I think he's doing it right here, but they're walking in. Well look, I took it and I wasn't. Bye. Well, good afternoon I wanna thank Jeffrey so for having us here, I look forward to hearing the discussion from some of the physicians about one of the things with Phase one is gonna be quote unquote elective procedures returning to the hospitals, CDC had recommended about two months ago or certainly 667 weeks ago that governors freeze quote elective procedures. Part of the reason they wanted to do that. Make sure there was enough hospital space, which just from the date I thought that we would have that. but then they were also concerned about a lack of PPE and at that time, there was a real concern about that. so we ended up doing it that as we've gone through this as hospitals have had more than enough capacity, there's obviously a need to to bring that online. So that's gonna start tomorrow. Some of the docs are gonna talk about what all that means. these are really important things for people's health. and we wanna make sure that the people understand that that this is something that they're gonna be able to schedule going forward in terms of what's happened here in Volusia County, I think if you look you go back to last week to 10 days, you've had two times for their been a significant, you know anything out of the ordinary with cases reported those were both connected to to the prison here. you both have inmates and staff that obviously is an issue. It's a separate issue from kind of how it's going in the community. I think, but if you look at April 20, -fourth there were 10 new cases then. Four cases 3734, you did have the 40 - six with the prison on the thirtieth and then seven and seven and percent positive has pretty much been in the last week to 10 days in that one point five to two percent accepting the prison dump when they had the prison stuff if you look at the dramatic indicators for Volusia, everything's trended downward in terms of the admissions to the hospital. so I think that the community here has handled. Well, I know Jeff can talk a little bit about how how they how they did it. How they've done. I know we're gonna hear about how they treated it. They really did a good thing here and I'll let them talk about kind of creating a separate containment unit. We have a one of the biggest problems we've seen in the last six weeks is people that have heart problems or stroke symptoms deciding they don't wanna go to the hospital and sometimes that is because that they're worried about being exposed to it. I think you'll hear what Halifax did. There's really no chance of that because of how they've segregated the units, But sir. Important for people if if you do have those the hospitals a safe place to be and taking care of yourself is very important. I'm finally pleased to be able to say testing has been a big part of what we're doing, but diagnostic testing is not the whole thing you can go and test negative today doesn't mean you can't acquire the virus two days from now or three days from now and so it is a part of it. but it's not the entire part, which you also need to have is. Logical testing in a body testing that is testing that will determine whether somebody has the antibodies that would be Associated with having had the disease and what they're finding throughout the country in places like Santa Clara, California University of Miami did a study in Miami Dade New-york is doing this is that the number of people with the antibodies far out exceeds the number of people who've actually tested positive in a diagnostic test, and so that has implications for how you deal. Epidemic going forward, so I thought this is really important for Florida. We have a bunch of these things coming in from the all kinds of sources, but we finally got our first 200000 in at 30 'clock in the morning. I've been bugging the Department of Emergency Management Department of Health for a long time for that, so they have 200000 and those are gonna be deployed in the coming days. It'll probably be a a combination of providing some of the hospital. Of the health care workers can get tested doing a lane in our drive-thru test sites so that if people do wanna get the antibodies they can come in and get the antibody testing. But then there is gonna need to be we may partner with universities on this, there needs to be some scientifically representative sample testing. so you go in different parts of the state, create a scientifically representative sample test for the antibodies and then see how prevalent those are in various parts of the state. The Miami. Study suggested that at the time I think Dade County had 10000 confirmed positive tests. they think it was antibodies about a hundred and 60000. So that's obviously several times more. So we wanna know what how that is and other parts of the state of Florida and I don't know that the antibodies I think I think you'll definitely see some divergence there just as we've seen the divergence with the epidemic overall but I do think the antibody test is important and then if you're somebody and health. That has the antibodies you're gonna wanna know that that's gonna be very helpful, certain workers and other sectors that have the antibodies gonna be very helpful. pretty much everyone agrees. It's it it confers some level of the many people don't know how long some have said maybe low as six months, maybe two years. I think