With more than 68,800 reported cases, NJ Gov. Murphy provides coronavirus details (April 14)
On Tuesday, April 14, 2020, NJ's Governor Phil Murphy holds state's daily coronavirus briefing.
Good afternoon Thank you for your patience We have a lot of balls in the air So we move this a few minutes to ah 1 15 And I appreciate your willingness to bear with us with me today beginning to my right The woman who needs no introduction the commission of the Department of Health Judy Person Kelly Judy Honored as always to Judy's right state epidemiologist Dr Christina Tan Also I think in the category of now not needing an introduction uh we're also joined by uh Dr Tans one of her predecessors Doctor Eddie presidents Great to have you with us Eddie As always in the guy to my left is definitely in the category of not any introduction Super 10 of the State Police Colonel Pat Callahan Um I think Pat it's fair to say on off topic matters We have you said about 4000 outages and hopefully there gonna be resolved by midnight tonight Not a lot of accidents to report from yesterday Thank God So thank you for your leadership We dodged I think a little bit of a weather bullet yesterday Another some places got hit up pretty badly Let there be no doubt about that Also here with the director the Department of Homeland Security Preparedness Jared Maple's Nice to have you with us Jared Deputy counsel Paramedic Argh is also in the house Somebody begin as we have been for the past couple of weeks with numbers and Judy I think it's fair to say that Will we look at Monday and Tuesday numbers There's a amount of a certain amount of blending that we have to accept given the weekend reality So just bear with us It doesn't make the numbers any easier trust me but I think there's a you have to sort of look at Monday and Tuesday in sort of an averaging reality Uh so today we're reporting an additional 4000 and 59 positive test results which is now a total of 68,824 New Jerseyans who have now tested positive more on testing in a little bit according to our online dashboard accessible by the way through covert 19 dot NJ dot gov as of 10 p.m. Last night 8185 residents were reported hospitalized of whom 2051 were listed in critical or intensive care and 1600 Judy 1626 ventilators were in use and justice Importantly between 10 PM Sunday and 10 p.m. Last night 514 residents were discharged from our hospitals And as we note each day the dashboard pulls data as it is reported at 10 p.m. Each night by hospitals to the New Jersey Hospital Association And there may be overnight changes or late reports that are not yet reflective in the data Remember these numbers are just a snapshot in time for what remains a very fluid and fast changing situation in our hospitals And today with the heaviest of hearts we must also sadly note that another 365 blessed souls have been lost due to Kobe 19 related complications in the overall toll This pandemic on our state in terms of loss of life is now 2805 lost brothers and sisters of our New Jersey family again it should be noted I referred to this a minute ago that not all of these deaths occurred literally within the past 24 hours Many of these individuals passed some time over the past number of days and are now being reported It does not make it any easier regardless of when they left as they have left us as we do I'd like to share the stories of just a few of those we've lost in recent days Eddie Germaine God bless him And he served our state for more than 30 years at the Department of Transportation Any most recently serviced The director of bridge engineering and infrastructure management He was working literally right up until recent weeks and his last work was on the structural analysis we needed for our federal waiver of the weight limits on our highways For truckers carrying cove it 19 relief supplies you may remember last week I announced the executive order associated with that Commissioner Diane Gutierrez Scotch Eddie with whom I just exchanged notes and she's busted up I promise you she knew Eddie well She called him quote a gentle spirit and excellent professional to Eddie's family I reached out left a message for his daughter Bianca We salute his dedication to our state and will keep him and each of members of the family in our prayers to his D O T family We're also thinking about each of you working as Eddie did to keep our state moving forward God bless that guy Bedminster Police Patrol Sergeant Al Trick Patterson years Al trick was taken from us on Easter Sunday He was in his 14th year serving his community and was a beloved member of the Townships Force He was promoted to sergeant in 2014 He was only 38 years old He leaves it behind his wife Brandy again I tried to reach out to her this morning And Children they are in our prayers as is his memory as is everyone in Bedminster who served alongside Sergeant Patterson and all who looked up to him And there were many who looked up to him as a Roman God bless him Next we have Iris Anita Martinez Arroyo theorists Anita Martinez Arroyo She was an icon in our state's strong and proud Puerto Rican community She was an educator a cultural manager in a community and political activist She was from Santa Isabel Puerto Rico but she called New Jersey her home Iris is survived by two sisters four nieces and nephew Vincent with whom I spoke this morning and the entire by the way the entire many hundreds thousands strong brothers and sisters of the Puerto Rican community in our state May God bless her We grieve with every family who has lost a loved one We grieve with the friends they have left behind We agree with all the colleagues with whom they worked We grieved with the communities who have lost icons and leaders and role models and we grieve because we know we cannot adequately adequately say goodbye to them At this time Cove in 19 didn't just take them It has taken away our ability to come together to celebrate their lives as we should and as they deserve That especially makes thes illness this illness in these passing so cruel It's also what makes it so vital that we continue to do all that we can to defeat Cove it 19 so we can come together sooner than later albeit much later than we would like to remember these precious lives lost Here's an update on the map that we've been showing you from time to time that we need to all keep in mind the lighter the color uh the longer it's taking for the virus to double and spread and that's a good thing And this was a very different map a week or so ago And because this is a salute to everybody out there because so many of us have taken social distancing the heart we've been able to turn much of this map to the light shade meaning again that the rates of covert 19 spread are slowing and that the curve is beginning and I say beginning to flatten This is the map in many respects by wish We measure our progress as an entire state and we got must get every county to be the very lightest shade To do that Folks we have to keep our foot on the gas We have to stay at home absolutely stay at home unless it is essential for us to get out And if we do go out we have to keep wearing our face coverings and keep it least six feet apart from one another We can't take the changes on this map for granted This get very easily backtrack Covert 19 congest is easily boom A ring back on us If we stop doing what we're doing let's only go through this once Let's keep our focus on what we need to do today and that's keeping with our social distancing and again if we keep it up I know without any equivocation that we will come through this this strong as we've ever been before not without casualties Sadly as we have seen too many lives lost But we will get through this and we will get through This together is one strong extraordinary New Jersey family PNC Bank Arts Center testing site which were operating in part airship with FEMA will be open at 8 a.m. Tomorrow Wednesday April 15 It will handle a maximum of 500 tests to be tested You must be a New Jersey resident and you must be exhibiting signs of respiratory illness The Bergen Community