Restarting public life in our state. How we are going to approach reopening oregon. This is only a framework. The timing is dependent upon several factors. Timing, thetrol the ds controls the timing. I want to be transparent with how we will approach this incredible challenge of reopening segments of our society while living with the virus and how we will maintain healthy communities. Of theearly days pandemic, i had to take action to protect the health and safety of oregonians from the disease. Now as we see these efforts are working to flatten the curve, we are analyzing how and when to reopen each part of our society and economy. I want to work collaboratively to do that. But we have to be careful. As this diagram from our modeling shows, we have to be cautious or it will backfire. We know a vaccine or an effective treatment may be months away. We willve too quickly, see a spike in cases that could overwhelmed Hospital System and unnecessary death. We all want to get back to work and return to life as normal as quickly as possible. Best pathis the forward is a cautious one. A path that proceeds gradually, incrementally, and carefully. A path that relies on science and fact to determine each step forward. Framework for reopening oregon recognizes the science based process that accounts for the needs of the economy and community. The science dictates that we need to complete specific prerequisites. First we need to slow the growth. We need to see fewer cases of covid19. The exact metrics will be informed by experts and by data to avoid a resurgence of the virus. Advisoryogists and panel are working on this right now. We need adequate ppe. Gowns. Gloves and we know First Responders and Health Care Workers will be contacted. We have to establish a Robust Public Health framework to support the reopening effort. The major components of this include we need to ramp up Testing Capacity in every region of the state. Increased testing helps us make sure we can identify where the virus is and stop it from spreading again. Really strong partnerships between the private sector and public sector. We need to develop a robust system for Contact Tracing to identify those that may have been exposed to the virus and of course to stop further transmission. To develop a plan that works for every region in partnership with county Public Health departments and local health system. Also need an effective quarantine and Isolation Program for people that test positive. It will need to include strategies for nursing home residents and address the needs of people experiencing houseles sness as well. We need this in every region of the state. These are the prerequisites necessary for when we can reopen. Then theres the how we reopen and keep it open. These are the key elements of the framework. Slow the growth. More ppe. Testing capacity. Contact tracing. And a quarantine and Isolation Program. It is not going to be easy. It will take longer than we want. Wee the rest of the world, will be monitoring the availability of treatment and vaccines that might affect the structure and timeline. Haveow, this is what we and this is what we can do. Talk about like to how we are going to approach the details of this Public Health framework. Moving forward my plan is to hold discussions with leaders across the state to discuss the plan further. We will gather input from health care professionals, Public Health experts, and from industries impacted by the stayathome order. We will take a look at specific sectors of the economy, restaurants and food service, retailers, childcare, and personal Services Like hair and nail salons. We want to bring together Business Owners and practitioners with professionals to discuss how reopening gradually might be accomplished. This might include additional guidelines for reconfiguring the delivery of services with additional is a cobarriers like plexiglass dividers or requirements for ppe. I also want to add california and i willwsom coordinate our efforts. This virus does not recognize state boundaries. We have to Work Together on a plan and we will be talking regularly and sharing best practices with our neighbors to the north and south. Say weing, i want to have to be careful. We also cannot stand still. We know this is a global problem. Leaders across the world are wrestling with how to approach this. The shuttering of an economy at this scale has never happened before. Reopening of a shattered economy at this scale has never happened before. I will continue to make decisions based on science in fact in consultation with experts and happy to me adjust. So far through the sacrifices of thousands of oregonians, our actions have had a major impact. Thank you. Cani know that together we and we will get through this. Together. Add theant to following. After the last great recession, the recovery was uneven. And industries benefited and many, including folks in rural oregon and communities of color did not. Of our heroes are low income workers, grocery stores, nursing aides, and truck drivers. Many more, from cooks, dishwashers, waiters, housekeepers, and stylists have lost their jobs. Many of these sectors, these jobs are held by women and people of color. Efforts at reopening oregon and addressing this virus have and must reflect this reality. As we prepare to get oregon back to work, we must remember the importance of doing so in a smart and deliberate fashion that keeps us moving forward instead of sending us backward. This is going to move slower than any of us want. It is the only way to protect the health and lives of oregonians. I am happy to take your questions. Thank you. I think people want the specifics, i know theres are being worked out. How much a Surge Capacity do we have . Metric you are going by . Gov. Brown thank you very much. The question is, can you give concrete details. An example i