Gov. Newsom to give update on when California can reopen -- WATCHMar 01, 2022
decision-making paper that we committed to updating weekly today, we're going to
updateyou on those six key indicators that inform our decision-making
whenit comes to increasing and modifying our stay-at-home order and we're going to dive deep into one of those indicators specifically in the area of monitoring tests, monitoring, isolation and Quarantine dr. Ghali will make that presentation here in a moment, but he wanted to set things up first and create a context for this discussion. I deeply recognize that I deeply understand the desire for people to hear directly from the state administration and its leadership on the answer to
whenwhen can we return to some semblance of normalcy? well, the vast majority of you I think recognize that the decision should be guided on the basis of the virus and your decisions are disseminated on the basis always, first and foremost, of public health, the pressure to respond. that question however is very real no one wants to be able to share that information with you more than me and i wish i could prescribe a specific date to say we can turn off the light switch and go back to normal which we have tried to make clear that there is no light switch and no date in terms of our ability to deliver the kind of clarity that I know many of you demand and deserve clarity, yet we are pr Offering today is the clarity of the indicators that guide the decision-making and transparency around those indicators in that framework that allows us to organize ourselves around six themes and specific teams to monitor conditions on the ground every day.
It is not driven by ideology but by argument. by evidence and by curation of best practices not just across the state across the country, but across the rest of the world, we lead with that first indicator which we'll talk more about in a moment on follow-up testing, tracing, isolation and Quarantine, but we included in five additional indicators considerations that we must make sure to protect the most vulnerable Californians are seniors in skilled nursing facilities nursing homes assisted living facilities those who are vulnerable on the streets indoors walk the homeless with compromised and willing immune systems framework for our second indicator how we protect the most vulnerable the third indicator was around hospital capacity the capacity to deliver care not only within the hospital system but also the creation and opportunity to provide alternative care sites and facilities s to do it not just with physical assets but to make sure that we have the human resources, the people and the protective equipment to make sure that healthcare workers are healthy and safe at the same time that we had a fourth indicator on the issues of therapy we talk a lot about herd immunity vaccines we in California are in a unique position because of the National Institutes of Health for the 10 most funded NIH Sites are in the state of California.
We are blessed and endowed with some of the best research institutions and hospitals conducting therapeutic studies and advanced therapeutic partnerships in this state. one category that guides our decision-making the problem obviously a company's issues related to schools and physical facilities is another area that guides our consideration, that's indicator 5. I've made it clear in the past that we won't just open things , we're going to have to open things up and modify how we conduct our business how we educate our children how to take care of our children and we talked about floor plans just a week ago and what that looks like in terms of practicing physical distancing is that we start to process the duration of concern about the
reopening of economic sectors in our society and finally the issue of what happens if we overcompensate for tact, what happens if we get ahead of ourselves and start to see an increase in new cases, hospitalizations, people and see that we use our ability to reset some of these conditions and critical points in our ability to project some confidence ance in doing so. and confidence in you that doing so is appropriate and old man abiding by those rules at the same time because we don't lose ourselves Trust is the most important asset in these conversations that build t We trust you 40 million Californians to make sure we continue to practice physical distancing, social distancing, and adhering to these guidelines, recommendations, and directives, but we recognize that we are testing that trust every day because of a deep desire that people begin to know when they could go back to work when they can go back out and recreate and enjoy the beautiful parks and beaches in the state of California and today we want to continue that conversation I want you to know that you will be looking forward to it if you wake up to this discussion and hear that we are
reopening large sections of our society we are not prepared to do that today, i look forward to making those announcements and we won't wait weeks to se tomorrow to make announcements when we're ready we'll make those announcements in real time but I'm ready today to make the next announcement we've been working with our partners in Washington state and Oregon guided by their experts and inspired by their examples and helping us inform our own efforts here in the state of California based on indicator three and the work we've done together to provide alternative sites of care the incredible work hospitals have done to decompress their existing facilities and provide capacity to increase augmentation and incredible workforce that has been assembled.
Today we are in a position to begin to step back and support each other as we begin to schedule surgeries once again, not only in our hospital system but also in our broader health care system. These are surgeries yes. they're scheduled, but they're also essential tumors, heart valves, the need for people to get the kind of care they deserve, if it's delayed, ultimately denied, delayed, it becomes acute and that's fundamentally a health issue and, so beyond the issue of the virus we are working with our chief health officers and throughout the health care delivery system to reintroduce the ability to make these scheduled surgeries work again, we will be very considerate and judicious about how we do that. we do, we won't overload the system with the risk of not being able to maintain our surge capacity and we recognize every time we start to go back and start to open things back up we have to look at the data every day the dashboard coming back to make sure that we are adjusting to these new decisions and maintaining an understanding that we must be vigilant about the anticipated consequences of e these decisions and the unintended consequences of these decisions so if you're wondering well how can we guarantee that if we're bringing back all these scheduled surgeries there will be availability if we see a second wave or a big spike as we start to pull back that do we have capacity? we're monitoring that and that's critical in terms of this dimmer, not the light switch, that we're moving forward in terms of starting to change things, but we do recognize that that's the dial may be able to be turned up or down in real time, but this is an important health-focused announcement for us today to start increasing stay-at-home, but to do it with an eye toward public health and making sure we ensure the safety of our health care delivery system and that includes workers, making sure we always care for care
givers, keeping our health care workers healthy at the same time, that's the announcement we wanted to make today regarding a modification to that stay-at-home order that is determined by the adaptive decision making that is fundamentally focused on the indicators that
giveus that green light informed by the indicators accordingly, we wanted to talk about another indicator again.
