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tv   Oregon Gov. Brown Holds Coronavirus Briefing  CSPAN  April 15, 2020 4:05am-4:57am EDT

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cable television companies as a public service and brought to you by your television provider. gov. brown: good afternoon. thank you for joining me today. fornt to share my framework restarting public life in our state. how we are going to approach reopening oregon. this is only a framework. the timing is dependent upon several factors.
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timing, thetrol the d's controls the timing. i want to be transparent with how we will approach this incredible challenge of reopening segments of our society while living with the virus and how we will maintain healthy communities. of theearly days pandemic, i had to take action to protect the health and safety of oregonians from the disease. now as we see these efforts are working to flatten the curve, we are analyzing how and when to reopen each part of our society and economy. i want to work collaboratively to do that. but we have to be careful. as this diagram from our modeling shows, we have to be cautious or it will backfire. we know a vaccine or an effective treatment may be
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months away. we willve too quickly, see a spike in cases that could overwhelmed hospital system and unnecessary death. we all want to get back to work and return to life as normal as quickly as possible. best pathis the forward is a cautious one. a path that proceeds gradually, incrementally, and carefully. a path that relies on science and fact to determine each step forward. framework for reopening oregon recognizes the science based process that accounts for the needs of the economy and community. the science dictates that we need to complete specific prerequisites. first we need to slow the growth
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. we need to see fewer cases of covid-19. the exact metrics will be informed by experts and by data to avoid a resurgence of the virus. advisoryogists and panel are working on this right now. we need adequate ppe. gowns.gloves and we know first responders and health care workers will be contacted. we have to establish a robust public health framework to support the reopening effort. the major components of this include we need to ramp up testing capacity in every region of the state. increased testing helps us make sure we can identify where the virus is and stop it from
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spreading again. really strong partnerships between the private sector and public sector. we need to develop a robust system for contact tracing to identify those that may have been exposed to the virus and of course to stop further transmission. to develop a plan that works for every region in partnership with county public health departments and local health system. also need an effective quarantine and isolation program for people that test positive. it will need to include strategies for nursing home residents and address the needs of people experiencing houseles sness as well. we need this in every region of the state. these are the prerequisites necessary for when we can reopen. then there's the how we reopen
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and keep it open. these are the key elements of the framework. slow the growth. more ppe. testing capacity. contact tracing. and a quarantine and isolation program. it is not going to be easy. it will take longer than we want. wee the rest of the world, will be monitoring the availability of treatment and vaccines that might affect the structure and timeline. haveow, this is what we and this is what we can do. talk about like to how we are going to approach the details of this public health framework. moving forward my plan is to hold discussions with leaders across the state to discuss the plan further. we will gather input from health care professionals, public health experts, and from
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industries impacted by the stay-at-home order. we will take a look at specific sectors of the economy, restaurants and food service, retailers, childcare, and personal services like hair and nail salons. we want to bring together business owners and practitioners with professionals to discuss how reopening gradually might be accomplished. this might include additional guidelines for reconfiguring the delivery of services with additional is a co-barriers like plexiglass dividers or requirements for ppe. i also want to add california and i willwsom coordinate our efforts. this virus does not recognize state boundaries. we have to work together on a
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plan and we will be talking regularly and sharing best practices with our neighbors to the north and south. say weing, i want to have to be careful. we also cannot stand still. we know this is a global problem. leaders across the world are wrestling with how to approach this. the shuttering of an economy at this scale has never happened before. reopening of a shattered economy at this scale has never happened before. i will continue to make decisions based on science in fact in consultation with experts and happy to me adjust. so far through the sacrifices of thousands of oregonians, our actions have had a major impact.
