NC coronavirus task force meets
Members of the North Carolina Coronavirus Task Force hold a conference call to discuss the state response efforts to the ongoing pandemic.
and making sure that we're emphasizing prevention is making a real difference. And I think more and more people are beginning to fully embrace the three W's. It hasn't been easy, and there's been some resistance to it from some people. But I think more and more people are beginning to understand that the science is clear on this, and now it's time to double down and capitalize on the progress. And from this past force, we really need your ongoing partnership continue to move forward in the right direction, as this is a all hands on deck effort. Uh, we need engagement not only from our leaders and health care in government, but also in business and education across the board. And this second in this decision today, we're gonna focus on slowing the spread through prevention, and we we continue to pour time and resource is in the efforts to support those affected by the virus in making sure that they have a hospital bed and when I see you bet that they needed and a ventilator. But the best tools we have are those that prevent the virus from spreading. And that slowed the slow, the spread So my ask of you today is to think of what Mawr you can do in your individual roles and as leaders of key organizations across our state to help slow the spread and to emphasize prevention and to be role models. As as we work to slow the spread, we continue to need your contribution to this effort to slow the spread and are very grateful for you being here today. So thanks very much, Dr Tiller, for let me say a word of encouragement to everybody and thanks, everybody again. Thank you, Governor Cooper. And thank you for your steadfast leadership. Throughout this whole this whole pandemic, which was still not out of your leadership, has truly been inspiring. And so we we thank you for today and for every day I'm gonna turn it over. Teoh. Secretary Cohen. Now. Great. I'm just very brief and just say thank you. There's been a ton of ongoing work. I know that we don't bring this full task force together. That often is because we are really working with you all on a daily basis, often on in constant conversations. And so I think that the collaboration, the transparency, the communication. The teamwork that I've seen across North Carolina has been really inspiring to me. And I think one of the reasons that we continue to see North Carolina um uh, be be successful here in that we did not see a big first wave. And we have not seen a big second wave as we see the rest of the South and the South East in particular, struggling with a lot of of really high viral rates of transition. I think you should all be commended of the work that that has been going on in North Carolina. But as the governor said, it is not time to ease off the gas. If anything, we know we have more work to do. And that's why we're gonna focus on prevention today. So thank you, Dr Tilson, for, um, and director Spray Berry for leading us through and governor is always for your leadership. Thank you. Do and thank you also for your steadfast leadership is Well, you're the team. Really appreciate. You have a state Secretary hooks. Thank you, Dr Tilson. Thank you. And Mike spread very particular for your leadership with the task force. And I am incredibly blessed to serve as a secretary of Department of Public Safety, working hand in hand with are saying, Secretary of Department of Health and Human Services. As we navigate this pandemic under the leadership of Governor Cooper, I'm very proud of the team that we have here in North Carolina as we face a number of disasters through the years, whether they've been natural disasters, from weather band made disasters and now this extraordinary pandemic. And so I am thankful that we are well practised, were well coordinated, and I think we see that in the results. But in as the governor indicated, we don't take any of these efforts for granite, and we know that whereas we worked mightily at state entities on a very thankful for the divisions within the Department of Public Safety and two of the flagship that have been at the forefront of this emergency management and National Guard. But I certainly recognize that none of the work that we do is pop is possible without the collaboration at the local level and if you served on the search and so I'm continually grateful for that input and that wisdom that you bring to take to keep over 10.4 million people safe. And so far, all the partnership that have developed for this I'm extremely proud on we go, move forward and are all hasn't approach to face any challenge that North Carolina has before. Great. Thank you so much. Um, OK, so I'm going to dive in a little bit on just two somewhat of an update of our numbers of some of our activities of some of our where we're leaning in. Um, and then I will turn over Dr Scream. Excuse me, Director Spray. Very, um, to talk about, um, up from emergency management, how it's facilitating a lot of these activities on, and then we'll turn it over to our partners to China. Um, so the first thing that I just want us to as secretary Cohen said, It's been a while since a big group has convened. We've been doing a lot of work within our with our individual work groups, but it's been a bit for the script to convene. I think it's always good to take a step back and see where we are in the course of a pandemic, how the progress has been, Um and kind of a big picture of the course of that and then thinking through what that means is we go forward. So if you'll remember the very first task force meeting that we had a long time ago now we were looking at that Pandemic curves at Epidemic Curve and we were talking a lot about the phases as we went through a pandemic and with the initial phases, when we don't have a lot of cases very intensively called case based mitigation, so that we're really doing that, that rapid identification, the containment, the isolation, the quarantine that that's a really important piece on the front end of a pandemic. And then we talked a lot about the strategies that we could do to flatten that curve. So we didn't have a huge spike so that we flooded and overwhelmed our health care for capacity and so that if you'll remember and some of the beginning of the pandemic or reading a lot of work around the abandoned and the B M identifying people and then we were very aggressively doing our community mitigation strategies, we had to stay at home. We really were being very aggressive in taking early action. Flatten that curve. I'm not. That was