ウィスパリング同時通訳研究会コミュのNew York Gov. Andrew Cuomo holds a news conference on coronavirus — 12/3/2020

Gov. Andrew Cuomo: (00:00)
I said next week, Monday, Wednesday, Friday. This week spontaneity still works. Today, day 278. Update on the numbers because the numbers are changing. Positivity in micro clusters, 5.91. Statewide positivity with micro clusters, 4.49 with micro clusters, 4.8, over 200,000 tests, which is a lot of tests. 61 New Yorkers passed away. They’re in our thoughts and prayers. 139 up on hospitalization. 41 up on ICU. Four up on intubation.
(00:51)
It’s all about hospitalizations, hospitalization rate, hospitalization capacity. Over the last three days, okay, that’s how many people entered the hospitals from those areas over the last three days. Southern tier has done really remarkably well since we had that problem. I think it really communicated to people. This is changing hospitals over the past week, okay, past seven days. New York City up 249, Long Island 181, Finger Lakes 142, Mid-Hudson 123. Obviously, highest number in New York City. So really you want to look at this compared to the population in that area, right? Yes. You’re going to get more people out in New York City because New York City has 9 million people. This is the hospitalization by percentage of the region, which I think is probably the most telling tale. Western New York and Finger Lakes both have 0.03% of their populations hospitalized, 0.03. You then get to central New York, Mohawk Valley, Mid-Hudson, Long Island, Southern Tier, Capital Region, you’re at 0.02. New York City, North country 0.01. Got it?
(02:41)
That is how many people are hospitalized as a percentage of that population. And that is, I think, probably the most relevant chart right now. In the broad scope of things, we’re dealing with hospitalizations and increases. We are doing dramatically better than virtually every other state in the country. Who’s doing better? Maine, Vermont and Hawaii. Maine, Vermont and Hawaii are in a different situation than New York, less population, less cities, less density, etc. We have been going back and forth with Massachusetts, but Massachusetts now is higher than New York is today.
(03:34)
Total scope of things. Total number of hospital beds in the state is what? 53,000. Hold it a second. Go back. It’s not totally accurate. 53,000 until we what? We flex of the flex and surge. We can increase the 53,000 beds up to 75,000 beds which we did last time. Right? We added 50,000 beds. Do you remember that? How many beds are currently occupied? 35,000 beds. How many beds are currently occupied with COVID patients? 4,063. So that’s the dimensions that we’re dealing with. We’re dealing with hospitalization rate, hospitalization capacity. You start with 53,000 beds. You can end elective surgery. Reduce the number of people who are in those beds. You can expand the system. It’s difficult but you can do it. We did it last time by 50%. that brought you to about 75,000 beds. Today, 4,000 people hospitalized with COVID. At our height. How many people did we have hospitalized with COVID? At our peak, about 19,000, just to put all these numbers in perspective.
(05:03)
The Legislature passed a rent assistance bill. The rent assistance bill appropriated $100 million, up to $100 million, but had eligibility requirements on what income levels could qualify. We ran the program. The number of eligible applicants only brought us to $40 million in rental aid by the parameters of the law. By executive order I’m going to change the law. Spoken to the legislative leaders about this. Reopen the application window, extend the eligibility to help more New Yorkers.
(06:03)
Washington is considering passage of a bill which would help with state and local financing, unemployment insurance, transportation, a vaccination funding, etc. They have been going back and forth. Speaker Pelosi put forth the HEROES bill months ago. They were then talking about a possible compromise bill. Senator McConnell has been extraordinarily difficult. His statement was let the states go bankrupt. 50 states go bankrupt, that’s bad for the country because the country is 50 States.
(06:46)
Senator Manchin has pro proposed basically a bipartisan compromise bill of $908 billion. I spoke to Senator Manchin. He explained his reasoning, which I think is sound. I spoke with Speaker Pelosi. I agree that, as Governor of New York, that we need help desperately and something is better than nothing. And as a first down payment, I urge them to get something done before they leave for Christmas. Families will not have a holiday if they don’t act and if there isn’t some aid. President-elect Biden also urged them to get something done. Senator Manchin, who I have great respect for by the way, says that he believes this is the best they can get done. Again, it’s a first down payment. It doesn’t come near to the need. It would be a short-term bill until March. And I would urge them to get this first down payment bill passed before they leave just so families have funding for the holiday season and it takes some pressure off state and local governments. They would then have to come back and do a real bill next year. I’m sorry. Also, as Chairman of the National Governors Association, National Governors Association, we asked for $500 billion in state and local funding. National Governors Association, that’s Democrats and Republicans, we sent a letter supporting a $500 billion state and local package. This bill has $160 billion in state and local funding. So it’s not nearly what the governors asked for of this country. But again, something is better than nothing. And we will support a first down payment bill.
(09:14)
The next chapter is going to be vaccine distribution and vaccine acceptance. This is the weapon that wins the COVID war and we have to get serious about this. The distribution is a massive undertaking by government. I’ve said a number of times, it has to be fair. It has to be equitable. The state has to have funding to do it. We have to be able to get the black and brown communities and poor communities. Blacks died at twice the rate that whites died. Browns died at one and a half times the rate that whites died. They’ve had less COVID testing. They have higher infection rates. There is-
