Notes and Highlights of Kentucky Governor Andy Beshear’s Live Update August 17, 2020
Notes and Highlights of Kentucky Governor Andy Beshear’s Live Update August 17, 2020 Notes bymr_tyler_durdenand Daily Update Team Note: We may need to paraphrase, but the notes are accurate Watch here:
Dr. Stack: Even so, there is a lot of data on our websitehttp://kycovid19.ky.gov/. If you scroll down a little bit, you’ll see those bars there’s a desktop dashboard, and a mobile dashboard. The desktop has much more information than the mobile just because the platform on the phone is not big enough. I encourage you to go there, and of course on our website, that is one screenshot I took , one rectangle out of it, there’s all types of other data, reports, and other information. If this is important to you to look at that, there is a lot of stuff there, we’re keep working to make it better.
Senate Majority leader sent a letter, suggesting that you use the federal unemployment dollars set aside by the president, we’ve also seen statements this afternoon by the KY house and senate leadership suggesting that you do that. Will you use that money and what is your thought on those comments? -- Apparently under new guidance we can get at least 300 of the 400 for additional UI for individuals to help them out without the state doing a part that made it unworkable. I will say that if the federal government is going to provide $300 and it doesn’t create an unworkable situation for the State, yeah, we’re going to take it and get it to the people who need it.
What’s the status of people getting their benefits? Are we exploring opening offices that were closed by the previous administration? -- We are making progress, steady progress, it’s still those last letters that have to be sent out, every single week, working as fast as we can to get those out. So the progress is steady but it’s too slow. It’s not our employees, it’s just the number of people that are waiting. We do intend to open up regional offices, but we have to get as caught up as we can before doing it. Yes, once we’ve caught up, or once we’re close and moving into the future, we need regional offices, but if we were to pull too many resources right now, we wouldn’t get through those people that have been waiting for far too long and they are a priority.
Are you concerned that schools will not report their cases? -- Let me start with I have a concern that some of the districts that are going back or we think are going back are in some of the hardest hit areas, as defined by the White House, not by me. I worry that rationalization occurs to try to find different reasons why that should happen when the White House has you in a RED, a really dangerous place, and what that's saying is the White House and us and the state believe that no matter how good your plan is, it can’t work at the level of the virus right now. Now, when you make a decision to go on and do that (reopen schools), your commitment might be as such that it pushes you one way or the other. I just want to make sure that everybody gets accurate information. I want to make sure that even if it’s on the sports teams- that it’s reported to the rest of the student body, and this is just so personal. As a parent, I can’t imagine the betrayal I would feel if my son or daughter’s school had positive tests but didn't tell me as a parent, whether it was in their grade or not. And I believe that every parent, no matter what they think is the right decision right now, viscerally feels the way I do right now. That they should at least have all the information. That means as a state government, we gotta set up the system that provides it. I think if we do it we can balance that private health piece, and the right to know.
Good afternoon everybody, we are continuing to show our school spirit. On one of the first days I wore one of these for our High Schools it was Frankfort Independent. Today, turnabout’s fair play , their big rival, Western Hills right here in Frankfort. This type of school spirit, this type of putting some identity on facial coverings I think is one reason why we are seeing more of them being worn across Kentucky. In fact other groups are coming together too, even youth baseball . This is the E-town Shock, sent to me by Xander Savoy (sp?), a 9-year-old, and Kaden Underwood (sp?), also a 9-year-old. Again we are just trying to make sure we are doing the right things, promoting the right things in everything we do, and staying safe. We ultimately want to get back to all of our kids being in school, save our economy, and save lives. Wearing one of these, being proud of wearing one of these, making sure you do it every time you’re within six feet of people is what we got to do.
