Cooper: Mask mandate, gathering limits will be enforced on college campuses
Gov. Roy Cooper and state health and safety officials provide an Aug. 13, 2020, update on the coronavirus outbreak in North Carolina and the state's response to it.
1607 163 new cases reported since yesterday, 1070 people in the hospital now and sadly, 2287 people who have died. We continue to pray for those we've lost, but every loss is paying for. We especially grieve with the town of Washington, which lost its mayor. Mac Hodges today will receive an update on the data and the trends from Dr Mandy Cohen, our secretary of the North Carolina Department of Health and Human Services. As you'll see, we're making progress and I'm encouraged. But we have to keep working to fight the disease, make our school strong and rebuild our economy. Staying safe and halting the virus spread must continue to be priorities today. The Department of Public Safety, sharing direction to law enforcement across the state and on our college campuses about the importance of enforcing the facemask order and limits on large gatherings. While no one wants violations to end and arrests, it's important for the health and safety of our communities that we all do our part. Also important is helping people and businesses who have been hit hard by the economic downturn Today, the North Carolina Department of Commerce is accepting applications for a new program to support businesses and nonprofits affected by Cove. In 19 the job retention grant program will use $15 million in federal Corona virus relief money to support businesses that have seen the dip in sales or services but are keeping their employees on the payroll. Businesses are eligible for grants of up to $250,000 if they've not already gotten support from another program, like the paycheck Protection program, the deadline for applications to this program except him in the first. And we'll be sharing the link for businesses to apply or to learn more. I know that this pandemic has made things tough for many of our states businesses and nonprofits. It's important that we support them as they seek to do right by their employees and their customers. We're also trying to get help for those left behind by the loss of the federal unemployment benefits that ended last month. Congress should act to give people certainty on these benefits, and I encourage Washington to set aside partisanship and get the job done. I also asked the General Assembly to improve the paltry short term state benefits that are now provided to those unemployed through no fault of their own. In addition, we've set up a child care hotline to help families find care for their school age Children, remote learning and new school schedules. Present challenges. If you're a working parent, this resource can help make sure Children have safe, reliable care if you need help. The number to call is 888 601 685 will continue working on ways to help families through this difficult time and help schools teach effectively and safely. I've directed $95 million in federal funds to help war to help with more school nurses and counselors, as well as educational support for students at risk of falling behind. And now I'd like to turn it over to Dr Mandy Cohen for an update on our key message metrics and the slide show. Dr. Cohen, Thank you, Governor, and thank you for your ongoing leadership before we dive into the data. I just want to remind all North Carolinian to continue to access essential medical care. We know that Cove in 19 can be a severe disease particularly in older people and those with underlying health conditions. There's never been a more important time to take care of your health. Make sure your diabetes is under control, that you're taking your high blood pressure medicine and eating a healthy diet. Have you been thinking about quitting smoking? There has never been a better time than during a global pandemic with a virus that attacks the lungs. And as you get your kids ready for back to school, be that remote or in person. It's critical that they get their vaccines. And don't forget your mental health. Make sure you're managing the stress and anxiety of this time by staying connected to family and friends and engaging in physical activity. Okay, with that reminder to take care of your health and your Children's health, let's dive into the data as a reminder. Every week we look at a combination of trend metrics, covert likes and drama cases, lab confirmed cases, positive tests as a percentage of total tests and hospitalizations. Some of these indicators help us understand the rate of viral transmission in the past few days, while others, like hospitalizations, tell us how much transmission was happening a few weeks ago. All right, let's dive in. This first graph looks at people who come to the emergency department with cove it like symptoms. This is the most timely data we have, and it's our earliest detection mechanism. Taking a look at the yellow line, you can see that this trend is declining and that is a positive sign. Next we look at laboratory confirmed cases. This first graf on cases gives you a look at the trajectory of those new cases each day. Since we had our very first case back in March, I want to pause here and remind everyone that as you look at this curve, you don't see a surge or a spike. We didn't see a first spike here in April as we took early and aggressive action, and we have avoided the surge in cases other Southern states continue to see. But let's zoom in to get a better sense of the current picture of new cases On this graph, which SOS new positive cases over the past month, we are starting to see a decline in this trend. You can see the Yellow Line is starting to dip downwards. This is a positive sign. Now we look at the percentage of tests that are positive. Looking at the yellow line, you can see that the