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L.A. County officials deliver COVID-19 updates (May 20, 2020)


COVID-19. ALL FIVE MEMBERS OF OUR BOARD WERE PRESENT. AMONG THE SECTORS, THERE IS REPRESENTATION FROM SMALL BUSINESS, INFRASTRUCTURE, EDUCATION, ENTERTAINMENT AND ARTS AND CULTURE. TODAY’S MEETING PROVIDED AN OPPORTUNITY FOR THE SECTOR LEADERS TO SHARE ABOUT IMPACTS OF COVID-19 ON BUSINESSES AND ON EMPLOYEES. IT WAS SOBERING. THE RESTAURANT INDUSTRY REPORTED 80% OF JOBS HAVE BEEN LOST. THE ENTERTAINMENT INDUSTRY INDICATED 890,000 FILM AND ENTERTAINMENT EMPLOYEES ARE NOT WORKING. WHICH TRICKLES DOWN TO MANY OF THE SMALL BUSINESSES THAT PROVIDE SUPPORT FOR THIS INDUSTRY. THE LOS ANGELES ECONOMIC DEVELOPMENT CORPORATION PROVIDED AN OVERVIEW OF THE JOBLESS DATA THROUGH THE ENTIRE REGION, REPORTING OR THAN ONE MILLION UNEMPLOYMENT CLAIMS HAVE BEEN FILED IN LOS ANGELES COUNTY TO DATE. MORE THAN 75 PERCENT OF THOSE PROJECTED JOB LOSSES HAVE AVERAGE ANNUAL EARNING OF LESS THAN $50,000 PER YEAR. ANYONE LISTENING TO YESTERDAY’S MEETING HEARD LOUD AND CLEAR THAT EMPLOYEES AND BUSINESSES ARE SUFFERING. THE ECONOMIC IMPACTS CRATED BY COVID-19 HAVE HURT OUR MOST VULNERABLE POPULATIONS THE MOST. PROLONGED CLOSURE MEANS MANY SMALL BUSINESSES MAY NOT BE ABLE TO REOPEN AND WILL CAUSE PERMANENT JOB LOSSES FOR MILLIONS THROUGHOUT THIS COUNTY. I UNDERSTAND THE URGENCY TO REOPEN QUICKLY. BUT WE MUST DO IT SAFELY AND PUBLIC HEALTH GUIDANCE HAS TO BE AT THE FRONT OF WHAT WE DO. TO ENSURE THE SAFETY AND WELL-BEING OF OUR RESIDENTS. THE SECTOR LEADERS TOGETHER TO HELP REOPEN THE ECONOMY IS CRUCIAL BECAUSE IT IS NOT A ONE-SIZE-FITS-ALL APPROACH AND IT IS NOT FEASIBLE FOR A COUNTY OUR SIZE AND OUR DIVERSITY TO DO IT ALONE. COUNTY ECONOMY IS POWERED BY SMALL BUSINESSES AND ENCOMPASSES MANY DISTINCT SECTORS WITH THEIR OWN NEEDS AND WITH THEIR OWN CHALLENGES. OUR TASK FORCE LEADERS HAVE COMMITTED TO DEVELOP PLANS DETAILING HOW THEY CAN RESTART THEIR INDUSTRIES AND ORGANIZATIONS WHILE ENSURING THE SAFETY OF EMPLOYEES AND OF CUSTOMERS. THEY ARE SUBMITTING CAUGHT — SUMMONING POLICIES OVER THE NEXT SIX WEEKS TO THE COUNTY AND A PUBLIC OF — AND DEPARTMENT OF PUBLIC HEALTH AND AIM TO FINALIZE PLANS BY THE END OF JUNE. WITHIN THIS CONTEXT, THE GOAL AND HOPE IS TO IMPLEMENT THE FULL OR STAGED REOPENING OF RETAIL, RESTAURANTS AND RECREATION BY JULY 4. AS A REMINDER, THE COUNTY HAS ASSEMBLED MULTIPLE RESOURCES TO SUPPORT BUSINESSES, EMPLOYEES AND RESIDENTS DEALING WITH FINANCIAL HARDSHIP CREATED BY THIS PANDEMIC. YOU CAN VISIT COVID-19. LA COUNTY.GOV OR LA COUNTY HELP CENTER.ORG FOR INFORMATION ON PROGRAMS AND SERVICES THAT ARE AVAILABLE TO YOU. I REMAIN FOCUSED ON WORKING WITH OUR HEALTH OFFICIALS, INDUSTRY LEADERS AND COMMUNITY STAKE HOLDERS TOWARD A STATE — A SAFE AND STABLE RECOVERY. THANK YOU FOR YOUR CONTINUED PARTNERSHIP TOWARD OUR GOALS. I WOULD LIKE TO TURN OVER TO DR. BARBARA FERRER FOR THE DAILY UPDATE. DR. FERRER: GOOD AFTERNOON, EVERYONE. THANK YOU SO MUCH, SUPERVISOR BERGER AND THE ENTIRE BOARD OF SUPERVISORS FOR LEADING US THROUGH OUR RECOVERY JOURNEY IN WAYS THAT ACKNOWLEDGE AND PAY ATTENTION TO THE HEALTH AND SAFETY OF ALL OF THE RESIDENTS OF LA COUNTY. TO UPDATE YOU TODAY ON OUR CURRENT STATUS, I AM SAD TO REPORT 57 ADDITIONAL PEOPLE HAVE DIED FROM COVID 19. 30 OF THE PEOPLE WHO DIED WERE OVER THE AGE OF 65. 24 OF THE PEOPLE WHO WERE AGE — WHO WERE OVER THE AGE OF 55 PASSED AWAY WITH UNDERLYING HEALTH CONDITIONS. 12 PEOPLE WHO DIED ARE BETWEEN THE AGES OF 41 AND 65. SIX OF THE PEOPLE IN THIS AGE GROUP HAD UNDERLYING HEALTH CONDITIONS. TWO OF THE PEOPLE WHO DIED BETWEEN THE AGES OF 18 AND 40. BOTH HAD UNDERLYING HEALTH CONDITIONS. INFORMATION ON THE 10 DEATHS REPORTED BY THE CITY OF LONG BEACH AND THE THREE DEATHS REPORTED BY THE CITY OF PASADENA ARE AVAILABLE AT LONG BEACH.GOV AND CITY OF PASADENA.NET. THIS DOES BRING THE TOTAL NUMBER OF DEATHS IN LA COUNTY TO 1970. MANY OF THE PEOPLE ACROSS THIS COUNTY HAVE LOST THEIR LOVED ONES TO COVID-19. FOR THOSE OF YOU WHO ARE EXPERIENCING THIS DEVASTATING LOSS, WE SHARE IN YOUR SORROW AND I HOPE YOU KNOW YOU REMAIN IN YOUR — YOU REMAIN. IN OUR PRAYERS AND THOUGHTS FOR. THE 1826 PEOPLE WHO PASSED AWAY WERE WEIGHT — WHERE RACE AND ETHNICITY DATA HAS BEEN IDENTIFIED, 9% ARE LATINX, 18% ARE ASIAN, 12% ARE AFRICAN-AMERICAN, 1% ARE NATIVE HAWAIIAN OR PACIFIC ISLANDER AND 1% IDENTIFIED WITH OTHER RACES OR ETHNICITIES. 