Cooper, Cohen outline NC coronavirus vaccine distribution plan

2883 new cases have been reported since yesterday a record

high 2033 people in the hospital and sadly 5 284

people who died

Our prayers are with those who have lost loved ones

to this cruel virus

We're seeing cases and hospitalizations rise steadily as are many

states across the country

We're continuing to monitor the data and the trends closely

We need to keep doing what we know works wearing

a mask anytime

We're with people from another household and social distancing anytime

we leave our homes

As concerning as the numbers are I and many other

North Carolinians have newfound hope in the development of promising

vaccines

Madonna and Pfizer both have produced vaccines with remarkable early

results better than health experts ever hoped for

What we know so far is this safe effective vaccines

should be available soon

Our job is to be ready to get them to

people as quickly and effectively as possible

North Carolina is working hard to hit the ground running

when these vaccines are approved and shipped

For months our Department of Health and Human Services has

been developing a plan to distribute the vaccines so that

we can get past this pandemic

But there's still a lot of work to do to

get the vaccines from the manufacturers to our health care

providers like hospitals and health departments and then ultimately to

each of us

Our state is preparing to receive the Pfizer vaccine that

requires ultra coal storage

Health care providers with these capabilities have been identified across

North Carolina

We're a big state though with rural areas that stretch

for hundreds of miles

Every person is important and we'll work hard to overcome

the challenges that our geography presents

The cove in 19 vaccine will be free regardless of

whether someone has health insurance

Health care providers are being enrolled in the vaccination program

based on their ability to reach priority populations

Those who are at risk of exposure like healthcare workers

and those who are at risk of severe illness

Trusted providers like hospitals and local health departments will be

among the first to vaccinate people

These vaccines have made progress so quickly because of significant

improvements in science and technology all while following safety protocols

Researchers like we have right here in North Carolina have

been working on new vaccine technology for several years in

preparation for a global pandemic

Just like this and when it comes to determining safety

before the FDA will authorize thes vaccines and Independent Advisory

Board will review the data for safety

This advisory board has no loyalty to any company political

administration or individual

The board

The board exists to review the vaccine trials independently

I have confidence in this process

Health care workers people in long term care and those

at risk for Savile

Severe illness will come first but when it's my turn

to get this vaccine I'll be ready to roll up

my sleeve

At this time I'm going to ask Dr Mandy Cohen

our secretary of health and human services to share more

with us

Dr

Cohen Thank you Governor as you mentioned are trends are

worrisome

People are going to the emergency department mawr and seeing

covert like illness

Our cases are at their highest level since the start

of the pandemic and the percent of tests that are

positive is up

Too many people are becoming seriously ill with Cove in

our hospitalizations have hit record levels with over 2000 people

hospitalized right now across the state

Sadly more than 5000 North Carolinians have lost their lives

from this virus since our first death in March of

March 12th of this year

To give some perspective just under 1500 people died from

the flu in the past 10 years

In just 11 months Cove it had killed more than

three times that number

These air more than trends and numbers

They're real people with significant community spread across the state

Anyone of any age can transmit co vid to someone

who is at higher risk for serious illness

That's why our prevention tools those three W's air so

important wearing a mask waiting 6 ft apart and washing

hands often are proven to help prevent people from getting

sick keep people out of the hospital and save lives

Fortunately we're likely just a few weeks away from having

a new tool that we've all been waiting for

A Vaccine Cove in 19 vaccines will help us defeat

this virus and get back to the people and places

we love

Vaccines imitate an infection so their bodies think a germ

like a virus is attacking and we make antibodies that

we need to fight the rial germs if they come

and attack

The Food and Drug Administration and their external advisory committee

will review to vaccines this month between those two vaccines

More than 70,000 people have participated in clinical trials to

see if these vaccines are safe and if they can

effectively prevent someone from getting Cove in 19

The preliminary data looks very strong and we look forward

to reviewing the complete data when it's made publicly available

in the next few days

Once the vaccine is authorized for use by the FDA

states will receive a very limited supply at first to

determine who should get the vaccine first the North Carolina

Institute of Medicine convened an independent Covic Vaccine advisory committee

Our prioritization plan is based on their guidance along with

guidance from the National Academy of Medicine on equitable distribution

of vaccines

Initially this very limited supply of vaccines will go to

