►
Description
Governor Gavin Newsom provides an update on the state's response to the COVID-19 pandemic.
Recorded December 15, 2020 in Sacramento, California.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus
B
Just
yesterday,
we
received
a
word-
or
rather,
we
received
word
this
weekend
from
our
western
state
scientific
safety
review
work
group
of
the
efficacy
and
safety
of
the
vaccine.
I
want
to
remind
folks,
on
october
19th,
the
state
of
california
established
a
formal
working
group,
a
scientific
panel
of
experts,
physicians,
with
particular
focus
on
vaccinations
11
member
committee.
We
were
joined
by
other
western
states,
nevada,
washington,
state
and
oregon
a
total
of
17
individuals.
B
Yesterday
33
150
doses
to
be
exact,
four
locations
of
saint
joseph's
in
eureka
area,
san
francisco,
general
hospital
in
san
francisco,
san
diego
and,
of
course
yesterday,
where
I
had
the
privilege
of
being
in
los
angeles
county
at
the
large
facility
there,
one
of
the
larger
hospitals
in
the
region
working
there
with
greg
adams
and
kaiser
permanente
24
additional
locations
across
the
state
are
expecting
doses
to
arrive.
Today.
We've
already
gotten
word
in
madera
fresno
san
joaquin
shasta
that
those
vaccines
have
indeed
arrived
so
four
locations
yesterday
24
more
locations.
Today
we
anticipate
five
tomorrow.
B
If
all
24
are
delivered
today,
five
additional
sites
receive
vaccines.
Tomorrow
it
will
represent
roughly
60
of
the
original
allotted
commitment
from
pfizer
and
I'll
remind
you.
The
original
allotted
commitment
was
327:
600
doses,
327
600
doses,
the
first
distribution
from
pfizer
all
of
those
doses
beginning
to
arrive
in
the
state
of
california
33
000.
Yesterday,
tens
of
thousands
more
as
we
speak
into
the
evening
into
the
rest
of
the
week.
Here's
some
good
news.
B
Just
late
last
night,
we
received
word
from
pfizer
that
we
will
receive
next
week
with
orders
being
placed
as
early
as
this
friday,
an
additional
393
900
doses,
so
the
original
327
thousand
doses.
This
is
additive.
This
is
on
top
of
that
we'll
be
receiving
from
pfizer,
specifically
another
393
900
doses
as
early
as
next
week.
This,
in
addition
to
what
we
have
already
socialized
and
I'll,
just
remind
you
briefly
and
that's
the
anticipation
when
moderna
gets
approval
that
we
will
receive
as
part
of
their
first
contribution
on
the
vaccinations,
672
000
doses.
B
So
you
start
adding
these
up.
327
plus
393
plus
672
000
doses,
getting
closer
to
what
we
hope
is
the
universe
of
doses
that
we
can
administer
by
the
end
of
this
year
by
the
end
of
the
calendar
month
of
a
little
over
2.1
million.
So
that's
an
update,
specifically
on
where
we
are
with
the
doses
that
we
now
have
confirmed
will
be
distributed
once
again.
Moderna
gets
the
approval
officially,
and
that
can
happen
as
early
as
this
week
as
well
and
those
doses
arriving
next
week.
B
So
it's
starting
to
take
shape
a
bit
of
a
flywheel,
starts
modestly.
Slowly
and
we'll
start
to
see
these
things
build
up
and
that's
why
we
started
this
vaccinate
all
58
campaign,
recognizing
that
all
californians
need
to
be
included
in
this
vaccination
process
and
that
we
can't
leave
folks
behind
we
talk
in
terms
of
equity.
We
talk
in
terms
of
inclusion.
B
We
often
advance
our
values,
but
we
have
to
make
them
real
and
we
have
to
also
make
them
visible
to
people
throughout
our
diverse
communities
and
that's
why,
in
each
and
every
county
we
are
providing
resources
and
campaign
assets
that
distinguish
the
unique
characteristics
and
needs
within
each
and
every
county
in
the
state.
You
could
see
vaccinate
shasta,
vaccinate
riverside,
vaccinate
los
angeles,
each
region
of
the
state
each
county
in
the
state
will
be
provided
these
campaign
assets
we're
putting
over
30
million
dollars
into
the
first
well,
first
tranche
investment
into
this
campaign.
B
The
campaign
has
guiding
principles
and
not
surprising
in
these
principles
have
been
well
described
in
the
past,
but
these
are
important
to
remind
you
of
today.
It's
a
focus
on
diversity.
It's
a
focus
to
acknowledge
that
cultural
competency,
as
it
relates
to
vaccinations,
has
not
always
been
made
visible,
particularly
native
american
communities,
particularly
in
the
african
american
community.
That's
why
we
want
to
be
acknowledging
of
that
fundamental
lived
experience.
We
also
recognize
we
need
to
do
a
better
job
partnering
with
our
diverse
communities.
B
So
they
can
make
an
informed
decision
themselves
on
their
own
if
they
choose
to
take
the
vaccines
you're
going
to
see
a
lot
more
about
that
campaign
rolling
out
later
this
week,
you're
going
to
see
more
trusted
messengers
and
psas
coming
out
more
doctors
and
more
folks
in
the
community.
That
will
be
part
of
that
program
and
for
what
it's
worth
and
it's
where
we
we
have.
The
richness
of
this
recent
experience
we're
using
our
census
campaign
building
off
the
experience.
We
had
the
census
campaign,
which
truly
was
bottom
up.
B
The
experience
we
had
there
during
very
challenging
and
difficult
times
as
it
relates
to
working
on
that
census
in
this
covet
and
pandemic-induced
environment.
But
we
had
success
there.
We
had
some
areas
that
were
stubborn,
where
we
didn't
see
the
kind
of
success
in
terms
of
engagement
and
so
we're
learning
those
lessons
and
we're.
Taking
that
experience
and
bringing
it
right
in
to
our
efforts
on
the
vaccines
remind
everybody
that
this
state
is
the
most
diverse
state.
B
In
the
world's
most
diverse
democracy,
27
percent
of
our
state
is
foreign
born,
so
it
is
incumbent
upon
us
to
meet
people
where
they
are
so
we'll
begin
by
connecting
with
californians
in
13
different
languages
again
with
a
constant
drumbeat
focus
on
efficacy
and
safety.
Cultural
competency
bottom
up
again,
not
top
down
phase
one.
Let's
talk
more
about
phase
one.
As
you
know,
we
not
only
put
together
a
scientific
advisory
committee
on
october
19th,
but
we
also
established
two
additional
committees.
B
We
established
a
drafting
guidelines,
work
group
and
we
established
a
community
advisory
work
group.
The
guidelines,
work
group
and
the
community
advisory
work
group
are
all
about
equity
and
distribution,
the
nuances,
the
details,
the
specificity
of
where
these
vaccines
go,
how
they
are
distributed
and
how
we
can
guarantee
with
the
kind
of
transparency
you
should
expect
that
they
truly
are
being
delivered
to
those
most
in
need
with
a
prioritization,
and
so
we
put
out
those
guidelines
in
public
forums,
they're
available
on
our
covit19.ca.gov
website
covit19.ca.gov
website.
B
All
of
those
details
are
up
on
that
site
phase
one
has
been
complete,
meaning
we
have
put
out
the
guidelines
for
our
phase,
one
a
which
is
a
prioritization
of
roughly-
and
this
is
a
rough
number,
but
give
you
a
sense
of
the
universe
of
roughly
a
three
million
person,
universe,
healthcare
workers
and
residents
and
staff
and
long-term
care
facilities.
So
that's
the
phase
1a.
Those
are
the
details
we
put
out
and
I'm
going
to
show
you
those
details
in
just
a
moment.
B
The
phase
1b
is
about
an
8
million
person
universe,
and
this
is
the
question
many
of
you
are
asking
and
wondering
yourselves
am
I
included
in
phase
one
b
and
phase
one
b
is
currently
being
discussed.
A
lot
of
work
has
already
been
done
by
the
drafting
guidelines.
Work
group
we're
now
socializing
that
in
a
very
public
forum
and
people
can
tune
in
tomorrow.
