State response to athe pandemic and taking his aNews Conference on the road today in napa acounty. Last thursday they improved the Health Care Report the county is letting more businesses reopening a county officials a seeking approvala to move into the net phase including opening upa restaurants for dining and service we awill bring you the governors News Conference aonce it gets underwy. a the first part of phase two out aof four of governor chasm newsomsa effort to reopen started afor four bay area counties. Alameda, marin, san amateo and santa aclara counties in the city of berkeley will move into phase two aand read have a new clarence cnter anone has details. a the counties in the city of berkely entering athe next astage of reopening economies. This first part of Governor Newsoms roadmap to recovery allows the lower risk opening slick retail for acurbside pickup. a we have to stop Service Report and we take you love to anapa county work governor newsm ais live. Also, to make some announcements in relationship to some additional modifications to our stay aat home order. Let me contextualize as ai stan here today where we are in this state asa it relates to the broader trnd lines and begin to impact where we are going aover the course of the next week and aof course over the many months ahead until we have immunity ada we have a vaccine. We have 24 counties currently in athe state of california that have solved a tested, certified ith acontainment plans, with protection plasa, that we have put onlinea as a regional variance to athe state wide sta at home order. 24 counties have suffered tested. Attestation on may 7th icked the counties begin the process of organizing and we saw the afirst number of counties butte county and othrs in northern californiaa begin that process with the concurrence in the a technical ssistancea and counsel aof our state Health Directors. They were able to self a test on the basis of a number of factors that were unique to their county and their region. It awas a recognition in california, athat is larger in population than 21 states combined. None o us aare nacve that once i sit fits all. Needs are adistinct depending o where ayou are across the state the amodifications we meet stat wide we allow for further modification and what we refer to as astage two in this 24 counties. a we have been working collaboratively and closely with aHealth Directors and we have puta those of the attestationsa upon one at our covida19. Ca. Gov website and w have aloweda to Mapping Technology thi appeal the ability afor you and others not only i the community abut outside the community to check in and see how those counties a are doing against their commitments and their Self Certification in terms of their capacity to test and trace and track, isolate, provide protectiona to the most vulnerablea and Skilled Nursing facilities ahospital search and the like today we want to update you only on that progress but, congressa has been having with the state of california nd as a leaders and weve abeen trackin over the course of the last four dys. We have seen a decline aof 7. 5 decline over a 14 day. a and ahospitalizations state wid and an 8. 7 decline in the number icu patient returns overa 14 day. a we also seen an unprecedented number masks distributed throughoutthe state of californiaa. Weve moved into this next phase of our stay at homea order. Our appe is critical to make modifications to our stay aat home order. To distribute some 11 million aamasks on friday to critical sectors ofour aeconomy, our farmworkers, Grocery Stores and inhome support serviceaworkers and folks on the afront lines across thespectrum, iancluding childcare workersa in the education. More and more masks come in and affect the inventory his that we now have in our possession and we were able ato distributea 46. 1 million of those aprocedure masks procedur masks, in addition to the 45. 5 million n95 masksweve baeen able to distribute. The ppe is acoming in and it is comingin and its going out as quickly aas we can get it out. Itsa going out into critical sectiosa of our economy. Asa we move to modify our stay at hom aorder having appropiate levelsa of ppe is foundaionala in terms of advancing that cause. uawe are significantly advancin the cause of increasing our a Testing Capacitya in the state of calfornia. a 1. 3milliontestsa have been aconducted today in the state o california. 57,000 tests in the alast a24 hours. As we move to modfy aour stay at home order, having appropriate levels of ppe ais undaof advancing the cause. We are significantly advancing the acause of increasing our Testing Capacity in the state of calfornia. a 1. 3million tess have been conducted today in the state of acalifornia, 57,000 tests in just the last 24 hours were conducted in the state and we are making real aprogress in ou atesting as well. aaccordingly we said it is foundational in order to advance more meaningful modifications that we get a workforce together aand tracing in his astate. Some of you have followed alonga with thea announcement. We have a sophisticated tracing court thatis wellestabliashed in the state of california. In every couny in the state agoing back decades with Health Departments athat have professionala trained tracers and tractors tat adeal with Infectious Disease spread from hiv aand aids to measles, tb an the like and it was referenced a few weeks ago athat 23 countis actively have been participating in tracing covid19 we had a workforce of a little over 2800 that were already trained at athe local level and a robust workforce in that space. We now have been able to train an additional500a through our partnership with you cfs and uclaa. In that cohort is being distributed inreal time. Many are already in counties that have been trained through a this partnershpa with ucs. That cohort is being replaced with an additional 300 entering into that training. aso we see that increase in terms of the capacity to have more tracers