Chefs provide tips for coronavirus safety over Thanksgiving
State health and safety officials provide a Nov. 20, 2020, update on the coronavirus outbreak in North Carolina and the state's response to it.
today. Chef Chiti Kumar of Garland and chef Jason Smith of Cantina 18 and Harvest 18. Karen Magoon and David Pain are are American Sign language interpreters and Jasmine and Yasmin. Motive. Here are our Spanish interpreters so first to run out of the numbers. As of this morning, there were 3688 new cases reported. Just today, 1571 people are currently hospitalized, and sadly, there have been 4979 deaths. With those kind of numbers, I am very concerned we've hit to unwanted milestones in the span of just eight days. For the first time, we reported more than 3000 new cases in a single day on November 11th on Lee to report more than 4000 new cases yesterday. We're also seeing an increase in the percent of tests that are positive, and our early warning surveillance data is showing an increase in people visiting the emergency department with covert like illness and with our hospitalizations also seeing records there, certainly starting to feel the strain, particularly as I mentioned earlier in the week. They're seeing that strain in the Triad area today. We also reported our highest number of people in the I C U with Cove in 19. So we're seeing warning signs and our trends that we need to heed to keep our family and friends from getting sick and ensuring our hospitals are able to care for those that have serious illness, co vid and not co vid. We have the tools to do that. Every North Carolinian has the responsibility to wear a face mask over their nose and mouth. Any time there, with people that they do not live with. They need to wait 6 ft apart and avoid crowds and wash their hands often. Our new co vid 19 alert system health helps North Carolinians know how their counties air faring and outlines actions each person and each business each public official can take starting with the three W's for orange and red counties. Those 54 counties with mawr viral spread people really need to keep their social circles small limit, leaving your home two critical things like going toe work school or accessing healthcare. With the holidays fast approaching, we want to spread joy, not this virus. Yesterday, the CDC updated their guidance and is now encouraging everyone not to travel for Thanksgiving and instead to celebrate at home with the people you already live with. But if you do plan on traveling and getting together with people you don't live with, there are some key things you must do in order to reduce the risk of spreading this deadly virus. First, keep it small. No more than 10 people. Second, keep it outdoors. Get your fire pits your heaters working and make sure third that you're wearing a mask all the time. And lastly, if you haven't had time yet, you still have it to get that test ahead of Thanksgiving. We have more than 120 free testing events scheduled across the state this weekend. You can go to N. C d HHS dot gov slash testing place to find a free testing place near you. In addition to these guidelines, our guest chefs are going to provide some additional tips to help you make the holiday gatherings as safe as they possibly can be. So with me, as I said our chef, Chiti Kumar of Garland and chef Jason Smith of Cantina 18, and Harvest, 18. They are members of the North Carolina Restaurant and Lodging Association and participating businesses in The Count on Me and See Program, which means that they've completed extra training on how to safely run a restaurant and prep and serve food during Cove in 19. Now I'm gonna turn it over to Chef Chiti for a few remarks. Thank you, Dr Cohen. Hi. Um, I'm chef Chiti Kumar of Garland in downtown Raleigh, and I'm here to share some easy tips to help you spread holiday cheer, not the virus. First, keep it small. Getting together with people you don't live with just isn't wise right now. But if you must keep in mind that no gathering should be larger than 10 people indoors, gather outside. If it all possible, it's so beautiful outside here. If you are indoors, keep your windows open and the fans on to maximize airflow, especially in small areas like the bathroom where your mask all the time. If you're not actively eating or drinking at your table where your mask, that's what we require in our restaurant. Wear gloves to preset your tables, predetermined seating arrangements and place members of the same household together at tables 6 ft apart, just like we do in our restaurant. Don't be afraid to break out the tape measure. Check in with your guests a day in advance and make sure they're feeling well and haven't been exposed to anyone with Covad. 