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thank you. cani know that together we and we will get through this. together. add theant to following. after the last great recession, the recovery was uneven. and industries benefited and many, including folks in rural oregon and communities of color did not. of our heroes are low income workers, grocery stores, nursing aides, and truck drivers. many more, from cooks, dishwashers, waiters, housekeepers, and stylists have lost their jobs. many of these sectors, these jobs are held by women and people of color. efforts at reopening oregon and addressing this virus have and must reflect this
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reality. as we prepare to get oregon back to work, we must remember the importance of doing so in a smart and deliberate fashion that keeps us moving forward instead of sending us backward. this is going to move slower than any of us want. it is the only way to protect the health and lives of oregonians. i am happy to take your questions. thank you. >> i think people want the specifics, i know there's are being worked out. how much a surge capacity do we have? metric you are going
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by? gov. brown: thank you very much. the question is, can you give concrete details. an example i shared yesterday. from dr. information deborah birx, the criteria she had. oregon is using our own framework and relying on epidemiologists, public health workers and experts and data here. my five metrics are slow the growth of the disease. adequate personal protective capacity, testing increased, tracking or contact tracing and isolation. we honestly don't know how much ppe capacity we need. we are obviously collecting the
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burn rate, the use rate at hospitals and clinics around the state. that is only one component. for example, we might need personal protective equipment, people that are doing personal services. therapy, hair salons. we don't have a sense of what that need is. we can certainly use modeling from centers like oregon health sciences to determine those numbers. we do know we need more. do you want to add anything to that? >> do we know what is adequate for ppe? what we have seen his hospitals have come together and built in surge capacity. part of that was shutting down non-essential services, saving for those that might be ill with covid-19.
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we have adequate capacity right now to handle the cases. we have the new cases that present as well as the admissions to the hospital are staying flat. if we continue the actions we have, that will be the case through mid-may. we look at the ppe we have. as governor brown said, we are getting more information from the hospital systems about the ppe they are using. toorder to open, we need look at those non-essential services people have postponed while we have shut down the health care system. these are procedures that keep people out of pain. fixing their needs. other things that are urgent for the patients that need them. to lookingommitted with our hospital system, health partners, other partners that made need this equipment because of the services and get a number
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of how much we need so we know we have adequate capacity and don't need to shut down because a shipment doesn't come in. ppe is becoming more available. not as available as we want. we will share additional information as we get it. as for the metrics to reopen, we will look at flattening the curve, are we seeing decreased new cases every day, admissions to the hospital, so we know what we are doing is having an impact. we are not seeing a surge before we open so we can take the next steps. the 10 days nong testing, that is not current? i was citing dr. deborah birx, information she provided in a white house briefing. we are using different metrics in oregon.
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saying they are tracking new cases. gov. brown: i can tell you we have substantially and gradually increased our testing capacity in the state. we are doing 7000 tests per week. we are grateful for all the partnerships. that have been created to make this happen. and happy to let the doctor further. capacity, first i want to say, could testing capacity we are looking for is not the ability to test everyone. we know even if we did that, we could say who does not have covid-19 today. that does not mean tomorrow they would not test positive. the focus on those with symptoms.
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outpatient is starting to get tested. testing, wencrease are identifying about 5% of those testing positive. we are not seeing rampant numbers of people taking up more and more. it is staying constant. we do anticipate up to 15,000 tests per week, is what we would need ongoing. that is a rough estimate, as we see the cases declined, we will have fewer people with symptoms. many people don't have symptoms. that is why we are working to develop a strategy to see how widespread this is. that could be doing testing samples of asymptomatic people, because we know they are one way the disease's spread. it would be impossible to test every person in oregon that did not have symptoms because it would be a picture in time. our capacity is getting there. we have seen slow increases,
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they are not as quick as we would like. we anticipate the capacity will grow and we have developed great coordination among the different systems and folks that are testing to make sure everyone that needs a test will have access. >> timeline? >> if i could predict the future, i would do other things. the increase in testing has continued. we know the hospital systems are working at increasing capacity. the public health lab is looking at ways to increase capacity. many commercial labs are able to deal with a backlog. all of this depends on personal protective equipment, the collection kits, and the chemical reagents used in the lab. throughout this response, we have seen shortages. it is hard to predict when those
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shortages will arrive and what system. we work to increase all of the supplies so we know we have a steady testing supply and ability to test those that prepare for care. i can't give you a specific timeline. we know that will continue over the next few weeks. >> i want to make sure everyone in the room can ask a question. it was hard to tell yesterday what was political. my understanding is you have been in conversation with other governors. what does it mean you are talking to these folks? gov. brown: we have been working and texting closely with the
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state of washington. their public health officials. we've been sharing best practices. we certainly have been giving each other the heads up. this work will continue. the disease knows no boundaries. we have folks who work in oregon and live in washington and the reverse. the same is true with california. it's important, the states have been on the front line of this disease. we have made the very difficult decisions in terms of how and what to shut down. we are coordinating efforts, we are sharing best practices. we are sharing information and resources. that is no different than what we have done in other circumstances, wildfires. it's really important. we are all impacted by this virus. we are in this together.