College site which was open today will really But at 8 a.m. Thursday April 16 on again also for a maximum of 500 tests again remember that you need to both be a New Jersey resident and you have to have symptoms of respiratory illness in order to be tested recently and I can't say this has been true of every day but I wanna say this as long as it is true because we've seen the long lines particularly in Bergen the PNC Bank Arts Center site has not been hitting its 500 test maximum So if you need a test we recommend you may want to head to home Del first On the days that it is open again we're not hitting the 500 test maximum consistently in home Della's We are in premise that the Bergen Community College which as we've seen have ungodly long lines consider shifting into the days of Holmdel is open again If that shifts back we'll let you know Additionally the New Jersey State Policeman's Benevolent Association or P B A in partnership with Accurate Diagnostics labs has opened multiple appointments on Lee Drive through testing sites for both career and volunteer first responders and frontline health care workers The newest site is located in American Dream in the Metal Ants and is a partnership between the N J P B a Hackensack Murdy and Health Agile Urgent Care and American Dream that we thank them all for their partnership Other sites are operating in Deptford and his Somerset first responders and health care workers can opt in to start the screening process for any of these sites by visiting N J P B a DOT and Labs Cove it test dot com again that's N J p b a dot add Labs Cove it test dot com I want to thank my name in particular New Jersey's P B A President Pat Collagen and executive vice president Mark Ove R two very dear friends for their work in spearheading this effort Also a new site for residents of 100 Somerset counties will be opening Thursday April 16 on the campus of Raritan Valley Community College Testing will be by appointment only two residents age five and older who are exhibiting symptoms and have a valid doctor's prescription with them which is required to make an appointment Please visit Somerset Dash 100 dot Add Labs Covert covert test dot com Again that's Somerset dot a Dash Rather 100 dot and Labs covert test dot com and you could see it at the bottom of that slut We thank the leaders in both Somerset and 100 counties especially the freeholders in both of those counties we thank our V c c c R B c C for their partnership I also want to thank Congressman Tom Malinowski and Congresswoman Bonnie Watson Coleman for their strong advocacy As we note every day there are many more publicly available testing sites across the state that you could find a list of them by visiting Cove in 19 dot NJ dot gov slash testing And there are literally dozens more privately run sites which you could be directed to buy your primary care practitioner Let me say this unequivocally There is no question the testing anywhere in our country is not nearly where it needs to be and New Jersey is no exception We've made real progress According to Brady we now have at least 66 testing sites now in our state but we need to do more We need reliable safe quick access to testing for everyone and we needed everywhere particularly as we begin war gaming and thinking through that process of how and when and what we need in place particularly from a health care infrastructure to begin to responsibly reopen our state I want a channel a a sort of general approach that I've taken you've heard me say as it relates to NJ Transit over the past couple of years Um on the one hand the metrics are clearly getting better as it relates to testing This is a little bit like online performance for your train The batting averages are going up We have run the fourth most test of any state in America In the three states ahead of us are California New York and Florida And they have a lot more people that we have So we're punching way above our weight We have 11th largest population state in America and so we will continue to make progress up against that On the other hand uh no state has The resource is they need to test at the scale that they need to test including those three bigger states and certainly including New Jersey So if you're in one of those long lines uh and you're frustrated I don't blame you You should be It's so um I we need more support for testing Let me say that unequivocally I think we've played a very tough hand as well as it can be played But boy I'd like that hand to be a lot a lot bigger a lot more inclusive A lot more resource is for testing and we can't begin to think about reopening unless the resource is that we get in particular The cooperation of resource is we get from the federal government are a lot more robust than they have been We'll continue to play our hand to its maximum potential but way we need help and we're not alone Every American state needs help on testing and that includes this one I have been relentless and advocating for expanding testing with White House with our federal partners and I won't stop until our testing regime is where it needs to be switching gears The Department of Labor continues its work to upgrade its capabilities to respond to the record number of residents seeking to file unemployment claims Specifically the department has expanded the capacity of its call centers to better handle your incoming calls and its automated more processes to reduce the amount of time it takes for applicants to receive a determination of eligibility The department also has provided the laptops necessary for an additional 500 departmental employees to assist in helping residents from home These are just two of the steps the department has taken to ease the current backlog of claim applications and get benefits flowing to residents more quickly As we've said many times before no one is going to lose one single penny penny of benefits They deserve the staff at the Department of Labor or dealing with literally unprecedented volumes of applications By the way you asked me what is unprecedented How does this end 576,904 applications in just the past three weeks to give you both some sense of the economic devastation that this virus has rot on the one hand and on the other hand the challenge that our colleagues at the Department of Labor have to process Even with these steps in place we ask for your continued patience and understanding And when you do get through to someone on the phone as I've said before remember they're also dealing likely with the stresses of keeping their own family safe Let's all be kind to one another and let's support one another Also for those eligible for unemployment the additional $600 per week made available by the Federal Cares Act is hitting accounts starting today and where one of the first handful of states to get this done But remember to qualify for unemployment and this expanded benefit you cannot choose to collect unemployment benefits if employment that your current place of work is available and a reminder that if you have lost your job due to this emergency and we know many of you have but you still want to work There are more than 50,000 jobs from more than 650 essential employers posted online a cove it 19 dot NJ dot gov Just click on the Link for Jobs portal on the main page Also today I will be signing a number of bills that the Legislature sent to my desk yesterday some of which as we discussed yesterday codify my executive orders and others which make new changes to help us further our fight against Cove in 19 One Bill sponsored by Senate President Steve Sweeney will allow employees force to care for family members because of covert 19 up to 12 weeks of family leave in a 24 month period without losing their jobs I thank the Senate president and as I announced yesterday I'll be signing the bill extending the tax filing deadline for income and corporate taxes and for estimated payments from April 15th 2 July 15th so that it remains consistent with the deadline for federal tax returns The bill also extends fiscal year 2022 September 30th of this year and that will