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This is our four PM update on the Corona virus today, Saturday and tomorrow Sunday we will be doing one update that's at 4 p.m. And this is gonna be probably a little bit longer of a one today. We're going to hear from a number of other people as well for those that are watching. Normally I have Dr Stack and Eric Freelander standing behind me. They are here today. We're just trying to practice social distancing better and better each day. So what we will see is when folks step up to talk, I'm gonna step to the side at least six feet because we want to try to model the type of behavior that people should be using. Let me start by saying Kentucky, we will get through this. It's gonna be a major disruption that we face. Our lives are gonna change and change a lot over the next couple months and the steps that we have taken our significant and we're gonna have to take Maur as we move forward. But we're doing this to protect our people and we will get through this. We talked yesterday and the day before now about team Kentucky. We're all in this on one team. It is us versus the Corona virus. And so we need you to do your part and to be a good teammate each and every day. That means following the guidance that's out there and making sure that you not only protect yourself from the Corona virus, but that you also make sure that you are practicing the type of social distancing where you would not be spreading it either. One other thing I want to mention and being a good teammate, and that is making sure that you share. We have seen some runs on different items in the stores today. I was made aware of ah, young mother who couldn't find formula for her child. You don't need eight months a baby formula. And if you haven't and you got it because you were scared, I want you to share it. We have got to look out for each other during these times. And if we let fear drive us and drive our decisions, that's gonna harm more people than this Corona virus ever will. So I'm asking everybody out there. Let's be the best version of ourselves during this and that's gonna require a lot. It's gonna take a lot of courage on all of our parts. But I tell you, if we're good neighbors to each other and we will all get through this all right, our update today is, um, as off, uh, as of the tests that we have received Now, I believe that we have 16 positive cases total in Kentucky, there is only a little bit uncertainty and whether, um, one of those is a repeat of of another. But we believe we have 16 positive cases. I'm gonna go through them from the 1st 1 we received to the last one we received. Now, the first was in Harrison County, a 27 year old female. She's now out of the hospital and out of the woods, and we love hearing and seeing that completely through this Corona virus. And what What an example for all of us. 2nd 40 year old male in Fayette County. Um, the third, a 69 year old male in Jefferson County. The fourth, a 67 year old female in Harrison County. The fifth, a 68 year old male in Harrison County. The sixth a 46 year old male in Fayette County the next day. 54 year old female in Harrison County. The next a 60 year old male in Harrison County. The next day, 51 year old male in Harrison County. The next a 31 year old female Fayette County. Then we had one from Jefferson that we are still awaiting the confirmation in our lap for, and I don't have the demographics on that. If there is a repeat in this, this is the one. The next is a 66 year old male in Bourbon County. We have not previously been ableto identify that one. That was the one that yesterday we had confusion over there being treated in the hospital. The next is a 68 year old female from Jefferson County. The next one is an 80 year old female from Jefferson County. Then we have a 53 year old male from Nelson County. Also, I think some connection with Meade County there. So the way we're referring to it as nelson slash meet and the Last is a fist 56 year old male from Montgomery County. So those are the 16 positives that we believe we have given us a little bit of room in case there is one Repeat there again. They're coming in now from three labs. And so the timing can change. And also how long it takes to turn around. Those tests can change depending on the lab. We have 31 more tests that I'll get the results on tonight from our state lab. Um, I want to go over the steps that we have taken thus far and some new steps that we're going to announce tonight. Then we're gonna hear from our folks that are here with us from Bourbon County. We have their judge executive, Michael Williams, their state representative Cook, Um, and Andrea Brown from the Bourbon County Health Department. Just talking about what they're doing again. We're all on one team on we're working day to day with our local health departments and officials. After that, we're gonna hear from Jodi Prater from Baptist Health, all our hospital systems stepping up and being a part of this team on. Then, at the very end today, we're gonna hear from Dr Alan Brendsel on some of the self self care and mental health that we need to be thinking about, especially with all of the closures. So steps we have taken to date declared a state of emergency to give us the tools we need on the dollars that we need to address this Corona virus. We activated our Emergency management Operations center in the state Health Operations Center. We announced Kentucky's Cove it 19 hotline, which is 1 800 72257 to 51 807 2257 to 5. We're now getting about 2000 calls a day, and I have to ask that, uh, for Kentucky. And those are calls for people who are concerned or have concerns about the Corona virus and their own condition. We've gotten