a limited number of hospital settings to vaccinate healthcare workers

at high risk of exposure to Cove

In 19 those who are caring for or cleaning areas

used by patients with cove in 19 as more vaccine

becomes available will be able to have vaccine distributed tomb

or of the state's hospitals and then to our local

health departments to focus on vaccinating are high risk health

care workers

Additionally long term care staff and residents are prioritized to

receive vaccines

Vaccinations at our nursing homes adult care homes and other

long term care settings are being managed by the federal

government

However the vaccines used in those long term care settings

will come from our state's vaccine allotment

We hope that by January our health departments and community

health centers will start vaccinating other high risk adults who

are at high risk for complications meaning they have two

or more chronic conditions and are at higher risk for

exposure

The key takeaways are that vaccines will initially be available

in limited settings primarily focused on our hospitals across the

state and then our long term care residents and staff

As the governor said the vaccine will be free to

everyone and any fees associated with administering that vaccine will

be paid by either your insurance company or by the

government

We've been hard at work preparing for this moment

Our vaccine plan outlines the critical steps needed to administer

a vaccine program of this scale anything from enrolling providers

to give those vaccines to ensuring that the vaccines are

distributed equitably and providers can properly store and handle them

to developing an I T system to manage vaccine supplies

and ensure that people get both doses of that vaccine

Training providers on how to use those I T Systems

toe have that process to monitor for any adverse reactions

And so much more states are going to need ongoing

federal support and federal dollars as we undertake such an

unprecedented effort

Having a safe vaccine within reach is an extraordinary achievement

but at the same time it is not a quick

fix

It will take several months to have enough supplies so

that anyone can readily get a vaccine until most people

are vaccinated

Those three W's remain our best tool to protect our

loved ones to make sure our hospitals air there the

for those who need them and to save lives

So whatever your reason get behind the mask

Thank you Governor

Thank you dot Cohen Appreciate your hard work and the

work of your staff

As the states are shouldering the job of vaccine distribution

we need more support and resources from Washington

I know Congress is facing a deadline this month to

keep the government running

I implore them to doom or to support families and

small businesses as well as the states which must create

networks for vaccine distribution

But then the next few weeks there will likely be

at least one approved vaccine

And with hope so close on the horizon we have

to keep using the tools we know slow the spread

of this virus to help save lives during the next

few months

Don't give up now when help is on the way

where a mask If there's ever a question about when

we should put on a mask air on the side

of wearing it it's an easy way to protect our

family and our neighbors and it actually helps boost the

economy

When we all wear our mass we help keep businesses

open and customers and employees safe practice social distancing

Any time we leave the house any time we are

near people we don't live with thes simple measures do

save lives

I also appreciate the continued efforts of local governments like

the city of Asheville Buncombe County City of Winston Salem

that are increasing enforcement of our existing strong orders

This enforcement along with MAWR local governments getting on board

can bring our numbers down and keep us from having

to go backward again

Don't give up now

We need to work together and stay vigilant

If we do I know we'll get through this

Also with us today is the director of emergency management

Mike Spray Berry and Commissioner of Prisons Todd Ishi

Monica McGee and David Pain are our sign language interpreters

and behind the scenes Erica Coogler and Jasmine Materia our

Spanish language interpreter's will be glad to take questions

And if you can identify yourself and your organization we

would appreciate that and we'll take the first one

Our first question is from Reuben Jones with spectrum News

Yes Good afternoon

This is Reuben Jones from Spectrum News in Charlotte

Um Governor Cooper you just uh praise some of the

specific counties for putting in place tougher restrictions around the

state

I wonder with the projections that the numbers are not

going to be going in the right direction following Thanksgiving

over the next week do you expect the state to

put in place any new restrictions

Uh in the next week we will do what we

need to do to protect the safety and health of

North Carolinians

All options are on the table but look at what

we have in place

Now we have a very strong fortified mask mandate

We have capacity restrictions and rules and restaurants and retail

stores

We have mass gathering limits

We have all of these protocols that are in place

that are designed to slow the spread of the virus

And if people will abide by those protocols if local

governments law enforcement and others will help us enforce those

protocols we can avoid having to go backwards

But we will do what we need to do to

make sure we've got hospital capacity

And I see you capacity

And to make sure that when somebody has a heart