shared yesterday. From dr. Information deborah birx, the criteria she had. Oregon is using our own framework and relying on epidemiologists, Public Health workers and experts and data here. My five metrics are slow the growth of the disease. Adequate personal protective capacity, testing increased, tracking or Contact Tracing and isolation. We honestly dont know how much ppe capacity we need. We are obviously collecting the burn rate, the use rate at hospitals and clinics around the state. That is only one component. For example, we might need personal protective equipment, people that are doing personal services. Therapy, hair salons. We dont have a sense of what that need is. We can certainly use modeling from centers like Oregon Health sciences to determine those numbers. We do know we need more. Do you want to add anything to that . Do we know what is adequate for ppe . What we have seen his hospitals have come together and built in Surge Capacity. Part of that was shutting down nonessential services, saving for those that might be ill with covid19. We have adequate capacity right now to handle the cases. We have the new cases that present as well as the admissions to the hospital are staying flat. If we continue the actions we have, that will be the case through midmay. We look at the ppe we have. As Governor Brown said, we are getting more information from the Hospital Systems about the ppe they are using. Toorder to open, we need look at those nonessential Services People have postponed while we have shut down the health care system. These are procedures that keep people out of pain. Fixing their needs. Other things that are urgent for the patients that need them. To lookingommitted with our Hospital System, health partners, other partners that made need this equipment because of the services and get a number of how much we need so we know we have adequate capacity and dont need to shut down because a shipment doesnt come in. Ppe is becoming more available. Not as available as we want. We will share Additional Information as we get it. As for the metrics to reopen, we will look at flattening the curve, are we seeing decreased new cases every day, admissions to the hospital, so we know what we are doing is having an impact. We are not seeing a surge before we open so we can take the next steps. The 10 days nong testing, that is not current . I was citing dr. Deborah birx, information she provided in a white house briefing. We are using different metrics in oregon. Saying they are tracking new cases. Gov. Brown i can tell you we have substantially and gradually increased our Testing Capacity in the state. We are doing 7000 tests per week. We are grateful for all the partnerships. That have been created to make this happen. And happy to let the doctor further. Capacity, first i want to say, could Testing Capacity we are looking for is not the ability to test everyone. We know even if we did that, we could say who does not have covid19 today. That does not mean tomorrow they would not test positive. The focus on those with symptoms. Outpatient is starting to get tested. Testing, wencrease are identifying about 5 of those testing positive. We are not seeing rampant numbers of people taking up more and more. It is staying constant. We do anticipate up to 15,000 tests per week, is what we would need ongoing. That is a rough estimate, as we see the cases declined, we will have fewer people with symptoms. Many people dont have symptoms. That is why we are working to develop a strategy to see how widespread this is. That could be doing testing samples of asymptomatic people, because we know they are one way the diseases spread. It would be impossible to test every person in oregon that did not have symptoms because it would be a picture in time. Our capacity is getting there. We have seen slow increases, they are not as quick as we would like. We anticipate the capacity will grow and we have developed great coordination among the different systems and folks that are testing to make sure everyone that needs a test will have access. Timeline . If i could predict the future, i would do other things. The increase in testing has continued. We know the Hospital Systems are working at increasing capacity. The Public Health lab is looking at ways to increase capacity. Many commercial labs are able to deal with a backlog. All of this depends on personal protective equipment, the collection kits, and the chemical reagents used in the lab. Throughout this response, we have seen shortages. It is hard to predict when those shortages will arrive and what system. We work to increase all of the supplies so we know we have a steady testing supply and ability to test those that prepare for care. I cant give you a specific timeline. We know that will continue over the next few weeks. I want to make sure everyone in the room can ask a question. It was hard to tell yesterday what was political. My understanding is you have been in conversation with other governors. What does it mean you are talking to these folks . Gov. Brown we have been working and texting closely with the state of washington. Their Public Health officials. Weve been sharing best practices. We certainly have been giving each other the heads up. This work will continue. The disease knows no boundaries. We have folks who work in oregon and live in washington and the reverse. The same is true with california. Its important, the states have been on the front line of this disease. We have made the very difficult decisions in terms of how and what to shut down. We are coordinating efforts, we are sharing best practices. We are sharing information and resources. That is no different than what we have done in other circumstances, wildfires. Its really important. We are all impacted by this virus. We are in this together. It is important we Work Together. [inaudible] gov. Brown