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it is important we work together. >> [inaudible] gov. brown: is our framework going to look the same as california? absolutely not. we are different regionally and economically. we want to be coordinated. that has been a challenge. personal protective equipment, we are competing against other states that are larger than we are. we are competing against some of the folks in the medical industry. to the extent we could coordinate those efforts, that would be useful. the doctor has information on that. we think it would be good to be
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coordinating procurement efforts. my team, this administration has worked really hard to make sure theave adequate ppe for frontline workers, health care workers, first responders. we have done that by collecting ppe and we are grateful for the veterinarians, the dentists that donated their personal protective equipment. we are asking folks to conserve their use of ppe. the other piece is we are working to create it, public and private, to produce it. a couple of examples, the dental equipment company in newburgh is producing personal protective equipment. creating gowns. we have adults in custody that
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masksoducing 3000-4000 every day. this has been a collective effort and frankly it is going to need to continue to be a collective effort. >> we have a lot of people on the phone line. >> good morning, governor. you received information on the department of corrections regarding possible candidates for early release from prison. do you plan to release any inmates early in response to the pandemic? what is your timeline for that decision will you make public the information you receive from the department of corrections? gov. brown: in response to your do i plan to release inmates early as a result of the covid-19 crisis? the answer is no and we will provide you with the documents i
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have used in my decision making. all of our state agencies are wrestling with the impacts of the covid-19 crisis. i have asked all of my agency directors to share with me their protecting their staff, their employees and for projecting -- protecting their clients, theirr adults in custody and certainly about covid-19 and the presence in our prisons in oregon. i have reviewed the plan with director peters. they are working hard to make sure that our adults in custody safe.e staff remain >> can the governor be more on time line -- we made -- these were very difficult decisions to
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make and the question is can i be more specific on time lines of the reopening and the answer is no. said earlier, as dr. fauci said, we don't control the timing. the disease controls the timing. efforts to stay home to save lives have been extraordinary and i am incredibly grateful for the oregonians have made to take care of their family's health and neighbors' health. appreciative of that. these were very difficult decisions to make and i know economic caused hardship in communities around the state but this is not like switch.on a light it will be done gradually, incrementally and based on advice fromdata and public health experts and
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epidemiologists. dr. sidelinger, did you want to anything? dr. sidelinger: i think as avernor brown stated, specific time line is difficult to get. we know sacrifices continue, have lost jobs, small and large businesses are impacted thewe know from looking at existing data of people being diagnosed right now, people hospital,tted to the that curve is flattening and what we're doing is working. modeling and smation to help us plan. when modeling shows that if the current activities we have in place are continued through mid we will continue to see a flattening the curve and thentially slow decrease in curve and that's what we're data infor so as the terms of people presenting day-to-day is going down, that's when we'll know it's time to take the next step. doing planning, alerting you
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of time of the plan, that this isn't a one-day thing where on buting is turned taking a specific sector-by-sector approach, those sectors, what do you need to provide protection for your employees, for customers, so we can make sure we have those things in what the data shows it's time to lift restrictions, we'll be ready to safely, we'll continue to monitor and see if there's a in oregon, that we can turn these things back on the least do it in disruptive way possible. said, ther brown disruptions made to the economy, to society, have been tremendous you asked any of us at the end of last year, none of us would have predicted that so we'll continue to provide as wes and be as specific can but a specific date is not right
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of questions for the governor regarding assisted long-term care facilities. will the state release about where the cases -- the numbers of cases in deaths related to these cases. question,. [indiscernable question] lisa, for: thank you, those questions and i'm really glad i have a pen and piece of paper up front. two questions, number one, will the state release information in cases are and the how many deaths and the second question is will there be aggressive testing done in our
