►
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 February 2, 2021.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
B
Good
afternoon,
everyone
and
thanks
again
for
joining
us
on
tuesday
to
go
over
a
lot
of
different
information
related
to
covet.
We'll
talk
about
our
normal
case
numbers
get
into
some
details
on
the
variants.
Our
projections
vaccines
a
bit
of
a
reminder
of
unmasking
and
then
close
up
with
some
other
important
reminders
about
upcoming
events.
So
without
further
ado,
first
slide,
please.
B
So
we
haven't
seen
a
number
like
this.
In
quite
some
time,
12
064
cases
reported
statewide
again
tuesday,
numbers
a
little
lower
represents
a
lot
of
the
sunday
data
seven
day,
average
coming
down
now
under
17
000,
so
positive
news
still
in
the
face
of
pretty
robust
testing
a
little
lower
than
when
we've
been
averaging
about
350
000
tests
a
day,
but
also
not
unexpected.
When
people
are
less
symptomatic,
feeling
less
sick,
fewer
people
are
rushing
to
get
tested,
so
not
a
surprise,
no
issues
with
our
sites
or
turnaround
times
etc.
B
Here
again,
you
see
an
even
lower
seven-day
positivity
at
six
point:
four
percent
a
bit
lower
than
that
7.2.
B
At
14
days,
and
then,
if
you
compare
14-day
test
positivity
as
we
do
each
week,
you
can
see
that
we've
had
nearly
a
40
38
to
be
exact,
decrease
over
the
last
two
weeks,
again
positive
sign
about
the
trajectory
of
transmission
across
the
state,
seeing
this
in
all
parts,
not
just
rural
california,
not
just
northern
california,
but
also
the
southern
urban
counties
as
well.
B
Next
slide,
so
we've
been
focused
on
hospitalizations
on
icu
capacity.
For
the
last
many
many
weeks,
nearly
two
months
we
announced
our
regional
stay
at
home
order
back
in
early
december
and
been
tracking
this
information
throughout,
so
we've
seen
a
nearly
29
decrease
in
hospitalizations
for
covid
over
the
last
14
days,
14
221
individuals
in
hospitals
with
covet
diagnoses.
As
of
yesterday.
B
Additionally,
good
news,
I've
been
sharing
that
we've
been
seeing
about
four
thousand
upwards
of
four
thousand
hospitalizations
for
covet
in
a
single
day
throughout
the
state.
As
of
yesterday,
we
were
in
the
1700
range
for
total
hospitalization,
so
more
than
half
a
reduction
in
new
hospitalizations
day
over
day
compared
to
our
peak.
B
Similarly,
this
icu
number
is
a
little
bit
harder
to
move
individuals
who
need
icu
level
care
with
covid,
often
stay
for
quite
some
time,
they're
on
ventilators,
they're
receiving
other
life-saving
care
to
make
sure
they
can
get
through
the
covet
disease,
and
so
we
not
surprised
to
see
slightly
reduced
but
still
down
number
for
icu
levels.
Now
below
3
800
total
individuals
with
covid
in
our
icus
across
the
state
number
we're
going
to
continue
to
watch
and
I'll
talk
about
in
just
a
moment
next
slide.
B
So
here
a
slide,
I
showed
a
version
last
week
to
show
where
our
projections
are
heading.
We
look
at
four
weeks
out
our
total
hostilizations.
This
is
not
the
icu
projections
I'll
get
to
that.
Next.
We're
anticipating
that
30
days
from
now
so
on
the
4th
of
march,
that
we'll
see
fewer
than
half
the
number
of
people
with
covid
in
our
hospitals,
as
we
have
today.
B
Good
news
continue
to
see
that
decline
coming
down.
Of
course,
there
are
variables
to
this.
This
is
based
on
conditions
that
we're
seeing
today,
but
if
we
start
to
see
a
re-emergence
of
covid
in
our
communities,
increasing
numbers,
these
will
change,
of
course,
but
based
on
today's
information,
our
models
coming
together,
we
predict
that
fewer
than
half
the
people
we
have
in
hospitals
today
will
be
in
hospitals
30
days
from
now
across.
The
state
next
slide,
so
a
reminder
that
our
regional
stay-at-home
order,
which
has
been
lifted,
statewide,
really
looked
at
our
projections.
B
Four
weeks
from
now
around,
where
we'd
be
with
our
icu
capacity.
Again,
we
built
this
around
icu
capacity.
It's
not
just
the
routine
conversations
on
test
positivity
and
rates
of
transmission
or
case
rates,
but
we
looked
at
this
lagging
indicator,
but
an
important
scarce
resource
across
our
state,
which
is
icu
beds,
icu
staff
beds,
but
now
we're
seeing
when
we
do
our
projections.
As
of
yesterday,
that
four
weeks
out,
we
see
southern
california
the
hardest
hit
part
of
our
state
that
was
well
below
zero
in
their
icu
capacity.
B
Surging
quite
a
bit
in
almost
all
of
our
facilities
in
southern
california.
We
now
see
that
we
project
a
43.7
icu
capacity.
Four
weeks
out,
san
joaquin
valley,
the
next
hardest
hit
region
of
the
state,
35.1
33.3
in
the
bay
area,
greater
sacramento,
also
above
30,
at
31.4
and
northern
california,
our
least
populated
area,
the
area
with
the
fewest
icu
beds
before
covid
still,
we
project
nearly
30
percent
at
29.2
percent,
icu
capacity.
B
Again,
these
four
factors
that
you
see
on
the
right
hand
side
of
this
slide.