is our framework going to look the same as california . Absolutely not. We are different regionally and economically. We want to be coordinated. That has been a challenge. Personal protective equipment, we are competing against other states that are larger than we are. We are competing against some of the folks in the medical industry. To the extent we could coordinate those efforts, that would be useful. The doctor has information on that. We think it would be good to be coordinating procurement efforts. My team, this administration has worked really hard to make sure theave adequate ppe for frontline workers, Health Care Workers, First Responders. We have done that by collecting ppe and we are grateful for the veterinarians, the dentists that donated their personal protective equipment. We are asking folks to conserve their use of ppe. The other piece is we are working to create it, public and private, to produce it. A couple of examples, the dental Equipment Company in newburgh is producing personal protective equipment. Creating gowns. We have adults in custody that masksoducing 30004000 every day. This has been a collective effort and frankly it is going to need to continue to be a collective effort. We have a lot of people on the phone line. Good morning, governor. You received information on the department of corrections regarding possible candidates for Early Release from prison. Do you plan to release any inmates early in response to the pandemic . What is your timeline for that decision will you make public the information you receive from the department of corrections . Gov. Brown in response to your do i plan to release inmates early as a result of the covid19 crisis . The answer is no and we will provide you with the documents i have used in my decision making. All of our state agencies are wrestling with the impacts of the covid19 crisis. I have asked all of my Agency Directors to share with me their protecting their staff, their employees and for projecting protecting their clients, theirr adults in custody and certainly about covid19 and the presence in our prisons in oregon. I have reviewed the plan with director peters. They are working hard to make sure that our adults in custody safe. E staff remain can the governor be more on time line we made these were very difficult decisions to make and the question is can i be more specific on time lines of the reopening and the answer is no. Said earlier, as dr. Fauci said, we dont control the timing. The disease controls the timing. Efforts to stay home to save lives have been extraordinary and i am incredibly grateful for the oregonians have made to take care of their familys health and neighbors health. Appreciative of that. These were very difficult decisions to make and i know economic caused hardship in communities around the state but this is not like switch. On a light it will be done gradually, incrementally and based on advice fromdata and Public Health experts and epidemiologists. Dr. Sidelinger, did you want to anything . Dr. Sidelinger i think as avernor brown stated, specific time line is difficult to get. We know sacrifices continue, have lost jobs, small and Large Businesses are impacted thewe know from looking at existing data of people being diagnosed right now, people hospital,tted to the that curve is flattening and what were doing is working. Modeling and smation to help us plan. When modeling shows that if the current activities we have in place are continued through mid we will continue to see a flattening the curve and thentially slow decrease in curve and thats what were data infor so as the terms of people presenting daytoday is going down, thats when well know its time to take the next step. Doing planning, alerting you of time of the plan, that this isnt a oneday thing where on buting is turned taking a specific sectorbysector approach, those sectors, what do you need to provide protection for your employees, for customers, so we can make sure we have those things in what the data shows its time to lift restrictions, well be ready to safely, well continue to monitor and see if theres a in oregon, that we can turn these things back on the least do it in disruptive way possible. Said, ther brown disruptions made to the economy, to society, have been tremendous you asked any of us at the end of last year, none of us would have predicted that so well continue to provide as wes and be as specific can but a specific date is not right now. Ng of questions for the governor regarding assisted longterm care facilities. Will the state release about where the cases the numbers of cases in deaths related to these cases. Question,. [indiscernable question] lisa, for thank you, those questions and im really glad i have a pen and piece of paper up front. Two questions, number one, will the state release information in cases are and the how many deaths and the second question is will there be aggressive testing done in our congregate care facilities. Before i have dr. Sidelinger come up, i just wanted to make a of comments. This is really, really hard. Seasonthat during this special holidays for a that aof our religions lot of families get together across the state and across the country. Benow it was hard to not able to hug your grandchildren and never useeces holiday. Phews on a but i took strict and swift down our shut congregate care facilities, assisted living facilities, vulnerablenow how these populations are. I have a 90yearold uncle in facility. Iving he had his 90th birthday. My family couldnt hug him and wish him happy birthday. They did an alternative, they a driveby Birthday Celebration with signs outside his window but this is really, really hard for our forlies and my heart breaks all of our vulnerable oregonians are in assisted living facilities because they cant ones. Eir loved dr. Sidelinger to add to that, i