A moment ago I referenced the testing and tracking issues that will be critical to our broader efforts to get to those other metrics and when retail stores open when recreational opportunities become available again t Testing becomes critical in that effort on tracing becomes critical in that effort. I have a number of things I want to add to that discussion and while it is true that we have provided testing for four hundred and sixty five thousand three hundred and twenty seven people, that number is still inadequate to meet the needs of all of you and meeting our expectations as far as our ability to start moving further in terms of increasing and modifying these stay-at-home orders, so over 465,000 tests have been done.
We passed 2,000 average tests per day in March just a few weeks ago we made announcements with a new testing task force who admitted to increasing that number to 10,000 by April 14 just a few days ago we announced that we are actually at 14,500 tests per day day at the moment we are around 16,000 tests per day, forgive me for building all these numbers, maybe confusing, you accept from 2000 at the end of March until now a goal for the end of April of 25,000 tests 16000 on average today to reach 25,000 by the end of this month our goal is north of 60,000 tests per day and that is the phase one goal which is a short term goal in the next few months we want to have a minimum of 60 thousand tests I hope to get closer to 80,000 so that the framework is 60 to 80,000, the minimum is 60,000 tests per day, all of our PCR testing, that's the testing capacity based on swabs, two instruments that exist in the state of California if one hundred percent I was at full speed. and they were all being tested because we had all the supply chains intact and ready to be about ninety five thousand tests we can run a PCR test these are not the serology tests I'll get to that in a bit but the PCR tests the swab test based on many of you acknowledging that instruments have the ability to get up to 95k we think we can get not just 25 soon but get to that 60 to 80k range within our current framework of expectations and when ng supplies arrive when more equipment is leveraged and more places of interest and communities show up across the state and that's something else I wanted to share with you we are significantly increasing availability sites at the same time we are increasing capacity within the existing system there are hundreds and hundreds of testing sites in the state of California, more than 600, but it's 251 core sites that actually constitute And at the backbone of our test system in the state of California, we did detailed surveys of those 251 sites about what they need to increase capacity 50 to 55 percent of those we surveyed said their number one need for Schwab others suggested that they need methods of viral transport and the old media used to take the swab and put it in a little kit and send it off ready to be diagnosed the less stressed but always critical side of diagnosis RNA extraction reagents substantially many of those hurdles have been removed still raised an iss Yes, but not as significant as half of those who were surveyed saying really now getting the sample is the biggest problem with our testing ability.
I just got off the phone with President Trump less than an hour ago. We had a very specific conversation about not only the survey but the need for swabs, they are very specific, an honest conversation and the president assured me and gave me the confidence that this week we will receive a minimum of 100,000 swabs, that is the capacity to collect 100,000 specimen samples. They're coming to the state of California this week, he said they're going to get us 250,000 swabs next week, and he said the third week he expects to see a substantial increase above 250,000, that was a very good phone call.
I want to thank the president for not just being available for a phone call. at any time, but being willing to directly commit to all of us in the state of California to a substantial increase in the supply of these swabs will go a long way to give us all more confidence that we can meet some of these goals of test, these stretch goals and allay concerns around those 251 sites that reported a need for more swabs, so specifically it's a step forward in our commitment to do more in this space, but we have a second commitment that we're making public today to do more and that's a commitment to make sure all Californians are tested by what I mean not all 40 million of us are the ideal but in every part of the state where we don't leave communities behind one of the big struggles we've had in the last few weeks of this pandemic is reaching out to rural and remote parts of this state and setting up sites test and make them available one of the other thingsgalling and frustrating is going into our inner cities and making sure that we are going into black and brown communities by bringing justice to people who are also underserved, even in these communities and they are remarkably affluent, robust and well resourced. o Today we're announcing 86 new sites coming online that look from a socioeconomic lens that looks at black and brown communities and looks at rural communities.
We've put together a heat map of the state where we've defined the testing deserts and we're going to start connecting these programs to these sites the two companies will actually provide six of these sites that's the partnership we announced a few weeks ago with Google and then the another is the Optima service and they are providing 80 specific sites. new sites and testing these sites will provide the kind of continuity that we need to ultimately advance our collective goals in this test in this state to meet these test goals so I just want to think of those two companies for the strong conversations we've had in negotiations and today I am very pleased to make the announcement that we are moving in that direction inIn addition to that, we have engaged with Abbott Laboratories for 1.5 million serological tests 1.5 million serological tests at one hundred and thirty facilities in the state from California I warn people in this space as I have been warned in this space about broadly defined serology Focusing on antibodies in the immune system and immunity I know it's been a point of real attention, particularly the work that was done recently about zero surveillance, which is serology tests with a surveillance mentality community science that was done in early April first by Stanford University in Santa Clara thirty three hundred or so tests and then on April 10 and 11 in partnership in Southern California, USC, those tests got a lot of attention, but they also generated a bit of controversy about what they are and what they are not.
