►
Description
California Health and Human Services Secretary Dr. Mark Ghaly provides an update on the state's efforts to slow the spread of COVID-19 in California.
Recorded September 1, 2020.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
C
To
be
with
you
today,
we're
going
to
walk
through
our
typical
numbers
share
with
you
what
the
status
is
of
our
covet.
19
data
across
the
state
talk
to
you
a
little
bit
about
this
upcoming
holiday
labor
day
and
what
we
can
do
to
really
keep
going
with
the
gains
that
we've
made
share
a
little
bit
of
news
about
our
data
reporting
system
and
then
spend
the
bulk
of
our
time.
C
Talking
about
our
new
blueprint
for
a
safer
economy
where
we
know
there'll
be
a
number
of
questions
from
the
press
at
the
end.
So
to
begin,
I
want
to
invite
up
my
colleague
our
acting
state
public
health
officer,
dr
erica
pond,
to
walk
through
parts
of
the
presentation
with
you
and
it's
a
real
privilege
to
have
her
her
dedication
over
many
weeks
has
been
tremendous
and
and
really
leading
the
way
working
with
all
of
our
county
leaders
and
other
public
health
officials
across
the
state.
C
So
it's
a
real
privilege
to
invite
dr
pong
to
share
some
time
with
you
as
well.
E
Good
afternoon,
thank
you
very
much,
dr
nelly.
It's
whatever
will
be
with
all
of
you
this
afternoon.
So
I'll
start
with
overall
trends
in
case
numbers
and
hospitalizations,
I'm
happy
to
share
that.
We
continue
to
see
down
trends
in
both
cases
and
hospitalizations.
E
E
We
have
1194
patients
in
the
icu
in
california
right
now,
and
that
is
down
by
29
compared
to
yesterday
as
well,
and
that
weekly
decreases
also
by
25.
So
again,
we're
really
seeing
some
encouraging
trends
there
that
we
hope
to
continue.
As
far
as
testing,
we
can
tell
you
that
about
97
000
tests
were
conducted
as
our
daily
average
recently
and
our
one-day
testing
positivity
is
4.9
and
our
seven-day
average
is
5.3.
E
E
E
All
of
you
is
that
our
mass
are
not
only
protecting
each
other,
but
they
do
protect
you
as
well,
when
you
wear
these
masks,
so
there's
more
and
more
data
evolving
around
us
and
we
are
learning
more
and
more
that
again,
not
only
does
your
mass
protect
you,
my
mass
protects
me
and
we're
all
protecting
each
other
as
a
community
by
wearing
our
masks
together.
So
this
is
really
the
other
thing
we
have
to
keep
doing
to
keep
making
this
progress.
E
The
other
thing
again,
knowing
that
we
have
a
three
day
weekend
coming.
We
know
it's
been
hard
to
stay
home.
The
safest
thing
for
you
to
do
is
still
to
stay
at
home
and
stay
with
people
you
live
with,
but
if
you
do
choose
to
be
with
others,
please
keep
it
outside.
Maintain
your
physical
distance,
keep
it
small
make
sure
it's
brief.
The
longer
you're
with
others,
the
more
risk
there
is
for
exposure
to
carbon
19.
and.
C
Much
thank
you,
dr
bond,
really
emphasizing
again
the
importance
of
wearing
a
mask
and
and
the
compelling
data
that
we
continue
to
learn
from
across
the
globe
and
here
at
home
across
the
states
about
the
impact
of
having
a
mask
on
your
face
to
protect,
protect,
not
just
the
people
around
you,
but
yourselves
as
well.
So
thank
you,
dr
pond,
for
emphasizing
that
and
just
recognizing
that
new
piece
of
the
message
right
we've
been
talking
so
long
that
it
protects
others
that
it's
a
civic
duty.
C
You
support
your
community,
but
more
and
more
emphasizing
the
role
that
we
have
in
protecting
ourselves,
so
we're
there
and
not
sick
for
our
families
and
our
communities.
I
think,
is
another
key
piece
of
that
message
before
getting
into
the
blueprint
for
a
safer
economy.
I
wanted
to
talk
a
little
bit
about.
C
Last
week
on
wednesday,
the
governor
announced
a
large
move
with
testing
in
the
state
working
with
the
long
partner,
perkin
elmer,
to
set
up
a
large
lab
here
in
california
that
can
manage
up
to
150
000
per
day
of
those
classic
sort
of
gold
standard
pcr
tests.
As
we
watch
the
continued
evolution
in
the
testing
world
of
different
types
of
tests,
more
rapid
tests
happening
other
modalities.
