Treeuate those first flights coming from Mainland China from wuhan and elsewhere. The second phase was the mitigation phase. Adopting strategies as we saw the first case of Community Spread to advance stay at homeorders for our seniors to begin the process of closing down our schools, Population Based strategies. To mitigate spread. That included at scale a statewide stay at home order. And then the efforts to continue to practice physical distancing. We then started to move into the third phase. The phase that could broadly be describe the as the phase of surging. Surging our system not only our Hospital System but our alternative care system to meet a potential demand that required not only physical assets, rooms, but also people and protective gear. Ventilators, masks, gowns, coveralls and the like. The next phase, the phase they want to speak to all of you today about is a phase that i would frame as an optimistic phrase. That we move from surge and we begin to transition into suppression. Ultimately on our way to hurt immunity and ultimately to a vaccine. But in this transition where we do see light at the end of the tunnel, where there is an array of optimism and hopefulness that this too shall pass, its also perhaps the most difficult and challenging phase of all. And that is to say a lot. Because the last few weeks and months have been very challenging for all of us indeed. But this phase is one where science or public health, not politics, must be the guide. Where we must be open to argument. Interested in evidence. Where we cannot be ideological in any way, shape, or form interms of how we approach a condition that changes on an hourly and daily basis. Conditions that will ultimately determine what better decisions we make in terms of that transition. So today we want to create a frame work. To process that weve been having and that weve been engaged in for the last few weeks. And basically pull back the curtain on the private conversations and make them public. So you will get a sense of the questions were asking, and the questions we need answered before we ultimately can move out of a popuonapproa erybodmestate of california. And ultimately get us back to that sense of normally. We have a parameter. We have a frame work that will guide our Decision Making. And well make that very public in just a moment when i ask dr. Angel to come up and avail ourselves to questions. Not only from dr. Angel but dr. Ghali and others that are present here today. But the frame work is predicated on the ability to do six things. The most important frame work is our capacity to expand our testing. To appropriately address the tracing and tracking of individuals, the isolation and the quarantine of individuals using technology and using a work portion that needs to be trained in an infrastructure that needs to be in place in order to begin the process to transition. Ill talk more about that and well be more descriptive in terms of what that looks like. The second phase is maintaining our vigilant on protecting the most vulnerable populations in the state of california. From infection and spread. Primarily our seniors, those with immune order issues and specific strategies and interventions around addressing the needs of our homeless asexamples of addressing those vulnerable populations as a top priority. Number three is, addressing again the on going needs of our hospital and alternative care Delivery System. To meet the needs of potential surges as we adopt new strategies, as we loosen the stay at home orders ultimately and eventually the prospect of increase infections and spreads. We need to make sure that, that infrastructure is protected and e,just again the mas and ventor shields. But alsosure that we have a myriad of otherprotective gear for that work force. And to make sure that we are capable from an icu perspective and hospitalization perspective to meet any additional surges. Fourth frame is to continue the work weve been doing on a weekly basis. That is to engage academia. To engage our resource partners. To engage those that are on the frontlines and happen to be here in california. Companies like gilead. Companies like genetech. Incredible operations that are coming from our Hospital Systems, uc, stanford, usc, scripts, and others including our nationals labs. Number five is the incredible importance of redrawing our floor plans. And that is quite literally a responsibility if we are moving into a next phase of our businesses so that we can practice safe physical distancing within the premise of a business. Within and around a school site and facilities large and small public and private all throughout the state of california. So quite literal strategies, guidelines and expectations on what physical distancing would look like within those facilities all not just broadly out on the streets our parks, playgrounds and tlcoas and finallour capa wato ton tha and reinstate more vigorous controls. And that is just a process that will perhaps be the most challenging. If indeed we lean in and then have to lean back out as we toggle from stricter to looser interventions. Back and forth. As things change, as data comes in, as Health Concerns make themselves real in terms of that data or at least more obvious our capacity to pull you back in and encourage people to advance the social distancing, the stay add home and physical distancing that has gotten us to this point today. And so that is the frame work. Those are the six frames of focus that we will monitor and that we will process as we make the determination through this process of architecting a next phase in this pandemic that we will be processing and at least making more public here today. With that i want to ask dr. Angel to come up. She will walk through a number of those steps and well try to answer and anticipate as many of our questions as we can. In the outset, i will come back up and talk a little bit more about what normal may look like. Because normal is anything but. And i will be honest and sober about that as it relates to that bridge ultimately toward the vaccine. And i will just end before i ask the doctor by making this point. I recognize what you recognize. Two things, that you, individuals, through the extraordinary behavior, millions of you, because you have practiced physical distancing, you have been the curve in the state of california. The models have changed because of your behavior. And that puts us in a position to be able to socialize, again to make public en having about this next phase. But number two we do so soberly. Today we had a Record Number of deaths that we are reporting. 