We do not use serological tests. for diagnostics, traditional PCs are still against swab-based tests, there are still some open questions about serology, antibodies and immunity. and i just want to warn people in this space a lot of energy a lot of enthusiasm in the space i share that energy and i share that enthusiasm demonstrably so with the deal we did with Abbott just on the 1.5 million tests just with them but i warn you all we as the information comes in it's more of a peer review going on in this space that we're all starting to get a good understanding of it can be extraordinarily helpful in terms of guiding our framework and indicators to reopen it's not a panacea right now , but it could be profoundly significant and we're certainly going to do our part in addition to acquiring PCR tests we're all doing the same thing to provide serology testing to people across the state much easier testing of these blood-based tests and a lot of more capacity to deliver those tests, but again our test numbers are based on more traditional PCR tests at this time. and that's the foundation on which we'll build our foundation in terms of testing it doesn't mean a lot unless you can start protocols to track and trace we in the state of California have a long history of testing and tracking and tracing patients the story TB i
californiastatewide health department county health departments have been testing track and trace protocols for some time sexually transmitted diseases gonorrhea tracy very robust that has been done statewide
californiain that space HIV a lot of testing and tracking and monitoring is done in that space I say all of that to clarify this point that we are not starting our tracing program from scratch, quite the contrary, it has trained professional workers and local health departments that do this every day, the question we are asked now is to do it on a scale that has not We've seen, but the good news is that all of that resource is enriched and exists and persists across the state, so we want to build bottom-up on that work and what we've been doing is serving not just local capacity and the workforce, but the ability to retrain and prioritize the state workforce.
We have a government group called gov ops that have been surveying state workers to see if they are willing to do a different job and help support our track and trace efforts. The news is that we believe we have the ability to build an army of trackers starting with a goal of 10,000 and that is now our stated goal of training these trackers, getting 10,000 people back up and running by building the local infrastructure completing it however we can in at the state level and support it to the extent possible with any volunteer workforce, but we want professionals first to guide these efforts, as this tracking is not just about numbers over quality and that quality again is about enriching the work that has been done locally. we've got a new training academy that we're going to put online in this space to help support the work of those 10,000 people and we're going to get an aggregate data set that's also coming down to us to track the trackers and track the track and that's done statewide of California currently decentralized again and will start organizing it in a more centralized way for 86 new sites to test sites in rural California and deep into urban California to make sure we are truly culturally competent in our testing capacity to increase our testing by multiples helped and supported by the support that the president offered today in terms of our specimen collections the ability again to support that tracing that will eventually lead to issues of isolation that need to be regionalized and quarantine, which is also an issue economic that is an integral part of and what dr. galley is here to talk a little bit more about it so he's going to dig into this space but I want you to know that this space is one of six not all six are equally important indicators they're all important but this one may be among the more important in terms of our ability to make subsequent announcements in terms of how we're starting to loosen our stay-at-home order and that's why we felt today deserved a little more intentional attention and a little more intentionality in terms of not only our focus, but to socialize that focus.
I'm here with you, so with that pardon a long win on this by the way of that opening comment, well with that I'll introduce dr. galley Thank you Governor and good afternoon it's nice to be back with you today I want to spend a moment building on the explanation that the Governor gave again by recalling our six indicators and just to say a couple of additional things to re-emphasize this concept that we don't it's a switch, it's a dimmer that we're constantly looking at how fast we move that dimmer, understanding where we are with our data, where we are with our readiness, and making sure that we have all of our partners, including our local county partners, our city partners and our industry partners to make sure that we all move forward together and that we continue to look at different ways to leverage that information so that we responsibly but quickly move the fader so that we have a broad focus on health that we know the impact is great, since we stay at home, the economic impact and we make sure to do is te great balance between protecting the health around kovat and focusing on overall health for our communities and our city.
Citizens of California, we also know that there are a couple of issues with our indicators that are imperative. You've heard us talk every day, at least weekly, about finding PPE protective gear. We know that we need to have significant amounts before. we can move forward with any of our plans to modify or stay home the governor talked about the great work we have done in our health care systems to get beds ready, fans, supplies for people to be safe, it's a very important thing that we continue to maintain so that we can safely and responsibly move forward with modifying some of our stay-at-home orders according to our indicators.