scientists will figure that out, but clearly it's a benefit to have the antibodies. We're gonna continue doing our drive-thru sites as we get into phase one these test sites we have now we're supporting. Or running in conjunction with the National Guard, 11 drive thru sites and we have plans to open more and the thought is that if people someone goes to work and they have a symptom that they know, there's an easy place they can go. This is not gonna even be close to all the testing because you have medical providers who are doing more and more private sector doing a lot of stuff but we do think it's important so I was just in the panhandle They haven't had a huge epidemic there, but we're putting on there in the. To be able to serve those folks, one of the things that we're seeing that's been affected our walk through sites we're actually going to underserved communities set up sites where people can walk up and get tested. We're probably gonna wanna fold some antibody testing into the walk up sites, but we see those in different regions of the state of Florida. This is something that we've started within the last few weeks and they've already done they've completed 12000 tests for those walk up sites, which is very. Important We Jeff and I talked and some of the docs talk about how important it is to safeguard nursing homes and as part of this roll out of the not of the elective surgeries the hospitals when they're doing it, they're certifying effectively that they do have space in the hospital and if you did have increase in ovid patients, they can handle it that they have adequate PE. They're not gonna run to the state for more PE. But then we're also asking that everyone play a constructive role in helping our nursing home residents and and what what they did it. Halifax is exactly the best practice that Secretary Mayhew has been talking about from the beginning from the very beginning she was worried about hospitals sending in Cot patients back into a nursing home and then infecting all the other places there. What Would Jeff is doing is that if somebody comes in with Cot and nursing home, they need two positive tests before they're sent back so that we have confidence that they're not going to infect other people if they come in for a non reason, they're still given a test before they get sent back to the nursing home. Let them talk a little bit more, but that is basically what we. For all the health care providers, I think you are seeing that by and large, I know Cleveland Clinic is doing something similar, but that is a way to help fight the epidemic and that's a huge thing. But we have National Guard. I have 50 National Guard units going into nursing homes and offering testing residents and staff and what's happened. is we found more positive cases doing that but a lot of these cases are symptomatic and so then you're able to contain the costs. As it develops and that that keeps it if these things are left to spread on Abad in a nursing home, this thing can really spread like wildfire. So we appreciate the guard doing that. We're gonna roll out this week a Mobile lab inside of an RV. the lab is gonna be able to do the 45 minute test So we're gonna have 3500 tests a week and we're gonna go to different long-term care facilities to start offer these tests. Then be able to get results back very quickly, so that's a huge thing and I wanna thank the White House helped us getting this 40 - five minute test for this Mobile RV lab, and so I think that's gonna be something that's good. So we'll have an announcement on that when it's ready to roll but I'm I'm I'm really excited about it. The state supported testing hospital testing is great, but there's more private sector actors that are getting involved in this An executive order to allow licensed pharmacist to conduct tests so Walgreens has announced that they're gonna do nine drive-thru sites in Florida, so they're gonna have one in Hillsborough County one in Volusia County in Orange City, one in Opa-locka Miami-Dade one in Miami proper in Miami Dade Winter Garden in the Orlando Orange County area Orlando proper and then Jupiter and Palm Beach County. they probably end up doing some more but that's good. so there'll be one here in the Western part of the Western part. Volusia County CVS is gonna announce plan soon so Walgreen CVS. It's very convenient for a lot of people and then by early next week, Walmart plans to have five drive-thru sites throughout the state and so I know that there'll be an announcement on that forthcoming so we are continuing to stress the need for testing and building a really strong infrastructure. We nobody really knows what the shape of the epidemic is gonna take as we go into phase one. you know we just have to wait and see and look at the data. there's some people that think that we've kinda got through this as a country that it that it may subside and then really come back in the fall well. if that happens, we're gonna have a much better infrastructure put in place then the country had in February and early March and so there's new products coming online all the time new technologies coming on all the time I mean, just going back two or three weeks from today, there's so much more available than they even wise and then as you were getting through March and April. Seems like there's a new emergency use authorization almost every other day from the FDA, so the private sector is