a couple calls from reporters to that hotline. Please do not call that hotline with questions, um, four. For that purpose, that is for our citizens who are fall into a couple of categories. We launched the website, which is the definitive source. James. If you'll put that up k y Cove in 19 dot k y dot gov. K y cove it 19 dot k y dot gov. This is the definitive source we're pushing everybody to this one source. If you want to know something from state government from our guidance, this is where to look on here. We also have if you'll put up the infographic when to seek care. One of the biggest concerns that we have and that we have to avoid is overwhelming our health care system. We have to make sure that we have enough capacity in that system to treat those who are truly sick and the most sick. So what we need from each and every Kentucky and is to make sure you follow, Um, some of these advice. So if you are nervous but otherwise not sick, you were well but nervous. Call the hotline. Do not go to a health care facility. If, on the other hand, you are sick but otherwise wouldn't have sought care. Think allergies, think cough or cold. I know you're nervous because the corona viruses out there again. Call the hotline. Don't overwhelm our healthcare facilities. But if you are truly sick and would have sought care and or you were injured and and need care, make sure you do go to those health care facilities just like not making runs on essential items. We got to be a good neighbor and how we use our health care facilities. We in the state have to prepare for for the real possibility of a significant number of cases we expect to see moving forward and making sure that we're ready to handle those cases. That takes all of us working together as Team Kentucky. Ah issued an executive order to prohibit price gouging. If you believe you see price gouging, call the hotline 88843 to 9 to 57 We're asking. We're asking businesses, too. Implement paid sick leave or other policies. Make sure there's not any incentive for people to come back to work sick. We have done so in state government. We published the CDC guidelines. The main importance there is they talk about the most vulnerable to the Corona virus. Individuals over 60 and those with heart, lung or kidney disease. Think about diabetics those that are suffering from COPD lung cancer. We got to make sure that we do everything we can to protect. Those populations were now, uh, asking everybody don't fly. Whatever you do, don't get on a cruise ship. We're recommending social distancing now for everybody, and I know it seems like a big step. It's being six feet away from others. But let me tell you, stand six feet away from the person that you were with. Right now you can have a good conversation. You can convey emotion. You could have that humor, human interaction that you want and that you need, but we need you to do it. It's critically important in addressing this and protecting the most vulnerable. We're also asking you to engage in the best hygiene you ever had in your life. Even if you engage in really good hygiene, engage in better hygiene. Wash your hands with soap and water. Make sure you clean your home or places of work multiple times a day. If you can't find the commercial cleaners, use a 1 100 bleach solution. If you can't find hand sanitizer, remember soap and water works better. Just wash your hands for over 20 seconds, issued an executive order and worked with our state Medicaid to waive co pays, deductibles and other fees and costs related with this testing, and I'm going to ensure through either the emergency through the state of emergency or others that those that are uninsured can also get a test at no cost. We're gonna make that happen. Um, we're working with all 120 county judges. We had one of our first calls with their emergency management network. This is gonna be more and more important. As we go forward, you're going to see county judges declaring states of emergency themselves. That's something that we're asking them to do because we may need to take certain steps, one of which all announce at the end, which is about what happens when someone who's tested positive refuses to self isolate or stay in isolation in a hospital we are restricting. We're recommending no visitors to our long care facilities and nursing homes except an end of life situations. And we're asking our senior centers to close, and that is a difficulty on a lot of our seniors. We want to work with everyone to make sure we get meals delivered, and we'll make sure that we can provide the type of funding or shift the funding needed to to take those in person meals to people's homes. We asked our schools to shut down for at least two weeks and all of them have. And I'm very grateful the steps that we take work when Maur and and more folks agree to it. It is a big step. I know it's gonna be a huge disruption to people's lives. I tell you, it's absolutely necessary and by everybody agreeing it's going to be that much more effective. We closed our state prisons to visitors. We have advised all community gatherings to be canceled or postponed. Please don't think that if you just have a smaller number or spread out that it means you can't spread the Corona virus. You absolutely can. Can you put up the graph the line graph? It is incredibly important as a people that we limit our contacts. This is a graph we've been showing that comes out of Seattle. The blue is business as usual, and the number of cases that we that that, um, are expected not. This isn't Kentucky centric, but but that are expected or have been seen. Uh, our health care system would have a hard time with that type of a spike that we see there what we have to do as