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HomeMy WebLinkAbout11.30.20 FW_ SYASL COVID-19 Update (2) 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:Pickett, Andy;Snyder, Ashley Subject:FW: SYASL COVID-19 Update Date:Monday, November 30, 2020 4:58:19 PM Attachments:SYASL COVID-19 Update 11.30.20.pdf Good afternoon Board – FYI. Summary of the Governor’s briefing he gave this afternoon. Brian Ring Assistant Chief Administrative Officer Administration 25 County Center Drive, Oroville, CA 95965 T: From: SYASL County Info <SYASLCountyInfo@SYASLpartners.com> Sent: Monday, November 30, 2020 4:48 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 30, 2020 RE: SYASL COVID-19 Update Please find attached our daily SYASL COVID-19 update. -Paul and Karen COVID-19 Updates www.covid19.ca.gov November 30, 2020 Newsom Administration - Resources / Mutual Aid / Executive Orders Today, Governor Newsom announced that California will provide temporary tax relief for eligible businesses impacted by COVID-19 restrictions. The temporary tax relief entails an automatic three-month income tax extension for taxpayers filing less than $1 million in sales tax, extends the availability of existing interest and penalty-free payment agreements to companies with up to $5 million in taxable sales, and provides expanded interest-free payment options for larger businesses particularly affected by significant restrictions on operations based on COVID-19 transmissions. You may view the press release for more details. As COVID cases continue to trend upward, Governor Newsom said California is on track to exceed its ICU capacity by mid-December, and he will, if necessary, reimpose strict stay-at- home orders like those issued in March to prevent hospitals from becoming overwhelmed. As of today, there are 50 counties in the Purple Tier. here and SYASL staff notes here. Please check the California Department of Public Health website here for the latest guidance documents. Legislative / Budget News Today, the Joint Legislative Committee on Emergency Response held an informational hearing: Emergency Response to Disasters - Emergency Alerts and Evacuations. You may view the hearing materials here, and SYASL staff notes here. You may visit the -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. DDb ƦķğƷĻ bƚǝĻƒĬĻƩ ЌЉͲ ЋЉЋЉ GGN Continue to experience record high case rates 7-day average is north of 14,000, 14,657 to be precise The case numbers when you look to the peak period that 7-day average during the \[previous peak was 9,881 compared to no Anticipate another large increase in the next number of weeks, based on thanksgiving activities th CA as a state vis a vis other states rank 39 in 7-day average case rate per 100,000 The alarming concern is the rate of growth Our average number of daily tests continues to increase Needs to increase still New lab is coming online Positivity rate the most important driver of community spreads 6.2% positivity rate now Roughly 12% of new cases likely will be hospitalizations over a 2-week period Once a case is reported about 12% of those are likely to be individuals that will be hospitalized Little over 6 to 8 weeks we have seen 89% increase over the 14-day period of people who have been hospitalized Current projections we are showing hospitalizations that without any additional interventions, changes in behavior, we can see a 2 to 3 times greater increase in just one calendar month 59% of all of our hospital beds are being utilized in the healthcare delivery system itself 11% has tested positive for COVID-19 In San Joaquin Valley we project upwards of 83% ICUs when we have someone hospitalized, 10-30% will require ICU care ICU admissions have increased 67% in the last two weeks 23% of the total number of patients in our critical care system tested positive for COVID-19 75% of all the states ICU beds occupied Northern CA at 85% by 12/24 at 134% capacity 112% capacity statewide by 12/24 the lay of the land in terms of the red flags If these trends continue, we will need to tackle more drastic action Including taking a look at those purple tier counties Had nine move to that tier over the weekend, 51 counties in purple tier, 6 in the red, just one in orange looking at positivity and case rates, we are looking at hospitalizations and ICU capacity Aware of what is happening in LA County Dr. Ghaly can you talk briefly about your conversations over the weekend and the last week and provide insight Dr. Ghaly nstant conversations with the healthcare delivery systems, checking in daily with the big systems and smaller regional hospitals We are doing all we can to anticipate the surge Working to make sure the waivers and permissions are in place so hospitals can do what they can The incoming patients need to do what we can on transmission Non-pharmaceutical interventions and looking at other things like a stay at home order Really wo Staff are our most precious resources Families concerned about the high rate of spread Everything is on the table in how we guide the state through this Need to make sure what we do is impactful and as time limited as possible Give people confidence that we only do it as long as we need to GGN Some of the tools in the toolkit when we were at this in the early part of the summer, because of the surge the mutual aid available is more limited Thinking in that way how we can be more creative and proactive Larger than the national stockpile We have 871 individuals that are active and registered, we are going to work harder to get a broader swath of opportunities to make that available state testing lab Could not have come at a better time Address the sector specific needs for our schools to open safely to provide these lab-based tests which are critical Doing what we can to procure more ventilators Not a comprehensive list but just some of the work we have done 11 surge facilities across the state Warm status which can come online quickly Based upon these trendlines we are likely to need to make these facilities fully operational This capacity has been organized and formalized in a way that we are prepared to access if needed If we need to access our PPE inventory, which we continue to procure