
support,
covid
and
non-coveted
patients
alike
and
then
ensuring
that
we
have
our
9-1-1
systems
able
to
take
patients
to
a
place
where
there
is
capacity,
as
opposed
to
continuing
to
go
to
some
parts
of
a
county
or
part
of
a
community
where
a
hospital
is
more
impacted
than
others.
B
So,
together,
the
this
work
continues,
in
los
angeles,
continues
to
work
through
san
bernardino
and
riverside
county
and
even
in
certain
parts
of
the
san
joaquin
valley,
where
they've
had
some
counties
harder
hit
than
others,
and
that's
reflected
in
what
the
hospital
and
the
health
care
delivery
system
need
in
terms
of
support.
Next.
A
B
B
So
some
more
details
on
this
we
committed
and
have
committed
to
bringing
more
than
3
200
medical
professionals
across
the
state.
Working
last
week
we
focused
on
bringing
at
least
a
thousand
new
health
care
professionals
to
serve
our
hospitals.
These
are
not
just
icu
nurses
and
other
nurses,
but
respiratory
therapists
and
other
important
staff
that
make
hospital
care
doable
and
to
serve
all
of
the
patients
that
we
have.
We
brought
in
over
1500
last
week.
B
Goal
is
to
continue
to
reach
that
sort
of
additional
thousand
total
get
to
2000
this
week
with
an
additional
500
coming
now
we
continue
to
stand
up
the
alternate
care
sites
ensuring
that
they
are
there
for
critically
ill
patients
and
continuing
to
build
up
that
capacity
that
I
described
last
week
in
10
specific
residential
alternate
care
sites
that
allow
us
to
serve
patients
out
of
some
other
congregate
care
facilities,
assisted
living
the
facilities
we
refer
to
as
care
facilities
for
the
elderly,
residential
care
facilities
for
the
elderly
to
make
sure
that,
instead
of
having
only
the
hospital
as
a
potential
site
where
they
can
receive
care,
these
new
stood
up
facilities
to
allow
them
to
receive
support
that
they
need
maybe
oxygen
commensurate
with
what
you
might
get
in
a
home
home
setting,
so
that
we
can
avoid
having
to
send
these
individuals
to
the
hospital
and
still
provide
them
with
the
care
that
they
need
next
slide.
B
So
earlier
I
talked
about
how
the
transmission
rate
has
come
down.
We've
talked
since
the
for
beginning.
You
first
heard
about
are
not
then
this
r
effective
concept
again,
really
just
it's
our
rate
of
transmission.
This
slide
shows
how
many
different
inputs
the
state
takes
into
account.
We've
talked
about
this
as
our
ensemble
model,
really
a
collection
of
different
different
entities
that
track
california's
are
effective,
putting
them
together,
and
the
most
important
detail
to
take
from
this
slide
is
that
we
are
below
one.
B
That
means
that
it
sort
of
supports
what
we're,
seeing
in
the
case
rates
that
we
are
starting
to
see
the
decline.
Of
course,
we
want
to
see
this
as
low
as
possible
as
far
below
one
as
we
can
probably
possibly
get,
but
the
good
news
is
that
we're
in
a
posture
where
the
spread
of
covet
is
not
growing
in
the
state
but
decreasing
just
a
little
more
slowly
than
we
would
like
next
slide.
Please.
B
I
wanted
to
take
a
moment
also
to
highlight
what
we've
been
seeing
in
our
skilled
nursing
facilities.
I
think
many
many
of
you
have
followed
with
us
the
impact
on
skilled
nursing
facilities,
both
because
of
the
congregate
nature
of
the
facilities.
B
The
fact
that
many
of
the
residents
are
among
our
most
fragile,
older
californians
in
the
state
and
then
the
fact
that
it
also
serves
as
a
place
to
serve
older,
californians
so
all
together,
very
vulnerable
environment,
very
vulnerable
residents
in
our
skilled
nursing
facilities,
and
to
show
that
before
this
current
surge
middle
of
november,
we
were
seeing
about
153
cases.
B
Today,
a
day
we
saw
a
peak
in
the
middle
of
december
at
730
cases
in
a
day,
and
now
we've
come
down
significantly
still
above
our
pre-surge
low,
but
much
lower
than
the
7
30
peak,
which
is
good
news.