92% OF THE PEOPLE WHO DIED FROM COVID 19 HAD UNDERLYING HEALTH CONDITIONS. THIS NUMBER HAS NOT CHANGED FOR THE LAST FEW WEEKS. AGAIN, AS A REMINDER, IF YOU DO HAVE AN UNDERLYING HEALTH CONDITION, WE ASK THAT EVEN THOUGH WE ARE ON A RECOVERY JOURNEY, IT IS ESPECIALLY IMPORTANT YOU ARE ABLE TO STAY-AT-HOME WHERE YOU ARE SAFER AS MUCH AS POSSIBLE. WE ASK THAT ALL OF YOUR FRIENDS AND FAMILY AND YOUR EMPLOYER CONTINUE TO HELP YOU BE ABLE TO STAY-AT-HOME WHERE YOU CAN BE SAFE. TODAY, WE ARE REPORTING 1324 NEW CASES. AS I MENTIONED YESTERDAY, WE GENERALLY DO SEE MORE CASES REPORTED TUESDAYS AND WEDNESDAYS BECAUSE WE ARE CATCHING UP FROM THE BACKLOG OVER THE WEEKEND. THIS DOES BRING THE TOTAL NUMBER OF PEOPLE WHO HAVE TESTED POSITIVE FOR COVID 19 IN LA COUNTY TO 40,857. THE 40,857 TOTAL CASES WE ARE REPORTING TODAY INCLUDE 1362 TOTAL CASES REPORTED BY THE CITY OF LONG BEACH AND 704 TOTAL CASES REPORTED BY THE CITY OF PASADENA. BOTH OF WHOM HAVE INDEPENDENT HEALTH DEPARTMENT. WE ARE ALSO REPORTING 314 CONFIRMED CASES AMONG PEOPLE EXPERIENCING HOMELESSNESS. ABOUT HALF, 163 PEOPLE, WERE SHELTERED. THEY ARE NOW APPROPRIATELY ISOLATED AND THEIR CLOSE CONTACTS ARE QUARANTINED. I AM SAD TO REPORT THE ADDITIONAL DEATH OF A PERSON EXPERIENCING HOMELESSNESS. THE PERSON WHO DIED HAD BEEN SHELTERED. THIS DOES BRING THE TOTAL NUMBER OF DEATHS AMONG PEOPLE EXPERIENCING HOMELESSNESS TO SEVEN PEOPLE. TO THE FAMILY AND FRIENDS OF THE PERSON WHO PASSED AWAY, WE ARE DEEPLY SORRY FOR YOUR LOSS. 5966 PEOPLE WHO HAVE TESTED POSITIVE FOR COVID 19 HAVE AT SOME POINT DURING THEIR ILLNESS BEEN HOSPITALIZED. THIS IS 15% OF ALL OF OUR POSITIVE CASES. TODAY, THERE ARE CURRENTLY 1531 PEOPLE TESTED POSITIVE FOR COVID 19 AND ARE HOSPITALIZED. 28% OF THE PEOPLE ARE IN THE ICU. 19% OF THESE PATIENTS ARE ON VENTILATORS. EACH DAY, WE CONTINUE TO SEE A SLIGHT DECREASE IN THE NUMBER OF PEOPLE WHO ARE HOSPITALIZED. THIS IS GOOD NEWS. WE HAVE INVESTIGATED A TOTAL OF 436 RESIDENTIAL CONGREGATE SETTINGS AND NONRESIDENTIAL SETTINGS WITH AT LEAST ONE CONFIRMED OR SUSPECT CASE FOR COVID 19. OF THESE, 431 SITES ARE BEING INVESTIGATED. THERE ARE 35 SITES WHERE THE INVESTIGATIONS ARE CLOSED. THESE SETTINGS INCLUDE NURSING HOMES, ASSISTED LIVING FACILITIES, SHELTERS, TREATMENT CENTERS, SUPPORTIVE LIVING, CORRECTIONAL FACILITIES, WORKPLACES, FOOD AND RETAIL AND EDUCATIONAL SETTINGS. THE TOTAL NUMBER OF CONFIRMED CASES IN INSTITUTIONAL SETTINGS IS 10,392. THIS INCLUDES 6770 PEOPLE WHO ARE RESIDENTS AND 3616 PEOPLE WHO ARE STAFF. I AM SAD TO REPORT OVER 1000 PEOPLE, 1033 PEOPLE, WHO ARE LIVING IN INSTITUTIONAL SETTINGS HAVE DIED FROM COVID 19, REPRESENTING 52% OF OUR DEATHS. THE VAST MAJORITY OF THE PEOPLE WHO PASSED AWAY DID RESIDE IN SKILLED NURSING FACILITIES. TO THE FAMILIES AND FRIENDS OF THE PEOPLE WHO LIVED AT THESE FACILITIES AND PASSED AWAY, WE WISH YOU HEALING AND PEACE. WE ARE REPORTING 659 CONFIRMED CASES AT SOME POINT IN THE JAIL FACILITIES. 515 AMONG PEOPLE WHO ARE INCARCERATED. 144 AMONG STAFF. TODAY, THE SHERIFF’S OFFICE IS REPORTING FOR THEIR FACILITIES 552 PEOPLE WHO ARE INCARCERATED AND HAVE TESTED POSITIVE FOR COVID 19. 263 PEOPLE WHO ARE INCARCERATED AND HAVE RECOVERED. 337 PEOPLE WHO ARE INCARCERATED AND IN ISOLATION. 5145 PEOPLE WHO ARE INCARCERATED AND ARE QUARANTINED. THERE ARE 176 CASES IN THE STATE PRISON. 127 ARE AMONG PEOPLE WHO ARE INCARCERATED. 49 ARE AMONG STAFF. THERE ARE 695 CASES IN THE FEDERAL PRISON FACILITIES. 681 AMONG PEOPLE WHO ARE INCARCERATED. AND STAFF — IN 14 AMONG STAFF. THE NUMBER OF CASES IN OUR JUVENILE FACILITIES REMAINS THE SAME AS YESTERDAY, 20 CASES, EIGHT AMONG STAFF — EIGHT AMONG YOUTH IN 12 AMONG STAFF. WE DO POST INFORMATION ON CONFIRMED CASES ON OUR WEBSITE ALONG WITH THE DASHBOARD AND OUR RECOVERY INDICATORS. YOU CAN FIND THAT A PUBLIC HEALTH. LA COUNTY.GOV. THE LA COUNTY SHERIFF’S DEPARTMENT IS REPORTING 189 POSITIVE CASES AMONG THEIR STAFF . 585 STAFF ARE CURRENTLY QUARANTINED. 1061 STAFF HAVE RETURNED TO WORK. THE LA COUNTY FIRE DEPARTMENT IS REPORTING 239 STAFF MEMBERS HAVE BEEN TESTED FOR COVID 19. 23 STAFF HAVE TESTED POSITIVE. 18 ARE ISOLATED AT HOME. 19 PEOPLE HAVE RETURNED TO WORK. FIVE ARE HOMESICK. THANK YOU TO THE SHERIFF AND THE CHIEF FOR GIVING US THIS INFORMATION EVERY DAY. OVER 379,000 COVID 19 TEST RESULTS FOR INDIVIDUALS HAVE BEEN REPORTED TO THE LA COUNTY DEPARTMENT OF PUBLIC HEALTH. 9% OF THE PEOPLE WHO WERE TESTED WERE POSITIVE. AS A REMINDER, THANKS TO THE EXPANSION THAT IS BEING HEADED BY DR. CHRISTINA GHALY, THERE ARE APPOINTMENTS AVAILABLE AT THE REGIONAL TESTING SITES. THERE ARE MANY SITES YOU CAN FIND INFORMATION ABOUT WHERE A SITE IS THAT IS CLOSE TO YOU AND HOW TO MAKE AN APPOINTMENT IF YOU GO TO COVID19.LACOUNTY.GOV /TESTING. I AM HAPPY TO SHARE WITH YOU AN UPDATE ON THE SEROLOGY STUDY WE ARE CONDUCTING UNDER THE DIRECTION OF OUR CHIEF SCIENCE OFFICER, DR. SIMON IN PARTNERSHIP WITH THE UNIVERSITY OF SOUTHERN CALIFORNIA AND THE LRW GROUP. I WANT TO THANK DR. SOOD FROM THE UNIVERSITY OF SOUTHERN CALIFORNIA FOR JOINING US TODAY. WE LOOK FORWARD TO HEARING FROM HIM IN A MOMENT ABOUT THE LATEST STUDY RESULTS. JUST AS A REMINDER, SEROLOGY TESTS DO NOT DIAGNOSE A PERSON FOR A CURRENT INFECTION OF COVID 19. THEY DO DETECT IF A PERSON WAS EVER EXPOSED TO THE VIRUS AND DEVELOPED ANTIBODIES IN RESPONSE TO THE INFECTION. BY CONDUCTING THIS TESTING WITH A RANDOM SAMPLE OF LA COUNTY RESIDENTS, WE CAN BETTER UNDERSTAND HOW MANY PEOPLE MAY HAVE BEEN INFECTED AND HOW COVID 19 INFECTIONS ARE DISTRIBUTED ACROSS THE COUNTY. WE DID COMPLETE THE SECOND ROUND OF THE SURVEY. IN THE FIRST ROUND, WE TESTED 863 LA COUNTY ADULT BETWEEN APRIL 10 AND APRIL 14. THE SECOND ROUND OF THE SURVEY WAS DONE ON MAY 8, NINTH, 11TH AND 12TH. IT INCLUDED TESTING 1014 ADULT 18 AND OLDER. A DRIVE-THROUGH ANTIBODY TESTING WAS DONE FOR THE FIRST TWO DAYS. LIMITED IN-HOME TESTING