really got involved in this and it's really pushing out a lot of great products. so we're gonna just continue to do what we need to do to be able to build that good infrastructure but I I'm happy to be here to talk about this really important component about getting into phase one as a state, and I know that this is gonna the the health of a lot of people in the state of Florida and it's also gonna help. the hospitals function, but a lot of people don't recognize is we took a lot of these actions to be able to prevent the hospitals from being overwhelmed that obviously has succeeded. We have not seen that in Florida, but because all these other things were not happening, a lot of hospitals had to furlow workers and so some of the capacity was actually diminish on the back end. So this will allow kind of the system to start running again like it should and obviously to be good for people's health. so I'm gonna kick it over to. Let him say say a few things about the surgeries if you can touch on how you guys have handled the nursing home patients. I think that'll be good too. Yeah. absolutely first of all Governor Thank you for your leadership through the last 45 days and beyond you've done an excellent job and one of those areas is the nursing homes and some of the demands that we put down keeping the nursing homes close to visitation because once once this virus gets into the nursing home, it does spread like wildfire and it's tough for families to. Not be able to see their loved ones, but I can tell you that it is work here in Volusia County and as a result of that overall, we're seeing a very light number of cases here in any given day, we have six to seven patients in our bio containment unit. You'll have Doctor Harmon speak to what our bio containment unit is we've seen six deaths here in Halifax. we've treated and tested over a thousand of our patients here utilizing both commercial. In the platform that the governor spoke to the 45 minute turn around, we're prioritizing the that type of testing for patients presenting to the emergency room that are symptomatic as well as our workforce and if you look at the workforce here at Halifax, we we have approximately 44300 team members somewhat of a small city and even within our workforce in the hospital environment, and this is an attestation to the fact that the hospital is a safe place to be. we've seen very little numbers of our patients or our employees that have tested positive for this virus. So it's that is an attestation to our environmental services and infection control teams that the the that are doing the sanitation that the hospital is a safe place to come and be so don't stay away if you are ill. our emergency rooms are approximately 50 percent of what they typically would run. That says that people aren't. Utilizing the emergency room as they at least traditionally done so we encourage you if you have symptoms whether it's cold symptoms Stroke symptoms, Heart attacks syndrome that you get to the hospital. the the surgery portion We are ready to open up tomorrow There. We do have a backlog of elective surgeries that have taken place. We have continued to do emergent surgeries such as heart bypass neurosurgery trauma surgery obviously. That needs to take place, but there's also an emergency appendectomy so doctor besser here is is a part of our surgical task force that is analyzing the surgeries that need to take place as well as developing procedures. as we go forward how to safely reopen on a typical day, we would have approximately 80 procedures taking place across our system tomorrow. We're scheduled to open up with with the 20 - five. Kinda ease back into it and that ramps up to approximately 40 on Tuesday and we'll also have emergency probably another 20 to 30 emergency surgeries. so we are we're happy to to open up the doors to our elective procedures and hopefully get things back to a semi normal state and see how things go Doctor Frazer did you wanna speak to the procedures that we put in place to make certain we're opening up safely. I'm sure yeah first, I'd like to Echo Jeff's governor. Thank you for your leadership your clarity with your messages and your transparency with all the data that you have for giving to us as a medical community and the public and large. it's nice to get back to the elective surgery tomorrow. I think the working with the hospital we have a great approach making sure that everyone's gonna be treated safely everyone's being screened at certain checkpoints several days before surgery, then when they come in the building we have visitation guidelines to make sure that the hospital stays as safe as it is. The patients are cared for safely but our messages to get all the patients. if you need surgery now is now is as safe as ever. we can do it safely and we're gonna open up tomorrow morning reduced volumes but ramping up appropriately over the next couple of days to weeks can you just speak about like the gamut of procedures that would be considered quote unquote elective and then I think sometimes people hear elective and think unnecessary. yes, sir. Absolutely. For tomorrow, I've got some of the operatives and things like aneurysm surgery surgery, heart bypass even some cancer procedures that may be the providers over the past couple of weeks have decided that in the interest of public health and the patient's safety and the staff safety to delay a couple of