Here. We will give you some updated information and go from there. On this format of the presentation, i brought one of my own personal bias to the way we do this. People have not noticed i have an unknowing personal habit that my children remind me of often. Staff reminded me this morning. People love to give you their opinion on what they think. Sayten will stop them and before you tell me what you think, just give me the facts. Just give me the facts before your interpretation of the facts. I like to start with just the facts. Just give me the facts and that is what we are doing in this presentation. Here are the facts. No opinion, no filter. I will tell you what my opinion is, but first the facts. It is an annoying personal habit. People want to tell you their opinion. Tell me the facts first and then give me your opinion. Total hospitalizations still in the 18 thousands. But a clip down. Good news. That is a fact that it is good news. Not my opinion. You see the flattening of the curve. All of these especially as never used before. Rounding. Lattening, net change in hospitalizations down. That is good news. Three day rolling average. Anyone of these days of reporting, this is a new reporting system. It is imprecise. I would not bet the form on any one days numbers. Icu admissions is down. That is good news. Intubationbs are down. It is very good news. Intubated, they are on a ventilator. 80 of people will never come off a ventilator. That is good news. Havelity check, you still aout 2000 people on daytoday basis who are being diagnosed with covid. Woods, no. Of the we are still in the woods. The good news is, it continues to curve. The great news is, we cant control the spread. That is greatness. We can control the spread. Can you imagine if we could not control the spread, if we kept doing this and it kept going up. So we can control the spread. But you still have about 2000 People Per Day who are new diagnoses coming into the hospital. It is still a Serious Public Health issue. 752 which yesterday, is the painful news of our reality day after day and they are in our thoughts and prayers. You see 707 in hospitals. 35 in Nursing Homes. People are interested in those numbers and how they are changing. You see the terrible news has basically been flat over the past couple of days. Is a lagging days indicator. It is almost disrespectful to put it in scientific terms. These are people who probably were intubated, they were on a later and then again on a period of time on a ventilator normally is a bad outcome. Deaths number of the cdc changed guidelines on how they want information reported. Anothert deaths and category of probable deaths which is a new category that is done by the local department of lth or the corner coroner. We will rationalize those with local governments and get those out as soon as we can. Since we have a little bit of a period to take a breath, we will contact Nursing Homes and facilities to find out if there passedher people who from covid who were not necessarily in a hospital or nursing home. Maybeis a sense that additional people have passed away and they were not included in the count because they were not in a hospital or nursing home. We will be going through that. Basically, the healthcare situation has stabilized. Of overwhelming the Healthcare System has not happened thanks to the phenomenal work of our frontline workers, thanks to all of the additional capacity that the Hospital System created. Over 50 additional capacity in one month. Just think of that. Thanks to the work that are federal government did. The army corps of engineers providing the javits and comfort. Javits which has 2500 bed capacity is the overflow. Moved on people through javits. Thank you very much. That was a Great Service that was done by the federal government in a very short period of time. We have that stabilized. People are still getting infected, but we have the infection spread down to a manageable number. We have accomplished that. To talk aboutave the reopening of the economy, how do we do this . We have to build a bridge from where we are to the reopening of the economy. What does that look like . Lets say that where we are going, it is not eight reopening a reopening and that we are going to reopen what was, we are going to a different place. We should go to a better place. If we dont learn the lessons from the situation, then all of this would have been in vain. We learned a lot if we are willing to open our eyes in our ears. We are going to a different place which is a new normal. We talk about the new normal, we have been talking about the new normal for years. We will have a new normal in Public Health. We have a new normal in the environment, economics, civil rights, social justice. This is the way of the world now. We are moving to a new place and we a new challenging place, but also a potentially better place. Say it isis over . I over when we have a vaccine. It is over when people know i am 100 safe and i dont have to worry about this. When does that happen . When we have a vaccine. When will we have a vaccine . 12 to 18 boys. Months. 