WAS DONE FOR THE LAST TWO DAYS. 2.1% OF THE ADULT WHO WERE TESTED ARE POSITIVE. THIS COMPARES TO 4.1% AMONG THE 863 ADULTS TESTED IN APRIL. IT IS IMPORTANT TO NOTE THE DIFFERENCE BETWEEN THE TWO RESULTS COULD BE DUE TO RANDOM VARIATION. THERE ARE SOME OTHER FACTORS THAT MAY HAVE CONTRIBUTED TO THE SLOWER PREVALENCE NUMBER FROM THE MAY SURVEY WHEN COMPARED TO THE APRIL SURVEY. THE TWO SURVEYS DID USE DIFFERENT TESTS THEY LOCATIONS AND THEY MAY HAVE ATTRACTED A SLIGHTLY DIFFERENT POPULATION. THE FIRST WAS OFFERED IN ENGLISH WHILE THE SECOND SURVEY INCLUDED SPANISH AND MANDARIN. EFFORTS WERE MADE IN THE SECOND ROUND TO MAKE SURE WE HAD A HIGHER NUMBER OF LATINOS, ASIANS AND LEFT — AND AFRICAN-AMERICANS. I WILL LET DR. SOO TALKD MORE ABOUT THIS, ABOUT HAVING NEGATIVE RESULTS IN THE LAST ROUND BECAUSE ANTIBODY LEVELS MAY HAVE WANED PRIOR TO THE SAFER AT HOME ORDER. DESPITE THE LIMITATIONS, THE RESULTS SUGGEST THERE WAS NOT MUCH SPREAD OF THE VIRUS IN THE GENERAL COMMUNITY POPULATION DURING THE TIME BETWEEN THESE TWO SURVEYS. I THINK THIS IS LIKELY BECAUSE SO MANY OF US DID A GREAT JOB STAYING AT HOME PHYSICALLY DISTANCING AND WEARING OUR CLOTH FACE COVERINGS. ALTHOUGH THE SAMPLE SIZE IS RELATIVELY SMALL, WE CAN SHARE SOME OF THE ESTIMATES ABOUT WHO WAS MORE LIKELY TO HAVE BEEN INFECTED IN THIS SAMPLE. LIKE THE LAST SURVEY, MEN WERE MORE LIKELY THAN WOMEN TO HAVE BEEN INFECTED. THE ESTIMATED PREVALENCE WAS 2.8% AMONG MEN AND 1.4% AMONG WOMEN. THERE WAS ONLY SLIGHT DIFFERENCES IN POSITIVITY RATES BY RACE AND ETHNICITY. THERE WERE DIFFERENCES IN POSITIVITY RATES BY INCOME LEVELS. 2.8% OF PEOPLE WITH LOWER INCOME LEVELS AND 1% OF PEOPLE WITH HIGHER INCOME LEVELS WHO WERE TESTED WERE POSITIVE. THERE WERE ALSO DIFFERENCES IN POSITIVITY RATES AMONG AGE GROUPS WITH THOSE BETWEEN 18 AND 54 HAVING HIGHER RATES OF POSITIVITY WHEN COMPARED TO THOSE PEOPLE 55 AND OLDER. THE DATA IS PRELIMINARY. WE ARE SO GRATEFUL TO OUR COLLEAGUES AT USC AND TO DR. SIMON FOR CONTINUING THIS EFFORT INTO THE FUTURE WHERE WE WILL SAMPLE ADDITIONAL RESIDENTS OVER THE COUNTY DURING THE NEXT FEW MONTHS TO BETTER UNDERSTAND THE PREVALENCE OF COVID 19 AMONG OUR COUNTY RESIDENTS. THERE ARE A COUPLE LIMITATIONS IN THIS SURVEY RIGHT NOW. I JUST WANT TO KNOW THEM BECAUSE IT DOES NOT HAVE REPRESENTATION FROM SOME OF OUR HIGHEST RISK GROUPS LIKE THOSE LIVING IN CONCORD GET SETTINGS INCLUDING OUR SKILLED NURSING FACILITIES, HOMELESS SHELTERS AND JAILS AS WELL AS NOT INCLUDED IN THE SURVEY STUDY WHERE PEOPLE EXPERIENCING HOMELESSNESS WHO MAY BE LIVING UNSHELTERED ON THE STREET. THE SURVEY MAY ALSO NOT HAVE CAPTURED THE EXPERIENCES OF THOSE WHO LIVE IN EXTREME POVERTY. PLANS ARE UNDERWAY TO DO SPECIAL STUDIES FOR HIGH-RISK POPULATIONS. THE SURVEYS ALSO HAVE NOT INCLUDED CHILDREN TO DATE, BUT WE ARE PLANNING A SUBSEQUENT SURVEY TO MAKE SURE WE DO INCLUDE CHILDREN. I WANT TO CLOSE BY NOTING WE ARE GOING TO APPROACH A HOLIDAY WEEKEND. I WANT TO ENCOURAGE EVERYONE TO TAKE SOME TIME AND CELEBRATE SAFELY. MANY OF OUR BEAUTIFUL OUTDOOR SPACES ARE OPEN. WE CAN ENJOY THEM WHILE WE PRACTICE PHYSICAL DISTANCING AND WHERE OUR — AND WEAR FACE COVERINGS. WE CAN ENJOY OUR BEACHES AND BE SURE NOT TO CREATE CROWDED CONDITIONS THAT DO NOT ALLOW FOR PHYSICAL DISTANCING. WE CAN ENJOY OUR BEAUTIFUL WEATHER IN OUR OWN NEIGHBORHOODS AND BACKYARDS. I WANT TO REMIND FOLKS THAT GATHERINGS AND EVENTS OF ANY KIND ARE NOT PERMITTED. THE VIRUS HAS NOT CHANGED. IT IS STILL RELATIVELY EASY TO BECOME INFECTED AT PARTICULARLY IF YOU ARE NOT TAKING PRECAUTIONS. UNFORTUNATELY, HAVE BEEN RECENT PARTIES AND GATHERINGS THAT DID RESULT IN A NUMBER OF NEWLY INFECTED PEOPLE. PLEASE FIND WAYS TO ENJOY THE HOLIDAY WITH PEOPLE FROM YOUR OWN HOUSEHOLD OR WITH FRIENDS AND FAMILY FROM AFAR USING OUR TECHNOLOGY TOOLS. BEING TOGETHER FROM A DISTANCE IS CURRENTLY OUR NEW NORMAL. WHILE THIS IS TEMPORARY, FOR THIS MEMORIAL DAY, WE WILL STILL NEED TO PRACTICE SOCIAL DISTANCING. IT IS MY GREAT PLEASURE TO INTRODUCE DR. SOOD, THE VICE DEAN AT USC. DR. SOOD: GOOD AFTERNOON. I’M HERE TO UPDATE YOU ON THE RESULTS OF THE LA COUNTY PUBLIC HEALTH AND USC SEROLOGY STUDIES. AS DR. FERRER MENTIONED, WE DID OUR FIRST ROUND OF TESTING ON APRIL 9 AND 10TH. WE TESTED ABOUT 863 ADULTS IN LOS ANGELES COUNTY AND FOUND THAT 4.1% OF THEM WERE ANTIBODY POSITIVE. THIS TIME AROUND, WE DID OUR TESTING ON MAY 9 AND 10TH THROUGH DRIVE-THROUGH SITES. SOME ADDITIONAL HOME TESTING ON MAY 11 AND 12TH. WE TESTED ABOUT 1014 INDIVIDUALS OR ADULT AND FOUND THAT 2.1% OF THEM WERE ANTIBODY POSITIVE. THERE WERE DIFFERENCES IN THE WAY WE CONDUCTED THE STUDY IN WAVE TWO VERSUS WAVE ONE. IN WAVE TWO, WE TRANSLATED OUR SURVEY INTO SPANISH AND MANDARIN TO INCREASE REPRESENTATION OF HISPANICS AND ASIANS IN OUR SAMPLE. WE WERE SUCCESSFUL IN DOING THAT. THE DEMOGRAPHIC COMPOSITION OF OUR SAMPLE WAS ALSO DIFFERENT. AS DR. FERRER MENTIONED, WE SET UP NEW TESTING SITES SO IT IS POSSIBLE THAT THE ZIP CODES FROM INDIVIDUALS WAS ALSO DIFFERENT. ALL THESE DIFFERENCES IN THE COMPOSITION OF THE SAMPLE COULD EXPLAIN SOME OF THE DIFFERENCES IN POSITIVITY RATE WE FOUND BETWEEN WAVE ONE AND WAVE TWO. SECOND, SOME