I came across this quote the other day, and I think it’s imperative. It really tells us where we are. “A person’s true character is often revealed in times of crisis or temptation. Make sure you have what it takes to be your best in such times.” We are certainly in a time of crisis and it’s one where our character and how we respond has never been more important. If crisis shows our character, is it one that yells at the checkout clerk that tells us we have to be wearing a facial covering to check out? Is it one when we disagree with each other, trying to make the best decisions we can, we revert to name calling? Is it one where if someone is for something we are against it just “because”? Or is it one where we put the health and lives of our neighbors above our personal interests. One where we show resiliency, that no matter what this virus gives us, we can take it, we can do what it takes to protect one another. Is this a time where our character shows more kindness and empathy to one another than ever before, knowing that we are all going through something very difficult. In many ways, I wish my grandparents were here today to talk, either, on my dad’s side about the great depression or on my mom’s side about being in Europe during WW2 for over a year. About the sacrifices and the duration of the sacrifices those generations made. We saw some of the best in the character of our American people during those times. The sacrifice, I would tell you, I believe, we all believe was greater than what’s being asked right now. So what does this crisis say about our character as Kentuckians. Let’s make sure we show our very best and not our very worst. I think we saw the best last Friday when a Demogratic Governor and a Republican AG were able to not only come together for a safe election plan but were able to do it in a positive and constructive way where politics were not an issue. Where we were simply trying to do the right thing. I think the best is when you see groups like a baseball team coming together and making sure their fans are wearing masks and giving them an opportunity to show a little bit of pride. When I was coming home from Harrodsburg on Saturday night, later than I would have liked because a ballgame lasted longer than I ever thought it could, I saw 12 green lights along highway 127 showing that even this many months in, we are still showing a lot of character about how much we care about each other. Character is gonna be really important over the next couple of months. On Sept 28, I not only hope, I expect we will be able to restart in person classes. When that happens our character is going to be tested too. When there is a positive test, are we clear with the community? Do we make sure that parents, even outside of that age group, that grade, know so that they can make their decisions? Are we transparent in ensuring that if one of our sports teams is having issues that we are not exposing others out there. On that September 28th, if we get our positivity rate down by then, when we get our total case number down there, because we will, we're gonna do that for our kids. Will we be ready to be transparent and honest with one another to ensure, with more common contacts than ever before? Remember, when the flu gets really bad, what do they do? They shut down schools because of the ability of viruses to spread. Are we gonna be able to be sure we do the right thing and not at that point, try to argue even against our own plans and the way we respond to outbreaks. Let’s make sure that we’re ready to respond with character in each and every thing that we face. And let me just say that with the Democratic national convention starting tonight and the Republican National Convention coming shortly thereafter, and the silly season that is going to be a November Presidential election, let’s make sure in the midst of COVID, we share character, too, in how we talk to one another, no matter what’s going on out there. We are one Kentucky, we are one commonwealth, at a time when our people are going through so much, let’s make sure that we don’t make someone else's day harder. Let’s show the character that I believe we have in our core.
Ok, let’s start off with some good news tonight. Western KY CARES Act update: Today we’re highlighting the hard work of our local governments that they are doing each and every day to battle COVID-19. I can’t thank them enough for their good decisions that they have made, the good effort they have put into their community, and my hope is that everywhere we continue to ensure that everybody is wearing a mask, that we’re standing six feet apart, they whatever activities we’ve got going on are actually following the guidelines because good guidelines and good plans don’t work unless there is enforcement. Let’s make sure we continue to make good decisions on a local level.
We set aside $300M in CARES Act funding for local governments with expenses related to COVID-19 to be administered by our department for local government. We have announced a number of these reimbursements, today we are announcing, for Western KY, $14M to 23 local governments, they include the counties of Barren, Christian, Logan, Meade, Menifee, Ohio, Simpson, Webster and the municipalities of Arlington, Benton, Bowling Green, Brownsville, Clarkson, Clay, Elizabethtown, Franklin, Hodgenville, Horse Cave, Glasgow, Murray, Tompkinsville, and Uniontown. The funding will be used to reimbursed payroll expenses for public safety officials, PPE, cleaning and sanitizing supplies, teleworking, and other expenses that were necessary to battle this virus. Since the application has been released, we’ve approved more than $66M in reimbursement to 200 applicants- we need more out there, we still have a number of counties and cities that haven’t applied for reimbursement. We need you to do so. We actually believe there may be a little money left over in this initial $300M if it is available and we want to deploy it if it’s not applied for by those communities that have more in their expenses. Again, more dollars flowing into our communities.
Testing, excited that we are now opening up our drive through testing in Lexington that we are going to be running with University of Kentucky. It’s been a tough year for every Kentucky family. And it’s been challenging for our students, who have missed so much. Whether it’s those college students returning right now, or getting our students back in the classroom, making sure we have available easy testing is critical. Dr. Stack is going to talk in a little bit about how we’re the only state that hasn’t seen a decrease in our testing over the last several weeks. That is so important because it means we’re operating under accurate data, at least more accurate data in the decisions we make. We’ve seen big drop offs in other places. I believe one of the reasons we haven’t here is because we continue to provide so many options, but these drive-thrus are very important. The dept for public health is partnering with UK healthcare to provide free, it is free, drive up testing for the community, at 2 sites on campus beginning August 24. To facilitate the testing UK is going to continue its partnership that it has with Wild Health, the Lexington company that is doing their student testing. One site for community testing will be in the new parking lot on College Way near the UK Motor Pool. The other site will be on the grounds of Eastern State hospital. All of it is by appointment: you have to go to http://lexington.wildhealth.com and the reason you have to do these sign ups is this is where they collect your information, this is where they give you your results. This is one of the important parts of getting your results faster. UK is already testing all of their students returning on campus, but this is going to help not just the Lexington community, but the broader state. We saw with the last drive thru testing at BCTC that we’re serving a large part of the state based on the access to I-64 and I-75.