Current
estimated
icu
availability,
community
transmission
rates,
current
regional
case
rates,
and
then
the
proportion
of
cases
admitted
to
the
icu.
Those
are
all
the
inputs
that
you
can
use
to
build
into
these
calculations.
B
You
can
see
the
historical
data
on
past
icu
capacity
on
the
cdph
website
later
today.
I'm
not
sure
it's
up
quite
yet,
but
this
will
go
back
to
december
28th,
the
first
day
counties.
Sorry
regions
were
eligible
to
be
out
of
the
regional
stay-at-home
order.
Looking
at
the
data,
many
of
you
will
see
some
of
those
trends
and
how
we
landed
where
we
are
today,
and
certainly
the
information
that
went
into
lifting
the
regional
stay-at-home
order
last
week,
we'll
go
to
one
more
slide
on
this
issue.
B
Next
slide,
please
this
slide
quite
a
detailed
slide,
but
I
think
very
useful
to
look
at
the
various
inputs
to
come
up
with
our
icu
projections.
I
used
this
last
week
wanted
to
use
it
one
more
time
to
remind
you
that
we
look
at
the
case
rates
in
a
region.
We
look
at
that
r
effective
that
transmission
rate,
which,
by
the
way
statewide,
is
now
well
below
one
it's
at
.78.
B
As
of
this
morning,
again,
good
news
want
to
see
that
continue
to
come
down
stay
below
one,
so
that
we
end
up
seeing
a
reduction,
a
contraction
of
the
number
of
cases
in
our
regions
and
statewide.
These
two
inputs
give
us
that
projected
covert
cases.
We
then
use
that
to
look
at
projected
new
admissions,
then
new,
icu
admissions
and
then
with
a
a
bit
of
a
formula
of
where
people
are
being
discharged
at
the
icu
compiling.
All
of
that.
B
Looking
at
our
total
occupied
beds,
our
capacity
to
then
come
up
with
a
progenite
percentage
projected
icu
beds
available
in
a
certain
region.
I
know
pretty
complicated,
but
for
those
of
you
who've
been
tracking
it.
I
think
important
for
you
to
sort
of
get
under
the
hood
a
little
bit
understand
how
these
projections
are
made
again.
Some
people
want
this
to
be
in
a
model
we
think
of
this
as
a
projection,
not
a
model.
B
We
use
current
inputs
to
determine,
what's
going
to
happen
four
weeks
out
from
now
a
little
different
than
the
various
models
that
have
been
used
throughout
the
pandemic
to
predict
transmission
and
other
rates
of
infection.
Next
slide.
B
As
far
as
we
know,
but
in
some
cases
mutations
can
affect
the
way
a
treatment
works,
the
way
a
vaccine
works
or
even
causing
someone
to
become
sicker,
because
they
have
a
variant
strain
as
opposed
to
the
wild-type
strain,
we're
continuing
to
actively
sequence.
The
virus
here
in
california,
building
up
capacity
to
do
even
more
we're
watching
the
west
coast
variant
that
we
talked
about
a
few
weeks
ago.
Here.
We're
seeing
you
know
over.
B
You
know
over
a
thousand
total
variants
between
these
two
different,
slightly
different
mutations
of
the
same
west
coast
variant
across
our
state.
We
reported
both
in
southern
california
parts
of
the
bay
area,
santa
clara
in
particular,
where
this
variant
was
being
found
again
unclear
about
its
exact
role
in
either
making
people
sicker,
because
they
have
the
variance
strain
or
its
impact
on
things
like
vaccine
or
infectiousness,
so
stay
tuned
as
we
continue
to
learn
more
there
and
then
the
uk
variant,
a
variant
that
we
first
talked
about.
B
Continue
to
see
cases
here
in
california,
although
not
rapidly
increasing
in
the
number
that
we're
finding
still
at
about
133
cases,
identified
across
five
counties,
largely
in
the
southern
part
of
the
state,
so
we'll
continue
to
watch.
As
I
know,
many
of
us
believe
this
is
an
important
detail
watching
not
just
do
we
have
covet
in
our
state
helps
us
through
testing,
but
this
sequencing
element,
understanding
what
type
of
vari,
or
what
type
of
covet
strain
we're
contending
with,
and
will
that
change?
B
B
Masking
matters
we've
been
talking
to
you,
since
nearly
the
beginning
of
our
pandemic
response
about
the
use
of
face
coverings,
surgical
mass
for
some
the
importance
of
an
n95
respirator.
These
are
all
different
ways
to
protect
ourselves:
our
communities,
our
households
from
covet
transmission.
B
B
So
what
do
you
need
to
know
different
today?
That
we
really
want
you
to
pay
attention
to
the
material
that
your
mask
is
made
out
of
some
masks?
More
surgical,
masks
are
or
procedure
masks.
Often
the
blue
masks
with
the
white
ties.
I
have
one
here.
Many
of
you
have
them
or
have
seen
them
around
they're
a
high
quality
mask
that
does
do
more
often
than
face
coverings.
They
often
come
with
a
a
metal
tab
that
you
can
firmly
put
it
around
your
nose.