OF THE DIFFERENCES COULD BE DUE TO LUCK OR NOISE. IF YOU TOSS A COIN 10 TIMES, YOU DO NOT. ALWAYS GET FIVE HEADS SOMETIMES YOU MAKE IT ONE HEAD OR SOMETIMES YOU MIGHT GET ONE HEAD. SOMETIMES THESE VARIATIONS IN OUTCOMES COULD EXPLAIN DIFFERENCES IN TESTING POSITIVE BETWEEN THE TWO WAVES. LAST, THERE COULD BE MANY OTHER EXPLANATIONS. ONE BIG NATIONWIDE BE THAT THE AMOUNT OF ANTIBODIES, ESPECIALLY OF PEOPLE WHO WERE INFECTED EARLY ON, MAY BE WANING OVER TIME. OUR TEST MIGHT NOT BE ABLE TO DETECT THIS LOWER LEVEL OF ANTIBODIES. I WANT TO EMPHASIZE THIS IS COMPLETELY SPECULATIVE AT THIS TIME. WE HAVE NOT FULLY INVESTIGATED THIS ISSUE, BUT THIS IS SOMETHING WE WILL LOOK AT. I WANT TO EMPHASIZE THIS IS A POTENTIAL EXPLANATION. IT DOES NOT MEAN WE THINK THIS IS A LIKELY ISOLATION. WHAT ARE OUR PLANS FOR THE FUTURE? ONE OF THE THINGS WE WANT TO DO IS INCREASE THE NUMBER OF PEOPLE WE ARE TESTING BECAUSE A LARGER SAMPLE SIZE WOULD MEAN MORE PRECISION IN OUR ESTIMATES. THE SECOND THING WE ARE CONSIDERING DOING IS ENROLLING A COHORT, WHICH MEANS WE CAN FOLLOW THE SAME INDIVIDUALS OVER TIME AND TEST THEM REPEATEDLY. THIS WILL GET AT THE ISSUE OF REDUCING THE VARIATION IN OUR SAMPLE, GETTING MORE PRECISE ESTIMATES. OF ALSO — HOW OFTEN THEY MIGHT GET REINFECTED, WHAT HAPPENS TO THEIR LEVEL OF ANTIBODIES OVER TIME. FINALLY AS DR. FERRER SAID, OUR SURVEY UNDERREPRESENTED SOME COMMUNITIES. WE ARE MAKING PLANS TO DO ADDITIONAL SURVEYS IN THESE COMMUNITIES SUCH AS NURSING HOME POPULATIONS, LOW INCOME POPULATIONS, CHILDREN, FIRST RESPONDERS. WE’LL BE DOING MORE OF THESE STUDIES IN THE COMING MONTHS. IN CLOSING, WHAT WE FIND IS BETWEEN THE TWO WAVES, THERE IS NO EVIDENCE OF A BIG INCREASE OF INCIDENCE OF COVID 19. THIS IS WHAT DR. FOREVER SIZED, THAT THIS SHOWS — FOR AIR EMPHASIZED — WE ARE CONTROLLING THE NEW INFECTIONS IN OUR COMMUNITY. THE SECOND IS THE RESULT STILL SAY THAT ABOUT THREE TO 4% ACROSS THE TWO WAVES, ABOUT 3% TESTED POSITIVE, WHICH MEANS WE ARE STILL FAR AWAY FROM HERD IMMUNITY AND WE NEED TO BE CONSCIOUS OF THAT. THANK YOU SO MUCH. I WILL NOW HAVE DR. CHRISTINA G HALY. DR. GHALY: I WANT TO PROVIDE A BRIEF UPDATE TODAY ON THE LATEST NUMBERS FROM THE DHS AUTOLINK THAT WE ARE LEAVING FOR THE COUNTY AND I WILL TALK ABOUT TESTING. I KNOW THESE ARE HARD TIMES IN MY HEART CONTINUES TO GO OUT TO THOSE WHO HAVE LOST A LOVED ONE OR SOMEONE IN THEIR COMMUNITY AS WELL AS THOSE WHO ARE AFFECTED BY UNEMPLOYMENT AS WELL AS THE CHALLENGES OF WORK AND CHILDREN AT HOME AS WELL AS THE VARIOUS WAYS IN WHICH OUR LIVES HAVE CHANGED AS A RESULT OF THIS PANDEMIC. AS WE CONTINUE TO MOVE AND LOOK TOWARD RECOVERY, LET’S LOOK TOWARD WHAT THE DATA ARE TELLING US. TURNING TO THE SLIDES, LAST WEEK, WE SHOWED YOU THIS SLIDE FOR THE FIRST TIME ON THE EFFECTIVE TRANSMISSION RATE. IT SHOWS HOW THE RATE OF TRANSMISSION OF COVID 19 HAS CHANGED OVER TIME IN LOS ANGELES COUNTY BASED ON THE NUMBER OF NEW CASES WE HAVE SEEN EVERY DAY SINCE MARCH. TIME TO WITH THE INTRODUCTION OF THE PHYSICAL TENSING THE — PHYSICAL DISTANCING REQUIREMENTS , THE TRANSMISSION NUMBER FELL RAPIDLY AND STAYED CLOSE TO ONE, MEANING THAT FOR EVERY PERSON INFECTED WITH THE VIRUS, IT WAS PASSED ON TO APPROXIMATELY ONE ADDITIONAL PERSON. THIS LED TO A GRADUAL FLATTENING IN THE NUMBER OF NEW CASES AND A STABLE DEMAND FOR HOSPITAL RESOURCES AND SERVICES ACROSS THE COUNTY RATHER THAN HAVING EXPERIENCED A SUDDEN SPIKE IN THE NUMBER OF CASES THAT WOULD HAVE PUT EXCESSIVE STRAIN ON THE HOSPITAL SYSTEM. MORE RECENTLY, HAVE CONTINUED TO SEE AN INCREASING DOWNTURN IN THE DAILY NUMBER OF CASES. THIS IS REACHABLE — THISIS REFLECTED IN THE MODEL’ — THIS IS REFLECTED IN THE MODEL CURRENT ESTIMATE. THE EPIDEMIC IN LOS ANGELES COUNTY IS EXPECTED TO DECREASE OVER TIME. THAT IS A GOOD THING FOR ALL OF US. AS WE WORK TO REOPEN THE ECONOMY AND GET PEOPLE BACK TO LIVING THEIR LIVES, WE NEED TO WORK TOGETHER TO AVOID HAVING TRANSMISSION AGAIN INCREASE. THIS WILL REQUIRE EVERYONE DOING THEIR PART TO CONTINUE THE SAME BASIC CORE PUBLIC HEALTH MEASURES WE HAVE ALL BEEN SO FAMILIAR WITH. PHYSICAL DISTANCING, HAND WASHING, CLEANING SERVICES — CLEANING SURFACES REGULARLY, WEARING FACIAL COVERINGS, SELF FOR SYMPTOMS AND STAYING HOME WHILE YOU ARE ILL. AS SAFER AT HOME EASES, THESE MEASURES WILL BE PLAYED IN DIFFERENT WAYS. THEY ARE STILL CRITICALLY IMPORTANT. IT IS IMPORTANT TO REALIZE THAT SHOULD TRANSMISSION INCREASE, THE PEOPLE WHO ARE INFECTED TODAY WILL NOT BL ENOUGH TO SEEK — WILL NOT BE ILL ENOUGH TO SEEK MEDICAL CARE FOR TWO WEEKS. BY THE TIME WE SEE AN INCREASE IN CASES, THERE WILL BE INCREASED SPREAD FOR NUMBER OF WEEKS CAUSING HIGHER RATES OF INFECTION AND PUTTING STRAIN ON OUR HEALTH CARE SYSTEM AND THE WORKERS WHO ARE DEDICATED TO IT. VIGILANCE IS STILL OUR MOST IMPORTANT WEAPON. IT IS THE STEPS YOU HAVE HEARD US DESCRIBED AGAIN AND AGAIN OF THOSE BASIC CORE PUBLIC HEALTH MEASURES THAT WILL MAKE ALL THE DIFFERENCE. THESE SIMPLE PRACTICES ARE WHAT ALLOW US ALL THE CHANCE TO RESTORE THE NORMALCY OF OUR LIVES. ON THE NEXT SLIDE, WE WILL SEE THE OVERALL VOLUME OF HOSPITAL BASED CARE FOR PATIENTS WITH COVID 19 TO BE RELATIVELY STABLE, EVEN