C
C
Having
a
robust
system
is
key
so
later
today,
we'll
be
announcing
a
contract
with
optum
insight,
a
vendor
to
create
this
new
data
repository
for
covet
19
information,
so
that
it
can
be
robust,
strong
enough
and
give
us
the
information
that
we
know
we
need
to
manage
the
pandemic,
moving
forward
that
contracts
executed.
C
Now
we
hope
that
in
the
month
of
october,
it
stood
up
and
ready
to
go,
just
as
we
will
be
with
towards
the
end
of
october,
as
well
with
our
work
with
brick
and
elmer,
and
just
our
increased
testing
strategies
across
the
state.
So
together
these
two
things
helping
support
our
ability
to
track
transmission
and
support
our
communities
with
valuable
information
on
how
to
crush
the
pandemic.
Further,
I
want
to
spend
a
little
time
just
reviewing
the
blueprint
for
a
safer
economy.
I
know
it
was
a
lot
to
take
in
on
friday.
C
I
think,
in
our
view,
we've
created
what
should
be
a
simpler,
more
straightforward
approach
to
understanding
where
a
county
is
in
its
sort
of
march
towards
beating
covet
and
meeting
different
data
thresholds
and
where
those
business
sectors
in
our
communities
can
expect
to
operate.
C
I'll
remind
you
that
we
used
to
work
under
the
confines
of
what
was
the
county
data
monitoring
list
many
more
metrics
than
we
have
now
in
the
new
framework
that
allowed
counties
in
many
ways
to
have
across
california,
58
different
flavors
of
what
it
meant
to
move
forward
and
have
our
economy
begin
to
operate.
C
That
you're
accustomed
to
one
is
test
positivity
over
a
seven
day
average,
as
well
as
daily
case
rate
over
a
seven
day,
average
that
case
rate
number
we're
moving
to
a
daily
number,
as
opposed
to
a
14
day
average
number
in
part,
because
that's
what
much
of
the
rest
of
the
nation
and
the
globe
uses
as
well.
So
we
wanted
to
stick
to
metrics
that
are
nationally
tracked
and
validated.
C
So
each
county
on
a
every
tuesday
we'll
be
looking
at
the
data
and
how
counties
are
performing
in
those
two
metrics
and
then
assigning
a
county.
A
different
color
or
tier
assignment
I'll
remind
you
that,
with
each
tier
comes
a
different
level
of
operations
for
many
different
sectors.
Some
might
still
remain
closed
in
the
tier
that
your
county's
in
others
may
be
fully
open.
There
may
be
percentage
based
on
occupancy,
so
some
industries
might
start
at
10
percent
open
in
red
and
then
move
up
as
a
county
moves
into
orange
to
25
operations.
C
So
all
of
this
is
trackable
on
the
covid19.ca.gov
website
in
an
easy
way
to
look
not
just
county
by
county
but
industry
by
industry
in
each
of
those
counties.
I'll
remind
you
that
this
is
the
state's
framework
that
counties
may
decide
to
be
more
restrictive
than
the
state
in
certain
areas
because
of
issues
or
different
conditions
in
the
county
that
they
know
best.
C
I
will
just
remind
you
also
that
we're
requiring
any
county
to
remain
in
a
tier
for
at
least
three
weeks
and
then
before
they're
able
to
move
to
the
next
tier.
The
the
next
least
restrictive
tier
they
need
to
meet
that
next
year's
data
thresholds
for
two
consecutive
weeks,
so
that
really
is
sort
of
demonstrative
of
our
whole
goal
of
being
slow
and
stringent.
C
So
we
bring
transmission
rates
as
low
as
we
can
ensure
that,
as
we
bring
back
more
sectors
in
the
economy,
allow
them
to
have
more
of
their
operations
back
that
we
have
done
what
we
can
to
really
decrease
the
transmission,
especially
as
we're
knocking
on
the
door
of
flu
season.
We're
seeing
some
of
the
weather
changes
that
we
anticipate
in
the
fall
where
doing
things
outdoors
isn't
as
easy
as
it
were
before.
So
really
still
emphasizing
keeping
things
outdoors,
keeping
things
small.
C
All
of
those
very
important
messages
that
we've
been
sharing
applying
those
to
our
different
economic
sectors.
So
we
can
really
get
through
the
fall
and
winter
with
a
great
deal
of
success
and
avoid
moving
back
speaking
of
moving
back.