successful. That was the kind of second phase. Then what we were as we went through the pandemic and looking at our data, we're revealing finding a lot of our hot spots we're looking at Our outbreaks are very high risk setting. And if you remember, there was a lot of emphasis at the beginning of our approach and really looking at long term care. Looking at skilled nursing facilities, Way were having a large proportion of our cases and our deaths coming from the how your settings. And so we were doing a lot of work in the headings. We're still doing a lot of work on those things. Weigh that priority but wait. But as we're watching dating that, if you have a more widespread community community that we can, you can identify that you being in and younger people now and so that means that we need to wear a lot of data looking at are looking at where people are processing, looking through construction manufacturing are kind of on some of ah, high priority business settings, and thinking through how, then do the adjust are just our response as the data is, is adjusting. And then how do we think through respond? How do we give the tools so that our testing and tracing can be more effective if on the front and reading more of this of this prevention is Governor tubular saying And so we were watching that and adjusting our responses. And we also organizing our work into these four main pillars the pill pillars of prevention, then testing, tracing and isolation and quarantine support on DSO. That's how we've been organizing organizing our work. I'm gonna talk a little bit of some of our activities within the ladder three, Um, but then we'll come back to the conversation about really doubling down on prevention because it was the stage or a pandemic. When we have the widespread commute transmission, that's where we're really gonna, I think, have the affecting where I think some of our numbers are showing so far. Do that, though just a little bit of an update of our numbers alluded to and have been given. A couple talked a little bit. We maybe we were. We were seeing a surge in our in our cases in a surgeon I'm lose for most of June and July on as we had these restrictions, but most recently were maybe starting to see some stabilization and in their numbers, which is is good news. Ah, number of our daily. Our new cases daily are starting to stabilize. When we're looking at our percent positive, it is still higher than we want it to be. We would like it to be below 5% while we're starting it to see it come down a little bit. We were averaging around 9 to 10% now, averaging about 7 to 8% and so that's good. And that metric kind of helps us adjust for are the last of the confirmed cases just a reflection of the amount of testing that we're doing and that helps us to adjust from that. So that's good that that number is coming down. The other thing that we look at is as part of our statewide surveillance. We look at the number of people who are coming to the emergency department for coated like illnesses. This is a kind of a good early indicator of people seeking health care, and we have been seeing that lives up until this past week, we're now we're starting to see a decrease. I'm across most of the state and that indicator and that that's really good, cause that is an early indicator. And in the other metric, we look at our their hospitalizations. These hospitalizations still are trending up slightly, in fact, yesterday with their highest hospitalization gay. The good news is we still have plenty of hospital capacity and were in daily conversations. Their hospitals. Um and we haven't had a huge foods like we have seen in other states. We are were eking out, but we're we're relatively stable, and we still have capacity there. We're watching it very closely, but our hospitalizations, unlike our surveillance data, which is an early indicator, our hospital data is what we call a lagging indicator. And typically, what we see in the hospital today is reflective of what was really going on in the community with that person a couple weeks ago, so they would need to be exposed, and then they had the incubation phase and then get sick and then gets sick enough for a hospital. So we see that as a lagging indicators. So we're hoping in the next week or two, we may. Well, then, CR hospitalizations were fucking what we're seeing in at in our other trends. Um, so we're not out of the woods on, and we we would like to see all those numbers going down, but this is the first time that we have seen in a while that were maybe starting to piece mobilization on. But I think some of that has been Arlene into prevention and really what we're doing with prevention. So we'll get back to that, and we're really gonna focus most of the conversation today. Just a little bit of an update of our other pillars, though, are testing in our tracing isolation, quarantine support. We have been doing ah lot of work and trying to expand our testing capacity. We're testing now more than 30,000 tests today. We're working hard on trying to expand that even Mawr you have been running into what nationally and other states have been experiencing is ah, lung turnaround time. Andi, uh, supply chains again, but we are working and put into place many of those mitigating strategies to not only increase tests but also decrease the turnaround time for our test. They're also thinking about how do we prioritize where those tests are? We've been doing a lot of aggressive war contesting in our skilled nursing facilities are long term care, facilities said. It's still a priority for us. We've been doing a lot of aggressive testing in there, and and Adam Shoulder can share some of that. We're also doing a lot of very targeted strategic testing out in our communities what we are part of the data of the pandemic. We are finding a disproportionate impact on our communities of color as part of a pandemic in African American population in our Latin X population. And so we've been doing a lot of work and intentionally ensuring our community testing is accessible, Um, and is, um, targeting historically much like population on. So we have been doing a lot of those of those of 181 testing sites in the past couple weeks, more than 8000 tests in those testing site. That's been a really important focus for us and following the data in terms of tracing, um, we have been doing a lot of work and not only helping to cross training local health department staff to expand their capacity within the local health department. This is the core function of them, but also hiring up through our our initiative. Um, have more of our workforce and moral contact tracers connect into and help