TRENDING SLIGHTLY DOWN OVER THE PAST COUPLE OF WEEKS. UNCERTAINTY — WITHIN THE MODEL, THIS IS STILL CONSISTENT WITH PRIOR PREDICTIONS. BASED ON THE INFORMATION WE HAVE TODAY, THE NUMBER OF HOSPITAL BEDS AVAILABLE WITHIN THE COUNTY, THE NUMBER OF ICU BEDS AND VENTILATORS CONTINUES TO BE ADEQUATE TO MEET THE NEEDS OF THOSE PATIENTS WITH COVID-19 AS WELL AS THOSE WHO REQUIRE HOSPITAL CARE WITHOUT COVID-19. IF THERE IS AN INCREASE IN TRANSMISSION, WE WOULD SEE NEW CASES START TO INCREASE ABOVE WHAT IS CURRENTLY CONSIDERED THE MOST LIKELY PREDICTED PATH, EVEN PERHAPS INTO THE PINK SHADED AREA. PLEASE REMEMBER THERE WOULD BE A DELAY BEFORE WE WOULD SEE THIS ON THE ORDER OF THE TWO OF FOUR WEEKS. ON THE NEXT SLIDE, WE HAVE CHANGE THIS SINCE YOU HAVE SOLID LAST A COUPLE WEEKS AGO. WE ARE USING THE MODEL TO PREDICT WHAT PERCENTAGE OF ALL PERSONS ACROSS THE COUNTY WILL HAVE BECOME INFECTED WITH COVID 19 BY THE END OF THE YEAR. THIS SLIDE ORIGINALLY SHOWED WHERE WE WOULD BE WITH THE TOTAL NUMBER OF PEOPLE INFECTED BY AUGUST 1. NOW BECAUSE R HAS STARTED TO DECLINE, WE WANTED TO BE ABLE TO SHOW WHAT THE IMPACT WOULD BE OVER A LONGER TIME THROUGH THE FALL AND INTO THE WINTER. WE CONSIDER THREE FUTURE POSSIBILITIES. NAMELY THAT R STAYS THE SAME, THAT R INCREASES 50% AS THE ECONOMY STARTS TO REOPEN OR THAT R INCREASES TO WHAT WAS AT THE BEGINNING OF THE EPIDEMIC IN MARCH, SOMETHING WE DO NOT SEE HAPPENING. IF WE CAN OPEN UP THE ECONOMY WITHOUT HAVING AN INCREASE IN TRANSMISSION, WE EXPECT ABOUT 8% OF EVERYONE IN LOS ANGELES COUNTY WILL BE INFECTED BY DECEMBER. THAT NUMBER WOULD GO UP TO 44%. IF WE WOULD GO BACK TO WHAT R WAS AT THE BEGINNING, 96% OF LA COUNTY RESIDENTS WOULD BE INFECTED BY DECEMBER 2020. I WANT TO TALK ABOUT TESTING. ONE OF THE GOALS OF TESTING IS TO ENSURE GEOGRAPHIC ACCESS FOR THOSE WHO NEED A TEST. WE ARE ESTABLISHING OUR COMMUNITY-BASED TESTING ACCESS WITH SEVERAL FACTORS IN MIND. THIS INCLUDES A FOCUS ON THE METRICS THE GOVERNOR HAS ESTABLISHED FOR MEASURING AND MONITORING TESTING MOVING FORWARD. THIS INCLUDES MAKING SURE THERE ARE MULTIPLE GEOGRAPHIC ACCESS POINTS. THAT TESTING PROTECTS VULNERABLE COMMUNITIES INCLUDING COMMUNITIES OF COLOR. THAT TESTING MEETS MINIMUM VOLUMES THAT HAVE BEEN SET FORTH BY THE STATE AS WELL AS OTHER ENTITIES WITH A FOCUS ON INDIVIDUALS WHO ARE SYMPTOMATIC AS WELL AS TARGETED SURVEILLANCE AMONG AT RISK GROUPS SUCH AS THOSE WHO LIVE IN CONGREGATE CARE SETTINGS. AS A POINT OF CLARIFICATION, THERE IS NO PUBLIC HEALTH RECOMMENDATION FROM THE CDC, THE STATE OR THE LA COUNTY DEPARTMENT OF PUBLIC HEALTH THAT INDIVIDUALS NEED TO BE TESTED AS A CRITERIA FOR CONCERN — FOR RETURNING TO WORK. OR PLACES AND THEIR STAFF SHOULD FOLLOW ESTABLISHED PUBLIC-HEALTH GUIDANCE. MASKING, HYGIENE, SELF-MONITORING WHEN SOMEONE HAS SYMPTOMS AND PHYSICAL DISTANCING TO PREVENT TRANSMISSION OF THE VIRUS. IN LINE WITH THESE GOALS, WE ARE PROUD TO HAVE LAUNCHED NINE NEW WALK-IN STATE-SPONSORED AND STATE OPERATED TESTING SITES. WE ARE GRATEFUL TO THE STATE FOR THEIR PARTNERSHIP AND CONTINUED COLLABORATION MOVING FORWARD AS WE SEEK TO MEET THE GOALS FOR TESTING. SITE SELECTION TOOK INTO ACCOUNT AREAS THAT HAD POOR TESTING ACCESS AS WELL AS THOSE THAT HAD HIGH RATES OF CERTAIN RACIAL AND ETHNIC MINORITIES THAT ARE SUSCEPTIBLE TO SERIOUS OUTCOMES FROM COVID 19. DHS HAS ALSO BEEN WORKING TO SET THE FOUNDATION FOR ADDING ADDITIONAL CAPACITY AT HEALTH CARE CLINICS ACROSS THE COUNTY. THESE ARE ESTABLISHED HEALTH CARE CLINICS INCLUDING THE COMMUNITY CLINICS OPERATED WITHIN THE F UHC NETWORK AS WELL AS DHS OPERATED COUNTY CLINICS FEDERAL DEDICATED TO SERVING THEIR LOCAL COMMUNITIES REGARDLESS OF AN INDIVIDUAL’S ABILITY TO PAY OR INSURANCE STATUS. SOME CLINICS WOERLE PARTNERS WITH THE COUNTY IN OUR TESTING EFFORTS. WE ARE GRATEFUL FOR THEM STEPPING FORWARD IN THE EARLY DAYS OF THE PANDEMIC HOWEVER THEIR STAFF AND SITES TO SUPPORT EARLY ACCESS TO TESTING. WE ARE GRATEFUL TO NEWER PARTNERS WHO HAVE COME FORWARD WITH AN INTEREST IN RAMPING UP TESTING FOR THE GENERAL PUBLIC. WE ARE GRATEFUL FOR THE FEDERAL FUNDS THAT HAVE BEEN — THAT HAVE MADE THESE EXPANSIONS POSSIBLE. YOU WILL START TO SEE AND HEAR MORE ABOUT THESE SITES SUCH AS ST. JOHN’S WELL-CHILD CLINICS IN SOUTH LOS ANGELES THAT HAVE STARTED TO POPULATE ON THE TESTING MAPS POSTED ON THE COUNTY WEBSITE. WHILE THESE SITES MAINTAIN THEIR OWN REGISTRATION PROCESS AS THEY DO FOR ANY NON-COVID RELATED HEALTH CARE NEED, THESE PARTNERS ARE CRITICAL TO OUR TESTING APPROACH GOING FORWARD. THE BEST MODEL FOR SUSTAINABLE PATIENT CENTERED HIGH-QUALITY TESTING IS FOR IT TO TAKE PLACE WITHIN THE STRUCTURE OF THE ESTABLISHED HEALTH CARE SYSTEM WHERE PATIENTS CAN DISCUSS WITH THEIR PROVIDER THEIR INDIVIDUAL SITUATION AND THEIR NEED FOR TESTING AS WELL AS THE RESULTS OF THE TEST. WHERE ELECTRONIC HEALTH CARE RECORDS ARE IMPLEMENTED AND CARRIED TEAMS ARE ESTABLISHED TO MANAGE AN INDIVIDUAL PATIENT’S CARE SHADE WERE INDIVIDUALS WITH POSITIVE RESULTS CAN BE FOLLOWED CLINICALLY IN A WAY THAT IS SUITED TO THEIR SPECIFIC CLINICAL HISTORY AND HEALTH CONDITIONS. AND WHERE THE REIMBURSEMENT MECHANISMS EXIST TO BILL INSURANCE COMPANIES