attack or appendicitis that there is ah hospital bed and

surgeons and nurses ready for them

And already we have seen hospitals strained significantly in other

states

We do not want that to happen here

Next question please

Our next question is from Paul Wolverton with USA Today

Network

Hi Governor Paul Wolverton with the U

S

A

today Network

Uh there was a rumor last week that you were

considering a curfew possibly for nine PM statewide

Was there any kind of a curfew under consideration We've

continued to look at all options in order to reduce

the spread of the virus other

Some other states have done that and that's certainly an

option that is on the table

As I mentioned earlier we have a lot of protocols

that are in place right now that we believe if

people abide by them and if we can get them

enforced can help us slow the virus sufficiently

But all options are on the table

Next question

Our next question is from Robin Candidate with Fox 46

Good afternoon Governor

This is Robin with Fox 46

Will teachers school staff and first responders get priority in

receiving the vaccine So we've had an independent advisory committee

to help us with guidelines on and who comes first

with the virus

Health care workers who are on the front line people

with severe illnesses or that it could be severely ill

with co vid and those with chronic conditions

Come first we know that we're gonna get limited supplies

at first but I'll let Dr Cohen address a little

bit about how the protocols were set up

Dr

Cohen

Thank you Governor

Hi Robin

Yes is the governor mentioned and I mentioned earlier in

my remarks we had an independent um advisory vaccine advisory

Group that was convened by the Institute of Medicine here

in North Carolina

Brought together a lot of experts from around the state

and they uh did make recommendations to us

We also aligned those pro those priorities to the National

Academy a medicine which did also put out a set

of protocols for prioritization that we have been using

As we look into the future the governor said we

are gonna have a limited number of vaccine available

So the first folks that are going to see that

vaccine are going to be our hospitals in order for

them to vaccinate their healthcare workers that are at high

risk for exposure

Those that are caring for or clean the areas of

folks with cove in 19

As we get more vaccine will be able t o

share that with even more hospitals again focusing on our

front line health care workers who are at high risk

for exposure

Additional priority groups include our long term care both residents

and workers those air folks in nursing homes adult care

homes and other long term care settings So they will

be prioritized

In addition it will be adult

After that it'll be adults with two or more chronic

conditions that are that put them at higher risk for

severe illness

For Cove in things we have been talking about related

thio heart disease and diabetes

Um so those are the kinds of chronic conditions that

we're going to want to seek out

So if someone is a um a K 12 teacher

or a firefighter and they have two or more chronic

conditions they're going to be prioritized after we do our

health care workers and long term care workers that will

be the next group

That will be uh in line to vaccinate

I would caution that that will probably not be until

the January time frame for that group again because we're

starting with our hospitals health care workers and then moving

to our long term care settings

Thanks

Thank you

Next question

Um follow up Robin candidate Fox 46

So beyond the initial folks that you just mentioned the

health care workers the long term care facilities and then

those with chronic chronic conditions

Have you Have you made decisions beyond that On who

will be the next group dot com and I'll let

you

Hi Robin

Yes we have a full prioritization that is included in

our vaccine plan that we submitted to the federal government

is posted on our website

But we're really focusing on those those groups and we

want folks Thio most importantly understand there's gonna be a

limited supply it first we're gonna focus

Like I said on hospitals health care workers

Then we will move Thio working with our local health

departments to make sure we're getting all of our healthcare

workers that are are working with co vid patients um

and then to our long term care providers

So that's what we're gonna be

We just wanna make sure that folks are understanding that

first so limited supply at first few few folks will

be prioritized but we do have a full list of

prioritization that is included in our vaccination plan

Thanks

Another thing is important is that we want people to

get vaccinated when it's your turn

We have some concerns about people not wanting to be

vaccinated

And if it is authorized by this independent advisory board

and approved by the FDA I have confidence in it

I think most of our health care and health experts

will have confidence in it

We want people to have confidence in it because in

order for this to work we need to get as

many people vaccinated as possible

Next question please

Our next question is from Amber Lake with W I

t N Hi Governor Cooper

This is Amber Lake with W I

T N in Greenville

I was curious

In eastern North Carolina we have had some very high

profile infection like the Pitt County health director Dr John

Silver Nails and the most recent one is the farm

Bill

Mayor John Moore

Do you think that Pitt County and other NC counties

need to doom or in the fight against Kobe 19

This virus does not discriminate

