NC Emergency Management and Weather
03/23/21: Coronavirus Briefing (English)
3/23/2021 | 39mVideo has Closed Captions
03/23/21: Coronavirus Briefing (English)
03/23/21: Coronavirus Briefing (English)
Problems playing video? | Closed Captioning Feedback
Problems playing video? | Closed Captioning Feedback
NC Emergency Management and Weather is a local public television program presented by PBS NC
NC Emergency Management and Weather
03/23/21: Coronavirus Briefing (English)
3/23/2021 | 39mVideo has Closed Captions
03/23/21: Coronavirus Briefing (English)
Problems playing video? | Closed Captioning Feedback
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Learn Moreabout PBS online sponsorship>> Good afternoon everybody, thank you for joining today's COVID-19 update as of today we have had 899,164 cases.
1062 new cases reported since yesterday.
956 people in the hospital.
And sadly 11,854 people who have died.
Our prayers are with those who have lost friends and loved ones who are battling this cruel virus.
>> Today we're still seeing improvement with our COVID-19 metrics and that's great news.
As you know last month we cautiously ease some restrictions using our demo switch approach.
This helped our economy continue to move forward while protecting our health.
I'm pleased that we're holding steady and our numbers remain stable.
Our hospitalizations are dropping and our percent of positive tests hovers around the 5% benchmark.
The millions of people in North Carolina who have worn masks and acted responsibly deserve credit for the success.
Today, I'll share what this means for the next executive order which begins Friday at 05:00PM.
But first our last doctor Mandy Cohen our secretary of our Department of Health and Human services to share more about our COVID-19 metrics and an update on our schools.
Thank you governor.
>> Let's jump right into the data and look at our 4 key metrics their covid like illness cases, the percent of tests are positive and hospitalizations first graph as usual looks at people who come to the emergency department with covid like symptoms its earliest detection mechanism.
You can see when looking at that yellow line it continues to trend downward and it's getting very close to our baseline and this is very good news.
Next we look at new cases in this first crashes it trajectory of those new cases each day since we had our first case over a year ago March of 2020 and looking at the yellow line you can see that cases have decreased since peaking in January.
The next slide narrows in on the trajectory of cases since the middle of January.
What you can see is they have been declining but are starting to plateau or level.
We need to keep an eye on this particularly with the new variants of the virus we're seeing in the state.
Next we look at the percent of tests that are positive and this graph goes back to the middle of January as well looking at the yellow line the percent of tests has averaged just below the 5% mark.
On our next graph we look at David hops hospitalizations since mid-january and you can see looking at that yellow line the trend is decreasing.
OK, here's where we are surveillance state is decreasing it gets a green check, North Carolina's trajectory of to Isis is plateauing with new covid variance of the state we do need to keep our guard up in cases get a yellow line.
North Carolina trajectory and percent of tests returning positive has been just below our goal of 5% this gets a green check and North Carolina trajectory of hospitalizations is decreasing but it's still ever elevated and leveling.
It gets a yellow line.
Next slide shows the great news where we are in vaccination 32% of all North Carolinians 18 and older are at least partially vaccinated and 19% are fully vaccinated.
These rates include North Carolinians who receive their vaccines from the federal pharmacy programs such as in the long-term care settings or through Walgreens or CVS and we'll have this new data on our public dashboard tomorrow.
We're in a promising place with North Carolinians COVID-19 next trucks are improving and vaccinations are increasing.
We can responsibly use are dimmer switch approach to ease restrictions guided by the science and the data.
While will continue to need to wear masks and maintain 6 feet of distance lower risk settings.
Can open further while high risk settings really must maintain caution.
As a reminder those lower risk settings or one where you have fewer people are where you can keep masks on the entire time.
You have good ventilation or you're outdoors in your interactions with people are short and activities such as singing yelling and cheering are really avoided.
In addition to the easing of restrictions with the governor will outline in a second.
We're also updating our school guidance.
School should return to in person instruction to the fullest extent possible while following all the public health protocols in our strong schools NC tool kit.
This includes wearing masks all the time in cleaning of high traffic areas.
Schools are highly encouraged to conduct screening testing as recommended by the CDC and is provided for free to schools in partnership with the Department of Health and Human Services.
We're making positive progress but our work is not done just yet please keep wearing a mask waiting 6 feet apart and washing your hands.
Well, everyone gets a spot to get their shot.
Thank you governor.
Thanks doctor Cohen.