We
also
laid
out
clear
guidelines
for
how
a
county,
who
maybe
not
only
doesn't
meet
the
next
year
downs
thresholds,
but
is
having
a
hard
time
holding
on
to
the
current
tier
that
they're
in
and
they
may
miss
those
metric
thresholds
as
well.
C
And
if
we
see
that
happening
for
two
consecutive
weeks
that
will
lead
us
into
a
dialogue
with
the
county,
public
health
leaders.
Other
civic
leaders
there
as
well
to
determine
how
we
make
sure
we
don't
see
big
surges
in
case
numbers.
We
don't
overwhelm
the
local
hospital
systems
and
if
it's
required
to
move
back
a
tier
to
make
sure
that
we
do
all
we
can
to
control
it
before
opening
it
up
to
questions.
I
wanted
to
just
emphasize
schools.
You
know
both
dr
pond
and
I
are
pediatricians.
C
When
we
put
out
our
school
guidance
that
two
things
still
mean
maintain
that,
even
though
we've
moved
to
a
new
framework
we're
allowing
counties
that
met
the
14-day
threshold
before
we
put
this
new
framework
into
place
where
they
were
off
of
the
county
data
monitoring
list
our
old
framework
for
14
days
to
continue
moving
forward
with
their
school
reopenings.
C
If
the
labor
agreements
were
all
in
place
in
that
county
and
they
had
plans
in
place
to
do
that
for
counties
that
didn't
quite
meet
that
threshold,
but
move
into
the
red
tier
from
the
purple
tier
once
a
once
they're
in
the
red
tier.
They
have
to
wait
those
14
days,
those
two
weeks
before
schools
can
move
forward
and
begin
plans
for
reopening.
If
that
is
the
will
of
the
county
in
a
way
the
waiver
for
the
k-6
opportunity
that
we
talked
about
back
in
late
july
with
schools.
C
That's
still
maintained
so
counties
in
the
purple
tier
who
have
essentially
a
case
rate
a
daily
case
rate
of
between
seven
and
fourteen,
which
equals
the
hundred
per
hundred
thousand
for
fourteen
days
or
two
hundred
per
hundred
thousand.
For
fourteen
days
of
the
county
data
monitoring
frame
that
seven
to
fourteen
range
also
can
apply
if
it
is
the
agreement
among
the
public
health
team
in
a
county,
the
district
leadership
schools
and
parents
and
other
stakeholders
to
move
forward
with
that
waiver
application
that
that
can
also
be
applied
for
at
the
state
level.
C
So
really
as
it
relates
to
school,
did
all
that
we
can
to
maintain
the
same
set
of
conditions
and
construct
that
we
had
under
county
data
monitoring,
because
we
know
such
tremendous
work
has
been
put
in
place
to
create
plans
to
potentially
bring
some
students
and
counties
back
to
in-person
learning.
C
So
before
we
wrap
up
and
move
on
to
questions.
I
just
wanted
to
pick
up
on
what
dr
pond
mentioned
as
we
move
forward
into
another
holiday
weekend,
and
we
look
back
at
the
summer
and
we
see
some
of
the
critical
moments
that
we
had
as
a
state
to
really
maintain
and
reduce
transmission.
I
think
about
labor
day
and
I
think
about
our
lifting
up
our
laborers
across
the
state
and
people
who
are
part
of
our
essential
workforce
in
our
workforce
in
general.
C
And
what
more
can
we
do
to
celebrate
work
but
to
make
sure
that
workers
are
protected
and
wearing
that
mask
making
sure
that,
as
we
gather
potentially
with
some
people
outside
of
our
household,
that
we
really
do
all
of
the
things
that
dr
pond
reminded
us
of
to
keep
it
small
and
keep
it
outside.
So
wear
your
mask
the
physical
distance
of
six
feet,
the
washing
your
hands
and
being
cognizant
as
we
enter
the
fall
in
winter
and
many
of
the
common
viruses
that
cause
the
common
cold
start
to
to
come
alive.
C
A
bit
more
that
if,
if
you
have
symptoms
that
look
like
the
common
cold,
often
those
are
the
same
ones
that
we
see
with
covid.
Please
stay
home.
Please
make
sure
that
you're
keeping
your
distance
from
those
who
aren't
sick
that
you
haven't
been
around.
So
we
reduce
transmission
and
we
don't
see
the
surges
that
we
saw
over
the
summer
in
cases
our
standard
reminder.
C
F
What
is
the
scientific
basis
for
the
new
metrics
bet
you
for
the
reopening
of
counties?
I
mean,
for
instance,
why
the?