I also want to say a big thank you to our local public health departments, directors, public health officials in those regions for their great Kayson community and the effort of working with us so we have all the local data all the local thoughts on how we move forward and we modified the stay-at-home order that we have put in as the rni government told us to make a working group for each of the indicators that have been formed, which meet regularly and present reports, and each of those working groups has the presence of our local public health leaders to make sure we take all the data from across the state and it informs our decision making so it's been a wonderful week of progress and now I want to spend a little bit more time talking about that first indicator, our ability to monitor and protect our communities through our testing, our ability d for contact tracing, isolating and supporting those who are positive or who have been exposed so one last reminder that we built these indicators around a goal of four goals really and I want to remind you what are we want to ensure our ability to care for the sick within our hospitals we want to prevent infection of those who are at high risk of severe disease we want to build capacity to protect the health and well-being of the public and we want to reduce the social excitement and economic disruptions many of us face, for what these indicators actually form around these four goals.
I want to spend a moment a little bit with our data. in these over the last few weeks, especially since we instituted the stay-at-home order across the state, we see ourselves tracking what we call our stability range and this bottom line is the number of ICU beds and ventilators that we're using in In our system, this top line is our total number of hospitalizations, both those confirmed to have kovat and those we suspect, and looking at this trend line, you'll see that we've had little spikes along the way, but overall we've stayed this is since March 27th we've stayed in this zone of stability range of stability which gives us confidence that we're prepared to move forward with some of our modifications and as you hear in national media conversations about where they are and their cases, where their hospitalizations are going, we really wanted to share with all Californians the data that we've seen around the state that give us confidence to move in the directions that the governor outlined a few moments ago.
I want to remind you a little more. From the detail of our indicator one, two of the key questions that we ask ourselves is how prepared is our state to test everyone who has symptoms and if we have the ability to identify the contacts of those who are positive to reduce their transmission, then , which is it? contact tracing when someone tests positive for Cova 19 we want to be able to identify those who have been in close contact with that person and for each of those people we are tracing we want to be able to contact them first we want to be able to check their symptoms offer testing and recommend isolation to start or quarantine to start an isolation as soon as necessary if they really do test positive then why is it important this allows us to suppress the spread of the virus to prevent outbreaks it is very important that as we identify someone who is positive we are let's meet and communicate with their close contacts who were able to limit their ability to spread kovat 19 in the event that they are in fact infected and that being able to do that gives us the ability to maintain scaling capacity first that we work hard with our delivery partners health care our labor partners for weeks to keep m I know that if we have a larger number of people who are kovat positive that our systems are ready and able to take care of them it also allows us to modify or stay home because we have more confidence that when someone is infected or when someone is exposed in our community that they will come together to us to try to limit the spread by staying at home and isolating or quarantining so we've looked at a lot of these indicators and we've developed a number of workflows for indicator one we talked about expediting the fair trial of kovat 19 ing first the governor laid out many, many great strides that we've made in testing, we've improved our ability to get the supplies, whether it's swabs ormeans of viral transport, our ability to work with partners, the Governor mentioned Abbott, we've been in great conversations with LabCorp and seeking as major national leaders of commercial labs to ensure that the capability that they have today is available to Californians we are at state level through our testing task force coordinating connecting those supplies to the new testing sites the governor mentioned and many more that we hope to advocate for both locally and with state leadership to ensure we have all the available spots so that those who need a test and even those who want to get tested can get tested to provide not only public health security, but also personal peace of mind that we can continue and resume certain activities that we have delayed until now we know that the governor mentioned the number 60,000 to 80,000 the way we got to that number is through national conversations about a number of tests per hundred thousand people the governor mentioned one hundred and fifty two tests per hundred thousand Californians gives us a little over sixty thousand tests per day which we would need further, we look at it from the perspective that if we expect a slight increase in the number of cases between two and three thousand per day, we understand that, on average, each of them has ten close contacts that we need to create. the ability to test nearly 30,000 people, perhaps even more than 35,000 people as a result of our contact tracing, and then additionally set up 25,000 tests to maintain and support the health care system, our clinics, and many of our those who work in essential areas across the state whether it be health care delivery sectors like skilled nursing facilities or our grocery stores and our transportation efforts we want to make sure that those people who are going to serve our communities are protected and we know that we can regularly tell them if they're positive if they've been exposed so that they can not only responsibly do their jobs in a safe way, but they can also protect their families when they go home and we know that every year around the fall, the winter and early spring, we experience a surge of symptoms of the common cold and flu, and today we have to pr ask us the question is that the common cold or is it kovin 19:00 and assuring that we have increased the capacity during those months to test more people gives us our range between sixty and eighty thousand a day those are from the PCR tests as you mentioned the governor we are learning more and more about serology testing, we are confident that as that technology and modality develops, California will be one of the first to adapt and scale it across our state to use for our surveillance efforts to understand how many people in our communities have been infected and then when we're more confident that the antibodies they were testing really did neutralize, if they neutralize the virus, so we can say someone has been exposed and they're protected to some degree, but I'm warning you that we're not there yet, that we're working with our academic partners and our lab partners orio to move forward in a responsible and yet accelerated manner and as soon as we are sure how to use that modality. in California we will communicate that clearly and assertively we also talk a bit about establishing our contact tracing workforce developing isolation and quarantine