18 it is a big gap, yes. I say the sooner the better. Anything we can do to work with the federal government to get the vaccine faster, we are all in. If you want to use a new york laboratory, we are ready, willing, and able. Anyway the new York City Department of health can work with the government to reduce that testing period, we are all in and energized and creative and ambitious about it. Anything we can do to accelerate that vaccine, we will do. You need a place to test it in large numbers, ink of new york. That is the ultimate think of new york. That is the ultimate end. We have a vaccine now and we dont have to worry about this. We will probably have to worry about the next Public Health risk at that time. So do not forget everything we learned. Size the vaccine, there is a possibility that they fell up a medical treatment besides the vaccine, there is a possibility that they develop a medical treatment. If you get the virus, dont worry, no big deal, you get the medical treatment. That is what convalescent plasma is all about and the Antibody Testing to find people who had the antibody and injecting the antibody into a person as a treatment method. Hydroxychloroquine works. This has been a very politicized topic. Stay 100ne my best to miles away from politics in all of this. Everyone wants to see if hydroxychloroquine works. Everybody. The president says he believes it works. But he is not a doctor. Find out. Everyone hopes that it works. Anything new york can do to test it, we will. We are now testing hydroxychloroquine. It is not a government decision. The medical doctor decides. If the medical doctor decides it works, fine. We have an executive order that limits the prescription of hydroxychloroquine only because we do not have enough. There was such a demand on it that people who needed it, cant get it. If the government sends us more, we will dispense more. It is a pure supplyside issue. Or maybe they develop another drug that they figure out has an effect. That could happen between now and the vaccine. We all pray that it does. Until you have the vaccine, the medical treatment, what do you do . How are you building the bridge . It is going to be a phased reopening, right . During the reopening, the priority is make sure you do no harm and keep your eye on the Public Health issue. That is what is key in all of this. It will be a calibration of reopening waste on Public Health ratey and that infection because what we have done in reducing the infection rate is a pure function of what new yorkers have done and what people across the country have done. When you relax that social distancing, you could see an increase in the infection rate. It is all a calibration to the Public Health. It will be a gradual increasing of Economic Activity in calibration with Public Health standards. Tool to doingt this gauging his largescale is largescale testing. What does this mean . You find the positives, you trace back who they were with, where they wear, test those people and isolate those who are positive. It is inarguable but it is very hard to do. It opens this new world of testing. This new world is a new world to all of us. This diagnostic testing, are you positive or negative. Testing for antibodies, were you exposed. If they found out that you were exposed, now you can go back to work because you had the virus, you have antibodies. Antibody testing, once you have the antibodies, you can help develop convalescent plasma where they can take your blood, take those antibodies, use it as treatment. Which issaliva testing faster and easier. It is not blood testing. It is not a swab. It is just saliva. That is a new form of testing just being developed. Testing whichck is less invasive but also being developed. This blood sampling testing which is obviously more intrusive. To do the testing, you need testing equipment. And vials. Abs you need all of these things in a capacity that does not now exist. Where do you do the testing . We have been doing testing in hospitals. Frankly, that is not a great place to do testing. You dont want people walking into an emergency room who may be positive for covid. Our drivethrough locations are better. How you bring that to scale . And even if you have the equipment and the testing site and the personnel to do the testing, where do you get the labs to test all of these tests . This is a whole world of questions that nobody has ever seen before. You needm line is largescale testing, lets do it. We cannot do it yet. Truth he unvarnished garnished truth. I know because we have done more tests than any other state. We have done over 500,000 tests which is more than the other states that are near us combined. We have been very aggressive here. All this time, we have only done 500,000 tests. It is a large number of tests, yes. But this is over one month period. Even 500,000 tests, you are talking about a state with 19 million people. You get a sense of the scale of what we have to do, here. Without federal support. I have been saying this for days. A you have a state that has slower need, yes, they may be able to do it. When you have a state that has to do a large number of these tests, i am telling you, we cannot do it without federal support. I have said that from day one. We will coordinate and we have been coordinating all of the tests in our state. That is how we got to the 500,000 number. More aggressive than anyone else. Private laboratories in this state. We will coordinate with them. We will make sure we are not competing with ourselves because they are a lot of groups that are now testing. New York City Department of health developed their own antibody test. That test is going to be very important and it is in our control. We do not need a private lab. We dont need anyone else. With those tests, it will go to about 2000 per day capacity and prick test soger it is not terribly invasive. Even i can endure the pain of that one. We asked the fda to approve a state test that can get us to 100,000 People Per Day to give you an idea that is 500,000 per week if you do not work the weekends. I dont want to raise something i dont know about. 