19. A text is a great way to do this. Consider getting a rapid test before you visit others and do a little gut check. It's easy to forget that you could be carrying and contagious while not feeling any symptoms. So try and act like you are contagious. That really changes how you do everything. It also makes you think twice about taking unnecessary risks. Limit hugs and handshakes. I know how hard this is. I love seeing my best guests and friends at the restaurant, but a hello and a smile will have to do practice my zing. Now here's chef Jason Smith of 18 Restaurant Group to give you some more safety tips. Thank you, Chiti. Hey, everyone, I've got a few more easy tips to help you stay safe for the holidays. First, when it's time to serve food, put on a fresh pair of gloves and use tongs to sent with sanitizing and serving utensils. Onley. Allow one person to do all the serving. Avoid self service or buffet style serving of food. Consider using disposable plates and utensils to reduce contact with dirty dishes. Or you can have your seat filled with a bleach solution in addition to soap and water. And make sure only one person is handling the dirty dishes while wearing gloves, in addition to sanitizing your tables and other surfaces. Also, target chair backs, door knobs and other high touch surfaces. If you are overwhelmed by hosting, consider going out for a mil. Restaurants Practice Co. Vid 19 safety every day and can host you safely. You confined Count on me, N C. Participating businesses like ours on Count on Me, N C dot or GTA and make sure to book in advance. We've prepared a couple of our favorite holiday recipes for you. Chef Cheat Cheat. He has a share, has shared a chutney recipe, and I have a family Oyster Castle recipe for y'all to get the recipes. Go to count on me dot or GTA slash holiday tips. That's count on me, N c dot or GTA slash holiday kit tips and download the recipes along with our guidelines for holiday get togethers. Well, great. Thank you, Chef Chiti and thanks, Chef Jason for being here. I was joking that I'm a foodie and this might be the closest I come to being on something like a top chef. So I'm excited to have you guys here. I'm sorry, it's covert time and we can't sample. You're amazing food. So thank you for those great tips. I really appreciate all that you are doing and that count on me chefs are doing across the state. Um, thank you for protecting your patrons again. You can download the tips that Chef Chiti and Chef Jason shared along with special Thanksgiving recipes from each chef at count on me dot org's last holiday tips. Finally, I want to remind everyone once again that we have reasons for hope. Promising news on the vaccine front was made made public over the last couple of weeks and we know that this pandemic will end. Until then, remember that we see high levels of virus across our whole state with our hospital seeing high levels of co vid patients. So we want to be not part of the spread, but part of the solution. North Carolina needs to do what we've done through this whole pandemic. Take care of one another. Whatever your reason, get behind the mask and with that will open up to your questions. The first question today is from Vanessa. Rufus with WCNC TV Charlotte. Hello. This is Vanessa. Rufus with wcnc. Charlotte, thank you for taking my question and happy holidays. Um, I wanted to see if we could go back to metrics 101 And maybe just explain for people how you know that the viral spread is increasing and that the number of cases that we're seeing going up is not totally related to higher levels of testing. And also, if you could explain as well, um, the concept of as you test more people, you should feasibly be seeing your positivity rate declines. Unless, of course, there is more vital spread going on. But that's a great question. And thanks for bringing us back to basics on our metrics. Um, all the time we are looking at a combination of metrics because if you look at any one of those, it doesn't really give you the full picture. But we look at four things. First we look at early warning data called surveillance data tries to give us an understanding even before someone gets a test. Um, what is happening with co vid like symptoms? And unfortunately, what we're seeing this week is that the that data is going the wrong direction. So we're seeing Mawr patients come to the emergency room with those kinds of symptoms. Second, we look at overall cases, and unfortunately, like I said, we've hit bad milestones with that, we hit 3000 cases a day, and just yesterday we hit 4000 cases in a day s O. That is not good. We know our cases air going up. We are doing a lot of testing, and our testing is reflected in the fact that we're seeing for 45,000 sometimes tests in a day. But are percent of tests that are positive really helps us understand and put that testing into context. So are we just seeing those cases because of more testing? Or are are we seeing more viral spread? And unfortunately, what we're seeing in North Carolina is that those percent of tests that are positive has been going up and it's been going up quicker than I would like to see. Yesterday we were seeing, Ah, a high of about 9%. We're somewhere in the 7 to 8% range. We want to be five or lower on. We were back in in September. We hit the 5% mark. We were really happy with our progress. But really, since then, over the course of October, Um, in the first two weeks of November, we've really