Restrictive to the red tier. San mateo and marin counties are not in purple yet lu they moved into the red tier, which brings us to our first guest. The Public Health officer from marin county dr. Willis. Thank you for joining us. Know its a big day. Thanks. Good to be with you. We look forward to your information because moving from orange to red such as your county did, what does that mean now . What changes can people expect to see and how soon . Yes. Were responding to concerning trends were seeing across the region. We had an almost doubling in our cases for the past two weeks, we were seeing about nine to ten cases a day, now were about 15 to 20 cases in marin. We wanted to be preemptive and made a decision last week to go ahead and adopt those policies and correspond to the red tier, despite being in the orange tier. The governor announced today that marin was being counted as a red tear. Mostly just closing more indoor capacity. In the red tier, in the orange tier of the 50 , reduced to about 25 in the red tier. In marin, weve taken an additional step to close Indoor Dining sbirl as we move forward. So starting tomorrow our restaurants will be closed to Indoor Dining, encouraging people to use takeout and dine outdoors. We thought that was an important additional step to take because of the particular risks of that environment. Ok. Tell us also about the other indoor activities. I know you said some are reduction in capacities such as malls. But what about bars, boling alleys, what about Fitness Centers and their locker rooms . Run through as many of these as you can for our viewers so they know exactly. Movies have been open 50 . Now theyre open at 25 . We have banned indoor concessions because people cannot cover their face in the theater when theyre consuming refreshments. From 50 to 25 . Worship services are down to 25 from 50 . Naub essential office space. We had in the red tier are the orange tier we had allowed people to move back into nonessential offices. Now were black into only the essential services working in the space and those are the most important changes that well see. Fitness centers, pardon me. Were moving Fitness Centers from 25 indoor capacity down to 10 indar capacity and indoor pools should be part of that, theyre now closed. An attempt to clamp down on covid as numbers rise. The governor said something pretty big today. A lot of people noticed. He mentioned the possibility of a curfew. He was cautious to say, were still considering it, we dont know how it will look. Just the fact that he put it out there. Do you think that curfew is coming . I think theyre really considering that curfew carefully. Weve been aware that this was on the table. Its something thats more common back east in massachusetts, virginia. Theyre using curfews. Some cities in the state of california, san diego, for example, are using curfews. Earlier closures might be in place for dining establishments. Bars might have a cheesing time of 10 00 or 11 00. I know theyre seriously considering that. The idea is as people gather indoors the things that happen after those hours tend to be more people are gathered together more, people are consuming alcohol, less adherent to the standards. Those are settings where were seeing more and more evidence of transmission. Indoor restaurants, bars, etc. Curfew would make sense. What about schools . What percentage of your county schools are open for in Person Learning . Many had been doing that. Give us use percentage and talk about whether that might be rolled back come if school year. We began opening schools has always been a high priority for us in marin county. We began the reopening of schools in the purple tier in august through a waiver. We worked closely with every school to make sure they can open following the 30 point safety plan. Under that time in the purple tier we have 30 schools that open. Were now up to 70 of our schools in marin county are open, some form of chas roombased learning. Weve had a total of 15 cases of students in the school, none of them acquired in the school, all of them outside the household or the schools that the children were part of. Weve had one staff case but no cases of transmission of covid 1 with our schools. So we think that weve demonstrated that we can do this safely. Ok. So the schools will probably stay in their inPerson Learning phase if thats what theyre already doing, right . Theres no plans to thats right. Ok. If theyre already doing that, even if we go into purple, they can do a waiver to open and they stay open. So thats been a common question. If we go into purple do the schools have to close, the answer is no. Theyre saying no lock downs right now but is that something the county has talked about doing on its own if the trends continue . Were really seeking the entire source of the state as much as possible. The blooupt has provided guardrails, clear policies. We think that those were a little bit too lax with regards to moving backwards. They were great for moving forwards slowly but they were too much to move backwards. The governor said it only takes a week of numbers to go backwards. You only have a date of the new changes when theyre recognized. So theyre tightening up and being more responsive to surges. I think thats encouraging. So i think were our plan is to really maintain or relationship with the state and so far as the guardrails are secure. Yeah. I mean, that is pretty significant, that now if you change tiers you have to that into place, make the changes in 24 hours as opposed to having three days and you can move several tiers at once. Some counties moved two tiers. It is getting colder and darker earlier. Is there anything you can do to support the restaurants shutting down indoors . What can you do . Weve been working from the beginning. We recognize that this is a collective process. We need to do this together. We established the marin recovers group to navigate these decisions together. Thats the first, is that weve been traveling together friegt the start and negotiating what works. Whats feasible in the environment for the Public Health. The good news is that a lot of our restaurants really have filled indoor capacity. If you go on the main streets of mar ip county youll see out into the may street theres areas where Outdoor Dining has been established. Those are thats the way i think dining will have to look for the near future. All right. Before we let you go, i have one more question for you. That is whether there might be new enforcement measures when it comes