protocols and supports and implementing our data management system and tools these are our four workflows for you indicator one move just one level deeper accelerate fair testing today listened to the governor we articulated our goal by the end of april to 25,000 tests per day we are a t 16,000 just slightly above 16,000 per day right now with the goal and our confidence that we'll be able to accelerate to 25,000 that's on track to get to that 60 to 80,000 a day established between eighty and one hundred new testing sites and these are sites that are not in the common areas, not in the places where we already have significant grade but in what we call deserted test sites which, because they are a bit more remote, do not have so many test sites that have come together locally and then also from a very strong equity lens that we put them in communities that have borne the burden of kovat 19 and a disproportionate highway those are our brown and black communities those are low-income communities income where people are still going to essential work and maybe they don't have as much PPE that we wish they had to make sure they are informed of their status with kovat 19 and they can continue to do their job and protect their family well and then we continue to work with our new high-throughput sites our centers so that their capacity in their instruments is widely shared not only with their hospitals and clinics but beyond with the skilled nursing facilities that surround them, whether in San Diego or the Sacramento area actually connecting all of these facilities to one of these testing centers so that those specimens can be processed it's no small announcement that we have a promise to have swabs here this week that one hundred thousand swabs is one hundred thousand tests, that's one hundred thousand people who can hopefully be given confidence in their status and understand how we support our communities while we considered modifying that stay-at-home order establishing our contact tracing workforce, the governor mentioned that we have a rich foundation to build on in each of our counties that we are working with them to understand what they have today what they hope they will need in the future f Future to keep up with the demand for kovat 19 contact tracing efforts we are going to develop the state training academy with your help.
This will be an online training for people who, as the governor mentioned, maybe our state workforce is redeploying. and retrained to do this, there will be an easy way for them to gain the skills and knowledge of how to do this new job well and our goal of having 10,000 public health connectors is a nice round number, but in our assessment, as that we amend our stay-at-home order we hope that between two and three thousand people will test positive daily if everyone has ten close contacts that need to be traced that this is the workforce we will need to supplement our existing base of contact tracers throughout the state to meet that demand if we see it go up we're sure California a big state can say we'll recruit additional people to join this f right in terms of development isolation protocol zone supports development that we have we're working on with our local partners to develop those guidelines for isolation we know that this is not o It's easy for many populations and people that we talk about, not only can we find the place for you to safely isolate, but we can support you during those times of isolation, so it's a very important job for us that we are involved in deeply and working not only with our local county partners on how to develop those protocols and guidelines, but many in the philanthropic community and we appreciate the support I received earlier in the week with over 300 members of our philanthropic community speaking out on exactly this topic.
How do we support our communities that may experience the undue burden of quarantine and isolation so that they can safely do and we can suppress ovid 19 and allow us to continue to modify that stay at home order. The last thing I'll talk about is implementing our data management. tools and system elements that we know about and many of you may have heard of tools that help us understand who is moving where when we first think about the data tools that we are going to use it really flows into two main areas first that we want to look at not just the evidence, but the leading indicators where we see, for example, a huge increase in the number of callers with cold and flu-like symptoms, where do we see even the number of over-the-counter medications increase? free for cold and flu? and how do we go after that data to inform us and identify communities that might be experiencing an increase and bring our contact tracing work to us our testing capabilities in that community to not only protect that community but to ensure that if we're actually seeing kovat 19 and higher levels that we prevent its wider spread, we'll also work to make sure we get all of that contact tracing information into one easy-to-follow dashboard that tells us how many people we're tracing today.
How many people have we tracked in the past and where our trends are going so that we can continue to manage not only our workforce needs, but also understand what our testing capacity might need to move to so that we can go from sixty to eighty thousand if that's what the data and information says so I just want to end by reiterating our thanks again to so many different partners who have helped us get to this point to the leaders here in the state across state government who have come to build this work of six indicators groups and armies of people who will continue to inform our work as we carefully consider how we change the stay-at-home order and bring back many of the experiences that you people on the other side of this chamber are wondering when we will be able to do different things than what we do today and I hope to continue sharing d where are we and where are we going in the next few days, thank you doctor and of course dr. gallery is up for questions as i am at a moment but stability is the operative word indicators show stability particularly in hospitalization numbers and ICU numbers.
I've been commenting for the past few days and weeks that those are the two numbers that are the biggest focus of our attention, plus of course the tragic number of lives lost 86 lives lost again yesterday no the numbers remind you of stories of real human beings and loved ones who have been broken and no hearts continue to break for those who have lost loved ones to this virus six point eight percent increase from the previous day, yet those hospitalization numbers and ICU numbers have not increased as much , in fact, we saw a modest decrease today in the last 24 hours in terms of the number of hospitalized patients, down 0.2 percent compared to the previous day, our ICU numbers are down 1.8 percent, down 1, 8% so we see slight increases slight decreases again hence this framework of a line that is starting to straighten out to flatten out the instability that is the predicate of that third indicator in terms of the ability of our hospitals and health delivery systems to meet the quest that allows us today to move more formally with our partners locally and throughout the health care delivery system to schedule once again surgeries that are necessary but again require more traditional scheduling these are not plastic surgeries these are not cosmetic surgeries these are major medical procedures that, if left unattended, could become a crisis and ultimately overload the rest of the system so that's the first major effort to start to tweak that stay-at-home order and all the others are again based on what Dr.