Let’s talk about where we are right now since we finished last week. Remember, this gives you to where we started in all of this, when there wasn’t a lot of testing, to when we did Healthy at Home- Where we stopped a growth that they were worried all over the country would overwhelm our healthcare systems. It did in NY, it did in Louisiana, it did in some other places, what we saw was lost life at a level that in modern society we don’t ever want to see especially with our great healthcare system. I think what we saw in NY compared to what we see now shows that if you can keep the hospitalization and ICU down we can provide extraordinary care that saves people. I have a friend in NKY that is now off a ventilator. That we didn’t know wouldn’t make it back, and still has a way to go- We have great healthcare in this state, expansion of medicare is one of the reasons. If we can make sure that we never end up in that NY or now TX, AZ, FL situation we can protect our people so much better. So you see when you move almost to the beginning of July, we began what would have been an exponential increase. We were headed the way TX, FL, AZ, places where they were ordering caskets by the truckload- that came from one of the producers of them. Something we did not want to be so we put our masking order in effect, we asked for 2 weeks of sacrifice from our restaurants and other entities. What we saw when we put those in place, a start of a plateau. Last week we did have our largest week that we did have, and I think a part of that is due to at least a couple hundred tests that would have been the week before. We at least believe what we are seeing right now is I hope a new plateau, that will range up and down, but still we have to recognize that last week with 4,333 positive tests was our largest week yet. Now, plateauing is better than increasing, but what we saw with reopening, we will be better off if we can get a true decrease in the overall numbers and we certainly have to have a decrease in our positivity rate to make it safe to do other things. Positivity rate when you look at it, we are going to announce here in a minute that today’s is 5.8%. Higher than we’d like, it’s really been around that area since the 9th of August. Again, that suggests that we have slowed what was a very, very dangerous place that was going to lead to some really bad outcomes. We’re still with this level of cases going to have some really bad outcomes. But We were headed in a much worse direction. Our battle now is to start pushing that positivity rate down, by doing the right things. By making sure we are smart. I pray 4,333 cases regardless of what the positivity rate is in the future, I pray that that will be the largest number of cases that we have and that this is the top of where our “St. Louis vs Philadelphia” will be. That’s why I wanna make sure that we make smart decisions if we are truly at the apex and hopefully we will see a decrease from here. I’m gonna ask Dr. Stack to come up and give his analysis of where we are right now and then give today’s report and open it up for questions.
Dr. Stack takes over:
Thank you, Governor. Real quickly, I’m going to go over the governor’s last slide. He’s already talked about this and I’ve shown this before, when we started this back in March we were exponentially doubling, we were climbing, and we were getting more quick as we climbed. Then, we had that two or three month plateau. So you can see when we report this stuff, there's a little bit of educated judgement that goes into this. I reported that as a plateau, and I had to make a decision week-to-week. When I talk with the governor, and I give him this impression of the data, which is a lot of moving pieces, it turns out in hindsight I was correct. If you look, it was just oscillating in a fairly narrow range. We started to climb again, we started to climb briskly. You see those bars were jumping much larger than the ones to the left. This is when I keep saying it’s hard to get our heads around what exponential growth looks like. It’s when you start to go up, up, up and each next leap is much larger than the one before it. It’s the kind of thing that when you get out of control, when things start to get bad, when you recognize things are getting a little tight, you're in trouble already. If you shut the floodgates, the flood keeps coming for another two months is what we have to not get to. When we put the mask mandate, you can see, the 10th, that’s down there on the left of the graph, you see the mask plateau, when we put the mandate in place, we increased for another week, which is what you’d expect because there was a reservoir of people who were exposed and then after that we plateaued. Now the question is, will we be able to tip that plateau down? These steps work, I know we ask you to trust us a lot with this stuff, because this is a lot moving pieces, and I want to go into data here. I am very grateful to the governor for letting me use this time in a press conference to show this because I want people to understand what we’re dealing with and why this is both important and complicated. In my slides, I want to take you on a journey from the very end of April to the left. Remember, we started at the beginning of March. In the beginning of March, the public health lab could do very few tests compared to where we are now. At the end of April, we began to scale up our partnership with Gravity, and we have a couple of academic labs who were doing tests, our Public Health labs were doing tests. You see how small those bars are, doing less than 10,000 total tests in a whole week. Then you see we made dramatic progress in May. We rapidly built capacity. I don't know why that one week dipped in the middle there, but essentially, it could have been a data point problem for that week. Essentially, once we got up to a level we have now, slowly began to increase again. Test supplies are getting tight again,the demand for the test is growing more quickly than the resources to provide the tests. So we’re likely to be at some plateau for a while, but it’s going to be a challenge to maintain that plateau because a lot of other states are going to complete now, more, to get these resources. We’re