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HomeMy WebLinkAbout11.09.20 FW_ SYASL COVID-19 Update From:Ring, Brian To:Alpert, Bruce;Bennett, Robin;Clerk of the Board;Connelly, Bill;Cook, Holly;Lambert, Steve;Lucero, Debra; McCracken, Shari;Paulsen, Shaina;Pickett, Andy;Ring, Brian;Ritter, Tami;Rodas, Amalia;Sweeney, Kathleen; Teeter, Doug Cc:Snyder, Ashley;Pickett, Andy Subject:FW: SYASL COVID-19 Update Date:Monday, November 9, 2020 5:07:17 PM Attachments:SYASL COVID-19 Update 11.9.20.pdf Good afternoon all – FYI from our State lobbyist. Brian Ring Assistant Chief Administrative Officer Administration 25 County Center Drive, Oroville, CA 95965 From: SYASL County Info <SYASLCountyInfo@SYASLpartners.com> Sent: Monday, November 9, 2020 4:52 PM To: SYASL County Info <SYASLCountyInfo@SYASLpartners.com> Subject: SYASL COVID-19 Update ATTENTION: This message originated from outside Butte County. Please exercise judgment before opening .. attachments, clicking on links, or replying. To: County Administrative Officers and Interested Parties From: Paul J. Yoder and Karen Lange Date: November 9, 2020 RE: SYASL COVID-19 Update Please find attached our daily SYASL COVID-19 update. -Paul and Karen GGN Update, November 9, 2020 GGN Cases are trending up We are not ashamed of testing people, we want to see more tests Yesterday was just shy of 194l tests, aided by new PerkinElmer lab 3.7% 14-day positivity rate 28.6% increase in hospitalizations over 14-days Purple: 10 Red: 20 Orange: 19 Yellow: 9 I anticipate that you will hear even more restrictive tiers from Doctor Ghaly tomorrow with some counties moving backward and not forward Striking down the ACA would impact millions and cause chaos CA is vulnerable to this decision 6.1 million Californians with pre-existing conditions could e directly affected by the court decision on ACA CA will lose $20 billion in federal funding if ACA is struck down and $7 billion in federal premium assistance for 1.35 million Californians covered in Covered CA Tomorrow's Record low premium changes this year because of the success of the ACA and the leadership in CA Peter Lee CA in the last 7 years has reduced the rate of the uninsured more than any other state We are getting the word out, sending masks out to everyone who enrolls They are a mask with a message, get covered, stay covered We are doing open enrollment 45 days before the new president takes office and think other states will follow suit Visit coveredca.com to sign up for Covered CA or Medi-Cal Enrollment ends January 31, most states will end December 15 we support efforts to build on ACA We will advocate for this all across the US New Phizer vaccine announcement: 90% effective at preventing covid-19 Great news, but mass distribution is still a ways off I am concerned that we may get over-exuberant and think we have a safe vaccine and can return to our old behaviors that is many, many moths off still Do not take your guard down There is an increase in cases in CA because people are letting their guard down and we are seeing more people mixing Groups to be prioritized for the first phase of vaccines: o Health care workers o First responders o High-risk groups I am not trying to take away anyone's enthusiasm but we must remain on guard One of our Scientific Safety Workgroup members was just put on to Biden's working group - we are uniquely positioned in those relationships to work hand in glove on safety Pfizer will be distributed through their well-established network, the next traunch will likely go through a middleman that will be the middleman on the other distribution channels we have been working with McKesson to make sure we get this right this is our working theory based on our working relationships We have well established networks and protocols we want to build on these There is no substitute for wearing a face covering, physical distancing or getting a test Politico Do you have a sense of timing on when you will announce a replacement for Sen. Harris? GGN No timeline We just got word the race was called by everyone but the current occupant of the WhiteHosue I don't mean to deflect, my weekend was not focused on that, it was focused on the case rates going back up and I am concerned about that Our covid numbers may seem great compared to other states but they are very sobering Covid is our top priority AP CA is known as the so called leader of the resistance What will cal do between now and when Boden takes office? GGN We have been working aggressively in preparation of a transition Looking to see what lawsuits can be dropped, which can't All of that is being addressed Building on the framework of the Biden-Harris agenda is our agenda We are working closely with Speaker Pelosi on a new CARES Act and how that can help counties and cities, economic growth, consumer spending, and all that allows for new opportunity It's a very exciting time and is nice to have a Senator from your own home state as the VP elect Press Have you spoken to Biden or Harris since the race was called Saturday? Highest voter turn out with vote-bu-mail, if this goes permanent, would you sign a bill? GGN I am open to it It has clearly been well received I still believe in in-person voting You are seeing it even pre-pandemic We will discuss with the legislature and I look forward to taking to SOS to