To test for coronavirus and to track and isolate those who lai to be met before the states shelter in place is lifted and the governor says the state is testing an average of 14,500 people a day. By the governor says he wants at least 25,000 people tested a day by the end of this month. Over the weekend California PublicHealth Officials recommended testing people in high risk settings if they do not have symptoms and will bring you the governors News Conference live as it is a gets underway. More numbers right now, california currently has 35,000 coronavirus cases, their teen hundred people have died and write in the bay area theres more than 6700 cases and 218 who have died and yesterday cases in california spiked or the second straight day and reported the third most deaths in a single 24 hour timeframe. Santa clara county says the first deaths in usa late covid 19 happened earlier than they first thought and they happened in the south bay. The county medical examiner says autopsy results on two people in february showed they died of covid 19 three weeks earlier than what was originally thought to be the first death in the us. Results showed a third person died from the virus in the county on march 6 and none had a history of travel. Just this morning county Health Officer sarah cody said they contracted the virus through community spread. Now we will take you live to sacramento, Governor Newsom is addressing reporters. This would guide Decision Making based upon health, science, real data, not politics and not pressure. Those indicators created a framework for decisionmaking that we committed to update you on during a weekly basis and today we will update you on those six key indicators informing our decisionmaking as it relates to augmenting and modifying our stay home order. We will dive deep into one of those indicators, specifically around the area of testing, tracking, tracing, isolation and quarantine. Doctor galli will make the presentation in just a moment. But first i want to set things up and create a context for this discussion. I deeply recognize and understand the desire for people to hear directly from the administration and from the state and its leadership about the answer to win. When can we go back to some semblance of normalcy. A vast majority of you recognize recognize that decision needs to be guided on the basis of the virus and its spread and the decision on the basis first and foremost Public Health and that basis to answer that question is very real and no one wants to share that information more with you than i do and i wish i could prescribe a specific date to say that we can turn off the light switch and go back to normalcy. We have tried to make it Crystal Clear there is no light switch and there is no date in terms of our capacity to provide the kind of clarity that i know so many of you demand and deserve. The clarity that we are providing today is the clarity of indicators that guide that decisionmaking and the transparency around those indicators and the framework that allows us to organize around six specific themes and teams and to every single day monitor conditions on the ground. It is driven not by ideology but by argument and by evidence and by the duration of best practices, not just across the state and country but from around the rest of the world. We led with the first indicator that we will talk about more in a moment about testing, tracking, tracing, isolation and quarantine that we included five additional indicators, considerations that we must to be sure that we protect the most vulnerable californians like our seniors and Skilled Nursing facilities, Nursing Homes and assisted living facilities, those vulnerable on the streets and sidewalk, the homeless and people with compromised immune systems. That laid out the framework for our second indicator such as how we protect the most vulnerable. The third indicator was around hospapacity Healthcare Delivery capacity and not only withinto provide alternative care sites and facilities. To do so not just with physical assets to make sure we have the human resources, the people in protective gear to make sure the Health Workers are healthy and safe at the same time. We had a force indicator around the issues of therapeutics. We talk a lot about herd immunity and vaccines we in california are uniquely positioned because of the National Institute of health, for the top 10 funded nih sites are in the state of california and we are blessed and endowed with some of the finest Research Institutions and hospitals doing therapeutic studies and advanced therapeutic partnerships in this state. It is respectfully among the most robust of any state in this nation. So therapeutics is also a category that guides our decisionmaking. The issue obviously of businesses and issues related to schools and physical facilities is another area that guides our consideration and that is indicator five. I have made it clear in the past we will not just open things, we will have to open things and modify how we conduct our business, how we educate our kids, how we take care of our children. We talked about for plans just one week ago and what it looks like in terms of practicing physical distancing, we began to process the considerations for reopening the economic sectors in our society. And finally the issue of what happens if we overcompensate . What happens if we get ahead of ourselves and we start to see a surge of new cases and capacity reinstate some of these conditions and hotspots . What is our ability to project some confidence in doing so incompetence in you that doing so is appropriate and you will abide by those rules at the same time . It is not lost on us, trust is the most important commodity in these conversations and building that trust with you, 40 million californians, to make sure that we are continuing to practice physical and social distancing and dividing by these