I
think
it's
at
three
o'clock
tomorrow
and
go
to
the
19
site
to
learn
about
how
you
can
tune
in
watch
their
deliberations
live.
B
60
members
will
adjudicate
the
veracity
and
the
assertions
and
really
make
recommendations
and
determinations
based
upon
these
principles
and
the
values
that
we've
set
forth
of
inclusion
and
equity,
encourage
you
to
participate
in
that
and
engage
and
learn
more
about
that
by
going
to
that
website
and
learning
when
they
are
convening
that
discussion
again,
tomorrow
will
be
one
of
many
different
discussions
in
that
eight
million
plus
or
minus
universe,
which
includes
discussions
around
teachers,
which
includes
discussions
around
farm
workers,
which
includes
discussions
around
grocery
workers.
B
You
get
the
sense
of
that
universe
and
those
conversations,
and
so
that's
a
broad,
strokes
population,
but
remember
they're,
sub
populations
and
that's
why
we've
created
this
tier
status.
So
I
want
to
give
you
an
example
of
what
I
mean
by
tears.
I've
provided
these
slides
last
week.
I
want
to
give
you
a
sense
opportunity
to
take
a
look
at
them
again
again,
they're
on
the
website,
but
for
the
purposes
of
giving
you
a
preview
of
subpopulation
sub
prioritizations,
the
phase
that
we're
currently
in
with
these
pfizer
vaccines
and
the
moderna
vaccines.
B
This
is
tier
one
prioritization
you
can
see.
We
were
doing
just
this
yesterday
in
those
four
facilities
that
received
the
vaccine:
acute
care,
psychiatric
correctional
facility
hospitals.
We
talked
about
skirting
skilled
nursing
facilities
in
the
next
few
weeks
in
assisted
living
facilities
where
we'll
start
distributing
the
vaccine,
paramedics,
emts,
dialysis
centers
again,
all
part
of
that
broader
healthcare
workforce,
skilled
nursing
workforce,
as
well
as
residential
force,
intermediate
care
facilities,
home
care
workers.
B
You
get
a
sense
here
that
tier
two
under
phase
one,
a
tier
3,
specialty
clinics,
lab
workers,
dental
oral
health
clinics
and
the
like,
as
well
as
pharmacy
staff,
which
will
be
by
the
way
foundational,
particularly
as
we
move
into
our
assisted
living
facilities,
our
residential
care
facilities,
our
skilled
nursing
facilities,
pharmaceutical
staff,
pharmacy
staff,
rather
will
be
critical
in
that
endeavor
as
well.
So
you'll
see
something
similar
in
our
phase
1b.
B
This
will
be
the
conversation
they'll
be
having
with
their
advisory
committee
the
drafting
work
group
tomorrow
and
in
other
public
settings,
and
you
get
a
sense
of
our
commitment
to
nuance
and
specificity
and
make
sure
that
equity
again
is
truly
delivered,
not
just
as
a
platitude,
not
just
that's
a
platform,
but
it's
manifested
in
real
time.
B
Speaking
of
manifesting
goes
without
saying.
There
is
light
at
the
end
of
the
tunnel.
This
has
been
a
very
well
optimistic,
48
hours,
meaning
we're
finally
seeing
the
vaccine
being
utilized
we're.
Finally
seeing
those
we
value
the
most
we've
celebrated
since
the
beginning
of
this
pandemic,
get
that
support
those
emergency
room,
docs
and
nurses.
A
B
Worn
thin
and
now
they're
able
to
not
only
get
the
vaccine
to
help
their
own
health,
but
also,
as
we
heard
yesterday,
just
the
five
individuals
that
I
had
a
chance
to
meet
number
dialogue
and
dialogue
with
yesterday,
just
down
in
los
angeles
county.
Two
of
them.
First
thing
they
said
is
I'm
just
relieved
from
my
family
because
I
was
taking
a
shower
before
I
went
home
took
a
shower
when
I
got
home,
I
was
so
worried
at
a
separate
entrance.
B
One
of
the
nurses
said:
I've
had
a
separate
entrance
since
march
into
my
home,
because
I
don't
want
to
expose
the
rest
of
my
family
and
now
to
know
that
at
least
the
first
shot
of
this
two-shot
regiment
that
I've
gotten.
That
vaccine
is
such
a
relief
to
me,
because
I
can
now
relieve
the
stress
on
my
family
as
well.
B
So
it's
why
we
put
our
heroes
on
the
front
lines,
as
top
in
terms
of
the
tier
status
they're,
going
to
be
able
to
come
back
to
work
without
that
stress
without
that
anxiety
as
well,
that
they
were
bringing
home,
and
these
are
the
folks
we're
going
to
count
on
the
most
because,
as
I
say,
and
I've
said
often,
there
is
light
at
the
end,
but
we're
still
in
the
tunnel,
and
that
means
we're
going
through,
perhaps
the
most
intense
and
urgent
moment
since
the
beginning
of
this
pandemic.
B
Let
me
underscore
why
you
can
see
the
case
numbers
here
running
about
yesterday's
numbers
were
about
where
we've
been
last
seven
days,
and
these
are
historically
high
case
numbers,
32,
326
new
cases.
We
reported
yesterday
roughly
equivalent
to
the
seven
day
average.
If
you
take
a
look
here
at
the
14
day,
positivity
just
pulling
back
a
little
beyond
that
seven
day,
the
positivity
rate
in
the
state
of
california
is
now
up
past
10
percent
to
10.7.
B
Members
of
the
community
were
particularly
being
tested,
and
so
that's
why
I
had
the
high
positivity
rate
at
the
beginning,
but
we
obviously
saw
that
settle
out
over
the
course
of
this
last
calendar
year.
Now
the
10.7
percent
is
roughly
equivalent
to
the
10.6
percent,
which
is
the
seven-day
positivity
rate.
One
of
the
things
that
we
are
pleased
with
increasingly
proud
of
is
the
fact
we're
getting.
Our
average
daily
tests
up
we've
been
seeing
average
daily
tests
north
of
300
000
pretty
consistently
over
the
last
number
of
days.
B
You
can
see
now
just
shy
of
300
000
average
tests
every
single
day.
296
000
is
the
average
number
of
daily
tests
that
we
are
conducting
in
the
state.
We
still
want
to
see
that
number
rise.
We
want
to
see
more
access
to
testing.
We
want
to
see
those
results
come
back
even
sooner,
and
we
want
to
make
sure
that
all
members
of
our
community
throughout
the
state
are
availing
themselves
to
these
tests,
but
nonetheless,
average
number
daily
tests
are
starting
to
go
up.
B
Positivity
rate,
though,
as
I
said,
it's
gone
up,
10.7
just
consider
where
we
were
two
weeks
ago
at
6.9
percent.
You
could
see
that
rate
of
growth
that
trajectory
represented
in
our
hospitalization
68
increase
in
the
growth
of
total
number
of
patients
in
our
healthcare
delivery
system
in
our
hospitals,
14
283.
B
We
were
just
at
8
500.,
beginning
of
this
month,
and
that
was
alarming
enough.
Now
we're
getting
close
to
15
000.68
increase
in
just
the
last
two
weeks.
I
see
emissions,
not
surprisingly
2006
the
beginning
this
month
now
over
3
000
3081
as
we
report
yesterday.
So
that's
a
54
increase
in
icus
and
I
want
to
focus
on
ics,
as
we
have
been
a
little
bit
more
in
a
moment
and
tell
you
why
this
issue
is
top
of
mind.
This
slide
should
sum
it
up
very
well.
B
These
are
the
large
regions
in
this
state
where
we
have
some
mutual
and
proximate
systems
of
engagement,
meaning
there
is
a
healthcare
delivery
construct
where
there's
mutual
support,
mutual
aid,
mutual
agreements
between
hospitals
and
systems,
bay
area
largely
defined
greater
sacramento,
northern
california,
the
true
northern
part
of
the
state
san
joaquin
valley.
Look
at
that
1.6
current
icu
capacity.
Over
the
weekend.
They
got
to
zero
zero,
which
means
they
were
in
a
surge
frame
and
I'll
talk
about
surge
in
a
moment.
That's
about
a
twenty
percent
increase
in
icu
capacity.
