Map and putting in over 40 of americas states. That gives you a sense of the magnitude of the state of california and the magnitude of our responsibility to approach our response in a way that addresses the needs of different parts of the state of california, different regions. Accordingly, we of long talked about our approach to addressing the issues of covid19, it spread and our suppression strategies have to be from the frame, bottomup. We have talked about the fact that localism is determinative. We recognize local conditions are just inked and unique from one another and we recognize that conditions in far reaches of california and northern parts of the state are very different than in the San Francisco bay area and very different from the loss in los angeles region. And accordingly, we have afforded the ability for local Health RecordsHealth Directors working collaboratively with advocates and elected officials to make determinations for themselves on when to move forward through our phased in approach. As many of you have heard me say in the past, we have put up guidelines but guidelines do not mean go. We have put up guidelines that create a framework on how we believe we can reopen the economy safely but we do not prescribe when. Because of the size, scope of california, that those decisions should be made with local lens. They should be made by allowing and advancing localism to be the thrust and the guide to ultimately making the determination of when to move andard through these phases safely reopening the economy throughout the state of california. We have also talked about it in terms of not being an off and on switch as it relates to when we reopen but a dimmer switch. Using datatimately to inform their decisions. And it is that data that we monitor. Accordingly, and we will get to that in a moment, the foundational data that has described californias approach to this pandemic and the realities and the challenges we have faced in the state in many and isn be exampled exampled here in this slide. We were the first state in the country to move forward with a statewide stayathome order. Its purpose was selfevident. We wanted to avoid a major spike in covid cases and we wanted to buy time to will doubt our capacity. Physical assets and human capacity. To prepare for inevitably reopening the economy. We never made the case that the stay at home order was permanent. We wanted to buy time and avoid a spike and we wanted to save lives and prepare for a pandemic that needs to take its course until ultimately we have immunity and until we have a vaccine. There are a number of states that experienced a spike and as a consequence of experiencing a aike, they are experiencing decline off those peaks. In california, we were able to mitigate that spike, extend the curve as we often described, and taught us the time and bought us the time to develop the resources so we could effectively manage our way through the pandemic. Accordingly, we have focused on the foundational responsibility of testing so we can get a better sense of what is happening in the Community Understanding the prevalence of this disease and the spread of this disease. What you can see on this slide is a significant decline in the Positivity Rate. Those that have been tested and the percentage of those tested that have tested positive for covid19 since we began testing here in the state of california in early april. Remarkably, if you look back at the first 14 days in april, you will see a Positivity Rate that averaged in those 14 days, 40. 8 . Of course and not surprisingly in the early parts of this symptoms people with were prioritized for testing and unsurprisingly, the positivity numbers were very high. You see from the blue part of discharge that the tests were also scant. They were modest. We made that point abundantly clear. We needed to substantially increase the number of daily tests in california. You can see from this chart that we have effectively done that. As we have increased the total number of tests from less than 2000 a day to as an example the last two days, 78,000 tests on saturday and 66,000 tests on sunday, that the overall rate of positives has gone down but the percentage of those tested that have tested positive for covid19 has declined and flattened to roughly 4. 5 . I say roughly because on any given day that number trend, the 4. 5 lay 5 reflects reflects a 14 day average. A few weeks ago, i wouldve said it was roughly about that as well. Just to give you an indication, you see the 14 day band here. We also use a sevenday figure. More days gives you a contemporary sense. And you can see the Positivity Rate increasing. Again, testing has increased. Total number of positives has increased that the Positivity Rate has declined sharply and remained stable over the last month and a half plus. Another thing we is in focus on his is the spread rate in acuity. Spread rate is an easier way of describing it. It remains stable for stable. Covid,ryone who had people that were infected were spreading the virus at a modestly higher rate than we have seen in the last number of weeks. Again, stability as it relates to spread rate. It is an important of part of the function of what we focus on. As it relates to the issues of the spread of this virus. Again, important graph and important point of emphasis as we move to reopen the state around the kinds of things we are looking at day in and day out. Accordingly, we look at hospitalization rates. They remain stable. Line, theythe blue remain stable. Overi mean by stability is a 14day period, just to give a proof point, icu numbers are flat. I mean quiteat, literally over a 14 day period have increased by 0. 0 . They have not increased at all over a 14day period. Yesterday, they decreased by 2. 