guidelines and recommendations and directives. That we recognize we are testing that trust every day because of the deep desire for people to began to know when they can get back to work and when they can go back out and recreate and enjoy beautiful parks and beaches in the state of california. So today we want to further that conversation and i want you to know you will be left dithat today. I very much look forward to making those announcements and we will not wait week to week to make those announcements and when we are ready we will make those announcements in real time. But i am ready today to make the following announcement. We have been working with our partners in Washington State and oregon guided by their experts and by their examples helping us to inform our own efforts here in the state of california. Based upon indicator three and the work we have done together in providing alternative care sites, the incredible work the hospitals have done to decompress their existing facilities and provide capacity to increase surge and the incredible workforce that has been assembled, we are in a position today to begin to pull back and lean in by beginning to set and schedule surgeries not just through the Hospital System but the broader Healthcare Delivery system. These are surgeries that are scheduled but they are also essential. Tumors, heart valves, the need for people to get the kind of care they deserve, if it is delayed it becomes ultimately denied. It gets delayed and it becomes acute and that fundamentally is a health issue. So beyond just the issue of the virus, we are working with our Health Directors and throughout the Healthcare Delivery system to reintroduce the capacity to get these scheduled surgeries up and running again. We will be very thoughtful and judicious about how we do that. We will not overload the system at peril of not being able to maintain our Surge Capacity. And we recognize any time we begin to toggle back and open things back up we do have to look every day at the data, the dashboard of information coming back, to make sure we are adjusting to these new decisions and maintaining an understanding we need to be vigilant about the intended consequences of these decisions and the unintended consequences. If you are asking yourself how we guarantee if we are bringing back all of the schedule surgeries there will be availability if we see a second wave or a large surge as we pull back . We are monitoring that and it is foundational in terms of this dimmer, not light switch, that we are advancing and in terms of just beginning to shift things and recognize that shift or that dial could be turned up or it could be turned back in real time. This for us is a Significant Health first focus announcement today to begin to augment the stayathome order but to do it with an eye on Public Health and making sure we secure the safety of our Healthcare Delivery system which includes the workers, making that we are always providing care to that is the announcement we wanted to make today as it relates to a modification of the stayathome order that is determined by adaptive Decision Making that is foundational he focused on the indicators giving us the green light. Informed by the indicators. Accordingly we wanted to talk about another indicator and i referenced a moment ago of the issues around testing and tracing which is foundational to the broader efforts to go to those other indicators and when Retail Stores open, when recreational opportunities are made available again. Testing that effort. I havee it is true we have provided testing 327 individuals that number is still inadequate to meet the needs of all of you and to meet our expectations as it relates to our capacity to begin to move even further in terms of augmenting and modifying the stayathome orders. 465,000 tests have been done and we went from two 2000 tests on average a day in march just a few weeks ago and we made announcements with a new Testing Task Force and advancing now the number to 10,000 today. Right now we are about 16,000 test today. Forgive me for giving all of these numbers perhaps confusing you but to say 2000 by the end of march to a goal by the end of april to 25,000 tests 16,000 on average today and getting to 25,000 by the end of this month. Our goal is north of 60,000 test today. That is phase 1 goal and it is a shortterm goal over the next number of months. We want to have a minimum of 60,000 tests and we hope to get closer to 80,000. That is the framework and a minimum being 60,000 test today. The entire pcr swab test capacity, the instruments that exist in the state of california, if 100 were at full throttle and everyone was being tested because we have all the supply chains and intact and ready to go, it would be about 95,000 tests we conduct, these are not the serological tested i will get to that in a moment. But the pcr swab based test many of you recognize, the instruments have the capacity to get up to 95,000 and we believe we can get not only to 25 shortly to get close to the 80,000 range within our existing framework of expectation of when supplies are coming and when more equipment will avail themselves and when more sites present themselves in communities all across this state. That is Something Else i wanted to share. We are significantly increasing the sites of availability at the same time we are increasing capacity within the existing system. There are hundreds and hundreds of testing sites in the state of california. Well in excess of 600. But there are 251 core sites that really make up the backbone of our testing system in the state of california. We did detailed surveys of those 251 sites on what they need to increase capacity. 