Anybody can get it and anybody can transfer it from

one person to the other

There is community spread across the entire state of North

Carolina

I'm not sure where Pitt County ranks right now whether

it's yellow orange or red

But every single county in North Carolina right now has

cases and is at risk

So we want everybody to doom

Or uh not just Pitt County

We want local governments law enforcement businesses leaders in the

community

We want people to set an example about what they

can do right now to reduce the number of people

getting sick and dying and to reduce the number of

people who are having to go into our hospital and

take beds

And we know the way to do it toe wear

mass to social distance

Those were the things that we know work right now

that costs very little that can help us get through

this until we can get enough people vaccinated

Next question please

I'm our next question is from Richard Craver with the

Winston Salem Journal

Hello Governor

This is Richard Kramer with the Winston Salem Journal

Um we talked back in early November

Your your hopes about trying Thio see if the politicization

of wearing mask and things like that would go away

Postelection

Here we are close to ah month out and I

was just trying to get a sense for what you

feel like you can say two people who were declining

refusing to wear a mask that hasn't already been said

that you think might be able to get um them

to start adapting to it

I think to say that we're all in this together

and that wearing a mask is not for the person

wearing the mask as much as it is caring about

people who are around you

I think Mawr and more people are beginning to understand

that the science is very clear on this

That mass do indeed help reduce the spread and they're

most effective in protecting the people around you

The mask does provide some protection to the person wearing

it and that data has come online and we're seeing

that mawr and mawr

But more importantly it protects people around you and I

think it shows you know for people of faith you

wanna look after your neighbor and look after each other

Wearing a mask is one of the best things that

you can do to show that you care about them

because you may have the virus and not know it

You may have it and not have Simpson

You may have it and not have any symptoms

And we know a lot of people almost half of

the people may not have any symptoms at all

So I think it's it's an appeal to everyone who

cares about their neighbor who cares about their family that

this is something that is important to do

Next question

Please follow up

Richard Craver Winston Salem Journal

Yeah

Yes Governor

I had a follow up question

Um not toe sound overly negative in this instance

But also you are expressing a lot of confidence and

the vaccine that's going that hopefully will be out in

the next few weeks

Is there any concern that y'all maybe um found yourself

in the in the category of overstating how effective this

vaccine could be since it's still so preliminary I'm gonna

turn it over to Dr Cohen on that

Hi Richard

So we have gotten a look at some preliminary data

from both companies Pfizer and Moderna that have already submitted

um some of their scientific data to the FDA

And again those were just some preliminary initial looks

But what they're showing is that it does prevent folks

from getting Covic um at very high rates higher than

I think we were initially expecting

Um the FDA had set a marker saying we want

to see at least 50% of infections prevented

What The two vaccines at least with this preliminary result

is showing closer to 90%

Now I want to see all of that data

And I know the FDA is working to make that

publicly available as they work with their independent advisory committee

and that meeting that's going to be happening on the

10th

So I'm looking forward to looking at the deeper details

of that data

I think the thing that has been reassuring to me

is that the scientists that um that I respect that

I know have seen more of the data than I've

been able to see at this point have All have

also um said that it is very positive eso we

look forward to seeing more of that data

Um and again vaccines are really only as effective at

preventing of it if everyone gets vaccinated Um we can

have these great tools but we have to use them

And so our focus at the state is making sure

that we can hit the ground running and that we

can make sure that we're sharing good information with folks

so they can make good decisions about getting vaccines when

it is their turn

Thanks

Next question please

Our next question is from Dawns on with the News

and Observer

Thanks

On funding the movement server you said that North Carolina

is prepared to receive the Pfizer vaccine that requires ultra

cold storage

Why Why Pfizer for our state is it because of

our cold storage capabilities and with the limited supply is

there specific numbers So the Pfizer vaccine is the first

one that requested authorization

So we think that the Pfizer vaccine would be first

And we do know that that requires ultra cold storage

And a number of our hospitals already have that capability

Uh 84,800 I believe is the number that we have

been told in the number of doses that we would

receive with the first shipment

And that's what we are expecting at this time

Dr

Cohen would you like to add to that Okay next

question

Please follow up

Don von News and observer it honey

Thanks for the follow with subsequent shipments

And the timeline is the doctor Cohen said by January

hoping Thio build off for vaccinations for the UH two