B
Another
important
aspect
is
making
sure
that
your
mask
covers
both
your
mouth
and
your
nose
that
it
fits
snugly
around
your
mouth
and
nose
and
around
the
rest
of
your
face,
so
that
air
doesn't
easily
move
in
and
out
of
your
mast
areas
and
then
doing
this
and
wearing
a
high
quality
mask
consistently
over
your
mouth
and
nose
when
you're
outside
of
your
home,
when
you're
at
work,
when
you're
with
other
people
that
aren't
in
your
household,
but
for
some
of
us
and
in
high
transmission
communities
in
households
where
it's
hard
to
protect
vulnerable
individuals,
those
with
underlying
conditions,
those
who
are
older,
those
who,
frankly,
were
prioritizing
to
get
vaccinated
if
they
haven't
yet
been
vaccinated,
and
even
when
they
have
trying
to
wear
your
mask
around
them
until
we
get
our
case
numbers
down
much
lower,
it's
a
good
way
to
protect
yourself,
but
also
loved
ones
in
your
household
so
that
they
can
be
protected
from
covet
19..
B
I
often
think
about
this
moment,
as
we
sort
of
as
I
think
about
the
fourth
quarter
of
of
the
the
situation
that
we're
in
now
that
we
have
a
vaccine
that
it's
an
important
time
to
remind
ourselves
of
these
fundamentals,
to
remind
ourselves
to
do
them
as
much
as
we
possibly
can.
B
I
know
in
my
own
community,
I
see
more
people
milling
around
less
masking
than
I
would
like
to
see
less
masking
than
we
saw
maybe
a
couple
of
months
ago,
and
it's
a
real
opportunity
to
up
our
game
on
this
point,
to
increase
our
ability
to
protect
ourselves
and
our
families
and
our
and
our
communities
at
large
as
we
try
to
move
through
the
pandemic.
So,
as
you
can,
I
know
these
have
been
politicized.
B
There's
been
a
lot
of
tense
conversations
about
mass,
but
as
we
enter
this
sort
of
final
period
do
what
you
can
to
mask
up
and
and
protect
yourselves
and
your
communities
next
slide
please.
B
So
the
next
part
is
really
just
talking
about
vaccines
and
been,
on
everyone's
mind,
certainly
been
the
major
work
effort
that
I've
been
a
part
of
our
team
at
this
state.
Not
just
in
public
health
or
health
and
human
services,
but
broadly
the
work
of
secretary
yolanda
richardson
and
gov,
ops
and
and
many
many
others,
all
all
across
state
government,
partnering
with
county
partners,
other
healthcare
delivery
partners,
community-based
organizations
to
continue
to
build
up
our
ability
to
get
more
and
more
california's
vaccinated.
B
As
we've
said
before,
the
only
rate
limiting
step
to
vaccinating
californians
should
be
the
availability
of
the
vaccine
itself.
We
continue
to
work
with
the
federal
administration,
the
the
manufacturers
directly
to
understand
what
can
be
done
to
get
more
supply
to
california,
as
we
really
build
up
our
capacity.
B
The
vaccinate
all
58
campaign,
really
a
partnership
with
all
58
counties,
working
to
make
sure
that
we
do
what
we
can
to
get
every
county
every
corner
of
our
state
vaccinated
through
our
efforts,
the
announcement
now
my
turn.ca.gov,
we
talked
to
you
about
this
before
a
new
state
program,
partnering
with
certain
counties
as
well
la
county,
san,
diego
county,
now
up
and
running,
but
really
statewide
a
program
that
you
can
go
and
try
to
understand
when
it's
your
turn
register
to
be
reminded
or
notified.
When
it
is
your
turn
and.
C
B
Fact,
if
it's
your
turn
to
receive
vaccine
now
in
certain
counties,
san
diego
la
later
on
statewide
you'll,
be
able
to
register
and
get
an
appointment.
The
nice
thing
about
myturn.ca.gov
is
it's
also
an
opportunity
to
seamlessly
move
information
about
vaccination
into
the
state
database,
so
we
can
know
who's
been
vaccinated
and
continue
to
make
sure
we're
reaching
all
californians
to
get
vaccinate.
B
B
This
slide
is
really
one.
I've
shown
you
before
what
we
call
our
epidemiologic
curve,
where
infections
from
testing
as
we
get
more
information
from
our
test
volume.
It
comes
in
a
little
bit
late,
but
we're
able
to
attribute
on
a
specific
day
when
a
test
was
taken,
so
we
can
get
a
sense
of
how
the
disease
transmission
has
gone.
This
is
not
that
curve,
but
it's
similar
in
a
way
this
shows
our
ramp
up.
B
But
as
we've
come
out
of,
that
surge
increased
our
ability,
like
the
train,
picking
up
steam,
you
see
that
I'll
remember
a
day
right
before
we
started
our
10-day
challenge.
Back
in
early
january,
we
were
doing
approximately
45
000
vaccines.
A
day
we
had
a
peak
day
of
over
180
000
vaccines
done
in
a
day.
B
You
know
more
than
three
times
closer
to
four
times
the
level
of
vaccination
that
we
were
doing
in
the
early
part
of
january
towards
the
end
of
the
month,
so
certainly
picking
up
steem
with
that
proud
of
the
efforts
and
the
work
that
the
state
team
has
done
to
work
with
our
county
partners,
their
tremendous
effort
to
organize
the
vaccine
work
both
at
mass
vaccination
sites
or
other
events,
as
well
as
working
with
the
traditional
vaccine,
vaccinators
like
clinics
and
hospital
systems
and
others
to
get
californians
vaccinated
next
slide.
B
So
I
wanted
to
take
a
moment,
and
the
last
slide
really
talked
about
how
we're
beginning
to
speed
up
across
the
state
and
all
very
good
news,
and
thank
so
many
leaders
who've
had
a
hand
in
helping
us
get
there,
but
advancing
equity
continues
to
be
the
one
of
the
key
efforts
around
our
entire
pandemic
response,
but
also
with
vaccinations,
and
I
want
to
start
by
talking
about
the
this
notion
that
there's
a
choice
that
we
have
to
make
between
speed
in
vaccinations
and
equity.