ensure that we're able to take a fuller account of the economic effects are pandemic response has head and to incorporate the revenue data from state income tax returns that we will receive in July Under the bill I will present a revised budget message to the legislature by August 25th 2020 I think again the legislature for their swift action and for their cooperation and good will on both sides of the aisle as we face these challenges together and I have also signed an executive order postponing deadlines toe act on rule proposals and expirations of currently existing rules until 90 days after the current public health emergency has ended This will ensure that agencies across government can focus their attention on the immediate threat of Cove It which is where it belongs on the topic of volunteers are volunteer intake form A covert 19 dot NJ dot gov slash volunteer has been updated to accept responses For those of you who have prior experience is an emergency medical responder and who wish to pitch in to help R E M s squads our Department of Health led by the woman of my right has issued a waiver allowing for certain individuals with E M T or paramedic experience but whose certifications have expired within the past five years to return to the job To help our response We can use all the help we can get with said that many times that we say it again today Our current in state crews they're doing a tremendous job and they're now being assisted by 78 out of state crews who have come to help as we mentioned some from this far away is California but we know we could still use more so please head to covert 19 dot NJ dot gov slash volunteer and sign up And we're still looking Judy unless you corrupt me for individuals of nursing and other medical experience especially those with management experience to help with our field medical stations and again for you as well The place to go is Cove in 19 dot NJ dot gov slash volunteer We cannot thank enough the more than 21,600 volunteers who have already raised their hands to help us You are a crucial part of our team and we are honored to have you with us in this fight And because of this Judy and her team have been able to provide the names of 240 qualified professionals to our long term care facilities to help alleviate They're crushing staffing needs and serve their residence including 150 certified nursing assistance to 90 Pardon me registered nurses licensed practical nurses and clinical nurse specialist The department has availed 25 volunteer nurses to the Veterans Memorial Home in Menlo Park I also spoke a short while ago with Secretary of the Department of Veteran Affairs Robert Wilkie who agreed Toe my request for an additional federal assistance for our veterans homes and who will send an additional will send an additional 90 nurses from the department the V A to new Jersey Ah now I know there's gonna be more on veteran homes and long term care facilities from Judy In her remarks I want to thank the VA and Secretary Wilkie for that Additionally Attorney General Gerber Gray Wall Bless You and the Division of Consumer Affairs are announcing today that more than 10,600 out of state health care professionals who have received temporary emergency licenses including professionals deployed to New Jersey with the National Guard and others who are offering Tele Health Service's to New Jersey's residents remotely from their home states there on top of the more than 400 retired New Jersey health care professionals who reactivated their licenses within the past week I don't need to say this but it should be repeated This isn't all hands on deck moment and we thank everyone who is stepping forward Other conversations that I've had this morning a couple I would highlight One is the consul general for the People's Republic of China based in New York and Ambassador Longping He and I had a very good discussion about sort of had a streamline the whole range of requests and initiatives we have in the People's Republic for things like proper personal protective equipment and ventilators was a very good conversation I think the ambassador for that I had likewise Avery good conversation with Vice President Mike Pence this morning Private conversation just to update him on where we are on as they start toe think through in their own deliberations whenever it is down the road What sort of health care infrastructure we need is a country on what it looks like when we begin to open back up again that I raised my hand personally on behalf of New Jersey that we would be honored and would very much want to be a part of that discussion in process before I close and turn things over to Judy As we've been doing over the past week I'd like to highlight a few of the good news stories of everyday New Jersey and stepping forward and coming together to help us defeat Cove in 19 And we're learning so many of their stories because you are telling them to us by using that hashtag and J thanks you on social media First up comes the County College of Morris Here's engineering lab coordinator Eric Peterson areas who's responding to a call from Atlantic Health Morristown Medical Center for face shields and is now creating them based on specifications provided by the hospital on the colleges Three D printers So do you Eric and the team at CCM Thank you And here is Zilly Thomas Sally's on the right where in his flight is Yankee colors He's a community activist in an educator in the Paterson public schools he has helped organized A small band of volunteers have named themselves North Jersey Mutual Aid They're collecting small dollar donations and turning them into necessities for seniors and other vulnerable residents who are staying in their homes and aren't able to easily go out there bringing them everything from toilet paper two hot meals meals source by the way from local restaurants who are also stepping up So does Ellie and every member of North Jersey mutual aid We thank you again Please keep sharing your stories of New Jersey's unsung heroes We know they're in every community up and down our state Give them a shout out using hashtag NJ thanks you so we can all recognize their efforts together again These examples remind us that we are indeed all in this together It isn't up just to some of us to fight this war It's up to all of us each and every single one of the nine million of us And we cannot let up not one bit until it is in fact one Folks leave the worrying to me until those of us up here on our teams were working overtime to deliver what are state needs We're going to work with our neighboring states not just tow Get through this but to put in place the plan we need to responsibly get us back open and back in business So we don't see a cove in 19 Boomerang But as we do these things you keep doing the things you need to do to get us through this war Keep practicing social distancing Please keep staying at home Keep being smart and staying in unless you absolutely have to go out and let's keep leaning on each other for support Whether it's a simple phone call or a text to someone who may need a little pick me up this is who we are Our New Jersey values in a lot of hard work or what We need to get through this with that Please help me Welcome the person who needs no introduction The commissioner of the Department of Health Judy Persecuting Thank you Governor Good afternoon As the cove it 19 operate continues A new tools are being developed every day to help aid the response Um as the governor has shared the state has been working hard to expand testing now with 66 testing sites Um the testing now is conducted with a nasal swab performed by by a health care worker And as we have said in the past we are testing symptomatic residents Yesterday Rutgers University announced a new FDA approved saliva test that could be self administered It has the potential for mass testing An important benefit of this new FDA approved method is that if we greatly increase the number of people tested that will allow the state to collect the data that we need Ah vital thio to informing our state strategies going forward