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Must-do's in Signing the July 10 2012 61med Englishindd Utah Department Of Health Health Utah on the Laptop

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good morning it's thursday july 30th.2020 my name is joe doherty.i'm the communications director for the.utah department of public safety and.unified command for the state's.covid 19 response today is.our weekly briefing we have a number of.speakers i'll briefly introduce them to.you.and as a reminder during the q a portion.of this press conference all question.askers.are will be chosen at random and that is.the typical process that we have.followed through.uh these briefings uh first we'll hear.from dr angela dunn the state.epidemiologist from the utah department.of health.uh she'll be followed by governor.herbert and.he will be followed also by dr ben.abbott.from brigham young university we will.also have sid dixon.the superintendent of instruction coming.up a little later so thank you dr dunn.okay.okay good morning we have 39.696 cases of covet 19 identified in utah.that is an increase of 502 from.yesterday.but more importantly our seven day.rolling average is at 508 new cases per.day.we've tested nearly 525 000 utons.for covet 19 that's unique individuals.so approximately one.in six utons have been tested for covet.19.and our seven day percent positivity.rolling average.is 9.6 percent.we do have nine new deaths to report.today for a total of 300 deaths.due to covet 19 in utah that's a net.increase of eight because one individual.death was removed and is being.investigated further for the exact cause.of death.we have gone from a plateau to a.decrease in total cases in utah.that is statewide and with schools.starting soon it is really important.that we continue on this trajectory.we have the opportunity to start school.with case counts decreasing and being.more in control.and to do this we need everybody to.continue wearing face masks in public.practicing physical distancing staying.home when you're ill.and using good hand hygiene if we all do.these things.we will continue to see a decrease in.cases and start school as safely as.possible.now governor herbert.thank you.well thank you dr dunn and again welcome.to everybody.uh for our weekly briefing here.um i i think most people know.this has been a pretty challenging time.for not just the state of utah but for.the country.many other states and certainly around.the world with this.pandemic and we certainly have tried.here in utah.to give accurate information have a.place where you can come to and trust.that you're getting.the truth the facts as we understand.them today.this has been an evolutionary process.we are learning as we go and we still.will learn.wherever we're at today i'm sure we.might have some modifications.tomorrow as we learn more about this.pandemic.and about covet 19..we've tried to bring together our best.thinking.people from science for medicine the.business community.really having everybody and all.stakeholders around the table.as we've tried to find ways to protect.people's lives.their health and welfare and that.includes their livelihoods.and making sure that the economy.continues to function also.it really has been as i've said many.times a balancing act.i think overall we've done a pretty good.job.of balancing it appropriately certainly.has not been.perfect we are certainly imperfect but.we are doing the best that we can.i i hope we appreciate the fact that we.have people in what we call our unified.command.which meet every day to review the data.and as we just devised policy based on.what the data informs us.you know we end up trying to analyze.a lot of different metrics you hear.about the case counts that's certainly.one metric that we have here.the rolling seven day average which i.think gives us a better view of what's.taking place over a period of time and.what the potential trends maybe or are.the transmission rates uh which we don't.talk about too much which i think are.extremely important.our hospitalization utilization of our.hospital beds.and particularly the utilization of icu.beds.those are all part of the story and as.we track these many different metrics.that helps us to.be informed as far as what we should do.you the public can make sure.you can access this information too not.just on the newspaper.or television as you get the reports but.you can go to coronavirus.utah.gov.coronavirus.utah.gov where you'll find.significant detail and explanation.to these and these facts and statistics.dr dunn has been really a very steady.voice.that i think people have appreciated.throughout the state to.not only just give us information but.also give us the context of what.it's found and so i appreciate.her report that she's given today.and in that same vein today i'd like to.ask dr dunn to come back out.what i've noticed is we've had a number.of.questions that keep coming up.and i'm not sure that we've answered the.questions.as diligently as maybe we need to do.we say it once and maybe only a few.people hear it.but there's a number of questions i have.here that i would like to ask dr dunn.kind of under the heading of let's make.sure that there's an understanding of.what's taking place what the truth is.that separate facts from fiction.and give us better context as far as.where we're at so dr don if you'll come.forward.here i'll stand to the side and i'll ask.you some questions.we'll slide back and forth the first.question i.hear all the time is uh governor this is.really no different than the flu.it's the same thing it's an overreaction.the government is making in others.in regards to covet 19. so the question.dr dunn is what is the difference.or the similarities between our.traditional flu and we have a flu season.coming up.and the covet 19 pandemic.yeah so so we know that covid19 is.certainly more infectious and more.deadly than.the annual flu already to date we've had.twice as many hospitalizations and five.times as many deaths due to covid19.compared to last year's flu season.there's also some key differences right.flu we have a vaccine and we have known.treatment with antivirals.and we don't have that information yet.for covet 19..there's just so much we don't know about.the virus that causes cobalt 19.that makes it more dangerous and.unpredictable moving forward.so it's really important that we do.everything we can to protect ourselves.against flu moving forward because we.are going to enter flu season and.make sure we all get our flu shots so.that we can continue to stay safe from.all respiratory viruses and protect our.healthcare capacity.so moving forward you know it is we just.know a lot more about flu we've got a.vaccine and we have treatment.and already covet 19 has caused more.hospitalizations and deaths this year.alone let me just follow up on that.dr dunn the concern i think many people.have.is the impact of the flu on us or or.covet 19 both i guess you mentioned it's.more.infectious it's more deadly i i hear.different reports i see the mortality.rate in utah is at.0.7 less than 1 percent nationally it's.3.5 percent.uh you know that's 35 times.more deadly around the country than is.here in utah.talk to that issue compared to flu which.i've heard is one tenth of one percent.those that contract that die we do have.some advantages with a vaccine which we.don't have in covet 19..but tell me exactly and tell the public.how much more deadly is the kova 19 than.is the flu.yeah yeah so um because covet 19 is.something you know we just identified in.december of 2019.it's going to take the