weeks, it's now time to do those procedures and so not the trauma emergencies which we've always done throughout this whole ordeal but the things that are urgent so heart bypass led bypass aneurysm surgery or maybe a symptomatic gallbladder. Somatic heras and things like that now we're safe to do great. Aman can you talk about how you have talk about your unit and how you guys have handled the patients that come in. Yeah sure and I also like to thank you for coming by and seeing us firsthand. It means a lot to us and yeah so doctor Steven Veil actually runs our emergency Department and he's got quite a bit of training in public health as well and and he and Alberto Tonio are COO designed. Space in the hospital on the ground floor, that's separated considerably from the rest of the hospital, sort of tucked between some areas and shipping platforms, But it's nowhere near the main hospital and it was it was turned into a negative pressure room by the strategic use of fans and vents and this was all prepared prior to our first patient. so on that Saturday, about six or seven weeks ago when we got our first two patients, we had a place to bring in. In the hospital without even going through the main part of the hospital, we've got a rare entrance that comes directly into that unit and you know I won't lie to you. we invented some of it as we went along cuz we've never handled anything like this before, but at least the basic unit was established and it worked out very well and a cadre of nurses and respiratory therapists and environmental services people stepped up. And volunteered to work in that unit, so we have kept the people who work in that unit separate from the main staff that work in the hospital. my intent to the service has 10 people, but only two of us work in the coveted units. So there's two of us that are exposed daily to the virus, but we've kept that to a minimum so that the remainder of my crew can work among the hospital and continue to run the intensive care unit. It's like they've always done but as. As we came along, we we and Steven in Alberto designed the dining area for PE and that sort of stuff and then you know good flow through the room and then adoption area. We're all contaminated materials are removed and changing areas and lockers and a considerable hallway that one travers even get into this area. and like I said, we all come and go through separate doorways. so this is as a matter of fact the vast majority of people that work at this hospital. don't know where this unit is. That's how it is. We didn't hide it on purpose it just. Out to be the most strategic place for it and I think the most rewarding thing is that we haven't seen the spread among employees who are in the hospital at all and we haven't had any of the people that have worked in the coveted unit become infected so clearly the P E that we're using is sufficient and adequate. This is this. This has been a little over six weeks now, so it's it's way past the incubation period for the virus infection. And the people were using inadequate protection. We couldn't we would know it well by now and that has not been a problem I assume I'm a carrier, so I take extra precautions and so forth cuz I'm exposed to as to the other people that work in that unit, but we were blessed and that we got two patients initially and then they trickle down in the senses in the unit usually runs in single digits and we've got quite a routine 24 hours a day there that that functions very well and safely and so we're to a point that if there were to be a surge at some point we can. A heck of a lot more patience we could easily handle 20 to 25 pages that unit if we had to, but in reality we usually today we have seven patients in the unit. We have one ventilator another common. I'd like to make is that aside from the fact that this is really separated from the main hospital is that now I'm not an epidemiologist and I can speak from my experience here but I've. Have an otherwise healthy middle-aged person come in and end up on a ventilator and and you can be a bit overwhelmed by new stories and I'm not pro or con any particular network or anything, but you can be a bit overwhelmed and and the simple fact of the matter is that literally everybody that is given us trouble had a preexisting conditions usually nursing home patients usually elderly late eighties early nineties Frequently a period of decline prior to this particular infection in some cases, they weren't even seriously enough ill from the Cove virus to be a problem, but we had to isolate them because there are no other places for these patients to be housed until we made arrangements to test everybody twice before they return to a nursing home but the units worked out really well for us and like I said, I can only speak from my personal experience and we have all. Resources we need and we have from the very start we we're kinda spoiled in there. actually we get whatever we want and and and clearly we wanted this to be successful and it's really the person that really took leadership on this actually. it's Doctor Steven he. he's really the one with the public health experience who really set this up and and and I had to show up and take the field basically, but there are a lot of people here and and certainly an environmental services that help us create this room and so forth and and. Tene is with me on a daily basis going over everything from