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congregate care facilities. before i have dr. sidelinger come up, i just wanted to make a of comments. this is really, really hard. seasonthat during this special holidays for a that aof our religions lot of families get together across the state and across the country. benow it was hard to not able to hug your grandchildren and never useeces holiday.phews on a but i took strict and swift down our shut congregate care facilities, assisted living facilities, vulnerablenow how these populations are. i have a 90-year-old uncle in facility.iving he had his 90th birthday. my family couldn't hug him and wish him happy birthday. they did an alternative, they
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a drive-by birthday celebration with signs outside his window but this is really, really hard for our forlies and my heart breaks all of our vulnerable oregonians are in assisted living facilities because they can't ones.eir loved dr. sidelinger: to add to that, i know this has been a very difficult time for our residents and our staff and the families have family members or who are in assisted living facilities. the start theom populations in these congregate are the most vulnerable to complication and we'veand the tragedies seen are horrible and we wish we could have prevented them all closely with department of human services. we've begun releasing the facilities with outbreaks identified and have worked with teams that have
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to assesscilities infection control practices. to gatherinuing additional information we hope the number of on those impacted by this horrible disease and we will continue to andtify that information get it out to you as soon as possible so those updated information should be out this week and we hope as we gather additional information on the specific cases and numbers from the facilities, we'll be that to you, as well, because that's of great interest to the families with and employeesre working in those facilities but rest assured we have been theing very hard with facilities, d.h.s., our local be sure we have the ability to respond there. we started at, the beginning of this epidemic using a strategy we've used for respiratory diseases to identify disease in the facility, do targeted testing
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put people who are sick together with staff who cared for them and didn't cross over well people. as we learn more and more about behaves, thatse strategy is evolving and we work situation-to-situation to ensure we are responding the best way possible to offer protection to residents and staff in the facilities and families.e to >> : . i've hadonversations with folks in public health, it doesn't sound like state or
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have thel counties resources to do aggressive contact tracing. thisill they address disconnect? gov. brown: thank you, simon, your question. the question was what are the metrics and how will the state capacity for contact tracing and i'll add isolation and quarantine in our communities around the state. the oregon health authority is working on a plan to address these issues. like dr. sidelinger to that question. dr. sidelinger: thank you for that question. this epidemic hit, our framework in public public healthn modernization so local public health, tribal health authorities and o.h.a. working
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together as a system, the skills we needed and resources we would need to implement those skills. that has been supported by our leadership, the governor's as we'vend legislators gotten additional resources in and that plan is setting us to thisto respond current pandemic. we know there are skilled epidemiologists and others with specialized training we need to identify and bring on board. take time but we have ideas of what the need is there and working with our local public health authority partners, healthcare partners, to find the most expeditious way to bring on that skilled work set. we also know that part of this response will be communicating with those isolating at home or quarantined at home while waiting for a test result to the that we need to check on them regularly to see what they need and their symptoms are. be a work force that doesn't have to be someone with an m.p.h. but is working closely our local public health partners, with us in o.h.a. and
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skill sets they need to deliver community health worker type services. we know there are great groups of community health workers out onre and i think building that model and combining that model with public health is ofething we're thinking going forward. that work force will be easier expand and bring up and i think that model will serve us well going forward not just in this pandemic but in other issues that come up, orther communicable diseases broader issues that face citizens in oregon -- the areomic impacts on health great and this work force can help public health responding to that so i think it's an opportunity to think outside the workdevelop the hybrid force that evolves to meet the oregonians. question --
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with the director of districthostel yesterday and he is of the belief that you need to open things up for -- he is concerned about the crying wolf effect if you keep folks in different thes of the state following social distancing protocols for too long, that they're not going them much follow longer. gov. brown: the question is, are geographic take a approach to reopening the state and i think the answer i would give is yes, that is one of the things under consideration. what has to come first and prerequisite, we