seen, unfortunately, an acceleration of that metric, which tells us there is more viral spread even as we test Mawr and Mawr. Lastly, and maybe most importantly at this moment in time is understanding our hospital capacity. Um, we want to make sure there is a hospital bed for everyone who may need it. Whether you have co vid or you have a heart attack or you're hit by a car, we want doctors and nurses to be there to help you, And but what we're seeing in our hospitals right now is an increasing number of people who have cove it and need to be in the hospital today. We also hit a new high of number of people in our I c use with co vid 19. And what we're seeing overall is that people aren't just sick with co vid. They're they're in the hospital for other reasons. Hospitals normally get challenged around this time of year and get more full. Um, at this time of year, so we're seeing that they are are starting to get strained in their capacity. We've talked about that strain being felt particularly in the triad area. Um, I think the hospitals and our frontline workers are doing an incredible job managing that strain right now. But that's why we have to act right now toe lower the spread of this virus so that we don't further put strain on our hospitals. And what I would say about our hospital metric, it lags behind others. And what that means is that we will see our cases go up first before our hospitalizations really pick up. And so we may be seeing Mawr hospitalization increase because we're seeing these record high case rates across North Carolina. So we we do have unfortunately, a lot of reasons to be concerned as we head into this holiday season. That's why we focused today on the safety tips on how folks can gather as safely as possible. I do want to reiterate that the C. D. C. Did put out new guidance yesterday to say, Please cancel all of your travel. So ideally, we would all be having Thanksgiving just with the folks we live in it with our home. We know that that is hard. And so we wanna also provide you with those extra safety tips that you could be doing going into this holiday season. Thanks, Vanessa. A next question is from Brian Anderson with the Associated Press. Hi, Dr Cohen. First Thank you, Chef, for that shutting recipe there. I appreciate that, Dr Cohen, Thank you for taking the time. And, uh, in typical Brian Anderson fashion here I have three questions for you related to the slow Covad, N. C. Ap, and I've spoken toe some app users. You tell me they're concerned about the state not doing enough to promote it specifically through TV ads or digital social media ads. And they worry that the apse not holding as much value because less than 4% of residents have installed it. So what's the States plan to get the word out and about the app going forward. Why should people download this app when few people are using it? And what percentage of downloads to date have come from NC resident? Thank you, Brian. Thanks for those questions. We definitely I'm wearing my face covering today. I don't know if the cameras can see, uh is promoting slow co vid right here on my mask. So I'm hoping that's one thing. And so anyone who is listening right now, I hope you take out your phone, go to the app store. Google or apple App store. It is free. It takes takes five seconds. It's like two taps, uh, to download the app. It doesn't ask for any personal information. And it sits on your phone and uses Bluetooth technology to let you know if you've been in close contact with someone, um, that may have. If they become positive cove it they can let you know, Um and so we are doing a lot mawr to promote slow, covert, etc. Um, actually, particularly around the holidays, because we know folks Aer traveling, and they may be coming into North Carolina for the first time. Um and so we're actually putting slow Covidien see signs across the state at travel rest stops. We're putting it, um, at a lot of our partnership sites with our Department of Transportation. Eso we are trying to get the message out there, Stay tuned for some text messages that may be coming to your phone very soon about Slow Cove it and see in particular. So we are really making a push around Thanksgiving to promote Slow Covitz O'Brien Well timed question, because we're really ramping that up. And some of this is like we are asking folks to do Ah, lot in this moment, right cove. It has been a lot of changes for folks, and we're asking folks to take a lot of actions. We're asking you to wear a mask. We're asking. You just be 6 ft apart. We're asking toe carry around hand sanitizer and wash your hands all the time. So a lot of things that we're asking folks to dio this is one more important thing that we need folks to do, which is download this app. It does work better the more people who are using it. And so dio stay tuned form or, uh, coming from us in order to step up seeing more people utilize that. As far as how do we know who's downloaded? And are they North Carolina residents or not? Because we don't collect personal information? Um, we don't necessarily know if they're in North Carolina or not if