percentage of total tests that are positive is also trending slightly downward and is getting closer to the 5% or less that we want to see on the next slide. We also see signs of progress in our day over day hospitalization metrics. As I mentioned before, this is a lagging indicator. When we saw cases start toe level in the last few weeks, we talked about why it would take a few weeks for hospitalization data to reflect that trend. Now we're seeing hospitalizations leveling off as well. So here is where we are. Surveillance data is declining, the remains elevated. It gets a yellow line. North Carolina's trajectory of lab confirmed cases is declining, but the number of new cases per day remains high. Today we had over 1700 new cases. It gets a yellow line. North Carolina's trajectory and percent of tests returning positive, has been trending lower and gets a yellow line. We'd like to see this number closer to 5% or lower. North Carolina's trajectory of hospitalizations has flattened and is stable, and we continue to have enough hospital capacity. This gets a yellow line. Now we get to the capacity numbers, and the first capacity indicator is testing, which gets a sideways arrow. Yesterday, we announced corrections to the state's Total completed Cove in 19 test counts after discovering a discrepancy between Elektronik and manual reporting of test data that had been Smith did by the company lab core. This data discrepancy did not impact any of those key metrics I just reviewed, but it did show that we've done fewer overall tests in North Carolina than we had previously reported. We have also been seeing a slowing of testing in the last 7 to 10 days and even with are improving trends. We know increasing testing is key. We want to remind folks of the importance of getting a test if you have symptoms of covert 19. If you've been exposed if you've been in a crowd or work in a high risk industry, testing is free in many locations, so please check out our fine my testing site tool for new pop up testing sites being added every day and good news are testing turnaround times across the state have greatly improved. People are getting results faster On contact tracing. We continue to hire contact tracers to bolster the efforts of our local health department and to meet their ongoing needs are PPE supplies remained stable and we can continue distributing that PPE across our state. So overall are trends tell the story of sacrifice and hard work that has allowed us to see the start of declines in our key metrics. But remember this progress is fragile. As our colleges and universities bring students back to campus and r K 12 public schools kick off the school year, we will face a new test. More people will be in close contact in moving around in our communities, and that means the potential for viral spread. But we are smarter and more committed to beating this virus than ever before, so we will continue this hard fought progress with three simple acts of kindness. Are three W's wearing a face covering waiting six feet apart and washing your hands where weight and wash. Thank you, Governor. Thank you, Dr Cohen. And we appreciate your strong leadership and it's encouraging to see these trends continue to be stable and even began a downward curve in some of them. And we know we need to do more testing. And his doctor, Cohen mentioned. Test results are coming back faster now, and that's a good thing. So if you think you need a test, talk to your health care provider or visit the Department of Health and Human Services website to find the free testing site, this virus won't go away on its own. North Carolinians had made sacrifices big and small to help slow the spread and protect each other. More people are wearing masks, which is exactly what the health experts and smart business owners want to see to visit family and friends. More people are gathering outdoors and keeping their distance. And as we remain paused in safer at home, face to school goes back into session. Now is the time to double down on these efforts. Not on Lee. Will it boost our economy? It could save your life for the life of a loved one. Let's keep on this course. North Carolina. Look out for one another where you mask and stick with it. Fighting this virus is upto every single one of us. Also with me today is our secretary of public safety. Air cooks, our emergency management chief of staff Will Ray and David Spratly, a senior assistant secretary with the Department of Commerce, Brian Tipton and Cameron Larson are sign language and turn interpreters. And behind the scenes Jackie and Jasmine motive here are Spanish language. Interpreters will now take questions, questions from the media. If you can identify yourself. Ah, and your organization will take the first question, please. Our first question is from Dawn Bond with the News and Observer. I don't on within Islam border. Thanks for taking my question. You talked about doubling down on math, fate wearing face mask, and I have a question about enforcement. Is it still mainly just complaint driven? And do you think that successful or should change and then was a great for businesses? Do you think that still should be? Um, the businesses have to have the burden of mask enforcement here that will just be left up for them. This far is that level, and I have a follow first. We're are encouraging businesses to take control here. We think this is good for not only the safety of their customers and their employees. But it's also good business for them. And we're encouraging people. If you're in a retail store and you see people not wearing masks where employees, not where your mask to tell the management. We're also informing law enforcement and secretary hooks. I'm gonna ask him to come up and say a word or two. He's already getting word out to law enforcement about ways to approach this so that we can get