scientific.community time to understand exactly how.much more deadly it is than flu.because it's only been around for a few.months and so as this pandemic.evolves and we get more information.we'll be able to more.more accurately say how deadly.covid19 is i think something to anchor.to though is knowing that.already in five months of covet 19 in.utah.we've had five times as many deaths due.to covet 19.compared to flu season last year which.is an eight month season so.it has already claimed more lives than.flu.we've talked about case counts that's.been a topic and we see that as kind of.a headline.on the news every day about how many the.case count.numbers are i'd like you to tell me what.you believe.is the most important data case counts.maybe one.but is there other things what's the.most important data that the state uses.for making our decisions.and what should the public use what.should they be listing for.uh that's available to them online or.what they say.here say here in our press conferences.what's the most important data points.sure so from a public health response.perspective.we look at our data to identify which.populations are carrying the biggest.burden of covid19.and what interventions would most help.those populations.so we're looking at infectiousness death.toll but also access to testing.to make sure that we have as much.prevention measures in place as we can.to prevent to protect those at highest.risk for severe disease due to covid19.on an individual basis you know.definitely the information on the.coronavirus.utah.gov website.is really important for you to.understand kind of how the spread.is is going in utah and the impact that.our own individual actions can have i.mean we know that.since individuals have started wearing.face coverings for example more in the.past month we've seen a drastic decrease.in cases.so we know that the individual actions.we all take.can help populations as a whole be.healthier throughout this pandemic.again along that same vein we hear about.case numbers.we hear about infection rates we hear.about transmission rates can you explain.the difference between those three.so the case numbers that we report from.a health department on a daily basis are.just the actual numbers of individuals.getting infected we also look at rates.by.geographic area so that it takes into.account the underlying.population so the denominator of salt.lake county.for example compared to iron county very.different populations and it allows us.to understand.if those populations were the same is.the infection rate.the same so that we can identify the.true burden of disease.um and then we also talk about.transmission rate and that's how likely.one individual who's sick with covet 19.is to infect.another individual and the measures that.decrease that transmission rate before.we have a vaccine.are going to include wearing a face.covering staying home when you're ill.and practicing physical distancing and.right now our transmission rate in utah.is estimated to.be below one so that means that every.individual who has cobit 19.is spreading it to less than one other.individual and that's contributing to.our decline in cases.i follow the transmission rate i think.that's really a key issue for us and to.find that we're down below one now is.good news is.that means our numbers will continue to.slow down.another question i get all the time is.how do we in fact determine whether.somebody dies from covet 19.and there's confusion about there.there's confusion i've heard in.different areas of.well hospitals are inclined to make the.covet 19.death even if it's marginal because they.get paid more money.if it's a coveted 19 death so how do we.in fact determine.if somebody died based on a covet 19.infection.so we at the health department are.notified of every individual who has.covet 19 and then passes away.we work with the clinicians and our.medical examiner to determine the cause.of death.so just because someone has covet 19.when they pass away does not mean that.they will be counted.as a death due to covet 19 we actually.investigate those cases to make sure.that.the cause of death is related to covid19.so that if that individual had not had.covet 19 they would not have passed away.so all of our deaths.are specifically due to covet 19 and i'm.very confident that we're capturing.the deaths accurately.we've heard a lot of talk about mask.wearing and.certainly in salt lake county uh they've.touted the fact that their.rates have gone down their case numbers.have gone down.because of the use of the mask.the question is people ask.is it is really the salt lake county has.gone down they just plateaued.and as the rest of the state increased.so that looks like solid county has a.smaller percentage even though they're a.third of the population.we know that they have a higher than.about 57 percent.death rate and so how do those.juxtaposed and is.solid county getting better or is the.rest of state just getting worse.that's a that's a really good point we.know that salt lake county is seeing a.true decrease in cases.ever since you know about two weeks.after the mass mandate went into place.we've seen.a really sharp decline and that's also.contributing to our overall statewide.decline.in cases for most of the pandemic salt.lake county had contributed to over 50.percent of our cases statewide.and now they're at about 40 to 45.percent of our cases statewide so they.are dropping.quicker than our surrounding.jurisdictions across the state.however the good news is that right now.all of our jurisdictions are seeing a.decrease.so we're going in the right direction.statewide but salt lake county.specifically.is carrying a lot of that burden in.terms of decreasing really quickly.and allowing us to see the trend go.lower statewide as well.thank you i have two more questions.we have on our web page and information.comes out says that 67.68 of the people who have contracted.coven 19 have recovered.and so we have people think well we're.only getting about two-thirds of the.people recovering from the.from the virus and yet our mortality.rate is.at point seven can you explain what the.truth is about.uh the recovery rate of the people of.utah going through this process now.these last five months.so recovery rate is something that's you.know not well understood.across the world in relationship to this.pandemic so we are using a very crude.definition.of you know if you've been identified.with covet 19 and and you haven't passed.away within three weeks we're.considering that.recovered and we recognize that that's.not true recovery.we know now that individuals even if you.haven't been hospitalized can take.you know several weeks to a month to.actually fully recover.and we're learning more and more about.the long-term effects of covid19.so recovery is one way that we are.tracking people who are.you know potentially still infectious.and still out there in the community.with covid19 recognizing that there are.a lot of limitations to that number.um of course as we're progressing.through this pandemic.we have more cases you know coming in.over the past weeks and months than we.did at the beginning of the pandemic.and so our recovery weight rate will lag.as well because we have more individuals.being diagnosed every day with coven 19.and it has to be three weeks before.they're considered recovered by our.metric right now.i guess dr dunn it depends a little bit.on how we.uh how we define recovery if recovery is.defined as you didn't die.then 99 of the people that get it are.recovering.in utah but we also know that there are.some residual impacts