758 individual stories, families, and lives torn apart. 71 individuals that lost their lives just since the last reporting that i gave you yesterday. We are sober about the fact that we are still seeing an increase, modest that it may be hospitalizations, but also the total number of individuals tested that we are not out of the woods yet. And we are not spiking the ball. But we also extend a recognition in that light that this cant be permanent state. And i want you to know its not. It will not be a permanent state. We recognize the consequences of these stay at home orders have a profound impact on the economy, your personal household budget. Your personal prospects around your future if you just lost a job or wages or struggling with your dream and that is to keep your dream afloat as business person thatything onhe line and becae of the stay at home orders are. Those dreams are to this new reality. We recognize that the stay at home orders impact us all differently. Certainly impacts those of low income differently. Than people with needs. It impacts communities deferentially. Depending on the resources within those communities and the capacity for Community Members to all come together and help support one another. Its limited in certain parts of our state. And of course the impact to the Health Care System. Theyve done such a magnificent job. Not just anticipating a surge, but decompressing their own system. Creating slack. That has had a profound economic consequence on our Health Care Delivery system. Not just the hospitals but primary care physicians, surgical operations, Community Clinics and the like. If this were the new normal, those systems would be devastated in a way that would be difficult even if there is a strong recovery to recover any time soon. And if you can create more Health Problems down the road as we continue to delay elected surgeries that no longer become elected surgeries. Or we are not doing our checkups and preventive work that ultimately become acute care issues. Again all of these things we recognize require us to begin to at least make public our thinking as we transition from surge to suppression and ultimately bridging toward herd immunity and immunizations. With that the vaccines we look forward to the presentation of dr. Angel and of call of your questions. Thank you, governor. I would like to start first as we embark on this conversation about modifying where we are now about a road map to modifying our stay at home orders whe weve be, our planning to date. As weve discussed, dr. Ghali shared this with you this past week. Our focus has been on making sure our care Delivery System is secure, so its there if we need. Particularly in a time of surge. As we look at this, across the horizontal is time. This is the number of hospitalizations. You will see that first of all we had anticipated through forecasting that with no modifications, with no interventions, indeed our Surge Capacity would go far beyond what we could manage and cause excessive doubts. We have over time and because of all of you in california, because of people staying home, weve really started to, so to speak, bend the curve. So this line shows where we would go if we had continued with our current interventions staying at home. And you will see that not only are we following that line, in fact, with respect to hospitalizations, we are doing even better. But that doesnt mean we can let open and send everybody back into the streets and resume life the way we were. Because indeed if we remove all of our interventions, we again will expect the surge. The opportunity now at this cadify, moex talk about wamakes it easier for all of us and continues to protect the health of californians. So our goals moving forward as outlined by the governor, until we build immunity and can know that we are safe from covid 19 in our communities, our actions will align to achieve the following. First of all, we need to ensure that we have the ability to care for the sick within our hospitals. This is something that weve worked hard for, we are confident we are moving in that direction now. But we have to be very thoughtful. As we change interventions, as we make it possible for people to move around more freely, we do know infections could increase. And indeed there may be more demands on our hospitals. It is essential we assure our ability to care for the sick as we think and before we move rapidly along changes. Secondly, a very important goal of ours is to prevent infection in people that is at high risk for severe disease. As you know to date, everything you have done is to make sure that we can protect those that are most vulnerable from being exposed. That includes elderly in california, helping them stay at home safely, and particularly those who may be in congregate settings, helping to protect those settings. And also those that are homeless and incarcerated and other places where we know should the infection go, we need to be ready to respond. And therefore as weabou inrvenone stilrazop inmaking public details on al our th we h that in a bit. As the governor spoke to special ways we can think about increasing enhancing the current Contact Tracing that we do to make sure we identify people who may have been sick and exposed and make sure we help them, support them in a place where they prevent the inspection from spreading further. That is another essential area as we think about this work. We know that protects all californians. And we foods to be clear the actions we do move forward in helping to reduce the social, emotional, and economic disruptions