support Our local health departments have been had had more than 600 contact tracers and with a very, very intentional focus, and ensuring or contact tracers are also culturally confident and culturally in line with our higher risk populations. And so more than 50% of our contact traitors are bilingual as we're seeing a rise of numbers Latin next community. So we're really excited about that. And then the point of testing in the point of tracing is also so that it can form what we call control measures and making sure that people can actually isolate and quarantine successfully. And if you've been doing a lot of work on that because it is very hard for a lot of our people who are dependent upon, um, going Teoh work every day and already to get paid for them to stay home. It's really it's been very hard for them to actually be able to successfully isolate quarantine So we're really working hard. I'm thinking to one of the extra social services and resource support we can wrap around people for the contest. Successfully, I'm isolate. So we're doing a lot of work in those three pillars. Um, but we're also doing a lot of work in prevention. So just to highlight some of those T pieces and then I'll stop talking in Turnover Teoh director Screen Mary. But there's a lot of different ways that we're thinking through about prevention. One is their prevention that we can do through our executive orders. That's so thinking through our face covering mandate, which we think he has been very helpful in and flowing from the spread picking through. You know, pausing at are safer at home and not and being very cautious about reopening, um, said and Greta High risk and then most recently, have having the alcohol banned after 11 where a restaurant turned more or less into a bar on then we know that bar is a very, very high risk setting, so there's been some great prevention work that we have done through the executive orders. Um, we've also doing a lot of work, which you'll hear more about changing people's hearts and minds and behavioral change and really embracing and able to act on the three W's Tracy's in Rome. We'll talk more about some of our communication strategies. That's really important for people to really buy in and have that behavior change. We're thinking through what are the tools people can have to actually operationalize our prevention messages. And so we have drafted tons of guidances for a variety of settings, including some of the high risk occupational settings for picking meat. Meat processing are migrant farm workers were just finalizing construction and, uh, and, uh, manufacturing on and then pushing out masks and pushing out PPE. Making sure people have that. There's been a lot of work on pushing that out, which I let Director spray very speak to him. And then we also think about enforcement we can. We can put things into laws we can encourage, we can educate, but then that is an element of enforcement as well. Until we have some of our law enforcement partners to think through. How do we think throughout enforcement strategies it to help? I've met those prevention messages, Um, so that's where big picture of where we are in the course of the pandemic. How has been shifting some of our initiatives, how we're thinking through on bucket ing that work? And really, I think over the next month or two, leaning in on prevention is where we need to be, So that even for the focus on this meeting and so I'm gonna stop there on then turned over to director Spray buried Teoh, add some words and and then again also, some of the work emergency management been really incredible, helped in getting some of these these tools and resources out to our to our communities. I think the Doctor Tilson and is she has stated prevention and community mitigation strategies are a major focus and critical to the containment of the spread of this pandemic. This is gonna require continued focus and privatisation from the entire team. A major part of these strategies is personal protective equipment. Since our last task force meeting want to advise you of a number of developments on this front? We have least in additional warehouse in MOX Will North Carolina to begin to consolidate the PPE operations for receiving and distribution. It's a big warehouse and we have a lot of PPE. We're continuing to aggressively secure PPE and partnership with DHHS to maintain an adequate stockpile level for any increase or medical service scenario as well as procuring distribute PPE to historically marginalized populations, which is critically important. We're also making big PPE pushes the schools, school nurses, migrant workers, administrative office of the courts and we just do daily PPE resource requests. We still does request daily to our county partners. Weather well is our health care preparedness coalitions. So a lot of work, a lot of activity special tip of the hat to the the HHS Office of Emergency Medical Services of their really rock and roll On this, we're also making sure that we have enough PPE for emergency responders and shelter staff is part of the hurricane preparations and possible response. So I want to recognize that the Department of Public Safety to for the support that they've been given this year, they've been able to support us with everything from legal Teoh school support as we roll out and implementing non congregants sheltering program. The prisons have been working hard to make sure that 100% of all the bear offenders get tested. A. Ellie and ABC been working to help enforce on Bond. Like I say, just been doing a great job. Special recognition goes to the patrol and also the North Carolina National Guard for the incredible work that the Guard has been doing in supporting the the receipt and distribution of PPE, as well as supporting the distribution of food and supporting the food supply chain with the food banks in the school nutrition programs. Major General Hunt, Would you like to add anything there? You started out. Thank you, Director. And like it was mentioned earlier, The National Guard is part of GPS. We have a tremendous relationship with our state partners and and we cherish that support and partnership. Uh, the National Guard has been completing this effort from the very beginning of Cove in 19. And as the ah director said, as the guardians of the state, we've been doing most areas of support those being food supply to distribution, PP distribution and commodity distribution along with testing. So, like commission, just a few highlights. If I could have support the Gore has been doing. As of today, we have distributed over 5.6 million food bank meals, 332,000 school lunches, £6.5 million