I've been in touch with the chancellor of Rutgers Bio Medical and Health Sciences Dr Brian Strom about this exciting development and we look forward to future discussions with him and how this test could benefit our residents A CZ reported previously The department continues to work with our hospitals According to the data reported from our possibles as of 10 30 as the governor shared there are 8185 hospitalizations of individuals that test positive for Cove in 19 or are persons under investigation Uh that was the daily growth rate of 4% There are 2051 individuals in critical care and 1626 of those individuals are on ventilators or about 80% you may recall couple of days ago there was about 97% of individuals on ventilators Sadly report 365 new deaths for a total of 2805 fatalities in our state And 27 of these new deaths were residents of long term care facilities All of these individuals their families are in our thoughts and prayers There are 342 long term care facilities in the state with cove it 19 cases for a total of 5945 cases being reported I want to talk a little bit more about long term care continues to bay of greatest concern for us Since March 6th we've issued 18 orders or guidance is to facil to long term care facilities to include curtailing visitation on March 14th allowing them to hire out of state CNN's to supplement their staff who had either who were either ill or had walked off the job We've enforced mandatory notification of residents family and staff of the outbreak in their facilities and on April 6 we required universal masking In this past weekend we sent out an administrative order prohibiting admissions to facilities that cannot cohort and maintain the appropriate infection prevention interventions We've surveyed all the long term care facilities about their ability to cohort patients on a separate wing or floor or their ability to place residents in private rooms with private bathrooms and having adequate staffing MPP If they cannot cohort they cannot admit Presently ah 123 facilities are prohibited from admitting patients We took an inventory of their P p E and over the past week we have distributed 108,000 and 95 Mass 692,500 Surgical Mass 7008 face shields 4728 surgical gowns and 720 27,000 clubs We've surveyed their employees capacity and reviewed their staffing plans We've identified the employees who are available toe work those home on quarantine those that are symptomatic and isolated and those that are positive and hospitalized We've shared a list of over 150 Ciena's registered in our volunteer portal with the long term care facilities to call them upto work An additional list of 90 or ends and L pens who are registered in our portal were also sent out We sent a list of 25 nurses to the Veterans Home in Memo Park and in Paramus On a selective basis local health officers and or our surveys staff have visited facilities that we recognized as significant issues Specifically over the weekend to 2 a.m. A health officer visited a facility up in North Jersey based on information that we were receiving that seemed inappropriate to be occurring We are working with Avery ours and Rick from the L a terrorist group Robert Hawk from Genesis and Kevin Slavin from ST Barnabus to bring up over 300 beds available for individuals in hospital that's awaiting nursing home placement They will be available to admit those patients they have the ability to cohort They have the staff in place to take care of these uh for the patients the residents and they also have the peopIe required sending survey safe or local health officers to impacted facilities for monitoring residents Uh we are doing in relation to the statistics that were gathering If there is a facility that's at risk they will be visited We have worked with the Department of Human Service is to develop an enhanced to reimbursement plan for the facilities that are open and admitting patients and able to maintain infection prevention precautions so that they have the available financial foundation to purchase P p e and or pay there uh their employees According to the data received this morning uh this is switching gears Uh seven laboratories air sending us their covert 19 results It's over 95% or being reported 128,604 tests were performed 57,654 returned It's positive for a positivity rate of 44.83% of the deaths that were reporting The veteran Home in Promise reported three new deaths over the past 24 uh hours The ethnicity is as follows 51.5% are white 22.2% are black Non Hispanic 15 4.6% or Hispanic 5.5% are Asian and 5.3% are listed as other That ends my report a ZAY try to end every day Stay home stay safe stay connected and stay healthy Thank you Judy A couple of things if I may counties again Positive cases It's the same five or six counties that have the most as we've been reporting Bergen Hudson Essex Union Passaic and Middlesex of the top six Secondly underlying conditions look to be have been about the same as we've been seeing of late The diabetes Mel I'm sorry Cardiovascular disease went up a few points to 61.8% Diabetes mellitus 37.4 Other chronic diseases 30.3 chronic lung disease 20.8 Chronic Reno 15.5 Neurological or neural developmental disabilities 15 cancer 11.6 and others 12.6 Thank you Also for the many steps you've outlined a long term care Uh and God bless our vets And again I'm gratified I know you are That Secretary Wilkie is gonna send 90 nurses are way cause God knows way need the the racial data on fatalities I guess just to repeat something you and I have said now for over a week the African American number is today over to over 50% relative 50% more than the representation of the overall state And that's something that we watch and gives us significant concern The Hispanic number is is a little bit lower today in his a little bit under the representation in the state which is a different reality If you if you look at the New York City in numbers in particular that's one of the I know you and I are gonna try to get more of a sense of um in the coming days So uh Pat Callahan So thank you Judy for everything Had Callahan Uh good afternoon Anything you got on compliance or pee pee or other matters of note I'll be brief Thank you Governor A subject who would sighted on Saturday and Sunday for failing to wear a mask And the establishment allegedly did that again yesterday Except this time because his willful and defiance of these executive orders His charges were placed on a warrant in New York that Police Department issued 24 executive order violations as well as closed the business Atlantic City in addition to being cited for a neo violation of subject was charged with the crime of robbery and possession of a controlled deadly weapon namely a handgun in Mendham a club and the attendees there were cited for being open and for gathering It was a tennis facility in Borough Mendham in Harris E Excuse Me in Harrison The subject was charged with burglary theft in the neo violation in Stockholm A subject was arrested and coughed in the direction of the officers In Point Pleasant subject were cited for shutting off the power to various tenants at a motel which was in violation of the executive order in Lakewood a subject with sighting for operating a business namely 20 or more people were gathered at that establishment Uh and in Camden subject of a domestic arrested for a domestic violent spat on the police officers A cz well Azad an additional officer while being tested at Cooper Hospital on just real briefly on PP If I'm not mistaken I think New Jersey is one of the if not the first state to be receiving the decontamination equipment which will allow us to do upwards of 80,000 and 95 mess the day It's our hope We think it first To have that in place for University Hospital will be Think we can work beyond that I know it was in touch with Commissioner Johnson from Human Service is last night and we're really gonna try and assist her department as well because her burn rate for all of her workers is she's going through a lot of peopIe so well that is a win for us And we hope to have that up and running as