We
continue
to
track
this
on
a
daily
basis,
making
sure
that
our
skilled
nursing
facilities
have
all
that
they
need
to
track
the
track.
The
progression
of
covid
making
sure
that
testing
is
available,
ensuring
where
we
can
to
provide
the
staff
needed-
and
I
think
this
is
all
reflected
in
this
redu.
B
So
again,
we
want
to
always
urge
folks
to
keep
up
what
we've
been
doing.
We
know
that
it
has
been
a
difficult
journey
to
this
point.
We've
talked
about
how
we
want
california
to
continue
working
until
we're
through
this
pandemic
through
the
vaccine
portion,
where
we
can
begin
to
reopen
most
of
our
society
and
our
economy
in
many
ways-
and
I
know
we're
so
hopeful
to
that.
B
But
at
this
moment
we
still
need
to
continue
to
do
the
things
that
help
us
get,
that
our
effective
rate
down
our
cases
down,
even
farther,
so
that
we
can
begin
to
see
some
of
the
activities
and
actions
that
I
know
we're
all
looking
forward
to
so
never
miss
a
chance
to
emphasize
the
need
to
continue
to
be
at
home
as
much
as
you
can
only
going
out
for
work
or
other
essential
needs
to
wearing
your
mask
when
you're
outside
of
your
home
and
then
limiting
and
not
gathering
with
those
outside
of
your
household,
to
keep
the
spread
down.
B
There's
still
a
tremendous
amount
of
covet
in
our
communities.
Yes,
a
little
less
than
before,
but
still
a
tremendous
amount
still
case
rates
on
a
day
over
day
basis
that
are
higher
than
most
of
our
nation,
and
we
need
to
continue
to
work
to
bring
that
down
to
get
through
this,
so
that
we
can
recognize
the
benefit
of
vaccines
and
other
things
and
help
us
get
to
the
other
side.
B
I
just
want
to
say
tremendous
thanks
to
all
the
partners
that
came
together
our
county
partners
who
really
worked
hard
to
make
sure
that
we
had
accurate
data,
that
we
were
doing
as
much
as
we
can
to
stand
up
our
ability
to
put
vaccines
in
arms
of
californians
to
get
as
quickly
as
possible.
Our
health
care
workers
and
other
priority
populations
served
as
soon
as
possible.
Today,
reporting
one
million
five
hundred
and
twenty
five
thousand
eight
hundred
and
fifteen
doses
administered.
B
So
this
exceeds
our
million
dose
goal.
We
still
have
data
coming
in.
It's
very
much
like
testing
was
where,
even
if
a
test
was
administered
on
a
certain
day,
it
took
a
few
days
for
the
data
systems
to
catch
up
and
count
it
as
a
test.
So
we're
still
assessing
how
many
we
were
at
on
friday,
the
10th
day
of
our
million
million
vaccine
challenge.
But
we
do
know
as
of
today
and
over
the
weekend
that
we
surpassed
that
goal.
B
It
would
have
been
at
1
million
488
000
doses,
roughly
so
we're
beyond
that
now,
which
is
great
news.
I
will
highlight
that
we
had
a
peak
day
on
friday
of
over
a
hundred
and
ten
thousand
vaccinations
done
across
the
state.
We
think
that
number
will
continue
to
go
up
little
by
little
because
of
that
reporting
lag
that
I
mentioned
and
compared
to
the
day
right
before
we
started
our
10-day
challenge.
B
We
were
at
47,
213
doses,
so
then
more
than
doubled
in
this
period
of
time,
really
a
testimony
to
the
hard
work
of
our
counties,
our
health
care
delivery
system,
the
number
of
others
who
are
standing
up
events
to
get
californians
vaccinated
across
the
state.
We
know,
as
I
said,
that,
there's
a
delay
in
reporting.
B
I
will
tell
you
because
of
these
data
delays
that
we're
confident
that
even
more
than
the
1.5
million
individuals
that
we've
captured
the
data
about,
we
believe
that
that
number
is
a
underestimate
of
the
true
number
of
californians
who've
been
vaccinated,
which
is
really
the
ultimate
goal
and
the
best
news.