>> It's great to see that almost every school has returned in person instruction.
We know how much children benefit mentally and physically from safely being in the classroom.
Another cause for optimism is North Carolina's success with our vaccine distribution.
As of today you heard doctor Cohen tell you we've administered more than 4.1 million doses.
That means almost a 3rd of adults have received at least one dose an 18.8% are fully vaccinated.
Our vaccine equity efforts remain a priority along with speed.
And we're continuing to vaccinate people in a way that's fast and fair.
I want to express my gratitude to our hardworking vaccine providers.
Every shot in an arm gives us a little closer to turning the corner on this pandemic.
Our fast unfair vaccine distribution an hour sustained progress with COVID-19 metrics tell us we can move forward with easing restrictions.
If we do it safely.
Today I'm signing an executive order that will continue to ease restrictions in several areas starting this Friday March 26.
Strong safety protocols, including the mask mandate will remain in place.
It will be as important as ever to stay socially distant and use good judgment.
This virus and it's more contagious variants are still spreading.
We may need to be even more careful as we ease restrictions and that we will likely come into contact with more people.
When we leave our homes and go into public places.
This order will increase next up an aac occupancy limits in several areas.
But importantly, masks and 6 feet of social distancing still will be required for all of these establishments that means that some of them may not be able to reach the maximum occupancy that's allowed by the order.
So here are the main changes.
Some places will be able to increase capacity up to 100% indoors and outdoors with safety protocols in place.
They include museums aquariums, retail businesses and shops salons and personal care shops.
The new order will allow some places to increase capacity up to 75% indoors.
And up to a 100% outdoors.
They include restaurants breweries wineries amusement parks, gyms and pools and other recreation establishments.
Additionally the new order will allow some places to increase capacity up to 50% indoors and outdoors.
That includes bars.
Conference centers in reception venues.
Sports arenas and other venues for live performances.
In addition effective Friday will fully left the 11:00PM curfew for on-site alcohol consumption.
And finally the mass gathering limit which covers other kinds of gatherings that are not laid out in the order will be increased to 50 indoors.
And 100 outdoors.
These are significant changes.
But they can be done safely.
We've said all along that the science and the data would be our guide in this demo switch approach and they show we can do this.
North Carolina has done the work to slow the spread of this virus and get people vaccinated and I'm grateful for the efforts of people across the state.
But I emphasize this this pandemic is not over yet.
We're only able to keep this virus in check while we ease restrictions.
If people act responsibly and follow safety protocols.
That means continuing to wear a mask and social distancing.
We want to strengthen our economy while keeping people safe.
And it's on all of us to make that happen.
The last thing we want is to backslide.
Spring has brought sunnier days and the continued hope and believe that we will move past this pandemic.
Our students are in the classrooms people are getting vaccinated in our COVID-19 numbers remain promising.
But for us to truly turn the corner in leave this pandemic behind.
We have to stay strong to the very end.
We have to continue keeping ourselves and each other safe.
That way we'll be able to move forward once and for all into a stronger and healthier future.
Also with me today is our director of emergency management Mike sprayberry.
Monica mcghee and Cameron Larson are saying sign language interpreters and behind the scenes, Jackie and jasmine the to be or our Spanish language interpreters.
We'll now take questions from the media if you can identify yourself and your organization and will take first question.
>> Our first question of the free Tina Terry was wssc.
Hi there thank you so much for taking my question this is a very with wsb-tv in Charlotte North Carolina.
>> It's been predicted that we could move into vaccinations for group 5.
I may do you anticipate the fly increase that will allow us.
The move into vaccination or grew 5 earlier than that time frame.
>> We do anticipate an increase in supply and in fact.
Doctor Cohen and I just got off the phone with the White House coronavirus task force predicting that we will see increase in vaccine.
Supply.
So we are hoping that we can get earlier into the rest of group 4 and in that group 5 even earlier but I'm gonna let doctor Cohen address that specifically dot co. >> Hi Tina has the governor said yes we do think that we will well within the May first time line that President Biden laid out the able to open to all adults who are eligible to be vaccinated before May first and in fact are working with our vaccine providers right now to understand what they are seeing coming through their doors as the governor said looking at options for potentially even accelerating moving to the next phase of group 4 and then into group 5 so stay tuned as we work through that with our vaccine providers and again we are seeing more supply each and every week, it's just a small amount of increase but even those small amount go a long way and we have put those vaccines to good use for getting them out fast and I'm very proud of our equity work that we've done in getting our vaccines out so we'll continue to do or fast unfair vaccine distribution across our state with the increase in supply that we see we do hope that by next week we're going to see more.