more people in compliance. We've already seen the numbers, the correlation in flattening things out and stabilizing and even seeing a beginning of the decline. We know that that's related to face mask wearing and social distancing. So we want law enforcement to B'more involved in this process. So I'm gonna let Secretary hooks a word or two about what he is telling law enforcement across North Carolina Secretary whose thank you governor again, thank you for your leadership. I certainly do appreciate the question We I've always been decisively engaged with our law enforcement partners at all levels concerning Cove in 19 in North Carolina. With the leadership of the governor and with great partnership of Secretary Cohen. We always want to be data driven and intelligence layered. And so with that spirit of spirit of cooperation, most not just state government but with our local partners. We constantly communicate with our Lauren, part law enforcement partners. And so what we want to take is really a community oriented policing strategy where we encourage people in the communities. We encourage businesses to voluntarily comply with the law. But we also want to engage law enforcement that so that they can educate people out in the public people in businesses, and then occasionally they may have to enforce the law. But we're not asking people to go out and arrest people. We're asking that if you have to take enforcement action, there are mechanisms available to you, such as a citation. I think you had a follow up? Uh, yes. With the, um, using the data percent positive calculation is based on a percentage test results that are submitted electronically for the 20% of past that are submitted manually. Have you looked at the percentages of those that are positives and there Is there a reason why or why not with that data, So we want to make sure that the data is leading us, and we also want to make sure that it is correct. And the good thing right now is that we believe all the data that we're using to make analysis about decisions on easing restrictions is good data. And I'm gonna let Dr Cohen address the issue that you talked about on percent positive. Hi, Don. Thanks. Yes, When we when we calculate those percent of test that are positive, we use the subset of data from labs that report to us. Elektronik Lee. We know that data has the most quality to that data. It is. It is an electronic process and not a manual process. So that is what we used to calculate. A percent positive. It's the metric I just went through earlier today. So we have always used that as our mechanism for calculating percent positive. We have been collecting the total cumulative test done in North Carolina in a more manual way. That's how we found the data discrepancy between what we're collecting Electronic Lee, what we're collecting manually. When we put those together, when our teams were doing some quality checks, we saw that era. We identified that to lab core they identified. The source of that issue has now been corrected. But that issue did not impact any of our key metrics that we went through today. Either the positive case counts or the percent positive. Thanks. Thank you. Next question. Police. Our next question is for Clayton. Involvement with W I t N. Thank you for taking my question. Governors Clayton Bellman with W i T. And, as you mentioned, Washington Mayor Mac Hodges passed away yesterday after a lengthy battle with Kobe. 19. Could you share any thoughts about the mayor or any words of encouragement for the community in Washington amid the pandemic? Thank you. Mayor Hodges is one of these people that people interest instantly like and trust. Hey was a strong leader in eastern North Carolina. He knew the importance of East Carolina University, it being the jewels of eastern North Carolina, the importance of its medical school and health care that it provided we know what a beautiful community Washington is. And he was he was a stellar leader. And so there I've seen such an outpouring of affection for him and his family. I know that this was a tough flight for him. This is a cruel virus, and hopefully it gives people inspiration to keep doing things, to try to slow the spread so we don't have mawr sickness and mawr death. I'm grateful, deeply grateful for his life and public service. And I send my deepest condolences to his family and friends and to all of the people not only of Washington but the East Carolina community on all over eastern North Carolina. Who knew him? Next question, please. Our next question is from David Crabtree with wre Oh, Governor, get afternoon, David Crabtree wre l have a question for you and for Secretary Cohen. Uh, Dr Cohen, I'll start with you. While the lab core issue did not affect your key metrics, did it effect lab cores credibility with the state and governor to you while the big can in the Pac 12 of said no football this fall, The A C C. So far, full steam ahead. You're a huge Carolina fan. Do you plan to go to a game? A keen and stadium not sitting in the chancellor's box over the border governors but sitting in the stands with the fans? Would you be comfortable doing that first, These are very difficult decisions not only in our colleges but our high schools. I love sports. I played team sports in high school football and basketball. I know the benefits that it brings for Children and young people in college, so I think we all want to get back to it as quickly as possible. We know, however, that we have to keep the health and safety off the students, the faculty, the coaches, first and foremost in our minds. And I think there is more time that is going to go by as they look at numbers and look at the situation, they will be able to make this decision. We also know that having a lot of people in one place can cause a super spreader event. So if you have football, then there's got to