soon as possible That's it Go Thank you Pat Um you know one common on compliance that has to be said notwithstanding the in some cases ongoing knucklehead behavior and some folks just let their guard down I have to say this to everybody is watching There's an overwhelming even grudging I have to say uh compliance by millions of you on and that is the singular again We've said this many times but if we keep this curve as low as possible that leads to lower hospitalizations lower infections lower hospitalizations lower intense intensive care beds lower ventilators needed and please God lower fatalities And while we're doing that our health care professionals state police and others are building that capacity out so that those lines cross at a reasonable level And there's overwhelming compliance folks and we can't thank you enough for that But you have to keep it up Uh and we're not overstating this I promise you we have got to keep this up Uh particularly when the weather gets is nice is it's been this morning and last night We know it's frustrating We know sometimes at camp it's not fun and you have a temptation toe It's a sort of Let your guard down and I would just beg You don't do that The faster we can get through this the better off We will ultimately all be in the long run and we'll have many more springs in summer's decades Centuries more ahead of us But this is one at least for the time being We've got to stay on this and cracked the back of this We owe you an answer this week and it's not going to be today so I can save the questions on school on I think some of it I may have misstated this yesterday and I did not intend to uh some of you interpreted I think my saying will make a winery Yes No decision on whether or not we're going to close or stay remote for the rest of the year That's actually not the case We're looking at a number of different alternatives and will promise we'll let you know by this Friday Secondly Damn Brian we're here again tomorrow 1 p.m. Unless folks hear otherwise from us in terms of planning for tomorrow With that Brett Brett will start with you over here Did you give a full percentage of how many of the deaths or have underlying conditions I know you broke down the conditions but what How many didn't how money didn't have uh two Uh when when do you now anticipate the peat demand for hospital beds of what your estimates What models are using and what do you Why do you think New Jersey's not hit the peak yet Um does the state plan to actually move residents in struggling nursing homes Governor I don't know if you saw Trump's tweet about mutiny on the bounty Do you take that as a threat that he's going to withhold lifesaving equipment from the stockpile if you disagree with his reopening plan and last is the state human service's department going to shut Submit a plan for pandemic E BT supplemental benefit for kids were missing out on school meals What is the timeline and if not why I think you have about the normal list of questions but I think you sped through them a lot more quickly today So I'm here like my colleagues Give me more to ask and it's just because I'm so charming It feels it feels like fewer questions just cause yours in such shot speed Um uh I'll turn turn to Judy for most of this but I'll give to and then maybe Paramount may need to come in on the Human Service's question But um I would just say just again to repeat something You and I have been saying There's a whole range of models that we're looking at and for those of you watching at home this is part of a better way to put it There's a worst case assumption and there's a best case assumption Uh and so we're looking at not just one model but a handful of models Judy and and Eddy and Christine I know that And we're trying as best we can to sort of figure out exactly where this is headed on and we continue to be planned for the worst and hope for the best But the last thing we're gonna do is plan for the best on Get the worst We just can We can't do that That would be abrogating our responsibility But more on that from from Judy I was wondering I was at the Charles Lot Mutiny on the Bounty or the Marlon Brando Mutiny of the Body Marlon Brando He seems like he'd be more of a brown That's a question I was tempting tea set back just for clarification Listen this isn't and both and I think I said this yesterday and I mean this sincerely I said this is the vice president today We need toa Both plan responsibly with our neighbors on things you know where the densest state in the nation we sit in the densest area of the nation the densest region of the nation We would be abrogating our responsibilities if we first and foremost didn't do we need to do within the Four Walls of New Jersey But we gotta make sure we're at least harmonized if not more so with our neighbors that's an absolute necessity And we saw that a CZ we all sort of closed down our economies and closed down our states I've said this many times you couldn't have the unintended consequence of a restaurant having one set of rules on one side of the Hudson of the Delaware in a restaurant on the other side having a different set And just like wise we have to have that sort of same level of of coordination as we begin to think through what we're gonna need to reopen We've just put more of a specific ring around this calling it a council saying we're each gonna put forward three persons to represent our state That is not in lieu If that is not instead of it never will be instead of a deep corporate cooperation that we need with the federal government And I said this to the vice president today and I don't want to speak for him but I think we were in violent agreement that this is sort of you need both There's no substituting the federal government of United States of America in any challenging period let alone a once a century of longer healthcare crisis There's just no there's no substituting for that big gorilla in the room the federal government of United States of America And so I could say with great confidence we need the administration We need the federal government in the full force of it financially health care infrastructure The plan on I could say with the same passion We need a similar reality with our regional partners and both of those statements can stand there not a lad's with each other Nor are the actions which underpinned them So with that that I don't want to be pounding my shoe on the table with the underlying We got underlying conditions peak and moving residents I heard Judy with I'll start with the last one a TTE this point because we have so many organizations that have Kobe positive patients the only residents were going to move are those that cannot be re admitted back into their original facility or the new admissions which will go to the 300 beds that were identifying um the peak yesterday This changes every day As you know we we look att three models Uh and yesterday at the peak we identified the possibility of 37,000 hospitalizations and over 7000 intensive care Uh with all the inputs from yesterday uh the date of the peak has been stretched out to the 25th and uh today it looks like 15,922 hospitalizations 3821 I see you admissions and 3503 ventilator wreck prevent requirements So the model today looks better Then yesterday even though our admissions to the hospital increased by 4% they look at the doubling time uh and the trend over time And um if this is the worst case I think our hospitals are very prepared to take care of these in the individuals and our alternative care sites We'll be busy and they will be appropriately staffed and adequate And this will change tomorrow How about uh underlying conditions Um yeah The underlying conditions Cardiovascular disease is still the leading cause at 61.8% Meaning how many over meaning How many people have died had an underlying condition and how many did not present advisable numbers are cardiovascular disease 797 diabetes mellitus 37.4% or 482 individuals chronic uh other chronic diseases 30.3% or 390 chronic lung 20.8 or 268 individuals uh chronic renal disease 15.5 or 200 