Ghali says he was designing a more robust testing regimen that's more inclusive, more comprehensive, and the ability to build this army of trackers and ultimately begin the hard work of isolating people and then potentially quarantining them to address from a socioeconomic perspective what Dr. Gallagher was referring to their needs if you're going to require quarantine of someone who doesn't have the ability to not only spend time with their loved ones and families by definition, but there are also resource issues that need to be addressed in our task force that is working diligently in that space that was the reference dr. galley made a moment ago I continue again to acknowledge your desire my desire our collective desire to know more about when you fill in the blank when you open fill in the blank I imagine there may be a lot of questions about this specific city this specific county that we've talked a lot about insurance and there's bishop and others and we get these calls calls that haven't been made public yet about cities and counties just wanting to make sure we're thinking we're rowing in the same interesting direction the vast majority of the calls are to warn us not to take off the parachute before landing and I appreciate that framework of caution and why we are moving thoughtfully and deliberately, albeit cautiously, to expand capacity in the systemof health as the framework of our first announcement and we hope in subsequent announcements to have a health first framework that supports those decisions and I can assure you that those decisions will be made in the near future and will be based on scientific data and the spread of the virus based on your individual actions that have led to this point where stability is the cause we are moving forward today due to physical distancing its practice for over a month in the state of California just briefly I want to congratulate and thank everyone who visited our website Californians for all ca. gov who expressed their desire and willingness to volunteer in the state.
We are overwhelmed and humbled by the response to that volunteer portal and the ability of people who can do more. and give more of your time, your money and your attention to help support others and this crisis was extraordinary and continues to be extraordinary. I just want to encourage those of you who haven't used that site yet to consider going to Californians for all ca. .gov where you can match your talent and passion with a particular action locally to help people who are struggling to help people in need with it. We know that people struggle to ask questions, so let's
watchout for any questions on a wide variety of topics, including the ones we're featuring today.
Santa Clara County officials say they had suspicions in early February that the disease is already much more widespread, but they didn't have a way to measure it, so we should have known earlier that there were community transmissions and deaths in California. What decisions would you have made differently if we had known that earlier, and how does this new photo affect us in the future? Well, actually we've headed past Santa Clara. Go back to December to request the autopsy from the coroner to dig even deeper. we are very pleased with the work that has been done in santa clara county to make that information public and we know we are doing the same across the state and in other counties to ultimately help guide a deeper understanding of when this pandemic really started to affect Californians. look directly at the hospitalization numbers the number of deaths of people using ice are tracked daily when this occurred this is important forensic information deeply significant in terms of understanding the epidemiology of this disease all of those things apply more clearly and lightly, not only because of this specific announcement, but I envision subsequent announcements that can be made through similar efforts throughout the state of California. but again we congratulate the outstanding work and leadership.
Santa Clara has been at the forefront of this since the beginning of this process. It wasn't where the first community spread, but the largest outbreak in the state first occurred in Santa Clara County. This leads to a deeper. understanding of that too hello governor when it comes to loosening the stay at home order when will you be able to give people sort of a timeline or an estimated time frame and the second part of that question is what do you tell people who are really struggling right now mentally and financially well I'll take them in reverse order the state of california has been very aggressive on their unemployment health insurance claims very aggressive in terms of trying to provide support to businesses to keep the people employed to withdraw the federal PPP money to ensure this new round of PPP money is available to small businesses minority and women owned businesses we created a $50 million Supplemental Fund in our state bank I earmarked for microloans that we have already distributed only 73 through those microloans they have been distributed to women and minority-owned businesses in the past week two m billion dollars in UI claims were dispersed in just one week in the state of California to help support the financial needs of those who have been directly affected by kovat 19 we have made a number of other announcements to help support to people in times of need who are not otherwise benefiting from unemployment insurance, including people, regardless of immigration status, and disaster relief grants that are available in that space and relate to mental health issues that we presented a few weeks ago with our Surgeon General Nadine Burke Harris Specific Guidelines and Playbooks that addressed the mental health needs of not only adults but also children.