B
B
Next
45
next
60
days,
it's
not
a
permanent
state
by
no
stretch
the
imagination,
light
at
the
end
of
the
tunnel.
We're
going
to
come
out
of
this
stronger
than
ever
my
words
we
will
come
out
of
it
stronger
than
ever
just
want
to
come
out
of
it
healthier
than
ever.
I
want
you
to
be
there
to
experience
the
resurgence.
This
recovery
california's
come
back,
it's
right
in
front
of
us,
but
it's
also
inside
us.
B
It's
our
decisions
again,
not
just
conditions
that
will
determine
that
vain
future,
and
so
we
are
encouraging
that
with
the
stay-at-home
order,
and
we
put
that
into
place
based
on
icu
capacity,
san
joaquin
valley,
southern
california,
greater
sacramento
bay
area,
as
you
know,
went
involuntarily
a
few
weeks
or
a
week
or
so
ago,
because
they
wanted
to
get
ahead
of
the
curve.
So
it's
four
out
of
five
regions
in
the
state
currently
under
that
regional,
stay-at-home
order.
I'll
remind
you
again,
you
see
here.
B
The
san
joaquin
valley
was
at
zero
percent
over
the
weekend,
and
it
goes
without
saying
when
you're
5.7
percent
of
your
icus
available
that
they're
filling
up
quickly
and
they
many
of
them
could
be
unavailable
soon.
But
here's
the
point
we
want
to
emphasize
that
staffing
is
the
biggest
issue.
It's
not
physical
and
conditions,
meaning
it's
not
the
rooms
per
se
and
I
say
per
say,
because
that's
not
the
case
in
every
single
hospital
in
every
part
of
the
state.
B
But
in
the
aggregate
staffing
is
our
number
one
challenge,
and
so
I
want
to
update
you
on
some
of
the
work
that
we're
doing
there.
We
just
updated
our
new
quarantine
guidelines.
But
if
you
didn't
read
about
this,
you
didn't
hear
about
this.
I
want
to
make
you
familiar
with
these
new
quarantine
guidelines.
B
It's
10
days,
instead
of
the
14
days
for
all
asymptomatic
individuals
that
are
exposed
so
from
14
to
10
days,
but
here's
the
critical
point-
and
this
is
what
connects
the
health
care-
staffing
diet,
that
during
our
critical
staffing
shortages,
we
now
have
looked
to
a
seven,
not
a
10-day
quarantine
for
health
care
workers
and
emergency
response
workers,
social
service
workers
that
have
been
exposed,
but
as
long
as
they
test
negative
on
day
five
or
later
so.
There's
a
criteria
based
upon
again
health
safety,
but
also
availability
of
critical
care
resources.
B
Here's
what
we
also
did.
Last
week,
we
on
friday
announced
that
we're
adjusting
our
nurse
to
patient
ratios
in
the
state,
and
I
just
want
to
I
want
to
thank
all
our
partners.
I
know
how
difficult
nurse
staffing
ratio
issues
are.
I
want
to
just
express
deep
empathy,
deep
admiration
for
the
collaborative
spirit
where
we
were
working
with
our
representative
workforce
and
the
california
nurses
association.
You
know
others
that
were
wonderful
in
terms
of
their
understanding.
Not
you
know
it's
difficult
time
that
we
need
to
be
creative.
B
We
need
to
temporarily
very
short
term
temporarily.
Look
a
little
bit
differently
in
terms
of
our
staffing
needs,
icu,
step
down
units
telemetry
units,
as
well
as
our
emergency
medical
services
and
our
medical
and
surgical
units.
Here's
what
the
staffing
ratios
fundamentally
do
go
from
1.2
nurse
to
icu
patient
ratio
to
nurse
to
icu
patient
ratio
1.3
under
these
emergency
regs
we
have
put
out
so
just
stretching
resources
and
again
empathy
and
respect
to
those
human
beings.
B
These
front
line
health
care
workers-
these
nurses
in
particular
that
are
just
doing
heroic
work
every
single
day
asking
yet
again
for
a
little
bit
more
during
these
very
challenging
next
few
weeks,
month
month
and
a
half,
it
relates
to
staffing
as
well
we're
looking
more
broadly
at
looking
to
be
creative
and
flexible,
with
our
existing
workforce,
we're
looking
at
getting
additional
staff
contracted
through
agencies.
507
staff
now
have
been
deployed
to
54
facilities
in
20
counties.
B
These
are
recent
staff
distribution
staff
enhancements
130
under
a
cowmat
individuals,
calm
up
program
you
mentioned,
I
mentioned
the
contract
staff.
You
can
see
300
of
the
507
cal
guard.
Someone
asked
me
today:
what
about
the
california
national
guard?
Well,
we've
included
in
our
staff
deployment
those
critical
workers
with
the
unique
expertise
in
the
calgar
49
individuals
and
then
our
health
corps
team.
We
have
another
cohort
of
health
corps
members
that
are
also
part
of
our
recently
deployed
staff.
B
B
We
have
our
dmat
the
disaster
management.
What
you
you
familiar
with
this
dmacc
teams
from
the
beginning
of
this
pandemic,
also
wildfires
and
the
like
35
folks
that
are
currently
supporting
two
hospitals.
I
think
it's
el
centro
and
pioneer
hospital
down
near
the
border
and
they've
already
been
sent
and
deployed
down
there
imperial
county.
Primarily,
we
also
have
a
request.
B
This
is
a
request
request
in
for
the
department
of
defense
for
medical
personnel,
we're
asking
for
10
teams
of
20
200
personnel,
so
we've
been
supported
through
dmat,
the
fema
requests
or
have
us
outstanding
requests
at
the
department
of
defense
as
well
to
help
I
mentioned
healthcore
a
moment
ago.
I
want
to
mention
it
again.
B
B
We
want
to
help
support
you
getting
back
on
track
and
if
you
live
in
a
region,
that's
primarily
underserved,
and
that
would
be
significant
to
get
your
expertise
and
your
support
to
go
to
the
covitt19.ca.gov
website,
coven19.ca.gov
website
and
availa
us
of
the
information,
your
expertise,
your
experience,
your
licenses
and
what
you
are
willing
to
offer
will
provide
supports
in
terms
of
hotel
rooms
and
transportation
and
try
to
waive
as
many
of
the
fees
and
related
costs
associated
with
getting
you
back
into
the
workforce
on
a
temporary
basis
to
help
us
through
this
very
difficult
time,
so
encourage
folks
that
know
of
folks
that
have
recently
retired
or
may
be
interested
in
really
stepping
up
in
the
next
60
or
so
days
to
go
to
that
covet.
B
19
website
hundreds
have
thousands.
Tens
of
thousands
have
hundreds
already
doing
chefs
working
in
critical
facilities,
truly
saving
lives
and
we're
grateful
deeply
grateful
and
humbled
by
that
as
well.
So
relates
to
those
alternative
care
sites
just
briefly
and
quickly,
go
through
the
rest
of
these
remaining
slides
and
we're
here,
of
course,
to
ask
answer
any
questions
with
dr
galley.
B
Here's
where
we
are
currently
for
non-icu
patients-
I
don't
remind
folks
these
alternative
care
facilities
are
not
icu
facilities,
but
we
have
the
imperial
valley
college,
that's
open,
just
30
beds.
For
the
moment
sleep
training
I
mentioned
a
moment
ago.
We
have
20
beds
that
are
quote
unquote:
operationalized
200,
additional
beds
that
are
in
this
warm
status.
B
Later
this
week,
you'll
see
the
fairview
development
center
opens
up
on
the
17th,
just
10
beds
to
start
porterville
10
beds,
which
recently
just
became
operationalized.
So
you
can
see
the
four
sites
that
are
moving
now.
Lights
are
on
staffing
up.
It
relates
to
those
additional
sites.
There's
a
total
of
11.
here's
the
status
on
six
that
are
in
the
warm
status
all
across
the
state,
riverside
contra
costa.
You
can
see
fresno,
san,
diego
and,
of
course,
san
francisco.
B
The
number
of
available
beds
we're
starting
again
just
to
get
things
you
know
situationally
moved
around
and
preparing,
if
indeed
we
need
to
utilize
these
alternative
care
facilities
for
non-icu
patients.