FURTHER TEST THEY OBLIGATED TO PAY FOR. WHEN I REFER TO A SITE AS A COMMUNITY TEST SITE, I MEAN A SITE OPEN TO THE PUBLIC. THIS IS DIFFERENT FOR THE STRATEGY AMONG CERTAIN VULNERABLE POPULATIONS. FOR THESE HIGH-RISK POPULATIONS THAT ARE DISPROPORTIONATELY AFFECTED, DHS IS TAKING A TAILORED TESTING APPROACH IN PARTNERSHIP WITH THE DEPARTMENT OF PUBLIC HEALTH TO ENSURE ALL OF THESE INDIVIDUALS’ NEEDS ARE MET. I WILL TALK ABOUT ONE TODAY. TODAY, I WILL FOCUS ON THE JAIL. AMONG DHS’S MANY ROLES, WE HAVE — FIRST, OUR CORRECTIONAL HEALTH SERVICES TEAM PROVIDES CLINICAL CARE AND SERVICES TO INDIVIDUALS WHO ARE INCARCERATED IN OUR OFFICE OF DIVERSION A REENTRY OPERATES PROGRAMS AIMED AT DIVERGING MEDICALLY FRAGILE AND VULNERABLE AND VISUALS IN TO COMMUNITY-BASED TREATMENT MODELS. BOTH UNITS, WHICH WERE CLOSELY TOGETHER, HAVE BEEN ACTIVE THROUGHOUT THE COVID PANDEMIC. IN FEBRUARY 2020 WHEN THIS WAS ALL STARTING AND WE WERE STARTING TO SEE THIS PLAY OUT OUTSIDE OF THE UNITED STATES, CHS WAS AWARE OF THE CHALLENGES OF TRYING TO CONTROL A DISEASE WITHIN A CORRECTIONAL ENVIRONMENT AND TOOK INITIAL STEPS. IN THE FEBRUARY PLAN, CHS AS WELL AS IN PARTNERSHIP WITH THE LOS ANGELES COUNTY SHERIFF’S DEPARTMENT IMPLANTED REVISED INFECTION CONTROL MEASURES TO PREVENT COVID-19 FROM ENTERING THE JAIL. THIS PLAN WAS REVISED IN MARCH WITH ADDITIONAL SANITATION MEASURES TO PREVENT TRANSMISSION. THIS INCLUDED TESTING AND QUARANTINING OF INDIVIDUALS WHO PRESENTED WITH SYMPTOMS AS WELL AS THOSE WHO WERE ALREADY INCARCERATED. CHS WORKED CLOSELY WITH THE OFFICE OF DIVERSION AND REENTRY ALONG WITH OTHER PARTNERS ACROSS THE COUNTY AND WITH THE COURT SYSTEM TO BE ABLE TO IDENTIFY INDIVIDUALS WHO WERE SORTABLE FOR RELEASE INTO THE COMMUNITY AND CONNECT THEM WITH APPROPRIATE PLACEMENTS. THESE TEAMS WORKING TOGETHER WERE EFFECTIVE IN DELAYING THE FIRST CASE OF COVID WITHIN THE JAILS. LIKE MANY OTHER FACILITIES, A NUMBER OF INDIVIDUALS HAVE BEEN DIAGNOSED. CHS AND THE SHERIFF’S DEPARTMENT CONTINUE TO WORK CLOSELY TOGETHER ON A DAILY BASIS AND HAVE THEM AMENDED A TESTING STRATEGY. AS WE CONTINUE TO DO EVERYTHING WE CAN TO PREVENT TRANSMISSION IN THE JAILS. COMPREHENSIVE TESTING AMONG ASYMPTOMATIC POPULATIONS IS NOT NECESSARY AMONG THE COMMUNITY, IT IS A STRATEGY FOR INDIVIDUALS IN CONGREGATE INSTITUTIONS SUCH AS SKILLED NURSING FACILITIES, HOMELESS SHELTERS AND THE JAIL. BECAUSE OF THIS, FOR THE LAST SEVERAL WEEKS, TESTING HAS BEEN OFFERED TO ALL INDIVIDUALS AT THE INMATE RECEPTION CENTERS, WHICH SERVE AS THE POINT OF ENTRY FOR NEW ARRESTEES IN THE JAIL SYSTEM. INMATES ARE TRANSITIONED TO THEIR HOUSING UNIT ONLY AFTER TESTING RESULTS ARE RECEIVED. INDIVIDUALS WHO ROOST — WHO REFUSED TESTING ARE PLACED IN QUARANTINE UNDER THE GUIDANCE OF PUBLIC HEALTH. INDIVIDUALS WHO WORK INCARCERATED PRIOR TO THE INITIATION OF COMPREHENSIVE INTAKE TESTING ARE ALSO BEING OFFERED TESTING IN A PHASED ROLLOUT. MANAGEMENT OF QUARANTINE AND ISOLATION IS DONE UNDER THE GUIDANCE OF INFECTION CONTROL INDIVIDUALS FROM THE DEPARTMENT OF PUBLIC HEALTH SERVICES AND THE PUBLIC OF HEALTH. THIS EXPANSION IN MASS TESTING IS WHY YOU SEE THE STEADY INCREASE IN THE JAIL POSITIVE CASE RATE. PLEASE KNOW THAT THE BEST MAJORITY OF THOSE CASES ARE AMONG ASYMPTOMATIC INDIVIDUALS AND ARE THE RESULT OF THIS SCREENING METHODOLOGY. OVER THE COMING WEEKS, WE WILL TALK ABOUT TESTING AS WE MOVE FURTHER INTO RECOVERY. IN CLOSING, THANK YOU FOR YOUR CONTINUED EFFORTS IN BEING PART OF THE SOLUTION FOR OUR COUNTY. A SOLUTION THAT BRINGS THE HOPE OF HEALTH AND ECONOMIC VIBRANCY FOR ALL OF US. WITH THAT, I WILL TURN IT OVER FOR QUESTIONS.>>THANK YOU, LADIES AND GENTLEMEN SHARED IF YOU WISH — A QUESTION, PLEASE PRESS ONE AND THEN ZERO ON YOUR TOUCHTONE KEY BED. MAY WITHDRAW YOUR QUESTION BY REPEATING THE COMMAND. WE ASK YOU LIMIT YOURSELF TO ONE QUESTION. IF YOU HAVE A QUESTION, PLEASE PRESS ONE THEN ZERO AT THIS TIME. WE WILL GO TO CLAUDIA WITH KNX RADIO. PLEASE GO AHEAD.>>THANK YOU. MY QUESTION IS FOR SUPERVISOR BARGER. HOW DID YOU GUYS LANDED ON THE JULY 4 DATE? DID YOU GET PUBLIC HEALTH OFFICIALS TO SIGN OFF ON THAT DATE? COULD YOU PLEASE START WITH A YES OR NO BEFORE MOVING ONTO TO THE REST OF THE QUESTION SHOULD — OF THE SUP. BARGER: QUESTION. I HAVE TO ANSWER THE SECOND PART BEFORE INTO THE SECOND PART. THE JULY 4 DATE WAS IN RESPONSE TO THE RESILIENCY TASK FORCE TIMELINE THAT WAS PROVIDED, WHICH SHOWED THEY WOULD HAVE ALL OF THE REPORTS FROM ALL OF THE SECTORS BACK BY JUNE 30. WITH A SENSE OF URGENCY, I MADE THE COMMENT THAT IF THOSE REPORTS ARE SUBMITTED BY JUNE 30, WE WOULD HAVE A GOAL IF THE STATE LIFTS RESTRICTIONS TO HAVE EVERYTHING IN PLACE BY JULY 4. . THE REASON I HAD TO ANSWER THAT FIRST IS ON THE SECOND, ANYTHING COMING OUT OF THOSE SECTORS WILL BE DONE IN CONJUNCTION WITH THE DEPARTMENT OF PUBLIC HEALTH. DEPARTMENT OF PUBLIC HEALTH WILL BE PART OF THE PROCESS AS WE MOVE FORWARD TOWARD THE JUNE 30 DATE. MANY OF THOSE SECTORS HAVE THE REPORTS BEFORE JUNE 30. IF THE STATE LIFTS ANY OF THE RESTRICTIONS, MY GOAL IS TO PUSH FORWARD THEIR RECOMMENDATIONS — FORWARD THEIR RECOMMENDATIONS AS QUICKLY AS POSSIBLE. JULY 4 WAS BASED ON THE TASK FORCE COMING IN ON JUNE 30. NEXT QUESTION.