Nora logic disability 15% or 193 and cancer 11.6 or 149 Your question on human service is I apologize It was Hold on Uh if this is the state human service's department going to submit a plan for pandemic E bt the supplemental benefit for kids that are missing out on school meals What is the timeline for that And if if you're not doing that why caramel Jiminy inside of that I'm not sure about that But we can get back We're gonna get back to that Is that okay May I just say one thing again You've got best case Worst case scenarios I want to remind everybody out there the better news in terms of modelling goes right out the window if we let our guard down right out the window And by the way wouldn't know that as early as tomorrow If everybody Right now please God don't do this Everybody just started going out going about their regular business We would know within 24 hours in the models would blow up Remember we haven't shown the charts in a couple of weeks so forgive me for my um ham handedness This here Remember what this looked like And I say this on the back of you Said it could be your current is April 25th Yes So the runaway freight train was this first hump but that that shark that we used to show you in every case showed a peak that was lower but later lower But later Now that's a little bit what you're hearing from Judy right now If that best case scenario comes to pass the amount of beds both generally I seeyou beds ventilators please God Fatalities will be lower but the peak will come later That's not a shock does right That's the chart that we were showing from day one So this is the runaway freight train Had we done nothing that comes out as fast and hard it is really high and we can't handle it The thing The area I'm not sure it's exactly right The area under each of these curves by the way are the same in the sort of theoretical average performance where better than average is with reminded ourselves But the peak interestingly enough is a lot lower But it's a lot more smooth and further into the future so I think that's sort of a different way of saying that's what we're hoping for Thank you Brent Dave Good afternoon Hi Governor A couple of questions for you and I have to now say the commissioner who needs no introduction because there were two women who need no introduction That's correct Um first of all with regard to ventilators Although Dr Tan you've always never needed introduction so I don't even need to say it Um on the question on the subject of ventilators could you remind us where we stand I believe we started with needing We had 4000 ice you beds than that projection was We need to double that Yesterday we needed 6000 ventilators Today it's 3800 Um this is probably confusing for the average person much less a reporter I understand there were different models and different things going on But you know maybe if we could just flush out exactly how many ventilators we've gotten from who remind us and I know California gave us some and had mentioned Governor that we were waiting for Maura ventilators from another state So if we could just get a reminder on that with regard to the unemployment situation and people applying for benefits you had made a plug in the beginning of today's discussions Governor about the fact that they're trying to increase service and add more people and so forth You're probably aware that in New York State they've launched a new app Thio handle unemployment because it's been so horrible We have gotten um continual calls people crying calling our news department complaining about not being able to get through They get through there an hour on the coal and then they get disconnected It just sounds nightmarish Has there been any discussion that you're aware of to try toe not necessarily fix this antiquated system but maybe go to something else like what they're doing in New York And last one Colonel you had mentioned the cleaning of the N 95 masks Is this the hydrogen peroxide vapor cleaning system that I was reading about last week If not is there something else going on And how might this be expanded for the whole state Because obviously this is a very big issue And um you know you've got everybody wearing scarfs and homemade mask because there's not enough and 95 That's it real quick Um on ventilators we have if you add up our asks of the federal stockpile from day one and you add all the asks together It was 2500 ventilators of which we have received 1550 the outstanding balance of our original ask is 950 in that 15 50 includes the California number because theoretically anyone state that raises their hand and even says I'd like to tag New Jersey it has to come through the federal stockpile first That's the way it should be I mentioned yesterday another state had raised their hand for us But in fairness that process holds for them as well So there's nothing new in that as we sit here today Um I know that we have at least another requisition out As of today away from the federal stockpile for another 500 s 09 50 is the balance of our ask from the strategic stockpile 500 is a new requisition which would be a purchase And again our state was not in the Pee Pee or ventilator acquisition business six or seven weeks ago and this has become one of our most significant lines of business over those past six or seven weeks I don't want to speak for Judy but I would just say that the amount of ventilators and she'll say this better than I can that moves around it has to do with not only one day to the next what what one of the models look like but also between one model versus another In between Best case of worst case on DSO Our job again is toe hope for the best But the plan for the worst which is part of the reason why we put a requisition out today for another 500 to purchase I believe that I don't want to overstate this This is a little bit like my testing common earlier which is a little bit like my NJ Transit The numbers look better in the aggregate Our batting averages improved That's a fact But at the same token if it's you on the phone wait in the two hours If it's you trying to log on you can't get on If it's you in that car in line at Bergen Community College on you're frustrated I don't blame you You should be We accept that I believe so Having said that I believe I was on with Rob Angelo last night back and forth I believe literally over the past 24 hours this has gotten to a meaningful E better place But I will do this I don't know that I'm aware of any app other than you could link into it through the cove It 19 dot NJ dot gov website which has been the case for several weeks I will ask I'll make sure Dan remind me to make sure we go to rob to see if there's any other AP or other most trap that he's got in place But God willing we're finally beginning to get through again This we're not alone It's the boat is swamped to say the very least And I have nothing but sympathy for the folks who are on the phone who can't get through who are trying to log on Can't log on I would repeat them Minor piece of advice early in the morning late at night has tended to be a better time to get on the system to at least log on Um Judy anything on vents you want to add and then pat on the re commissioning of the N 95 You know as we spoke many many weeks ago I had encouraged all of the hospitals to increase their icy capacity by 100% 2000 to 4000 Interestingly today we're identifying at worst case that we need 3821 I see you Uh that's I can assure you that all of the hospitals have increased their critical care capacity And then we looked at the ratio of ventilators to patients and we're running you know between 85 97% I have said repeatedly 1 to 1 So for every critical care bed whether it's licensed better they expanded that we would need a ventilator So I still feel strongly about that We need 4000 and then some in reserve And at the present time um would that's why we requested that 2500 originally And at the present time we're still about 950 short of uh the traditional ventilators Have we done any of the anesthesia machines where they've been converted Yeah There's a