this room and so forth, but we have not been overwhelmed by a surge at any time and we have not faced any shortages. We have not lacked for any equipment and having done this for over six weeks. I've I feel very comfortable as the director of critical care here saying that it's certainly perfectly safe to come to the hospital and have elective procedures done. and so I think we've proved that we've. The unit from the rest of the hospital. Thank you great. Well Doctor Kitt. Do you wanna talk about just generally about? I think you had made some comments about people when they have different conditions what they should be doing and obviously, I think there's been a lot of discussion on the safety here, but maybe to reiterate that in any other thoughts, you think are important sure and I also want to reiterate. Thank you I really appreciate it and as a scientist we all do leading by facts and not fear. so I really appreciate you taking that stance as you. This discussion in the moving into phase one and as my colleagues have said and we have a whole team of very talented individuals. one of the ones I just wanna mention is Ralph Ralph to be a Jacob Sorry Jacob who's our engineer who just did an amazing job getting getting these negative pressure rooms and areas up and running, and we just had a whole team of talented individuals from the top to bottom from one side to the other who have created this this environment where you can feel comfortable you can feel safe coming. You know when you come in to the hospital, one of the things I wanna let everyone know is you're gonna be seeing people in Mass as we were when we came in and you will you will be cared for by individuals wearing masks and when you come to the door as a patient, you will have basic strategic questions. Asked of you, We're still screening doing particular questions to screen for your risk factors for we're looking for symptoms. Timit temperature checks we're doing a lot of the retooling that a lot of the businesses out in our community. Had to do quite honestly and even more and we're experts at working in isolating and quarantining positions. So we know what we're doing here. We've had the luxury of time six weeks to work on making sure that we have taken our policies and made them covet informed as the way I like to look at that and so everything we do throughout the institution is designed to keep you safe to take the best care of our patients and I will also add that our physicians. Been on the front lines caring for these patients have collaborated not only among themselves here in the enterprise, but also across the country and across the world quite honestly, making sure that they're staying abreast of what the latest information is we like the data we like the facts we like trying to incorporate that and not just fly off on tangents. We believe that the care that we've been giving has been superb. We've had some terrific outcomes and I really appreciate Dr. Speaking to some of those specific situations so as far as what we need to do, you know and part of your Uhf has been to just educate everybody educate about the facts and then what we do know and what we have learned and it's so important to incorporate those things as we step back into this phase one because if we will continue to social distance if we will continue with our hand hygiene all of these things we've been talking about. We need to make sure that. Taken steps to protect the more vulnerable and if you are among the less vulnerable, we've been talking about who tends to be more or less vulnerable. If you're among the less vulnerable, we certainly wanna be considerate of those who may be more vulnerable and we may or may not exactly know who they are. It could be someone who is your same age, but has a lot of illnesses that you may or may not know about so I'm really impressed and proud for the way. Florida has stepped up how this community has stepped up this County has. Our officials have stepped up and said let's move forward with education. Let's inform this community and step forward in the best most conscientious courteous respectful way possible and let's get back to life great. Well, I wanna thank everybody for all your hard work and I'm excited that you're gonna be getting some of these procedures going again and I think it's gonna be good for the health of folks throughout the throughout the the Volusia County region, obviously throughout the state of Florida, so you know we're going to. Phase one we believe in doing safe smart step by step approach there. there's not it's not that there's gonna be an Earth shattering difference between phase one and what we've been doing. I mean we're deliberately going. We're gonna be cautious. This obviously is is very important. I don't know and kind of like the general public. They're not necessarily gonna see the difference cuz they're not coming to the hospital every day, but I will be obviously an important difference. some of the other things in terms of some of the businesses and and what not. You know small steps not terribly different from some of the other stuff we've done. In fact, we've had retail Open Home Depot. This obviously people have been going to the grocery stores. so it's designed that way and I know there's some folks who saying, hey, just flip the switch and just go be done with it but you know the country has never gone handled an epidemic like we