and.some concerns we don't have we have some.uncertainties what are some of those.uncertainties that people are looking at.with the contract kova 19.in a longer term period.yeah again this is something that we are.looking at nationally and scientists are.are trying to figure out worldwide what.does that long-term effect of covet 19.look like.and we only have a few months here in.utah to really try to understand that.and and we know that there are some.individuals that.have problems um breathing and doing.engaging in exercise and activity.that they engaged in prior to covet 19.for some weeks after.after having the illness so that is an.evolving.aspect of this pandemic and something.that we're all trying to to really.understand completely so.so we can identify you know who's.actually recovered.thank you and the last question is one.that we've.started in the very beginning we've.talked about the importance of what we.do.as a community as a state to make sure.we don't overwhelm.the medical system the health care.system and so talk to us about.hospitalization availability rooms that.are available.i know we have about 42 100 hospital.rooms in the state of utah how many are.being utilized.icu beds what are we doing are we on.in danger of overwhelming the healthcare.system hospitalization.help us understand that a little better.yeah so we work very closely with all of.our healthcare systems to identify their.capacity.to take care of covet and non-covet.patients and that's something that we.really need to have our finger on the.pulse of as we enter flu season.knowing that we will have more.individuals being hospitalized due to.flu on top of covid.so currently we look at number of.hospital beds available so.non-icu and icu beds and we look at.coveted patients and non-vet covet.patients taking up those beds.for hospitalizations overall so non-icu.beds.you know we have robust capacity there.we haven't really gotten near.overwhelming our general hospital beds.it's the icu beds that are you know more.limited capacity we have.you know somewhere around between five.and hundred five and.six hundred icu beds available in the.state of utah and we look at.you know are they adequately staffed can.they provide high level of care for.covet patients.and that's something that we really need.to protect moving forward.as we move into especially flu seasons.so that's why it's so important that.everybody get their flu vaccine when it.becomes available in september.thank you you're done we appreciate.those uh frequently asked questions and.your answers.help us understand better don't go away.we'll have probably some q.a here a little later too we might have.some more questions for you.um i think.again as we just kind of rehearse here.that.my concern really is not only the.deadlines and the infectious.rate of this covet 19 but the potential.long-term.residual impacts where it hurts people's.lungs.a sense of smell and taste is a long.time coming back.there's fear that some will never get it.back so we're learning about the.the long-term impacts which are somewhat.unknown.but ought to cause us concern this is.not like the typical flu.it's worse than the than the flu we know.the best way to present.prevent the spread of the coveted.viruses is not new.i know we sound like a broken record but.until everybody does this i guess we'll.keep.mentioning it and that is to make sure.that we in fact.practice social distancing which is.defined as six feet from.one another if you can't social distance.and you should be wearing.a face covering a mask we'll hear more.about that a little bit later from our.byu folks.you certainly should stay home when.you're sick that's kind of a.no duh moment but too often and times.past we've.pushed ourselves and gone to work even.though we're not feeling well.we have to be extra careful today.because of the coveted 19..so don't go to work when you're sick and.last but not least you should.in fact wash your hands frequently if.you combine all those together we have a.good chance of reducing and slowing as.we see happening.now let's make sure we continue in fact.if anything we have to redouble our.efforts to make sure that we do that.i'll just conclude that part by saying.um.we as we we've done the analysis.for your information 76.4 of the people.of utah who've.died from covet have had at least one.underlying health condition.now i would just suggest to all of us.that we have a moral obligation all of.us whether we have underlying conditions.or not.in fact show the respect for our.neighbors that we ought to by in fact.practicing appropriate protocols.including wearing a mask.if as utahns i think that moral.responsibility because all of us to do.our best.we can i've been surprised at.how why wearing a mask has become kind.of a political issue.it shouldn't be political at all it's.really good science.it's good sense and it does help us.protect ourselves as well as our.neighbors from having.access or getting the the coronavirus.and infecting themselves.for whatever impact it will have and of.course we know that it impacts.people differently and we don't know.we've seen.young healthy people get impacted and.have a tough time we've had old people.have recovered.but the statistics show us this the.vulnerable populations.elderly and those have underlying.conditions that are most impacted so.let's all do our part as good citizens.of this great state.to help slow the spread of this.coronavirus.and protect our neighbors with that in.mind we have with us dr benjamin abbott.who has colleagues have been working at.brigham young university.to actually review the science of mask.wearing.there have been you know misstatements.and contrary opinions about this.certainly in the early stages i don't.think we have that.today dr abbott can talk about that but.i've asked him to come and speak to us.about his study.and the information from math squaring.that they've done at byu so dr abbott if.you'd come forward.[Music].thank you governor for the opportunity.to share this important research.this research that i'm presenting today.is based on over 130.scientific studies associated with.covid19 and the effectiveness of masks.and it wouldn't have been possible.without the volunteer work of members of.my lab team.so please take a look at the study.itself it has all of the invitation.all of the information and names there.um.we didn't receive any funding to do this.work nor do we plan.on pursuing funding this was.a review that we did because we were.concerned citizens and people with.scientific training.we felt a responsibility to address the.widespread.confusion and sometimes misinformation.that we saw circulating.online and among our family and friends.we didn't have.an agenda going into the research we.weren't sure what the answer would be.but again don't take our word for it.look at the report itself.and and look at this the studies it's.based on.i organized my comments around a few.different questions.first of all why is there so much.confusion about masking.as the governor mentioned initially we.knew very little about this disease.and the recommendations that came out of.the cdc in the world health organization.were based on old research on other.outbreaks.so based on that previous research they.recommended that masks would not be.effective public masking would not be.effective.however since it's a rapidly evolving.situation.only months after the beginning of the.outbreak studies started.coming out that showed a very different.picture.and after the those studies became.available those recommendations.followed suit that's