We
have
as
well-
and
this
is
a
very
sober
part
of
the
presentation
I
have
a
psa.
I
want
to
share
with
you
at
the
end,
but
I
want
to
focus
on
the
issue
of
how
deadly
this
disease
is.
I
you
know
it's
an
interesting
time
and
we
want
to
be
optimistic.
B
We
want
to
share
good
news
and
I
hope
we're
doing
that
with
the
vaccinations.
The
additional
393
000
that
kaiser's
moving
in
so
this
thing's
really
starting
to
go.
How
we're
more
confident
we
get
to
two
plus
million
of
you
in
the
next
number
of
weeks
vaccinated,
but
let's
deal
with
some
sober
realities.
We
lost
142
people
in
the
last
24
hours
to
this
virus.
At
least
our
report
reporting
is
142.
Lives
were
lost
to
this
deadly
disease.
B
B
think
about.
If
we
continue
down
the
path
we're
on
what
that
january,
14th
number
may
look
like
if
we
do
not
do
what
we
need
to
do,
which
is
not
just
avail
ourselves
when
we
can
to
the
vaccine,
but
to
continue
to
wear
these
face
coverings
and
to
minimize
mixing
to
the
extent
possible
because
of
what's
occurred
in
the
last
30
days
in
particular,
but
we
have
to
be
mindful
of
how
deadly
this
disease
this
pandemic
is
here's
what
we've
just
done.
B
We
just
had
to
order
5
000
additional
body
bags
they
just
purchased
for
the
state
and
we
just
distribute
them
down
to
san
diego
los
angeles
counties.
That
should
be
sobering.
I
don't
say
that
you
know
I.
I
don't
want
people
to
run
with
that.
I
don't
want
people
to
scare
folks,
but
but
this
is
a
deadly
disease
and
we
need
to
be
mindful
of
where
we
are
in
this
current
journey
together
to
the
vaccine.
B
B
C
D
B
So
wear
a
mask
stay
six
feet:
apart,
do
those
basic
things?
Those
are
what
we
refer
to
as
the
non-pharmaceutical
interventions
that
can
truly
save
lives,
so
we
don't
have
to
you
know.
We
don't
have
to
learn
more
about
people
that
have
been
torn
asunder.
Families
who've
lost
a
loved
one.
Who
can
never
do
the
things
so
many
of
us
take
for
granted
and
that's
reach
out
and
make
a
phone
call
and
hear
a
loved
one's
voice.
So
this
is
sober.
This
is
the
reality.
B
This
is
the
world
we're
currently
living
in.
This
is
what
we're
doing
everything
in
our
power
to
mitigate.
We
want
to
eliminate.
We
will
eliminate,
ultimately
eliminate
this
disease,
but
we
have
work
to
do
again
in
the
tunnel,
though
there's
light
at
the
end
of
the
tunnel
in
order
as
well.
To
help
with
that,
I
want
to
bring
back
a
slide.
I
had
last
week
last
thursday
we
announced
california
notify.
This
is
again
all
about
tools
and
the
toolkit.
This
is
just
another
tool
in
the
toolkit.
None
of
this
is
absolute.
B
Nothingness
is
just
additive.
These
are
just
ability
and
use
technology
use
technology.
We're
all
familiar
with
our
our
smartphones,
some
of
you
have
the
android
platform,
google.
Some
of
you
have
the
iphone
platform,
and
both
google
and
apple
have
joined
forces
with
the
state
of
california.
A
program
called
california
notify
again
launched
last
thursday.
Six
and
a
half
million
people
have
activated
so
far,
which
is
not
bad,
though
be
nice.
We
can
double
that
still,
but
six
and
a
half
million
people
not
bad,
and
I
want
to
encourage
you
to.
B
If
you
haven't
learned
about
learn
about
it.
First,
it's
opt
in
not
opt
out
privacy
protected.
It
is
a.
It
is
not
it's.
It's
not
a
contact
tracing
device,
it's
bluetooth
and
it
uses
these
anonymous
keys.
I
can
get
in
all
the
technical
points
and
I
know
we
have
a
lot
of
trust
building
to
do
on
that
point.
But
I
encourage
you
to
learn
about
those
things,
and
you
know:
six:
half
million
people
have
already
availed
themselves
apple.
Iphone.
You
just
go
into
the
settings
you
scroll
down
to
the
exposure
notifications.
B
You
can
do
it
right
now,
as
you're
watching
listening.
It's
very
easy
to
do.
It's
literally
two
or
three
props
and
you've
got
it
up
and
running,
go
to
google
on
the
android
platform.
You
just
go
to
google
play
and
you
can
download
the
app
and
learn
more
about
what
it
is
and
what
it
isn't.
But
I
encourage
you
to
take
advantage
of
this
tool
as
again
over
six
million
californians
have
just
in
the
last
few
days.
So
look
it's
been
an
enlivening
few
days
in
the
context
of
the
vaccines
arriving
more
and
more.
B
To
do
on
that
front.
Remind
you,
just
in
closing,
before
I
open
up
to
questions
that
the
pfizer
vaccines
are
the
ultra
low
cold
storage
different
than
the
moderna
vaccines,
which
are
just
more
traditional
cold
storage,
not
arctic
storage,
just
cold
storage
moderna
has
a
different
process
for
distribution,
but
again
that
process
for
distribution
is
based
not
on
the
whims
of
elected
officials
not
top
down,
but
a
very
comprehensive
equity-based
lens.
That's
been
advanced
by
experts
in
their
field.
B
Mindful
of
the
past,
as
it
relates
to
challenges
around
cultural
competency
and
trusted
messengers,
but
very
very
committed
to
put
out
guidelines
that
are
truly
inclusive
and
again
tomorrow
will
be
among
many
public
meetings.
They
have
please
go
to
thecovet19.ca.gov
website
to
learn
about
their
next
public
meeting
time
and
learn
more
in
real
time
about
where
the
next
round,
roughly
8
million
californians,
where
those
priorities
will
stack
in
terms
of
exposure
in
terms
of
risk
and
in
terms
of
priority.
With
that
we're
happy
to
answer
any
questions.
E
E
Second,
are
you
going
to
be
updating
the
state's
covid
dashboard
to
include
that
data
on
a
day-to-day
basis,
and
third,
you
mentioned
last
week
that
you
want
to
make
sure
that
people
with
means
did
not
cut
in
the
line
and
get
ahead
of
more
deserving
folks,
how
exactly
are
you
going
to
do
that?
Yeah.
B
Well,
people
means
that
aren't
otherwise
at
risk
and
not
appropriately
availing
themselves
to
the
protocols
that
we
are
establishing.
So
I'm
going
to
ask
dr
gally
to
come
up
and
talk
a
little
bit
more
specifically,
but
here's
david.
Let
me
go
back
and
thank
you
for
the
questions
I
want
to
go
back
to
the
slide
here.
We
begin
with
what
we
do
know
is
we
received
four
locations
and
I
laid
out
those
details
on
the
locations,
the
doses
33
150.,
not
all
of
those
doses
were
administered.
B
We
also
know
that
24
more
locations
across
state
literally
this
morning,
we
had
789
that
we
were
able
to
confirm
where
the
vaccines
have
been
delivered.
That
information
is
coming
in
even
since
the
beginning
of
this
presentation,
and
so
we'll
update
you
at
the
extent
possible
in
real
time,
but
I'm
going
to
ask
dr
galley
to
talk
more
specifically
about
what
our
expectations
are.
B
His
expectations
in
terms
of
transparency,
because
it's
a
very
good
question
in
terms
of
when
that
information
comes
to
us,
how
we
get
it
to
you
and
what
platform
do
we
do
that
in
terms
of
the
total
number
of
doses
that
have
been
administered?
And
we
are
very
mindful-
and
forgive
me
for
belaboring
your
question
and
I'll
pull
this
over
to
dr
galley-
that
just
because
we
receive
all
the
doses
there
may
be
issues
with
administering
the
doses,
obviously,
with
ultra
low
cold
storage.
B
There's
obvious
concerns
about
the
ability
to
administer
all
those
doses
within
that
prescribed
five-day
period,
particularly
for
those
that
are
no
longer
in
the
ultra-low
storage,
and
so
that
opens
the
question
that
is
there
going
to
be
waste?