be some kinds of discussion about whether you have fans at all. If you do how many you have, those discussions, I think, would be down the road. But these are difficult issues that the universities are talking about right now. I know our Department of Health and Human Services is glad to offer assistance and opinions to them. just like they did the university's. I'll let Dr Cohen addressed the LAPD core. Question. Hi, David. Thank you. Lab Core's been a very good partner to us in the state. Having one of the nation's largest commercial labs here during a pandemic has has been an asset to us here in North Carolina, and I'll remind you that they were submitting data Elektronik, Elektronik, Lee tow us. That data was correct. It did not impact our major metrics. Nor did it impact lab Core's ability to get results back accurately to patients and doctors. Um, they were submitting a different process to us manually. That was an unfortunate miss on their part and an error. Um, and you know, we've now identified that we've corrected it going forward, and we look forward to working in partnership with lab core going forward. And I will add to that that with the absence of a federal strategy on testing, much of it was left to the States, and we're fortunate Tohave headquartered here Lap Core, which is a nationally renowned lab. I don't know what we would have done without them. They took a huge load off of the state and allowed US toe test more people, which has been and continues to be desperately needed. In addition, we appreciate the thousands of jobs that lap core provides for working families in North Carolina and have appreciated their good work on this and other things. Next question. Please follow up. David. Crowd www Oreo Governor Last week we spoke with, uh, Chancellor Gospel. It's about what demon might look like this fall, and he said that he had been working with Dr David Webber, a doctor, David Webber of U. N. C. And infectious diseases. Try to work out a plan. I didn't renew the question in all seriousness. If it goes forward, are you comfortable taking your family to a football game? A Kenyan statement. Well, first, we have to see what kind of plan that they put forward. And secondly, I think at this point I'm gonna be too busy and making sure that we're making the decisions toe move our state forward making decisions with emergency management. I just don't think I would have time to go to a football game even if I wanted to. Uh, Dr Cohen, has there been any discussion? I don't think there's been any discussion about that with the university, but we look forward to having those conversations if they want to happen. Next question, please. Our next question is from Kenny back with W X II making my call Today marks five months exactly. Since K through 12 public school students have their last normal day of school inside a classroom. Many district's around the state are opting to do the first months or so of the new school year with more e learning from home with the hope to return maybe in September or October, based on all the data that you have right now and what you and Dr Cohen showed us earlier. How confident are you that we have seen the worst of coded 19 in North Carolina? That it's behind us at this point? Well, we are excited to begin the school year. Our team is working hard on remote learning. I was just participating in a training of teachers from across the state, hundreds of them about how to do better work with remote learning. So we know that this is going to be important not only to protect kids from covered 19 but also to help them get a better education. And I may let the health expert talk a little bit about what she thinks for the future of covert and whether we have seen the worst doctor. Thank you, Governor. As I stated earlier, our progress is fragile. It's going to take continued work on our part to make sure our trends continue in the right direction. I see a challenge in front of us, says schools. Go back into session, we mo more people be moving around, Um and we know virus will be moving around. But if we can do the three W's, we know science tells us that will keep viral spread low. What I see, though, as we go into the fall also is the start of flu season. Then we start to have to viral ah illnesses out there that could have severe impacts on our population. So we want you're going to be hearing a lot more from me and my team, and I'm sure the governor as well about the importance of everyone getting their flu shot this year. So our ability to make sure folks get their flu shot this year is also going to impact our ability to have success in the Cove in front as well. So a lot of hard work still ahead for us. But I know that we as North Carolinians are gonna pull together. We're smarter than we've been before. We know more about Cove in 19. We know what works, and it's the three W's. Thanks. Thank you. Next question, please. Our next question is for Michael Highland with CBS 17. I have a question related to the testing turnaround times. Uh, Dr Cohen has been pointing out those has come down in the last couple of weeks. There are some groups who would like states to release that information, at least weekly what the average turnaround time is, is that something more looking at doing here and posted online so people can actually see how long they should expect to take to get a covert 19 test results? Hi, Michael. Mandy Cohen. Thanks for that question. I think, Yes, that is something we'd like to do, but I want to note on the front end that different labs have different turnaround times. And so we've noticed that different commercial labs and there's been one or two in particular that had higher turnaround times. And it pulls up the average for everyone because they're big and commercial labs. Eso We're trying to think about a thoughtful way to present that information. I