50 to 55 of those we surveyed said their number one need is swabs. Others suggested they need viral transport methods and the old media that is used to take the swab and put it into a little kid and send it off to be diagnosed. The diagnostic side less stress, though always critical, the rna extraction and reagents, substantially many of those roadblocks have been lifted. Still an issue but not as significant as half of those who were surveyed saying it is really now getting the specimen that is the bigger issue with our Testing Capacity. I just got off the phone with President Trump less than one hour ago and we had a very specific conversation about not just the survey but the need for swabs. A very pointed and honest conversation. The president secured and gave me the confidence that we will receive just this week a minimum of 100,000 swabs. That is the ability to collect 100,000 specimen samples that will be forthcoming to the state of california this week. He said that we will then be provided 250, 000 swabs next week and he said the third week expect to see a substantial increase above the 250, 0000. That was a very good phone call and i would like to thank the president not only for being available for a phone call at a moments notice but to be willing to directly commit to all of us in the state of california to a substantial increase in supply of these swabs which will go a long way to give us all more confidence we can meet some of these testing goals, these stretch goals and assuage the concerns around us 251 sites that have reported a need for more swabs. That specifically is an advancement on our commitments to do more in this space. But we have a second commitment that we are making public today, and that is a commitment to make sure that all californians are tested. What i mean is not all 40 million of us, that would be ideal, but in every part of the state where we are not leaving communities behind. One of the big struggles we have had this past few weeks of this pandemic is getting to rural and remote parts of the state and getting testing set up and making them available. One of the other vexing and frustrating things is getting into our urban centers and making sure that we are getting into bright black and brown committees and doing justice to people also underserved even in these remarkably enriched and robust and well resourced communities. So today we are announcing 86 new sites that will become operational that our focus from a socioeconomic lens and focusing on black and brown communities and focusing on rural communities. We put together a heat map of the state and we will find testing deserts and we will begin to plug these programs into the sites. The two companies, verily will provide six of the sites which is the partnership with google and the other is optimum serve and they are providing 80 specific sites and endtoend testing, these sites will provide the kind of continuity that we need to ultimately advance our collective goals in this test and in this state to reach these testing goals. I want to thank those two companies for the robust conversations we have had and im pleased today to make that announcement that we are moving in that direction. In addition to that Abbott Laboratories will have 1. 5 million serological tests and 130 facilities in the state of california. I caution people in this space as i have been cautioned in this space around serology broadly defined, the focus on antibodies and immunities. I know work has been done on zero surveillance and that is serology test with the Community Surveillance mindset done in early april my first by Stanford University in santa clara, dirty 300 or so tests and then on april 10 and 11th in partnership down in Southern California at usc, those tests got a lot of attention. It also generated a little bit of controversy about what they are and what they are not. We do not use serological tests diagnostics, still traditional pcr swab based test. There are still some open based questions around serology and antibodies around immunity and i want to caution people in the space. A lot of energy and enthusiasm in this space and i share that energy and enthusiasm demonstrably so just with the deal we made with abbott on the 1. 5 million tests with them alone. But i caution all of us is that information comes and is more peer review is being done in the space, all of us start to understand that while it can be extraordinarily helpful in terms of guiding our framework and indicators for reopening, it is not at this moment a panacea, but it could be profoundly significant and we will certainly do our part in addition to procuring pcr tests. We will continue to do what we cant provide serology tests to people all across the state, these tests are much easier with bloodborne based tests with much more capacity to deliver those tests. Our testing numbers are predicated on more traditional pcr tests at the moment. And that is the foundation to which we will build. Accordingly our foundation in terms of testing doesnt mean much in this you can begin protocols to track and trace. We in the state of california have a long history of testing and tracking and tracing patients, the history of tb hea departments have been running, testing, tracking and tracing protocols for some time, stds and gonorrhea have a very robust racing which has been done and hiv has had a lot of testing and tracking and tracing and i say that to make this point, we are not starting a tracing program from scratch and quite the contrary bit of trained professional workers within local Health Departments that do this every single day and the question that is asked of us right now is to do it at a skill that we have not seen. But the good news is all of that resource is it enriched and it exists and persists across the state so we want to build bottomup on that work. So what we have been doing is surveying not only the local capacity and workforce but the b ability to retrain and reprioritize the state workforce. We have a Governmental Group called tracking efforts. The good news is we believe we have the capacity