handled this one they didn't in 1850 760 - eight if you look at those pandemics so nobody really knows and anyone. Tells you, they know for sure you know they're not being honest. so I think that's why being safe, smart and step by step is the appropriate way to consider that and I think we're gonna respond well and I think we're gonna be able to continue to take some good steps, but tomorrow is just one step. It's certainly not the Florida that we had in February, but I think that we obviously wanna get get to where we're we're back in the saddle doing a lot of great things. So so thank you guys for all you're doing and I'll be happy to take a few. Before I leave. Go ahead. Well, the Department of Education is DOE. They don't do unemployment. that's D E o D E o so what I'm gonna do tomorrow is we're gonna do my press conference is gonna focus on everything having to do with this and and we're gonna run through cuz I think clearly you're starting. I mean they've now processed 700 million. I think they're at now and they're doing this all weekend. they've paid 450000 claimants. probably there'll be more as we go in and so I think people. You know, it's been very tough because it's a sudden abrupt change in the economy and I know it's very difficult for a lot of people the system just totally broke. It's not a good system. We're gonna deal with that, but we had to make all these changes and really just 24 seven. So so that money is going. I think that the questions we get now more than anything is Hey I applied but I'm not I was deemed ineligible my application so they're gonna address that and show kind of some of the different things that maybe troubleshooting. If you don't qualify for an employment benefits and I mean just if someone wasn't working at all, so you can employment and they're not gonna qualify for unemployment. There are other forms of relief under the Federal Care Act. so we're gonna outline all of that tomorrow, provide the most up-to-date statistics on how much money's been paid out and in hope to answer a lot of those questions. I'm gonna have the the Secretary of DMS who I put in because we need to get these changes done quicker to run the unemploy. He's gonna be there and I think people should tune in. I think that will be very helpful and I would say the the agency has been very proactive if somebody is quoted in the newspaper, saying Hey, I don't. I even got my stuff they actually will go and they will try to identify. Okay, who's the person that look em up in the system and see what the deal is and if they see somebody talking on even social media, sometimes they'll find people and they will go and do this. I can tell you most of the cases that they're finding. Are no social security number out-of-state way. There's just a bunch of different things. So I think it's gonna be helpful to just kinda do a big run through. Let everyone know where we're at. I think the progress given how bad the system was people work really hard. we still got more work to do, but I think it'll be helpful so that will be tomorrow and I think people if they're interested, you should definitely tune in. what company and you and your administration. Some of those are. Only 90 percent so we sourced from the FDA approved test. I don't know the company's name, but they're they. I think they sent the test to new-york first and then they send it to us. The surgeon General, Florida was adamant that you only do FDA approved because what you'll find is the the covid- 19 The virus that causes Cogan 19, is a Corona virus. It's not the only Corona virus if the test doesn't have the specificity, then I could get tested. Antibodies for the common cold, for example, that obviously isn't helping us identify this. So yeah, this is an FDA approved test. It will distinguish at least FDA says between the Corona virus that causes covid-, 19 and other cron of viruses. So that's very important to do. We also have another company in Florida that we have an agreement with that is waiting for the emergency use authorization from the FDA. Obviously we're we're gonna wanna see that before we put that into into practice, but it's a very important thing if you if you don't have an antibiotic. Test that can distinguish the validity of what we can extrapolate from that. It's just not there. Governor does it concern you that these companies given the fast track the that they simply submit a form? sign it in the company just to test that it works and it's accurate and well. I think there's more to that. I mean they're really going through a lot if you look at what they did with rims Deere that had been going on and I'm not saying Remes Dever is gonna be effective. if you look at what they did with some of these Abbott lab tests, this is something that that. Do look at what they do is they're fast to anything with Corona virus. They are fast tracking so if somebody some reputable company has a new test that is gonna be reviewed immediately by the FDA, where it's normally that would take forever in a day even just get your foot in the door. So I really appreciate your doctor Hanh who's the Commissioner has been really great to deal with any time. We have an issue like I can call him directly and he's very responsive and he's working really hard. So I think they're doing it the best way that they can you obviously have to review. Stuff you can't just willy-nilly say throw products out at the same time