and tractors. We are seeing that ahappen in real time and we see the spread of a that capacity in a very meaningfulwaya. We are also looking to identify hundreds aand hundreds of others and tha training capacty aas well is ultimatelymeeting thea 10,000 goal in terms of the total numbers that we will be advancing in the very anear term. Testng is improving, tracing. a we are training and deploying our tracers. We are gettingppe up and we are agetting it out and seeing significant steady rate of decline over a onga period of timea in the number of people hospitalizeda in our icus. All of those are very agood trendlinesa and thus the reason awe are here today not just to talk about the past and those tested abut to talk about ered additional couties that we believe are in a position to go into phase two even further. atoday we want folks to know tht ain our additional modifications,we aare moving forward to allow some of the larger couties to continue to make progress deeper into phase two and ato do so Effective Immediately but on their own pace. Meeting the guidelines are out there and the processes are ain place. They can go at their own pace. We estimate roughly b1plus dynamic number, roughly 53 of the 58a counties would be eligible t move in this space. anot everyone will move into this phase and eligibility is conditioned ona the criteria that we aare putting out. We will hear from doctor galli in a moment and he will talk more about the criteria. Its foundational and we are really starting to focus in on the ahotspots within counties, particulary in and araound our skilled anursing facilities in those areas within the counties that remain the most vulnerable and challengingin termas of protecting people and protecting the spread of athis virus. We in this next phase are lookin to redouble the efforts around those hotspots awithin those counties as well. E are lookiang to advance some guidelines related to atotal hospitalizationsa. No greater than 5 increase over a seven a day aperiod and make sure that the atracing capacity is adequate to meet at aleast need of 15 atracers per 100,000 populationa and continued to make sure that the Positivity Rate. a this is a Sexual Assault i brought upa on a few occasions in the past and it tracks it at less than a percent. aif you have not been following the reference to positivity arates, that is the simple percentage of apeople testing tested postive. }uas an example we were able to test over 57,000 individuals and 1591 positive tests. You have the denominator in athe 50 7 thousand. You have the number of test you come up with a Positivity Rate. athat is the rate we are tracking more closely and does the testing significantly increases athe Positivity Rate becomes moe important athan the total number of positives and that rate is aspelled out in th attestationsa as we move forwar and three we are tracking. Closely and again we want to asee the rate below 8 and we want to make sure people are testing. We wont get into too many details. auits not just the total tests aa lot of counties may pull bac abecause they dont want to see positives. Its the rte aof positives that is the focus from our health perspectiv. so athat is the aframework toda and aencouragin move frwarda deeper into phase two in the state. I ashould note that we are also looking foward, in the next few aweeks, at a number of significant miestonesa that are worthy of highlighting. We expect, if e hold athe rate Positivity Rate down. We continue to do justice to the hospitalization aand icu number. we awill make announcements state wide not just with a regional variacesa that would allow for retail not just to be pickedup but in the store retaila to be loosened up. In addition ato that, pro sport in the firt week or so aof june without aspectators and modifications and very prescriptive conditions can also beginto amove forward and a number of sectors of our economy will open up again, if we hold athese trendlines in th nexta comic number of weeks. Getting a haircut which is very meaningfula. It could be done o a aregional variance. It will b able to be advance, we believe in t and agetting a haircut. The regional variances that we announced oday will allow for modifications and athat space. Statewide we will see f the trend linea holds. And we will watch ita statewide. a i continue down this path but im sitting here sevn feet away afrom our doctor, doctor galli whos abeen working overtime an i woul abe remiss if i did not invite him to the mic about where we ae and where awe are a going at this stage. Thank you, governor. It is a pleasure to be here today to discuss the change to our county variants the goernor began to aoutline for us. I awant to begin by thinking all aof the people, not just at the astate level but across the state and Public Health offices throughout the state and help directors, Board Members and bords of asupervisors who really came together over the past many adays to listen and get feedback on athe criteria the astate is announcing today ain the deep thanks to all the state employees who have made a this possile di todays criteraa tha to attest for county variance. That is to move through stage ii at aa phase that is faster than wherethe state is. Focus aon three distinct things first athe data on the one hand and the atwo data points are hospitaliztions lookiang at no agreater than 5 increase in hospitalizatios overa the past seven adays on average. a for some counties that have few ahospitalizations already we ar looking aat no more than 20 people hospitalized with covid a19 throughout your county in any aone of the days. That is to account for the that some counties have very few hospitalizatons anda the addition of one or two people hospitalized with covid19 a would represent quite large percentage increase. Its meeting that first metric arounda hospitalizations and th seconad is looking at having no more than 25 individuals diagnosed awith covid19 per 100,000 residents in your county