to masking, social distancing and not mixing between families . Yes. You know, were working with our Law Enforcement to make sure that really the laws have been in place. Its a matter of enforcement. We have things where they can give a parking ticket if theyre in a setting where a facial coverage is ordered. As an example. Its really in the power of Law Enforcement to take the steps that weve established as the rules, working with mayors and City Councils to embolden them and recognize how important it is to take enforcement into their hands. Ultimately, these are difficult to enforce. It really does rely on the culture, the community, our corrective understanding together of how vital it is we take these measures in our every day lives for ourselves, our family members and the communities. Sounds like awareness campaigns will be a big part of that. Dr. Matt willis, thank you fore your time and information. Thank you. Byebye. Byebye. Well take a short break, folks. When we return, Infectious Disease expert will join us to talk more about this. But also for members like martin. An air force veteran made of doing whats right, not whats easy. So when a hailstorm hit, usaa reached out before he could even inspect the damage. Thats how you do it right. Usaa insurance is made just the way martins family needs it with hasslefree claims, he got paid before his neighbor even got started. Because doing right by our members, thats whats right. Usaa. What youre made of, were made for. Usaa welcome back. Today we got the news that california is facing a real covid surge resulting in roll backs in reopenings. Another vaccine looks to be safe and effective. Joining us to talk about the latest, Infectious Disease specialist dr. Peter chin hong. Thank you for joining us. Hope you had a good weekend. My pleasure. Thank you for having me on. Lets get this question out of the way. A lot of people are asking this do you think well be going back into lockdown soon . Unfortunately, i think the writing is on the wall. Governor newsome is studying some of the evidence from some of the european countries. The fact that hes looking at these plans of what has happened in these countries suggestion that hes thinking about nor austere measures, even more than what was announced today. No. I mine, obviously, the governor of washington has already taken that step and we see a lot of american cities, chicago, doing the same thing. It could be just a matter of time. Before we explore mohr about the tier status and where we are in california, i want to give people some good news. I want to dive into moderna announcing today that its fact seen is stunningly effective, apparently. Tell us about this vaccine and what preliminary data shows. The Moderna Vaccine is similar to the Pfizer Vaccine that we heard about last week, and id an cells create the protein on the covid19, which is a spike protein. The body sees it as foreign and creates antibodies to protect against the real thing when it comes in. As you said, about 95 ef ficac. Very good news. Lucy liu gonzalez wants to know will the vaccine be mandatory . Right now theres no plans to make it mandatory. But were in transition to new administration, and with the you know, the covid19 task force that President Biden elects president elect biden has anounsd, they may have different plans, but i dont see any movement about making it a mandatory vaccine to date. I really like your coronavirus stuffed animal. Im sure its great for students and education purpose. Is it true the vaccines will only be available for adults . I wanted to ask you about advantage seep priority, anyway. Explain to to us. It will be available to children eventually. Its being studied by all the major Vaccine Companies to date but the kids, because they dont dont have the brunt of the disease currently in the u. S. , sure, they get ill and as we know from multiple case reports and media news reports, but theyre not in the highest priority. We have four tiers, five, if you consider everyone else. Ok. You know, last week pfizer announced that its vaccine was 90 effective. What are the key differences between these two and which one is more deliver rabble on a large scale . The Moderna Vaccine is more deliverable. Mainly because it is more forgiving for temperature. It still requires, i would say, very cold temperatures as opposed to super coldle temperatures. Pfizer negative 70 degrees celsius, really, really tough to get there unless youre in a research lab. Normally walgreens, cvs wont have it. Moderna, 20 degrees celsius. It may be more forgiving, leaving it out, defrosting, etc. , shelf life. What are the next steps, if you will, with these or the other vaccins . Basically people want to know how many more steps and when will they become available . So the next major step is really to present the data in much more detailed form that its been released in the press release to the fda. This will be deliberated by a group of scientists and other regulators and the emergency use authorization or eua is what we would expect sometimes after thanksgiving, hopefully, and ready for rollout. Pfizer saided that theyll have as much as 50 million doses by the end of 2020. Moderna said 20 million doses. Ok. Let me just ask you. The administration on the federal government level, theyve put a lot of resources into developing the vaccine, but what about the distribution . That is, are the states and counties kind of ready to roll . Are those plans all set once the vaccine is produced . The devil is in the details, and those details are very opaque right now. Part of it politically is for the Current Administration to give the blueprints to President Biden, but there is no Movement Towards giving them that blueprint yet. We know the military will be involved. There have been some test states, california is one of them, that have be instructed to design the system. The exact components of the system, we dont really know yet. All right. Well, president elect biden said today more people may die if we dont coordinate. Over on Facebook Live right now were going to answer questions coming in from people about testing and whats happening in california, all humira patients,. This ones for you. You inspired us to make your humira experience even better. With humira citratefree. It has the same effectiveness you know and trust, but we removed the citrate buffers, theres less liquid, and a thinner needle. With less pain immediately following injection. Ask your doctor about humira citratefree. And you can use your