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have to be able to slow the growth rate of coronavirus cases. we have to have adequate personal protection equipment. have to have testing capacity. to contactbe able trace or track and we have to be able to isolate and quarantine. so the disease is not further spread. geographicly locations will be one of the factors that we will consider moving forward. i also want to add, i know particularly that our critical in rural oregon are suffering as a result. on nonurgent medical care. obviously we would like to get those open as quickly as possible along with dental and providers arnold arnold -- around the state. order for that to happen is adequate personal
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andection equipment additional testing capacity so it.e working on >> lauren, are you there? are you alive? do you have a question. smith.o next to brad >> can you hear me? gov. brown: yes. >> hi, governor, hi dr. sidelinger. did you say that the goal is 15,000 tests or 50,000 tests per week? and could you address how you think we can get let it? our testing numbers have plateaued over the past three while i understand your goal to get there, i'm wondering if there's a plan for
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think we can reach that testing number. gov. brown: thank you, brad. since dr. sidelinger answered the last question on that, i'll make sure he answers this question on that. thank you. dr. sidelinger: thank you, governor and thank you, brad. was 15,000, one, five. and that's an estimate on what we're seeing in other parts of the country and what we think would be necessary with the symptomatic cases appearing to leveling off in theon and presentations in hospital we hope leveling off decreases over the next time period and that gives us an surveillance and doing testing of asymptomatic people. players testing right now will be how we will increase capacity. we are continuing to look for ways to increase capacity at the oregon state public health
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laboratory. we've said, that's a specialized laboratory healthing public response. initially was doing testing for hospitalizedwere when hospital systems weren't up so we're continuing to look for ways to increase that. know that our hospital systems are also looking for ways to increase their capacity of our hospitals who use a rapid p.c.r. test, not butpoint of care test, another system, that those systems are coming online over weeks.t few there's a point of care system, the abbott i.d. now system used by many providers for influenza testing in regular flu seasons to test has the ability for covid-19. federal health and human services has provided 15 of thoses machines to oregon. the testing kits that go with are limited and those have been distributed some rural topitals and will continue provide supplies to augment their testing capacity and as we
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testing kits,onal additionalle to -- machines there. commercial lab partners have informed us their backlogs are test in they're able to a more timely manner. timeow that with transit to those labs that may make stops before they get there, the timeliness of the returns isn't always there so we'll monitor but i think across the incrementall see increases in testing and that's how we plan to reach 15,000 a week. may not use all of that if the disease continues to decline but that's the capacity we're aiming for to provide timely to those who need >> hello, hi. portland tribune.
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go ahead, peter. governor's, national association called for $500 states total in aid to that would be included in a federal aid package that congress is considering. you speak specifically to status and fiscal whether oregon will need that aid very soon? you for thethank question. the question is, is oregon going $500ed a portion of the billion which hasn't been promised but has been requested the national governor's association from our federal government. yes.nswer is the financial assistance that we have been provided so far has helpful. as an example, we were able to work with region 10 fema director, mike o'hare, to provide additional funding for
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as weegon food bank but all know, the need is dire and canreally focused how we keep people in their houses through paying rent, mortgage, sure that people get adequate food and ensure that oregonians have access to healthcare so those are my top priorities. in terms of the fiscal situation have astate, we will revenue forecast out mid may. be a verys going to challenging financial time for the state of oregon. being impacted by a loss of revenue because there are folks working. the need, as i mentioned, is of ourboth in terms public health capacity and in net and ofr safety course unlike the federal government, the state of oregon has to balance our budget so we to work, i will continue to work closely with leadership and our partners there to address the
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realities but i certainly want to say thank you to our federal delegation. senators widen and merkley and theirngressional team for incredible efforts to get as much resources to oregon as possible. that all of the thernors are having are strings that were put on the earlier federal resources and we isld like all of us -- this one area where governors are totally and completely aligned, republican or democrat, from a red or blue seee, we would all like to much greater flexibility in terms of the federal resources our financial needs in our states. question -- are you there? >> yes, governor, i just wanted ask about the comments from the president yesterday and see