This
is
not
a
choice.
This
is
a
false
choice.
B
We
can
do
both
equity.
In
fact,
to
achieve
it
with
vaccination
requires
speedy
vaccinations.
We
cannot
wait
long
to
vaccinate
those
community
communities
that
have
been
disproportionately
impacted
by
covid
those
communities
that
may
have
historically
higher
hesitancy
to
vaccines
and
health
care
services
where
access
is
not
as
robust
as
it
is
in
other
parts
of
our
state
where
the
time
when
vaccines
happen
matters
that
people
who
work
long
days
on
the
front
lines
in
essential
places
who
come
home,
exhausted
and
tired
may
need
late
night
options
convenient
options
in
other
locations.
B
So
all
of
this
is
part
of
the
speed
that
goes
into
an
equitable
distribution
of
vaccine.
So
as
we
work
around
racial
equity
as
we
work
to
touch
californians,
who
have
underlying
conditions
or
functional
needs
or
severe
disabilities,
to
make
sure
that
we
create
touch
points
and
opportunities
to
have
vaccination,
be
easy
when
that
time
comes
so
looking
at
some
key
strategies:
pay
for
performance,
a
sort
of
clunky
health
care
term,
which
really
means
incentivizing
people
and
paying
them.
B
Those
who
are
doing
the
vaccinations
to
do
well
do
thoughtful
vaccinations
in
partnership
with
communities
in
some
of
those
hardest
hit
communities
supporting
those
vaccination
partners
to
do
work
in
communities
of
color,
making.
Sure
that
we're
providing
resources
necessary
to
do
the
targeted
outreach
and
engagement
with
community-based
partners,
the
faith-based
community
and
others
to
make
sure
we're
targeting
the
right
individuals.
B
We've
talked
before
about
using
our
allocation
strategy
to
make
sure
the
hardest
hit
communities
receive
vaccines
sufficient
to
reach
many
of
their
part,
many
of
their
population
and
then
using
our
ability
to
create
non-traditional
sites.
As
I
mentioned
education
opportunities
so
that
we
can
really
put
our
best
forward
to
get
those
who've
been
shouldering
the
burden
of
covid
vaccine
in
the
right
quantity.
So
we
can
really
end
this
pandemic
in
some
of
our
most
hardest
hit
communities.
This
is
something
we'll
continue
to
talk
about.
B
This
is
really
part
of
what
we've
talked
about
with
the
blueprint
you'll.
Remember
our
health
equity
metric,
something
that
we
built
around,
focusing
our
testing,
not
just
our
testing
supplies,
but
the
result
of
those
testing.
The
test
positivity
in
hard
hit
communities
are
our
lowest
quartile
healthy
people's
index
communities
across
the
state,
so
continuing
that
focus
on
our
health
equity
metric
building
that
into
our
vaccine
strategy,
and
really
pushing
this
forward
with
so
many
partners
to
make
sure
californians
are
vaccinated
in
that
equitable
way.
B
Next
slide
continuing
on
this
front
public
education
campaigns
focusing
on
use
of
trusted
messengers
trusted
professionals
who
can
communicate
effectively
with
communities
that
in
populations
that
often
have
some
degree
of
vaccine
hesitancy,
making
sure
we
focus
on
in
language
content
with
the
degree
of
cultural
humility
that
we
expect
for
all
of
our
health
care
services
across
the
state.
B
And
we
need
to
be
laser
focused
here
on
the
vaccine,
commit
campaign
using
ethnic
media
across
the
state
to
reach
a
lot
of
audiences
that
hard
to
reach,
because
we
don't
always
have
material
and
education
materials,
in
particular
in
language,
uv
using
live
reads,
essentially,
providing
scripts
to
individuals
who
can
reach
a
number
of
folks
across
our
state
who
maybe
can't
tune
in
to
some
of
the
english
presentations,
or
even
some
of
our
spanish
presentations,
making
sure
that
we
touch
way
beyond
the
traditional
languages
that
we
often
focus
on.
B
But
to
you
know
these
40
different
ethnic
outlets,
18
different
languages-
and
I
want
to
take
a
moment
now-
our
very
own,
new
california
department
of
public
health
director,
dr
tomas
aragon,
did
do
a
public
service
announcement
around
vaccines
in
spanish.
I
wanted
to
share
it
with
you
now,
so
you
can
get
a
get
a
bit
of
a
taste
of
what
we
should
see,
not
just
on
cable
networks,
but
hopefully
on
our
other
networks
across
the
state.
B
And
as
you
can
see
that
that
in
spanish
public
service
announcement
not
only
focuses
on
the
way
and
the
need
to
get
vaccinated,
but
it
focuses
on
keeping
yourself
distanced,
keeping
your
mask
on
and
making
sure
we
don't
put
our
guard
down
as
we
get
more
and
more
californians
vaccinated.
So
thank
you
very
much,
dr
eragon.
Also,
you
might
have
seen
one
in
english
by
our
own
surgeon
general,
dr
nadine
burke,
harris
both
are
streaming
or
or
can
be
seen
on
on
our
networks
across
the
state.
B
So
as
we've
done
for
many
tuesdays
over
the
last
many
months,
it's
also
time
to
talk
about
our
blueprint
for
a
safer
economy
because
of
the
lifting
of
the
regional
stay
at
home
order
all
counties,
all
58
counties
re-entered
the
blueprint
we
updated
last
week,
most
in
the
purple
tier
again
this
week,
the
same
situation,
a
reminder
that
this
is
our
way
to
loosen
and
tighten
restrictions
across
the
state
it's
county
by
county.