Kentucky and is to limit our contacts, to reduce them, to make sure that we are one of the other colored lines. We would really like to be the red line because that is the safest line for our people. And that is what if you're holding a community gathering, if you're going ahead and doing it, what you're doing is creating a lot of contacts that would otherwise be reduced, and we just need everybody to be a leader out there. I know it's tough and I know it may disrupt the finances of of of a group. But this is US Team Kentucky versus the Corona virus, and I understand all of this After all of this, they're going to be some groups or industries that have been slowed, some that have been shocked and some that have to be rebuilt. But that's where we are and we could be committed to doing it. We suspended all out of state travel for state employees were recommending that businesses do the same. We're encouraging businesses to allow people to work from home as much as possible, where it's not possible spread out practice good hygiene. We recommended the temporary closure of senior centers. We announce that effective immediately, Kentucky employers mutual insurance will provide wage replacement benefits for first responders. And medical personnel have been quarantined for the Corona virus as a result of their work. Folks, a front line in this battle against the Corona virus. Our health care workers, they're brave. They're amazing. They're showing up every day knowing that they could be exposed to this. We gotta be there for them on, and we ought to appreciate them for their work. We announced, as part of being more virtual that boards and commissions in the state are gonna cancel in person meetings and do as much as possible by video teleconference technology. They will provide a live stream so that the public can follow what's being done. We followed the emergency declaration from the Federal Motor Carrier Safety Administration, which is providing regulatory relief for commercial drivers who are providing direct assistance to this battle against the Corona virus. The U. S. D. A. Has approved our waiver to be able to serve meals to students during non traditional instruction. That's a very good outcome. I know our schools are working really hard that our recommendation was that they cease in classroom activity, and that's just a way of trying to say any way they can continue to keep the Children engaged. We want them to have the flexibility and absolutely the flexibility for the basic human service is that air provided to kids. And then we issued guidance to our own state to allow telecommuting where possible, we even have a goal of reducing our in person state employees by at least 50%. You're going to see us continue, toe. Look at any emergency regulation or other step we can take to where people who right now have to come and see someone in state government to get something done. To be able to do that virtually over the phone or online, we're gonna work every single day on it. An update on the passengers on the Grand Princess. 14 of them are at, um, one Air Force base. I believe two are at another. We hope to get the 14 home tomorrow. These are our people, and they have been through a lot, and I know we can take care of him. They deserve to be at home on. We want to get them there. Since we learned that there were gonna be additional difficulties yesterday when we thought things were on track. I made personal phone calls. Are commissioner of public health has all day long. Latasha Buckner, my chief of staff, has been We hope that we have 14 of the 16 home tomorrow and we're working on the other two that are at a separate base to those watching. We care about you and we know you've been through a lot. I promise. I'm doing everything I can. And I really hope that you will see some Kentucky and smiling face tomorrow there to pick you up new actions that we're taking today. And these air, some substantial actions were going to get through this on dhe. That's what we need to always remember. And we need to stay calm. But you're going to see escalating steps as we go. We're asking all of our Kentucky hospitals to cease elective procedures by close of business on Wednesday, we're gonna work with them, and we're gonna rely a lot on their judgment for what is elective on what is not. The fact is we need all the capacity that we can to deal with the cases that we believe that we're going to see we're gonna work with them to give the flexibility to repurpose a lot of their staff on. And, um, if we see the escalation of cases which we've always talked about, we expect to see, we want to make sure that we have the resource is to help every single one of those people. Uh, there's some misinformation out there and it came from one of my agencies. That was my office of early childhood. It was a communication that didn't come through our office, and I want to make sure I address it before it creates any additional confusion. It's gonna be another tough step, but we're asking the childcare centers in Kentucky to create plans foreclosure that they could enact within 72 hours if we deem it necessary. I know, I know. A lot of people are watching this and and wondering how they would deal with that, how they would manage the child care if it wasn't absolutely necessary or we didn't think that it would become or could become necessary. We wouldn't ask for these plans. We hope this gives people some lead time. We just have to do what it takes toe lessen the spread of this Corona virus. And I don't want to be the governor that waits two weeks too late to take some of those steps. Uh, last. I want to say that we have had the first instance of an individual who has refused to self isolate