>>WE WILL GO TO LEE ROSS WITH FOX NEWS.>>THANK YOU FOR THE UPDATE ON THE SECOND ROUND OF THE SEROLOGY TEST. I AM NOT THE SMARTEST GUY IN THE WORLD, BUT IT IS A PHYSICAL IMPOSSIBILITY FOR THERE TO BE FEWER PEOPLE HAVING BEEN INFECTED WITH COVID-19 SINCE THE OUTBREAK. IN MY ON THAT? FROM THE MONTH PREVIOUS? SUP. BARGER: I WILL GET DR. SIMON TO ANSWER THAT QUESTION.>>THANK YOU. SUP. BARGER: GO AHEAD, DR. SIMON. DR. SIMON: THANK YOU FOR THAT QUESTION. RIGHT. WE DO NOT IMAGINE THE NUMBER OF INFECTED PERSONS HAVE DECREASED OVER TIME. AS WAS MENTIONED BY DR. SOOD PEOPLE WHO ARE INFECTED EARLY BY THE PANDEMIC MAY HAVE REDUCED LEVELS OF ANTIBODY AND AS A RESULT MIGHT HAVE BEEN DETECTED BY OUR TEST. THAT IS PURELY SPECULATION AT THIS POINT. THE OTHER FACTOR THAT NEEDS TO BE CONSIDERED IS AS DR. SOOD MENTIONED, OUR SAMPLES WERE RECRUITED IN SLIGHTLY DIFFERENT WAYS. WE HAD DIFFERENT LOCATIONS OF TESTING SITES, EXPANDED THE SURVEY TO INCLUDE MANDARIN AND SPANISH SPEAKERS. IT COULD BE THAT THERE WERE SUBTLE DIFFERENCES BETWEEN THE TWO SAMPLES THAT LED TO THOSE RESULTS. THE IMPORTANT THING IS TO CONCLUDE THAT WE ARE NOT SEEING A RAPID RISE IN ANTIBODY PREVALENCE BASED ON THESE TWO SURVEYS. WE FEEL IT IS LIKELY THAT IN THE GENERAL COMMUNITY POPULATION, THE PREVALENCE IS BELOW 5%. AS WAS POINTED OUT, OUR SURVEY IS NOT CAPTURING SOME OF THE HIGH-RISK GROUPS HOPE TO CAPTURE IN FUTURE SURVEYS. THANK YOU. SUP. BARGER: WE HAVE TIME FOR ONE MORE QUESTION.>>WE WILL GO TO DAVE AND ROSENFELD WITH L.A. DAILY NEWS. PLEASE GO AHEAD.>>THANK YOU FOR TAKING MY QUESTION. I WANTED — IF YOU COULD REFLECT ON — WITH SO MUCH ECONOMIC TURMOIL AND SO MANY BUSINESSES THAT ARE GOING OUT OF BUSINESS, A LOT OF PEOPLE FEEL LIKE THEY ARE BEING FORCED TO DECIDE BETWEEN PUBLIC HEALTH AND THEIR BUSINESS REMAINING. I WONDER, HOW DO YOU RESPOND TO THOSE FOLKS? BE IT PROTECTING HEALTH OR OUT OF BUSINESS. DO YOU THINK THAT IS A FAIR CHARACTERIZATION AND HOW WOULD YOU RESPOND TO THOSE FOLKS THAT ARE FEELING THAT WAY? IN REGARDS TO THE JULY 4 DATE, IS THAT A COMPLETE PHASING? THERE STILL BE A FINAL PHASE THAT WOULD NEED TO TAKE PLACE? IT HAS BEEN VERY CONFUSING IN RECENT DAYS. YOU SAID THREE MONTHS LESS THAN A WEEK AGO. THE MESSAGING IS CHANGING QUITE OFTEN SHARED I WONDER IF YOU COULD CLARIFY A LITTLE MORE ABOUT AFTER JULY 4. SUP. BARGER: ON THE FIRST QUESTION, WHEN WE FIRST PUT INTO PLACE SAFER AT HOME, THERE WAS A LOT WE DID NOT KNOW ABOUT COVID-19. WE HAVE LEARNED A LOT SINCE THEN. THAT WAS WHY IN THE BEGINNING WE WERE NOT REQUIRING FACE MASKS. THE GOAL WAS NOT TO KILL BUSINESS. THE GOAL WAS TO SLOW THE INFECTION RATE. AS WE HAVE BEEN ABLE TO LIFT THE RESTRICTIONS, WE ARE DOING THAT. THE GOAL IS TO DO IT IN A SAFE AND RESPONSIBLE MANNER. AS IT RELATES TO JULY 4, THIS IS BASED ON OUR SECTORS AND WHAT THEY ARE TELLING US IN TERMS OF NEED. SMALL BUSINESSES HAVE BEEN DISPROPORTIONATELY IMPACTED. MANY ARE NOT SURE IF THEY’RE GOING TO BE ABLE TO COME OUT OF THIS AND REOPEN. IT IS A SENSE OF URGENCY ON MY PART TO MOVE AS QUICKLY AS POSSIBLE WITH THE SECTOR RECOMMENDATIONS UNDERSTANDING THAT PUBLIC HEALTH IS GOING TO DRIVE THAT DISCUSSION AND PROVIDE THE PARAMETERS AS TO HOW EACH SECTOR IS GOING TO REOPEN. FOR ME AND WHAT I HEARD YESTERDAY BY OUR SECTOR LEADERS, ESPECIALLY IN INDUSTRIES SUCH AS RESTAURANTS, TIME IS OF THE ESSENCE. WE ALSO HAVE TO RECOGNIZE THE STATE HAS TO PROVIDE THE OVERARCHING AUTHORITY AND ALLOW US THE ABILITY TO REOPEN CERTAIN SECTORS THAT RIGHT NOW ARE NOT ON THE LIST. MY GOAL IS TO DO IT WITH A SENSE OF URGENCY RECOGNIZI PUBLIC HEALTHNG HAS TO COME FIRST. IT HAS BEEN A VERY DIFFICULT CALL. YOU HEAR DR. GHALY TALK ABOUT THE FACT THAT WE HAVE FLATTENED THE CURVE AND MAINTAIN STABILITY, IT TELLS ME WE DID IT. I KNOW EVERYONE REMEMBERS NEW YORK CITY. THAT IS THE LAST THING WE WANTED TO HAPPEN IN LA COUNTY. DO BELIEVE BECAUSE THE COMMUNITY CAME TOGETHER, WE WERE ABLE TO PREVENT THAT. IT IS TIME TO MOVE FROM SAFER AT HOME TO SAFER AT WORK AND IN OUR COMMUNITIES. I BELIEVE THE SECTOR LEADERS READING FOR THE RECOMMENDATIONS WILL BE ABLE TO DO THAT. IF NOT BY JULY 4, FOR JULY 4 WORKING WITH THE STATE. WITH THAT, WE ARE GOING TO DO OUR COMMENTS IN SPANISH. THANK YOU.>>BUENAS TARDES. NO DA TRISTEZA INFORMAR QUE 57 PERSONAS ADICIONALES HAN FALLECIDO POR COVID━19 Y ESTO ELEVA EL NÚMERO 1970 AL CONDADO DE LOS ÁNGELES. EL 39% SON LATINAS, EL 18% SON ASIÁTICAS, EL 12% SON AFROAMERICANAS, EL 1% SON NATIVOS DE HAWAI O DE LAS ISLAS DEL PACÍFICO Y EL 1% DE OTRA ETNICIDAD. 92% DE PERSONAS QUE MURIERON DE COVID━19 TENÍAN UN DELICADAS AFECCIONES DE SALUD. HOY ESTAMOS APORTANDO 1224 CASOS NUEVOS. TÍPICAMENTE VEMOS MÁS CASOS REPORTADOS LUNES Y MARTES PORQUE REPORTAMOS LOS DATOS DEL FIN DE SEMANA. ESO ELEVA EL NÚMERO 40287 EN LOS ÁNGELES. ESTAMOS REPORTANDO 314 ENTRE PERSONAS SIN HOGAR. 163 EN ALBERGUES FUERON AISLADOS Y LOS CONTACTOS CERCANOS EN CUARENTENA. DA TRISTEZA REPORTAR UNA PERSONA SIN HOGAR ADICIONAL Y ESO ELEVA EL NÚMERO A SIETE. 