Response. An aerial view of Riverside County shows the spread of the apple fire. Flames ripped through the land. An urgent request for extra resources came in at 2 30 sunday morning. The strike team responded. It is an indication that there is an immediate threat to life property. Reporter so far, one home in two outbuildings have been destroyed. Theyre joined by teams from three other counties. Requests for help came in early to get the fire under control as soon as possible. We have seen record five, fire behavior but fire size. Those incidents can dragon for two or three months depending on conditions. We are trying to avoid that. With thousands evacuate her from their homes, the hope is to not have the apple fire truck out for months. We are trying to minimize the amount of time the personnel have to be in these large camps and working in close quarters because of the realities of covid19. We have new information on the fire burning in northern california. It started late yesterday afternoon and it is 60 miles north of clearlake. We have new numbers from cal fire about the fire. It is smaller than first estimated. It has burned 540 acres and is 40 contained. It has forced evacuation of several neighborhoods. There is a string of fires in the big sur area over the weekend. Illegal campfires are blamed for four fires along highway one. Many people have plans to visit big sur over the summer. Firefighters say these we can fires are tied to a long term problem in big sur. Many people just parked their cars on highway one and leave their campfires burning. Governor gavin newsom is giving an update. We will listen in together. As it relates to the overwhelming situation for the Hospital System not only an the icus to provide Emergency Care nces, healthcare personnel questions and there was a lot of stress placed because of this pandemic. On june 1, we committed to a new process and new protocol to help support the county in their efforts and begin the process of decompressing their Hospital System over 650 patients were moved out of Imperial County hospitals into surrounding and neighboring communities. We even brought patients into northern california. We have approached our strategy in the county more as a strike team and more as a unified command approach which is something you would say more traditionally as it relates to how we organize and construct our approach to dealing with other emergencies like wildfires and the like. The process took shape again at the beginning of june at a time when we had transmission rates and Positivity Rates north of 30 in Imperial County. It peaked at 30. 3 . You can see on this graph the number of cases in the blue line. Substantially outpacing the number of cases and the rest of the state. This graph presents itself as a spike in cases in Imperial County. It required a new approach and new strategies and new accountability structures. That is exactly what took place. The model as we are referring to it the imperial model was all about providing supports and building capacity at the local level and Meeting Needs both on personal protective gear and not just personnel and meeting the needs of the Hospital System and providing additional supports with new strategy and prevention from pca campaigns and messages delivered to individuals as well as businesses and more broadly the community out large in addition to closures that we made abundantly clear as it relates to moving forward to address the concerns that were flaring up in certain sectors of the economy in the valley. You can see on this slide the number of cases as they begin to spike where we began to intervene. You can see the medical personnel that we begin to send around june 3 where we worked with not only the state, county and local officials to broaden support by getting a lot of federal supports from a number of federal agencies. After those interventions were put into place and beginning with the decompressing of the Hospital System, more targeted supports and some additional sectoral changes as it relates to returning to a stayathome order. You can see the line spike and substantially began its decline. 30. 3 yesterday was yesterdays Positivity Rate. It was high but at 11. 2 . A successful approach and one that needs constant vigilance and one we need to engage in, but one that longwinded lee is becoming a model in terms of our approach, the imperial approach and other parts of the state. Last week where we joined each other the process of announcing strategies in the Central Valley and eight counties for the obvious reason that you can see examples here on this chart. We are seeing an increase in the Positivity Rates and i mentioned last week i made some announcements about Central Valley that we saw Positivity Rates on the lower end in fresno at 10. 7 . And peeking around tulare at 7. 