gonna work really hard to keep access to that, if we keep that it’s just under 60K tests a week on average. That's about 4.7% of the total population of KY that we’d be testing. Even if you take out antibody tests and some other things, we are still solidly over 4%, the White House’s initial guidelines were over 2%. So I think we’re doing a really good job in KY, even though in the heat of the moment it doesn’t feel that way. I have to make some points, and this is a message, and I’ll actually ask the reporters to pick up on this one, we use every lever we can to get this out. We get data from two main sources, clinicians and laboratories, for the tests, both have a legal obligation to report this data. There were laws in place even before COVID-19, for the Republic Reporting of Communicable Disease Test Results. And COVID-19 falls under that law- this is not a new law, this has been there for a long time. Clinicians have to report the tests they provide that are positive. So if you're a clinician and you see a patient and you do an evaluation and the patient tests positive for the disease, for COVID-19, you have to report, under law, a PUI form, which is a CDC form, and a EPID 200 which is a state form. Those are for the patients you treat who are positive. There are letters on the website https://kycovid19.ky.gov, right underneath “Healthcare Providers”. This letter and the lab letter are both right there at the top. There’s active hyperlinks that take you straight to the forms you have to complete. Laboratories must also report their data, they have more data points they have to report for the test itself. Here's the thing. If you’re doing POC testing at an urgent treatment center, nursing home, school or something else, you are a lab and must report these results. If you don’t report these results, we don’t find all the positive patients so we can’t do public health interventions and we can’t show accurate data. I wanna give you just an example for how complicated this is, so I just told you that clinicians have to report and labs have to report. Some clinicians are both clinicians and labs, so you have both obligations. Now we get the data in a lot of different ways: On the left side it’s a lot of people involved, and very labor intensive. We get faxes or electronic faxes. That’s manual. That means some human being has to read that and type it into a system so it can be used in a spreadsheet. We get flat files, I looked that up, I had to google that, that’s something that IBM made 30 years ago, where you take a spreadsheet and you strip out all the formatting, and it’s just columns and rows of data. You have to get those in a certain format, then someone still has to do a manual process to import that into a data system. That is done at a local and state level, lots of people, manual intensive, and there are a lot of labs that report that way. Because like I said, they are not all traditional labs, some of them are nursing homes or other places. That information then gets into NEDSS. NEDSS is the National Electronic Disease Surveillance System. Neds was created in 2003, it’s a 17-year old data system. I want you to think back, the first iPhone didn’t come out till 2007, I want you to think back to 2003 and what kind of technology you were using then. What your cell phone looked like, a flip-phone if you were lucky, probably something worse if not. That’s the level of technology there, in 26 states and territories that use that data system, we are one of them. There’s not a lot of options in there, there’s the NEDSS system, a private system, or you build your own. All of them have their own challenges. That, we had the data problem last week, was where the problem was, another subroutine or another program that hasn't been updated since 2018, which is also decades old, had a fatal flaw in it and had to troubleshoot with the federal government. It’s working now, but I’m talking about technology systems that are 20 years old essentially trying to deal with mass volumes of data in real time and do things they weren’t designed to do. Labcorp and Quest only report through that system, that's how we get their information, and they’re the biggest two national labs. And KHIE, Kentucky Health and Information Exchange- takes electronic data from labs- We want more of this, and I have mandated in the state of Kentucky, every lab is required to onboard into KHIE if you are reporting a sufficient number of laboratory tests. Because if we do that, then that data goes straight into NEDSS and we get it in a way we can manipulate in a spreadsheet. We can do things, if we had everyone in KHIE- like have a real time dashboard on a website that auto and continuously populates data and metrics- The kinda stuff that you want, that we also want. There’s all these moving pieces and if you’re a tiny lab only doing 8 POC tests a day you don’t have the economic resources and you’re not going to be about to do the KHIE route. We’re going to continue to have a multisource input system which continues to be a challenge. I don’t say that to make excuses, I say it to describe the reality we face. I accept the accountability for the quality of data we provide to public health, it’s just not an easy thing to do and there’s an army of human beings pulling this together everyday. Even so, there is a lot of data on our websitehttp://kycovid19.ky.gov/. If you scroll down a little bit, you’ll see those bars there’s a desktop dashboard, and a mobile dashboard. The desktop has much more information than the mobile just because the platform on the phone is not big enough. If you click on the top right corner, there’s like a little expand thing, it will make the tab bigger and some of them will reveal more information. If you are interested in this stuff, I encourage you to go there, and of course on our website, that is one screenshot I took , one rectangle out of it, there’s all types of other data, reports, and other information. If this is important to you to look at that, there is a lot of stuff there, we’re keep working to make it better. And I think tomorrow I'll be back to talk about how we use this in reporting and why we do that. Come back for Chapter 2 tomorrow. Thank you governor.