Unlike
the
regional
stay-at-home
order,
which
was
five
regions,
we
look
at
test.
B
So
today's
update,
we
see
a
couple
of
counties,
small
ones,
trinity
and
alpine
moving
from
red
to
orange
54
counties
are
still
in
purple
one
in
red
three.
Now
in
orange,
zero
in
yellow
many
counties
because
of
the
rapid
decline
of
case
rates,
test
positivity
we're
seeing
more
eek
into
that
one
week
eligible
to
move
forward.
Remember
we
still
require
to
be
in
your
tier
for
at
least
three
weeks,
and
you
need
to
have
two
consecutive
weeks
of
meeting
the
next
least
restrictive
tier.
B
So,
if
you're
in
purple,
that
means
the
red
tier
those
metrics
before
you
can
move
so
we're
starting
to
see
more
counties
meet
that
first
week,
look
forward
as
we
hold
on
to
these
reductions
in
cases
that
we
see
more
counties
move
through
that
blueprint
next
slide
also
wanted
to,
because
the
less
than
25
case
rate
is
has
meaning.
Now,
because
of
the
focus
on
schools
and
the
conversations
around
bringing
young
people
back
to
in-person
education,
here's
a
list
of
counties
where
the
case
rate
is
less
than
25.
B
We
will
periodically
update
this,
but
remember
all
of
this
information
can
be
found
starting
on
tuesday
each
week
it
stays
up
the
whole
time
on
our
cdph
website,
some
of
it
on
the
covid19.ca.gov
website
as
well.
If
you're
interested,
please
go
there
again,
a
list
of
counties
with
case
rates
that
have
already
dropped
below
25.
you'll.
Remember
just
a
few
short
weeks
ago,
the
state
itself
was
knocking
on
the
door
of
a
case
rate
of
a
hundred
per
hundred
thousand
per
day.
So
good
news
to
see
a
number
of
counties
below
25.
B
next
slide,
please
before
wrapping
up.
It
would
be
a
missed
opportunity
to
talk
to
you
about
this
upcoming
weekend
and
other
events.
We
saw
around
thanksgiving
the
weeks
before
thanksgiving,
even
with
halloween
some
major
sport
events,
some
success
in
the
southern
california
region
with
the
dodgers
and
the
lakers
winning
that
that
was
the
beginning
of
a
surge
that
led
to
a
lot
of
death
in
california
a
really
hard
and
dark
period,
and
we
now
have
another
opportunity
to
keep
our
guard
up
and
prevent
the
beginning
of
another
story
of
increased
cases.
B
So
we
want
to
see
around
the
super
bowl
an
exciting
day,
an
exciting
event
for
many
one
that
was
even
last
year,
a
big
moment
for
gathering
and
coming
together.
But
we
want
to
make
sure
that
this
super
bowl
super
bowl
does
not
become
that
next
big
spread
event
that
we
do
what
we
can
and
and
keep
our
guard
up.
I
know
it's
hard.
B
I
know
many
people
looking
forward
to
gathering,
but
as
much
as
you
can,
let's
not
have
the
super
ball
become
the
next
beginning
of
a
huge
surge
here
in
california
can
celebrate
the
game,
watch
it
with
your
household
and
if
you
are
with
people
small
another
household
in
the
backyard
watching
it
keep
your
distance.
Keep
your
mask
on
try
to
share
as
little
as
you
can,
except
the
cheers
of
the
game
when
it's
appropriate.
B
B
And
then
soon
after
lunar
new
year,
the
following
week
again
a
chance
and
an
opportunity
for
many
californians
to
celebrate
as
we
have
in
prior
years,
but
this
year
it
should-
and
I
hope
it
does
look
different
as
much
as
he
can
avoid
in-person
gatherings.
B
You
know
continued
support
and
celebrate
with
your
family,
as
we
have
in
other
moments,
virtually
making
sure
that
we
don't
end
up
mixing
with
loved
ones
that
we
haven't
seen
in
a
while,
because
that
is,
as
I've
said
before,
you
give
covet
an
inch
and
it
will
take
a
mile-
and
we
don't
want
to
see
this
yet
another
chance
to
see
the
increased
spread
across
our
state.
B
So
we've
said
this
now
for
the
last
couple
of
months.
Together
we
can
slow
this
spread.
We
can
end
this
pandemic,
the
promise
of
vaccine,
the
fact
that
california
is
beginning
to
see
increases
not
just
in
our
vaccines
but
our
in
our
ability
to
capture
the
data
document.
It
show
all
of
you
that
we're
beginning
to
pick
up
steam
and
that
we
need
to
get
more
vaccine
here
to
help
support
us
to
get
through
this
pandemic
and
end
and
return
to
many
of
the
activities.
B
E
E
Is
not
releasing
any
race
or
ethnicity
data
to
show
what
groups
are
getting
vaccinated?
We
know
the
cdc
has
started
okay.
So
can
you
explain
why
this
isn't
happening
and
if
it
is,
why
hasn't
it
been
made
public?
Yet
I
do
realize
the
initial
data
won't
paint
a
complete
picture
yet,
but
experts
are
arguing,
it's
a
necessary
starting
point.
B
So
and
we
recognize
it
and
and
really
to
track
our
ability
to
reach
communities
of
color
communities
that
have
been
disproportionately
impacted.
We
have
to
have
that
data
we're
working
on
it
with
our
local
partners
to
make
sure
that
we
have
as
accurate
as
you
can.