over the past 14 adays. It is that one, or as the governor mentioned, or test aPositivity Rate at less than 8 . M glad the agovernor went to the testa Positivity Rate. We are more focused aon that. We want to look aat just a few number of aabsolute cases. Your average number of people who atest positive as you do 10 tests having fewer than aa positives is both that we understand the transmission of covid9 ian your community but we have not understanding of the level aof testing in the community aas well. Together meaning the hospitaliztion metrica of no more than 5 increase in the average in the last seven days. And, one of the other two, 25 per 100,000 ain the past 14 day of cases. Or less than 8 test positiity. athat is on the data showing th ounties are botah doing what it takes toa do on the testings side istability aas well as stableospitalaization numbers. We are asking counties to attest to a number aof things. Many of the things remain in many are the same as in the a announcement on may 7th were counties ahad to attest to having Testing Capacityaof at least 1. 5 tests per 1000 peoplea per day. Ora, having 15 people trained doing contacta casein. This Second Opportunity to ameet criteriaa for a county variants are requiring the counties begin to work closer with the Skilled Nursing facilities in a their county. a aso not only making weekly communicaton awith each of those facilities but abringing them together. Elevating best practices are not just protecting residences in athe workforcesa. And having astrategies to adjust challenge like staffing shortages or ppe shortages in those facilities. State leadership, but also the countya leadership to partner with our Skilled Nursing facilities to awork and protect the very vulnerable population in our state. Additionally we aaare asking counties to attest they have the worker, those who awork on public transportation, and many others, including the ahealth field. They need to have protectiona and requiring that counties cna demonstrate the ability ato work with all of those partners are protecting a essential workers is very, verya important. a in addition we are asking countiesa to work with their local hospital coalitions or hopitaals themselves to demonstrate the ability to maintain a surge acapacity adequatea to respond to the needs of potentially a growing number of individuals who need care for covid 19 break that requirement, we did a great ajo over the last many weeks and months building up our Surge Capacity and now we need to make sure that is maintained as companies begin to increase the anumber of sectors open throughout the county. The last element of athis criteriaaaaa that is very essential,we work and havae counties demonstrate the ability to pull back if they a need to. If we see a surge in hospitalizationsa, or a number of cases throughout theacounty, we want to make sure the counties have thoughtful plans to reistitutea parts of the astay at home orders we are losing or arelaxing today and b prepared to meet the needs of the residents in the counties to make sure that we can serve their aclinical needs as quickl aand accurately as possible and if youneed to areduce movement to reduce the number of cases that we are saying that we have the strategies and abilities toa do that. As the state we are certainly looking forward to working wih our county partners to make sure this can be done as safe as possible, especially as we move into aadditional sectors being available with the guidelines posted with this state to open up. We want to amake sure that we ae contining to receive data on a very regular basis and on our state covida19 website we will have specific data. It shows how each county ais doing as it relates to cases in hospitalizationsa and testing numbers, so we can keep you informed on your local conditions anda conditions throughout he astate. We continue to move forward as a stat on the one hand, recognizing the state is very big. a different regions have experience acovid19 in differnt ways and different acompanies have prepared differently over atime and announcing couty leaders and countyhealth officers have a very strong and historical responsibiity fora guiding the counties. With the support of the state we are confident we can begin to ado thisa in a safe and modulated ay. That we can come aback to you in the next many weeks with additional sectors in the guidelines for those ectors to open backup in the meanwhile watching closely the dataa will if we have to make any other changes to reinstate somea stay at home orders, or other modiicationsa modificatins, thata we will be able to do that in Strong Partnership awith our local partners and local leaders and withathat i turned back to the governor. a thank you, dr. The abottom line is people can go at atheir own pace and we empower Health Directors who understand2 athe conditions better than any of us. a we need to hold all of aourselves to account transprencya in real accountability in aterms of the implementaion of thesae rules and regulations. Weve been saying this for many, aamany weeks. It is an iterative period. Not an ideological one, meaning we are not alocked in to presuppose aything. Interested in evidence and engaged in two way conversations all aup and down the state. I know its been frustrating afor many people. They want us to move amore aquickly. Others feel we are moving a little atoo quickly. A i expressed the localism, let me respect the decisionmaking. The bay area is in a different positiona than some parts of th state. La county is in aa different position than other parts of they acan move at their own pac based on teir own aalocal conditions. a now awe broaden the case where people canenter into phase twoo more broadya. I should note we areworking with faaithbased leaders and ai wanted to expres my deepesta admiration for the faith in the community and the needa to know when the congreants cana start once again coming back together. We will note that the or