Vaccine. There were a total of 95 cases of symptomatically covid. The vaccine was 94. 5 effective. There were no reports of serious side effects. Other hopeful news, all 11 cases of severe covid illness were in the placebo group. The cofounder and chairman of moderna spoke about the results. We have a number of different other subgroups we are looking actively at. In general, it looks like the vaccine performs broadly across all the population groups that we consider. Moderna expects to have 20 million doses ready to ship by the end of 2020. The Game Changing result comes a week after pfizer announced similar results for its vaccine. Pfizers vaccine is shown to be more than 90 effective. Stocks are up on the Moderna Vaccine news. Right now, the dow is up 337 points. A u. S. Officials as the pentagon is expected to cut the number of u. S. Troops in afghanistan and half by mid january. This, according to the associated press. The pentagon also expects to cut the number of troops in iraq frame to 2500, a reduction of more than 500. The decisions follow president Donald Trumps shakeup of pentagon leadership last week. President elect joe biden is expected to speak any moment now about the economic recovery. Here is a live look at wilmington, delaware. Vice president elect Kamala Harris is also expected to weigh in. The two met with labor leaders earlier to discuss the recovery as part of bidens build back better plan. His team says Congress Needs to reach a deal on a new Coronavirus Relief package before he takes office. This week, bidens Coronavirus Team will begin consultations of vaccine manufacturers. Biden is warning that widespread Vaccine Distribution is still months away. The Trump Administration continues to block bidens a team from beginning the president ial transition. The administration refusing to sign off on the president elect win. The president tweeting again this morning, quote, i won the election. San francisco is moving one of its free covid19 testing sites from the soma neighborhood out near bernal heights. The city test sf testing site at the alamein a Farmers Market will open tomorrow. Initially, both walk in and drive through testing will be available. We are going to go to Governor Newsom now, holding a News Conference about the fight against coronavirus. Lets listen in. There are cases in the state of california that have doubled just in the last 10 days. This is simply the fastest increase california has seen since the beginning of this pandemic. Let me underscore by showing you this graph what i mean. Just put this in perspective. The highest rate increase that we have experienced since the beginning of this pandemic we experienced in june. You see june 15 to june 21. We saw a oneweek increase of 39. 2 of new cases. Compare that to the first week in november, a 51 point 3 increase in just a oneweek period. That puts in perspective the rate of increase without precedent in californias pandemic history. As it relates to our blueprint that we put out some 11 weeks ago, when we announced the blueprint for a safer economy, we talked about the ability to make advances not only forward but also move through toggling backwards. We also talked about emergency brake based upon data and based upon conditions that would provide for a framework of flexibility to tighten restrictions. We have counties now that we are moving back based on that blueprint, based upon the emergency brake, based upon the protocols that we have put into place when we announced this blueprint 11 weeks ago. That will allow us to move back , or for that matter, to the extent we see some stability, to allow us flex ability going forward. Counties to move back after one week, not just two weeks. As you may recall, we collect data. We adjudicate the data with our local health officers, with the state of california. We have a two week vertical process to do that pursuant to the announcement we are making today. Counties will move back after one week, not two weeks. Because of significant increases that we have experienced i will show you the map in a moment some counties will move multiple tiers, not just yellow to orange or orange to red. You will see some examples of counties moving from orange to purple. We will not be moving simply one tier based upon the data, the significant increases you will see. Counties that move back also must make industry or sectoral changes urgently instead of the 72 hour wait period. We want to see the application and implementation of these new tiered status occur in a 24 hour period. By the way, we will reassess our tiered on a multiple basis, meaning multiple times during the week. You will recall, based upon tradition over the course of 11 weeks, we follow up with these monday press conferences on tuesday and updates the movement between counties. Today, we are moving forward, not waiting for tuesday to make the announcements. It relates to those announcements last week. You saw dr. Ghaly s presentation. You saw the following map. Remember, counties and purple, 13. Read counties, 22. Orange, 17. There was progress still being made. As you know, we have made tremendous progress moving forward in modifying our status, meaning providing more flexibility pursuant to this blueprint between late august and october. We are now moving backwards, not forwards. Last week was an early indication of some movement in the more restrictive direction. Let me specifically tell you what i mean today. 