I'm
glad
you
pointed
out
it's
going
to
be
incomplete
at
the
beginning.
It
will
continue
to
get
better
that
transparency
is
important.
It's
helpful
to
us
to
make
sure
we
pinpoint
our
activities
so
stay
tuned,
I'm
not
exactly
sure.
B
When
we'll
be
releasing
it,
we
want
to
make
sure
that
we
release
as
complete
a
picture
as
we
can
and
then
we'll
be
able
to
share
it
with
people
publicly.
But
again,
this
notion
that,
in
order
to
do
speedy
vaccination
we
can't
do
it
equitably
is
one
that
I
will
argue
against,
and
we
will
continue
to
work
to
make
sure
whatever
data
is
released,
that
we
see
it
as
a
starting
point.
Something
to
improve
on
and
our
focus
on,
equity
and
vaccinations
will
help
us
track
how
well
we
do.
E
Kelly
thanks
for
your
time,
I
was
curious
with
the
arrangement
with
blue
shield
and
kaiser
permanente,
which
challenges
specifically,
are
you
trying
to
solve
in
the
current
state
system
and
then,
additionally,
when
you're
talking
about
these
health
equity
metrics,
that
will
be
a
focus.
Do
you
have
any
sense
of
what
amount
of
payment
you're
the
offering
providers
and
what
specific
metrics
you'll
be
using?
Thank
you.
B
Yeah,
thanks
and
and
thanks
for
the
question
I'll
just
say
that
secretary
yolanda
richardson,
thanks
for
her
partnership,
her
team's
partnership,
she's
working
hard
around
the
clock
with
our
partners
on
the
third
party
administrator
agreement-
she'll,
be
here
with
us
next
week
to
answer
more
specifics
on
those
questions.
B
Of
course,
what
we're
looking
forward
to
do
is
continue
to
build
on
the
success
that
we're
seeing
over
the
last
many
weeks
make
sure
that
we
have
that
statewide
network
that
can
address
not
just
the
challenges
of
the
day,
but
also
the
future,
where
we
need
to
be
able
to
do
greater
amounts
of
vaccinations
per
day
and
really
build
up
our
capacity.
So
look
forward
to
her
update
and
continuing
that
work.
B
Specifically
on
your
question
on
equity,
you
know
really
focusing
on
how
do
we
make
sure
that
we
have
enough
vaccination
sites
in
the
hardest
hit
communities?
How
do
we
work
with
providers
who
are
doing
things
successfully
and
in
a
speedy
way
to
have
a
presence
in
those
communities?
How
do
we
use
dollars
to
incentivize
the
relationships
between
the
traditional
vaccination
entities
and
the
community-based
organizations?
B
The
faith-based
organizations
that
are
so
vital
to
getting
the
word
out
engaging
people
in
a
meaningful
trusted
way,
so
each
of
these
things
are
going
to
be
the
the
categories
the
metrics
we're
going
to
look
at
are
rates
of
vaccination
in
the
hardest
hit
communities,
our
ability
to
keep
keep
supply
going
to
the
communities
our
allocation
strategy
in
terms
of
specific
amounts,
not
clear.
B
C
Yes,
thank
you,
dr
kelly.
Speaking
of
the
hard-hit
communities
of
color,
we
know
when
food
and
agricultural
workers
will
get
a
dedicated
vaccine
allocation,
they're
they're
in
1b
tier
1
and
on
the
state's
dashboard.
It
says
vaccinations
for
1v201
are
underway,
but
the
monterey
and
salinas
santa
clara
other
counties
in
this
part
of
california
haven't
yet
released
the
allocations
and
and
there's
the
perception
that
you
know,
because
those
over
65
are
getting
prioritized.
B
Yeah
again,
thank
you
for
the
question
and,
as
you
sort
of
notably
pointed
out,
some
counties
are
because
of
their
strategy
and
their
approach
they've
been
able
to
vaccinate
some
groups
in
front
of
other
counties
that
are
getting
to
them
soon.
I
know
that
there
is
counties,
have
the
option
to
begin
vaccinating
individuals
in
the
food
and
ag
industry,
our
farm
workers,
those
essential
front
line,
individuals
who
are
helping
keep
food
in
our
stores
and
on
our
tables
very
important.
B
We
are
working
towards
having
through
really
partly
hinged
to
our
third
party
agreement
and
administrator
to
be
able
to
ensure
that
statewide
there's
some
consistency
of
when
that
happens.
Right
now,
we
know
counties
are
in
different
places
based
on
the
types
of
events,
the
types
of
providers
in
their
network.
This
is
one
of
the
benefits
of
a
consistent
statewide
network,
where
we
can
monitor
and
be
able
to
support,
to
make
sure
all
areas
are
able
to
vaccinate
all
eligible
populations.
B
E
Hi,
dr
kelly,
thanks
so
much
for
taking
our
calls,
I
wanted
to
kind
of
go
back
to
the
blue
shield
and
kaiser
permanente
deals.
I'm
wondering
if
there
is
anything
more
that
you
can
say
about
what
those
contracts
entail
and
in
particular,
can
you
say
whether
those
you
know
the
work
that
those
providers
or
those
companies
will
be
doing
will
be
in
coordination?
With
the
my
turn
rollout,
how
does
my
turn
roll
out
fit
into?
You
know
those
processes?
Just
you
know,
can
you
give
a
little
more
clarity
on
what
those
deals.
B
Yeah
and-
and
I
I
can't
say
a
lot
more
in
part-
and
this
is
where
I'm
so
grateful
for
secretary
richardson's
work
as
I
and
our
team
continue
to
work
on
sort
of
the
the
some
of
the
day-to-day
issues
achieving
equity
in
our
allocation
and
administration
strategy.