500,000 per week, we have only done 500,000 to date. You get a sense of how powerful that would be if the fda approves that. We will prioritize Antibody Testing for First Responders and essential workers. This is important. We have all been saying thank you to the healthcare workers and that is nice. Ive been talking to the head of 1199 who represents healthcare workers. His point has always been the gratitude is appreciated, but we need support. Healthcare workers need support. They need the ppe. They need time off, they need to recuperate. The First Responders, the in my nypd. Myy have said from day one, guys need support. They are out there every day. They live in the downstate area and they work in the downstate area. Rockledgehem live in. Theyk island rockland need to know if they have been infected and also, they could wind up being spreaders if they dont know. Nypd has been extraordinary here. Make them a priority for the testing that we can do and we can control and that is the Antibody Testing and we will. Testing, the more open the economy. There is not enough National Capacity to do this. I have been speaking with governors across the country. Every governor is in the same situation. I was speaking with the governor of illinois. He has companies that do this testing in this state. Everyone is in the same position. We have to be clear on who does what between the federal government and the State Government. The state cannot develop national testing. There is no simple answer to it. It is controlled by private Sector Companies who have been doing it at a reduced volume because that was the world. We did not need a high level of tests. The private Sector Companies only developed with the capacity the market demanded. This is an entirely new market. When you talk to private Sector Companies, which i have, they will say, i cannot increase my volume. I cannot get enough swabs. I cannot get enough vials. I dont have enough machinery to manufacture it for test it. Thatneed chemical agents are part of the test. Many of these chemical agents are not even manufactured in the united states. There is an International Supply chain. All of this to say it is very hard to bring this to scale quickly. We need the federal government to be part of this. Testing capacity to me is like what ventilators were over the past month. All of a sudden because of this virus and the respiratory attack, we need massive numbers of ventilators. I had never heard about ventilators before this. I now know more than i ever wanted to know about ventilators. It came out of the blue. They are very hard to manufacture. There is a supply chain. They are a sophisticated piece of equipment. It is very hard to get the manufactured quickly. Them manufactured quickly. No one is to blame on ventilators or testing. I dont want a political world, who is to blame. Sometimes there is nobody to blame. On this testing situation, there is nobody to blame. It . How do we now do how do we scale it up and scale it up quickly because we want to phase the reopening as fast as we can between now and a medical treatment and a vaccine. That is what we are doing. I do know this. The answer on testing is not what happened on ventilators which is 50 states competing against each other to buy Testing Capacity from these private Sector Companies and the federal government, which is also buying Testing Capacity, competing against the 50 states. That is not learning the lesson of what we did before. Partnership with the federal government 100 . We need that partnership to do this. , then you have to trace the contacts. Bernadette, bernadette turns up positive. Ok, who were you with over the past week . What family members tackle who do you sit next to in the office . You now have a list of 30 people. If it is bernadette, even more because she is highly social and has a lot of friends. Now someone has to run down that list of 30 people from one positive. Investigatortive in the publichealth space. That is a massive undertaking. Intelligent, but it is massive. That is an army of tracers. Testing, get that up to scale, and then tracing. That is a massive undertaking that we now do not do. Tracing, isolation. Yes, we have to do that in concert with the federal government. No one has done it before. No one has done it to this volume. This roleates to do of reopening, we need funding. The past federal legislation has not provided it. It is that simple. They funded many good causes. Hospitals, more businesses, etc. You now want the State Governments to do all of this work, do this, do this. I can. Ill do everything but you have to provide funding because at the same time, the State Governments are broke. Ist is not just me, that every governor in the united states. That is the National Governors association, the chairman, governor hogan, good man, republican, and myself, vice chairman for the National Governors association wrote a joint letter saying the states need 500 billion in funding because i have to be afloat and have some capacity to do all of these things you want to governors to now do. That has to be in federal legislation. There cannot be excuses about it. Months which is the last date for a vaccine, that is what we have to work through. The first rule, do no harm. This is a Public Health crisis. We are still in the woods and just because the number has plateaued, does not mean it is any time to relax what we are doing. Do no harm, do not go backwards. Hope we find a medical treatment between now and 18 months. In the meantime, testing tracing, trying to get that up to scale which is going to be the equivalent of trying to get 220,0003 back to work miles, 50 years ago. It is a very difficult test. It cannot be done perfectly. But we can do better than we are doing. In the meantime, a phased reopening of the economy as educated by testing tracing. One other point on the phased reopening. What does that mean . How do we phase this reopening until we get to a medical treatment for a vaccine . This is what we are thinking about. Clarity on what the federal government is going to do and what the State Governments are going to do. I heard the president last night. It is up to the states, they sickly. Great. I get it. Basically. The states can do no harm. It is their job to do the publichealth monitoring. The states can also do the phased reopening plan. We cannot do the states that have