number of hospitals that are converting and have converted anesthesia machines particularly particularly in emergency situations where they run low on ventilators and they've had to support the uh the patient quickly But I know a number of them have used anesthesia machines quite effectively Any idea how many I don't have No These air anecdotal you I speak with um I'm on the calls with CEOs every week Ah that's arranged by the New Jersey Hospital Association There was one yesterday evening so a lot of it is Ah anecdotal Um but they many of them have used anesthesia machines Now just repeat pap before you had the re commissioning a memory commissioner but the rehabilitation of the N 95 You know I've not lived through something like this before None of us have Right Um I want to say this differently I've said this 1000 ways Judy said it Probably 900 or 1100 ways Pat said it Dr Tannis Senate Um the impact of human behavior on what we need cannot be ignored for one second and the correlation between what the nine million of us do and choose to do and the therefore the derived number of infections hospitalizations I see youse ventilators and sadly health care workers needed sadly fatalities The correlation is 100% None of us could forget that it is our behavior which is the most important factor in a lot of the capacity questions that you all have been asking rightfully by the way it is up to us in any deviation that behavior good or bad And for the most part of late it's been really good Has a huge impact on the answers that we give you again within range is right best and worst as well as a number of different models But human behavior is the single most important ingredient in this formula Pat if you read about that it's called the Patel C C D s Steve that is that vaporized hydrogen peroxide where the mass get collected They get put into a chamber and run through that decontamination cycle and then get repackaged And it's it's our hope again the logistics of how we get these masks to and from you know places where there they're being utilized Then back out to the to the end user We're still working through that but that is the process that will be in place Good I'm gonna remember this moment sir In the back You got me No behind the camera at least Please Paul We'll get to you I promise Are the field hop hospitals operating this planned a few weeks ago You said the metal lands was opening Not a moment too soon And yet it it and the Edison site seemed to have very few patients Is the plan still toe open Atlantic City today with 200 beds Or are you be examining whether it and the others are needed And regarding the venal leaders if the state if help um workers can convert an anesthesia machines so easily why not just go with that as opposed to use as opposed to ordering more ventilators Is it a situation where uh an anesthesia miss eat machine can work adequately But it's just not ideal Um that's it Um Judy you could talk about capacity We were actually at one point gonna go down to Atlantic City I think this morning All right we got the days right We were and there was a sort of ah reshuffle of the staff of the staffing piece So I still expect that we're gonna go down there and do you have an update in terms of win idea We anticipate that staffing Basically just so you know the federal government shifted the Atlantic City Medical Corps staffing up to New York between the Javits Center and hospitals with in New York So we're anticipating another crew to come in if I'm not mistaken from California to do the staff in Atlantic City But I would call it a soft opening probably Tuesday or Wednesday of next week That all right commissioner it's a fair point We meant to say this Actually I don't know if we other ever advised this but we were actually talking about going down there today or tomorrow Um Judy Company in a second If you could come back to just the field hospitals as a general matter what There But I would just say one thing I'm ventilated before I turn it to you Um I assume but is the nonmedical guy here I assume that these anesthesia machines we need them as well on that that we don't want to run that supply chain dry as well And so if we go out you know the stockpile What we get from the stockpile is a federal federal donation as it were so that that comes and goes As God willing this passes things that we acquire are ours on dhe that's important to note and we're not We're not borrowing from Peter to pay Paul in that respect In other words taking out a one category equipment that will need for another again That's the nonmedical answer Is that Is that in the ballpark it's in the ballpark for sure Um you're making a good comment though If the anesthesia machines are effective do we need actually more traditional ventilation Um you know hospitals were used to the traditional ventilators and the amount of oversight to the traditional ventilator by the respiratory therapists and intensive ISS is far less than an anesthesia machine We need anesthesiologists in CR and A's who are used to the anesthesia machines then to join the critical care team heretofore usually there in the O R And now they're in intensive care units to help monitor the equipment So a lot of it has to do with the type of equipment Um the intensive ist in critical care Nurses and respiratory therapists are used to on the other hand in emergency situations the resiliency and the extraordinary uh uh response of the medical teams They will save lives by using what they have on hand How about any common of the field hospital field hospitals air Interesting The individuals that go to the field hospitals And I think our I didn't get the stuffs this morning that as of yesterday we had 50 in the metal lands They do find patients coming from the hospitals that maybe have two or three more days Say they're apprehensive about going to the field hospitals They don't know you know it's it's a new thing They can't imagine being in a field hospital And some of them have said Why don't I just go home on home care which is a really good alternative as well as long as they can be safely taken care of So I think some of it has to do with making sure that individuals know they'll be cared for well in the field hospitals But also if they can go home that's even a better alternative So it's Ah it's so learning Thank you for that Paul Good afternoon Um and several of my readers complain about that The golf courses air shut even though they had implemented social distancing guidelines But you can still buy lottery tickets in a crowded convenience store In other words they're complaining they can't get They can't play golf in the fresh air But you can crowd in there and mangle that machine And and they said it looks like the state is protecting its own revenue stream Well closing down other businesses And any other question I had was you mentioned um Sunday in money The state won't have an economic recovery until we have a complete health recovery I think experts say that could take a complete health recovery Could take a year or so What is your criterion for a health recovery that is complete Yeah So on your first question Paul the golf courses were part of entertainment I guess is the category that we put that under Um I've taken a Fairmont incomings on it I could tell you to take a fair money and Cummings on parks I just got another note from the parent of a high school senior who wants to make sure we have graduations signed me up for everything assuming we could safely do any any of the above Uh and I promise we're not holding back artificially any of that We just got to make sure we're out of the woods as it relates to the convenience store website Did you mean in the woods Exactly Um is related to convenience store All kidding aside we haven't thought about it in terms of protecting our revenues Are revenues have blown up Uh uh that is that they're falling off a cliff but on a serious note And I know your question is serious If you're in a store that's deemed essential you got to keep distance from each other And that's the one thing I'd say on I know that