5600 PERSONAS QUE DIERON POSITIVO FUERON HOSPITALIZADOS. ACTUALMENTE, 1531 PERSONAS QUE RESULTARON POSITIVAS PARA COVID━19 Y ESTÁN HOSPITALIZADAS. EL 28% DE TAL PERSONAS ESTÁN EN CUIDADOS INTENSIVOS, EL 7% ESTA PERSONAS USAN VENTILADORES. CADA DÍA VEMOS EL NÚMERO DE PERSONAS HOSPITALIZADAS QUE DISMINUYE. 436 ENTORNOS RESIDENCIALES Y NO RESIDENCIALES CON AL MENOS UN CASO SOSPECHOSO. 35 SON INVESTIGACIONES CERRADAS. 10392 EL NÚMERO DE CASOS INSTITUCIONALES, TANTO PERSONAL COMO RESIDENTES. 6776 SON RESIDENTES. NOS DA TRISTEZA INFORMAR QUE 1033 PERSONAS QUE VIVÍAN EN ENTORNO INSTITUCIONAL MURIERON POR COVID━19 Y ESTO REPRESENTA EL 52%, LA MAYORÍA VIVÍA EN CENTRO DE ENFERMERÍAS ESPECIALIZADAS. 659 CASOS REPORTADOS EN LAS CÁRCELES, 515 EN PERSONAS ENCARCELADAS Y EL RESTO SON EMPLEADOS. LA OFICINA DEL ALGUACIL INFORMA QUE 252 PERSONAS ENCARCELADAS DIERON POSITIVO POR COVID━19. 337 ESTÁN EN AISLAMIENTO Y MÁS DE 5000 EN CUARENTENA. 146 CASOS EN LA PRISIÓN ESTATAL Y EL RESTO PRISIONES FEDERALES. PUBLICAMOS TODOS LOS CASOS EN EL SITIO WEB DEL DEPARTAMENTO DE EDUCACIÓN PÚBLICA. ━━ DEPARTAMENTO DE SANIDAD PÚBLICA. EL DEPARTAMENTO DE BOMBERO INFORMA QUE 239 PERSONAS DE SU PERSONAL HAN SIDO EVALUADOS, 23 HAN DADO POSITIVO, 19 HAN REGRESADO TRABAJO Y CINCO ESTÁN EN ENFERMOS. HAY CITAS DISPONIBLES EN LOS SITIOS REGIONALES Y PUEDA HACER UNA CITA EN LA PÁGINA. ME COMPLACE COMPARTIR INFORMACIÓN SOBRE EL ESTUDIO DE SEROLOGÍA QUE HACEMOS CON LA UNIVERSIDAD DE CALIFORNIA EN COLABORACIÓN. COMO RECORDATORIO, LAS PRUEBAS DE SEROLOGÍA NO DIAGNOSTICAN, PERO SI DETECTAN SI ALGUNA PERSONA ESTUVO EN CONTACTO CON EL VIRUS Y DESARROLLÓ ANTICUERPOS. REALIZANDO ESTAS PRUEBAS PODEMOS COMPRENDER CUANTAS PERSONAS FUERON INFECTADAS Y CÓMO SE PROPAGA EL COVID━19 EN NUESTRO ESTADO. PARA LA PRIMERA RONDA HICIMOS LA PRUEBA EN 863 EN EL CONDADO DE LOS ÁNGELES ENTRE EL 10 Y 14 DE ABRIL. LA SEGUNDA RONDA SE REALIZÓ 8 AL 12 DE MAYO E HICIMOS LA PRUEBA EN 1200 ADULTOS. LAS PRUEBAS EN EL HOGAR SE HICIERON LOS ÚLTIMOS DOS DÍAS. 2% DE LOS ADULTOS DIERON POSITIVOS Y ESO SE COMPARA CON EL 4% DE LOS 863 ADULTOS EVALUADOS EN ABRIL. ES IMPORTANTE MANTENER EN CUENTA QUE LA DIFERENCIA ENTRE LOS DOS RESULTADOS SE PUEDE DEBER A UNA EVALUACIÓN AL AZAR. LA 2 ENCUESTAS UTILIZARON DIFERENTES UBICACIONES DE SITIOS DE PRUEBAS Y PUDIERON ATRAER DIFERENTES POBLACIONES. LA PRIMERA MUESTRA SÓLO SE OFRECIÓ EN INGLÉS Y LA SEGUNDA MUESTRA SE HIZO EN ESPAÑOL Y MANDARÍN ADEMÁS DEL INGLÉS. LA SEGUNDA ENCUESTA PUDO HABER TENIDO MÁS RESULTADOS NEGATIVOS FALSOS SI LOS NIVELES DE ANTICUERPO DISMINUYERON ENTRE LAS PERSONAS INFECTADAS TEMPRANA LA PANDEMIA ANTES DE LA ORDEN DE MÁS SEGUROS EN CASA. A PESAR DE ESTAS LIMITACIONES LOS RESULTADOS SUGIEREN DE QUE NO HUBO MUCHA PROPAGACIÓN DEL VIRUS EN LA COMUNIDAD DURANTE EL TIEMPO DE LA 2 ENCUESTAS Y ESTO SE DEBE, PROBABLEMENTE, HACEMOS UN BUEN TRABAJO ESTANDO EN CASA, DISTANCIANDO FÍSICAMENTE Y USANDO CUBIERTAS PARA LA CARA. AUNQUE EL TAMAÑO DE LA MUESTRA ES RELATIVAMENTE PEQUEÑA PODEMOS COMPARTIR ALGUNAS ESTIMACIONES SOBRE QUIÉN TENÍA MÁS PROBABILIDADES DE HABER SIDO INFECTADO LA MUESTRA. LOS HOMBRES TENÍAN MÁS PROBABILIDADES QUE LAS MUJERES DE HABERSE INFECTADO. LA PREVALENCIA ESTIMADA ERA DE 2,8% ENTRE LOS HOMBRES Y 1,4% ENTRE LAS MUJERES. SÓLO HUBIERON DIJERA DIFERENCIAS POR RAZA Y ETNICIDAD. HUBO DIFERENCIAS EN LAS TASAS POR NIVELES DE INGRESOS, EL 1% DE PERSONAS CON NIVELES DE INGRESOS MÁS ALTOS FUERON POSITIVOS. HUBO DIFERENCIA EN LAS TASAS POR GRUPO DE EDAD. LOS QUE TENÍAN ENTRE 18 AÑOS Y 54 AÑOS TENÍAN TASAS MÁS ALTA A COMPARACIÓN A LAS QUE TENÍAN DE 50 Y CINCO AÑO O MÁS. ━━ 55 AÑOS O MÁS. ESTOS DATOS SON PRELIMINARES Y SEGUIREMOS TOMANDO MUESTRAS PARA ENTENDER MEJOR LAS PREVALENCIAS EN EL CONDADO. HAY UN PAR DE LIMITACIONES EN ENCUESTA Y QUE NO INCLUYE A LOS GRUPOS DE MAYOR RIESGO COMO LOS QUE VIVEN EN REFUGIOS, CÁRCELES, Y OTROS. ES POSIBLE QUE LA ENCUESTA NO HAYA REPRESENTADO ADECUADAMENTE A QUIENES VIVAN EN LA POBREZA EXTREMA. HAY PLANES PARA HACER ESTUDIOS ESPECIALES DE ESTAS POBLACIONES DE ALTO RIESGO. LAS ENCUESTAS NO HAN INCLUIDO NIÑOS Y ESTAMOS PLANEANDO UNA QUE LO HARÁ. MUCHOS DE LOS HERMOSOS ESPACIOS AL AIRE LIBRE ESTÁN ABIERTOS Y PODEMOS DISFRUTARLOS MIENTRAS USAMOS NUESTRAS CUBIERTAS DE CARA Y PRACTICAMOS EL DISTANCIAMIENTO FÍSICO. DEBEMOS CUIDARNOS DE NO CREAR AGLOMERACIONES. DEBEMOS CUIDAR NO ESTAR EN REUNIONES PORQUE NO ESTÁN PERMITIDAS. PASEMOS UN BUEN TIEMPO CON PERSONAS DE NUESTRO HOGAR, FAMILIARES Y AMIGOS DESDE LEJOS CON HERRAMIENTAS TECNOLÓGICAS. MUCHAS GRACIAS.>>BUENAS TARDES, ES UNA PREGUNTA PARA LA DOCTORA FERRER. MUCHAS PERSONAS NOS HAN PREGUNTADO SOBRE LA POSIBILIDAD DE ABRIR NEGOCIOS Y SI NO ES MUY PRONTO. EXISTE ALGÚN PLAN PARA CONTROLAR LAS MEDIDAS SANITARIAS? DOCTORA FERRER: MUCHAS GRACIAS. ENTENDEMOS QUE LOS EMPLEADOS Y CLIENTES ESTÁN PREOCUPADOS POR LA SEGURIDAD. CADA NEGOCIO ANTES DE ABRIR NECESITA ASEGURARSE QUE CUMPLE CON LOS PROTOCOLOS Y ESOS PROTOCOLOS ESTÁN EN EL WEB DEPARTAMENTO DE SALUD PÚBLICA. SI ALGUIEN ESTÁ INTERESADO SOBRE ESTOS PROTOCOLOS PUEDEN VER LOS ANUNCIOS Y PROTOCOLOS DE LOS NEGOCIOS Y SI DEBEN USAR MASCARILLAS, USAR RÓTULOS Y LA BASE LAS MANOS Y TENER GEL CON ALCOHOL PARA COMPARTIR. [HABLA EN INGLÉS]


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