Governor takes over
Can you put back up the “testing is complicated” slide. So I think in the midst of the pandemic, It’s important for us to every now and then to get a chuckle, and so I hope dr. Stack will forgive me for this, because I did this last week. So Virginia, let’s learn a little sign language: “Into the weeds” . How about “Deep into the weeds”. . This is important and we’ve been talking about this. We have people that are putting together some of the best data in the country but what we are also doing is we are admitting to you some of the limitations are. We are admitting to you where the human error is and the moment we find out something that we have to fix, we tell you right off. You are not seeing that same kind of thing necessarily in every other state but I believe we are more transparent, providing more data than just about anywhere else in the United states. That’s thanks to the really good work from the Department for Public Health, it’s good work from our public health departments, it’s good work all the way around. It’s gonna be more important than ever as we move forward. Today’s report.
Positive cases today: 376 new cases of COVID 19. That’s about in line with the last several weeks and what we had seen on Monday.
When we look at where these cases are, again it’s always a low number on Mondays, with the labs closed on Sundays. In Madison Co, there are two of these that were high school-aged kids. Even just based on that today, when they might have been going back today or next Monday to school, I think the right decision was made, even if it was a hard one. We have 17 new cases in Warren County, including a 16 year-old, presumably a high school student. We have had so many individuals under the age of 18 in Warren County test positive. This is the number 2 county that the White House believes they have over a 10% positivity rate. I hope and pray that Warren County will do the work just like we are, wearing these facial coverings and making good decisions to make sure that we are wise, that we are promoting public health and safety.
Total tests conducted: 760,022 (PCR: 713,949, Serology: 45,353) --- Every now and then I try to move back to late March when we didn't know if we were ever gonna be able to test at remotely 4% or hit that 60K number a week.
Positivity Rate: 5.8% - Covid positivity rate is back up a little. Even if we are going to plateau on our overall numbers, we need to see the positivity rate go down. There are other states that I was talking to today, they have been through far worse than we have and are now on the decline, we wanna see that with our positivity rate.
Total hospitalized: 4,215
Currently hospitalized: 563
Total in ICU: 1,310
Currently in ICU: 136
On a ventilator: 80
Total recovered: 9,158
New deaths today: 5- So those green lights I saw on Hwy 127 on Saturday night, thank you. I don’t need them half as much as these families need them, but thank you. Thank you for having the strength and perseverance to keep going, to not change it out, to not let anything you agree or disagree with get in the way of your compassion for other Kentuckians. We are still being tested about our kindness and about our character, and I thank you for rising to that occasion.
Total Deaths: 818
New deaths by county: 84 M Boyd, 75 F Oldham, 63 M Henry, 91 M Calloway, 87 F Franklin
All losses are a loss for Kentucky. Let’s light those houses up green and let’s ring those bells at 10am. This is a reminder that we are thinking of the Kentuckians we’ve lost, their families, and their communities. It’s the color of compassion and renewal as their souls move from their bodies to a better place.
New deaths by county:
Racial breakdown of all cases: 78.81% Caucasian, 12.49% Black or African-American, 2.12% Asian, 5.98% Multiracial
Ethnicity breakdown of all cases: 87.02% non-Hispanic and 12.98% Hispanic
Racial breakdown of all deaths: 81.56% Caucasian, 14.32% Black or African-American, 1.46% Asian, 2.65% Multiracial
Ethnicity breakdown of all deaths: 96.25% non-Hispanic and 3.76% Hispanic
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