Distributed 600+ million masks already Doing the same with gowns and gloves and face shields Need to prepare our small businesses -essential services As we look at our own modifications statewide, we have to be more mindful than ever to look at the economic impact Working on a budget for the next fiscal year Immediately we are targeting most impacted sectors of our economy Announcing immediate release billions of dollars for small business that have collected and paid sales taxes up to $1 million allowed to be floated for an additional 3 months Can use that money to float any obligations you have It is automatic We are going to expand interest free for businesses for businesses with sales up to $5 million, just have to fill out a form, on our COVID-19 website Expanding to restaurants, bars, nail salons, hospitality industry in particular This is money we are getting out right away, half a billion dollars of additional grant money Up to $25,000 to businesses, cultural institutions, and nonprofits Will be a bridge over the next number of weeks to what we will work on with the Legislature in January I addition to that we are increasing our investment in a CA rebuilding fund We had an overwhelming response This was the brainchild of Janet Yellen, the former fed chief and who will be the next Treasury Sec Talked about the importance to providing direct relief to businesses $125 million goal to provide, will leverage these dollars Want to get an additional $12.5 million that will leverage tens of millions more Tomorrow, $100 million in main street hiring tax credit, up to $1,000 per qualified employee with up to $100,00 per small business st Goes live Dec. 1 Waived the franchise tax in CA for new business startups, set aside 100 million in budget Exclude all the PPP loans from any state taxes Provided for disaster relief loan guarantees, now up to $100 million Goes through our IBank 83% of loans that have gone out are women and minority owned companies Leveraging tens of millions more Announced a program working with FEMA, called Great Platers to have restaurants that are closed or substantially impacted Want to allow them to serve the most vulnerable and those in need That program, if you are a restauranteur please utilize this program 75% reimbursement, 25% pickup to the counties Allows restaurants to get paid to provide these meals 10,000 food industry jobs have been supported by this program Important that we share more information about this program There are implementation challenges, not a perfect program Important that we promote it nonetheless Could be very very helpful if it works for you We did an executive order on commercial evictions freezing until the end of March Have provided additional support to amplify the work that is being done in our 86 small business centers, a treasure trove of information, need to be utilized Small business association provides injury disaster loans These small business centers have all the information so you can get that support from the SBA First to move to get these disaster loans The PPP program, almost $69 billion has been drawn down in this state Over $105 billion in federal relief since the start of the pandemic Know that this is not enough retain jobs Will talk about employment insurance, waiving fees for disproportionately impacted industries Got a lot done but not at the scale that we need We have a whole list of things that we are engaging on so we can work quickly to get relief to businesses More infrastructure and broader and long- and medium-term projects, including housing alone; it has been 248 days since the CARES Act The federal government needs to act Urgency is not next year it is now Even a state as rich and resourced as CA cannot do enough to accomplish what we need to hold up the economy of this state and country Need to do the damn right We have had a series of correspondence with leaders and legislators in Congress, just sent another letter on what we believe are the most important supports to include in a new CARES Act continue to work with the incoming administration to do what we can to influence action at the federal level We anticipate 327,000 doses of the vaccine from Pfizer to come in the next few weeks hese are the difficult vaccines that must be stored at very low temps and require two doses The priority for distribution will be out in a plan later this week Moderna will be right behind Pfizer Tracking hundreds of others in this space all across the globe Encourage you to abide by health rules and the critical non-pharmaceutical interventions AP You think the hospital system will be able to handle the surge without shutting down elective surgeries as before What sort of thresholds are you using for when you will have expanded stay at home orders? Ghaly depend on regional networks of hospitals We are looking at this on a regional basis We have a number of various regions made up of multiple counties, we look out on where their hospital beds might be filled Medical/surgical beds are not ICU equivalent beds We are looking at ICUs Usually specialized space and specialized equipment and staff Even when we might be using 75% of total hospital beds, with regards to our ICUs Imperial County had to move lot of patients out of their county to other counties to get the high-level care Have worked to increase counties in similar hospitals ICU capacity is the primary for deeper restrictions We know that the quality of care in ICU units that we have to set up and exceed the capacity of staff, we are doing all we can to anticipate that and address those issues We want to stay in front of surges Statewide we see the second half of December could be pushing the limits in some areas GGN Before everyone runs with headlines this; this is in the absence of a lack of making better decisions If we sit bac project might occur You asked about elective surgeries, many hospitals are already suspending those Ghaly It was voluntary in the beginning eeded to prepare for surge Stopping procedures earlier than we needed to created other health problems We look not just at COVID but public health broadly It is a fine balance Certain systems are making the decision to reduce those in part