Johnson and Johnson the one shot vaccine here in our state we got an initial shipment of Johnson and Johnson back the first week it was authorized.
And now we expect more to come to our state next week.
Thank you.
Next question.
>> And our next question is from Michael Hyland with CBS 17.
Hi this is Michael Hyland from CBS 17.
I want to ask first about the decision regarding the capacity.
Various businesses since the bars to reopen a few weeks ago have you noticed any significant impact that they have had on the spread of COVID-19 and if not why continue to treat them differently than restaurants breweries and wineries.
>> So our health care officials have spent a lot of time analyzing data and group being certain settings and activities into various risk columns and the executive order is based upon those different levels of risk and I'll let die doctor Cohen address that more specifically.
>> Hi Michael thanks to the question.
We know in settings where you are indoors gather together and you don't wear your mask consistently, the whole time.
Those are places where this virus spreads we've certainly seen that happen in some of our college campuses that are having some additional outbreaks we're seeing that in sports teams as well when folks are together not wearing their mask all the time and particularly when they're indoors.
We know that that is that what happens in a bar folks are gathering inside together and not wearing their mask all the time.
So we do still see that as a higher risk setting.
We do feel like our trends have moved in the right direction so that we can move forward with further easing of restrictions but we want to make sure we are still make sure we're still following those underlying safety protocols meaning wearing your mask when you can when you're not actively eating or drinking and still maintaining 6 feet of distance from other parties there at the bar.
Thank you.
Next question please.
>> We have a follow-up Michael Hyland CBS 17.
The question maybe more so for doctor Cohen we saw the cdc's Tracker shows the number of cases while still.
>> Fairly low for the day.
UK and South African variant of COVID-19 that those numbers nearly doubled over the past week.
And while those numbers are still small at what point does the rate of growth of the doubling time become an even bigger concern free will.
>> Thanks Michael for bringing up the concerns about the new kinds of this virus that we are seeing circulating are often calling them variance but we know this virus is changing and we know that particularly the one that started in the United Kingdom is more contagious meaning it spreads more easily.
So it is not surprising to us that we're seeing more and more cases with that very and here in North Carolina now the good news is it has he said in your question it is pretty small but we also know we are us are doing the gene sequencing on still a pretty small number of samples here in North Carolina.
So we do expect for that virus to continue to spread that strain of the virus variant of the virus to continue to spread in North Carolina, which is exactly why we have to maintain this balance use that dimmer switch we can ease restrictions because our trends are moving in the right direction.
But we're not out of the woods yet this virus is here this virus is changing its still contagious and it is still cruel, it's still take someone's life.
If they are not protected with a vaccine.
So we all have to protect each other and do the things we're talking about which is do the 3 W's and get your vaccine as soon it is at as you are eligible and it is your turn thank you.
>> And doctor Cohen and other doctors have told me that even though that variance or more contagious that the vaccine is still pretty effective against all of those so that continues to show us that the more people we can get vaccinated the better off that we will continue to push toward that.
Next question please.
>> Our next question is from dawn Vaughn with the news and observer.
>> I've gone by with the news and saw her.
>> My question about the outdoor cap is being removed in high early on some businesses might not just remove the outer cap on gatherings size and that in the other changes to restriction.
Hi to the businesses being the enforcer about people complying with it or just that this is been a year now the state of emergency.
>> Well first on outdoors at 100% for some of the venues.
Remember that we still in those settings have requirements for masks and social distancing.
And it is a more controlled environment.
We have the mass gathering limits just as something that can fill in the gaps for.
In places where you are in a formal public setting for example if you're in a big Park.
The mass gathering limit would apply to people who are coming together in the park and we just don't want that many people coming together at one time because the more people you get to gather the more chance that the virus has to be transmitted.
And it's much greater indoors and that's why the the gathering limit is lower indoors.
Obviously we still want the mask mandate and the capacity limits to be enforced.
I think that since we have been doing this for a year.
These protocols have become ingrained in businesses and in customers and overall we've seen much better compliance over a period of time because people have recognized that masks do slow the spread of the virus that social distancing does and that these capacity limitations limitations can have success in driving the spread of the virus down.
So as we continue to increase capacity limits.
We want to continue to emphasize mask and social distancing.
And we believe that since people are getting more used to this that people can do it responsibly and that will continue to have good success in bringing down our numbers in making sure they are stable.