on. We have taken taken the steps to force a isolation that will be in their home. This is a Nelson County resident that has tested positive left against medical advice, refused to self quarantine. We have worked with the county judges and others. It's a step I hope, that I never had to take. But we can't allow one person who we know has this virus to refuse to protect their their neighbors. So please out there again. If you get this for 80% of people, you're gonna be just fine. You'll be just fine. But what you can do is harm so many other people. So be a good neighbor. Now, do the right thing. That's all we're asking of people. And finally, with with various privacy laws, I can't say a whole lot about this, and I can't identify the case. But we have one individual that is tested positive. That's in pretty bad shape. Um, there are a number of different factors that have led Thio to this condition. But we are thinking and praying for that individual. And and there is even an expectation that that individual might not make it will provide on update tomorrow on that condition. But again, there are multiple factors that have led to that condition. And if we have the worst outcome, there will be multiple factors that will have led Thio that with that, I'm going to introduce gonna go all the way back in my notes. I'm gonna first introduce Ah, Bourbon County Judge Executive Michael Williams. One of the new cases is in Bourbon County. We appreciate the leadership from all of our county judges. This is one team judge. Thank you, Governor. We always We were here under different circumstances today, folks and Bourbon County woke this morning to the news that we had dreaded we had anticipated and assume might happen at any time. That someone, one of our friends and neighbors, a family member for many had been diagnosed with coronavirus. Kobe, 19. That was not the news we wanted, but it's here. We will deal with that and encourage everyone in Bourbon County certainly to continue to follow the calm and steady and in spectacular, spectacular leadership of the governor as he guides us through this crisis aside, Governor said earlier, There is a light at the end of the tunnel. While we may not see it yet, we're all looking for that light, and we will make that we will achieve that. Together we are committed in Bourbon County to cooperate with the governor's administration. Certainly federal officials to do all that we can to protect our citizens encourage everyone to follow. The simple rules of hygiene to be protective of those who are from the models are the most at risk for being ah Mei deal or even worse, from the virus. And we know that again that folks, whether you're an elected official or just a community leader in Bergen County, are going to follow those rules and do everything that we can. And we appreciate against so much the governor giving us an opportunity to recognize as that we've reached that milestone. Although it's an unwanted milestone in Bergen County, were there and were determined to partner with the state to continue to protect. The citizens of Bourbon County as well as our neighbors, had the good fortune to talk with the judge, Alex Barnett, this morning, our neighbors and Harrison County and he shared the good news is the governor mentioned earlier about the individual that had been diagnosed in Harrison County had been released from the hospital. So we know those good things we're going to start happening and we look forward to more good good news like that. Thank you very much. Government. Thank you. Next up is Andrea Brown from the Bourbon County Health Department. Our health department employees are absolute rock stars. I mean, they have answered the call. They are so prepared, folks, we're lucky and they are in each and every one of our communities. I wish it didn't take this for us to appreciate them the way that we should. Andrea. Thank you, Governor. I just want to reiterate everything that the governor has said and what Dr Stack has said previously. And what judge has just mentioned the health department? The local health department in Bergen, Bourbon County, is working very very hard to slow this disease. We've been working very hard even before it got to Kentucky, pushing out those messages about the prevention measures that we have all been reiterating over and over and over again. Ah, we're working very closely with our community partners. We're working very closely with the state government, with the Department of Public Health and with the governor's Office, and we are here to really work with our community to spread, to stop the spread of this disease. Um, we have taken some significant measures like the Governor has already said, with closing the schools. We are a postponing and canceling large public events, and we're working with all of the our partners to really enforce this at the local level to really put put it put in perspective of really doing those prevention measures that we've all been pushing, washing your hands often more often than two. Normally, d'oh, um, stay home when you're sick, contact your provider by phone first before going in to the medical facility. They can really guide you through this process and covering your cough and you know, just really following these guidelines as it is so important to listen to this, especially for our most vulnerable population of 60 and older. And those with chronic conditions were really trying to slow this spread as as best we can. But we need everybody out there to follow these procedures and these strategies so pleased to our community and Bourbon County and everyone else across the state utilize that hotline that the governor has given us for questions. And please go to