B
We
know
that
we've
received
a
total
of
just
over
3.2
million
vaccines.
I
should
say
that's
the
number
that's
been
shipped
to
the
state.
We
work
hard
to
figure
out,
what's
actually
been
received,
which,
with
each
of
those
health
departments
across
the
state
and
our
large
health
care
systems
who
do
receive
a
direct
allocation
from
the
distributors,
either
pfizer
or
mckesson
for
the
moderna
vaccine.
B
We'll
continue
because
this
is
our
highest
priority-
the
governor's
highest
priority
to
be
in
an
all
hands
on
deck
sort
of
formation
working
quickly
to
get
vaccine
into
our
communities,
but
also
to
ensure
that
we
do
that
as
safely
as
possible.
Next
slide,
I
wanted
to
spend
a
minute
talking
about
two
issues.
B
First,
this
issue
of
the
new
variant
that
was
discussed
over
the
weekend
that
was
identified
and
looked
at
here
in
california
and
then
next
about
a
certain
set
of
doses
for
the
vaccine
from
moderna
that
california
is
looking
at
closely,
but
first
on
the
variant
this
new
variant,
we
talked
to
you
a
couple
weeks
ago
about
a
variant
called
the
uk
variant,
the
b117
variant,
to
be
specific,
that
is
a
type
of
covid
virus
that
looks
different
than
the
covet
virus
that
we
have
traditionally
been
seen
here
in
california
and
across
the
nation.
B
B
We're
still
learning
a
lot
about
what
it
means
working
hard
with
the
tremendous
genomic
sequencers
at
institutions
like
ucsf
and
scripps
and
other
places
across
the
state
working
with
the
cdc
and
our
local
public
health
partners
to
continue
determining
what
the
role
of
this
variant
has
been
in
our
in
our
transmission
rates
across
the
state.
This
was
first
identified
last
year
in
not
just
california,
but
in
other
parts
of
the
state.
B
We
know
that
it
was
recently
part
identified
in
several
large
outbreaks
in
santa
clara
county,
some
of
those
outbreaks
in
some
of
the
congregate
care
facilities
that
we
know
are
prone
to
having
broad
and
large
outbreaks
so
working
to
determine.
If
this
variant,
similar
to
the
uk
variant,
has
any
increase
in
infectiousness
what
its
impact
might
be
on
vaccinations
and
in
other
areas
of
concern
so
more
to
come
on
that
still
determining
not
just
how
broad
this
variant
is
across.
B
B
So
we're
hopeful
that
we
continue
to
keep
our
guard
up,
that
we
do
all
of
the
things
like
wear
your
mask
stay
home
when
you
can
many
of
the
things
that
we've
shared
shared
before
so
that
we
can
keep
transmission,
no
matter
which
variant,
you're
prone
to
see
in
your
own
community.
Try
to
keep
that
down
as
much
as
possible
next
slide.
B
So,
as
I
mentioned,
many
of
you
have
followed
that
last
week
or
really
the
week
before
there
was
a
set
of
individuals
who
had
what
we
think
is
really
allergic
reaction
to
some
of
the
vaccines.
From
a
specific
lot.
That
is
a
sp
specific
shipment
of
moderna
vaccine
we've
been
looking
at
it
very
very
closely.
B
We
immediately
began
working
from
the
state
with
those
local
public
health
officials,
the
site
where
the
administration
had
occurred,
as
well
as
the
cdc
and
the
fda
to
determine
what
to
do
over
the
weekend.
We
determined
that
the
direction
should
be
that
the
rest
of
the
vaccine
from
that
lot
that
had
come
to
california,
that
we
should
pause
on
using
it
until
we
are
certain
that
it's
safe.
We
believe
that
we
will
come
to
some
resolution
soon.
B
Our
scientific
safety
review
committee
is
in
fact
meeting
today
to
discuss
it
to
synthesize
the
information
that
we've
received
in
conversations
with
the
cdc
and
fda
and
make
a
determination.
We
know
that
this
has
meant
that
some
counties
some
sites
who've
been
distributed.
This
allocated
this
a
lot
of
moderna
vaccine
postponed
some
vaccination
clinics
and
we
know
that
that
is
can
can
be
disappointing
or
distressful
to
some.