copay card to pay as little as 5 a month. Humira can lower your ability to fight infections. Serious and sometimes fatal infections,. Including tuberculosis, and cancers, including lymphoma, have happened,. As have blood, liver, and nervous system problems,. Serious allergic reactions, and new or worsening heart failure. Tell your doctor if youve been to areas where certain fungal infections are common. And if youve had tb, hepatitis b, are prone to infections,. Or have flulike symptoms or sores. Dont start humira if you have an infection. Ask your doctor about humira citratefree. The same humira you trust with less pain immediately following injection. If you cant afford your medicine, abbvie may be able to help. All right. We are back with dr. Peter chin hong. We were chatting on Facebook Live. I want to address the bad news cop fronting the nation as numbers really soar. Can you give us the big picture of whats happening nationally . I think the governor put it best when hes saying we push an emergency breake. You have no other choice but to press the stop button. Youre on the treadmill in the gym, you press, the treadmill to come to a halt. Thats kind of where we are in california. We havent seen increases like this so far. More than 80 in the country and doubling in the last ten days in california. Thats staggering to think about. I think were up to 8,000 cases a day. Hey, whats the biggest sources of infections and transmissions that we know of . Its been hypothesized and the governor said a week or so ago where hes worried about indoor gatherings, but i think its multifactor. Indoor gatherings is one of, pandemic fatigue, which is so real. Some people have coined it pandemic resentment. The third issue is travel. People coming into if state from lots of other places where it was raging. It was only a matter of time before we saw that increase. Speaking of traveling, people are making plans or have plans for holiday travel, thanksgiving or christmas. Look, whats your advice to people . If it were your family member, would you say, hey, cancel . What would you say . Unfortunately, i would say cancel. Maybe there are some people biting the bullet to go, an older relative who may not live until the next thanksgiving holidays. Its that individual tlask you and your familiar only will know. I think for most people it is the kind of situation where we would say unfortunately stay put. We have to think about kids coming back from college to california, how you going to deal with that, too. In general, people are moving toward a little more austere measures. Speaking of College Students coming home from school fore thanksgiving, what would you say . Like if they were going to do it, should everybody, for example, wear masks the whole time that juniors back at home . What do you think . It depends on some colleges where theyve been doing regular testing on the students, if that call if your child goes to one of those colleges, you can probably shorten that quarantine period. The safety period, following the recommendations on the hospitals or even looking at had been done, if you get a test within three or four days, you kind of good to go. A week will give you more confidence. Two weeks will give you the most confidence, which is the recommended quarantine time. There are rumors is that the cdc is going to ame ame ame ame thats coming later in the week. We look forward to seeing that. Lorain wants to know if i decide to take the vaccine and i end up with obvious side effects, should i prepare to quarantine myself from my family as if i were contagious . When you get the vaccine, its not going to be live virus, so theres pretty much zero chance with this particular these particular two vaccines that youre going to get covid because its really looking at just the piece of the virus, which is this protein that cant infect you. There are other vaccines being studied in china, for example, where theyre using whole virus. Were not using those in the united states. So no chance of covid. If you get a side effect its mainly due to the local swelling, some people have gotten higher temperatures but they go away after a day without taking ie boe proposin. If you want to study placebo or if you got infected. But its not the vaccine. Alexis wants to know will there be a vaccine for everybody by march . I think shes trying to get at a time line. Everybody wants to know. Yeah. Is it march, is it april . What do you think . I think its going to be the summer, to tell you the truth, but thats really, really optimistic. It depends on how many other vaccines jump on the bandwagon. Its a numbers game. Its just a matter of how many people can get shots. So we have pfizer, mad earna, jnj, nova tech come on the ba bandwag bandwagon, we may have the ability to vaccine people sooner. You know north dakota where theyre getting hit so hard right now. Theyve okayed covid positive but asymptomatic doctors and nurses to treat patients. Is that safe . I mean, how is that safe . Well, maybe theyre you know, when youre desperate, unfortunately, thats kind of where you know recommendation lies. That is very surprising to me. Its not something that luckily we would want to do in california or in the bay area. I know at utsf we probably wouldnt allow that but if theyre running out of staff to take care of patients, and we may get the situation if people go in sick during winter surge, but hopefully wont get to that. Yes, i would be very nervous in that situation. But in the hospital and were back. Thank you so much for joining us on this interactive show getting answers today. Today we were all about covid19. We talked with a Public Health officer and specialist after to many counties moved back into he tonight, several developing stories as we come on the air. Now the second vaccine breakthrough. One week after the news from pfizer, moderna today announcing its new vaccine is nearly 95 effective. The company hoping to have 20 million doses ready by the end of this year. In addition to 20 million by the end of the year expected from pfizer. Tonight, one of the key differences between the two vaccines. And when will most americans get access to either one of them . It doesnt come a moment too soon. Tonight, cities and states imposing new restrictions. Some with stay at home advisories. 1 million new cases in the u. S. In less than a week. Californias governor saying hes pulling the emergency brake. New restrictions in several states and in the major cities, from philadelphia to chicago, where the mayor there is asking