may seem a little paradoxical and I feel badly about that Uh but the fact of the matter is if you're inside a um essential retail operation you gotta you got to keep your distance six feet You gotta have a face covering on You gotta play ball Um as it relates to complete I guess Paul I accept that by the way part of the reason why we've begun to think about this now is a state I know The federal government is thinking about what is reopening Look like the regional group of states Actually one more than I was when we were here yesterday Massachusetts is joined which I which I think is a very good ads of seven of us trying to think this through It includes a heavy dose and Judy you crummy if I'm wrong of health care infrastructure questions So it's not just um uh what's the restaurant look like But it is What is the testing regime look like You know I'm happy We've made a lot of progress to repeat what I said earlier on testing but it's not remotely near We don't have remotely the assets that we need or the technology and Judy Reference Rutgers That's something we're gonna come back to you on if we think if we think that's got the legs that it looks like it's got right now But that's a good example So if you had robust testing that was mass scalable you could hear back very quickly You wouldn't when I say complete that masks challenges that you otherwise would have If you little he had to drive this to zero and keeping it zero uh and so there's a big health care infrastructure element to that And if if you have the confidence that that infrastructure particularly testing contact Tracing Uh what do you do when you find somebody How do you quarantine quickly If we have confidence in that that allows is a lot faster to get back in the game Thank you John Is that what Would you be okay with that Okay Christina Okay The two who need no introduction agree Can we get specifics on this 2 a.m. Visit to a long term healthcare facility Where was it What prompted it What of those kinds of things you're finding and can we get People are so clamoring for information Families of people in these in these places are climbing for information about them Can we get names of places to see just any kind of information of what's going on there with these types of inspections War You're going what you're doing and the surge What are the things that you're looking at in terms of Is it numbers of admissions beds intensive care beds to show to let you know that you're out of the surge Uh and then can we get Can you detail for us the picture of how you're moving supplies like ventilators and staff around the state as from hospital hospital Knowing from care what you're doing And no on the the director from yesterday about you know people have 90 minutes to make a decision about putting somebody on a ventilator How we can have that ventilator is readily available as well A staff How you keeping track of staff in different places especially as the surges in North Jersey and is expected to hit the shore and south later said it Yeah Okay Um Judy you wanna diving Sure Um let's talk about the surge The three models that we have um and we've described this before is the chime model the eye Hmm model And what we're calling the Laxmi model which is a mathematician from New York who's been working with our innovation center They all use somewhat different inputs but it it has to relate to the rate of infection the doubling time of infection the doubling time of hospitalizations number of patients And I see you all of those inputs and I'm sure there's a missing some The algorithms are different for each one Um all of the algorithm then predicts uh the um the rate of infection Hominy total infections you expect And then from that it's ah extrapolated into how many uh hospitalizations You know we're pretty much following what the rest of the nation is saying In 80 85% of people that are positive end up in the hospital I mean her home a mild to moderate 15% in the hospital and 5% in intensive care and a percentage of that you hope you know 1% or less But it's running a little bit more than that Um unfortunately become a fatality s o the algorithms air a little bit different We look at all of them and as I described they change every single day Um in terms of the movement of supplies we have a central we we have set up for this a central procurement center Uh the state police are vigilant on its at the rock and requests come in and we look at inventories We know pretty much what every requester has in terms of their inventory of all of their supplies and equipment Um have made it pretty clear that we've regionalized the state to try to keep the movement particularly of supplies and equipment within the region Ah and if we have to move uh patients that their moved first within the region we know that there's some very effective systems within the state that already have transport Um ah capacity within their own system And if they can do that quickly with their patients Obviously we would never say not to do that It's whatever serves the patient the most and best at a certain point in time It's happening every day every day There are patients being moved every day There are there is equipment and supplies that are being moved on We know exactly how many ventilators have gone from central procurement to exactly the site where they've been used Uh we know how many of the Hackensack murder and we know how many have gone to North Beth Israel How many have gone to university We track all of it and it took a while to get it up But it's very a while We had our first case March 4th That trip is a short period of time I guess I should say but I think it's working very well Judy I assume the 2 a.m. visit is a privacy matter that you're not gonna want it I'm not gonna talk about this Particular is But I can tell you that I get a lot of incoming I read them all I respond to all of them And if I get a complaint or concern that really sounds something like this Couldn't possibly be happening Somebody goes out and we rely so much on the health officers They are The unsung here is Here is Well um you know that they are taking care of their municipalities their towns their regions Very well Way here on the long term care Judy hears it I hear it We all hear it Um and And folks are rightfully looking for more communication and more answers than they're getting And we've been pounding away on the operators to provide that it's their responsibility It's not a New Jersey specific items that should give no solace to anybody But this is a huge issue across the country comparing notes with other states And uh and and I will just say Judy and her team are literally morning noon and night pounding away Not just that the health officers going out and seeing with their own eyes But just to make sure these operators were communicating what the facts are in each of their organizations So with that we're going toe we're gonna fold if that's okay Um Thank you Judy Dr Tan Eddie It's great to have you with us I appreciate that Uh Colonel as always Director Maples um we will be together again at one o'clock tomorrow Um and I think on Thursday will depend a little bit on the White House schedule but assume that we'll be here each day for the next several at 1 p.m. And we will continue to get us much information to you as humanly possible We want to make sure it's the right information And I would just ask folks in the meantime keep doing what you're doing Keep wearing these masks Um they're covering your face as we all do Um keep staying home I know that's not fun That's not easy But it's working It is absolutely working We'll have news to report on a school year in the next couple of days That's something Were taken as you could imagine Very seriously Well we're looking a cz We said all along We make these calls based on the fax and we'll continue to do that on again Everybody in the meantime just keep doing what you're doing And if you do we're gonna and I know you will do We're going to get through this as one family and New Jersey Stronger than ever before Thank you all Thank you