how the scientific.process is supposed to work.you make a conclusion based on the.available evidence and when new evidence.becomes available you change that.conclusion.so this this fundamental question are.masks effective at preventing covet 19.it is now abundantly clear that masks.are an essential tool.at slowing the spread of covet 19. one.of the first clues that masks were.effective.came from the difference in the rate of.spread.and the mortality among different.countries so.here i have a figure that.shows the relationship between.how early masking was implemented and on.the left side of the screen.the rate of transmission and on the.right side of the screen.the rate of mortality of this disease.and actually this data has now been.updated it's a few weeks old and in.covid terms that's a.that's a long time the relationships are.even stronger now.but what you can see on either side is.that countries that either had a mass.culture to begin with so many countries.in southeast asia for example.have long used masks to prevent spread.of disease.they had much lower transmission rates.and substantially lower mortality rates.that second number is very important.because it.indicates that when masks are used.the disease is actually less deadly even.if you catch it.now the mechanism behind that is not yet.known it's possible that.the amount of viral load that you get.initially.if you breathe in a lot of the disease.it's more likely to be severe.if you only get a small dose it might be.less again we don't know the reason.but this is very robust that when masks.are used the mortality rate goes down.now if you could go to the next slide.that's a.the first one was a comparative study.and and there's some issues there in.establishing the cause.what's making those differences so now.we know from many states that have.implemented masks.and this example comes from.massachusetts where their health care.system.was having a rapid covid 19 outbreak.it was exponentially growing that's the.pink part of the graph on the left.universal masking was implemented in.their healthcare system so over 75 000.people were involved in the study.the rate very rapidly stabilized and.then the yellow.part of the graph and green part of the.graph is where universal masking was.implemented also in.patients including those showing no.symptoms so here we see.a longitudinal example that has now been.repeated.and observed in many states in many.different contexts.so the evidence is starting to build why.why masks were that masks were effective.if you go to the next slide there's.another line of evidence that's been.that has recently come out showing us.why masks work.so on the left hand side this is an.image made with.lasers shooting in front of someone's.face.when someone is speaking many tiny.droplets.are ejected out of their mouth and the.breath of air that comes from their.mouth and nose can carry those.several feet away from them wearing a.cloth mask.on the right about 90 percent of those.droplets are contained within the mask.so this is what's called source control.in public health.my mask protects you your mask protects.me.that's all i've got as far as figures.right now.but i want to address why are masks.effective.against this disease when it didn't look.like they were against others and dr.dunn laid this out very.very well first of all covid19 is.extremely contagious.those droplets can linger in the air.they can land on surfaces.and the virus can remain viable for.minutes or up to hours.so long after someone exits a room.if they have the virus those particles.can remain so keeping.the those droplets within the mask is.really crucial.the second reason which in my opinion is.more important.is the rate of asymptomatic spread of.this disease.so it's estimated that 50 or more of the.new cases of covid19.are spread by people who are showing no.symptoms.so i could be feeling completely healthy.and yet i still have the virus.reproducing in my system.i could spread it to my loved ones my.neighbors and strangers that i meet.so that's why preventatively wearing a.mask appears to be so effective at.combating this disease.now there was a lot of concern.before and after we published the study.about whether masks were.safe we had seen on social media claims.that masks would reduce your oxygen.level.or increase your co2 level so we looked.at all of the studies that had been.cited by people making those claims and.also did an exhaustive search of the.literature.the conclusion was unanimous masks are.completely safe for healthy individuals.this was a personal of personal concern.to me i have four children who will be.going back to school.in the fall i wanted to make sure that.what i was asking them to do was safe.wasn't going to hurt their development.masks in many laboratory studies have.been shown to be safe.doctors have used them for centuries and.the most convincing evidence comes from.these countries that have long used.masks.where young people adults and the.elderly have safely worn masks.with no side effects masks can cause.skin irritation and foggy glasses as.many of us have.discovered and then there are certain.individuals if you have a severely.compromised respiratory system.or if you can't remove and adjust the.mask yourself because of severe.disability or.child under two those are the only.classes of people that can't safely.wear a mask so the last question that i.have is will.masks solve covid19 and researchers from.hospitals.academia universities agencies and the.private sector.have all come to the same conclusion.based on this overwhelming evidence.that masks are a very powerful tool that.can reduce the spread of covid19.and when used in combination with other.measures.could really get this outbreak under.control but that's the final point that.i want to make masks are not a silver.bullet.and the one medical concern that there.has been about masks is.they can give you a false sense of.security so if you put on your mask.and then go about your your day as if.there wasn't a pandemic.your mask is not going to protect you so.masks.only are proven to work when used in.combination with social distancing.frequent and thorough hand washing self.quarantining if you've been exposed to.the disease.but when those are used together uh.there is broad agreement and scientific.unanimous.unanimity that this could be our bridge.back to normal could have huge economic.payoffs.and could get this um this outbreak.under control.thank you dr abbott we appreciate your.work of you and your colleagues and.helping us to understand better.the positive impact of wearing face.coverings.our last topic for today is something.that i know.we have a lot of interest in and that's.the opening up of our school system.it's that time of year back to school.sales are gone.going on and we're trying to plan for.that to happen here in just a few weeks.yesterday i had the opportunity to spend.some time.with folks involved with our education.system.also legislative leaders both the.majority of the minority.parts of the aisle uh we heard a lot of.candid opinions from.utah education association reflecting.teachers and.their positions and concerns we heard.from local and state school.boards or from uh superintendents.again all of them working together to.try to find out.how to do things everyone wants to open.up the school system everybody wants to.go back to.what we used to call normal and.but the question is how how do we do.that.today with the pandemic going on.and we have a number of different.programs that are being proposed by our.local school districts we have 41.school