How we talk to our children. The language they use. Often physical language because they can't verbally advance. What you and I can advance. in terms of our symptoms and our needs, we made available a website kovat 19 CA gov kovat 19 ca.gov to make all of those resources available again with an eye on cultural competency resources specific to behavioral health issues for the LGBTQ community specific resources for adolescents in crisis you get the sense that we break those things down in very specific terms and again I'm very grateful that we have a Surgeon General and v very grateful we have the one that we have that put in all of those peer reviewed efforts and really maybe the most comprehensive resources that have been available and this state and perhaps the country I am very proud of that work in that space let me just make a final comment that we have been working with listos and others to build a core of volunteers specifically focused on reaching older people who are struggling with social isolation as another priority d main to address not only your physical health needs but also as you suggest your mental health needs these are check calls and that army of volunteers is taking shape and we've already seen a lot of work done in that space relative to when i started this conversation and the conversation by saying there is no date if there is a date then we are denying the facts on the ground we are denying the reality of the spread of the virus which is dynamic we need to be adaptable in our decision making we do not want to debate a date we want focus on science and health as a predicate for all of our decision making and recognize that we need to understand prevalence and understand spread and that is why these community surveillance efforts, these additional testing sites and our testing capacity are so fundamentals how to track those things that we advance today with a little more specificity. icity than in the past that will lead us into further indicators that will give us the green light to make decisions and as I say I look forward to those decisions in the days to come not just weeks and months as it relates to more announcements in addition to the health announcements we made today as we step back and adjust modifying our stay-at-home order.
Hi Governor, thank you for taking the time to ask a quick question if you have a second, so you mentioned the large number of swabs that are coming from the federal government. I wonder if he could put those numbers into perspective. Will that be enough to meet the state's requirements? you need to move on and you also mentioned in the past a collaboration between Google and Apple and the idea of developing a smartphone app for sort of automatic instant contact tracing. Is the state planning to promote, warn or facilitate development or something like that? thanks for that question and an important question so when we asked we think i brought this up a few days ago and let me reinforce it a lot of resources in this space that reside within the state of california which means we have some of the best and brightest some of the cutting edge technology and tech companies based here in this state as a consequence we have been given all sorts of platforms and applications in the tracking space and symptom tracking development that Dr.
Ghali heard about He talks about symptom tracking technology which is also becoming a very important tool in our toolkit. We have a team of people including Todd Park and DJ Patel who worked in the Obama administration who are advising us in that space, so the answer to your question is yes. will take advantage of what we think are recommendations for apps and not just in terms of tracking technology and platforms along the lines of what Google is trying to do with its Android platform and the iPhone platform that Apple is trying to advance in creating some continuity of connectivity to those platforms and apis, but also for other applications that we will be promoting, including a new website, an application that will be designed and previewed this Friday, that will be more widely available, will be of value to people, forgive me , i will win this , let me be more specific on the swabs 100,000 is significant each swab represents a test that can do the math 100,000 this week the GUP president mentioned 250,000 next week and substantially more We are in the third week so the answer to your question is yes.
If those swabs keep coming in and if we get to a level of four or five hundred thousand swabs every week, I think that will substantially fix that specific supply issue, but I'm warning everyone in this space. testing bottlenecks as soon as you resolve reagents, then resolve RNA extraction, then resolve swabs, then resolve viral transport media, then resolve diagnostic timelines for results over days seven days, 10 days and backlogs all of these issues are still dynamic and that's why I think all of us, all of us governors in this country recognize that this space is one of constant costs and iterations so I don't want to definitely suggest that even hundreds of thousands even million in swab aggregate will only solve, in quotes, testing problems will solve the swab problem Alexei Josef SF Chronicle hello governor, could you tell us a little bit more about ab? this change you're making to allow more surgeries to be done, it suggested that essential surgeries would be allowed, so what does that mean to you, what kind of surgeries are and aren't allowed, does it depend on the hospitals and is this something? that will take effect immediately.
I believe the guidelines will go into effect immediately. We have been working within the broadly defined health care delivery system, not just hospitals, and working with health departments throughout the state of California. and it is also essential that we have the workforce to be part of the space. I will be even more clear and I appreciate the opportunity to clarify elective surgeries and what elective surgery means. Those are the surgeries where you know someone who has a heart valve. related problems its not an emergency but if luck was neglected for months and months it could turn into an emergency you can finally get the elective surgery people often refer to this as the planned surgeries but these are the elective surgeries that we believe are essential for the health of people, tumors, precancerous problems before they become cancer, problems related to chronic diseases, diabetes and the like, and that is the space, but this is not and perhaps this is the way easier. to ultimately explain, we are not opening up just to traditional cosmetic surgeries, although there is a cosmetic component to any major surgery and that should be allowed in a cosmetic surgery only that would not be priority guidance that we are posting that is not one of the priorities for scheduled surgeries we're posting today so i would exclude that space but broadly include those other examples hello governor thank you for answering my question last week you said hundreds more workers would be added to the staff stopping the Edie gosh's unemployment insurance phone lines and for call hours to be extended to 8 p.m. seven days a week we still hear from people who can't communicate.
I wonder what else the state can do to help people get the answers and help they need. Yeah, over a thousand people we've redistributed. finally again remember we started from 2013 8:00 noon was that call senator remember call center is just a capacity online components etc. get that information, but call centers are deeply important to people, we recognize that, but also get those complaints out of that. 21 days is just as important and we're being able to maintain that status as I said two billion dollars in performance last week alone, I think more than three billion dollars since March 12 and counting more than 3.2 million of claims that have already been filed and we're good I know I appreciate you bringing it up, it's come to our attention ever since we brought this hotline eight to eight seven days a week and we provide hundreds and hundreds of workerstrained to complement it.