of cargo. And we've tested almost 17,000. North Constant is working with the correctional system during testing as well. So it's always director that, you know, the guard is posture to support the great state in the citizens of North Carolina. And we, uh, will continue to support as we move forward with coded 19 pandemic. Thank you for the time director. Thank you, Major. General Hunt, Thank you for your service and leadership. Finally were actively engaged in hurricane preparedness for a potential impact hurricane. He said yes. We're decisively engaged with State emergency response team. Stand up shuffling support stage commodities and deployed necessary emergency response teams Such a swift water rescue and regular six rescued. So that completes my report. Dr. Tilson, Thank you very much for the time. Thank you, Director Presbury. Um okay, so now we'll, uh, turn over to, uh, several of our state partners as well as our our task force and present partners. Um and so the first turned over to Tracy Zimmerman, who had ah, lot of our external communications communications and partnerships to talk a little bit about our public campaign, um, and communication, especially around our three. W. Tracy, you have the power. Thank you so much. Good afternoon, everyone. As you heard at the outset, we have, ah, focus on prevention. It's one of our currently best means to slow the spread of cove in 19 um, and A to the same time. It's also requiring riel behavior change for people were asking people to where face covering and stand apart from others on behavior. Change is hard. Keeping our distance from other people goes against human nature. And wearing a face covering has its own barriers overcome. Hopefully the third w watching hands people were already doing. But I'm sure, like me, you've also heard lots of people didn't know that they were not doing it correctly, and now they dio So the public education is really important. Um, all significant and successful behavior change effort include a robot public campaign. Many also frankly take years to make an impact, and we have to do this immediately. Uh, so since early on in the pandemic, we have worked with our academic partners to help us research some of these barriers and motivations to the behaviors were asking people to take on. They've been running focus groups and surveys to help guide us on effective messaging, and certainly if you've watched any of our press three things, you are very familiar with our core prevention message. You've heard the governor and Secretary Cohen repeatedly to practice the 30 W's ah, where weight and wash on. But the goal really behind that is that these are simple, actionable and memorable, and this is the approach we will continue to take with our public outreach. In our campaign, we have developed a wide range of materials on that are accessible on our on our website. If you go to covert, 19 got, uh, nt DHHS dot gov and you click on resources and materials. We have a whole tool kit that includes everything from, uh, flyers and posters on social media images, infographics and both radio and video public service announcements. Everything is available in English and Spanish and the huge thank you to those who are already using these materials. It's been really exciting to see many organizations and businesses really making the three W's their own. We've had towns who are making banners for their outside spaces, universities using them in their student outrage. Local news stations recording their own P essays and business is making their own sign. So we strongly encourage you. Teoh Teik, take those assets and use them if anyone would like them in their original form so that they can brand them as their, uh within their own brand, we're happy to do that as well. The more varied voices saying the same thing. I think we'll be very critical to our success in some of this behavior change work. Um, we're continuing to use research to inform the next phase of our campaign. We know we have to define the reward for taking these actions as being greater than the obstacles. And we also know that that may be defined very differently for different populations. We have to avoid fatigue. Um, there's we don't have an end in sight at the moment, and we're asking people to again change behavior and do that consistently, so we will really again focus the majority of our outreach and what we hope you'll help sample continue to focus on prevention. We will have predominantly used more of our testing and tracing messages and our public efforts as we surge in some of our harder hit um, counties and communities. So as we move forward, we are developing the next phase of our statewide message. Um will work with statewide media partners really with an overemphasis with our Latin. It's an African American black media outlets because we know that those communities are being disproportionately impacted by Cove in 19. And I also know that we have ongoing engagement plans with our historically marginalized populations that go well beyond just our campaign after that. So we hope to use a variety of tools ugly amp up our next phase around the three W's, particularly around wearing oclock map across the state will have a new public service announcement, billboards on a range of collateral material, and we also want the ability again to surge. Athletes and counties that are being particularly hard hit were already supporting counties by deploying testing site, helping them work with trusted partners, providing more contact tracers and a range of intense intensive assistance. Um, and we're currently surging social media, but we need the ability of custard. Are camping assets in those markets as well as we see as needed. So I know again, you you've heard the governor and the secretary say, often not slowing the spread, Um, of this virus will take all of us during our part. And so I'm hoping that all of you can help us by amplifying the wear weight washed message in our forthcoming campaign through your own paid media placement, distributing messages through ah, your own organic content whether that newsletters are post or other things that you all already dio. And we're happy to share those as well. If you are a media outlet using air, time to to share the PSC is that we have and our athletes are available to you So you can think about purchasing air time for R P essays to help get the message out. So there's lots of ways Teoh support amplifying using your voices leader on the more voices we have branded frankly in in a variety of from a variety of influencers in their own way, the more we will be able to reach very diverse communities and constituencies