It finally getting enough people vaccinated so that we turn the corner on the pandemic.
Next question please.
>> We have a follow-up deandre news and observer.
>> Yeah and all I think it was Michael Hyland question about Barr's versus other businesses.
Is there evidence beyond what doctor coincided about losing the university clusters that the alcohol curfew and an impact and the limits on bars versus other places that serve alcohol.
>> When addressed.
>> Thanks Don I think you'll see in this executive order.
It is not just bars that we think are higher risk areas.
High-risk settings include any time when as I said folks come together, you can't wear your mask consistently with there are a lot of people you're indoors.
You're singing or yelling those are the kinds of things that we know put this virus out into the air and spread it to other people.
So not only bars, but there are other venues like conference centers meaning centers arenas and others that we feel are higher risk we want to keep the capacity at 50% at this point, let's look at our trends over a period of time like we always do and we'll use our demonstrates which as we go and if things continue to be stable if we continue to get vaccines to folks quickly as we very much intend to do then we will continue to evaluate metrics and and make more changes as we go forward.
Thank you.
>> Next question please.
>> Our next question from Ashley Talley with WRAL.
I thank you so much for taking my call.
And I ask about the change in vaccine allocation that the 8 states has announced in the past couple of days where you are.
>> Allocating based on percentage of people in the county that haven't been vaccinated rather than number of residents in the county.
You have a little bit about that decision and why you think pushing back into those areas all teams.
Maybe uptake rate your mind that there are people that don't get the vaccine.
And are you concerned that this new approach could lead to more unused doses sitting on shelves.
>> Well thanks for that question and we know we've been really looking at our data very closely every single day.
We are making sure that we can get vaccine out as the governor said many times fast and fair as we went into this effort, this is all the way back in December we really look at at the county's population and use that as our guide for how do we want to allocate across counties to make sure we're reaching all 100 counties and lots of different communities.
But we now know that folks are crossing County lines to get their vaccine which they're totally able to do.
But then we need to look at how many in a particular County are vaccinated or not and then we want to be sure we're sending more vaccine to the places where folks aren't vaccinated so that's the change that came over the last number of weeks we work with our vaccine providers so they they had that time to have that visibility to know we're going to make a change in their allocation so they can adjust every week we ask them do they feel that they can take on the amount of vaccine that they are being allocated by agreeing to take it they are agreeing to be fast and fair their green to get it out before the next shipment comes and they are agreeing to do that in an equitable way that reflects the community that they serve so every time every single week they are saying yes to that and there are some that say you know this is this week we need to accept less vaccine and that's fine and we work with other providers and make sure that we have that scene going again to all 100 counties and that is when we've been able to bring on additional vaccine providers if we see one vaccine provider isn't able to meet the needs of their community we look for other partners or we use a paid B#*#*#*#*#*.
Through the state to even fill in those gaps there so again keep monitoring to make sure we're fast and fair so we do think this new formula is better at matching up where people unvaccinated and matching it with vaccine there and making sure we're keeping on top of providers to get things out.
Fast unfair and I will say they've been doing a terrific job and it is why North Carolina continues to be recognized nationally for the work we're doing thank you.
Next question please.
>> We have a follow-up Ashley Talley WRAL.
>> Thank you so much for that answer I really appreciate it one quick clarification on does the reopening of 50% for sports arenas include high school sports and one more quick question about charter schools, not be included in the S p to 20.
A lot of parents about that.
Do you think they should be included or 30 movement to do that right now.
Thank you.
>> So yes, 50% does include high school sports and observing those.
Both 50% indoors and outdoors in the same rules regarding social distancing and masking requirements, I'll let doctor Cohen address the school's issue.
>> Thanks Ashley as I mentioned dhhs updated or stronger schools tool kit to today and it did include guidance not just for K 12 public schools, but charter schools as well and within that guidance.
It does recommend that we think kids could be back in school to the greatest extent possible plan a or plan B there are safety protocols in there we want folks to still continue to do like wearing masks and wiping down high traffic surfaces.
But again those are updated today that applies to those charter schools in addition, so I think this will clear up any of that confusion about what applies to you I think what the governor myself and many others have been saying we want kids to be in school.
If you're following the safety protocols it is safe to do so we know there are so many benefits to being in person and we look forward to seeing all of our those smiling kids back in classrooms again.
>> Next question please.
>> And our next question is from gender Livingston with the daily reflector.