or more chronic condition

Adults is it by by early January it's all depending

on FDA approval what time of the month it is

and when the next scratches would be delivered Go and

handle that

Hi Don

So the best information we have right now from our

federal partners is as the governor mentioned about 85,000 doses

will come to North Carolina when the first vaccine is

approved

Now there'll be a second vaccine we think coming right

on the heels of that and then that will be

a second allocation

The federal government intends to do weekly allocations of the

vaccine

We do not know at what what level and how

many doses we will be getting in an ongoing basis

So it's hard for us to pinpoint exactly when we

will be able Thio expand beyond our healthcare workers and

our long term care settings into that next population off

our adults with two or more chronic conditions

So we know that when we get the first vaccine

it will be going to hospitals only will be focusing

on health care workers only

That's that 1st 85,000 doses that were expecting again

Theo

FDA has not yet authorized use of this vaccine and

things could change

Um they could um alter the way in which that

approval it goes forward which may change our numbers

But that is what we're planning for at this point

Um when we have a second vaccine then we'll be

getting weekly doses of both vaccines

Um and then we will work through our our populations

that we have prioritized s

So we can't say quite yet about when we could

get to those to those adults with two or more

chronic conditions but we believe it will probably be in

the January time frame

Thank you

Thanks

Next question please

Our next question is from Eddie Garcia O W s

d b

Thank you for taking my question Governor

This Eddie Garcia from 88.5 wt d precise counties reporting

a test positivity rate of 20.3%

Yeah

State data is showing 9.5 and our county officials say

this could be because the data is scrubbed the only

county residents are included and the state might be including

non residents

So I'm wondering why there's been this disparity between the

numbers because that happening for a little while now the

gap seems to be widening somewhat dramatically

So how does DHHS account for this and which of

these numbers really should be used for the county alert

system at we know percent positive is an important data

point that we look to determine where we are in

the spread of the virus

But I'll let Dr Cohen address that issue specifically

Hi Eddie

Because we've been talking about for a number of weeks

We've been concerned with the level of viral spread in

the triad

And so I think what we're seeing in Forsyth with

a higher percent positive is the fact that they have

more viral spread in that county the way we use

uh the way we calculate those numbers is we do

include the lab tests that are done by folks that

are from Forsyth County

So if we for all of North Carolina's a state

we take everyone in the state who um where we

get that information reported to us Elektronik Lee for foresight

Then we take that just that information of those that

live in foresight

Then we can calculate that number

What I think it shows us as that we said

is that they're different levels of viral spread across our

state

But as the governor emphasized earlier We have high levels

of community spread across our state

Whether we've labeled someone a yellow and orange or red

that's still represents a significant amount of community spread of

this virus so there are important actions everyone needs to

take

But I I'd really emphasize that places like Forsyth with

a high percent of tests that are positive meaning that

as we test folks ah lot of them are coming

back positive

It means there's a lot of virus in the community

and they're things we need to do right now

Let me give you a couple of items that folks

should be doing when they see higher levels of viral

spread in their communities

First they need to be limiting their social circles

So not just having small events which we are required

to do by executive order

You don't want to mix with too many other households

every additional household you mix with is one additional exposure

So you wanna be limiting your social circles thinking about

Instead of dining in a restaurant consider getting take out

instead

Those are the kinds of things that you could take

modifications

Everyone should already be wearing a mask

Everyone should already be social distancing and doing small gatherings

Um and following the safety protocols

But there's some additional things that some of our counties

particularly that are red and our orange that need to

be going even above

Um and I'm particularly concerned about our triad because of

some of the strain we have seen on their hospital

systems already

Thank you

Next question please

Our next question is from Doolan who guard with ABC

11

Hi

Good afternoon

Go on hunger out here with ABC

11

1st question for Dr Cohen

You all seem to be pretty confident

Uh that at least by January you'll have enough doses

form or folks are you

Are you under the impression of the the assumption that

these first doses will arrive by Thanksgiving or at least

by the end of the year Onda And secondly once

these folks do receive their vaccinations for anyone who does

Do you see the mask mandate Um if that will

be relaxed in any capacity thanks to on

So um as a governor mentioned that there are two

vaccines at the FDA right now they're going through the

approval process theory earliest that we expect the vaccine is