just shows support and model. How important are Www In fact, our I think, Dr Tilson. Great. Uh, thanks, Tracy. I really, really, really appreciate all of that work, and it really is those three deluges great science behind those three W's really, really good science. So we could get them really adopted in the majority of our our folks. It could make a huge difference. Thank you for all your work on that behavioral. Changes hard. Your right. We were trying to do something. Um, you know, in a month that often takes years. So all hands on deck for that great and thinking all hands on deck, we really have to think about this. A guessing this pandemic across multiple, multiple, multiple sectors. And so are private sectors on our business communities are incredibly important. That is partners in this on. So I believe we have Secretary Coppola was able to join us from from commerce. I'm Dr Copeland will show if you wanted Teoh offer a couple words in terms of the business community and commerce in this. And we will also then move to Gary Nieto from the Chamber of Commerce. I'm picking through the business part of this. So Secretary Copeland, are you on? I am. Thank you. doctor, You know, from where I sit in February, I was looking at 3.5% unemployment, which basically meant I had a workforce shortage. Um, sure, it rapidly went with them a couple of months to over 12%. But I will say today that much, much of it I should give credit to you and your team and the governor for bringing stability back and how we're approaching Cove it. The unemployment rate today in North Carolina is below 8%. While that's not acceptable, that's a remarkable change of people going back to work. We're seeing sectors like the auto. The automobile industry is going full steam. I want to imagine the governor's executive order did not shut her any manufacturing or construction. So those industries remain ready to come back. Much of that they were affected by and large by supply chain issues coming from from other states. But with all of that said, we have paid out over claims over 11.2 million climates on unemployment benefits. But today that number is down on a weekly basis. Is last week a point in time we paid 440,000 North Carolina workers. Unemployment benefit off with over $6.6 billion. An outlay of money. One of the things that work very concerned with today the federal weekly PUC payments Unemployment ends today. That's $600 a week that is coming to a screeching halt today and that, um so we're ready for that deluge? Oh, I guess we're probably not ready for. But, um um, that's going to be impossible thing for us to deal with. We work for solutions. We are in the process of pain. Cares Act, funding the job retention grant program were distributing that money. The rural division is also distributing over $28 million to help with housing, telehealth, broadband and other things. But I want to say that we're also the economy is still moving in from in a good direction. In some sectors, we are $2 billion. I had an inward investment than where we were last year, this time at the Department of Commerce, and we just announced the largest economic development project ever. 17 corporation with 3200 jobs. So well, it's not all that where they caught the fundamentals of our economy are functioning is continuous, but with I think your fact based, methodical science approach that I would deal with this is helping us. Thank you. Thank you very much. Extra couple of to comment, that one, right. We all want people to get back to work. We all share in that. And so again, as much as we can all together work on the prevention, that would be the best strategy of getting people back into work. And the other thing that you alluded to is right that our critical infrastructure this is have remained open. So our our meat processing are construction. Our manufacturing have all remained open. They also are some of our highest risk settings as well. And really trying to lean into ensuring most prevention strategies in those in those high risk settings and thinking through all of our partners in those sectors of our economy that we can protect those workers that we can ensure that those those sectors are continuing to move. So that's a big priority. Because though there are essential structures that real thank you for that. Okay. I'm gonna turn over Teoh Gary Sal Nieto, Um, some volatile chamber of commerce to think through kind of more private part of our business, our business community and all the way that we have been partnering in all the ways that we could be partnering more in the future and pulling in that the tremendous force and strength of our business community. Uh, thank you, Dr Tilson, And thank you, Director Spray Berry for the work you do every day to help our citizens remain safe and healthy. We very much appreciate it and a quick shoutout. Aziz, we do a lot, but it can't do enough to our front line Health care workers who are there every day taking care of folks that are exposed to covert that have it in equally importantly, getting treatment to people who haven't been at treatment for a while because of of the velvet pandemic that are now coming back into the health system. So we we thank them and we appreciate everything that they're doing. Also, I'll take a couple minutes to talk about what the business community across industry segments has been doing since the beginning. Uh, since we started the pandemic started when he started talking and working together with you, they've been changing quickly. They had been looking to protect their people and protect their customers from the very beginning, adjusting, uh on the dime to make sure that they're following guidelines. Following that, DHHS guidelines CDC guidelines and keeping their first of all their people, their employees safe and their customers like the highlight. A couple of, uh, examples of what's being done talk a little bit about what we were are doing and have done. I'm gonna mention some specific company names. Please know that for every company that we mentioned, there are companies that I don't that are doing exactly the same thing and more with it. So we have large manufacturers, as you all know, like Winston Salem based Pains, brands that are pivoting Teoh pp for health care workers in a global way. And they're here in North Carolina making those changes and pivots. You know, Blue Cross Blue Shield has been waiting co pays for testing from the beginning, and our health systems, Wake Med and others ever been expanding telehealth capabilities from the very beginning that help address those needs. Companies like Cook Medical are conducted in daily temperature