that website, the Kentucky Cove in 19 dot k y DACA. Because that really, truly is the best information that is out there. And it's consistent. And it's it's, um it's it's updated regularly, and we're trying to push this unified message so everyone gets the important fax all together at the same time. So again, we're working in Bourbon County very hard. My team is there right now, working all hours of the day and night until we can get this under control and I'll turn back of you, Governor. Thank you. We also have representative Cook. You want to say a couple words? Come on. It Thank you very much. And I just like to start off by thanking you governor for the response. Very needed at this time. I appreciate everything that's going on united we stand and I just want to let everyone out there know that we need to work together and that we will go. We'll get through this and judge and Andrea, everybody out there. Listen, our health care professionals work together and take care of each other. Thank you. Thank you. All right, next up. And And I know we've got a lot of people today, but there's a whole lot of people that are helping us on this. And we want to recognize those folks because we've got toe, have our hospital's step up and provide the type of care that people need at the time when they need it the most. So we have Jodi Praetor. Hear from Baptist Jody. But Dr Jodi breakthrough here from Baptist. Well, thank you, governor, and I'll be brief. I'm here. I'm the chief strategy officer for the Baptist health care system across the state with our eight facilities in Kentucky and one in Indiana. But I'm here primarily as a family physician from the state of Kentucky who has spent my professional career trying to take care of folks and What we're here to say is is we have been working very hard and we're glad to say in lockstep partnership with the Commonwealth and with our other agencies and all our communities to prepare for this. We've been preparing for this. We continue to prepare. We want to reassure each other, reassure the state and all of you all that as much as possible. Um, we're literally meeting daily hourly with all our clinical leaders across the state with all our community leaders, with all our agency leaders to try to make sure that we are prepared in all of our communities to deliver the type of care that our folks need that our patients require. This is quickly changing. I was talking to Dr Stack this morning. That's the kind of relationship are we have between us and the state, and this is ever evolving. But I want you all to know that we're working hard with the state to make sure that we're changing with this and that we're ready to respond. You know, we've had positive tests in the Baptist system. Now we're preparing for the eventuality that we may have positive tests in every one of our hospitals, and I want to reassure everyone that we're ready. Take care of those folks were prepared. We're trying to avoid and encourage our communities to do the appropriate things from a prevention standpoint that the governor is outlined so effectively the doctor stack is outlined so effectively. But we want you all to know that in our 350 plus outlying facilities and our nine hospitals that we are as prepared as we can be for what this this disease is bringing to us and we'll continue to work with state. And we just like to applaud the administration, applaud the governor for what they're doing and continue to do and will continue to be a partner in this every step of the way. So thank you. All right, And And next, um, a CZ Dr Alan Brendsel. We didn't know we'd have this long of a program we first asked him. But now that we have asked people to reduce contacts and that's something about our daily lives, it's a big part of our emotional health. We want to make sure that everybody is taking care of themselves during this, and since there's gonna be a prolonged period of lesson con taxes. We move forward, asked Dr Brendsel. To come and talk a little bit about things that you can do for your mental health, how to take care of yourself. And folks take this part seriously. We are a resilient people, but we want to come out of this in a healthy place. We want to come out of this better and ready to do so much that we haven't been ableto do and however long it takes us to get through this, and I want each and every one of you all out there to come through this with your family in a good place. So here's Dr Bronson. Thank you, Governor. It's my pleasure to be part of the governor's team and be part of the response to this crisis. And as he mentioned, I'm Alan Brendsel. I service the medical director for the state Department of Behavioral Health. I'm also an associate professor of psychiatry and pediatrics at the University of Kentucky, and I do want to dress very briefly some of the psychological aspects of this situation, and I will tell you that the most difficult thing about this situation is uncertainty and uncertainty leads to anxiety. Ah, and so managing uncertainty is difficult when we but that's why these press conferences are so very important. And I can assure you the information that we have that we are able to share. We are sharing as soon as possible and in a fashion that you could rely on that information because in a situation of uncertainty, what happens is anxiety. Ah, and anxiety is a good thing, and anxiety can be helpful. Anxiety causes us to stand up and pay attention and do things. And so having this anxiety will cause us to be compliant with the recommendations made by Dr Stack our public health care officials. So anxiety, in and of itself, is not a bad thing. What we do is have to be careful not to be overwhelmed by our anxiety. So