Why
must
they
hit
the
numbers
for
two
weeks
and
not
one
week
or
three
weeks?
Why,
four
to
seven
new
cases
for
a
hundred
thousand
to
be
in
the
red
tier
or
not
five,
to
seven
or
three
to
seven
wide
positivity
rates
and
not
hospitalizations,
or
is
that
based
on
a
model
that
you
saw
on
the
state
of
the
scene
in
another
country
or
state,
or
is
it
based
on
scientific
studies?
C
Yeah
phil
we're
we've
been
looking
across
the
nation
across
the
globe.
Frankly,
at
countries
that
have
been
successful
with
curtailing
transmission
states
that
have
themselves
done
their
own
reopening
plans
and
looked
at
a
number
of
national
leaders
who
are
talking
about
which
metrics
give
us
the
best
sense
early
enough
that
they're
not
the
most
lagging
indicators.
So
you
ask
about
hospitalizations.
C
We
know
that
our
hospital
numbers
have
been
strong
and
accurate,
but
they
are
somewhat
lagging
indicators,
and
so
we
wanted
to
identify
metrics
that
I
think
have
some
national
traction
that
people
understand
that
we
can
measure
reliably
and
to
try
to
keep
it
simple.
We
chose
just
two
that
are
early
to
medium
indicators
of
what
disease
transmission
looks
like.
We
also
built
these
around
things
that
aren't
necessarily
some
of
the
earliest
indicators
but
incorporate
those
it
incorporates
aspects
of
the
ability
to
do
your
disease
investigation
and
contact
tracing
and
supportive
isolation.
C
It
incorporates,
within
these
two
metrics
details
around
testing
and
testing
capacity
within
accounting.
So
we
thought
that
these
two
and
it
wasn't
just
what
we
thought
we
tested
them
with
many
many
county,
local
health
leaders,
as
well
as
national
leaders,
to
really
validate
this
approach.
C
The
ranges
that
we
selected
were
based
also
on
a
bit
of
what
we've
learned
from
the
past,
working
with
other
state
leaders
as
well,
and
we
wanted
to
create
a
setting
where
that
we
allowed
improvement
within
the
range
before
moving
on
to
the
next
tier
also
were
we
believe
that
one
of
the
lessons
we
learned
in
our
earlier
reopening
experience
was
that
two
weeks
wasn't
enough
that
it
took
at
least
two
weeks,
one
sort
of
complete
incubation
cycle
plus
a
little
bit
more
time
to
see
the
impact
of
any
change
that
you
made,
and
so
we
really
wanted
to
stick
to
three
weeks
and,
frankly,
that's
the
minimum.
C
The
next
less
restrictive
tier
was
there
to
make
sure
that
we
had
consistent
data
over
a
period
of
time
of
at
least
two
reporting
periods.
Remember
we're
going
to
be
tracking
this
data
and
reporting
it
every
tuesday.
So
we
wanted
two
consecutive
tuesdays
looking
over
a
14-day
period
to
ensure
that
the
county
really
did
stabilize
metrics
to
meet
the
next
year.
So
again,
all
of
these
concepts
and
approaches
emanate
from
this
notion
of
slow
and
stringent
is
really
going
to
carry
us
forward.
So
we
don't
end
up
having
to
move
back
later.
G
D
G
Central
valley,
I
wanted
to
see
if
you
folks
have
any
clear
idea
as
to
the
source
or
sources
of
that
outbreak
and
if
you
could
sort
of
bring
us
up
to
date
on
how
things
are
going
in
the
valley
now
and
then
sort
of
connected
with
that
not
to
be
terribly
pessimistic.
But
are
we
going
to
be
in
a
situation
in
the
months
ahead
where
we
have
you
know,
outbreaks
getting
under
control
in
places
like
l.a
county
only
to
pop
up
elsewhere
at
the
state
and
just
constantly
have
to
play
whack-a-mole
with
it.
C
Yeah
I
mean
both
both
good
questions.
We
plan
to
share
a
little
bit
more
about
central
valley
in
the
week
to
come.
So
I'll
be
brief
here
to
answer
your
question.
We
have
seen
a
number
of
outbreaks
in
some
of
our
essential
workplaces.
Large
factories,
large
farms,
really
working
with
our
community
partners
and
public
health
partners,
discovering
that
really
the
penetration
of
the
messaging
in
in
spanish
and
in
other
languages
spoken
in
the
central
valley
needed
to
be
increased
so
that
we
could
get
the
message
around
masking.