screenings for their employees, and every shift recording mask inside their facility. Have Crisis Response team set up with their with Winston Salem and their localities, and they have committees that are meeting daily virtually to discuss. What's happening are food processing facilities, and ag companies are using enhanced cleaning processes and following the guidelines that air there. They have social distancing measures on there in their in their manufacturing facilities for markers. They're dividing up work spaces and face shields are being used. And they have cross functional task forces within their organization. That air daily, looking at the information that we get from the state looking at the information that they have and making adjustments to keep their employees safe and to keep their products, say grocers and retailers like Food line across all of our state of installed plexiglass dividers at their registers, customer service and pharmacy counters. In every store they're shipping face shields alot of all their stores. The sign itches there to encourage shoppers to maintain the six feet in the retail settings. They're using one way aisles, and there's a dedicated focus on cleaning practices in those areas and again using the guidelines that establish for them, and they're changing the shopping hours and they're adjusting to limit the number of people aren't also protect our most vulnerable populations. Uh, companies like Lenovo in the tech sector triangle based employees are working from home. And, uh, you know, for example, gave 104,000 and 95 master local health systems, including Duke, UNC and Wake Met, and other companies are doing the same. And in our fintech and finance companies, companies like Pinnacle Financial Partners and their Frontline associates that has to be in the office. They're using all and following all of the required guidelines, including using drive thru only in the retail offices. Requiring associates were facemasks when their lobbies have to be open to the public, and they require customers to wear masks to, as as a lot of forward facing places that have to have, ah, direct heart that them are. So companies across industry segments are doing everything that they can do and continue to doom. Or, as we look to, uh, get through this pandemic on the chamber side of things representing those companies, there's three or four things I'd like to mention, Uh, you know, we work together with our board on a relaunching North Carolina blueprints. There's a very specific section in there and protecting people with guidelines for employers and individuals that include, uh, the CDC guidelines, Beach HSE guidelines for social distancing and hygiene and PP, and we push that out regularly. We developed and promoted a Corona virus Resource is guide that on our website that we direct people to um almost on an hourly basis when people are are checking in. Its setting always includes the latest updates from DHS and the governor. Uh, it highlights that's practices for safe return and businesses interested in producing or donating PP. We're connecting them looked again working with our health system partners and the Nokia on a health care association. We've developed and promoted a serious of prevention weather ours, including preparing for a safe return to work. Eva and PDC disinfecting best practices, reopening best practices for business, aligning health policy and business, uh, among others. We worked very closely with the Health Care Association and the Medical Society to promote the three W's. We issued a joint statement, has been pushing out those messages through our social media channels, and we work on a regular basis and you'll hear from Steve Lawler in a minute with the North Carolina helped your association and their members to understand where the health systems are, what day it is and help, uh, be a translator back to our non health care companies so that folks in their localities can work together to address the needs of the community people safe and and plan for the future and plan for when we can safely reopen and get back to what is, well, North Carolina understand is, ah, normal a little bit more normal. Ah, way, Ah, living their lives. So getting our lives and our lively foot back on track is a priority for business, and doing it safely is a priority. And thank you for the opportunity today to share a few of the examples of what's going on across North Carolina. And please know that businesses are committed to the safety of their employees and of their customers, and we'll continue to follow the guidelines as we get through the stand. Emmick. So would that. Thank you, Dr Tilson, for the opportunity to be here today and to provide some remarks. Great. Thank you. Thank you for all that proactive work. I can turn it over to our colleagues from the rally Police Department, actually. So Mr Ray Ashby, and then Deputy Chief Galloway to think a little bit from our law enforcement end of s and how we can think how Think through some of our enforcement strategy. So gentlemen are intended over to you. All right? Unless they are mute. Okay, well, I will circle back with them and have them enjoying us near the end. Um, if, um uh, not on the front end. OK, so we'll hold on that. And I'm gonna have the pleasure of having Dr Roper for the UNC system go next to think through a big something is going to be going on in our statement. A couple of weeks, a students come back to college. So how were really thinking about preparing for that? And I'll also acknowledge Dr Roper, this is his last day serving in his role at you and see and grateful for his leadership, ungrateful that on the very last day he's actually been on two calls with the department today. So that's not partnership and commitment. I don't know what is so Dr Roof are off to you. Thank you, ma'am. You hear me? OK. Yep. Okay. Uh, So, Dr Shelton, thank you for the partnership. And, uh, I think to go to the governor. Secretary Cohen, director stage fright, Berry and everybody else. Walker Wilson in particular, has been a real partner for us. Um, the universities and colleges in North Carolina, the community colleges, the public and the private. So all of us have been working together through a subgroup that Dr Cohen put together some probably two months ago, and that group has been meeting at the pace of about every two weeks. We had one of those meetings again this morning. And brief reports that I'd give you all is simply that there's a lot of work been done at each of these institutions for detailed contingency planning For what lies? Ad for the opening of the full term. Uh, the precise calendar is