have some specific recommendations toe for folks. Number one. Stay informed, but use reliable sources, use sources that you can count on it like our website, the CDC website, and I'm asking you not to over expose yourself to too much information. Too much information leads to confusion, which will increase your anxiety. And I'm asking you that you don't need to update yourself every minute of every day. Please take a break from social media, take a break from searching for information and try to live your lives. It is, as I said, important to stay up to date and we will keep you up today. Preserved your routines to the degree possible. We understand your routines. Air disrupted. There are many things about your day that you can continue to do in a routine fashion that will help soothe your anxiety as well as that of your family and Children. For us, even these press conferences air becoming routine. That is helping us manage our anxiety. And and we appreciate the media helping us get information out for folks to stay informed. Take care of your own health because the situation of reducing your risk involved staying as healthy as possible. So if you have a condition, police take care of yourself. Be compliant with treatment recommendations we don't need. You'd accessing our health care systems unnecessarily, so please be compliant. Make sure you have your prescriptions available. A tender therapies that air continuing and take care of yourself. Good. The other recommendations are good diet one people may laugh at in this room is sleep. We do recommend that you get sleep that you eat Ah, healthy diet and also exercise. I think the governor has recommended outdoor activities are ideal and spring is here. And so we do encourage people to get out and about when weather permits, but and continue to find ways to relieve your stress. Whether that is some doing something you enjoy. Don't suspend all of those activities. They may be challenging, but and everyone obviously manages stress and anxiety in different ways. But find the ways that you can still find enjoyable activities and relaxed. And the other thing is this paradox between social distancing and social connectedness. Think the governor alluded to it. We're not asking people to be isolated. We're asking them to distance themselves. So we need to look for opportunities to connect with others, whether it be virtually through technology, through just appropriate distances, because being together is really important for us to decrease our anxiety. And so if the's strategies don't work and you're overwhelmed by your anxiety, please get help. We have resource is there are our behavior. Health professionals across the state have many colleagues, our community mental health center stand ready to help and assist, and they're they're available in all of our communities. And so please get help if needed. And then, very briefly, I just wantto address the issue of Children. Those of you who have Children or caring for Children know this can be specifically stressful for Children. Number one is take care of yourself. Children look to us for guidance. They're gonna mirror our reactions and our level of anxiety. So please take care of yourselves first so that you can provide an open, calm and reassuring environment for your Children and Children react differently by age. Obviously, a two year old is very different than a 16 year old. But the key is an environment in which they would feel comfortable asking questions that you would take the time to answer their questions and an honest, straightforward way adjusted, obviously, for their developmental age. That's what will reassure them. Be sure to tell them the things you're doing to keep them safe, model for them the things that they need to do to keep themselves safe because the Children will want to contribute to helping solve this cunt this crisis, so hand washing for Children is very important as well. Hygiene for Children. We need to be modeling that and then, uh, helping our Children implement those policies as well, say other things apply in terms of providing routines for Children. Even Maur. Important for Children to continue toe have as many of the routines you can maintain as we make adjustments. Limiting media contact for Children can be even very, very important. We're not sure what they hear, what they see, whether they can analyze that information. Often they may be hearing about Italy that doesn't apply to us, and they may assume that's happening here. So if they are exposed, ask them what they're hearing. Asked him what kinds of conclusions they might have drawn. That's that opportunity for open dialogue that you can provide to them. We don't suggest that you mislead them or lie to them because later on, as things change, they want to be able to trust the information you provide, so providing quality information to them is important. Now some Children won't want to talk about it, and there's no reason to force Children to talk about that. Some will prefer to play basketball, be outdoors and let you as the adults handle this. And that's OK as well. If they are separated from their peers, Call and friends and other folks in their social supports, provide them opportunities to interact electronically and digitally. We are concerned if there are Children who've had other losses in their life, from who have, maybe behavioral health conditions may be more susceptible to being overwhelmed by their anxiety. They're gonna need Maura of your time and attention. You need to spend more time with them, and some of them may need to seek professional assistance as well. If you see severe behavioral changes clinging us, maybe trouble sleeping need for a lot of reassurance