7 . We do not want to see you go to where imperial went. We thought it was appropriate to intervene using the information and using the experience and best practice and the approach and imperial and beginning that approach in the Central Valley. This slide underscores the concerns for we are seeing hospitalization and icu rates and not just the Positivity Rates outpacing the rest of california. If you ask me, today our biggest area of concern in the state is large as ours is indeed the Central Valley. We are seeing stabilization another parts of the state with the clients when i make the presentation including stabilization and modest declines in southern california. The Central Valley reinforced by rced by our presentation in and in our indeed the area of our most important targeted interventions. We are again doing everything that we can to fill in local gaps and we are working with counties to assess the current dashboard as it relates to Data Collection and identifying whatever gaps may exist or persist. More important than everything else, identify partners from governmental agencies, five out of the eight department of defense medical teams are deployed now in the Central Valley in federal partnerships but also developing with employers and partnerships with nongovernmental organizations, nonprofits, to again build capacity and build our collective response with a unified command approach to addressing the concerns in the valley. That is exactly what we highlighted last week and we built that partnership to include 52 million of new resources for disease investigation and for Contact Tracing and for isolation and quarantine efforts. In addition to that we have been able and i want to think the Sierra Health foundation in particular. They have been able to organize the collected effort was 6. 5 million table to increase the 52 million contribution we announced last week. This is for helping individuals with utility bills and the like and focusing on the most vulnerable. And the most vulnerable families. Remember, we have made it abundantly clear as well. Disproportionately, this disease is impacting our diverse communities. Disproportionately impacting the Latino Community and the community in the Central Valley. When you talk about the Central Valley, i hope we can paint a picture in terms of how impactful this is been on the latinx community. This is why they are focusing on essential workforce critical workforce and hospitality and the Retail Sector and the like being impact did by this disease. I wanted to begin this day reinforcing the merits of the approach that we took in Imperial County and recognizing that good enough never is and recognizing as we do that the effort is ongoing and there is not just a passing interest in these efforts. They are not episodic. There is a fullblown commitment to follow through and been this curve and suppress the growth and ultimately extinguished this virus which is indeed our long term goal or at least mitigate its impact through therapeutics and vaccination. As it relates to the effort statewide to do the same, i want to give you some good news. Our number of positive cases yesterday was 5739. That is a oneday number, and again, i have made this abundantly clear, i do not look to oneday numbers. They go up and down and there is weekend reporting that is often, an example the seven day average becomes even more important. You will see it is 7764. That seven day average is down roughly 21. 2 from the previous seven day average. That is good news. The last time you saw a slide like this by the numbers was north of 9800 daily average cases. 9859 to be exact. For 9859 cases your seven day average from a week ago now down 7764 and 21. 2 decline from our previous reporting period. Again, that is case numbers. As we increase our tests, you will see an increase in case numbers. I caution people not to focus on that but look at the Positivity Rates and look at hospital rates and icu rates. They become more profoundly significant from the perspective of mortality and from the perspective of our Healthcare Delivery system and our capacity. The purpose of the tests is not just to show a number. It is an effort to have a sense of where the Community Spread is and how we can help support our contact tracers and isolate quarantine people and mitigate the impact to our Hospital System and into our icus. That is why the Positivity Rate, youre familiar with the slide this Positivity Rate is so important. Here ive good signs. 21. 2 decline in the seven day average total number of positive cases. The Positivity Rate is seeing a decline as we have increased our daily average tests. You can see the number is 126,000 daily average tests. 140 tests yesterday. A little bit more than that the day prior. We reached 177,000 tests a few days ago. Our average daily tests continue to go up. The total number of people testing positive is not going down. We have gone down to 7 . Over a 14 day period shows that 7. 5 number we presented to you on multiple occasions are tracking down to 7 . This is the 14 day number. Are often provide to the seven day Positivity Rate. The last time i was with you we made a presentation formally with you where our shared slides which was on the 24th of july and not the presentation in stockton last week. The seven day Positivity Rate was 7. 8 and got to eight at its peak. The seven day Positivity Rate is lower than the 14 day and down to 6. 1 . 14 day Positivity Rate and the seven day Positivity Rate is now down to 6. 1 . It is still too high, but, again, it is good to see this number trending down and not trending up. Not surprisingly, as we see the Positivity Rate begin to trend down, and increase number of people are being tested and the percentage relative to the numbers being tested is lower. We are seeing hospitalizations go down modestly. A 10 decrease in the total number of positive cases in our hospitals over a 14 day period. The last time i shared slides with you, we had seen a 9 increase. As much as 50 a few weeks back over a 14 day period. And now we are seeing one week showed a total hospitalizations. You will see the Healthcare System capacity with total number of patients declining just shy of 9 of our total capacity. It is holding relatively steady and not increasing as you have seen in previous slides. Hospitalizations go down and