lives are at stake and so if you let the bureaucracy grind this process to a halt, then you're gonna be missing opportunities to potentially help people. so I don't think it's any perfect solution, but I think they probably struck the balance as good as you can are you planning to do any blood draws and then test that to then get those so we actually the Department of Health is working with one blood as people give blood normally we think that you'll be able to screen for the antibodies so you may end up with a situation where you. X number of people have given from one part of the state and we can see what percentage actually has the antibodies that will be interesting from just a general societal perspective. We wouldn't be a scientifically valid representative sample, but I think it would be an indication. so yeah, we're gonna do that as well and I would also remind people out there if you have had cot and you've recovered and you give the blood they can then use those antibodies for this plasma. Which a lot of physicians have had very good results with so you have an opportunity to kinda help other people who may develop this disease in the future. if you're willing to donate the blood and then once we do the antibody testing, then there's gonna there's a lot of the people if you look at all those antibody results The inescapable conclusion is a lot of people have had this and don't even know they've had it because they just either never developed symptoms at all or the symptoms are so mild. That was not anything you. Even think of when you're in Santa Clara and Stanford is saying 50 to 80 times more people have the antibodies that have tested positive in Santa Clara. that obviously is really significant new-york. you look you're talking about. I mean they have more cases than anyone documented cases, but I think there are like 300 some thousand, but they probably they have several million, according to those antibodies. just in the in the city, I think alone, so that's really really significant to know two more questions. The governor spoke a little bit about the different things. Is there anything else that you think? I think last, I checked it was around it was over. Right, but you have to also put that in perspective, we have two million more people than New York, for example, an older population they've had thousands and thousands of nursing home deaths, so what we've done has been able to reduce what I think would be expected in terms of the fatalities significantly, our death rate in long-term care facilities is way less than New York, New Jersey, all those other places and many other places in the across the country. The problem there's a couple of problems. One is the screening that we put in the immediately not every facility followed it, so there were sick workers who were allowed to go in and do the work well. It is a contagious illness and so he ended up having outbreaks. then we started to see asymptomatic staff members. they pass the screening. They didn't have a fever. They didn't. they didn't. They didn't have contact at least no contact with people who had it but then you go in place like Suwanee County had a- one where you had dozens of staff and a lot of them didn't even know they were sick and then that spreads to the residents. so one of the reasons we're doing so much of resources on National Guard for the nursing home. Says we wanna be able to identify people who are asymptomatic. I identify who they've been working with and then segregate that cluster, so it doesn't just continue to spread to the nursing homes. we've done a bunch of testing. I think it's been effective but then with this RV to be able to go on a Mobile way run the test get the results and then immediately isolate any staff that may be infected. You know that's a huge force multiplier. so that's gonna be coming online in a few days. We're gonna do a big announcement for that. if you look at the epidemic in. for certainly outside of Southeast Florida and you look at the numbers were Volusia is where Brevard a lot of these places. Orlando Orange County is on a great job. you know the the overwhelming threat is really in this long-term care facilities. It's not permeating right now. knock on wood. Hopefully that continues to where you have this viral infections like you would have in New Jersey or some of these other places. So if the nursing homes we can continue to do things there, you know that is going to be the. Tip of the spear and then I would say even in southern Florida it clearly has spread more in a place like Miami. but you still have a significant fraction of those fatalities are from from those facilities so very important, but one thing that I would give our health care administration Secretary Mary Mayhew me she was She has been a hawk on this since the very beginning. I mean before anyone was even talking about this, You know we understood this is where the vulnerability. And she's worked with the hospital. She's worked with the facilities and really really done well. We're gonna teach you and also Jared Moscow, who's the director of emergency management, you know, I told Jared, I said, Look obviously we've got if we have PE if a hospital worker needs it, we need to get a mess when you do all that I was like, but we've also gotta get stuff to these folks working in the nursing homes because if you have protection of the staff and you prevent an