C
I
mean
it's
great
to
be
able
to
share
the
evolving
evidence
around
masking
and
physical
distancing
in
english,
with
many
of
you,
but
then
being
able
to
share
that
locally
and
in
spanish
in
the
central
valley
is
also
key.
We
also
have
learned
that,
despite
efforts
to
really
increase
our
reporting
of
race
and
ethnicity,
around
covid19
data
testing
cases
hospitalizations
that
we
still
nearly
see
30
percent
of
our
cases.
Without
that
information,
you
speak
to
some
of
the
central
valley,
health
officers
and
leaders.
C
We
learned
that
those
cases
that
don't
have
the
race
and
ethnicity
data
on
the
case
actually
have
latino
surnames
so
really
focusing
not
just
on
the
central
valley
as
a
geography,
but
really
working
with
our
latino
communities.
To
increase
our
messaging.
C
The
second
part
of
the
strategy
in
the
central
valley,
which
has
been
successful
just
as
it
was
with
imperial
valley,
was
working
to
increase
the
capacity
within
the
hospitals,
making
sure
that
staffing
was
robust,
that
we
had
testing
for
staffing,
so
that
staff
so
that
they
didn't
need
to
be
out
of
out
of
the
hospital
settings
of
the
clinic
settings
longer
than
necessary
and
to
ensure
that
we
had
not
just
testing
but
other
important
supplies
and
space
to
be
able
to
manage
the
number
of
patients,
and
we've
done
that
now,
both
in
imperial
valley
or
imperial
county
in
parts
of
the
central
valley,
and
really
have
built
that
up
moving
forward
as
a
key
part
of
our
response.
C
As
you
mentioned.
Yes,
I
mean
california's
counties
have
different
experiences
with
covert
in
one
area,
you'd
seen
a
surge
two
months
ago
and
now
some
reduction
in
cases
and
then
in
other
counties.
You
see
some
increases.
C
We
are
continuing
to
to
learn
how
to
address
this
broad
geography
and
the
response
around
profit,
19
working
with
our
local
partners
to
address
those
and
I'm
sure,
we'll
have
some
counties
that
experience
increased
transmission
in
the
months
to
come.
We
feel
better
equipped
than
earlier
in
the
summer
and
certainly
the
spring
to
address
those.
C
So,
even
though
we're
going
to
see
some
occasional
increase
in
transmission,
we
feel
working
with
our
local
partners
that
we
can
curtail
that
and
really
be
prepared,
as
we
have
been
in
the
healthcare
delivery
system
to
serve
anyone
who
becomes
sick
enough
to
need
that
level
of
care.
H
H
Second,
there
has
been
some
confusion
down
here
in
san
diego
about
the
50
capacity
requirements
for
retail
and
grocery
stores.
We've
seen
some
enforcing
those
capacity
limits
and
others
not.
Can
the
state
confirm
that
those
are
truly
in
effect,
at
this
point,
and
third
there's
been
some
criticism
about
the
least
restrictive
tier
of
the
four
tiers
that
were
announced
earlier
this
week,
that
would
be
tier
one,
which
calls
for
one
case
per
hundred
thousand
per
day
to
be
in
that
tier.
H
C
First,
in
in
the
governor's
presentation
on
friday,
we
announced
that
we
will
be
updating
the
metrics
every
tuesday.
We
announced
that
the
next
update
will
actually
happen
next,
tuesday,
the
8th
of
september,
so
we
went
from
friday
and
the
announcement
implementing
monday
and
then
waiting
eight
days
so
till
the
next
tuesday,
the
8th,
so
a
week
from
today
when
we
will
update
those
tiers.
So
there's
no
new
tiering
update.
C
Today,
we've
been
working
with
all
the
counties
over
the
weekend
who
had
questions
on
how
they
were
assigned
to
that
tier,
making
sure
that
the
data
data
was
accurate,
had
some
adjustments
that
that
were
made
and
now
anticipate
moving
forward
next
tuesday
announcing
their
tiers
with
regards
to
the
retail
sectors.
Indeed,
grocery
stores
continue
to
have
a
50
occupancy
requirement
in
in
the
purple
tier
and
the
rest
of
retail
is
at
25,
and
that
includes
retail
and
malls.
C
So
you
know
that
is
the
the
allowance
within
the
purple
tier.
Of
course,
enforcement
in
all
of
these
areas
requires
local
partnership
working
together
with
our
business
sectors.