they're North Carolina residents or not. And in fact, I'm encouraging anyone who may be traveling into our state because of Thanksgiving to still download that to their phone. Even if they're only here for a short period of time. Keep it on your phone, Um, for a number of weeks after you leave North Carolina because you may have been in contact with someone s. So again, I think it's a really important tool, and I'll show my mask again. Slow Covidien. See? Go and download it now. Thanks, Brian. We have a follow up from Brian Anderson. Hi. Thanks. And I'm just curious. Uh, are any hospitals in North Carolina overrun and unable toe have enough hospital beds for patients infected with the coronavirus? Brian, Thanks for that question. We have had a couple of our smaller hospitals, um, that have seen stretch in their capacity. We've been a They've They've been temporary though. So we've been able to work together in partnership that when one of those hospitals is starting to feel strained, that were either able to move patients around or surge some support to those hospitals. So all hospitals have been able to stay above water, if you will, because of the good work going on to collaborate and help each other out, its hospitals helping hospitals, Um, in order to make sure that no one hospital gets overwhelmed. But what we're already seeing is that some hospitals are needing to do things like, um, reduce some of their MAWR elective procedures or surgeries in order to make room for all the patients that they had. And that is entirely appropriate. And we appreciate that they're doing that because we all need to manage the capacity that we have in our system. We and I will say it's beds are important, but I just talked with many of our hospital leaders across the state. We know it is our people. Resource is that is really important to manage. We need our doctors and our nurses, um, to make sure that we can have our bed, not just a bed available but we need to have it staffed by high quality folks. Um And so that is the thing that we are working on as a team North Carolina team across hospital systems and across across the state. Next question is from Rose Hoban with North Carolina Health News. Hi, Dr Cohen. It's Rose Hoban from NC Health News. Thanks for taking, uh, our questions. So, you know, we're seeing the positivity rates go up, and we're seeing a number of cases go up. And, you know, we're at a place now where when the positivity rate was like this before, during the summer, we were in, um or, um, closed down state. So some folks have been asking me, like, Why has just happened now? Um, so why aren't you dialing things back, Rose? Great question, because we are concerned about our trends going in the wrong direction, and the governor and I continue to evaluate those trends and we may need to take additional action. No one wants to go backwards, and I think that there are things that we can do right now to try to prevent that from happening. But we are going in the wrong direction. and additional state action may be necessary, and we continue to look at all of those options. Next question is from Sharon Van Zweden with Spectrum News My doctor Cohen Thank you for taking my question at the risk of being a little morbid. Has there been any, uh, reach outreach to hospitals, county morgues and funeral homes? Because if the numbers of cases have gone up to three and 4000 day and hospitals lag behind those cases, you could imagine in a week or two there's going to be something very bad going on. Sharon. Thanks for that question. Um, and we have worked very hard since the beginning of this pandemic to put surge plans and these kinds of contingency plans into place so that when we are seeing numbers like this, we are making sure that we have visibility and what is happening? Um, I think we are very focused on slowing the spread of the virus to begin with so that we don't get to that dangerous place. I want to give a bit of good news, which is, I think, that our scientific community are clinical. Community has done a great job figuring out how to help folks recover from co vid. While we're still seeing folks go to the hospital, we have new medications that we can use for them. We've learned a lot mawr about how to support someone through co vid on dso we. Actually, while we are seeing some of our highest use of I c. U that we've seen in the pandemic, it's still less than we would have expected when maybe back in the early part of this pandemic, when we didn't know, um as much about how to best treat patients. So I think our medical community is doing a great job at helping people try to recover. But it's it's a, um it's It's still an extensive effort to make sure that folks can recover from this if they do need hospitalization. So we don't want to even get into that place, which is again, why today's message? Let's all work hard together through the holidays. Let's slow the spread of the virus. Please don't make your friends or family sick. You could have cove it and not know it. We don't want to be spreading this virus, Um, again, because we have limited