or suspend them entirely to see how they play out Many of those surgeries can be stopped very quickly so they can keep them scheduled and cancel a day or two prior GGN The more restrictive mea announcements One size does not fit all CNN CA is one of the strictest, yet we still have this case explosion Why do you think that is? Are people just tired Will there be more of an intensity of having the reinforcement of the restrictions GGN Want to go back to the slide on case and positivity rates For CA it is a different level of reporting on the size and scale of this state We are testing more and more people but have to do a lot more The positivity rate is the number that is incredibly important to track We are seeing an increase in the last number of weeks in case and positivity rate The current rate is disconcerting That 6.2% is not the highest this state has seen but the projected rate increase is the highest we have seen You asked why, I have very strong opinions, but they are informed by my team and Dr. Ghaly Ghaly So many Californians continue to do the right things It is easy to drop it We understand that it is hard Some has to due with COVID fatigue, people just want to be done with this It does not take a break because we are tired of it Hope that our most vulnerable could be getting vaccinated in just a number of weeks COVID is moving from the east to the west if you look at a map of the US Hopefully people who traveled take the advice on quarantining Traveling and mixing does drive transmission 34.5 cases per 100,000 people is four times higher than many weeks ago Activities that people thought were safe a couple of weeks ago are not as safe as people thought GGN The death rate is going up modestly A trendline that we fear the most KCRA On testing, is CA going to wait for FDA approval before doing vaccine data testing? People being asked to self-quarantine is this on the honor system? What exactly is self-quarantining? GGN Our scientific committee is just a stamp of approval Not trying to undermine protocols and processes We were one of 5 jurisdiction doing microplanning with the federal government Have submitted two trials and are waiting on a third all about building trust and speed to determination reside in CA We have another drafting guidelines workgroup that will make a determination on the prioritization of distribution from an equity lens Our Phase 1A distribution will be providing an allocation strategy plan later this week Ghaly With the vaccines the scientific safety committee is not doing its own trials, they are reviewing the same information that the FDA has from the CA perspective Want them to determine that it is safe and that they can recommend people taking and that they would be willing to take themselves Need to build trust so when those vaccines comes people will take them y Ant to build up a body of evidence and endorsement Need to have the boots on the ground to accomplish this As it goes to quarantine, grateful to all Californians that did travel that they take this seriously Not mixing beyond their household and those they traveled with We are working hard with our federal partners to look at the quarantine guidance When we think it is appropriate to update that we will, it is 14 days No enforcement necessary, can call it the honor system GGN Deep empathy and respect for families and those that do not have any support Want to extend a deep level of appreciation and an increased level of understanding of what Sac Bee Early in the pandemic you issued a number of executive orders related to the state healthcare workforce Those workers are becoming exhausted Are there any additional executive orders coming in that area? GGN A lot of hospitals have been requesting one off waivers Those procedures are well established The philanthropic supports have also been critical to supporting those workers We provided paid sick leave statewide through an executive order in concurrence with the legislature Cannot underscore the significance of the stress and pressure that frontline workers have been under We recognize the deep emotional stress that is placed on them and their loved ones Ghaly Medical Association, CA Nurses Association, and SEIU Working under waivers since they cannot find the staff, they need Need to continue to effectively support individuals situation was going to be like We are having those balanced conversations today Looking at the stresses people are under Making some important announcements in this space Need to ensure that staff have the support they need This does not diminish the ongoing need for use as individuals to do our part to make sure transmission is reduced as much as possible All of those provisions can only make a difference if we continue to keep transmission low Fox 11 A return to a potential stay at home order, what we learned in March and April, things that might need more or less restrictions GGN Not emotions or past practices For the past few weeks when we started to have these conversations on what is working and what is not We are trying to be more specific and prescriptive in looking at the data when we make those determinations Ghaly Everybody wants us to identify the sector where spread is happening When you have this level of spread in our communities, it is spreading across our communities Indoors is where transmission is the easiest, when you take down your mask and close that distance Everyone is vulnerable to becoming infected There is this broad sense that it is community transmission General mixing, some of the stay at home and changing how we move, and mix can make a big difference We can be more surgical with what we do and prescribe it for a shorter amount of time We can get impact from certain interventions more quickly GGN time to implementation and the socialization of these strategies Need people to understand the restrictions And the issue of indoor versus outdoor Not novel or new As it gets colder and colder it gets more difficult to maintain the level of activity that we have had outdoors We will be seeing more of you this week, this is an incredibly important week We will be coming out with some additional recommendations in the very near future