that we know many of us are experiencing right now as a result of the stay at home orders. This is because we know particularly that where we are now while exceedingly important and its why we are on this suffer and why we have the luxury of being thoughtful about modifications, where we are now, they certainly cant be sustained. They are difficult to sustain in a long period of time. We know they have an impact on the economy. An impact on poverty. And an impact on our health care. Ultimately as we think about changing modifications, we need to consider not only the direct impact that covid 19 has on our health and well being, but also realizing that as we change modifications, we need to make sure that all of those other areas that impact health. Like poverty, like accessing care all of those areas addressed too. So we improve the over all health and well being of californians. So im now going to talk with you about the six indicators for modifying a stay at home order in california. To be very clear, this is not simply about a set of indicators where we check and move on. This is not about a turn off and turn on. This is a thoughtful process about how we modify our policies so ultimately we protect the health of californians. And i will share with you now how we are thinking about each one of those indicators which we will be assessing over time and making sure we have all of the provisions in place to make sure we have everything to make people healthy. The first indicator we are looking at is the ability to monitor and protect our communities through testing, Contact Tracing, isolating and supporting those that are positive or exposed. A couple key questions we will be asking yourselves, for example, how prepared is our state to test everyone who is symptomatic . This doesnt mean we cant take action before we have entire testings available for everybody across every place in the state. But something that is essential for us to understand as we think about what kind of modifications are appropriate. Another example is do we have the ability to identify contacts of those that are positive to reduce further transmission . Again, this is talking about how we are able to contain the further spread of infection when we identify it in the community as soon as we identify it in the community. Creating more opportunities about movement in the community. More opportunities for infection. And unfortunately more opportunities for potential movement of covid 19. Number two, the ability to prevent infection for people who are at risk for severe covid 19. A couple key questions we will be asking ourselves are older californians and the medically vulnerable living in their own homes supported so they can continue appropriate physical distancing . Across the state we have over 6 million older adults who are either isolating in their home, or may be in congregate setting. And every one deserves the support they need to stay safe in their own home. And we are thinking carefully about how we together working with the state and counties have the ability to make sure that these older adults in their homes or medically at risk are kept safe as we move forward and think about modifications. Have we developed a plan to quickly identify and contain outbreaks in facilities, older californians, and those incarcerated and with those morbidities. This is a congregate settings where we know people are living. We have done a lot to put programs in place that help identify when they are outbreaks. That help provide resources immediately to those settings. And address the very difficult staffing questions. But there is more work to do and over the coming weeks we will be focusing heavily on that to make sure as we lift, again, and make it available for people to move, that, that doesnt put these populations at greater risk. The ability of the hospital and Health Systems to handle surges. As i mentioned as we start to loosen up, there is the responsibility for more movement of covid 19 and we need to make sure our hospitals are prepared for that. Some of the key questions well be asking ourselves include do we have adequate bed capacity . Staff and supplies. Over the past few weeks we have heard again and again the hard work weve been doing across the state, locally, but particularly across the state procuring masks and the number of ventilators we need to make sure if we rely on our care Delivery System and we need those ventilators they are there for us. We have made great progress. We will continue to watch this because this is a very important area. And can our Health Care System adequately address covid 19 and other Critical Health care needs . This reminds us once again that while our care Delivery System is very well situated at this moment to deal with the amount of cases that we are seeing, it hasnt been necessarily providing the kind of care we do for regular our regular Health Care Means over the time because many of those excess have been developed by canceling elected surgeries. Or putting off and postponing things that are not immediate. We need to move back into a space where we can make sure peoples Health Care Needs are regularly met effectively. Number four the ability to develop they are puttics to meet the demands. We feel like this is an important place for california of all states and in particular to be engaged in this because there is so much innovation and advancements in our medical community here in california. We have a unique opportunity to collaborate and make sure that these therapeutics continue to evolve. They allow people if they do get sick to recover more quickly. And not end up in our care Delivery System. This is an opportunity to save lives and for individuals and make it safer for our community at large. Some of the key questions and activities well be engaged in include have we built a coalition of private, public academic partners . And have we identified potential therapeutics that have shown promise. Some of the key questions as we think about enhancing this includes have we worked with businesses to support physical distancing practices