repeated questions, those air, all normal responses. But if you see a lot of behavioral changes that concerns you, seek some advice and counseling from a mental health professionals, I think that that conclude we are gonna put some resource is available on the site that will help parents talk to their kids, give you some additional suggestions. I just want everyone to be assured that our team is working to make sure that behavioral Health Service's remain viable and available. We're looking for what kind of creative flexibility we can provide to our providers so that they can use telephonic connections with folks. And we'll be doing that as quickly as a CZ allowed. And we're pushing the limit to the wall to make sure that the behavior whole service's remain available. Thank you. All right with that will move into what will be about 15 minutes of questions. If we have 15 minutes worth of questions, they don't have to be 15 minutes worth. We have been asked by people that are watching for me to repeat the question. So if I don't like your question, I'm gonna change it and answer differently. Um, I'm gonna I'll go back and forth with, um some that are have been sent in and some that, uh, that if the of you that are that are here today, though, Morgan, we got I got your here end. We've got one. We did give you clarification on the okay on on the Grand Princess. Who's next? Yes, you're right. This force. So there is the authority. If a county judge has declared a state of emergency under our state of emergency to to invoke a statute that can force a a self isolation or quarantine. It is something that we don't wanna have to use. But this is this is, ah, state of emergency through the state. And we've got to make sure that people who have tested positive that we know could be spreading the virus and who simply refused to do the right thing. Do the right thing. There is. There is a member of law enforcement that will be outside the home again. We don't have the resource is or we shouldn't have to use The resource is statewide on this type of thing. And when I was talking about yesterday Rudy Gobert from the Utah Jazz on and he said he's willing to be an example. So we're making him one of being a bad teammate. He touched um uh, all the reporters. Here's the video there thing. Don't be Rudy. Go bear. Don't be the bad teammate in Kentucky. And if you if you've tested positive for this virus, make sure you're doing what you need to dio don't require us to use Resource is by the way, you all can't see this, but the commissioner of public health just gasped watching this video, all right? The question is, is the person in Nelson County currently isolated at home? I believe so. That has been in process. We've been working on that this afternoon. That's what my notes say. I'll have to get you additional clarification on that. Um, again, we're moving pretty fast, Governor. Which county? The person that's in shape. The question is, can I tell the person that's in bad shape that we're praying for? What county there in? I can't identify that at this time. We believe under under privacy laws and with what? The situation that's there right now. I want to give that family Ah, a little respect. Be able, find anything, Maur since President Trump's press conference yesterday on how this aid will. So we're working through that the State of the of health emergency. I believe that the president signed is going to help. We gotta work through all the different ways I know it provides for certain flexibility. We're working through whether we have to also request that flexibility under Medicaid, um, a certain flexibility for facilities to use different parts of the facility to Thio Address the Corona virus. Eso We know it's gonna be helpful. We're just working through the exact ways. I'd also like to see the bill the House passed to come through as well. There would be substantial funding substantial assistance in that at a time when it's all hands on deck. I asked the federal government to do everything you can because we're certainly doing it here on the state level. Current 16 cases. Could you just clarify which of those are new eso? So, um, the Montgomery County case don't believe was included in yesterday's. The nelson slash Meet County case was not included in yesterday's um, one of the Jefferson. We did not know whether it was a repeat or not, and then the one that we had some confusion about where it came from was in Bourbon County. It is because we have not received. It was done in an outside lab, and we have not received it yet. We can't match it upto verify it. How many are hospitalized? Well, you know that's starting to change because people are getting out of the hospital, which is which is great, and we haven't what we do is we track when it initially happens where folks are, for instance, on my notes. I still have that very first patient as being in the hospital, and she is out and she is fully better. I know that Norton's Brownsburg was able to discharge individuals as well. Um, it looks generally like it's been about half and half thus far on dhe. That's perfectly okay for those that are at home on our staying in good shape. That's, ah, comfortable place. That can be as long as we've got the right monitoring on the right type of self isolation. How old is the person again? We can't provide additional information on that at this time. We will provide an update tomorrow. I think we provided the age range, people. Could I know who that individual is at what? Maybe what may be the last moments off of their life way believe that there are multiple circumstances that are contributing to the condition. Um, but they have tested positive for the Corona virus. I had hoped that we