resource is on the hospital Capacity side. Limited resource is on the amount of of monoclonal antibodies and other kinds of medicines, and we know hope is on the way with the vaccine coming down the road. So let's all work hard together right now to protect each other. Thanks, Karen. We'll follow up from Sharon Van Zweden Spectrum units. Thank you for the opportunity to ask a follow up question, and this is really more for the chefs. But you may have something to say as well, Dr Cohen. Obviously, we want people who are cooking to be gloved and masked. But has there been any evidence so far of transmission of the coronavirus through food art? Um, and then I'll turn over to our chefs to reiterate some of the tips. What we see is the vast majority of spread is through particles that come out of your nose and your mouth through respiratory droplets. So that is the most common way and think in the way in which this virus spreads. Which is why we talk so much about mass. So mask are certainly the most important thing you need to be doing when you think about Thanksgiving next week, however, particles come out of your mouth or nose, and then they can land on surfaces. So there has been some amount of what's called phone might or surface transmission of the virus. It's much lower than air transmission or write the respiratory droplet transmission. And again, wearing a mask continues to prevent those respiratory droplets from landing on the surface is in the first place. I think the additional tips that we're doing are just to be safe, to reduce further risk. The most important tip, the most important tool, is to wear this mask. Second is to be socially distant. And then I'm gonna turn it back over to our chefs to remind us on some of the other ways in which I know they're working within their restaurant to go even further to be safe. But don't wanna forget masks, social distance, wash your hands always gonna be the most important. And then these other tips. So who wants Thio? Jason or cheating? All right, Jason skin jump in. So in our restaurants, um, the key is definitely just to reiterate with Dr Cohen said is we wear masks anytime there's any food preparation were in the building were wearing our masks. Um, another addition. Additional thing that is very important to us is keeping our doors open. Be prepared to be a little cooler than you normally would be. Layer up when you come out. We're gonna keep fresh air moving. We have a hood system in the back of every commercial kitchen that's pulling their out. Fresh air is coming in. So, um, constant air movement. No one is gonna be a little chillier. Layering up it is key. And then we've always been on big on hand. Washington in restaurants. Wash your hands for 60 seconds with hot water and soap. I can't reiterate this enough it XKE toe to slow the spread of the of the virus and to keep people safe. One thing you might notice is our menus are a little bit smaller, and that is because we're trying to keep our kitchens from being as crowded as they normally are. So we are, um, first of all, make sure that we, uh, temperature check everybody on staff. Uh, nobody handles any food or, uh, plate where without gloves on. And that includes our servers as well as our cooks. we make sure that we sanitize all of our surfaces regularly every 15 to 20 minutes with a bleach solution, which is something I would recommend. Everybody does. And as much as I hate it, we're using disposable plates right now. And everything that's played it is on a banana leaf in our restaurant were only seating outside. And the banana leaf keeps it from, um, from particles entering our kitchen after somebody's eating off a plate. We could just dump that compostable leaf into the trash. And are the person who's handling the dirty dishes, doesn't have toe handle utensils or plates, and anything that food has been played it on is easily washed without the actual surface being, um, without them being exposed to that surface. Terrific tips. Go ahead. That's our next question is from Andrea for kata with que pasa media. Hi. Thank you so much for taking my question. Uh, Dr Colin, I wanted to ask you about, um, testing. And if you know how many Latino Hispanic people are getting test, don't nowadays in North Carolina. Thank you, Andrea. Thanks for that question that we have focused a lot of our testing efforts to make sure that we are reaching are historically marginalized. Communities are Latin, X community, are African American community, and we have really search testing. We continued, though, to see lower rates of testing in our Latin X Hispanic communities. Um, and that's why I know we've worked very closely with many of the Spanish language media outlets and others to get out the word about free testing being available in their communities without no one needs to show documentation at those testing sites. So we really do want folks to take advantage. It's free on bond. They're all over North Carolina with 120 free sites in the next few days. So we hope folks will take advantage of that and get tested. We have a follow up from Andrea por cada