So
I
I
think
that
those
those
issues
are
enforceable
and
we
hope
that,
as
we
work
with
the
business
community
and
frankly,
all
of
you
citizens
as
patrons
that
we
watch
out
and
we
make
sure
that
that
those
are
adhered
to,
so
we
can
continue
to
move
forward
without
risking
increased
transmissions.
C
C
So
we've
we've
worked
hard
to
make
these
these
tiers,
you
know,
have
large
ranges
and
at
the
top
tier
and
the
lowest
year
or
the
the
most
restrictive
and
the
least
restrictive
tier.
Indeed,
you
know
they
they
have
some.
You
know
stringent
requirements
that
we
want
to
see
in
order
to
advance
forward
our
state
with
our
strong
public
health
and
economic
health
in
mind.
I
Hi,
dr
valley,
so
here
in
the
bay
area,
some
local
officials
are
closing
down
beaches
in
anticipation
of
labor
day
crowds,
but
epidemiologists
are
obviously
worried
about
larger
threats
indoors
with
family
and
friends
gatherings
and
have
said
that
they're
concerned
that
shutting
down
public
spaces
could
cause
people
to
gather
inside.
So
I'm
wondering.
A
C
Yeah,
I
think
two
things
come
to
mind.
First,
thank
you
for
the
question.
It's
always
great
to
have
a
opportunity
to
reiterate
what
I
think
is
one
of
the
top
line
messages
for
the
day,
which
is
let's
plan
for
a
safe
and
low
transmission
labor
day.
I
think
we
we
had
memorial
day.
We
had
the
fourth
of
july.
This
is
the
third
sort
of
summer
holiday
that
we
really
want
to
do
a
great
job
on
as
a
state,
so
beaches
other
outdoor
spaces.
C
I
think
local
conditions
are
going
to
drive
what
happens
in
some
of
those
counties
and
in
those
outdoor
spaces,
particularly,
I
don't
want
to
speak
to
what
is
going
into
every
county's
determination
as
to
what
what
outdoor
spaces
are
restricted
or
altogether
closed,
but
I
will
endorse
the
point
that
you've
made,
which
is
we
want.
We
have
so
much
good
information
about
how
ventilation
and
the
outdoor
space
reduces
transmission
that
we
encourage
people
to
have
small
small
experiences
that
are
short
and
outside
that.
C
If
the
decision,
because
of
a
beach
closure,
is
to
bring
a
small
gathering
indoors,
we
know
that
that
is
going
to
create
a
more
risky
environment
for
transmission
and
would
encourage
people
as
much
as
possible
to
take
it
outside.
Keep
it
brief
and
always
wear
your
mask
during
those
experiences,
so
both
want
to
acknowledge
that
local
conditions
drive
decisions
around
these
specific
closures
and
maybe
there's
something
that
that
I
don't
have
at
my
disposal.
I
Hi,
I
have
a
couple
of
questions.
The
first
is
the
governor
talked
about
being
more
stubborn
on
coronavirus,
reopening
requirements.
Now.
Do
you
think
it
was
a
mistake
for
the
states
to
ignore
the
earlier
standards
and
proceed
with
reopening,
especially
given
the
surge
that
we
saw
in
july?
The
second
question
is
regarding
homeless
people.
Ellie
county
has
seen
a
big
jump
in
homeless
deaths.
San
francisco
reportedly
has
as
well
are
you
concerned
about
this,
I'm
wondering
if
the
state
is
looking
into
it
or
taking
any
action.
A
C
Yeah,
a
few
questions
I'll
try
to
answer
them
as
well
as
I
can
regarding
your
first
and
the
the
govern
governor
uses.
The
word
stubborn.
We
you,
I
use
the
word
stringent.
I
think
it's
really
a
commitment
to
being
patient
with
how
we
move
forward
here
and
we.
H
C
G
D
C
This
framework
look
at
not
just
open
and
close
as
two
different
things,
but
degrees
of
opening
that
having
10
operations
is
different
than
25
or
50,
and
that,
as
transmission
comes
down,
that
we
have
an
opportunity
to
introduce
those
changes
in
a
gradual
way.
After
seeing
the
impact
of
the
first
change
before
adopting
the
next
one.
So
in
many
ways
I
think
the
strategy
and
the
framework
that
we
put
out
on
friday
really
builds
upon
what
was
going
on
at
the
late
spring
and
early
summer
with
opening.
C
But
I
can't
emphasize
enough
that
guidelines
are
guidelines.
Tiering
is
tiering,
but
it
requires
all
of
us
to
do
our
part
and
that's
why
we
focus
on
labor
day
a
bit.