>> Hello to get back to the vaccine allocation.
>> Is it is a plan to still focus on getting them back things out the.
>> Large scale side or is a good meeting there to perhaps have on the sea and private doctors offices start a ministry more vaccine.
>> Thank you for that question ginger, you know we're going to continue to have vaccine at the larger sites.
But as we go more and more into getting people a larger percentage of the population vaccinated we'll move more and more into these smaller venues of pharmacies and doctors offices and other places because we're really going to have to get out into the community.
We're going to have a point right now our demand.
Still exceeds the supply that we have and we have people who really want this vaccine.
But at some point we will reach a time where we have more supply than demand will really need to work hard to get this vaccine out in a lot of different places and to encourage everybody to get this vaccine.
We know that time is coming.
Dark and you want to add to that okay next question please.
>> Our next question is from their calendar with FOX 46.
Yes, thank you for taking my question is if you're diligent.
FOX 26.
We ask questions actually the past couple of times about vaccine.
Hesitancy we've addressed it in the African American communities as well, but next communities but more and more but we're seeing at least in terms of the polling is that more rural counties there could be some vaccine hesitancy there we know the Biden administration is kind of trying to address it with Christian Broadcasting Network and also NASCAR is there anything that the state is doing to address some of that action has been that he is what are the programs it down the line that you guys are going to do to address.
He has a duty that might be in those communities that just don't want to get the vaccine.
>> We are seeing that as well and are concerned about it and we're working to focus our messaging to those groups.
The King Richard Petty has done an ad for a saying that he got his vaccine and that's something that you should do.
And we're going to continue just like in the other communities that were working in to try to get leaders.
These particular rule communities to step forward and to say this is important to get preachers of churches to step forward and say it's really important for you to get your vaccine.
And we're going to continue to work to shave away this vaccine.
Hesitancy because I think we're seeing it's proving time and time again this vaccine is safe and effective and that we can completely rely on it to help us turn the corner on this pandemic.
Next question please.
>> And we have a follow-up care down your FOX 46.
Question real quick involving spring break in any worries that you have in that regards to students coming back to campuses here in North Carolina may have been Chile say possibly out of Florida or any situation that you might be having to worry about at least in the community surrounding those colleges and universities or kids in general coming back to campus that may have been exposed.
>> We're we're concerned any time that people gathered together in larger crowds.
And often times were even more concerned when they do it without masks and without social distancing and we know we see that from college students at times and from spring break.
I know that our universities are working h#*#*#* o#* these issues trying to message to kids to either stay at home or not to go out and if you do to be careful.
And there is a significant now amount of testing going on at our universities with our students because we know that sometimes they can be hotbeds of of virus we see clusters in our universities so we're trying to stay on top of testing and messaging to students anything you want to add to that okay.
Next question please.
>> And our next question is from Brian Anderson with the Associated Press.
I governor the Kona had one for each of you.
The first one to 2 governor Cooper.
>> We know that Krispy Kreme Donuts recently announced that it will allow a free glazed doughnut each day for the rest of the year for people left shoulder vaccination card.
I'm curious what incentives will North Carolina State.
Offer to people who get back needed to work perhaps what punishments are you considering governor for people who choose not to get vaccinated.
>> Well first.
We we thank Krispy Kreme for being willing to do that I think it gets a lot of people talking and I think that's that's something positive that we want people to get vaccinated I think as we get to the point like I said earlier right now our demand exceeds supply.
But when we do get to the point where we have enough shots for everybody and was trying to encourage people to get it we we probably do need to consider sometimes incentives to get people to get vaccinated so I'll be glad to to talk with health officials work with the Legislature, I'll let doctor Cohen coming up see if she I know, she's got some ideas on this as well.
Hi Brian.
>> I also what it thank Krispy Kreme for that though remind everyone everything in moderation love me a Krispy Kreme doughnut but maybe not every day.
But I would also say that you know we are making sure that folks know that you benefits of this vaccine for themselves for their families and for their communities.
So we're certainly focused right now on that positive messaging I will remind folks right they these vaccines are in emergency use authorization status at while they are are in that status.
I know that there is a conversation legal community about whether you can even mandate that but that is not our intent here we want to make sure folks are knowing the benefits of this vaccine.
An hour are making sure to take the opportunity when it is their spot to get their shot these these vaccines are safe they're effective and we want to make sure that everyone takes advantage of it so I think it is the fact that we are talking about it and sharing those benefits and it's really important for folks to hear about it from those within their own communities as the governor said their own pastor or their preacher or reverend.