B
But,
as
we've
always
said,
leading
with
safety
is
important
and
we
want
to
be
able
to
sort
of
move
forward
with
this
vaccination
supply
if
we
can
as
soon
as
we
can-
and
we
will
keep
you
all
posted,
as
I
said
about
330
000
doses
are
distributed
to
about
287
providers
across
the
state,
and
this
shipment
arrived
between
january
5th
and
january
12th.
So
certain
individuals
have
already
received
some
of
this
vaccine
that
same
day,
where
we
had
those
individuals
with
the
reaction
occur,
receive
the
vaccine
without
any
trouble.
B
Without
any
reaction,
we've
obviously
been
in
follow
up
with
many
of
those
individuals
to
ensure
that
everything
has
gone
smoothly
as
expected,
and
so
we're
not
worried
about
what
has
happened
already,
but
moving
forward
want
to
be
certain
that
it's
safe
to
use
and
as
soon
as
we
have
that
certainty,
we'll
release
a
statement
and
ensure
that
those
partners
begin
vaccinating,
because
that
is
our
top
goal
at
this
moment
with
our
vaccine
campaign
next
slide.
C
D
I
have
two
questions
for
you.
One
is
in
the
bucket
of
like
a
boring
vaccination
information
question
and
then,
but
let
me
start
with
my
questions
about
sacramento.
Why
does
california
allow
the
sacramento
region
to
open
when
the
icu
numbers
on
the
ground
were
around
six
percent?
I
understand
the
state's
looking
at
projections,
but
when
the
icu
numbers
on
the
ground
show
a
different
reality,
why
is
the
state
sort
of
breaking
its
own
rules?
If
you
could
explain
that
and
then
in
the
boring
vaccination
information
category?
D
Is
there
any
update
on
when,
specifically,
the
state
will
provide
information
by
county
on
vaccinations
given
broken
down
by
race
or
age,
et
cetera,
and
then
the
other
one
on
that
category?
Is
you
know
a
lot
of
counties
say
they
can't
see
all
of
the
information
that
they
need
to
run
an
effective
vaccination
campaign.
They
can't
see
the
vaccines
that
are
going
to
health
care
providers,
for
example.
So
is
the
state?
What
is
the
state
doing
to
communicate
information
to
those
counties?
So
they
can.
B
Yeah
so
first,
thank
you
angela
for
the
question.
So
first
I
I
would
say
we're
not
breaking
our
own
rules
on
the
first.
We've
always
said
that
we
look
at
projections
four
weeks
out
from
any
date
that
we're
looking
and
that
is
takes
into
account
where
we
are
today
with
icu
numbers,
but
also
what
are
the
case
rates?
What
is
that
our
effective
number?
Where
are
the
trends
going?
Because
we
know
that
icu
numbers
are
a
lagging
indicator.
You've
heard
that
term
before
that.
B
It's
one
of
the
last
things
to
happen
and
that
icu
numbers
today
reflect
case
numbers
from
three
to
four
weeks
ago.
So,
looking
four
weeks
out
with
today's
conditions
helps
us
understand
what
the
capacity
would
be
in
the
future.
So
even
though
sacramento
the
greater
sacramento
region
was
in
a
roughly
six
percent
at
the
time
that
we
lifted
the
regional
stay-at-home
order,
our
four-week
projections
were
above
15,
which
is
our
threshold,
and
that's
what
gave
us
the
comfort.
B
Thank
you
for
asking
the
question,
because
it
gives
me
another
chance
to
explain
how
we
look
at
it,
because
this
may
come
up
again
with
other
regions
of
the
state.
The
reality
at
the
moment
that
it's,
the
regional
state-home
order
is
lifted,
is
they
may
be
below
15,
but
the
reality
is
the
projection
shows
that
they'll
be
above
it
soon.
With
regards
to
sort
of
the
the
mundane
or
boring
vaccine
questions
that
you
asked,
I
think
they're
part
of
exactly
where
we
need.