outbreak, that's gonna take stress off the hospitals cuz you have an outbreak in a nursing home. You're gonna see people end up coming. Here and obviously that's gonna gonna add to the that's gonna reduce their capacity. not that you want an outbreak anywhere, but you're seeing places where you're having outbreaks and 90 percent of the people raised symptomatic and some of the younger cohorts some of the prison populations that you've seen very few have had symptoms and so the nursing home is right that so we have sent out just from the state of Florida to long-term care facilities. Seven million masks a million gloves. And a half a million Face Shields just to those long-term care facilities, and I think that's what we're requiring them to wear this stuff. A lot of them did have some, but they needed more. So we pushed out a lot and I think that that's probably a very effective use of resources about the upgrades we did in the phase one and there's gonna be. Situation behaves what would be possible scenario would be considered a few steps. So what we're gonna do is we're gonna monitor the hospital hospital capacity that the whole reason they did. the mitigation was the fear of the hospitals being overwhelmed and if that were to happen that obviously would lead to really bad health outcomes, not just for Cove but for anything else, so we're gonna look to see do you have a trend where hospitals are starting to get over burdened and if that is tied to anything that we're doing in terms of phase one, but I also wanna see if there's a. Action to that, I mean, For example, you know I view the nursing home problem is separate from whether businesses can reopen because if you're if you're doing things in a nursing home, you know, we know we have to keep people out of there. I mean we know that and so if there's an outbreak there that may not be related to some of the other things that you're doing the other thing we're gonna look at We're gonna expand continue to expand testing as I've said repeatedly over the last week or so, this is just a fact our drive-thru sites have fewer people go through. We have capacity to test by several thousand statewide. We could probably do another 20 - 500 statewide for that now, hopefully that's just because people aren't having symptoms. Maybe that's a really good sign, but we're gonna continue to expand opportunities. I do think you're gonna have more testing. I think more businesses are gonna wanna be involved. Obviously I've talked about private sector like like Walgreens, so you're gonna start to get more. We typically if you look this past week yesterday, we got about. Zero-zero test results a day before almost 19000 day before that 20 - 1000 so we're gonna be in. I think 20000 to 30, we'll have capacity to do even more and so what I'm gonna be looking and there's gonna be more cases that are gonna be found because we're testing Morey symptomatic people now when this started, CDC said only test 60 - five and up who had traveled to China or no. I mean it was so restrictive they've loosened it, but we've loosened it even more and said you know you don't have symptoms you. Come and get tested So what that will do that will allow us to identify infected people who are very low risk for hospitalization or fatalities but that's a good thing that we know that because that could be somebody that could spread it to one of the vulnerable populations. So we're gonna identify more cases as we go along and I can already tell people that's gonna probably be spun in the media as oh my gosh, Florida just had you know like the other day they had 900. At 90 - five new Florida cases on 430, Yeah, we tested 21000 people that day and the percent positive was five. so we're gonna really be looking at that percent positive. You know, making sure that that's under 10 percent. we've had it so Volusia so low. I mean when you're in the one point 71 point, 42 point two point 21 point seven other than the prison positives. I don't think Volusia has been over three percent since in in about 1012. So that's a really good sign so looking at the percent that test positive and then looking at the hospitalizations and then we'll also look at things like the syndrome indicators. we'll look at the influence of like illness indicators and see how things are going, but fortunately, I think the trend certainly on the dramatic indicators has been very positive statewide and we have so much hospital capacity statewide. I mean even like Miami, which has 40 percent of our cases, you know they've tip. Between 40 and 45 percent of their ICU beds have been empty this whole time so we're gonna be looking at that but I really believe that you're taking the smart a safe and step-by-step approaches. It allows us to get the state back in a good direction without taking our eye off the ball with these vulnerable populations and so all that continues but I definitely think that you're gonna be able to do both so I look back. I look forward to coming back here soon We I mean. I was here with the daytime you know, obviously the race got got got suspended the day. I was here that a great next day we wanna see Daytona back the way it was it's not gonna happen overnight, but I'm confident that we can get there so everyone just hang in there and do your part. Thank you any decision on hair salons reopening Barber shops after your round table yesterday, I don't know it's. Yeah, let's do it.