districts i expect they'll not.all be the same.they'll have their own way of doing it.some will have delayed openings some.will have hybrid openings some will do.more distance learning depending on the.on the situation they find themselves in.i trust the local school board.and the local superintendents school.board elected by their constituency in.that.region to make the decisions in the best.interests of the people in that region.and their students.and they're working very diligently to.do that.clearly the goal for all of us is to.find a way to.open up our school system educate our.students our young people.and give them an opportunity to learn.and develop skills that they'll help.them be.effective members of society but we want.to do it in an environment that is safe.for them to attend the parents feel good.about sending their.children off to school and that the.teachers also feel good about going to.school and.those uh teachers and faculty members.and all the way from the bus driver to.the janitor feel like this is an.environment where we have at least.minimized the risk.you know we can never eliminate all risk.but we certainly can control the risk.and that's part of the discussion the.debate.so with that i'm going to call dr angela.dunbach.she's been working very closely with the.schools to help standardize.some areas that would be appropriate for.schools to adhere to.as we go back to school and so ask her.to come and maybe.give us some information in that regard.dr dunn.okay hello again so the local.our 13 local health departments the utah.department of health.in collaboration with the utah state.board of education has put together.this great school manual that will help.parents.and teachers and schools get ideas for.how to open safe.and stay open throughout the school year.this has been a big effort on the utah.department of health.public information team specifically.jenny johnson.and joelle fiora the arrow.put a lot of time into putting this.together and getting input from all of.the stakeholder.stakeholders to make sure that it's.accurate.and useful for those who will be.starting school in the fall.part of this manual we also describe.what will happen.in the public health response when a.case is identified in a school.we recognize how important it is for.kids to stay.in school it is essential and we want to.be able to.have them stay in school in a safe.environment.so to do this any child who has.covid or has symptoms associated with.covid will be staying home.those who are close contacts to a.confirmed covet case at school.will have the option of having a.modified quarantine.this means that they will be able to.attend school if their parents would.like them to.as long as they do not have any symptoms.they screen themselves for symptoms.daily.they wear a face covering while in.school and practice physical distancing.as much as possible.this will allow children to stay in the.educational system.get the classroom setting that they need.while also keeping themselves and their.environment safe.if any close contact starts to develop.symptoms consistent with covid.they will be asked to stay home this is.a process that we have been using for.essential.employees throughout this outbreak and.it has worked so we know that this.is a method that has been proven and can.help.kids stay in school while maintaining a.safe environment.to be clear though this modified.quarantine only applies to the classroom.setting.so kids who have been a close contact to.covid as long as they have no.symptoms can attend school and can.attend classes.but they will be excluded from.extracurricular activities.from sports they're not going to be able.to go to the movies or the mall.it's just for that essential classroom.setting.and so for more details we have.superintendent dixon who will provide.more details on this.thank you dr dunn i won't add much other.than to say we are so appreciative of.the state and local health departments.who have been working throughout the.summer and even into spring.to meet with superintendents and charter.directors to help them understand.the ramifications on schools of some of.these health conditions.the manual that dr dunn described.outlines many of the questions.that we've been asked and as stated.those.are are situations around quarantine.testing safe conditions for teachers.what to do around activities in.athletics uh what a cluster looks like.and one of the things i love about the.manual are the scenarios that are played.out in the manual.so it can walk you through a day in the.life of a student.or a teacher who might have been exposed.or a family member who might have been.exposed.so it takes the health information and.the guidance and.puts it right into a very usable format.people might seem overwhelmed by 102.pages.but i can tell you that i read through.it in just an hour last night.and i think it will be something that's.so usable to our families it's not just.intended for.school personnel but for our parents and.and students as well so they know.exactly what to expect.and again i just want to reiterate our.our great uh.our gratitude for this manual we know it.will be a very helpful tool moving.forward.things change the virus certainly we've.learned more about it.and this is not.something that we expect to not be.expanded.as as new conditions arise i i'm.pretty certain that we'll be able to add.to this manual so it is digital and i.want to reiterate that it's on the.coronis.virus website coronavirus.utah.gov it.will also be on our school resource.site at the state board of education's.coronavirus web page as well.so this is in the hands of our.superintendents and charter directors.today.it's out to the public and we encourage.you to look through the manual.and not just pick out one page that you.might find on social.media but read it in its full entirety.and you'll see how it all plays out as a.very helpful tool to our schools.thank you.thank you superintendents thank you dr.dunn um i.i want people to know that uh our.education.folks have been working literally around.the clock.to try to find plans and put them in.place that.strikes the appropriate balance to make.sure we have an education.system that functions where our young.people can go and learn and be taught.and protect their health at the same.time.where parents can feel confident in.sending their kids to school.as well as teachers and principals and.our superintendents it really has been a.very significant team effort.and i can't thank them enough i hope we.appreciate our teachers.our teachers again in cooperation with.principals and superintendents and local.school boards.have raised the educational achievement.level in utah.in a dramatic way over these last 10.years we've gone from kind of the middle.of the pack till now with our nape.scores were.in top 10 in comparison to the successes.of other.states our graduation rates are up about.11 or 12 percent.our minority scores are up that's not.been easy.but it's because of the good work of our.teachers in particular in the classroom.parents that are concerned.and being involved and the team effort.of principals and superintendents.working together so.i hope we appreciate the work that's.been done in the past.i also hope we appreciate this is not an.easy time.these are challenging times for our.teachers a challenging time for us as we.try to put together this education.system.and it's not easy it's not easy to do.but it's certainly something that's.unnecessary.teachers need to have some flexibility.and.we know that there needs to be.cooperation with all of us and probably.a