1 . The day before, by roughly 3 . A trend line that is Holding Stable over 14 days. You can see from that blue line that this extends well beyond that 14day period. It also extends through two important dates. You see may 8. That is where we began to modify in a significant way our stayathome order in the state of california. There was some sense that the hospitalization numbers would begin to increase. Certainly anticipated positivity numbers to increase as we some more mixing, more people that were out and about as we reopened the economy, but the good news is the icu numbers remained fairly stable. The second number is memorial day. A lot of folks were out and about. You can see again the trendline remains remarkably stable. Our eyes are wide open. All of this data is a moment in time. With the benefits of hindsight, but by no means does the past equal the future. Accordingly, let me go back to the hospitalization number. The orange line you see above. Uppitalization numbers went 0. 4 yesterday. They were down 3. 1 the day before. They have remained fairly stable the last 14 days as well. In stability we have seen the last 14 days was about a 4. 4 increase. It is an increase nonetheless. That does not include the total number of hospital beds. But just our Surge Capacity has been identified based upon the current census of 3103 covid positive patient. Less than 6 of that Surge Capacity has been accessed. That is an important point about our capacity. The question is can we absorb that . The answer today is yes. Again, based upon our work we have done over the last number of months to prepare to reopen our economy and prepare for the likelihood that we will see an increase not only in the number of positive cases, but also the prospect of increase in hospitalizations. Accordingly, on icu capacity, we have worked hard to identify our icu capacity space. There are close to 11,000 staffed icu beds in the state of 3775 ia, but roughly i say roughly, that is a snapshot as of last night plus or minus those numbers will change, but you get a sense that we have capacity in our icu the needs ofress covid positive patients. 28 of our capacity is being utilized icu beds currently for covid19 positives. No increaseve seen in the last two weeks in icu this isut nonetheless, a slide that represents what i is dividedata that to me. That is the first thing i do when i open my eyes. What is the number of positives . What is the Positivity Rate . What is our icu capacity . I want to make sure you have the benefit of that information shared with me on a daily basis. The ventilators that we have, that is ventilators that exist. You will recall we sent to for duringare ventilators the acuity of this crisis. Those are part of our cash in addition to the Hospital System. Hospitals did not just sit back in the last few months. They have been working to get more ventilators. They continue to refurbish and to refurbish and get more ventilators. Ising more than 11,000 vence fairly healthy at this moment. To increaseinue those numbers, as well. That is where we are in the aggregate. State Holding Strong in terms of stability. We did not experience the great spikes as a number of east coast state did. Experiencing a precipitous decline in the number of positive cases, but the stability is Holding Strong. , icu,vity rates hospitalizations. Those numbers are in the act aggregate a number of us live session of us live in the at aggregates. We have to recognize the many parts. The notion of regions and these attestations that they can meet certain needs, demands, and expect nations. Counties2 of our 58 that have put out self attestations. Are planning to specifically address the needs of their counties at their own pace. Based upon their local conditions. We actively monitor all 58 counties and the current data. We target our engagement in areas where we see numbers that are raising a little bit of currently we have 13 counties where we have targeted engagement, where we are providing technical assistance. We are providing resources, Human Resources and physical resources. Dr. Galli is going to talk about that and give you a preview of the dashboard that he looks at every single day as it relates to where these counties are in terms of our targeted support and targeted engagement and the criteria again that we laid out in terms of that attestation process and give you a sense of the seriousness of focus and the acuity of focus on different parts of california as we begin or rather as we continue to reopen the economy. With that, dr. Galli will go through the next few slides and i will come back with a number of points. Dr. Galli . Dr. Galli as the governor said, we continue to work with all the counties providing the data and information we see to ensure that we are in lockstep with the county leaders around what is happening locally and that we to improve counties situations that might need additional attention. The 58governor said, of counties today, the number of counties we are working with his 13, these are 13 counties that we have a little bit of concern about the data and we feel like early and frequent engagement around what is going on locally with the added support at the state level, whether those are staff are helping move other patients into other counties to make sure californians get the care they need. Before i move on, we do always have our step three instituting Community Measures where we would work with the county where it is difficult to get an important measure into our expected control level and that we would be able to work with local leaders, local Health Officers who are every single day trying to make strong and good conditions for their counties so we put back measures that might be needed to ensure we get things under control and keep things safe. This slide as the governor mentioned is the slide we look at every day. In the prior slide, we mentioned 13 counties. Countiesesents the that have had three consecutive days of an area of focus or concern. This is in alphabetical order, not necessarily in best or worst or any other order. You can see that we look at the specific measures. Things that we have talked about for weeks or months. We want to at least 150 tests per 100,000 people. We want to see more