Officials say that person had Underlying Health conditions and had recently returned from a San Francisco to mexico cruise. In washington, another death was announced bringing the total there to ten. Placer county officials also held a News Conference today. Placer county Public Health has been conducting intensive Contact Tracing to identify and Contact Health care workers and Community Members who were expos individual. Officials say they think the person had Minimal Community exposure between returning h spo ntcted coronavirus. Princess cruises has identified the patient as a 71yearold man. And that patient is not the only Northern California resident on that creuise who later tested positive. Now crews passengers on that ship are being warned once again. You can see the cruise ship right there. And kate larsen is live with the latest. Reporter well, originally that cruise ship was supposed to come back to port here in San Francisco on saturday morning and then this morning princess announced that it was going to be returning here to San Francisco tomorrow. S frciti of tho ten minutes, weve learned that the previous leg of this cruise, there were actually three diag with coronavirus, subsequently not just the two reported this morning. And weve learned that people on the cruise ship are reporting flulike symptoms. Kate, thank you. Well get to this News Conference that the governor is holding right now to talk about coronavirus. Lets listen. In the last few hours it was confirmed in Placer County that individual passed away. A number of cases in the state of california is 53. And i want to reinforce that 53, ive read a lot, seen a lot, been a lot of media reports about the number of people that tested positive in the state of california. That number as of today is 53. Ill remind you that includes 24 individuals that were repatriated in the state of california, 29 individuals that have subsequently been tested positive. As you know, we moved into the phase of repatriation going back early part of january, more formally at the end of january. The first phase of our engagement as it relates to the novel coronavirus. The second phase of that was monitoring people that had come through both San FranciscoInternational Airport as well as l. A. X. That number at the time you may recall [ inaudible ] we estimate that number to be closer to 9400 people that we are monitoring over 49 counties in the state of california. So first phase of our engagement on the coronavirus repatriation, second phase the monitoring of people that came in on commercial flights through those two International Airports, and then those are currently being monitored again by 49 jurisdictions in the state of california. That number now totals 9400. Third phase was last week or so, First Community spread case in the state of california, here in Northern California, and as you know, Community Spread is no longer just the northern part of the state. Weve had a number of incidents throughout the state of california no longer north, now in southern california. We have accordingly with this new icu patient that passed away entered into the next phase that has required me under circumstances to advance a proclamation of a state of emergency in the state of california. This is not something that i say hyperbolically and shouldnt be reported as such. The proclamation is to serve to help advance our resourcesic so environment, to provide clarity in terms of jurisdiction and oversight capacity as it relates to the access and utilization of state property, be it fairgrounds or other state properti properties. Allows us to move forward with the kind of proceed you curement with medical supplies or other monitoring or you suppression efforts that would allow us to move forward without any hurdles. Allowso share data in a way that i think is advantageous to dressing the spread and making sure that all of our jurisdictions, local, regional, state and federal partners are sharing that same information. Allows us travel capacity both on the ems, emergency medicine side, as well as more broad travel capacity. And it allows us to access out of state talent, allows folks to come in with their licensing and credentials into the state of california and many ta maintain help aid our efforts. So that is the framework of the proclamation of the state of emergency. That decision was made not just because of the individual that tragically passed away today, but because of another s circumstance that i wanted to update you on as well. The individual that passed away in Placer County as you may have heard a few hours ago was on a cruise. That individual went to a cruise or went from San Francisco down to mexico and back in february. February 10 to february 21. That individual came back with a number of others into not only Placer County area, but many other folks were on that cruise from the state of california. By one estimate, over 50 of the passengers which total roughly 2500 passengers, that does not include the crew, are californians. We are working very closely with cdc and working closely with our Health Care Partners up and down the state of california to contact all of the individuals from the manifest. We are in possession of the manifest of those passengers from that cruise. And working with our local partners, they will be contacting people in their jurisdictions in every part of the state of california. Those that are not california residents, the cdc is advancing protocols to do the same for folks that wree sireside in oths of this country and we are assessing how many people were on that cruise from other parts of the globe as well. What is important for you to know is the following that cruise that ended on the 21st, that same ship set sail a few days later to hawaii. That cruise ship