wanted to share that on aggregate. What we're seeing with our data is that turnaround times are now within 2 to 3 days, which is good news, So people are getting their results faster. So we definitely want to encourage folks if you need a test, if you have symptoms. If you've been exposed, you've been in a crowd. You've been you work in a high risk industry. Make sure you're going to get ah, test, and you're getting those going to get those test results faster. Thanks. Thank you. Next question. Please follow up. Michael Highland's CDF 17. I have a second question related to the issue with the unemployment benefits. Governor, is it your intention that people would get this full $400 that's been ordered by the president of the guidance from the federal government is saying that the amount they get from states could count and not off 100 from that. And then now the the process is started at least a start accessing that money. Give any indication when people who eat this money might actually get it. That's a good good question. First, we need to get unemployment compensation to the people who need it, people who are hanging by a thread and need to put food on the table and pay the rent. And it's unconscionable that the president and Congress have not reached an agreement to fund the program that is already there. We want that $600 per week to keep coming to North Carolina, but obviously they're in a stalemate. The president's order creates a new program which will require every state to set up a separate bank account and a separate regulatory scheme in order to get that $400. I mean, I want them to get all they can get. So I would advocate that we do take the $300 add $100 from higher North Carolina Unemployment Trust Fund to get that money. I assure you, our staff will work as hard as they can to get that money out to people. But they're still waiting for the Department of Labor. Federal rules on how this is going to operate because in one thing that I have said to our members of Congress and our U. S. Senators don't create MAWR programs here already. This is difficult enough for states to administer because of the overwhelming amount of people who have lost their jobs, fund the programs that we've already set up, and you know, if there's no other choice and if Congress and the president can't agree on funding this program, then we're going to continue to proceed forward. Try to set up this new process. Try to get this $400 supplemental money to people as quickly as we possibly can. But I'm gonna continue to urge Congress and the president to agree on funding this program we already set up and in. Secondly, we have to get our state Legislature to do better on the state benefits. Most people are running out of their payments after 12 weeks there, capped at $350 per week in North Carolina. That cap needs to be raised. The amount of time, particularly during this pandemic, needs to be extended, so the state legislature needs to take action as well. Next question please. Our next question is for Michael Perchik with W TVB. Good afternoon, Governor. Thank you so much for your time. This is Michael Perchik with W T. V. You know, the status tracking death. One of the metric that has been mentioned by Dr Cohen in past briefing. Can you give us any sort of indication at this point of what we're seeing there on how the death rate is looking for our state? Um, compared to other states. And if there's any sort of pattern to the deaths that we have reported over the past couple of weeks, First we're gonna lower the number of dates deaths by slowing the spread of the virus, but also improving treatment, making sure that our hospital system is not overwhelmed in some of these other states. Some of their deaths can be attributable to the fact that they were having a hard time getting. And I see you bed or ventilator to a patient. We do not want that to happen in North Carolina, so slowing the spread is important. But also getting people the best medical treatment that they can is important. But I'll let Dr Cho and talk a little bit about her thoughts on the death rate. Thanks for that question. As we've talked, some metrics help us as leading indicators. They tell us what's going on right now. Some are lagging indicators and end it several weeks until we really understand what's happening with those metrics. We talked earlier in the press conference about hospitalization being a lagging indicator, meaning as we start to see our cases improved, it took a little while for us to see stabilization in her hospital numbers. Death is in even further lagging indicator beyond hospitalizations. Unfortunately, the the way the disease goes, folks get ill. And it's about day, day 10 that they're usually seeking hospitalization and, unfortunately, struggle. For quite sometimes, as you heard in the case of the mayor, sadly having a long battle with Cove in 19 before succumbing to the virus. Death is a very much of a lagging indicator, and it really tells us more about what was happening in North Carolina back in July, and we know in July, as we saw from the metrics earlier that I shared that that was when our cases were at our highest. So it's not surprising now that our deaths have have gone up a bit. I think that reflects what was happening in July. I expect those to be leveling off and then to decline when you look at us compared to our other Southern states is not gonna be surprising. They had a surge of cases. They're going to see a surge of hospitalizations of the governor mentioned. And they're going to see a surge of death. You we won't see that here. We will see that increase to reflect the increase of cases. But we will likely also see that stabilize and decline in the next couple weeks as well. Thank you. Next question, please. Our next question is from share and Van Zweden with Spectrum. Good afternoon, Governor