40 counties now will be moving backwards in the state. I will show you again in the original last week tiered status , you have 13 counties and purple, 22 in red. Today, we have 41 counties and purple, 11 in red, lesson orange and lesson yellow still. Take a look at the map, not those numbers. You can see all of the purple up and down the state. Again, i will go back so you can get a real sense of where we were a week ago. Again, purple throughout the state of california represented in the tiered status update that we are announcing here today, not waiting until tuesday. Every age group, every demographic, racial, ethnic, in every part of the state, we are seeing case rates increase and positivity rates increase as well. No longer concentrated in a handful of counties. We are seeing communities spread broadly now throughout the state of california. As a consequence, we want to update you on preparedness for this moment. We have not been sitting back passively or idly, in fact, quite the contrary. We have been preparing precisely for this moment. We have been modeling this moment. We have been foreshadowing this moment for many months, since the beginning of this pandemic. You will recall a number of surge facilities that we had advanced in the midst of this pandemic and those more difficult summer months. We worked with the federal government. We worked with state, regional, as well as county agencies to set up sites in fairview and porterville, up here in sacramento. Those sites are in what we refer to at the office of Emergency Service lingo in warm status. We are not dusting off that status and we have the ability with 11 surge facilities throughout the state of california to stand them up within a day or within a certainly a calendar week. We have capacity if needed, again if needed, for roughly 2000 beds total capacity in the surge status, 1872 to be precise. I should foreshadow the first site that will move from warm status and we will start preparing it down in Imperial County. That is just a preview over the course of the next week or so. We will be leaning in more aggressively, specifically into Imperial County but that is the inventory. That is above and beyond the existing inventory, which as of today, is ample. I will get a moment. I dont want to create more anxiety that is necessary at this moment. I also want to give you an update on the inventory we have been able to accrue because of our largescale contract with b vide and others and simply making california efforts to find domestic californiabased manufacturers to provide sanitizer and face shields and gowns and the like. Our inventory is substantially greater than it has ever been. Just take a look at the total number of n95 masks, 180 million are currently in our cash in our inventory and storage. If you add to that, over 500 and 22 Million Masks total. Over half 1 billion masks are now in inventory if you include surgical masks procedures and surgical masks into that total. You can get a sense of the preparation. You can get a sense of the effort, particularly on ppe as it correlates to the needs of our First Responders and to address all of that anxiety that we had to address when we referred to those wild wild west days early in this pandemic. We have not been passive. We have been very active at building up those supplies including those surge facilities throughout the state. Now, as it relates to our approach, i will remind you, we had a threepronged approach. I have the vaccine commentary is a fourth prong in a moment. I will remind you that three pronged approach, prea vaccine was about prevention, testing, and isolation. I will remind you, we were the first state in the country to do a stay at home order. We moved a number of months ago with a mask mandate. We have already distributed 600 Million Masks. That is not the 500 million that is in our inventory. We have already distributed 600 Million Masks and we put out 11 weeks ago this blueprint for a safer economy with these four tiered status strategies. The testing has significantly increased over 21 million tests have been conducted in this state. A larger number of tests than any other state in the country. Per capita, we are not where we want to be and that is why we opened that new state lab a few weeks back. That lab is just getting up and it will take a number months but it is a flywheel. Every day, every week, more and more tests are being conducted and over the course of the next few months, tens of thousands a day and eventually over 150,000 tests a day. The test turnaround is now 24 to 48 hours which is much better than it has ever been. Certainly during those very difficult periods in days that we had test results coming back 13, 14, 15 days, almost making the tests irrelevant. We are pushing those metrics, part of that commitment on our new lab is test results that are mandated within 48 hours, are expected within 24 hours. 164,000 average daily tests now we are conducting in this state. You will see in slides in a moment, over 200,000 tests were conducted or leased cayman to our results in our Data Collected yesterday. Isolation, this is profoundly important. Prevention is one thing. Testing, what is the purpose . Obviously, identifying people that are positive and working to protect themselves and others through isolation and quarantine. One of the things we needed to do, and we were proactive, is creating drop protected sick leave. We also looked at risk populations. You have recalled at least those of you who have tuned in a number of previous presentations, substantial effort. 22 thousand thomas individuals. 