B
B
Many
many
vaccinators
I'll
remind
you
when
we
do
flu
vaccine,
although
this
isn't
the
flu
vaccine
there's
a
lot
of
differences
here,
but
when
we
do
flu
vaccine
local
public
health,
for
example,
does
a
small
percentage
of
the
total
vaccines
for
a
community
largely
done
through
partners
in
primary
care
in
clinics
hospital
and
other
delivery
systems?
Pharmacies,
for
example?
So
the
need
to
get
accurate
and
complete
information
to
the
counties
as
well
as
statewide
is
important.
B
One
of
the
key
efforts
over
the
last
10
days
or
the
10
days
during
our
challenge
was
really
working
hard
with
what
we
call
those
mces
those
multi-county
entities,
those
healthcare
delivery
systems
with
facilities
in
many
parts
of
the
state
working
with
them
to
make
sure
that
we
capture
that
data
effectively
and
accurately
similar
to
what
we
did
with
the
counties
and
the
many
individuals
providers
working
with
county
health
departments
on
distributing
vaccine.
B
So
bringing
that
all
together
in
a
way
that
isn't
just
shared
with
the
county
partners
but
with
all
californians
is
where
we're
heading.
I
can't
tell
you
exactly
when
the
team
will
have
it
up
and
ready
for
viewing
by
everyone,
but
I
can
tell
you
that
it's
in
the
works
and
it's
something
we're
working
hard
to
do
to
be
clear
with
all
californians,
where
we
are
not
just
in
the
state
but
in
the
counties
that
each
of
us
live
in.
D
Hi
dr
dally,
thanks
again
for
taking
our
questions.
We
really
appreciate
it
today.
Our
questions
today
are
in
vaccines
reopening
against
the
variants.
First,
cdph's
data
showed
the
state
was
more
than
250
000
short
of
the
one
million
dose
goal
that
you
said
has
now
been
reached.
You
mentioned
there
was
a
lag
in
reporting
this
information,
but
that
seems
like
a
significant
delay.
D
Is
there
always
as
large,
of
a
delay
in
reporting
this
race
to
the
state
and
does
the
state
have
a
new
goal
for
how
many
daily
doses
they
would
like
to
see
administered
across
the
state?
Second,
there's
hope
california
is
emerged
emerging
from
the
worst
this
wave
of
this
pandemic.
As
you
mentioned,
there
will
be
pressure
to
reopen
as
quickly
as
possible,
but
we
also
know
that
really
too
early
can
cause
problems.
How
will
you
balance
those
competing
demands?
B
Yeah
so,
first
to
the
to
the
first
part
of
or
the
first
of
your
questions,
we
we
learned
a
lot
about
how
significant
the
delay
is
in
data.
So
what
I
mean
is
when
a
vaccine
is
given
and
when
we
can
actually
count
it
in
our
systems,
and
the
data
has
shown
up,
we've
seen
delays.
Sometimes
it's
48
hours,
we've
seen
it
up
to
96
hours
in
certain
cases,
so
still
working
through
determining
exactly
what
that
delay
looks
like.
B
So
your
point
that
we
were
250,
odd
thousand
difference
on
friday
was
we.
We
knew
that
that
number
is
actually
much
smaller
than
that
because
of
the
delay,
we're
still
working
through
determining
exactly
what
the
full
number
was
on
friday.
But
I
think
it's
safest
to
say
that
at
this
point,
so
even
if
it's
24
hours
longer
than
we
expected
or
48
hours
longer
than
we've
expected,
the
good
news
is
we've
added
more
than
a
million
doses.
B
Since
we
put
out
the
challenge
to
ourselves
that
we've
done
that
that
we
have
over
a
hundred
and
ten
thousand
doses
administered
on
friday,
which
really
the
last
business
day
when
we
knew
vaccinations
were
sort
of
going
the
fastest
and
most
across
the
state
and
that's
tremendous
progress.
B
In
terms
of
the
surge
question
and
the
issue
about
reopening,
we
have
the
blueprint
that
we've
used
before
we
continue
to
use
it
today.
Normally
I'd
update
you
on
tears,
but
the
truth
is
there's
no
movement
on
counties
that
we're
eligible
to
move
most
are
in
purple.
B
B
So
the
point
is:
are
they
important
variants
right?
Do
they
affect
the
level
of
infectiousness?
Do
they
affect
virulence
or
the
level
the
severity
of
disease?