healthy dose of patients.as we work together to get this underway.so thank you for your patience before i.go to question and answer let me just.kind of an fyi most of you know general.jefferson burton our former adjutant.general.has been has taken on the role of being.the.uh director of our health department.his background of command and control.and designation and.and deployment has been essential in.helping the health department do all.they need to do in a.more dramatic fashion and a challenging.time than they've ever had in the past.general burton is retired but he has a.real job where he works for our.department of veterans and military.affairs and particularly.working with the payson veterans home so.his time with us is finished and he'll.leave.tomorrow to go back to his employment in.payson.we appreciate his work that he's done.there and again it's not been an easy.job and.he's been an integral part of our.unified command as they meet every day.to review the data to help us decide.what we should be doing and how we.should be doing it and try to improve.which under his watch we've done so he's.had a great history of service and that.will continue.um in his place we're going to move rich.saunders.to that uh position so he's already been.there and been involved in helping out.so.this will transition very very smooth.without really any kind of a.hiccup along the way and should be a.smooth transition so.we thank general burton for his work.and we welcome rich saunders to take on.that responsibility now.starting effectively really tomorrow.so with that um we thank everybody for.what we're doing.together this really is one of those.areas where we need to work together and.and set aside some of our political.differences and and find collaboration.to find the solution.so with that we'll open up to q a and.we'll have everybody.will be standing by so what questions do.you have.yes uh governor ross rowell with kuer.you set the goal of getting to about 500.average state of cases by august 1st and.that number has dropped down but we're.still above that.are you pleased with where the state is.currently at.well i wish it was you know below 400..it can always be better i am pleased.with the fact that people of uh i think.in a spirit of collaboration cooperation.and greater understanding.of what they can do individually to slow.the spread of the coronal virus.that seems to be working the fact we.have a rolling average down to 508 today.is good news.we're moving in the right direction i.i'm not ready to spike the football.say that's good and that's all we still.have a long ways to go to get.this corral and get to where we want to.be but i certainly am pleased.for a lot of reasons that people really.are are working hard i think.some are a little late to the game but.hopefully they're going to join with.this.and now shortly particularly what the.reports have been given.i think we can be encouraged but we.ought not to be.letting our guard down we still need to.do all we can to practice.good protocol to slow the spread of this.coronavirus.um on the uh department of health.website.it says that the state has more than 300.long-term care facilities but.uh 311 have been impacted can you give a.better sense of how many.of these facilities are actually in the.state and then.um to help us put that number that 311.in better context.yeah i i don't have those numbers off.the top of my head and we will certainly.get that to you i can tell you though.that the numbers on the website are just.the licensed long-term care facilities.um there are.other congregate living facilities.throughout the state that have.experienced outbreaks that we have been.responding to as well.um so we will make sure we parse that.out for you and get you more specific.details on that.sorry about that got it thanks.question.yes this one's uh for dr dunn.uh this is carter williams with ksl.com.uh you mentioned the declines outside of.salt lake county and outside of summit.county those counties have attributed.their decreases to mass policies.is there anything maybe you know major.businesses requiring uh masks that.happened a couple weeks ago.uh possibly like test declines or just.policies elsewhere that you're seeing.that could explain.why there's declines elsewhere in utah.yeah i mean i think.we know that mask policies and.businesses certainly help the cause to.decrease cases that's definite.there's also probably some you know.spillover from for example a salt lake.county mask order to davis county or.nearby.jurisdictions but these are all just.kind of uh.you know correlations not causation your.point about testing is a good one.um over the past three or four days we.have seen.you know about three thousand to four.thousand individuals being tested every.day.before that we were in the kind of six.to eight thousand range so we have seen.a drop off in our cases.so that's our in our tests so that's why.we need to be very.cautiously optimistic about our drop in.case counts um.our percent positivity has remained.around 9.5 percent.so we aren't seeing huge surges but it.is something for us to keep our eye on.especially in this coming week.as we finish out kind of that incubation.period from pioneer day weekend.um so cautiously optimistic about our.lower case counts.but but we do know that the face masks.have had an impact.and encourage individuals to continue um.making that decision for themselves to.wear a face mask in public.and a quick follow-up we have.seen a lot of other places in the world.that have done a pretty good job.managing.but this week we saw hong kong and.australia.among those that seem to manage covet.really well.up until now and now they have new.protocols this week.um what what does that say about.how the department is is preparing for.if there is this decline that's.happening how to continue that decline.and how to manage it if it gets to a.lower state.yeah i think what's really important.about those lessons learned is that.we have to remember we're still in the.middle of a pandemic with a novel virus.so it's it's impossible for us to.predict how it's going to act and so.that's why it makes it ever more.essential that.we understand that we are going to be.having these kind of lifestyle changes.for for at least another year in terms.of.really being vigilant about staying home.when we're ill wearing face masks in.public.making sure we're using good hand.hygiene those things are going to be.really.important for a while until we get.through this and and get a vaccine.for covet 19. thank you.hi can you hear me yes thank you.um my question well they're.they're related first of all we just.heard from.you know professor abbott that the risk.of asymptomatic spread is pretty high.and that masks are not a silver bullet.so if students are allowed to go to.school even after direct contact with a.confirmed.case just because they don't have.symptoms.how is this not going to spread in the.schools.um and related to that uh we are hearing.a lot of concern over teacher retention.if teachers are forced to return to.classrooms even if like they or someone.in their household are in the high.risk health group um you know especially.once outbreaks start cropping up.how are utah's school districts uh.supposed to cope with the possibly.higher rates of attrition.and not only would the most experienced.teachers probably be the ones most.likely driven away by the health risks.because.all of them are by definition high risk.because of age but most of the districts.in utah could end up competing with each.other.and nationally for an insufficient.number of