with Capasa. Thank you for calling. Yeah. And, uh, is there any data available? Like how many, uh, people are getting, um that has done like, Do we have any data? Sorry, Andrea. I didn't answer that the first time. So we know the percentage of positive tests that come back that air from our Hispanic and Latin X community. We don't necessarily know everyone who's gotten those negative test, so we don't know the whole universe of everyone that has gotten those tests. We do know what percentage of those who are getting tested are positive by their race, ethnicity, gender and age. Um, but the the universe there's a lot more folks who are getting tested who are negative where we don't capture that information in the same way eso so I don't have a precise answer, But we do have a lot of data on our website right now. You can go to our dashboard. We actually just updated even further. To see shows some nice trends in how testing is going in terms of cases and and other things, uh, by race, ethnicity, age and gender. But we like I said, we don't capture that for the totality of all those negative tests. So it's hard for us to say specifically, we do capture that data for our state funded testing sites and because we are really trying to, as I mentioned, target it to our historically marginalized communities. So we do make sure to understand that to make sure we are actually, um, targeting the communities that we intend to serve Um, and that is where we're saying we're seeing slightly lower, uh, rates of testing from our Latin X Hispanic communities. And we're trying to do all we can to make sure we're communicating about the availability of testing, um, toe work with trusted partners to work with the faith community. Um, to make sure that folks know that testings available sometimes our next question is from Laura Lee with Carolina Public Press. Thank you, Dr Someone for taking my question. Laura Lee from Carolina Public Press. Um, I wanted to ask you about the hospitals in the triad because you've referenced that several times and looking at the data on the dashboard, you can see some of the metrics that relate to the difficulties that those hospitals air having. But in the county, um, data that you all released in the map, Um, this'll week. We only see two hospitals who are receiving the sort of most critical marks, and neither of those are in the triad. I'm just wondering if you could explain. You know why the metrics appear on the dashboard to show difficulties and reference the difficulties in triad, and yet we're not seeing that in the composite score for the hospitals. Laura. It's a terrific question, and we actually are looking at that closely with our Triad hospitals, and we're going to be making a slight adjustment in the way that we're calculating. Um, the composite score. Some of our tried hospitals are do our co hoarding their patients, meaning they're putting all of their co co vid patients in one hospital. And the way that our composite score was working didn't really reflect that in in the most accurate way. So once we're able to adjust to the fact that they are, um, having, uh, their patients, like I said, cohort it in one hospital, it does actually reflect more strain on their hospital. And I would say, in addition, remember that data was from a week ago and a lot has happened in a week s. So what we're seeing, unfortunately is that has accelerated over the course of the week, even though that data was pulled from from, you know, just a week ago on DSO, we actually have been looking at, uh, being able to re release that data because things are accelerating so quickly and changing so quickly. We don't want folks, particularly the triad, to think that we aren't concerned about that. I have been hearing with our county alert system, which I think is very good. I've been hearing folks in Yellow County saying, Oh, I'm in the Yellow County. No, no, right. Yellow is still a state of concern for us. We have viral spread across our state. I am concerned in all parts of our state. There are certain counties that are even mawr concerning, um and we're trying to highlight that with this color system. Red, orange and yellow. Um, but like we're saying, one things are changing quickly and to the concern is really everywhere but specific to the triad. We are going thio make a tweak to the way we're calculating the composite score because of the way they're handling the the movement of their patients. Thanks, Laura. We have a follow up from Laura Lee Carolina public presence. No, I just wanted to follow up in reference thio to this particular conversation about restaurants. And, you know, we're hearing that the numbers air floating and that people really need thio, stay home at Thanksgiving and take particular precautions. Um, sort of limiting leaving their homes and simultaneously. We're talking about restaurants, A C and you know, obviously, once they say protocols at restaurants. But are you concerned about inconsistency of messaging about? They see if we're saying, you know, patrons can go out and frequent restaurants and at the same time