Is
there
enough
doses
that
were
well
without
getting
into
the
details?
I
was
just
thinking
yesterday,
one
of
the
doctors
said.
I
actually
think
I
can
get
an
extra
half
a
dose
in
each
one
of
these
vials
a
little
bit
more
than
they
thought.
B
So
is
there
waste
or
there
actually
abundance,
there's
going
to
be
all
kinds
of
things
that
come
forth?
That's
my
point
as
it
relates
to
distribution
of
vaccine
in
real
time,
and
so
how
we
put
all
that
up,
how
we
make
it
available
to
you.
Dr
galle,
hopefully,
will
have
some
greater
insight
in
just
a
sec.
F
Thanks
governor
and
really
picking
up
where
the
governor
left
off
a
few
things
to
answer
your
questions
directly.
First,
as
of
this
morning,
we've
heard
the
locations
that
have
received
vaccine,
but
we
have
not
been
able
to
confirm,
or
we
haven't
confirmed
whether
those
entities
that
received
the
vaccine
have
in
fact
started
to
administer
them.
I
know
a
number
of
counties.
A
number
of
the
locations
that
were
scheduled
for
this
morning
were
preparing,
as
we
saw
at
kaiser
yesterday,
the
governor
and
I
and
others
that
it
does
take
a
little
bit
of
time.
F
So,
as
those
doses
arrive
to
the
facilities,
it
takes
a
few
hours
to
settle
them
into
the
storage
thaw,
the
the
vials
that
are
going
to
be
used
immediately
and
then,
of
course,
the
process
of
getting
people
registered
and
lined
up
to
your
second
question
about
how
quickly
will
we
be
able
to
identify
the
number
of
doses
on
a
given
day
and
then
be
able
to
talk
through
and
share
with
you
and
all
californians
the
number
of
californians
who's?
Who
have
received
that
first
dose
of
pfizer
this
week,
moving
forward,
pfizer
and
moderna
starting?
F
Hopefully,
next
week,
depending
on
the
fda
process
shipment,
everything
that
we
saw
with
the
pfizer
vaccine
so
we'll
be
getting
that
information,
hopefully
as
soon
as
you
know
tonight,
in
the
next
couple
days
and
then
being
able
to
provide
that
in
real
time
on
our
covet
website
in
terms
of
really
working
to
make
sure
the
prioritizations
are
followed.
This
is
an
important
question
that
we
have
been
having
conversation
about.
F
The
governor
has
mentioned
that
we're
laying
out
the
prioritization
around
our
equity
principles
around
ensuring
that
those
who
are
most
vulnerable
are
really
at
the
front
of
the
line,
our
frontline
health
care
workers.
I'll
just
reiterate
what
the
governor
said
meeting
some
of
those
workers
who
were
receiving
the
vaccine
yesterday,
although
it
was
just
five,
I
think
their
stories
are
telling
that
the
concern
about
bringing
it
home
to
their
families
spreading
it
on
their
own
units.
F
I
will
tell
you
this
1a
group,
the
group,
which
is
the
3
million,
that
the
governor
mentioned
up
to
3
million
californians,
who
are
those
front
line,
health
care
workers,
as
well
as
some
residents
in
the
residential
care
facilities,
in
particular
skilled
nursing
facilities
that,
frankly,
because
those
facilities
directly
are
getting
the
vaccine.
We
have
confidence
that
it
will
end
up
with
the
right
people
based
on
our
prioritization
list.
F
It
is
really
when
we
get
into
the
future
phases
of
the
vaccine
that
we
are
building
the
systems
to
ensure
that
that
list
of
priorities
are
followed
and
that
we
can
track
it
and
share
that
with
you.
Moving
forward.
B
But
dr
kelly's
right,
this
care
system,
it's
the
immunization
registry,
we're
also
building
on
top
of
it
additional
I.t
implementation
around.
We
refer
to
as
calvax,
which
will
provide
us
more
information,
not
just
the
end-to-end
information
and
the
components
where
we
are
well
established,
components
with
vaccinations.
Remember
we
do
about
19
million
flu
shots
over
probably
a
90-day
period,
at
least
the
bulk
of
it
on
an
annual
basis,
millions
and
millions
of
other
routine
vaccinations
each
and
every
year.
There's
a
registry.
B
That
is,
as
dr
galley
said,
part
of
the
next
phase
phase
1b
and
into
subsequent
phases,
where
this
vaccine
will
be
more
readily
available
and
more
prone
to
people
prioritizing
in
ways
that
were
not
intended
and
that's
where
we'll
be
most
vigilant
and
prepared
to
be
in
terms
of
making
sure
that
we
hold
folks
to
you,
know
their
hippocratic
oath
and
higher
level
of
accountability.
C
Hi
this
is
brittany
with
kcra.
Thank
you
for
taking
my
question
today.
Earlier
governor,
you
talked
about
a
messaging
campaign
to
reach
communities
of
color
hit
hard
by
coven
19,
but
many
people
will
still
be
hesitant
to
take
the
cover
19
vaccine
due
to
valid
and
deep
root
and
mistrust
in
the
medical
system,
so
bottom
line
here.
What?
If
people,
especially
in
these
hard
hit
communities,
simply
don't
trust
the
vaccine
and
choose
not
to
get
vaccinated?
B
Yeah
look
I
I
appreciate
the
question
and
it
allows
me
just
to
reinforce
fundamental,
and
you
see
it
described
here
in
our
vaccinate
all
guiding
principles.
One
has
to
acknowledge
that
past,
not
not
just
in
the
black
community,
but
also
the
native
american
community,
and
that
lived
experience.
That's
been
passed
down
some
cases
generationally
that
mistrust
as
it
relates
to
vaccinations,
which
is
deeply
understandable,
and
so
we
have
a
lot
of
work
to
do
to
overcome
that,
and
so
one
is
just
acknowledging
it.
Thank
you.
B
Number
two
is
really
building
partnerships
and
partnerships
are
peer-to-peer.
Partnership
is
around
having
trusted
community
leaders
engage
in
conversations
in
a
different
way
than
we
ever
could
from
sacramento
selling
those
conversations
down.
So
it's
really
about
bottom-up
non-governmental
organizations
trusted
messengers,
faith
leaders
which
are
going
to
be
foundational
in
terms
of
caring.
This
message
we
know
doctors
and
nurses,
particularly
doctors
and
nurses,
that
look
like
the
communities
they
serve
are
profoundly
significant
messengers.
That's
why
yesterday
I
thought
it
was
a
wonderful
thing
that
we
were
there.
B
Vaccinating
five
individuals,
the
first
cohort
in
the
state
of
california,
truly
representing
the
diversity
of
this
state-
and
I
think,
that's
also
part
and
parcel
of
advancing
this
effort
of
building
back
trust
and
addressing
those
lived
experiences.
And
so
that's
fundamentally
how
we're
approaching
it
we're
putting
real
resources
in.
As
I
said,
this
is
backed
up
by
the
first
commitment
of
30
million,
we're
hoping
to
get
more
funding
from
the
federal
government
that
cannot
come
any
cannot
come
too
soon
and
we're
very
hopeful.
B
The
last
48
hours
seems
like
there's
a
little
bit
of
break,
possibly
with
some
movement
out
of
congress
and
a
possibility
of
a
deal
that
can
help
advance
this
cause.
There's
national
education
efforts
that
have
been
delayed
that
need
to
be
advanced
to
help
substantively
answer
this
question.
But
we
are
building
off
and
I'll
just
close
on
this
because
I
mentioned
a
moment
ago,
but
it
really
bears
re
enforcing
we're.
B
That
may
not
be
documented
to
push
away
from
that
centennial,
or
rather
that
census
experience.
So
we're
working
with
all
of
those
lessons
learned
in
the
last
year
in
that
space
and
trying
to
also
bring
that
to
bear
in
terms
of
our
fact-based
messaging
and
our
bottom-up
messaging,
to
reach
out
to
our
diverse
communities.
D
G
Governor
you
said
that
we're
in
a
sprint-
and
you
reference
the
time
frame
of
45
to
60
days.