is making its way back towards the state of california, specifically back to the city and county of San Francisco. It was due to arrive this evening. That ship weve requested to be delayed, the arrival to be delayed, and the ship is currently off the coast. And currently that ship is now being delayed to provide ample opportunity for the cdc partnership with coast guard and with state Health Officials to conduct tests. Because we have a number of passengers and crew members that have developed symptoms on this cruise ship. It is the grand princess cruise ship. As a consequence, we will be flying testing kits to the cruise ship and we are going to be sending those quickly back to the state and primarily well be to test very quickly within just a few hours those samples to determine whether or not these individuals just have a traditional cold or flu or may have contracted the covid19 virus. We also will expand the testing protocols to even more passengers as there are a number of passengers that held over from the mexico trip and made their way on to the second cruise into hawaii. So we are mpmatic, but also to address some of the anxieties of those previous passengers that are holdovers on the second cruise. So were holding that ship which isnow thousands of passengers a well. And were working very collaboratively with the federal government and the cdc on the manifest of those passengers that disembarked in the california, particularly as i said those residents. And that sort of led ultimately to the conclusion that proclamation of a state emergency would be appropriate under the circumstances. This proclamation is not about money, it is about resourcefulness, it is about our ability to add tools to the tool kit. We are well resourced. Oftentimes when you do a declaration of emergencies, particularly with wildfires, it is to drive down the federal resources. And we are already the beneficiary of 37 million of emergency grants that are forthcoming in the state of california, this part of the 8. 3 billion appropriation that was approved by congress today. And as you know, i mentioned on multiple occasions the state around tis pay thing the need, we had 20 million set aside and were working to get clarity on the ability to use those dollars. But were early in the fiscal year and as a consequence people have ample budgets in this space. So again, money is not the issue for the state of california. But we are very blessed by the federal response and the good work of speaker congressional delegation to allow california to be well positioned and well resourced at all levels of government not just the state, but at the local level, to address this challenge headon. So that that is a lay of the la broad strokes. It is a dynamic situation as it relates to the cruise ship, but nothing that should be alarming. Appropriate protocols are in place and as i said, the ship will not come on shore until we appropriately assess the passengers and appropriately assess the protocols and proe procedures once people make it back on to state property. We are working closely with the city and county of San Francisco, the port commission, and of course the mayor, mayors office, and are grateful for their support. To this. And as i noted, i want to just acknowledge that with 53 tested cases positive, this is no longer isolated. Just one part of our state, this is broadly shared as a burden, a responsibility up and down the state. And i want to thank local hi wisely and ing those tt appropriately advanced a similar proclamation in the city and county of los angeles, many other cities have done the same over the course of the last few week. One of the provisions of our proclamation of a state of emergency allows for the ability for the local emergency declarations to extend without having to constantly be updated as is the case under statute, every 350 0 or 60 days dependinn the jurisdiction, this would extend those as permanent through our executive order. Or rather through our proclamation. And more broadly the stated goals of that proclamation. One final point i want to make. And that is something that is being highlighted, a point of consideration and concern, and se ler sanitizers like this goi for 17, ive seen some online for even more. That is unconscionable and we need to go after those that are price gouging. Not just for hand sanitizer, but medical supplies and other equipment. Proclamation allows that to be addressed with the kind of urgency that is appropriate for the moment at the level of the attorney general. There will be a consumer alert going out to make sure that we are aggressively monitoring that kind of price gouging. And i just want to the extent it is of interesting, i want to acknowledge amazon. To their credit, we were critical of some of the how their platform was used and some of these products that uhe sore yusly were priced. Amazon immediately got back to the state of california and are working to go after those that are taking advantage of customers. That is the spirit with this we were hope heing to sing to see other platforms provide similar response to address the price gouging across the country. So that is the update. Im here with the team that we have assembled, dr. Galley, dr. Angel, that will talk more specifically about protocols and procedures. I want to just make one final point, and that is we remain very pleased with our federal partners. I say that because you it needs to be said. We are well resourced as it relates to tests now. You it nee to be said. We are well resourced as it relates to tests now. That was a critique in the past, but we have over 5904 tests as of this morning that we can access with absolute confidence that will drawdown as those tests are used and conducted, were able to drawdown more federal support