and Dr Cohen. My question is about testing with free testing sites and enough capacity in the state for testing. Why is it still so difficult to get a test? You have to go to a doctor. You have to get a recommendation. All of that takes time when someone might not be feeling well or could be asymptomatic and spreading. Why is the doctor have to be involved in someone getting a test? Well, thanks For that question, a doctor does not need to be involved in you getting a test. You can go to our website to a fine my testing site. We actually have what's called a standing order. Dr Betsy Tilson, who were there. State health director, has a standing order so that folks don't need to go to a doctor first and can go directly, whether it's to a pharmacy, one of these other pop up sites that are a churches or other other settings. So you do not need to go to a doctor first. That's not in every setting. There are certain settings that still want you to go to a doctor, but that is not everywhere. So when you go to our site, it will tell you if whether or not you need to see a doctor prior, any of the ones that are labelled free those air testing sites that are being funded by either federal government or by the state of North Carolina and those do not need a doctor referral. So those would be the sites that I would tell folks to ah, to focus on certain sites, want units sign up ahead of time to make an appointment just to make sure that they are managing crowd control. Write some of this is about social distancing and not wanting to overwhelm, But we do not require you to go to the doctor first before getting testing. We knew in North Carolina that would be particularly challenging. Unfortunately, in North Carolina, as you know, we have not expanded Medicaid. So we have a much higher uninsured rate, which means we know folks are not connected to doctors. We we do not want that to be a barrier to getting testing. So do visit our website to look for those free testing sites, and you do not need to go to a doctor first before going to them. Thanks, Legislature could easily expand Medicaid when they came back September 2nd Next question. Please follow up. Sharing beings of the Inspector News. When there was a lag in the testing, there was were complaints that the federal government was not doing enough or the state needed the government to do Maurin. Getting assets to the state for the testing is the increased testing capacity due to more contributions from the federal government. Thank you. We have gotten some assistance from the federal government. What we remain concerned about is the lack of, ah, federal strategy. We've seen a lot of problems in testing that could have potentially been avoided if we had more coordinated federal strategy. Early on in the process, we didn't have enough personal protective equipment. Made it more difficult. Now we're seeing re agent supplies that the supply chain is being disruptive and hospitals can't get enough of it. They could be doing a lot more testing if they got these supplies. So, you know, we've gotten some help, but we still need mawr. I have joined with other states and a coalition. We're going to try to find ways because the feds have not done this. We're gonna try to find ways to leverage our combined buying power. Teoh, try and get more testing out there. We know this is a real key Testing, tracing. Isolating. Driving down the spread of the virus back cone, would you want Okay. Thank you. Next question, please. Our final question today will be from all my McCarty with wfm y Hello there. Thank you for taking my question. This is all my McCarty with W someone used to. This question is for Dr Cohen in terms of the lab four situation. Could you walk us through again? What happens with this manual test discrepancy? How your people were able to find it and what checks are now in place to make sure something like this doesn't happen again? Sure, Happy to eso. We have two processes in which we collect data about lab testing across our state. We have an electronic process that comes in automatically, and we have a meant more manual process that tries to give us a sense of the total amount of testing going on across the state of North Carolina. And this was done because when we were standing up, are are urgent response to Cove it. We did not have a data system that was meant to capture positive and negative test was on Lee Mental capture Positive tests. We have retrofitted that system to be able to do more, and as we brought those systems together, the manual processing electronic process. That's when our teams noticed the discrepancy in the data that lab core was providing. They were providing us two different numbers each day. Then we asked lab core Teoh, help us understand that discrepancy. It's when they identified an issue in how they were pulling their manual data and reporting it to us. But again, all of their electronic submissions, which power our key metrics, that was all accurate. And so our key metrics remain unchanged on going forward as the reason we were bringing our teams together was so that we can take the manual process out and rely more on our electronic process because as we do data improvement and make sure that we focus on data accuracy, we always want to be doing system improvement so that we had take people out of the process. When there are people in processes, people are human, people make errors. And so we know that we wanted to get to that more automated Elektronik process. So that's what we've been doing. That's what we will continue to do, is make improvements to that Elektronik and more automated process to make sure that we have the quality checks that we can do. Going forward. Thank you. Thank you all very much for being with us today. Stay safe and healthy, abide by the three W's and let's slow the spread of this virus. Thank you very much.