C
This
is
an
opportunity
for
us,
either
to
together
lose
some
of
the
gains
that
we've
made
or
together
really
reinforce
those
gains
by
doing
some
of
the
things
so,
whether
it's
you're
going
into
a
indoor
restaurant
with
25
occupancy,
because
you're
in
the
red
you're
in
a
county
in
the
red
tier
wear,
your
mask,
you
know
sit
at
a
table
far
enough
away
from
others
that
you
don't
know
and
don't
interact
with.
C
C
Thing
and
put
your
mask
on
when
your
server
comes
to
the
table,
support
each
other
by
really
choosing
a
different
how
than
we
did
in
the
earlier
parts
of
our
response,
and
I
think
that's
going
to
take
us
a
long
way
with
regards
to
homeless
individuals
as
it
relates
to
covet
absolutely
we've
been
concerned
early
on.
C
So
I
think,
as
a
state,
the
response
with
project
room
key
and
now
homekey
and
the
real
focus
on
moving
individuals
indoors,
who
maybe
were
encampments
or
sleeping
on
the
streets
and
supporting
shelters
to
create
some
semblance
of
physical
distancing
to
protect
the
most
vulnerable,
has
really
supported.
But
we
have
not
totally
totally
escaped
some
of
the
worst
outcomes
with
our
homeless
residents
and
those
experiencing
homelessness
across
the
state,
so
really
trying
to
understand
those
who
are
sick,
making
sure
that
testing
is
not
just
available
but
that
we
have
quick
turnarounds.
C
So
we
can
act
and
doing
the
contact
tracing
among
our
residents
experiencing
homelessness.
All
key
strategies
that
I
know
many
counties
are
doing
a
tremendous
job
on
and
we
will
continue
not
just
asking
questions
of.
Should
we
test
every
individual
who's
passed
away,
who's
homeless
for
covid,
but
also
trying
to
be
more
upstream
with
our
interventions
and
supporting
people
to
get
off
get
get
off
the
streets
if
possible,
into
permanent
supportive
housing.
C
If
it's
available
and
making
sure
all
the
wrap-around
services
to
reduce
coveted
transmission
are
available
to
those
who
are
most
vulnerable,
including
those
facing
homelessness
across
the
state.
I
Dr
kelly,
I
have
a
few
related
questions
about
the
new
cove
data
reporting
system.
I
Kel
ready,
or
is
it
just
going
to
break
off
covid
from
the
rest
of
the
infectious
diseases
reported
to
cal
reddy?
Is
that
the
same
optim
that's
doing
the
test,
specimen
collection?
And
lastly,
what
steps
are
you
taking
to
make
sure
that
the
new
system
doesn't
have
the
same
problem
with
covid
that
the
cal
ready
system
has.
C
Yeah
all
excellent
questions,
thank
you
for
for
asking
them.
So,
first
off
optum
insight
is
not
optimserv.
Optimserv
is
our
partner
doing
some
of
the
statewide
testing
or
collection
sites
across
the
state.
Optum
insight
is
a
separate,
separate
organization
company
that
we
have
contracted
for
this
standalone
covet
reporting
system
that
will
run
parallel
to
cal
ready.
It
will
yes
off
load
cal
ready
from
all
of
the
covet
related
data,
I'll
remind
you
that
hundreds,
maybe
a
couple,
thousands
of
tests
a
day,
feed
into
cal
ready
before
covet.
C
Now,
we've
put
a
workload
on
cal
ready.
That
was
never
imagined.
This
system
is
built
to
really
handle
that
high
volume
of
test
results,
both
negatives
and
positives.
It
also
gives
us
a
chance
to
be
more
robust.
I'm
really
pleased
that
we
have
with
perkin
elmer
testing
or
lab
that
will
allow
us
to
collect
more
and
richer
information
and
feed
that
into
the
new
covid
data
reporting
system.
C
So
hopefully
we
close
some
of
the
information
gaps
that
we
have
on
demographic
information,
sexual
orientation,
gender
identity,
push
all
of
this
information,
whether
somebody
is
working
in
a
healthcare
environment,
a
different
essential
workplace.
So
really
enhancing
the
state's
ability
to
not
just
see
where
transmission
is
happening,
but
to
understand
some
of
the
more
detailed
nuanced
pieces
there.
J
Hi,
dr
young,
thanks
for
taking
our
questions
specifically
about
orange
county
under
the
new
tiered
system,
it
looks
like
the
county
is
doing
better
than
what's
showing
or
you
know
doing
better
than
the
tier.
It's
on.