22,000 homeless individuals. We have gotten them off the streets and out of congregant facilities and freeway underpasses, into rooms to isolate, to allow them to quarantine. We did the same support and partnerships with a number of agencies for our agriculture as well as farmworkers. We currently now are averaging 95 of all local health officers. They are contacting someone who has tested positive in the same day, 95 . That is through the efforts at the local level, primarily, and also supplemented by the partnerships that we have advanced through ucla, ucsf and our Contact Tracing support with a number of state employees that have been deployed to help support and augment those local county efforts. Bottom line, we are moving from a marathon to a sprint and i think this is important. This is the point of some optimism in the midst of all of this overwhelming data. Not only coming from the state of californias presentation but all across this country with increased case rates and that is the good news that we all heard today around moderna. This, coming on the heels of pfizer and the efficacy of their vaccine coming just shy of 95 , a bit better than the efficacy that pfizer had announced. You will recall, a number of weeks back, we socialized our vaccination plan. We were one of five jurisdictions working with the cdc and the department of defense working with the federal government in what we refer to as microplanning for our Vaccine Distribution. Rather than criticizing the administration, rather than lamenting about what could or should be done, we engaged proactively and continue to engage proactively to make sure we have a plan for safe and equitable distribution of the vaccine. I will remind you that focus on equitable, the critical nature of making sure those that are most in need are prioritized in terms of the access and distribution of this vaccine and to make sure it is safe. We put together experts on committees. In fact, the Biden Administration wisely took one of our Safety Committee advisors as part of his National Covid recovery plan. Only good news for california. By the way, there were a number of other californians brought in by the Biden Administration which only reinforced our capacity of partnership with the new administration moving forward. Experts in safety as well as experts looking at equity and looking at the distribution from geriatric perspective, looking at distributions again along the spectrum of making sure black and brown communities disproportionately are benefited because of the impact it felt disproportionately, because of covid19. We have been preparing for that. We have been working and leaning in on that. That is our four pronged approach in terms of the work we are doing to sprint through the next number months until we see widespread distribution of this vaccine not just the limited 20 or so million americans that are likely to be vaccinated late in december. Again, those primarily will be First Responders and help workers do the math, back of the envelope. 15 of those will be californians. We have a long way to go to get to a vaccine that is widely distributed but good news nonetheless. Those are the two companies that we were working with micro planning to advance protocols. The good news is pursuant to those early plans, expectations are being met. Timelines are little bit delayed , not substantially but the efficacy is much greater than some of our early indications suggested. The net result is some positive developments and some encouraging signs in terms of the proverbial light at the end of this very long, dark tunnel. As it relates to this community spread, the current tiered status, i want to turn it over to dr. Ghaly to talk more about in specific terms about some of the county movement and what has been occurring. He will turn it back over to me. I will update you on the total case numbers and compare and contrast a little bit about what is happening across the rest of the country and then we will get to some other specific comments and announcements and then questions in just a moment. Dr. Ghaly . Thank you, governor. I just want to take a moment before i present a little bit more about where we are with the tiers today and some important reminders about what is ahead just to say just three weeks ago we were talking about how we only had nine counties in purple. Many of you together with your neighbors and your communities did a tremendous job to get transmission down. All of those same approaches are going to carry us through the weeks to come. Today, though, this move of now 41 counties in total in purple tells us exactly what the governor shared, which is this rapid rise in cases, this significant change in transmission not just in a couple of counties, not just in one or two regions across the state but statewide, is essential for us to immediately take control of and manage so that we get out of this difficult period. We have the benefit of the great degree of preparation we did as a state of Healthcare Delivery systems across the state to prepare for this. Together, we need to continue working person by person. Family, community, household household. We can certainly make a difference here. So, why are we sounding this alarm using our emergency brake . Because we must keep transmission low. That is to avoid flooding the Healthcare Delivery system. We know a few things today that we did not know early on. Those days when we were talking about bringing on additional surge beds, recruiting clinical healthcare staff to work those beds, for this moment certainly paid