She
and
her
team
are
largely
leading
the
way
on
that
that
contract
those
negotiations
so
again
next
week,
should
have
a
lot
more
information
to
share
with
you
on
the
status
there
as
it
relates
to
my
turn.
B
Certainly
the
my
turn
platform,
not
just
because
of
its
ability
to
let
people
know
when
it
is
their
turn,
not
because
it's
a
scheduling
tool
that
can
be
used,
but
in
part,
because
it's
going
to
be
critical
to
our
ability
to
get
data
into
our
systems
in
a
timely
way.
It
will
of
course
be
important
to
shield
and
kaiser
and
others
to
make
sure
that
it's
something
that's
adequate
and
it
works
well
with
our
system.
B
So
you
know
they
are
separate
issues,
but
they
do
come
together
because
they're
important
to
be
able
to
track
and
hold
each
other
accountable.
So
I'm
sure
they
will
be.
It
will
be
a
prominent
piece
of
the
conversation
moving
forward.
E
Hi,
thank
you.
Sorry,
I'm
laughing.
It's
says
dude,
given
the
threat
posed
by
new
variants.
How
likely
do
you
think
it
is
that
we
will
see
another
surge
in
california
this
spring
and
if
so,
what's
the
state
doing
to
prepare
for
that,
and
then
this
one
goes
way
back
to
last
april,
when
the
governor
asked
coroners
across
the
state
to
review
deaths
going
back
to
december
to
see
if
coca-19
fatalities
went
back
farther
than
we
thought
and
I'm
wondering
whatever
came
of
that.
Thank
you.
B
Sure,
thanks
for
both
questions,
the
second
one
I'll
have
to
get
back
to
you.
I
know
that
we
did
get
some
corner
reports
from
as
early
as
the
early
part
of
january,
where
covid
was
suspected
confirmed
in
some,
but
I
don't
have
complete
information.
We
can
get
back
to
you
in
terms
of
the
variance
and,
frankly,
the
wild
type
virus.
What
we've
been
sort
of
calling
covet
19
the
whole
time
you
know
the
the
the
chance
for
another
surge
in
california
is
real.
It's
still
circulating
covet
is
in
our
communities.
B
Our
case
rates
are
down,
but
they're
not
low.
We
were
before
we
started
to
see
the
fall
winter
surge
happen.
We
were
seeing
most
counties
knocking
on
the
door
of
the
red
tier.
Remember,
that's
seven
cases
per
hundred
thousand
per
day,
that's
much
lower
than
we
are
now
today.
I
published
a
list
really
happy
to
see
a
number
of
counties
below
25,
that's
still
three
times
higher
than
that
threshold.
So
it's
just
a
reminder
that
covet
is
still
abound
in
our
communities.
We've
got
to
keep
our
our
our
guard
up.
B
B
The
variants,
of
course,
create
another
wild
card,
another
unknown,
those
that
are
more
infectious
because
they
bind
to
the
human
cell
a
little
bit
more
and
they
get
into
our
cells
and
begin
to
replicate
and
make
people
either
sick
or
at
least
able
to
transmit
the
virus.
Those
are
real
concerns,
so
we'll
be
watching
very
closely
the
level
of
and
tracking
the
variant
across
the
state
with
enhanced
sequencing
efforts,
so
together
with
testing
with
sequencing,
with
watching
the
trends
and,
frankly,
not
letting
not
putting
in
the
closet.
B
Many
of
the
different
efforts
that
we
talked
about
getting
staff
into
the
state,
not
just
staff
for
the
icus,
but
for
our
clinics
and
our
hospitals
to
help
with
other
things
like
monoclonal,
antibody
administration.
All
of
these
things
that
we've
recently
done
we're
not
closing
them
down.
We
may
not
talk
about
them
as
much,
but
we're
keeping
them
sort
of
alive
and
well
in
case
that
surge
happens
again
in
case
a
community
is
hard
hit.
B
So
we
feel
confident
because
of
what
we
just
went
through,
that
we
have
the
capability
to
serve
californians
again,
even
in
the
face
of
the
surge
but
I'll
end
where
I
started,
which
is
it
really
is
going
to
depend
on
how
much
we
keep
our
guard
up.
Do
the
things
that
we
have
seen
as
we
see
the
number
of
people
vaccinated,
the
number
of
people
with
that
level
of
protection
increase
day
over
day
in
our
state.
F
Hey
dr
galley,
thanks
so
much
for
taking
our
questions,
I
have
questions
for
you
today
on
vaccine
eligibility
for
those
disabilities
and
variants
first
piggybacking
on
lisa's
question:
there's
been
a
lot
of
pushback
from
advocates
for
the
disabled
that
they
are
being
left
behind
at
this
new
age-based
rollout.
Can
you
elaborate
if
there
will
be
any
special
consideration
for
those
with
underlying
health
conditions
or
disabilities
and
second
piggybacking
on
claudia's
question
on
the
variant?
Can
you
list
the
counties
that
have
confirmed
the
uk
variant
and
regarding
the
two
west
coast
variants?
F
This
is
the
first
time
I
recall
hearing
of
a
second
west
coast
variant.
Can
you
talk
about
both
of
them
and
whether
you've
determined
they
are
actually
more
transmissible
or
more
deadly
thanks.
B
So
much
okay,
yeah
so
well.