We
don't
we
continue
to
learn
as
much
as
we
can
as
quickly
as
we
can
updating
all
of
you
along
the
way
to
whether
those
are
material
changes
and
have
the
impact
that
we
might
worry
about
so
far.
D
Hi,
dr
galley,
I
also
have
two
separate
questions
on
different
topics.
So
first
has
to
do
with
vaccines.
You
said
that
the
state
has
shipped
about
3.2
million
doses
out
and
about
1.5
million
have
been
administered.
So
it's
about
1.7
million
doses
that
haven't
been
administered.
D
You
know
we're
hearing
from
san
francisco
county
public
health,
for
example,
that
they're
going
to
run
out
of
doses
by
thursday.
So
do
you
have
a
sense
of
like
where
those
1.7
million
doses
are
and
why
they
haven't
been
given
out
yet?
Are
they
being
reserved
to
be
second
doses?
And
if
not,
you
know,
why
are
we
in
a
situation
where
some
counties
are
running
out
and
then?
Secondly,
you
talked
about
the
four-week.
The
four-week
models
that
allow
us
to
know
that
sacramento's
icu
capacity
is
going
to
go
down.
D
Are
those
models
you
know
publicly
available
for
the
other
regions
of
the
state?
Is
there
something
that
people
can
look
at
to
see
the
model
four
weeks
out
of
their
region,
so
that
so
that
they
can
get
a
real
good
sense
of
what
the
data
is
showing
up
and
what
projections
you're
looking
at
in
real
time.
B
Sure
I'll
try
to
address
both
of
those
questions
quickly
so
on
the
first.
So
the
number
that
the
3.2
million
number
roughly
is
what
we
believe
has
been
shipped.
We
continue
to
work
to
make
sure
that
it
has
all
been
received.
It
is
shipped
on
different
days,
as
we've
indicated
before,
there's
a
whole
process
where
we're
told
in
allocation
from
the
federal
government
to
the
state.
B
We
then
share
what
different
counties
are
going
to
be
receiving
and
then
they
put
in
orders
and
then
those
orders
are
sent
to
the
cdc
and
then
ultimately,
shipped
later
in
in
the
week.
So
it's
just
a
pretty
elaborate
process
over
the
course
of
many
days
between
when
we're
told
an
allocation
is
made
and
when
it's
actually
shipped
and
then
received
by
an
entity
just
to
remind
folks
of
that,
3.2
number
is
all
doses,
so
first
doses
and
second
doses.
B
Some
of
the
some
of
the
remaining
doses
are
indeed
second
doses
available
to
individuals
when
they
need
it,
whether
it's
three
weeks
after
the
pfizer
or
four
weeks
after
moderna
to
make
sure
we
have
supply
there,
then
there's
a
there's.
A
good
number
of
the
remaining
doses
that
are
in
some
ways
planned
with
people
who
are
coming
to
whether
it's
small,
pods
or
megapods,
these
big
vaccine
events
that
some
counties
are
putting
in
place.
B
They
have
the
supply
of
vaccine
now
for
events
and
activities
that
will
happen
over
the
next
many
days
and
then
there
is
just
the
entire
planning
process
of
we
just
received
the
vaccine.
Yesterday,
yes,
it's
waiting
to
be
distributed
and
now
scheduling
patients
to
receive
it.
So
the
complexities
of
this
vaccine
roll
out
are
real.
The
cold
chain
storage,
that
refrigeration
freezer
storage,
is
a
real,
important
operational
detail
that
is
being
worked
through.
So
yes,
there's
a
significant
number
of
doses
that
are
second
doses.
B
On
the
day
before
we
started
that
10-day
challenge
period
to
over
a
hundred
and
ten
thousand
on
the
last
day,
as
it
relates
to
the
projections
on
the
state
home
order.
Yes,
some
of
the
we
we
regularly
look
at
each
of
the
eligible
reason
regions
to
determine
where
they
are
that
day
with
their
projected
numbers.
We
often
report
it
as
either
you
are
still
below
the
15
percent
to
lift
the
order
or
you've
been
above
it.
B
So
we
continue
to
do
that
on
a
very
regular
basis
and
have
some
of
those
details
on
how
that
calculation
is
done
on
the
cdph
website.