in that space. That is an important update because again that was point of concern just a week or so ago. And now it is a point of compliment as it relates to cdc allowing the availability of those tests as well as the addition now of 14 labs in the state of california that are allowed to conduct those tests. That number will increase over the course of the next few days, 14 today. I expect that number to go as high as 20 in the next number of days. And we are also looking to resource our incredibly Rich University system and Research System and the protocols and procedures incredibly well established work they are doing at genomics as well. There will be more on that over subsequent briefings. But just know every resource in the state is being tapped in that respect and we are blessed to have a wealth of those resources here in the state of california. So with that, ill move it over to secretary galley who will talk more specifically and update you and verse weof cour hear to answer any questions when were done. Thank you, governor. Secretary for health and Human Services. I want to start by sharing our condolences with the family of the patient in placer. We knew this sad day would come. We are not unprepared for it. Todays proclamation does prepare us even more than we were before. We are able to more methodically work in a consistent way across the entire state with those Health Partners that the governor mentioned. Whether it is the Hospital Systems that we all trust, the providers in the clinics and the community, or our pen healpubli partners. The ability to push out consistent guidance around many of the issues that we know we need to be prepared for comess wi proclamation. The ability to continue the ongoing work with the cdc and other federal partners to assure that we have access to the federal stockpile for supplies when californians run short is a very important assurance that we have as the governor said enhan. The ability to work with the most vulnerable populations as we learn more when covid19 and the fact that older californians are more vulnerable than younger californians. That specific populations that dont easily isolate or have easy social distancing measures, we are standing and preparing to provide some of those solutions. So in aggregate, we know today that covid19 is still a disease that most people who get it do not experience severe symptoms. But we recognize that in certain regions and in certain populations, they do experience more severe symptoms and require our hospitals and our clinical Delivery System to be prepared for that. We continue to work on our pandemic plan for the state modeling exactly what we expect to see in the days, weeks and months to come and preparing for those scenarios. We are working hard with the specific hospitals in counties where were seeing cases now and preparing to work with additional hospitals and systems across the state as we anticipate more cases to issues like the cruise ship with bei ae t with more local partners with specialist of patients or people who may have been exposed to individuals who are positive for covid19 is becomes easier because of the proclamation. Reaching back out to the federal government for supplies, rsnd f important part of what we are doing now. I want to thank all of our Public Partners in the local Public Health departments, they have been with us along the way. The governor mentioned the great relationship with all of our federal partners. That continues. Regular calls with the director of the cdc and all of his leaders on how we assess our situation, how we ensure thave using the best knowledge across the nation. The governor mentioned the wealth of knowledge and interest we have among our very innovative californians. We have welcomed a lot of great interest and ideas and we are working with a number of people across the state to make sure that our ready robust system can be as great as california can expect. I want to remind you that covid19, although we are here talking about our first death, that we know so many people who are going to be positive will not be this sick or nearly as sick as many of the folks were reporting on in the press and other reports, that we continue to unlg people who are orge peon moderate symptoms to call their Public Health department, their provider, their Hospital System first so that they can receive guidance as to whether they should come or whether they should stay at home. And that if they do come, that were able to accept patients in a very specific way so we know that we keep staff, our facilities and the patient as safe as possible. There are a of heai abou o sense thing we urge people do. Our evident affort and respons continue to be confident about our approaches, about the information that we receive, our partnerships across the state and country, and we look forward to ongoing updates as we invest time and energy into pushing out guidance to folks across the state. Not just those in the health Delivery System, Public Health system, but to all californiians so they can stay abreast of the situation. So with that, i will turn it over to dr. Angel, director of the California Department of Public Health. Thank you very much. As mentioned, im director of the California Department of Public Health. And i want to start by my condolences as well to the family members and loved ones of our patient who passed away from covid19. As Public Health officials, weed a hoped that california could be spared this loss. But you weve been planning and preparing for it for the possibility of it for a long time. Currently as mentioned california now has 53 confirmed cases. These cases do spread out across the state. But i want to really emphasize that for the health of the general public in california, the risk remai