encouraging people to stay home? Well, a couple of things. One I think these air tips that we hope that folks do use in their home for Thanksgiving. And I think these air folks that use them every day and have been working hard doing a training, and I think bringing tips to those of us who are going to be hosting others for Thanksgiving. I want to go back to say, though, like the CDC said. And I think you're exactly right Laura and saying that we we hope that as many folks can celebrate Thanksgiving with just their household members this year, Um, I think that is the safest way to do it. However, we realize that that is a big departure for many people from from their holiday traditions. We know folks are going to travel. We know the folks are going to gather, and so if they are. We want them to be armed with all of the safety tips they possibly can. So best would be if you can change your plans and not be with other households. And if you're But if you're going to get together, keep it small, keep it outside masks all the time and consider getting a test. I think that's that's the message. I will say. Let me just share personally about my Thanksgiving plans. I had planned to gather out, travel out of state. Um, with my family, I have I have, uh, celebrated Thanksgiving with my family every single year of my life. This will be the first one where I am not joining them for Thanksgiving. Uh, and, uh, it's a heart. It's It's awful, right? No one wants to break those family traditions, but we just have to. This is a different year, and there is light at the end of this tunnel. I know. I'm gonna be getting together with my family soon. Um, we know that vaccine is coming, so we want folks to stay safe. If you can change your plans. If you don't, please heed the safety tips that are wonderful. Chefs have been using in their restaurants. Take them and use them in your home as well. All right. Final question today is from Sophie Castle Cove with the News and Observer. Hi, Dr Colin. This is Sophie Classico from the News and Observer. Thanks for taking my question. Um, I have a question about contact tracing. I'm wondering, with people coming in from out of state for the holidays if contact tracing is still viable in that situation, are people realistically able to say where they've been and who they may have been infected by? Our, um, wondering also has Health Department's air turning Thio the trace and collaborative for help and clear any lessons that you could share from Spike in cases in the Midwest as faras the usefulness of contact tracing Sophie thanks to the questions related to contact tracing. First, I want to go back to slow covert and see which I also have on my my my mask here that everyone should be downloading slow cove it and see particularly if there are visitors. Thio our state. Even if they're here for a shorter period of time, I think that's an important tool. That's why you're going to see Mawr Communications about slow cove it over the next number of days and leading into Thanksgiving. I think that helps us, um, from a contact tracing perspective as we go forward. Certainly when we are seeing 4000 new cases a day here in North Carolina, that is a lot of cases. Thio chase down and ask about contacts. Eso there's a you know, a couple of things. One. Make sure you are picking up the phone to work with our local health departments. Context, contact Tracing still gives us important information about where this virus is spreading and who may have been exposed. So we want to keep that up, um, and and and do that work eso we again. But I think a really important tool for this is gonna be slow co vid and see and downloading that up. Her final question is a follow up from Sofia Catholicos, Thank you for taking my follow up. Um, I wanted to ask, you know, we're seeing some states and cities closing restaurant dining rooms for the second time, and I'm wondering if North Carolina were to roll back dining rules like capacity limits or earlier alcohol cut off what that would look like and what a second shutdown would do to the States restaurant industry. A Z. We've been talking about our metrics air going in the wrong direction. And there may be the need to do additional state action, um, and look places like restaurants and, um, and and others where you take off your mask to eat. They are high risk environments. We know that being indoors when you take off the mask is when this virus spreads. So if we need to take additional action at the state, we will. I know the governor's continuing to evaluate all of those options, and we'll look at are trends as we always do over a period of time and take additional actions if needed. So we'll continue evaluate those, um, but I think we want to make sure you're hearing about the safety tips for Thanksgiving that you can bring to your own home. I wanna thank Chef Chiti and chef Jason for joining me today for sharing these important messages and happy Thanksgiving to all. Remember, my four tips. Keep it small, keep it outside where your mask all the time and consider getting a test. Happy Thanksgiving. I don't know