D
Hi,
dr
galley,
thanks
so
much
for
taking
our
questions,
I'm
kind
of
building
off
of
some
of
these
vaccine
distribution
questions,
I'm
wondering
if
you
can
talk
a
little
bit
about
how
vaccine
doses
are
being
allocated
and
distributed
within
the
state
really
more
allocated.
D
I
guess,
for
example,
how
many
are
direct
going
directly
to
counties
versus
health
care
providers
versus
pharmacies
and
has
that
changed
at
all,
giving
me
expanded
eligibility
to
anyone,
65
and
older,
and
then
you
know
how
many,
how
is
the
state
deciding
how
many
doses
should
go
to
each
county?
You
know:
is
it
a
direct
function
of
population
or
is
there
any
adjustment
for
severity
of
outbreak?
D
You
know
and
and
again
has
that
shifted
and
then,
finally,
what
would
you
say
to
people
trying
to
sign
up
for
a
vaccine
that
have
you
know
not
a
lot
of
idea
where
to
look
right
now
or
confused
about
what
they're
hearing
from
their
county
or
maybe
not
hearing
from
their
county
versus
the
state?
You
know
so
so
that's
that's
my
question.
B
Thanks
yeah,
no
thanks!
Oh
oh
great
question
so
remember
when
we
were
in
1a
looking
at
healthcare
providers
and
individuals
in
congregate,
care
facilities,
the
allocations
we're
looking
at
the
proportion
in
the
state
of
those
individuals
in
each
county.
B
So
if
you're,
a
county
that
happens
to
have
a
regional
hospital
that
draws
from
other
counties,
a
bunch
of
the
main
health
facilities
there,
an
over-representation
of
skilled
nursing
facilities
and
other
congregate
care
facilities,
you
might
have
seen
a
higher
proportion
of
doses
going
to
that
county
based
on
that
allocation
priority,
given
where
we
are
in
the
phases
and
tiers.
As
that
shifts
to
be
beyond
that
1a
group
into
the
65
and
older,
you
will
see
those
allocations
shifting
bit
by
bit.
B
We
know
that
overall,
the
percentage
going
to
the
counties
and
the
percentage
going
to
the
multi-county
entities,
the
big
healthcare
delivery
systems
that
are
getting
direct
allocations
has
been
stable
over
time
up
until
now,
but
that
will
shift
as
the
focus
on
who
should
be
vaccinated
changes.
B
We
know
that
one
of
the
important
functions
and
tools
we
have
to
make
sure
that
we
continue
to
lift
up
our
focus
on
equity
in
our
vaccine.
Distribution
is
ensuring
that
certain
more
deeply
impacted
communities
and
areas,
not
just
counties
but
even
parts
of
counties
that
have
been
more
deeply
impacted
than
other
parts
do
receive
because
of
the
providers
who
get
it
because
of
the
county's
own
allocation
plans
to
ensure
that
those
areas
do
get
a
a
a
amount
of
vaccine
in
proportion
to
that
impact.
B
So
there's
a
number
of
different
tools
that
we
have
used
we'll
begin
using
based
on
where
we
are
with
our
prioritization
plans
across
the
state.
The
number
one
factor,
though,
that
we're
hoping
to
see
increase
is
the
total
amount
of
vaccine,
because
we
believe
that
getting
as
many
californians
vaccinated
as
quickly
as
possible
is
one
of
our
key
strategies.
B
I'll
also
say
that
you'll
have
tracked
that
we
have
opted
in
throughout
most
of
the
state
to
the
federal
pharmacy
partnership
that
helps
us
vaccinate
in
our
skilled
nursing
facilities
and
other
congregate
care
facilities
like
assisted
living
facilities
across
the
state
working
with
cvs
and
walgreens
and
their
allocation.
Although
it
comes
out
of
our
total
state
numbers,
those
numbers
go
directly
to
those
providers
to
continue
to
vaccinate
californians.
B
Oh
before
we
go
to
the
next
question,
what
would
I
say
to
individuals
who
want
to
know
what
they
should
do
to
figure
out
where
they
are
with
vaccines,
stay
tuned,
working
on
a
number
of
different
tools
and
options
to
make
sure
that
we
can
communicate
crisply
concisely,
where
different
individuals
fall
with
vaccines?