we see icu admissions trending down. The last flight deck we provided 11 increase in icu admissions. You will see it reflected here with a 5 decrease and icu admissions. These are statewide numbers and it does not reflect the reality in the Central Valley or even where you are living in a particular county or a particular part of the state. The overall trend both Positivity Rates, hospitalizations, icus is showing a decrease from where we were over one week ago and encouraging signs. One week does not make the kind of trend that gives us confidence to generate headlines. We will need to see another few weeks of this kind of data to come in to feel more confident about where we are as a state. The good news is we feel confident in our Critical Care capacity. The icu numbers are declining and the total number of icu patients reflected in this graph to our capacity dropped from 23 to 9 with hospitalizations at 9 . They did not decline and are still within a percentage point here. We were able to see a modest decline over the last reporting period when we presented this slide deck. 38 counties are now on our monitoring list. 37 counties when we announced that Santa Clara County was added to our list when we were in stockton last week. This includes San Mateo County on the list. 58 counties in the state of california and these 38 counties represent the vast majority of the population in the state. This list is profoundly important to all of you that live in those counties as it relates to the sectoral guidelines that we put out more restrictive in these counties and other counties and certainly more restrictive as it relates to reopening our schools. The goal ultimately is to get off of this list for two weeks. That gives us confidence based that relates to our Public Education system as well. The 14 day period is foundational in terms of any subsequent modifications to distancelearning witches foundational he required in these 38 counties. I will conclude is always to encourage people if you are living with an individual who has tested positive for covid 19 it is incredibly important that kids of mixed families and multigenerational families, we are seeing a lot of spread in peoples backyards, their front yards as well is in their living rooms. That is why we thought it important to reinforce a mind people of the importance if you are living with someone who has tested positive or come into contact with someone who has tested positive. Please stay home and dont share items. Kind of disinfecti that is foundational in terms of mitigating the spread of this disease. We will continue to highlight t continues to be one of the more challenging and vexing areas in terms of mitigating the spread of the coronavirus. The most important nonpharmaceutical prevention you can make is not wearing these masks. Continue to wash your hands and more broadly and minimize mixing. I just want to reinforce this. It needs to be reinforced even more. Minimize mixing to the extent possible. That could include in your backyard or front yard but even in your living room when you bring people outside your household. Her just generationally. You are connecting with loved ones and mixing in a way that can increase the likelihood of the spread of the virus. That is the update for the day. I want to just make one final point of important one. The total number of deaths in this state has increased over the course of the last few weeks. For us, this is the point of obvious concern and for the family members, each and every life lost his devastating including a young person in fresno that lost their lives, a teenager. And this is a sober reminder of how deadly this disease is and how it can impact anybody. And while it is absolutely true, it is absolutely true that the number of people to contact this disease that are in their late teens and even early teens the likelihood of death is very low. The reality is, we lost a teenager to this virus. It is a sober reminder of how powerful and impactful and deadly this disease remains to be and how important it is to do the kind of work we must all do as a society and as a community and as individuals to do what we can to mitigate that spread in where those masks to avoid the kind of mixing and large crowds outside your household as you possibly can. 32 additional lives were lost yesterday. I want to caution you that 32 is a lower number than you have seen. The average numbers well north of 100 and with the increase we have experienced over the last few weeks the lagging indicator always in terms of the deaths this number is reflected as a t remain stubbornly high over the so. We will monitor closely and talk openly and honestly as much as we can about it. I dont want you to feel more confidence about that 32 number. Not just one day over another day. 121 lives on average that we have lost per day as an example to us over the 14 day period as it relates to the deaths associated with covid19. That is an update on where we are. Again, i want to remind everybody of the importance of targeting our focus and continue to build capacity and partnerships. We continue to do that county by county and Health Director by Health Director. I would be remiss, i want to think the business community. We have been out with the alcohol Beverage Control out in bars and restaurants and thousands of in person visits. Osha has been out and tens of thousands of visits. I just want to mark this as a point of consideration and thought. The vast majority of businesses are doing everything in their power and doing their best under these difficult circumstances. The