different for each institution, but some of them are beginning to open this coming week. Others layer and all of this others in September. But it it's a big undertaking to try to get ready for what lies ahead. All of this we're trying carefully to coordinate with the Department of Health Human Services. Part of what we're doing is asking everybody toe have in place formal memoranda of agreement with the local health department that they a county that they're in so that everybody knows ahead of time what to do under whatever circumstances come as faras positive cases or people who are ill and the need to do contact tracing. And come on. Um, the three W's, uh, are a major part of the work that's being done on college, on university campuses, and in particular they are. We are trying to build a culture of compliance with those healthy behavior, old practices and at every turn, people s the question. Do you really expect college students Teoh do these things? We were saying, Yes, we do expect university and college students to do these things and, um, a lot of work being done with student leaders across the state. We know that we will have cases of, uh, people who are growing virus positive, and we'll have some that are ill. And we are at each institution. They are setting aside space in dorms for, uh, quarantine and isolation. And again, all the protocols that need to be worked out ahead of time. So that this can we manage? Well, But finally, I'd say Ah, personal better gratitude to Governor Cooper. Dr. Colin notched Elson Director Spray Berry for the very good work that you all have done. I'm proud to be a North Carolinian And have you all is our state's leaders, so thank you very much. Thank you, Dr. Roper. I got a note that our law enforcement folks have come back on. So I'm going Teoh Circle back and have Captain Gunter, Um, and or Mr Spock, Chief Deputy Deputy Chief Galloway shares some comments about the enforcement and of our of our prevention activity. So, gentlemen, if anybody is on from the law enforcement and thank you for for circling back Yes, ma'am, The problem. This is Captain Gunner with Rollie TV. Yeah, testing in just a moment how we tried to work with businesses. So certainly the main card rewards to give voluntary compliance, and I can say with a few exceptions, which we're always gonna have, everyone is legitimately appearing trying to do their part. It was the latest restrictions that would in place with the out called sales city rounding it actually started that a little bit earlier before the state implemented it. So we had about a week or so had started that. And we've seen incredible compliance from businesses from this point on that we've had also monitoring that Teoh provide educational cards to people that they were heard mentioned earlier that people were not necessarily complaint, not deliberately, not in compliance. So we worked very hard on the educational side on We've definitely seen they swing in that direction in the latest restriction. Secret alcohol sales with restaurants city riding a tremendous amount of input on their side and compliance with discretion. So we're definitely just like everybody else to do our part very much larger team of the plan and to ensure that we can help prevent. Okay. Thank you, sir. Um, we know that the enforcement pieces is the hard part. And so looking forward to thinking through as we go forward with even more creative strategies, I'm on the enforcement. Um, so I'm looking at the calendar, and I have not apportioned enough time for everybody's I am gonna apologize because we have three more of our cast members who had asked to say a few moments because in a few words, until I do apologize that I did not kind manage this incredibly well. So we do want have Adam shoulder from the Health care Facility Association, talk a little bit about our nursing home among from care work Janet Crichton, who is the the president of our Association of local health directors and the importance of our local health departments and then Steve Waller from the Health care Association in our health care systems in their Roland and this and everybody doubling it on prevention. Still, we have seven minutes, three really, really important sectors. So I'm gonna ask those three folks Teoh really high level. Uh huh. China Adam to you, high level nursing homes and skilled and long term care facilities. Thank you. Doctor tells you can hear me. All right? Yes, sir. Okay. Thank you for the allow me to be here today and government. Thanks for your leadership as well. Secretary Cohen and and all the rest in administration general assemblies and work with us through the past few months. Um, just try to convince it down with time remaining. Just a few quick highlights um, the one point I think I would stress a to this time. A new area where we continue to need improvement is, um, the prolonged delay in getting test results. That remains the single most serious challenge facing nursing homes right now. Uh, if we're unable to get test results back quickly, they're currently taking somewhere between four and seven days or even more. In some cases, we simply cannot stop the spread of this virus in our facilities. New Doctor Tilson you noted earlier. This is not a North Carolina problem. I hear this same challenge for my colleagues across the country, but it is a very real problem. And it's when we must continue to keep ah, front of front of mind. Just a few other quick notes on prevention activities. I think we've we and our members across the state worked collaboratively with the Governor's Administration DHHS General Assembly over the past few months and have implemented a number of things you know and continue to evolve as the knowledge based on this virus and disease have continued to evolve. I think we saw a real turning point a to the end of April when we were given enough kind of virus incubation, time to see the effects of the universal masking and other screening recommendations that you were promulgated after it was known just how widespread the asymptomatic positive carrier is in just how contagious Inspires says. And so as we moved into as we moved into May with additional PP. Supports from Nortel on emergency management, as well as a partnership with the HHS in the Medicaid program with dedicated financial resources and consultation with the statewide program for Infection Control and epidemiology. Human See, we continue to see improvement as we had there as you three sources to fight the fires were made available, Um, and and also, you know, we saw Deering throughout this time, not only additional resource is but accountability with the HHS inspecting