You
know
it's
below
the
the
two
key
metrics,
the
tests
or
the
number
of
positive
people
per
100
000
and
the
positivity
rate,
so
5.6
for
100
000
and
a
5
positivity
rate
according
to
the
state
dashboard
monitoring
this.
My
question
is:
how
did
orange
county
get
on
the
purple
list?
J
C
C
Great
question:
thank
you.
It
allows
me
to
illustrate
how
the
tiering
worked
this
first
time
and
the
first
sort
of
assignment
really
looked
back
at
two
weeks
prior
to
our
announcement.
C
So
we
look
back
at
the
data
the
week
of
the
august
11th
to
the
7th
through
the
17th
and
then
the
week
of
the
18th
as
well
and
looking
at
both
of
those
weeks
and
determining
how
each
county
would
be
assigned
to
a
tier
using
that
data
and
in
the
case
of
some
counties,
they
met
the
criteria
for
one
tier
in
the
first
week
and
then
a
different
tier
in
the
second
and
following
the
whole
concept
of
meeting
the
criteria
for
two
consecutive
weeks
to
move
to
the
next
tier.
C
In
the
case
of
orange
and
some
other
counties,
they
met
purple
in
the
first
week
orange
in
the
second,
so
they
were
ultimately
initially
assigned
purple.
But
to
your
second
part
of
your
question.
Indeed,
in
the
next
time
we
run
the
data
next
tuesday,
if
a
county
that
has
met
the
requirement
to
move
tears
to
to
over
the
next
tier
for
one
week
they
indeed
if
they
meet
it
again,
they
would
then
move
into
the
red
tier
in
this
case.
C
C
So
yes,
indeed,
there
is
opportunities
as
soon
as
next
week's
next
week
for
some
counties
to
move
from
purple
to
red
any
county
in
the
red
will
remain
any
kind
of
red
orange
or
yellow,
yellow
they'll
stay.
There,
hopefully
continue
the
gains
that
they
have
and
not
see
increased
transmission,
but
in
red
or
orange
they
will
stay
for
at
least
three
weeks,
as
I
described
earlier,.
I
C
Ashley,
thank
you
for
the
question.
Our
intent
is
to
get
a
health
equity
measure
and
just
remind
people
that
we
chose
to
really
what
we
think
are
tried
and
true
metrics
around
epidemiology,
in
test
positivity
and
in
the
daily
case
rate,
because
california
is
focused
on
equity,
because
so
many
of
our
disproportionately
impacted
populations
work
in
some
many
of
the
business
sectors
that
are
beginning
to
see
increased
numbers
of
patrons
come
and
thereby
increasing
potential
exposure
risk
for
those
essential
workers
that
have
been
disproportionately
impacted.
It.
D
C
Been
an
important
part
of
our
entire
framework
to
focus
on
equity.
Adding
an
equity
measure
is
our
intention.
We
had
hoped
that
we
would
have
it
solidified
for
today
and
that
I
could
share
with
you.
We
aren't
quite
there,
yet
we
want
to
make
sure
that
we
get
good
input
from
not
just
our
state
and
county
partners,
but
also
from
many
community
partners
who
have
been
working
with
us
all,
along
on
decreasing
disparities
and
focusing
on
equity.
C
I
will
say
that
we
have
looked
nationally
and
internationally
at
potential
equity
concepts
and
there
aren't
very
many
that
are
really
anchored
around
data
and
moving
towards
closing
disparities.
There's
plenty
of
states
that,
like
us,
really
declare
the
interest
in
focusing
on
equity,
but
I
think
we'll
be
certainly
one
of
the
first
states
to
really
put
down
a
a
measure
around
how
counties
are
doing
on
focusing
on
equity,
whether
that
comes
in
the
form
of
focusing
on
testing
and
contact,
tracing
and
isolation,
or
one
of
the
other
metrics
so
stay
tuned.
C
We
want
to
make
sure
that
we
have
it
be
really
up
to
the
task
here
in
california.
So,
just
a
little
bit
more
time
before
we're
able
to
announce
that
measure.
C
So
with
that,
I
just
want
to
thank
you
all
for
tuning
in.
I
know
there's
a
lot
of
questions
on
the
framework.
We
hope
to
continue
answering
them,
working
with
your
local
leaders
and
your
counties
to
make
sure
there's
no
questions
that
the
path
forward
is
as
clear
as
it
can
be
and
that
we
are
slow
and
stringent
as
we
move
forward.
So
we
make
sure
that
we
keep
keep
the
improvement
going
and
that
we
don't
through
the
fall
and
winter.