wouldn't have anybody in this type of condition throughout it. This is why we're working so hard to try to limit. The number of people here finding out about this one been tough on Dhe. We hope that there could be a recovery, but we're we're very concerned with their status. I think I want people. Really, How long is this going to go on? The question is, how long do we think this would go on? Because I said the next couple of months. Answer is we don't know. We do believe that there will be a duration that we will get to the other side of this. We're pretty certain of that. It's just the exact amount of time we don't know. The more we cut are the more steps we take, the more that we were able to cut down on the contacts. If you'd bring up that that slide again, James, our hope is, then the less disrupted our lives will be. Now, school is gonna be out or we're ceasing in class in person classes for at least the next two weeks. There may well need to be an extension after that. We want to give us sometime in those two weeks to see where this is going. Our hope is that we'll get data back at some point showing that this is is working. But what we got to make sure in the short term we're doing is not having the big spike. And that's where everybody. Everybody is a part of this team. You follow the guidance. We all do what we're supposed to dio on Dhe. We can hopefully manage this in a way that protects the most number of people. Just a clarification. Okay, we have clarified it's only Nelson not made on government with way. Have 16 right? So while we wait while I believe they're 16 and we want to make sure that we're not holding any number back, it is possible that that number is 15 and we have 31 more tests tonight. We expect more positives. That's not based on any of those particular cases themselves. It's just that we expect to see more positives as we go. Let me read a question or two, and then we'll get back. What are we doing to track the clinical status of patients whose tests are denied by the state? I may need a doctor stack for that one. Thank you, Governor. Um, eso is. We move on for the testing. We're gonna rely on the commercial industry to provide this. And so I thank you for the opportunity comment on this governor, because we really are working with the hospitals and the other clinics and other settings in the commercial labs to get those individuals who need testing to go that way. That's the health care delivery system, and we rely on that. So the discussion about what our lab is doing or not becomes much less relevant as we go forward. Our lab now is we go forward will be in a support role to make sure that we validate that Outside Labs heir producing accurate results, and that we selectively screen those people who are of unique public health importance that the lab needs to know. But the delivery system will rapidly take over the function of testing, just like it does for every other condition. We have that one also just make the comment that is, we recommend these significant changes to our lives. These are things that are being done around the country, and so I'm in regular communication with my fellow state health officials and other states. A doctor Amy acting is just to the north of us in Ohio and we're in regular communication in Ohio is doing things very much like we are doing. These are substantial, but we believe they're absolutely necessary. And we believe that your team Kentucky, is gonna rise to the challenge. And I thank you all for your help with that. Let me just add on and then we'll bring him back up. We still want to reach the day where everyone who wants to get tested can get tested. We want to get there, Um, every every time we get on estimate from the federal government on that, it's it's different. But we want to get to that point until we're at that point, we have to use our resource is the very best that we can. It's one of the reasons we asked people to call the hotline if you wouldn't have otherwise sought care. We will work to get to that. Now you're starting to see some things around the country where there are different capabilities or where there's been a different level of the Corona virus you're starting to see in some places drive through testing. That's not possible right now, in Kentucky. We look forward to when it ISS. I can guarantee you when we have that capabilities, we will be pushing the widespread testing that will make everybody feel better. But until then, let's remember, let's be a good neighbor. It's understand there are a lot of people out there that need help. And let's make sure those that need help the most get help regarding hotline. There was a report in The New York Times this morning that said calls to the hotline have been answered with a busy signal and then with a recording, Uh, is there a problem with stamping the hotline access? I should Okay, uh, every s o. So our understanding is that we're now receiving 2000 calls, plus a day on the hotline. It does typically start with the recording. We've intended to play it at one of these. You have to press up a specific button which, if you listen to the recording, gets you there. That's because we had to take the poison control hotline. Ah, and converted to this. It is staffed through Norton, one of our community partners, and they're hiring more people every day. We anticipate that that will continue because a lot of calls to the hotline or good thing, I don't want to tell people not to call unless your reporter asking a question and then send it a different way. But anybody out there who's calling the hotline because otherwise they would go to a doctor's office. That is a good thing.

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