every skilled nursing facility in the state, um, uh, focused on infection control, compliance and and overwhelmingly skilled nursing buildings are doing everything they can invest. The vast majority of these facilities had no infection control issues whatsoever, Um, and and now just again jumping ahead, most recently on Tuesday with the outbreak list department publishing twice a week, there were 155 skilled nursing facilities, with two more cases code connected to them. But of those, 63 had either zero or one resident, Kogan positive, and another 53 of those had between two and 20 residents positive, indicating the facility had successfully contained to spread to ah single hall or unit way. And just to be clear, mean outbreaks, with more cases that resulted when the facility has done everything right. The day today work in a nursing home is a lot of very personal hands on care, and we see more community spread more of our residents staffer exposing the community. Um, and so if you have asymptomatic positive staff of residents on more than one whole, certainly cases could grow. But North Carolina compared to our South Eastern neighbours, skilled nursing facilities have largely held the new case curve flat, while our some of our southeastern neighbors you know, they've seen new case trends. G o up along with community trends, where you hear what we've seen community case growth. The new nursing home case growth is has stayed largely, um, largely flat. So I miss in testing on the turnaround times at the outset to other areas where additional infection control measures over the longer term can't stress one. The need for the additional infection control resource is that have been provided to continue to be provided a swell as, uh, we were working on something else. We're working on a Medicaid program toe help foster the creation of more private rooms in nursing homes not only for this pandemic, but as we plan for the future. You know, I think that really could could make a difference. So just to wrap up, we're making positive strides as PP supplies of increase. We learn more about this virus. More research resources have been provided infection troll measures have improved in our infection rates have slowed. Um, and we compare favorably to our other Southeastern states. But we continue to face many challenges. Summer immediate, like the need for faster turnaround times and testing and others are more long term with the financial and staffing challenges that we faced and the fact that we're gonna be in this for the long term. So ah, very condensed version. But But I can tell some thanks for the opportunity to be here in report. Thank you. Thank you. And I really apologize that we have a minute and to really key stakeholders. And I feel bad that thing. This is not a lack of value, so I'm gonna say 30 seconds. Steve, I know this is gonna kill you to travel filling in 30 seconds. And, Janet, maybe you, but kind of 30 seconds, and I apologize. Next time, we'll we will make sure that you are closer up on the agenda. So, Janet, go Major prevention, public health. Um, well, local public health, where you are continuing, Teoh. He's our communication efforts across various partners. Um, of course, is lamenting and using the three W's in the campaign. Um, we're trying Teoh expand our partner memories as we incorporate these misters various things from the graphics pre printed hand sanitizers. But prevention is the key. And that is one of the three frog missions in public health and wing, but forward to continuing to work with the state and our business partners on this across the state. Awesome. You win the award for conciseness. So everybody partner with your local health department. Prevention is core business. They are incredible resource. I Steve very. Can you get a second problem but we're busy. We continue to be positioned well to care for patients that have both proven and non computations in the space of public messaging over mind this group that it was the chamber, the medical society in the hospital association that came up first in regards to mask covering, we continued Teoh to invest dollars and resource is in communicating with different venues, from highway billboards to paid advertising, social media, flyers and hospitals and physicians offices throughout the state, continuing to work with traditional and non traditional partners to address, uh and fix issues were working to fill the gap that I've been created, uh, early on, due to a lack of testing availability as well as public health resource constraints. And then finally, we're preparing for a tropical weather seasons that were brushing off our playbook, understanding it has to be modified. But we're gonna be there to take care of everyone. I assume you guys win the award. Good job. Great. Well, thank you all so much. I think again the all incredible work you all have been doing is really a testimony to the partnership. We have to do this to together. So I appreciate that all very much, I think, from the front end again thinking again on that. Prevention that about that messaging that location, that there are guidelines making sure, you know that Making sure that you're following them, making sure you are enforcing them and making sure that we're facilitating people will be act on that. Um, And if we do that all together and reinforce that all together, we truly have the power to shift the shape of the pandemic in the state. Which then, of course, allows us them to continue to open up our economy and make sure their kids can learn on that our people can get back together, which is all of the ellipticals. So I thank you so much for your ongoing partnership, and then you're our in two minutes this afternoon. Um, I will stop talking. I'm not sure of Governor Cooper or Secretary Cohen or Director Spray. Very. Or director hooks. Want to do any last minute closing? You did a great job. Dr. Tilson, This is Mandy Cohen. Thanks for your leadership. And, uh, thanks everyone free. Thank you, Dr Tilson. Great job, man. No further from director Spray bury Uncle Mike as we call. We love you, Michael. Like, um, again, I'm not sure if the governor is still with us. I just wanna make sure there is space for him if he is still with us and would like to have a closing coming. Great. All right, well, thank you all. Have a great weekend. Go team. Um, and we will continue to work together and please have great ideas. And then I can make sure that you could get Tracy and make sure that you're using all of those incredible tools that her team has put together that you want to say goc out and have a great Friday and hopefully some rest over the weekend.