see what has gone right I haven't talked directly to President-Elect directly, have been in contact via the VP Elect but look forward to coordination as they move into their first 100 days of administration SF Chron Comments on Biden's new task force? GGN We talk in terms of abundance in CA, it is the birthplace of biotech and science It doesn't surprise any of us that UCSF would be at the front and center of that talent pool that Biden pulls from We have an endless pool of talent in CA and I would be shocked if you didn't hear more of this in the coming months of folks being pulled from CA Press Any idea of the source of new infections based on contact tracing? GGN I encourage people to go to our dashboard We do have info that comes from health officers Dr. Ghaly One thing I will note is as we look at cases and asking where they are seeing transmission,some mention places of worship, some list restaurants but what we see consistent is private household gatherings as places of spread Our guard may have come down but we have to out it right back up The sense that we are safe because we know someone is not the case with covid There will be no counties moving forward tomorrow but likely moving backward GGN We are looking to change some of the messaging as we move into the winter months as we see info coming back form contact tracing - we will be more precise We have not yet put out guidelines for thanksgiving J OINT I NFORMATIONAL H EARING N OVEMBER 10, 2020 A GENDA ASSEMBLY BUDGET SUBCOMMITTEE NO. 6 ON BUDGET PROCESS, OVERSIGHT AND PROGRAM EVALUATION AND ASSEMBLY COMMITTEE ON GOVERNMENTAL ORGANIZATION A SSEMBLYMEMBERS P HIL T ING, A DAM G RAY, C HAIRS T UESDAY, N OVEMBER 10, 2020 9:30 A.M., S TATE C APITOL, A SSEMBLY C HAMBER We encourage the public to provide written testimony before the hearing. Please send your written testimony to: BudgetSub6@asm.ca.gov. Please note that any written testimony submitted to the committee is considered public comment and may be read into the record or reprinted. Due to the statewide stay-at-home order and guidance on physical distancing, seating for this hearing will be very limited for press and for the public. All are encouraged to watch the hearing ŷƷƷƦƭʹΉΉǞǞǞ͵ğƭƭĻƒĬƌǤ͵ĭğ͵ŭƚǝΉƷƚķğǤƭĻǝĻƓƷƭ. The Capitol will be open for attendance of this hearing, but the public is strongly encouraged to participate via the web portal, or one of the Remote Testimony Stations available for testimony throughout the state (see locations below). 1. Oakland Elihu M. Harris, State Office Building (1515 Clay Street, Oakland, CA 94612) 2. Fresno Hugh Burns State Building (2550 Mariposa Street, Fresno, CA 93721) 3. Los Angeles Ronald Reagan State Building (300 South Spring Street, Los Angeles 90013) 4. San Diego State Building (1350 Front Street, San Diego, CA 92101) Informational Hearing An Update on Ca-19 Pandemic: An overview of disaster funds, preparations for distributing a vaccine and procuring personal protective equipment for Californians. I. Introduction from Chair and Members ASSEMBLY BUDGET COMMITTEE J OINT I NFORMATIONAL H EARING N OVEMBER 10, 2020 II. (speaking order) Teresa Calvert, Department of Finance Stephon Benson, Department of Finance Christina Curry, Chief Deputy Director, Office of Emergency Services California Health and Human Services Department Questions from Members III. availability of personal protective equipment (speaking order) Angela Shell, Deputy Director of the Procurement Division, Department of General Services Mitch Medigovich, Deputy Director, Office of Emergency Services Office Department of Finance is available for Q/A Questions from Members IV. Public Comment B ACKGROUND COVID-19 Cases in the State According to data available as of November 4, 2020, there are a total of 940,010 of known COVID-19 cases in California and a total of 17,752 deaths. This data represents 5,338 new cases or a 0.6% increase from the prior day and 66 new deaths or a 0.4% increase from the prior day. A total of 19,181,012 total tests have been administered and the latest positivity rate (over 14 days) is 3.3%. -19 Vaccination Planning California, along with Florida, Minnesota, North Dakota, and Philadelphia, is working with the Centers for Disease Control and Prevention (CDC) and the Department of Defense on a vaccine distributio special task force of 11 experts that will independently review all FDA approved vaccines ASSEMBLY BUDGET COMMITTEE 1 J OINT I NFORMATIONAL H EARING N OVEMBER 10, 2020 prior to distribution in the state. While it is possible that drug companies that have COVID- 19 vaccines in trials could request emergency use authorization as soon as mid to late November, the Governor has stated that mass availability will not occur until 2021. The CDC has estimated the possibility of 35-45 million vaccine doses available nationwide by th population is nearly 40 million. The following information was provided on the California Summary of COVID-19 Vaccination Plan submitted to the Centers for Disease Control and Prevention (CDC) on October 16, 2020 From the start of this pandemic, data and science have guided our state's response to COVID-19. That will continue to be true when it comes to a possible vaccine. While there is no proven vaccine yet, California is putting everything in place to distribute and administer vaccine doses