teachers.i guess regardless of experience not.considering that.and then also last week governor herbert.said the state's.testing capacity was being overwhelmed.and as their concern.that likely spread from reopening.schools will overtax that capacity.uh we'll ask superintendent dixon to.come here and speak to that.those issues aren't regarding the school.let me just say.again with emphasis there's a number of.tools in the toolbox to help us slow the.spread of the coronavirus.mask is one of the more significant ones.but there's many different things we.should be doing and can be doing to help.slow the spread.someone just takes a little bit of.common sense and a willingness in fact.to do something that may be a little bit.inconvenient.but if we all do that with a an attitude.of.we can work together on this and corral.this coronavirus.it'll get better if we say we don't care.or nobody's going to make me wear a mask.you know no matter what happens.we'll have a longer time before we can.get on top of the coronavirus.so hopefully everybody will have the.right attitude.of cooperation knowing there's many.tools in the toolbox.mask or just one but you've heard the.protocol we've had before being careful.and.don't go to work when you're sick and.and.hand hygiene you know social distancing.and doing things outdoors is better than.doing things indoors if you have the.choice.well i guess my governor my question is.how is this not going to spread in.schools.despite there being a mass instruction.in schools.i i'm sure there's no guarantee that it.can't be spread in schools like it can.be spread anyplace else we have spread.taking place now.and schools are not in session we're.trying to mitigate and minimize the risk.by having our young people wear masks.protocols are being put in place.by dr dunn along with sid dixon and our.superintendent.and this coved 19 school manual to give.direction and guidance.of how we can minimize the risk if we do.have a spread there's protocol of what.we do if in fact that happens.including closing down the classroom and.maybe closing down the school.but we're not going to sit back in the.corner and just you know wring our hands.and say well i guess we can't do.anything we can't do something.and we may be doing more distance.learning than we'd like to as opposed to.face to face but we will.find this out as we work together to.find the solution.sid.erin thank you for that question about.teachers they are essential.infrastructure to our schools we can't.have.an education system without them there.are front line workers and we have to.think about them every day as we plan we.have the opportunity to.meet with our superintendents this.morning and they were sharing how.they're working to support teachers.their variety of options that districts.have been looking at and charters.for those who have high density of.students in classrooms there are online.options.and they're making those options for.teachers as well.i'll highlight kane county for example.they're using cameras in the classroom.and microphones as a way to isolate.teachers who can work.in a setting that's safe for them maybe.in another classroom in the.building and live stream uh students.that are at high risk.can stay home and and see live stream.instruction.and interact with students in the.classroom so there are a lot of.um very creative ways based on health.factors but i want to go back to.something that governor herbert said.right at the beginning.and that is context matters our local.leaders have been working with local.health directors.to try to mitigate risk and look at.situations.in every single school in every district.and that's true with our charters as.well working with local health directors.i have confidence that none of our.health directors would feel good about a.plan.that doesn't mitigate risk to the best.of our ability.we know that the risk is there and plans.are taking into account.all of those elements that can mitigate.the risk we've been training.all of our educators our leaders.certainly.on the cdc seven elements and.distancing is definitely an issue so.looking at hybrid models remote learning.and.where that can't happen or a local.community.feels like they have a level of risk.that that can adapt to more.students in a class they're putting.other protocols in place so looking at.entry and exit looking at movement and.density they're adjusting for.recess for lunch schedules all of these.elements are coming into play to make it.safer for students and teachers.so it's not how we think of just.returning back to a normal classroom.there are a lot of mitigation strategies.that our schools are putting in place to.help with safety for not only our.students but our educators who are.vitally important so.thank you aaron for asking that question.thank you.and just to follow up more specifically.on quarantine and the public health.response aaron.so the the number one thing we can all.do to make.schools open safe and decrease the.chance of outbreaks in schools is to.decrease our community spread.so we can all take that individual.responsibility to wear face masks.physical distance stay home when we're.ill use good hand hygiene.our local health departments are working.closely with all the schools in their.district.public charter private schools to come.up with these mitigation plans that.fit the school setting in the community.setting however we do have a.standardized approach.for case investigations and outbreaks.so for example if we have three cases in.one classroom.that whole classroom will be recommended.to go virtual for two weeks an.incubation period.if we have 15 cases at one time single.school setting.or 10 of the school population is.infected with covid19 whichever number.is lower.the entire school will be recommended to.go virtual for two weeks.and those two elements are there to stop.the spread of covet 19 within that.school setting.when we actually identify that spread is.happening.that is if covet happens to spread.despite the prevention measures that are.being in place.you know this is going to be a dynamic.process moving forward it's new for all.of us.so we do remain open and flexible to.changing our strategy as we learn more.so this is definitely a starting point.for the local health departments.and their schools to work together to.try to figure out what's best for them.yeah i just wanted to say uh during our.review of the coveted literature.the most updated assessment of the risk.of super spreading events.um through children is very low uh so.the disease appears not to be.transferred as easily through children.and then there are many examples now.uh of cases where that can't be.transmitted back to to adults so there's.a section in the report.that has that summary and then links to.the two studies which are updated about.every two weeks.so i think it's really important also to.have that scientific perspective.that the risk may not be as as large as.we as we fear.though again we should always take take.the precautions we can.we'll take two more questions.hi governor herbert i was wondering if.you could give.your reaction to president trump has.been questioning the validity of mail-in.voting as we get closer to the election.in november.and has most recently called.in um floated the idea of delaying the.election states aren't ready.oh the election.i i'm not responsible for what comes out.of washington dc.so um i i don't think we need to.postpone the election.certainly i can speak from a utah.perspective.we have great clerks uh in all of our 29.counties that run the elections.we have a great elections