There are still some gaps and I know Julie Sue and her team, they're fabulous, they're working overtime to make sure this system stays put and doesn't crash, they're dealing with an unprecedented amount of volume and I'm very proud of the ability for them to get these checks but we still have a lot more work to do and you've been given absolute freedom in terms of the resources you need to do it and like I said the magnitude was over a thousand additional support staff in that space and they'll just keep getting better I think that every hour every hour every day every week it sounded like you said Abbott Laboratories committed to 1.5 million serology tests at 130 facilities I'd like to know if that's correct I heard you right and then also who was it would i prioritize for those tests and when would those tests start so serology tests let me ask my serology expert and Dr Ghali to come up and talk specific fically about those 1.5 million you heard right thanks again for the question yes 1.5 million logical zero tests we discussed as soon as Abid released his FDA approved serological test that we will be getting for the state of California that is above and beyond the resources that could go to a specific hospital or lab in California, we plan to use it first and foremost to understand the prevalence of the disease statewide, we know that any precise movement forward with changing the state or the order requires us to understand who might have been infected in the past we cautiously say we know we can't use it today as a diagnostic tool we all look forward to the day a sighted logic test can confer immunity simply as we rely on other tests with other communicable diseases to say they are immune to those they have been exposed to, they can enter safely to their communities without the risk of getting infected or transmitting it to others for the information to evolve having a million and a half tests in California so we can use it responsibly really puts California ahead of the curve and ready to use a tool that we hope to be able to share in more detail as the science evolves, but for now, focusing on prevalence and the community will be the role of those statewide tests.
Next question, hey, can you spare us a more detailed picture of what it would actually look like to test between 60 and 80? thousands of Californians every day, like if people went to health clinics to get tested, we would set up sites in libraries and other public places, and allow communities to reopen more quickly if they increased their test numbers, yes, no , all wonderful questions and so it's a chance before you bring dr. Ghali spoke more specifically about his efforts with this test working group that they created that are literally real-time, not just asking those questions but answering those questions to highlight once again that we have an additional 86 sites that we've acquired and will .
Set a focus on rural California, making sure those sites target low-income communities. Revenue communities that have been left out of testing in the past are basically meeting people where they are rather than asking them to come to where we are, and so part of the dynamic nature of our testing is to make sure that we have more sites more options more options and those options those options in those places dr. Ghali can you talk more about yes thank you for the question we absolutely understand and the national narrative is about being able to ramp up your testing so that we can confidently preserve public health and preserve public safety that people can go to the activities that are You will no longer go to today knowing that the people around you could have easy access to information that tells them to go to work, to stay home, to go to the grocery store, knowing that we can use that as a tool to prepare to our state, protecting our communities is absolutely important the idea that we are using all hospital based testing sites clinic based testing sites what we call pop up testing sites the 86 we are adding today and many others in california the whole notion is we need to make it easy for someone to get tested correctly so if we can get the info rmation and in the easiest and most immediate way possible, we can better equip and protect our communities and feel more confident as we modify the stay-at-home order, we also recognize that there is a very important aspect of testing that gives us the opportunity to protect the most vulnerable populations and the most vulnerable communities and to make sure that our efforts to build the capacity of testing and collection sites in those areas where it may not naturally congregate, the state wants to be able to support those partners and communities so that they have testing capacity not only at a more or less consistent level but even at a higher level so that those who are most vulnerable can get tested even more easily so that information is available and people can move more trust in their communities and within their homes and I just want to close by saying, well, we have a goal from 60 to 80 thousand tests that we want to pass. goal I deeply recognize 152 people tested per 100,000, there have been some studies on that number suggesting that's where states can land.
Others suggest that we should be doing one percent of our population on a daily test that would be closer to 400,000 daily tests, so look, we have very clear goals but we also have ambitious goals. I told them about the capacity. of instruments that are already in the state that we have identified to be able to perform close to 100,000 tests on a daily basis, our goal of 60,000 is that 152 per 100,000 population 80,000 is in the range that we think we can achieve, but ultimately goes beyond that level by providing even more access points in different modalities, this doctor said that testing not just PCR, but really starting to scale up the ability to do testing with community surveillance in the serological framework by using the serological framework and the Serology in general, blood tests will also help broaden a broader understanding of spread in the second part of your question about what is a predicate to begin the process of helping to reopen look at we started last week for laying out indicators a route strategy framework to begin to increase and modify the stay at home order today we are announcing the first phase of modification i know i will be back We are going to make many announcements later, many of which will impact not only the health care delivery system as we announced today, but also different sectors of our economy, different sectors of society and no, it shouldn't be another week. before we connect on that but as always we will connect tomorrow at noon and continue this conversation always as we continue to consider each other consider the stay at home order as currently written is working we have flattened the curve we have created stability it has given us allowed this first announcement to continue to practice physical distancing and we will make more announcements sooner than we would if we backtrack too soon those announcements won't come if we stay the course those announcements will come and do justice to the amazing work you all have done today again stay home stay healthy and connected more widely Thank you all
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