than no more than 25 per 100 cases in your community. We want to see a testing Positivity Rate that is below 8 . We want to make sure that the level of increasing your hospitals with covid19 positive patients is less than 10 . Then we want to see that the capacity both of the icu beds and the ventilators stay above a specific threshold. Here you can see the checks on this table demonstrating where each of these listed counties is meeting the measure and where you see a number, we are tracking that number to try to help support the county to get that number back in line with the measure. This to day, we use make sure that as frequently as possible, we are getting in front of issues early and trying to help support counties so that as we look to reopen, we stay very vigilant around the data points that matter and we can support counties and make in a very transparent way the decisionmaking known to those citizens in that county and who are throughout the state. We update this daily and whenever there are additional concerns, we have even more frequent conversations with our county partners. Do one lastnted to thing before turning it over to the governor, to talk about something you have been tracking with us very closely. And that is the disproportionate impact of covid19 on certain racial or ethnic groups in california. On the slide, you will see the blue line or the blue bar is the percent of that ethnic or racial group in the population of california. Is the number or percentage of cases among all covid19 positive cases in our state as it relates to that race or ethnicity. Then the gray is the deaths. When we look at that, you see two things that come out and we reiterate it, we will keep looking at it together with you as a state and that is around latinos. We see a higher, disproportionately higher number of big cases and this requires us to continue to work with our latino partners, our counties across the state to determine what other efforts and interventions are needed. For example, we do we need to bring more testing so it can be available earlier and more often . Do we need to increase capabilities around Contact Tracing and ensuring we can support isolation and orienting when necessary . Similarly, among africanamericans or lacks, it is a disproportionately high number of deaths relative to the number of cases and relative to the population in california. This requires us to work closely with black communities across california to ensure that we have testing we know across the nation. It seems to be a trend that africans in america africanamericans are showing up for testing much later in the course of covid19 and that means that when we finally get someone to care that they are sicker and we have a longer way to go to help them get back to health. Those focused efforts are things that california is working hard ando ensure the treatment ventilators and staff are getting into neighborhoods and communities, but that things like testing and Contact Tracing continue to be a focus and collectively across california, we continue to make means, but we will persistently and in an ongoing way share this information so you can track with us our efforts and whether we are seeing the impact we expect in california. With that, i will turn it back to you, governor. Gov. Newsom thank you, dr. Ghaly. So, again, our focus day in and day out on letting data guide our decisionmaking. We recognize one size does not fit all. We recognize the imperative of advancing a paradigm working with Health Officers, working with local Health Officers. Acutely,g that process providing technical assistance, providing support, Human Resources, and physical support. We laid out a series of indicators that were the predicate to our reopening strategy. We focused on the imperatives of increasing the total number of tests in the state of california. Of 2. 9 done just shy million tests to be exact. Testing starting to increase. We are getting roughly 60,000 tests on any given day. We see the Positivity Rates remained fairly stable. They go up and down, but holding fairly strong. We talk about it being a foundational indicator. We talk about the imperative as one of the indicators to make sure that we have the capacity in the state to meet hospitalization surge and to address the needs in our icus. We saw from our slide, ventilators and inventory north of 11,000. You saw from the slide that we are seeing some relative stability with our icus and in our hospital capacity, just less than 6 of our total capacity. I dont mean to belabor this, but it is an important point to make. That is just our hospital Surge Capacity. That does not include all the alternative care sites that the state of california locked in. A slide that i didnt include today, but one that i receive every morning as part of my morning briefing. Careve 1509 alternative site beds in 10 counties that have been strategically placed, that are not part of our Hospital System and every morning they update me in terms of the inventory of utilization of those beds. This morning it was just 27. In orange county, san mateo county, and not surprisingly based upon the last side that you saw just a moment ago, in Imperial County. So, that is in addition to the hospitalization slides hospitalization Surge Capacity that was part of the previous slide. Now we want to go to the other indicators that have been a big part of the conversation. Capacity, in terms of hospitals and icus. Capacity in terms of testing. And capacity to support vulnerable populations. That is a focus. We are highlighting today Nursing Homes and homeless populations. We are very concerned about people incarcerated in a county jails and in our state system as well. Nursing homes and the homeless populations. We are very concerned about people incarcerated in county jails, and in our state system as well, but as a proxy for our focus on vulnerable populations, it is important to note and update, particularly on the homeless side, that we were successful in reaching, surpas