off but also tracking the data over many, many months, shows us that cases today will end up in our hospital beds in two to three weeks consistently at a rate of 12 . We can, with todays data and looking at todays case numbers , begin to understand what is coming in our Healthcare Delivery system. Additionally, dont just do what we have been talking about for your selves, for your families, but to protect our Healthcare Delivery system and the workers and the families in those systems. As we see winter right around the corner, cases starting to increase of covid, the need to be prepared for flu, really protecting those workers in those facilities is key to our success in this state. What are these simple reminders . Lets boil them down to three simple things. The masking, delimiting mixing, and reducing our movements as much as we can. About masking, we have talked about this for many, many months. Wearing your mask whenever you are in public. I wanted to add two important other aspects. We talk about gathering. We talk about household gatherings but we know when people gather with people they dont live with, often Close Friends or family members, we think that it is okay to put your guard down. We think it is okay to take off your mask even for little bit to enjoy your drink or enjoy your meal. But, it is exactly those moments that might create a high transmission risk. We urge you to consider how you engage with friends and family over the weeks to come to keep transmission rates low. Additionally, not on this slide but an important aspect, we have been tracking transmission that . A little different than gatherings. Household transmission, wherein somebody who works outside of the home is exposed and in fact infected. They come home. Of course, they do a many of us do. They take their guard down. They spend time with their family, appropriately so. But, it ends up turning out that they transmit covid to many members of their family. Rates in these different studies across the globe and since the beginning have sort of pinned that maybe a third or a half of family members getting infected. This becomes another important opportunity, especially if you live with vulnerable individuals. Consider how you interact with them even if they are not symptomatic because we know they can spread easily even within your own household. To underscore this, we put out gathering guidance again. We updated it. We wanted to underscore some of the most important parts of that. Always keep your gatherings short. We know that is not always easy but red and purple tiered counties, we are strongly urging, do not gather indoors with other households. This is the type of gathering that is highest risk. We know and those purple and red counties, transmission is quite high. Without any knowledge, it is easy to have a Single Person who is covid positive spread to a number of other individuals who are gathering within doors. Orange and yellow counties, keep the windows and doors open. It is something we have been saying for the last couple of weeks to keep outdoor air circulating. Wearing your mask and keeping her distance. And, a special callout for high risk individuals who should avoid these gatherings if they can. If they cant avoid it and they do attend, consider having a surgical mask or even an n95 that fits snugly and tightly as available for those individuals so they are not at increased risk while indoors. The last thing i wanted to underscore was we talked about a travel advisory. We along with our neighbors to the north, oregon and washington, put out a strong travel advisory. This is not a mandate. This is a travel ban. This is not a restriction. This is to discourage nonessential outofstate travel. We are asking people who do go out of state and come home or have guests from out of state to do a 14 day selfquarantine. This allows us to be confident and certain that we are not having additional risk of transmission especially when visitors are coming to our state. You have been watching an update from governor gavin newsom and dr. Ghaly. The state announcing they are pulling the emergency brake on reopening since we are seeing the fastest increase yet in a covid case is here. Significant changes in the tiers announced today. Some counties moving back multiple tiers. Last week we saw 13 counties in the most restrictive tear, purple. Today, 41 counties are in the purple tier including contra costa county, alameda county, santa cruz and santa clara counties. 11 counties are now in the red and that includes San Francisco and san mateo among others. The governor also says the state has been working on preparedness with 11 surge facilities. They are ready if needed with 1800 beds available and ppe inventory also available. 180 million n95 masques. Again, you can watch more of this News Conference on cbsn bay area. Coming up at 12 30, San Francisco mayor london breed will give an update on the citys coronavirus response. A busy day, a lot going on. We will bring you hope so zende and i have been going back and forth on which fabric is a better fit with this dress. I dont know. What do you think . Steffy hmm. Either could work, but this one is softer. I like this one. Zende, youre the designer. What do you think . Zende uh, for that particular design, swatch 1. But i agree. Either could work. Steffy well, i say we go with the designers instinct. Hope . Hope im good with that. Steffy all right. Zende, great job. This is amazing. I really like all of this together. Zende . Hope are you okay . Zende what . Um, yeah. Ii