(10:03)
They have higher infection rates. There is no justification not to have a very aggressive outreach program for the black and brown community. But government is going to have to do its part. People are also going to have to do their part. They’re going to have to accept this vaccine. And right now, all the current data suggests people are very skeptical about the vaccine and the estimates are you need about 75% of the population to be vaccinated for it to be effective. And you have 50% of the population roughly saying, they’re not going to take the vaccine. Mathematically, that doesn’t work. You can’t get the 75% if 50% say they aren’t going to take it. But this is here and now, this vaccine distribution is going to happen in the next couple of weeks. New York state is going to be very aggressive about the distribution. I believe there’s a great advantage to the state that most effectively vaccinates all people, and we’ll be reaching out and educating people in the state. I would never ask anyone in the state to take a vaccine that I was unwilling to take myself. That’s always been my standard. I’m not asking you to send your child to school, if I wouldn’t send my child to school. I’m not asking you to put yourself in a situation that I wouldn’t put myself. And I won’t ask New Yorkers to take a vaccine that I wouldn’t take myself. But it is real and we need people to start to focus on it, because we want to get it done very quickly. And I want New Yorkers to start to think about it seriously.
(11:51)
We’re not going to get to the general population for a while, but you will start for nursing home distribution. So you’ll have parents asking their family, “What do you think? Should I take it or not?” You’ll have healthcare staff having to decide whether or not they take it. And people should start focusing on it because it’s real and it’s here. And again, New York wants to do it as quickly as we can.
(12:23)
Just to show you how real it is. In this box… What is in this box? Maybe it’s a Christmas present. Who would I give a Christmas present to at this point? Let’s not ask. This is a box of vaccines. Pfizer, which is a great New York company, made the vaccine. Pfizer developed the vaccine without any assistance from the federal government. They did it all on their own. And we’re very proud to call them a New York company.
(13:03)
The vaccine process is a complicated process and the distribution is going to take a lot of work. And a lot of effort, the package itself comes with a Geo Tracker GPS tracking device that can track the program and a thermo monitor, so it monitors the temperature of the package. You want to know where the package is and the package has to stay at the right temperature. Because if it doesn’t, then the vaccine is destroyed. It comes in wrapped in dry ice. The dry ice, because it has to be ultra cold. When you receive the package, you have to replace the dry ice, and then you have to replace the dry ice every five days. Okay? Under the dry ice is the actual package that has the trays in it. The trays have the actual vials in it.
(14:38)
By the way, the vials are made glass from Corning Glass, another great New York company. A vial contains enough for five dosages. The vial comes with a diluting liquid and the actual vial gets diluted before the vaccination actually happens. One tray, they call this a tray, one tray can hold up to 195 vials. Each vial, this is a vial, can do five dosages. The package itself can hold five trays. So, roughly 5,000 dosages could be in this one box.
(15:40)
The storage and handling of the box itself is complicated. You can only open the box two times a day for 60 to 90 seconds each time, because keeping it the right temperature is very important. So it’s either in ultra-cold storage or it has dry ice, but then you can only open it twice a day for 60 seconds to 90 seconds each time. When you actually do the vaccine, you take out the vial, the vial is frozen, you have to allow the vial to thaw at room temperature for about 30 minutes. You then dilute the vial and let it stand for two hours. And then you have six hours to administer the dosage. Okay? So this is a complicated procedure. That’s one dosage, and then the person has to come back and receive the second dosage about 21 days later.
(16:54)
So, the package comes, it either has to be stored in ultra-cold storage or the dry ice is replaced and the dry ice can keep it. Up to 5,000 dosages, five dosages per vial. And then there’s a procedure to dethaw the vial, dilute the dosage, and then administer the dosage within six hours thereafter. And that’s one dosage. Second dosage is 21 days later. The vaccine really isn’t effective until after the second dosage.
(17:41)
So it’s not easy, but it’s real and they’re being manufactured and they’re going to be shipped. And we’re very proud of Pfizer and we’re proud of Corning. And we are working very hard to be ready for the distribution and training people on the distribution to make sure it’s all done correctly. But this is the weapon that is going to win the war. And that is the light at the end of the tunnel, right? So it’s not tomorrow, it’s not a short tunnel, but we know the way through this. We just have to get there. And we have to get there with as little loss of life as possible. Questions?

Speaker 1: (18:35)
Governor, what’s the plan for us staffing? You’ve talked about how it is a big concern, especially for maybe smaller or medium-sized hospitals who might not be able to tap into staff at other locations. In the spring obviously, we had the big plan to bring in volunteers from across the country. What sort of beyond retiree sort of thing, what sort of the plan to help with that issue?

Gov. Andrew Cuomo: (19:01)
We have the surge and flex system, which deals with hospital capacity. Hospital capacity has several elements within it, number of beds, availability of equipment, availability of staff. They’re all in the capacity constellation. When you run into a problem with capacity, then you have the ability to actually flex from different hospital systems. So, if one hospital system is in trouble because they’re running out of capacity for any of the three elements, beds, equipment staffing, then you can shift to another hospital system.