probably in the middle of next week

Uh December 15th 16th 17th

Something like that on DSO

We expect to potentially see approval and potentially have vaccine

by the end of that week

Again it's going to be in limited supply and Onley

at at a limited number of hospitals to start with

But then we expect to get allocations from the federal

government week week over week

And then there may be a second vaccine that will

be approved before the end of this calendar year

We can't say for sure but that's what the um

the schedule looks like at this point

Um and there may be a third or 1/4 because

we know there are other vaccines actually in the pipeline

that may make it into the FDA approval process

So that is why we're not able to give an

exact understanding of of what group Exactly when Because we

don't know how much vaccine will receiving here in the

state nor how many vaccines will be approved

Um and what the available vaccine quantity will be Um

I will say that we will need to be wearing

masks as we work our way of increasing the amount

of vaccine vaccination happening in our state

So master going to be with us particularly as we

think about celebrating Christmas and New Year's master will be

incredibly incredibly important

We're already seeing such a high level of viral spread

here

Um we all want to make sure that we are

um planning for small gatherings this year

You're gonna hear us talk a lot about how toe

prepped for the Christmas holiday in the New Year's holiday

differently this year

But masks they're certainly gonna be part of that

Thanks

The question brings up the point about how complicated this

vaccine distribution can be

Not only do you need to make sure that you

get the vaccine to the right people but then with

the first two vaccines that we expect approval for there

are two vaccinations that you need one is it 21

days apart

So you have to make sure that the person comes

in and gets vaccinated a second time 21 days afterward

with the same type of vaccine that they got the

first time

So this distribution processes is going to be complicated

But that's one of the reasons that the department has

been working on this for so long

And we we look forward to getting these vaccines out

and helping people

Next question

Please follow up

Dewan Haugaard ABC 11

And thank you for answering that as the state is

seeing more viral spread

Uh this weekend we're expecting about 100 youth soccer teams

from around the country uh to participate in a tournament

here in Raleigh

So given the number of rising cases and both this

statement across the country are either of you concerned about

this event and its potential impact on the community here

I would certainly be concerned about it

And we need to make sure that people abide by

mass gathering limits

People need to be very careful when they're gathering together

Uh Dr Cohen would you want to say something for

a second Hi do On our guidance already discourages tournaments

like the one that you are describing

Um but if folks are playing uh these kinds of

sporting events that are of intermediate risk like soccer um

they are required to be wearing masks while they're doing

it both playing on the sidelines and the fans

So massacre being an important component to add an additional

layer of protection

But as I said our guidance already discourages those events

Thank you

Next question please

Our final question is from Travis Fain with WRL Yeah

thank you

Ah lot of this tiered distribution plan depends on how

maney co morbidity people have

Who's responsible for establishing that And I'm particularly wondering in

the hospital is that hospital administration Is that the individual

workers personal Doctor how does that work Hi Travis

Um as far as how do we decide what are

the two chronic conditions It has to be something that

is specific to co vid and that has been established

by the National Academy of Medicine as well as the

C

D

C

It is that same criteria of the kinds of chronic

diseases that we've been talking about

So it's not any any chronic disease because there's a

lot out there but the ones that are focused to

cove it you can find that in our vaccine plan

we do list out specifically what we're talking about when

we say two or more chronic conditions related to that

Oh and then we I think you asked about related

Thio hospital workers and such getting vaccine

So when are limited supply comes and we do share

that with with um with our hospitals it will be

those that both care for our um for those with

cove it as well as cleaning those areas

So it'll be both the clinical staff um as well

as others who may be in close contact with the

virus itself

So it could be clinical workers Um or those from

the janitorial staff is Well um and again we leave

that up to the discretion of the hospitals um Thio

to make sure they're prioritizing those that are again at

high risk of interacting with the cove in 19 Virus

Thinks there's a ball

Yeah

Yes Travis

Yes

Uh I wanted to make sure So is itself reported

then that high

I have these two cool cool morbidity ease and thus

qualify Or do you have to have a doctor's note

How does how does that actually get police Yeah Travis

Great question

So it will be self reported so it will not

require a doctor's note

But again we are asking folks Thio abide by the

guidelines that we are going to be put put out

But it will not require a doctor's note

Thank you

I want to thank everybody for joining us today

Please abide by the three W's and stay safe out

there

Thank you very much

Yeah

Mhm

Mhm yeah