as quickly as possible, but only after vaccine safety has been reviewed and approved by a panel of top health experts. California's planning process for the eventual distribution and administration of COVID- 19 is guided by the overarching principles of ensuring the COVID-19 vaccine meets safety requirements; ensuring that the vaccine is distributed and administered equitably, at first to those with the highest risk of becoming infected and spreading COVID-19; and transparency, by bringing in community stakeholders from the outset. California will leverage its well-established existing immunization framework and emergency response infrastructure to coordinate efforts between state, local, and territorial authorities and administer the vaccine. The state is building on lessons learned from previous vaccination campaigns and seasonal influenza efforts to prepare and plan for the receipt and distribution of the COVID-19 vaccine and its implementation across the state. The recruitment and enrollment of COVID-19 vaccine providers are critical processes with extensive collaboration between the state, local health departments, immunization coalitions and statewide organizations and associations. Allocation decisions will be data driven with an emphasis on equity and on protecting vulnerable populations. California's COVID-19 vaccination plan will be implemented in several phases: Pre- vaccine; limited doses available; larger number of doses available; and sufficient supply of doses for entire population. To accomplish the twin principles of safety and equity, California established the COVID- 19 California Governor's Vaccine Task Force and a COVID-19 Vaccine Task Force Working Group with leadership and subject matter expertise. Additionally, California will draw upon the knowledge of many to ensure the following: ASSEMBLY BUDGET COMMITTEE 2 J OINT I NFORMATIONAL H EARING N OVEMBER 10, 2020 To ensure the COVID-19 vaccine meets safety requirements, California will form a Scientific Safety Review Work Group comprised of nationally recognized immunization, public health, academic and other subject matter experts. The work group will be charged with staying abreast of vaccine candidate(s) trials, evidence of safety and efficacy, and other information to independently provide recommendations to California leadership and vaccine planning efforts as well as ensure public confidence in vaccine safety, efficacy, and implementation efforts. To ensure the vaccine is distributed and administered equitably, California will create two work groups: a Drafting Guidelines Workgroup charged with developing California-specific guidance for the prioritization and allocation of vaccine when supplies are limited, and a Community Advisory Vaccine Committee to provide input and feedback to the planning efforts and solve barriers of equitable vaccine implementation and decision-making. A safe and effective COVID-19 vaccine is one of the most important interventions to end the COVID-19 pandemic. California will be transparent, careful, and above all, equitable in efforts to provide a COVID-19 vaccine to everyone in California who needs and requests vaccination. Personal Protective Equipment The COVID-19 pandemic has affected the medical product supply chain globally and domestically. The impact of COVID-19 on the availability of personal protective equipment (PPE), such as gowns, gloves, respirators, and surgical masks, for health care personnel continues to be a concern. PPE is generally worn by health care personnel to protect the wearer from infection or illness from blood, body fluids, or respiratory secretions. PPE intended for use in the cure, mitigation, treatment, or prevention of disease meet the definition of a medical device (device) under the Federal Food, Drug, and Cosmetic Act (FFDCA) and are regulated by the U.S. Food and Drug Administration (FDA) within the Department of Health and Human Services (HHS). PPE that do not meet the FFDCA definition of device (i.e., not intended for medical use) are not regulated by FDA. FDA Regulation of PPE In general, any company interested in distributing medical PPE in the United States would need permission from FDA. Pursuant to its authorities in the FFDCA, FDA regulates medical devices based on the risk they pose to consumers. There are three regulatory classes of devices with different applicable requirements: class I (low risk), class II (moderate risk), and class III (high risk). Class II devices are subject to special controls, and class III devices are subject to premarket approval (PMA). However, all devices regardless of regulatory class are subject to general controls, such as establishment registration and good manufacturing practices. ASSEMBLY BUDGET COMMITTEE 3 J OINT I NFORMATIONAL H EARING N OVEMBER 10, 2020 Masks Surgical Masks and Filtering Facepiece Respirators Masks are a broad category of PPE that include surgical masks and filtering facepiece respirators (FFRs). FFRs intended for medical use (e.g., surgical N95 FFRs) are subject to both National Institute for Occupational Safety and Health (NIOSH) approval and FDA regulation as devices. Surgical masks and surgical N95 FFRs are both class II medical devices that provide a physical barrier to fluids and particulate matter by covering the nose or mouth. Both are tested for