Does
that
mean
that
your
expectation
is
it
will
take
up
to
another
two
months
for
these
cases?
To
peak
I
mean,
and
if
that's
the
case
I
mean,
is
it
even
possible
for
the
hospital
system
to
absorb
two
more
months
of
increases,
or
are
you
saying
that
that
60
days
refers
to
an
outer
projection
that
cases
will
already
have
peaked
and
that
by
mid-february
some
restrictions
could
be
rolled
back.
B
Yeah,
no
thank
you
and,
by
the
way,
truly
thank
you
for
the
question
and
the
opportunity
I'm
going
to
ask
dr
gallagher
to
come
up
talk
about
our
modeling.
Here's
what's
interesting!
Well,
here's
what's
particularly
powerful!
Not
just
interesting,
forgive
the
description
there.
Our
modeling
is
becoming
more
and
more
accurate
alarmingly.
So
some
of
the
models
we
had
just
10
days
ago,
particularly
as
relates
to
regions
and
icu
capacity,
hope
we
put
this
slide
back
up,
look
very,
very
real
meaning.
B
Hospitals,
staffing
is
our
principal
issue
and
that's
why
we're
being
very
aggressive
and
that's
why
I
showed
you
updated
for
the
second
time
in
five
days,
some
of
those
staffing
efforts
and
that
can
ameliorate
a
lot
of
the
stress.
The
alternative
care
sites
also
can
ameliorate
some
of
the
stress
in
terms
of
decompressing
our
hospital
system
and
getting
non-acute
patients
out
of
that
system,
availing
more
space
and
more
opportunities
of
support
within
the
existing
hospital
care
system.
So
with
that
that's
broad,
strokes
frame,
I
want
to
ask
dr
galley
to
talk
about.
F
Yeah
governor,
thank
you,
so
I
think
about
this
in
rules
of
about
using
the
number
12..
If
you
look
at
cases
about
12
days
ago
really
14
days
ago,
but
to
keep
this
simple
12
days
ago.
12
of
those
cases
are
going
to
be
hospitalized
and
12
of
the
percent
of
those
that
have
been
hospitalized
are
going
to
end
up
in
our
icus
and
when
the
governor
says
that
our
projections
are
becoming
more
accurate.
F
But
with
that
in
mind,
if
you
look
at
where
we
were
two
weeks
ago,
with
cases
more
in
the
range
of
fifteen
thousand
per
day
on
average,
and
you
look
at
where
we
are
now
creeping
towards
an
even
above
30
000
cases
per
day,
that
should
tell
you
that
in
the
next
couple
of
weeks
what
our
hospitals
will
be
facing
the
amount
of
people
knocking
on
the
front
door
with
covid
to
the
emergency
departments
that
need
an
inpatient
hospital
bed.
That
might
need
that
icu
bed
are
going
to
increase.
F
F
It
is
us,
following
the
regional
state-home
orders,
making
the
decision
not
just
to
be
concerned
about
our
own,
whether
we're
infected
by
kovid,
but
really
what
the
impact
is
with
our
family
members
I'll
remind
you
that
some
of
our
oldest
californians
they
make
up
over
60
years
of
age,
make
up
just
under
14
percent
of
our
total
cases,
since
the
beginning
yet
make
up
80
percent
of
our
deaths.
F
So
this
idea
that
we
have
an
opportunity
through
our
actions
in
the
next
many
days,
starting
today.
I
hope
to
make
a
decision
to
stay
at
home
as
much
as
we
can
to
wear
our
mask
as
much
as
we
can
when
we're
not
with
others
that
we're
not
used
to
being
around
making
decisions
about
deferring
some
of
our
plans,
whether
they're
travel
plans
or
even
for
my
own
kids.
F
Talking
about
you
know,
even
though
there
might
be
some
conditioning
exercises
outside
with
the
sports
teams
that
they
love
to
decide
not
to
make
that
decision
to
really
stay
home
to
protect
their
grandma,
their
other
family
members,
and
we
each
have
that
decision,
so
yeah
45
to
60
days.
We
anticipate
that
it's
going
to
be
around
that
amount
of
time.
If
we
make
some
decisions
today
before
our
hospital
system
really
sees
the
kind
of
relief
in
returning
to
something
that
is
manageable
and
more
normal.
F
The
fact
that
40
percent
of
people
who
are
infected
might
be
asymptomatic
says
a
lot
about
just
our
our
lack
of
being
able
to
understand
whether
those
who
are
gathering
with
are
going
to
be
able
to
transmit
the
disease
to
us
or
a
loved
one
who
might
be
more
vulnerable.
Who
might
have
an
underlying
condition.
F
So
yeah
45
to
60
days
is
an
important
marker,
but
I
think
it
really
is
the
message
of
starting
now
doing
as
much
as
we
can
with
our
own
personal
behaviors,
to
contribute
to
what
could
be
a
real
transformation,
a
real
reduction
in
cases.
In
just
a
few
weeks.
Remember.
We
chose
three
weeks
as
the
minimum
period
for
the
regional
stay-at-home
order,
because
we
believe
that's
the
amount
of
time
needed
to
see
some
of
these
actions
manifest
in
the
case
numbers
and
so
we're
watching
that
very
closely.
Thank
you.
F
B
Belaboring
this
any
further,
I
think
the
point
that
dr
gallery
was
just
making
is
the
critical
point.
Even
if
we
start
seeing
the
case
numbers
go
down,
you
have
the
residual,
which
is
the
impact
on
the
hospitals
and
the
icus,
and
that's
that
long
tail
or
medium
term
tail
that
we're
concerned
about
in
terms
of
our
planning,
in
terms
of
our
capacity
and
in
terms
of
our
staffing
and
so
again,
just
want
folks
to
know
be
vigilant.
B
This
moment
I
know,
there's
a
sense
of
relief
that
the
vaccines
and
that's
all
we're
seeing
24
7,
24
7
vaccinations.
We
just
don't
want
folks,
say:
hey
honey,
we're
great.
This
thing
we
got
vaccinations,
I'm
good,
I'm
going
back
and
going
back
into
an
environment
that
could
put
that
person
loved
one
at
higher
risk,
and
so
this
is.
This
is
the
call
it's
sober,
but
it's
also
optimistic
light
at
the
end
of
the
tunnel
still
in
the
tunnel.
H
11.
to
that
point,
a
little
bit.
Congratulations
on
the
vaccine,
food
there's
a
lot
of
reason
for
hope,
but
you
do
talk
about
these
rising
case
numbers.
Despite
all
of
that,
clearly,
there
are
still
people
that
aren't
wearing
the
mask
that
are
defying
the
orders
that
aren't
listening.
How
do
you
get
them
to
listen?
I
know
you
released
a
new
psa
today,
but
what
why
do
you
think
those
people
aren't
listening
the
message
and
what
maybe
can
change
so
that
they
do.
B
I
think
the
vast
majority
of
people
are
listening
to
it.
I
I'm
I'm
incredibly
proud
of
this
state.
I
was
talking
a
very
close
friend
of
mine
lives
in
fresno
and-
and
he
was
just
commenting
not
only
in
the
fresno
city
council-
that
passed
a
resolution
highlighting
and
encouraging
more
compliance
and
expressing
concern
about
their
case
rates,
but
there
was
a
recognition
in
the
community.
He
was
just
saying
just
with
folks.
He
comes
into
contact
with
where
they
seem
to
be
about
somebody
else
or
about
them
all
of
a
sudden.
B
Now,
increasingly,
someone
knows
somebody,
someone
cares
about
somebody
that
actually
got
really
sick,
that
didn't
just
get
tested
positive
that
may
end
up
in
the
hospital-
god
forbid
in
the
icu
may
have
even
lost
their
lives.
So
I
think,
as
this
continues
to
impact
more
and
more
people
in
more
and
more
parts
of
the
state
that
that
back
to
this
frame
lived
experience
having
become
now
personal,
it's
not
intellectual,
it's
not
a
political
issue,
it's
not
about
whether
I
was
with
this
person
or
that
person
on
the
november
election.
B
It's
whether
or
not
I
actually
care
about
this
person
or
that
person
because
of
their
personal
experience
with
this
deadly
pandemic.