I
know
it's
something.
That
is
a
very
important
question
to
many,
and
I
know
certain
people
have
already
heard
from
their
health
care
providers
what
might
be
coming.
Other
people
haven't.
B
We
hope
to
really
move
to
a
greater
deal
of
consistency
and
clarity
around
this,
because
we
know
it's
an
important
question
for
so
many
californians,
especially
now
as
we
move
beyond
the
focus
on
just
health
care
workers
on
just
congregate
care
facilities
to
65
and
older
individuals
across
the
state
and
others
who
are
wondering
when
they'd
be
vaccinated.
C
D
Hi,
dr
kelly,
thank
you
for
answering
our
questions
today.
I
have
a
question
about
youth
sports.
It's
currently
guidance
says
that
it's
said
to
resume
inner
team
competitions
on
next
monday.
Is
the
state
really
on
track
for
youth
force
to
resume.
B
So
thanks
for
the
question,
no,
it's
a
very
important
one,
we're
working
with
a
number
of
different
partners
and
youth
sports
leaders,
including
cif
on
certainly
high
school,
inter
scholastic
sports,
to
determine
how
the
current
conditions
across
the
state
impact
that
start
date
so
working
hard,
don't
want
to
get
too
far
ahead
of
those
conversations.
B
So
we'll
update
you
soon
on
that,
but
obviously
the
state
of
the
surge
and
the
conditions
in
many
many
of
our
communities
are
pretty
dire,
pretty
significant,
so
trying
to
work
with
those
different
partners
to
make
sure
that
we
land
in
a
place
that
allows
us
to
do
what
we've
always
wanted
to
do,
which
was
resume
activities
that
so
many
people
miss.
But
do
it
safely.
D
Hi
doctor
galley
squeeze
two
brief
ones
in
so
you
explained
a
bit
about
the
vaccination
vaccination
allocation
process,
but
is
there
a
greater
role?
The
stake
in
play
in
helping
the
regions
with
states
hardest
hit
by
the
pandemic
like
the
hot
spots
both
obtain
and
vaccinate
more
of
the
res
their
residents
and
on
the
maternal
law
issue?
Can
you
explain
like
if
this
is
potentially
site
specific?
You
know
like
what
what
could
cause
just
those
adverse
reactions
at
that
site
rather
than
widespread.
B
Yeah
sure
so,
on
the
first
one,
as
we
anticipate
additional
vaccine
coming
into
the
state,
we
are
constantly
assessing
with
our
local
partners
and
a
number
of
others,
the
distribution
and
allocation
plans.
Many
people
have
said
that,
looking
at
certain
regions,
most
hardly
impacted
is
one
way
to
do
it.
Looking
at
different
other
ways
to
segment
the
state
and
the
population.
B
Think
again
for
all
of
these
issues
and
efforts,
the
number
one
thing
we
want
to
make
sure
we
do
across
the
state
is
make
sure
that
we're
doing
this
safely,
with
speed
and
in
an
equitable
way
and
so
ensuring
that
whatever
allocation
plan,
we
come
up
with
focuses
on
those
primary
drivers
that
we
bring
as
many
partners
into
the
work
as
we
can
not
just
local
public
health
who's
been
tremendous,
but
many
of
our
other
health
care
partners,
our
pharmacy
partners,
others
who
can
help
deliver
vaccine
so
that,
as
we
see
an
increased
amount
of
supply
into
the
state
that
we
can
quickly
and
swiftly
get
it
into
the
arms
of
californians
in
an
equitable
and
safe
way.
B
Thank
you
for
the
opportunity
to
share
what
is
that
glimmer
of
hope
that
bright
light
still
in
the
tunnel,
but
hopefully
through
the
darkest
part
and
with
all
of
the
focus,
as
you
heard,
from
the
questions
on
vaccines,
really
amping
up
and
increasing
our
capability
across
the
state
to
deliver
that
part
of
the
promise
and
looking
forward
to
working
with
a
number
of
you
to
make
that
happen
and
a
reality
for
all
californians
across
the
state.
So
with
that
have
a
great
rest
of
your
afternoon.