They will that within their own church community there their community organizations at their schools right, it's really important for us it if you have gotten your vaccine share that.
With with others and your experience I think it really will help all of us make sure that we are taking advantage of these really important vaccines.
So Brian you had a second one for me.
>> Yeah, thanks I appreciate that.
I was just one and asked the question just sort of about the new allocation shift in strategy.
We know for example Orange County which covers Chapel Hill they're getting twice that many of the residents back need that people in Cumberland County which covers hey bill.
And I'm just sort of curious will more will this new strategy means more people in.
>> Cumberland County getting fewer people in Orange County.
It's we know that a lot of these rural communities are trained well 4 of them are transitioning to route 5.
So with this sort of shifting strategy reward place is that I limited demand among their 15 residents.
>> Right so couple of things what I think we're trying to figure out here with this new allocation methodology is how many folks in their communities are already vaccinated and if you're vaccine level rate is lower to make sure you get the vaccine to your community so more folks can get vaccinated but I want to remind folks is with the allocation that is just what is coming through the state.
There are a number of other channels in which folks are getting vaccinated the largest among spent is the retail pharmacy program that goes through Walgreens CVS now to Walmart and others and in the triangle area we have a lot of Walgreens and that brings in more vaccine to this area.
And so we want to make sure that we are balancing that out so as we look at our allocation to the state.
We are then making sure to balance things out.
You brought up Cumberland and as we know one of our major army bases is there and we know that there's a lot of vaccination going on through the Department of Defense is actually one of the places we don't have as much visibility yet into in terms of how much they're vaccinating so I would say to take some of those counties like onslow and Cumberland we think there's a little more digging we need to do I don't know if the demand is low or rather they are getting it on the base.
So again I think that there are folks everywhere who want this vaccine is the governor said I think demand is still exceeding the supply we have we want to make sure everyone is getting the opportunity to have access to the vaccine and again we will be quickly working through the rest of the groups and it will be very soon until everyone is eligible for this vaccine.
Thank you.
Next question.
>> Our final question today will be from rose Hoban with North Carolina health news.
>> I plugged, thank you for taking my question.
I was looking at the CDC map and it shows that you know you're talking about that you know make testing of variance.
>> It shows that we're doing only about 4 out of every 1000 tests.
It to checks for Genomic for variants.
You know are there any plans to scale up this.
This level of testing of some say that doing 5 out of every 100 tests.
>> Hi rose the short answer is yes, so we're in the process of scaling up our genetic surveillance efforts here that the federal government has put forward a new boss of resources to be able to do that we're working here in North Carolina to sort of scale up those efforts we do send a large number of our samples to CDC right now to get sequenced we know that there's also sequencing going on among some of our academic research partner so we are working to make sure we can share all that information with in North Carolina and also back up to the CDC.
So I think there's a number of ways both with our academic partners, this new effort through the federal government and our own efforts that we're going to be scaling up surveillance and sorry genomic surveillance as we go forward thank you all and rose their follow-up.
>> Yes, there is I got a slightly different question.
Thinking about folks who are really like for the last mile folks people who live in very far world places folks who are homebound.
People who don't have broadband yeah we're hearing from I just heard this week from a 72 year-old who still been unable to get a and appoint an appointment.
What what's the plan for reaching those folks.
>> Thanks rose.
We know that there are hard to reach populations and actually particularly for homebound could you mentioned that.
Is it is particularly challenging with the way these vaccines are both shipped and stored as you know they need to be frozen, they need to be administered quickly and so going to individual houses and only vaccinating one or 2 people at the each home is is challenging.
I think that's where the Johnson and Johnson vaccine can be a game changer from from the homebound perspective in need a different kind of refrigeration and so I think that will allow us to be a lot more mobile with our backs any vaccine efforts and I think this is what exactly what we've been working on and how we think about allocation we think about our vaccine partners and as the governor said we know that we need a mix of strategies, some folks are going to able to come to high throughput sites like the one in Greensboro are in the number of places that the governor and I have visited, but we know we need to get hyper mobile and we do have a lot of folks who are going to churches in doing back seen event we're going to we're having folks go to local pharmacies to their primary care doctors office to federally qualified health centers.
So we know we're going to need a mix of strategies we have them now we know looking to build on that us supply continues to increase.
Thanks so much.
>> Thanks everybody we appreciate your attention and stay safe out there.

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