But
yes,
I
I
think
it
is
important
to
remind
people-
and
I
appreciate
your
recognition
of
what
we're
trying
to
communicate
with
that
psa
of
again
how
deadly
this
disease
is
and
how
people
are
not
home.
B
This
christmas,
even
in
the
immediate
household,
with
a
loved
one,
because
they've
lost
their
lives
to
this
disease,
and
so
we're
going
to
continue
to
raise
those
alarm
bells
not
to
make
people
feel
badly
not
to
make
people
feel
guilty.
Not
to
shame
anybody,
but
to
impress
upon
folks
where
we
are
in
the
midst
of
this
third
wave.
I
I
B
It's
a
very
thoughtful
question
and
I
appreciate
it
look
I'll
bring
back
this
slide
just
briefly,
as
it
relates
to
the
current
capacity,
which
really
underscores
your
point.
Look
where
southern
california
is
currently
with
their
current
icu
capacity
again.
This
number
changes
on
the
hour,
not
just
by
the
day.
So
this
is
a
snapshot
where
we
were
late
last
night
1.7
now,
every
minute
of
every
day
we
are
working,
so
are
the
local
health
officers
and
city
leaders
to
augment
capacity
to
find
staffing.
That's
done
within
the
systems
themselves.
Health
plans
themselves.
B
It's
done
with
state
support
as
well.
I
just
highlighted
on
these
slides,
coming
up
the
work
that
we're
doing
to
provide
a
different
additional
staff,
but
this
is
not
all
we're
doing,
and
so
I
think
the
sophistication
your
question
is
a
presumption
that
all
right,
even
with
everything
you
see
on
this
slide,
that
we
will
drive
past
that
you're
correct
and
that's
why
this
is
a
very
dynamic
effort.
B
F
Thanks
again
governor
and
yes,
two
weeks
from
now,
we
are
concerned
about
what
our
ability
to
provide
the
same
level
of
high
quality
care
will
be.
But
rest
assured,
our
hospitals
have
been
planning
for
quite
some
time,
our
partnership
with
our
local
counties,
our
ems
agencies
across
the
state,
the
state
itself,
all
that
cal
oes
does
and
government
operations
here,
another
agency
they
all
have
been
working
around
the
clock
really
to
anticipate.
What
can
we
do
when
we
are
now
at
that
surge
level
of
care?
F
And
so
we
of
course
want
to
do
all
we
can
to
avoid
getting
there
to
make
it
as
short
a
period
as
possible
once
we
do
get
there
by
doing
all
of
the
things
that
we've
just
talked
about
with
the
regional
stay-at-home
order.
Following
all
of
the
things
we've
been
talking
to
you
for
many
many
weeks,
but
anticipating
really
some
challenges
in
the
next
two
weeks,
bringing
on
additional
staff.
That's
goal
number
one.
We
are
not
as
concerned
as
running
out
of
space
and
supplies
vents,
as
the
governor
has
discussed.
F
F
The
healthcare
delivery
system
is
well
known
for
being
able
to
step
up
for
coming
up
with
some
innovative
approaches
at
the
time
to
make
sure
that
we
can
provide
as
high
quality
care
as
possible,
given
the
volume
of
patients,
but
still
our
first
go-to
strategy
is
to
try
to
keep
the
number
of
patients
coming
as
low
as
possible,
not
to
discourage
anyone
who
needs
care
to
come.
They
should
come.
F
Of
course
they
are
considered
at
different
times.
There
isn't
a
facility
in
california
that
has
implemented
those,
because
we've
been
able
to
step
up
and
provide
care,
but,
of
course,
as
part
of
our
preparation,
we
must
look
at
that
across
the
state.
We
must
make
sure
that
people
are
having
those
conversations
now
in
case.
We
do
need
to
implement
some
of
those
crisis
care
standards
of
care
that
we
are
most
ready
most
prepared
and
able
to
do
that
with
the
highest
degree
of
integrity
and
thoughtfulness.
B
Just
to
reinforce
the
partnerships
we've
developed
directly
with
the
hospitals
of
systems
with
the
leadership
of
carmela,
coyle
and
others
runs
the
hospital
association
here
in
the
state
working
as
well
to
look
at
the
issues
around
well
scheduled
surgeries,
not
just
elected
surgeries,
looking
at
traditional
and
non-traditional
ways
of
providing
surge
within
the
health
care
delivery
system.
So
these
surge
plans
have
been
well
considered.
B
Many
of
them
have
been
actualized.
Many
of
them
are
in
the
planning
phases.
Many
are
also
being
considered.
In
addition,
all
of
it
additive
to
some
of
the
work
the
state
is
doing
so,
there's
a
more
abundance
in
terms
of
the
staffing
and
protocols
than
it's
been
exposed
on
one
or
two
slides,
and
by
the
way.
To
that
end,
I
want
to
just
remind
you
some
of
that
abundance,
because
dr
galley
referenced
it
briefly,
but
it's
important
to
go
back.
The
ppe
inventory
in
this
state
remember
a
few
months
back.
B
That
was
the
big
issue.
March
april
was
ppe.
We
have
currently
over
half
a
billion
units
just
to
the
n95
and
surgical
slash
procedure.
Mass
we've
distributed
some
600
million,
but
we
currently
still.
This
is
the
current
status
of
just
the
state
inventory.
This
is
not
the
inventory
that
persistent
exists
at
the
local
level
or
within
the
hospital
system
itself.
Accordingly,
dr
galley
referenced
ventilators.
Here's
the
actual,
accurate
count
today
of
where
the
state
of
california
is
in
terms
of
accessing
ventilators,
which
is
foundational
staffing
events.
Then
you
have
an
icu
unit.
B
So
again,
staffing
big
issue,
a
lot
of
challenges,
but
also
a
lot
of
flexing
opportunities,
a
lot
of
movement
within
the
existing
healthcare
delivery
system
to
manage
staffing
differently,
in
addition
to
the
work
we're
doing
as
a
state
to
provide
additional
supports
and
get
federal
support
as
well.
D
Barbara
sader
of
cal
matters,
I
thank
you
for
taking
our
calls
and
questions.
My
question
is
about
counties.
I
understand
that
counties
have
some
flexibility
in
how
they
prioritize
groups
for
the
vaccine.
What
I'm
wondering
is
how
much
flexibility
do
you
support
and
would
the
state
step
in,
if
orange
county,
for
example,
decided
to
vaccinate
disneyland
workers
before
teachers?
Thank
you.
B
Well,
it's
a
very
interesting
question
specifically
as
you
pose
it
in
that
light,
look
I'll
I'll
answer
and
then
ask
dr
galley
to
more
granularly
respond,
but
the
bottom
line
is
the
state
sets
the
tone.
The
state
sets
the
tenor.
B
That
would
certainly
include
teachers
in
terms
of
the
prioritization
and
the
tiering
of
those
sub-populations,
but
I
asked
dr
gally
as
it
relates
to
his
expectations
in
terms
of
enforcing
that,
which,
I
think
is
fundamentally
what
you
are
questioning
and
what
his
expectations
are
in
terms
of
those
partnerships
that
are
well
established
with
our
county
and
local
health
officers.
F
Yeah
again,
thank
you
for
the
question
and
as
the
governor
just
shared
this
week
tomorrow.
In
fact,
the
drafting
guidelines
work
group
will
be
coming
together
with
our
community
vaccine
advisory
group
and
discussing
exactly
this.
What
we
call
1b
that
first
set
of
what
some
people
call
essential
others,
critical
infrastructure
workers
and
determining
how
we
will
roll
out
the
vaccine
to
that
group
coming
up.
I
don't
want
to
get
too
far
ahead
of
the
work
group.
F
They
will
be
sharing
their
advice,
their
guidance,
their
list
of
prioritization
tomorrow
and
then
we'll
be
able
to
unveil
that
to
all
of
you
to
the
sort
of
heart
of
the
question
we're
working
with
our
counties.
We
always
do.
We
always
have
with
really
discussing
what
the
priority
groups
are
getting
buying,
getting
clear
understanding
so
that
we
really
do
hope
that
their
ability
to
navigate
and
drive
where
vaccines
are
happening
follows
exactly
this
set
of
priorities.