office here at.the state that oversees that.responsibility we've seen no evidence.of anything untoward with mail-in.ballots.we think in fact it's been a blessing to.a lot of people to be able to.get the the ballot review the ballot.study the issues of the candidates and.make an.informed decision it's also.uh because people vote early it's i.think help to.tamp down negative campaigning if you.can't get the first.vote you want to get the second vote uh.and so.um i i feel no reason to have.uh postponing the elections and.certainly.from utah perspective i think that would.be foolish.next question.yeah last one.yes governor this could be answered.really by anybody.um uh could somebody uh explain again.the modified.quarantine how that would actually.function and if there's.any risk at all of spread of infection.why not just do.what the salt lake city school district.is mulling over and just.pushing back the start of face-to-face.learning.one more semester and just stick with.virtual learning for now.okay dr dunn superintendent if you'd.like to add.thanks paul so i'll talk about the.modified quarantine again um so our.modified quarantine for schools.is exactly what we've been using for.essential workers throughout this.pandemic.so we have experience with it what that.means is that if.an individual is a close contact to a.confirmed case but they have no.symptoms of covid19 they are allowed to.go to school.as long as they're checking for their.symptoms twice daily wearing a face.covering throughout school.and doing as much physical distancing as.possible.this allows them to still engage in that.educational opportunity.while still limiting spread of covet 19.throughout the school.everything we're doing right now is with.some risk so we're constantly.weighing the risks and benefits and in.this case it's you know the benefits of.kids being in school.and getting that experience with the.spread of covid19 and so.you know we're working to find that.middle ground and that's where we're.starting from.um right now um what was your other.question.paul oh so you know there are a lot of.different schools that.thought about you know the best time to.start school um some countries have.actually started school earlier in some.states.um planning for an extended break in the.fall when flu season hits.so i don't think there's any right.answer right now because there's so much.unknown.um so we're working with with each.individual community in each individual.school to figure out what's best for.them.and then from a public health.perspective provide them all the.guidance they need.to start their school safe and then stay.open throughout the school year but.again we don't have you know.right answers or any one silver bullet.right now.and just working with individual.communities to make sure we're doing.what's best for them.i think the one thing i would add to.that we as a state as.as communities have to address the issue.of.equity and broadband and so while remote.seems like a very.safe option on the surface people feel.better about it if they're not in school.there are also issues at home of safety.and conditions of safety and one of.those is having broadband access.we have to think of it as a an essential.utility.and not all of our families have access.to to broadband or to the tools that.they need.we're actually a state that's that's far.ahead with our digital.tools being able to put put a laptop or.a tablet in the hand of every student.but then they get home and don't have.the broadband to access that.especially if places that they're used.to accessing wi-fi.around the community are also closed so.it's the condition of the community.it's the condition of access and equity.we know social emotional mental health.issues are.important as dr dunn addressed earlier.so thinking about ways to mitigate that.with having.contact with teachers are students with.disabilities are students learning.english.so we have to think about modifications.as well.and while some physical distancing is.safer there are also other conditions.that come into play.so those are the those are the issues.that our local boards of education who.are elected to make these.decisions really have to grapple with.when they're deciding do we go remote.are we in a hybrid mode.a modified mode so i appreciate the.question.and that we have to take all of those.things into account and it's not just.about our schools.it's a community issue we want our.schools back if we want our children.back to schools.what are we all willing to do to get.them there.again we thank everybody for being here.today and we appreciate our participants.and.as the superintendent was talking it.dawns on me that.what we face today is reminds me of that.a game called whack-a-mole uh we're.whacking the mole.and as we think we've solved one problem.it creates another problem or it has an.impact somewhere else we have to whack.that mole and that creates another.issue it is a constantly evolving and.changing situation we face.the solution really is us using the best.science we have.best advice we have to find that balance.point of making sure we protect people's.health.and their livelihoods at the same time.and they're not mutually exclusive as.we've always said.it does require us to work together i'm.very optimistic about the trends and.what we're doing.we're not perfect but i like the numbers.we have today and we're moving in.in a good direction it's becoming it.behooves all of us rather to make sure.that we do our part to make that trend.continue.as i've said from the very beginning.whatever plan we have in place.will only be as effective as we.ourselves as individuals do our part.so let's all do our part let's open up.our schools as best we can let's get the.education to our kids.and slow down the spread of coronavirus.let's see what we can do.in fact to get back to a new normal and.and.anticipation of a vaccine coming up here.hopefully.in the next six to nine months that's.our best hope i think for long term.in the meantime we need to work together.thank you very much.we like to thank governor herbert and.excuse him and our other speakers.uh we also extend our exp excuse me.extend our appreciation to all of our.interpreters both in spanish.and american sign language thank you.both we will talk to you.next week.

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How to create an e-signature for the July 10 2012 61med Englishindd Utah Department Of Health Health Utah on iOS?

Many platforms have a more difficult setup when you start using them on an iOS device like the iPhone or iPad. However, you can write down your signature online effectively with CocoSign, either using the iOS or Android operating system.

Below tips will help you to e-sign your July 10 2012 61med Englishindd Utah Department Of Health Health Utah from your iPad or iPhone:

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  7. Save the changes and fax your July 10 2012 61med Englishindd Utah Department Of Health Health Utah .
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Select CocoSign electronic signature solutions and enjoy boosting your workflow on your iOS devices.

How to create an electronic signature for the July 10 2012 61med Englishindd Utah Department Of Health Health Utah on Android?

At this time, Android gadgets are welcome used. Therefore, to aid its customers, CocoSign has developed the program for Android users. You can use the following tips to e-sign your July 10 2012 61med Englishindd Utah Department Of Health Health Utah from Android:

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