Well,
the
the
first
one
on
the
variance
they're
they're,
just
considered
similar
same
variant,
just
different
point
mutations,
so
they're
they're
listed
as
different
on
the
west
coast
variant
they
end
up
still,
I'm
not
others
may
be,
and
we
can
update
you
clear.
I
know
they're
looking
at
that
variant
to
determine
whether
it
is
in
fact
more
infectious
similar
to
the
uk
variant.
It's
actually
a
mutation
in
a
similar
area
on
that
spike
protein
that
binds
to
the
cell.
B
So
it
could
certainly
have
a
bit
more
infectiousness
than
the
wild
type
in
terms
of
the
counties
for
the
five,
the
the
five
counties,
largely
southern
california
counties,
san
bernardino
believe
riverside
san,
diego
and
los
angeles
county.
The
fifth
is
escaping
me,
so
we'll
have
to
get
that
back
to
you
ron
and
then
in
terms
of
the
question
on
those
with
disabilities
and
the
sense
that
they
they
are
being
left
behind.
E
Can
you
describe
in
a
little
bit
more
detail
how
and
why
the
state
decided
to
choose
blue
shield
for
this
new
partnership?
You
know:
did
other
companies
have
a
chance
to
apply?
Was
this
something
that
was
sole
source
and
do
we
have
an
estimated
cost
for
this,
and
what
is
it
going
to
mean
for
people
who
are
already
waiting
for
appointments
through
the
hospital
counties,
their
counties
or
pharmacies
under
the
existing
system?.
B
Yeah,
so
on
the
first
part
of
first,
thank
you
for
the
question
and
and
on
the
first
part,
working
now
and
and
actually
spending
time,
bringing
together
a
number
of
the
different
stakeholders,
advocacy
group
provider
groups
to
determine
the
best
way
for
us
to
ensure
that
those
with
serious
disabilities,
severe
disabilities.
B
Excuse
me
and
severe
underlying
conditions
do
get
access
to
vaccine
in
an
equitable,
thoughtful
planned
way
so
beginning
some
of
those
conversations
more
intensely
and
that
will
help
us
drive
the
timeline
as
to
when
some
larger
consideration
is
announced
and
also,
as
I
said
in
an
earlier
response,
the
availability
of
vaccine
always
top
of
mind
on
these
issues,
making
sure
that
we're
able
to
both
successfully
and
adequately
deliver
on
the
promise
of
adding
additional
people
onto
our
eligibility
list
so
working
hard
on
that
and
not
just
working
within
state
government
or
county
government,
but
broadly
with
a
number
of
stakeholders.
B
With
regards
to
the
shield
questions
again,
better
left
for
secretary
richardson
to
talk
through
the
process
and
how
we
arrived
to
these
decisions-
and
this
point
for
your
last
part
of
your
question,
part
of
the
transition
part
of
the
collaboration
part
of
this
notion
of
building
upon
what
has
already
been
put
in
place
in
our
counties
and
with
other
providers,
is
to
ensure
that
those
who
are
queued
up,
ready
and
waiting
to
get
their
appointment
to
get
their
vaccine
that
we
do
not
disrupt
in
this
transition
period.
B
E
Hi
dr
dally,
speaking
of
vulnerable
groups
and
those
at
high
risk.
We
haven't
heard
a
lot
lately
about
the
homeless
and
incarcerated
populations
that
were
supposedly
in
the
second
year
of
phase
one
b,
and
I
was
wondering
so
what's
where's
the
state
on
that
in
terms
of
focusing
on
those
groups,
and
then
the
other
question
is:
is
the
state
actually
issue
guidance
for
the
first
tier
essential
workers
in
phase
1b
like
more
detailed
guidance?
B
Yeah
thanks
victoria
for
the
question,
so
the
the
guidance
on
the
specifics
of
the
first
tier
tier
one
of
one
b
on
the
sectors
is
coming
out
shortly,
those
specifics
of
exactly
who
is
in
those
groups
and
some
more
specifics
that
is
being
worked
on
actively
and
will
be
posted
shortly.
B
Hopefully,
between
now
and
next
week,
you
will
see
that
available
and
announced
in
in
a
different
in
a
different
setting
in
terms
of
the
vulnerable
populations,
both
the
homeless
and
those
incarcerated,
important
populations
that
we're
working
with
our
county
partners
with
to
determine
how
and
and
when
to
vaccinate
again
the
focus
on
the
most
vulnerable
in
those
populations.
B
Those
who
are
over
the
age
of
65,
of
course,
and
as
soon
as
we
get
through
some
of
the
additional
stakeholder
engagement
and
planning
around
those
with
disabilities,
functional
needs
and
those
with
serious
underlying
conditions
that
do
lead
to
bad
outcomes
with
covet
19..
So
stay
tuned
on
that
piece.
Nothing,
nothing
specific
or
concrete
at
this
moment,
but
certainly
an
important
group
that
we
and
our
local
partners
see
as
a
an
equitable
part
of
vaccine
distribution
across
the
state.
B
So
with
that,
thank
you
all
for
tolerating
another
long
conversation,
but
I
hope,
useful
information
for
many
of
you
always
happy
to
hear
and
answer
the
questions
on
the
minds
of
our
reporters
as
they
communicate
broadly
to
all
of
us
how
our
pandemic
response
is
going
again,
keeping
in
mind
about
this
weekend,
super
bowl
lunar
new
year
right
after
that
that
there's
an
opportunity
for
us
to
make
decisions
again
to
protect
ourselves,
our
households,
our
families
and
our
communities,
and
I
look
forward
to
week
over
week
now
that
we're
in
this
moment
of
vaccinating
our
communities
seeing
the
trends
come
down.