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remarksspective on his that he's the one in control and authority on this issue. gov. brown: well, thank you for the question. and the question is, how would i respond to president trump's inarks yesterday that he is control. here's the reality of the coronavirus situation. are all in this together and the states are truly on the and we have been addressing the needs and the around personal protection equipment, testing capacity and, of course, hospital bed capacity. governors were also the folks toughad to make the very and hard decisions to shutter parts of our economy and i think it's really important that those colocatedare regionally, that we work align ourthat we efforts as we work to make this
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reopening our economy, we do it together. next question -- are you there? about thed you learn deaths -- [inaudible] gov. brown: thank you for the question. i was gravely concerned about the vulnerability of our oregonians living in congregate ire facilities and that's why took swift and strict action early on. states to act the vulnerableotect our oregonians in our congregate
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care facilities. i see those reports daily and have been aware of the clusters both in southeast portland and the cluster in lebanon at the home there. appreciateay i department of human services and the oregon health authority taking action. we, obviously, would wish that -- that we had lost no one in these congregate to this horrible disease but unfortunately that is the case and i just want to you for the collaborative efforts that taken tod o.h.a. have both prevent, detective and inlement stricter measures congregate care facilities around the state. governor, i was struck by you talking about lack of -- the wasrstanding with oregon already 1.63 billion or
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fromhing to that effect the federal package, that it unbudgeteded for coronavirus issues. are saying that's not adequate anduse of strings attached have you taken any measures from the state budget? gov. brown: the question is, is the money adequate, $1.6 billion. for sure that that's the total. it's roughly that figure and going to be is distributed to our counties and cities. adequate.e resources i think the issue for governors country, is that the funding that was put in that 1.6 for us,e, toghly, cannot be used replace lost revenue. so the challenge for a state because we are an
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income tax based state, obviously, that goes to fund our public services, we cannot use to back-fill the revenue we have lost because i shuttered to stop the spread of the disease and flatten the curve. so that is a frustration i would say shared by governors around the country that we can't use thoseresources to replace .ollars [indiscernable question] on --rown: we're working dirk asked about what measures we have taken. butously, hiring freeze it's obviously agency dependent. the employment department, we've seen over 250,000 unemployment claims in last three weeks. they started with 100 people. up to 800ow ramping people to be able to process
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roughly 8,000 claims a day. obviously, there are specific resourceour human safety net that we continue to need to meet and the other tools that wehat normally use when we are short on resources aren't necessarily effective here. i just used the employment department situation but the have a lottion is we of state employees working from home, working remotely and that has required additional computers assistance, for those employees in their at-home locations so in terms of obviously freezing, we're obviously doing non-essential and obviously combing through budgets to look for efficienciesdrive in the budget. we're going to have to squeeze toothpastee bit of out of this tube. >> that's all the time we've got. thank you for tuning in
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>> c-span's washington journal live every day with policy issues that impact you. coming up this morning, editor-in-chief of the journal of the american medical association discusses the science bind covid-19. -- talks about efforts to expand the use of telemedicine and a virtual care can help during the coronavirus pandemic. on theo democratic impact of the coronavirus pandemic in his district and additional legislation he is sponsoring to provide economic relief to those impacted. watch washington journal live at 7:00 eastern this morning. be sure to watch washington journal sunday morning as we look back on the obama city bombing 25 years later --
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oklahoma city bombing 25 years later. ♪ c-span has round-the-clock coverage of the federal response to the coronavirus pandemic and it is all available on demand at briefings, house updates from governors and state officials. track the spread through the u.s. and the world and interactive maps, watch on-demand anytime unfiltered at
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spanish. gov. pritzker: good afternoon, everyone. today, i want to review our latest updates on hospitalization rates and ventilator data and what these numbers might mean in the larger context of our curve. dataefore we get into the and the trends we are seeing, i want everyone to understand something very important. exactly one week ago, i stood in front of you to deliver the solemn news that we had reached a new record high, single day increase, in


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