J
Hello
wanted
to
switch
here
somewhat
to
some
of
the
guidelines
that
came
out
recently
about
youth
sports.
The
the
guidelines
state
put
out
this
week
would
only
allow
some
popular
sports,
like
football
and
basketball
in
areas
that
reach
the
orange
and
yellow
tiers.
How
likely
do
you
think
that
is
to
happen
by
the
end
of
the
school
year
and
what
will
determine
whether
that
can.
B
Happen
well:
the
virus
will
make
that
determination,
our
actions
each
and
every
individual
action,
some
total
of
which
will
determine
how
quickly
that
will
occur.
Let
me
go
to
a
slide
here
and
I
appreciate
the
opportunity
to
highlight
the
updated
sports,
youth,
sports
and
adult
recreational
guidelines.
We
did
put
out
those
new
guidelines
they're
on
a
covet
19.ca.gov
website,
and
they
do
differentiate
activities
at
different
levels
of
risk,
indoor
versus
outdoor,
obvious
frame
reference,
outdoor
versus
indoor
contact,
sports
versus
sports
like
track
and
field
where
there's
certainly
less
or
no
contact.
B
We
have
obvious
guidelines
related
to
that
and
they're,
based
upon
the
tiered
status
that
many
of
us
become
very
familiar
with,
as
it
relates
to
purple
orange,
yellow
and
red
status,
and
so
different
levels
of
risk
moving
in
different
tiers
based
upon
those
level
of
risk.
I
encourage
look.
I
got
four
young
kids
soccer,
I
mean
you
know.
B
Two-Thirds
of
my
life
is
just
you
know:
logistics,
not
just
in
terms
of
ppe
and
addressing
vaccinations,
but
trying
to
figure
out
how
the
kids
move
around
safely
and
and
sports
have
been
a
big
part
of
their
life,
huge
part
of
my
wife's
life.
She
was
a
the
junior
national
soccer
team
at
stanford.
B
I
was
able
to
get
into
santa
clara
university
or
down
in
silicon
valley,
because
of
of
sports,
and
so
I
I'm
reverential
in
terms
of
my
desire
for
kids,
mental
and
physical
health
for
parents,
mental
and
physical
health
to
get
our
kids
playing
sports
again
in
a
safe
manner,
and
so
we've
been
stubborn.
We've
been
working
on
this
a
lot
of
work
behind
the
scenes
on
this,
but
you
may
have
noted,
and
this
is
the
stubborn
reality
you
may
have
noted
up
here.
B
They
were
doing
a
multi-state
tournament
in
the
middle
of
this
pandemic
and
they
quite
literally
put
the
lives
of
those
that
participated
at
risk,
and
that's
not
an
exaggeration
at
all.
It
wasn't
just
the
kids
that
got
tested
positive,
but
some
of
the
staff
coaches
rather
and
some
of
the
parents.
So
so
there's
proof
points.
This
is
higher
risk
in
certain
activities
with
certain
activities,
and
so
we're
just
trying
to
do
our
best
to
to
to
encourage
physical
activity.
K
Hi,
governor
quick,
follow
up
on
hospitals,
staffing
challenges
and
specifically
california's
request.
Has
there
been
any
discussion
about
requesting
a
return
of
the
usns
mercy
hospital
ship
and
it's
1
000
some
beds
since
southern
california
is
so
hard
hit
and
also
what
requests,
if
any,
has
california
made
from
neighboring
states?
That
may
not
be
right
now,
anyway,
as
hard
hit
and
have
some
extra
staff
to
spare
and
finally,
are
you
all
worried
that
the
staffing
crisis
might
hamper
the
state's
ability
to
to
quickly
and
safely
distribute
and
really
implement
the
vaccine
over
the
coming
months?.
B
B
It's
nice
icy
nurse,
a
doctor
and
environmental
service
worker,
that's
also
part
of
the
prioritization.
So
we
can
create
these
pockets
of
of
support,
also
pockets
of
of
well
of
sanctity,
so
to
speak
in
terms
of
a
mindset
and
relief
for
the
entire
team
that
is
critically
attending
to
the
needs
of
those
most
at
risk.
Regarding
the
and
I'll
ask
dr
gallery
to
talk
a
little
bit
more
about
it,
the
staffing
from
other
states,
in
most
other
states,
are
in
a
similar
predicament.
B
We
are
actually
looking
overseas,
interestingly,
to
potentially
recruit
some
staffing.
We've
done
this
in
the
past
for
many
different
issues
in
terms
of
our
mutual
aid
well
established,
most
recently,
of
course,
with
our
wildfires,
but
we're
looking
at
health
staff.
In
addition,
we
also
have
answer
your
question
and
again
dr
galley
will
close
this
out.
We
have
had
I've
had,
in
fact,
the
last
48
hours.
I've
had
multiple
conversations
about
the
us
ns
mercy.
B
B
It's
not
been
formalized
with
our
federal
partners,
we've
had
it
internally
in
terms
of
potential
need,
but
that's
just
give
you
an
update
full
disclosure
on
some
of
those
more
recent
conversations
in
that
space,
but
no
again,
formal
request
has
gone
into
administration.
The
request
currently
is
for
these
10
teams
of
20
these
department
of
defense,
medical
personnel,
and
that
request
is
outstanding.
B
We've
received
and
we're
very
grateful
those
paramedics
and
emts
through
fema
and
the
dmat
teams,
those
35
that
are
down
there
in
pioneer.
You
know
central
hospitals
down
near
imperial
county
near
the
border,
so
that's
been
encouraging
again.
The
partnerships
continue
to
be
very,
very
positive,
but
let
me
now
ask
dr
galley
to
sort
of
fill
in
the
blanks
and
and
close
this
all
out.
F
Governor
not
many
blanks
to
fill
in,
but
we'll
say
that,
unlike
in
other
mutual
aid
situations,
really
on
the
staffing
side,
we
have
these
federal
resources
that,
as
the
governor
laid
out,
we've
been
requesting
primarily
around
staff.
This
also
goes
for
the
mercy,
I
think
the
staff,
the
talent
there
could
really
aid
california.
F
So
of
course
that
is
another
potential
resource.
But
then
much
of
healthcare
depends
on
these
registry
companies.
Traveling
nurses-
that
usually
are
available
this
time
of
year
for
california
and
we're
able
to
fulfill
each
hospital,
doing
it
independently
state
not
needing,
as
often
to
step
in
and
help
there
to
identify
staff
to
come
help
in
the
hospitals.
But
those
registries
are
being
used
throughout
the
nation.
We're
only
getting
a
small
percentage,
usually
get
to
close
to
100
of
our
requests,
we're
lucky
to
get
two
thirds
at
the
moment.
F
So
that
underscores
that
each
of
the
states
around
us
is
having
their
own
set
of
challenges.
I
think
in
many
ways
california
is
a
little
bit
behind
some
of
the
other
stages
surge
situations.
We've
been
planning
effectively
staying
ahead
on
the
planning,
so
we
can
anticipate
in
the
next
few
weeks
the
real
need
for
these
additional
staff.
F
It
doesn't
happen
overnight,
just
because
community
decides
to
really
step
up
together.
It's
still
going
to
be
a
little
time
before
we
see
those
case
numbers
come
down,
but
they
certainly
will,
and
that
is,
I
think,
going
to
be
our
best
way
to
support
the
staffing
issues
that
have
been
so
primary
in
today's
conversation,
but
really
over
the
last
couple
of
weeks.
B
B
You
just
need
your
indulgence,
the
next
few
weeks
to
do
what
we
can
to
eliminate
to
the
extent
possible
this
virus
until
we
get
this
well
at
least
the
transmissions
of
this
virus
until
we
get
those
vaccines
and
good
news
on
the
vaccine
front-
and
I
hope
you'll
tune
in
as
news
is
being
made
to
the
community
advisory
process.
60
member
community
advisory
process
tomorrow,
three
o'clock,
they'll
be
meeting,
go
to
thecovet19.ca.gov
website,
learn
more
about
what
their
priorities
will
look
like
before
they're
even
made
formal
through
a
presentation
like
this
take
care.
Everybody.