fluid resistance, filtration efficiency, flammability, and biocompatibility. Surgical masks are loose-fitting, while surgical N95 FFRs form a tight seal around the nose and mouth, providing very efficient filtration (i.e., 95%) of airborne particles. Face masks intended for nonmedical or public use generally are not subject to FDA oversight. FFRs and other respirators for occupational use (e.g., N95s for industrial use) are subject to NIOSH approval but not FDA oversight. California secures a major supplier of PPE On April 7, 2020, Cal OES, under emergency authority, entered into a nearly $1 billion purchase agreement with BYD, a Chinese manufacturer, for 200 million surgical and N95 respirator masks per month amid the pandemic. Details of the agreement were publicly released on May 6, 2020. Previous oversight hearing focused on initial efforts to procure PPE On May 11, 2020, the Assembly Committee on Accountability and Administrative Review held an oversight hearing on state contracting during emergencies. Among other things, the hearing focused on and face shields for medical and other essential workers. The Committee heard testimony enter into the contract with BYD and lessons learned from reported instances of PPE contracts being cancelled by the State due to fraud and other misrepresentations. As a result of these concerns, Cal OES adopted a more robust vetting process of PPE vendors which includes input from federal emergency management and law enforcement officials. Stockpiling PPE in advance of an expected surge of demand this Fall Services entered into a new contract with California-based BYD North America to produce 120 million N-95 respirators and 300 million surgical masks for the state. At the time, the Governor noted, -line workers the protective equipment they need is -19. Securing a reliable supply chain of PPE allows us to distribute millions of protective masks to our essential workforce while ASSEMBLY BUDGET COMMITTEE 4 J OINT I NFORMATIONAL H EARING N OVEMBER 10, 2020 Additional mandate for stockpiling PPE On September 29, 2020, the Governor signed SB 275 (Pan), which requires the California Department of Public Health (CDPH) to establish a personal protective equipment (PPE) stockpile for health care workers and essential workers in the state and requires health care employers to establish a PPE inventory that is sufficient for at least 45 days of surge consumption. Considerations for the Legislature Availability of and access to PPE has been a concern throughout the COVID-19 pandemic. PPE shortages have presented challenges for both health care personnel treating patients in medical settings and expansion of COVID-19 testing. The challenges will be amplified as we enter the colder months, with more people congregating inside and becoming ill with the cold or flu. Additionally, the State can anticipate similar challenges if a COVID-19 vaccine becomes available in the near future. Based on prior oversight hearings, the extent to which vendors and brokers are vetted remains a challenge and there is limited information available on instances of vendors or brokers that have been rejected by a vetting process or reported to be bad actors. With respect to the distribution and allocation of PPE, Cal OES has indicated that there is a process in place to determine how limited quantities of PPE is distributed if demand for a particular resource exceeds current inventory. The Legislature may benefit from more transparency on the process and the factors that determine the allocation of scarce resources. ASSEMBLY BUDGET COMMITTEE 5 COVID-19 Updates www.covid19.ca.gov November 9, 2020 Newsom Administration - Resources / Mutual Aid / Executive Orders Today, Governor Newsom provided an update on COVID-19. Both Governor Newsom and Doctor Ghaly noted today that counties would likely be moving back in the Tier System tomorrow and not forward due to an increase in covid-19 positive case rates. Governor Newsom warned that the news of a potential vaccine may cause people to relax on protocols but wanted to be clear that a vaccine is still many months out, and it is critical that people continue to wear face coverings, use physical distancing measures, and avoid mixing. You may view slides here, and SYALS staff notes here. Please check the California Department of Public Health website here for the latest guidance documents. Homelessness Bring CA Home, a collation on homelessness, has launched a campaign pushing for permanent funding in the state budget for homelessness. It is a direct outgrowth of the work done from the City of LA with LA County, the Big City Mayors, CSH, and Housing CA and the effort made last year with AB 3300 (Santiago). The launch has been covered by Politico and the SacBee. You may view a one-pager on the effort with more background here. Hearings Tomorrow, the Assembly will hold an oversight hearing: the COVID-19 Pandemic. You may view the agenda and handout here. The Assembly will also hold an informational hearing tomorrow: California Department of Corrections and Rehabilitation: Update on COVID-19. You may view the agenda and handouts here. Legislative / Budget News -19 here page for updates. The LAO has been releasing a series of reports regarding Federal actions affecting California related to developments around COVID-19. View here.